Using an EMR to Improve Urban Child Health

应聘者描述(由申请人提供)：应聘者是一名儿科医生、流行病学家和国家医学图书馆的应用信息学研究员。他的主要职业目标是利用电子病历(EMR)等基于计算机的技术提高城市儿科初级保健的质量。利用波士顿大学医学院、社区卫生中心健康网合作和国家儿童保健质量倡议提供的资源，他建议用三年的时间评估使用EMR技术提高儿科保健质量的策略。他的重点将放在对初级保健临床医生至关重要的两个领域--预防服务和哮喘的护理。 该项目的具体目标是在城市初级保健中心网络中使用共同的电子病历来：1)描述以电子病历为基础的城市儿童和青少年初级保健的内容和质量；2)评估循证审计和反馈改善多种初级保健服务(预防服务和哮喘护理)的有效性；3)描述初级保健临床医生的看法和在收到以实践为基础的审计和反馈后使用的质量改进战略；4)评估在增加点保健决策支持以改进提供多种初级保健服务(预防服务和哮喘护理)后的质量改进；以及5)描述初级保健临床医生在获得护理点决策支持后的看法。这些研究建立在候选人在儿科EMR软件开发和评估方面的六年经验的基础上。 长期的职业目标是在波士顿领导一个协作研究网络，开发、使用和评估基于技术的解决方案(包括EMR)，以改善城市儿童的健康和医疗保健。

DESCRIPTION (provided by the applicant): The candidate is a pediatrician, epidemiologist, and an applied informatics fellow with the National Library of Medicine. His primary career objective is to improve the quality of urban pediatric primary care using computer-based technologies such as the electronic medical record (EMR). Using resources available in Boston through the Boston University School of Medicine, the Neighborhood Health Center Healthnet Collaboration, and the National Initiative for Child Healthcare Quality, he proposes to spend three years evaluating strategies to improve the quality of pediatric health care using EMR technologies. His focus will be in two areas of central importance to the primary care clinician-preventive services and the care of asthma. The specific aims of this project are to use a common EMR in a network of urban primary care centers to: 1) describe the content and quality of EMR-based urban child and adolescent primary care; 2) evaluate the efficacy of evidence-enhanced audit and feedback to improve the delivery of multiple primary care services (preventive services and asthma care); 3) describe the perceptions of primary care clinicians and quality improvement strategies used following receipt of practice-based audit and feedback; 4) evaluate incremental improvements in quality following the addition of point-of-care decision support to improve the delivery of multiple primary care services (preventive services and asthma care); and 5) describe the perceptions of primary care clinicians following receipt of point-of-care decision support. These studies build on the candidate's six years of experience in the development and evaluation of pediatric EMR software. The long-term career objectives are to lead a collaborative research network in the City of Boston that will develop, use, and evaluate technology-based solutions (including the EMR) to improve the health and healthcare of urban children.