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Clinical care management and workflow by episodes

P L Claus1, P C Carpenter, C G Chute

  • 1Mayo Clinic, Rochester, Minnesota, USA.

Proceedings : a Conference of the American Medical Informatics Association. AMIA Fall Symposium
|January 1, 1997
PubMed
Summary
This summary is machine-generated.

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Mayo Clinic implemented clinically defined episodes of care and an episode-based patient problem summary to enhance care management and electronic medical records. This system improves data for decision support and research.

Area of Science:

  • Health Informatics
  • Clinical Informatics
  • Healthcare Management

Background:

  • Mayo Clinic utilized a traditional paper-based system for patient history management.
  • A prior system defined 'episodes of care' as 'registrations'.

Purpose of the Study:

  • To implement clinically defined episodes of care for improved patient management.
  • To introduce an episode-based summary list of patient problems.
  • To establish a foundation for the electronic medical record (EMR).

Main Methods:

  • A new clinical definition of 'episode of care' was adopted in November 1996.
  • A computer-generated 'Master Sheet Summary Report' organized by episode was integrated into patient histories.
  • Online access to the episode-based problem summary was provided via EMR-capable workstations in 1997.

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Main Results:

  • The implementation facilitated improved care management and operational processes.
  • A standardized, clinically relevant patient problem summary was generated.
  • Enhanced access to patient information was provided across the healthcare system.

Conclusions:

  • The new episode-based system provides a robust construct for the electronic medical record.
  • The clinically oriented problem summarization enhances clinical information packages.
  • This initiative is expected to improve analytic decision support, outcomes analysis, and epidemiological research.