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

Magenta Health Inc. （Magenta）是一家大型的多站点初级保健医疗机构，位于多伦多东部，在公共资助的系统内，进一步实现国际公认和省级采用的“四重目标”——以更低的系统成本，更好的患者护理，更好的患者和提供者体验。技术是Magenta Health用来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，将增强Magenta的开源电子病历（EMR）平台，以实现大流行后结合面对面和虚拟护理的混合护理模式。Magenta使用的现有技术是为每次访问报销的亲自护理情景护理的特定范例而设计的。Magenta以前的交付模式已经发展，现在他们基本上每天报销每位患者的固定金额，而不管患者如何（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血检或成像要求，然后亲自交给患者；然而，需要改进以安全地向患者虚拟提供此类请求。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。总的来说，Magenta遇到的挑战涉及改善跨专业沟通、电子患者/提供者沟通以及医生与电子病历的接口。该项目使用开源软件的成熟创新路径，以及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，以保护提供者与患者之间的通信材料，改善提供者与提供者之间的文档和信息传递，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相关的问题。所有完成的工作都将开源并免费提供，以便其他组织可以访问这些创新的功能改进。

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.