Evaluating the Value and Impact of an Electronic Health Record in a Complex Health System – article – 2010

Posted on April 13, 2010. Filed under: Health Informatics, Medical Records | Tags: |

ElectronicHealthcare, 8(4) 2010: e3-e14
Evaluating the Value and Impact of an Electronic Health Record in a Complex Health System
Damon C. Mayes and David R. Mador
pdf

 “Abstract:
NetCARE is Canada’s first region-wide electronic health record (EHR) (Hospital News 2004). It is a clinical, web-based, view-only record of an individual’s key health information drawn from multiple sources. NetCARE is available in both hospital and community settings and is accessed by a variety of clinical users. A systematic evaluation showed that an average of 88% of respondents agreed or strongly agreed that netCARE provided valuable lab test results, event history, diagnostic imaging and transcribed reports. Seventy-six per cent indicated that it helped provide quality patient care, and 82% felt it integrated easily into their clinical workflow. A 15-fold increase in EHR use over two and a half years was accompanied by a 56% decrease in physician use of a major legacy system (p=.004) and an average decrease of 24% in requests for paper-based records (p=.03). The average time for netCARE to decrease both legacy system use and patient-chart requests to desired levels was two years.”

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