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ICOHR: intelligent computer based oral health record
L C Peterson1, D S Cobb, D C Reynolds
1University of Iowa, College of Dentistry, Iowa City 52242, USA.
Medinfo. MEDINFO
|January 1, 1995
Summary
This study introduces ICOHR, an intelligent computer-based oral health record system, to improve clinical quality management in dentistry. ICOHR integrates patient data for real-time decision support, moving beyond traditional paper records.
Area of Science:
- Dental Informatics
- Health Information Systems
- Clinical Quality Management
Background:
- Existing dental computer systems primarily focus on practice management, with limited support for clinical care and quality assurance.
- Traditional quality assurance methods are retrospective, relying on paper records.
- Proactive quality management initiatives require real-time decision support integrated into patient care delivery.
Purpose of the Study:
- To present the development and evaluation of the Intelligent Computer Based Oral Health Record (ICOHR) system.
- To demonstrate how ICOHR can integrate clinical care data for real-time quality management.
- To propose ICOHR as an alternative to traditional paper dental records, aligning with Institute of Medicine recommendations.
Main Methods:
- Development of ICOHR, an information system integrating medical/dental history, oral status, treatment planning, progress notes, and a patient care database.
- Integration of ICOHR with practice management systems, supporting quality management tools (medical alerts, guidelines, decision support).
- Multimodal data input (voice recognition, digitizer) and ergonomic design for efficient data acquisition.
- Clinical evaluation in private dental practices and institutional settings (College of Dentistry, Hospital Dentistry program).
Main Results:
- ICOHR successfully integrates diverse patient dental record components into a unified system.
- The system supports real-time quality management through features like medical alerts and clinical decision support.
- Multimodal data input and ergonomic design facilitate efficient and unobtrusive patient information acquisition.
- Clinical evaluations are underway in multiple practice and institutional environments.
Conclusions:
- Computer-based patient records, like ICOHR, are essential for proactive clinical quality management in dentistry.
- ICOHR offers a comprehensive solution for managing dental patient data and improving care quality.
- The ongoing clinical evaluations will validate ICOHR's effectiveness in real-world dental settings.