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

洋红色健康公司(洋红色)在公共资助的系统内，在多伦多东部经营着一家大型的多站点初级保健医疗机构，以推进国际公认和省内采用的四重目标--以更低的系统成本提供更好的患者护理，以及更好的患者和提供者体验。技术是洋红健康公司实现这一目标的主要工具。该项目与Conestoga学院高级学习与技术研究所(Conestoga)合作，将加强Magenta的开源电子病历(EMR)平台，以期建立一种将面对面护理和虚拟护理结合在一起的大流行后混合护理模式。Magenta使用的现有技术是为按次报销的面对面护理间歇性护理的特定范例而设计的。之前的交付模式已经为Magenta发展起来，现在他们基本上每天向每个患者报销固定的金额，无论患者如何(以及是否)接受治疗，包括远程治疗。现有的电子病历系统擅长打印实物血液检查或成像请求，以便亲自交给患者；然而，需要改进以安全地将此类请求虚拟地提供给患者。服务提供者之间的沟通也存在类似的问题，这可能会进一步涉及虚拟患者。总体而言，Magenta遇到的挑战领域涉及改善专业间沟通、患者/提供者的电子沟通以及医生与EMR的接口。该项目使用了开源软件的成熟创新路径，以及来自Conestoga研究团队的技术和相关专业知识，以及Magenta Health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，以确保提供者与患者之间的通信材料的安全，改进提供者与提供者之间的文件和消息传输，并为提供者解决与用户界面交互的问题，特别是与使用电子患者数据有关的问题。所有已完成的工作将开放源码发布并免费提供，以便其他组织能够获得这些创新的职能改进。

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.