Open Electronic Medical Record (EMR) Platform Improvements for Hybrid Healthcare

混合医疗保健的开放式电子病历 (EMR) 平台改进

• 批准号: CCARD-2022-00333
• 负责人: Gibbins, Tim
• 金额: $ 2.91万
• 依托单位: Conestoga College Institute of Technology & Advanced Learning
• 依托单位国家: 加拿大
• 项目类别: CCI Applied Research and Development Grants
• 财政年份: 2022
• 资助国家: 加拿大
• 起止时间: 2022-01-01 至 2023-12-31
• 项目状态: 已结题
• 来源: https://www.nserc-crsng.gc.ca/ase-oro/Details-Detailles_eng.asp?id=756298
• 关键词: Open; Electronic; Medical; Record; EMR

Magenta Health Inc. (Magenta) operates a large multi-site primary care medical organization based in east Toronto within the publicly funded system to further the internationally recognized and provincially adopted Quadruple Aim - better patient care, at lower system cost, with better patient and provider experience. Technology is the primary tool used by Magenta Health to achieve this. In collaboration with Conestoga College Institute of Advanced Learning and Technology (Conestoga), this project will enhance Magenta's open source electronic medical record (EMR) platform, in the view of a post-pandemic hybrid care model that incorporates both in-person and virtual care. Existing technologies used by Magenta were designed for a certain paradigm of care - in-person episodic care with per-visit reimbursement. The previous delivery model has evolved for Magenta and they are now largely reimbursed a flat daily amount per patient regardless of how (and whether) the patient receives care, including remotely. The existing EMR system excels at printing physical blood work or imaging requisitions to hand to patients in person; however, improvements are needed to securely provide such requisitions to a patient virtually. Similar issues exist with communication between providers, which might further involve virtual patients. Overall, the areas of challenge encountered by Magenta relate to improving inter-professional communication, electronic patient/provider communication, and the physician's interface to the EMR. This project uses the proven innovation path of open-source software, along with technology and related expertise from the Conestoga research team paired with the medical and technical expertise of the Magenta Health team. It will prepare a prototype software solution to secure communication materials from provider to patient, improve provider-to-provider document and message transfer, and resolve issues for providers in interacting with the user interface, particularly in relation to working with the electronic patient data. All work completed will be released open-source and made freely available so that other organizations have access to these innovative functional improvements.

洋红健康公司（洋红）在公共资助系统内运营着一家位于东多伦多的大型多站点初级保健医疗机构，以进一步实现国际认可和省级采用的四重目标-以更低的系统成本提供更好的患者护理，并提供更好的患者和提供者体验。技术是洋红健康所使用的主要工具，以实现这一目标。该项目与Conestoga学院高级学习与技术研究所（Conestoga）合作，将加强洋红的开源电子病历（EMR）平台，考虑到大流行后的混合护理模式，将亲自和虚拟护理相结合。 洋红使用的现有技术是为某种护理模式而设计的-每次就诊报销的现场情景护理。以前的交付模式已经演变为洋红，他们现在在很大程度上偿还了一个单位每天的金额，每个病人，无论如何（和是否）病人接受护理，包括远程。现有的EMR系统擅长打印物理血液工作或成像图像以亲自交给患者;然而，需要改进以安全地向患者虚拟地提供这种图像。提供者之间的沟通也存在类似的问题，这可能进一步涉及虚拟患者。总体而言，洋红遇到的挑战领域涉及到改善专业人员之间的沟通，电子病人/供应商的沟通，和医生的界面，电子病历。 该项目使用经过验证的开源软件创新路径，沿着来自Conestoga研究团队的技术和相关专业知识，以及洋红健康团队的医疗和技术专业知识。 它将准备一个原型软件解决方案，以确保从提供者到患者的通信材料的安全，改善提供者到提供者的文档和消息传输，并解决提供者与用户界面交互的问题，特别是与电子患者数据有关的问题。 所有完成的工作都将开源发布，并免费提供，以便其他组织能够获得这些创新的功能改进。