Sharing Patient Record Access in Rural Health Settings

描述(由申请人提供)：该项目将制定一项计划，在伊利诺伊州中东部医疗服务不足的地区实施门诊电子病历。萨拉·布什·林肯健康中心(SBLHC)是一家非营利性社区医疗保健公司，它将作为财务代理，与三家独立的医生诊所合作开发一种动态EMR，它1)提供跨医院服务、家庭健康、临终关怀和医生执业环境的患者记录共享访问；2)提高患者安全。 项目合作伙伴包括K.A.Fehrenbacher，M.D.，Ltd.(家庭诊所)；Uroology Associates(Roger Rives，M.D.和David D.DiDomeico，M.D.，D.O.的泌尿学诊所)；Zveri and Associates，S.C.(Shailesh Zveri，M.D.和B.S.Lakshiminarayanan，M.D.的心脏病学诊所)。该项目的合作伙伴设想了一个电子病历，它将以电子方式连接医生办公室、SBLHC地区医院及其附属服务，以及其他社区卫生服务。我们打算确定共享纵向病历所需的流程和资源，该病历至少包含患者问题列表、用药列表、过敏反应、放射学、图像和数据、实验室数据以及患者护理计划。该项目将确定指标，以跟踪患者安全和护理质量、临床医生和患者满意度以及操作效率方面的可衡量改善。合作伙伴关系的长期目标如下：1)成功部署动态电子病历，在医院服务、家庭健康、临终关怀以及受雇和独立的医生执业环境中共享访问患者记录；2)使用计算机化的医嘱录入和临床决策支持系统，以减少用药错误和提高患者安全性；以及3)提供一种方法，利用电子病历收集、分析和报告已识别和预防的用药错误和不良事件的数量和类型，以及实际发生的错误和不良事件的数量和类型。

DESCRIPTION (provided by the applicant): This project will develop a plan for the implementation of an ambulatory EMR in a medically underserved region of east central Illinois. Sarah Bush Lincoln Health Center (SBLHC), a not-for-profit community healthcare corporation, will serve as the fiscal agent and work in partnership with three independent physician practices to develop an ambulatory EMR which 1) provides shared access to patient records across hospital services, home health, hospice, physician practice settings; and 2) improves patient safety. Project partners include K.A. Fehrenbacher, M.D., Ltd. (family practice); Urology Associates (urology practice of Roger Rives, M.D., and David D. DiDomenico, M.D., D.O.); and Zaveri and Associates, S.C. (cardiology practice of Shailesh Zaveri, M.D. and B.S. Lakshiminarayanan, M.D.). The partners of this project envision an EMR that will electronically connect physician offices, the SBLHC regional hospital and its ancillary services, and other community health services. We intend to identify processes and resources needed to share a longitudinal medical record that contains, at a minimum, a patient problem list, medication list, allergies, radiology, images and data, laboratory data, and a patient care plan. The project will identify indicators to track measurable improvements in patient safety and quality of care, clinician and patient satisfaction, and operational efficiencies. The long-term goals of the partnership are as follows: 1) Successfully deploy an ambulatory EMR with shared access to patient records across hospital services, home health, hospice, and employed and independent physician practice settings; 2) use computerized physician order entry and clinical decision support systems to reduce medication errors and increase patient safety; and 3) provide a method to utilize the EMR for data collection, analysis, and reporting of the number and types of medication errors and adverse events identified and prevented, as well as the number and types of actual errors and adverse events which occur.