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利用电子健康记录来识别和注册患者进入自我管理计划:临床环境中的实施和可扩展性

Gena R Ghearing¹, Michael Privitera², Maegan Tyrrell¹

¹Department of Neurology, Carver College of Medicine and Iowa Health Care, Iowa City, IA, USA.

Epilepsy & behavior : E&B

|May 18, 2025

概括

扩大倡议成功地使用电子健康记录来识别和转介患者到远程SMART自我管理计划,改善获得护理的机会.

科学领域:

神经学神经学
医疗保健实施科学科学

背景情况:

"患者和有负面健康事件史的人的自我管理" (SMART) 计划是一个为期8周的远程自我管理 (ESM) 干预.
扩大医疗保健网络 (EXPAND) 倡议的自我管理支持利用电子健康记录 (EHR) 来有效识别和招聘符合条件的个人.

研究的目的:

实施和评估EXPAND倡议,为患者 (PWE) 提供ESM.
利用EHR系统来简化SMART计划的识别,转介和注册流程.

主要方法:

通过使用Epic EHR系统在两个4级中心实施.
在EHR内进行访问前查,以根据史,药物坚持,抑郁症,年龄或农村居住地来确定PWE.
利用EHR生成的最佳实践咨询 (BPA) 来促进临床医生转介到SMART计划.

主要成果:

在BPA激活5个月内产生了超过5000个临床医生警报.
360名患者 (PWE) 被转介到SMART计划中.
42名PWE参加了至少一个SMART会议,平均年龄为35.0岁,过去30天平均有4.3次发作.

结论:

扩大倡议证明了ESM在两个中西部中心的PWE成功实施.
电子健康系统的整合大大促进了ESM计划的转介过程.
远程交付模型和EHR促进方法显示ESM可扩展扩展到不同PWE人群的可扩展性扩展的潜力.

关键词:

最好的实践咨询咨询服务电子健康记录电子健康记录是一种病.发作在发作.自主管理的自我管理.

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