Medical Directors of Clinical Informatics March 2015
March 12, 0730-0830 hours CST
Increasing physician knowledge and proficiency with Advocate Health Care's clinical information systems.
Attendees | ||
---|---|---|
Richard Baker (Good Shepherd) | Tahir Khokher (South Suburban) | Natalie Selk (Christ) |
James Ferrel (Christ) | Elliot Levine (Illinois Masonic) | Pranjal Shah (Good Samaritan) |
Anupam Goel (corporate) | Robert Munson (Condell) | |
Sakhwat Hussain (Trinity) | Douglas Propp (Lutheran General) |
Transcription reduction
There are three ways to reduce transcriptions:
1. Increase PowerNote use with keyboard data entry
Advantages
- Can pull in information from other parts of the medical record
- Easy to copy-and-paste previous notes
- Can include user-specific templates that can be modified with minimal effort
Disadvantages
- Requires logging into a desktop computer
- Any significant patient-specific data entry is more time-consuming than voice-recognition
2. Increase PowerNote use with voice-recognition data entry
Advantages
- Can pull in information from other parts of the medical record
- Easy to copy-and-paste previous notes
- Can include user-specific templates that can be modified with minimal effort
- Voice-recognition simplifies
Disadvantages
- Requires logging into a desktop computer
- Any significant patient-specific data entry is more time-consuming than voice-recognition
- Voice-recognition technology only available when the user is at a hospital
- More expensive than using PowerNotes with direct data entry
3. Increase Cerner Inpatient app use with voice-recognition data entry
Advantages
- The fastest way to log into the electronic medical record
- Could also address other adoption challenges including computerized physician order entry
- Voice-recognition technology superior to Advocate's desktop versions
Disadvantages
- Cannot pull in information from other parts of the medical record beyond Cerner's predefined templates (e.g., latest vital signs and visit problems for progress notes; past medical/family/social history and medications for consult notes)
- No ability to create user-specific templates
- More expensive than using PowerNotes with direct data entry
Requests to improve PC Touch Adoption
- Would like to append a note after it has been saved.
- Too many steps to get an H&P loaded into the application.
- Need to clarify the process of copying and pasting sections of a note.
- Would like to pull in laboratory values and radiology results like PowerNotes.
Get access for ED physicians.
Set a corporate date for turning off progress notes.
- Disable the transcription work type.
- Disable the progress note templates that are available in CareConnection (already done at a couple of sites).
- Set a date (possibly July 1).
Advocate Physician Informatics
Increasing physician knowledge and proficiency with Advocate Health Care's clinical information systems.