Ambulatory Electronic Medical Record and Shared Access

描述（由申请人提供）：该项目将在伊利诺伊州中东部医疗服务不足的地区的多个不同的医疗机构中实施动态电子病历（EMR）。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，将作为财政代理和牵头组织，合作部署一个流动电子病历系统，通过以下方式改善患者安全和患者对健康信息技术（HIT）的态度：1)提供跨医院服务、家庭健康、临终关怀、雇用和独立的医生实践设置，并整合电子工具来开具处方和管理药物。项目合作伙伴包括两个私人执业组织，K.A. Fehrenbacher, m.d., Ltd.（家庭执业）和泌尿科协会（Roger Rives, m.d.和David D. DiDomenico, m.d.， D.O.的泌尿科执业）；东伊利诺伊大学卫生服务部（EIU）是一所区域性住宿大学，目前总注册人数为11522人。项目评估将监测医疗服务提供者获取和利用HIT的可衡量改善，通过使用电子处方实现患者安全，以及患者对HIT态度的变化。项目相关性：该项目将导致社区卫生保健信息利用方面的三个重大变化：1)及时提供患者药物和已知过敏症的综合清单，2)利用更好的工具来改进临床制图，以及3)整合跨多个设置的一致记录。

DESCRIPTION (provided by the applicant): This project will implement an ambulatory electronic medical record (EMR) across multiple and varied health care settings in a medically underserved region of east central Illinois. Sarah Bush Lincoln Health Center (SBLHC), a not-for-profit community health care corporation, will serve as the fiscal agent and lead organization for a collaborative partnership to deploy an ambulatory EMR which improves patient safety and patient attitudes toward health information technology (HIT) by 1) providing shared access to patient records across hospital services, home health, hospice, and employed and independent physician practice settings and 2) integrating electronic tools for prescription orders and management of medications. Project partners include two private practice organizations, K.A. Fehrenbacher, M.D., Ltd., (family practice) and Urology Associates (urology practice of Roger Rives, M.D., and David D. DiDomenico, M.D., D.O.); and the Health Services Division of Eastern Illinois University (EIU), a regional, residential university with a current total enrollment of 11,522. Project evaluation will monitor measurable improvements in provider access and utilization of HIT, patient safety realized through the utilization of electronic prescriptions, and change in patient attitudes toward HIT. Project relevance: The project will lead to three significant changes in the utilization of health care information in the community: 1) timely availability of a comprehensive list of the patient's medications and known allergies, 2) utilization of better tools for improved clinical charting, and 3) integration of a consistent record across multiple settings.