2007 Medical Education Conference Conférence de 2007 sur l’éducation médicale
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Transcript of 2007 Medical Education Conference Conférence de 2007 sur l’éducation médicale
2007 2007 MedicalMedical Education Conference Education ConferenceConférence de 2007 sur l’éducation Conférence de 2007 sur l’éducation
médicalemédicale
WelcomeWelcome
AFMC – CAME – CFPC – MCC – RCPSCAFMC – CAME – CFPC – MCC – RCPSCAFMC – ACÉM – CMFC – CMC – CRMCCAFMC – ACÉM – CMFC – CMC – CRMCC
BienvenueBienvenue
Using Electronic Health Using Electronic Health RecordsRecords
For education and researchFor education and research
Robyn Tamblyn, McGill University
OutlineOutline Key Components of Electronic Health RecordsKey Components of Electronic Health Records Uses in EducationUses in Education Uses in ResearchUses in Research
Key Components of EHRKey Components of EHR
Health Problem
List
Medication List
Retrieval of lab, drug, dx test + report
information from feeder systems
Drug and Visit Profile Information Drug and Visit Profile Information from Regional/ Provincial Repositoriesfrom Regional/ Provincial Repositories
Costs of Medications
Dates of Hospitalizations & ER Visits
List of Drugs Dispensed over Past 6 Months
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Structured order entry
Clinical NotesClinical Notes
Uses in EducationUses in Education
Reminders
Educate About Preventive Care Educate About Preventive Care and Provide Practice Remindersand Provide Practice Reminders
E-Rx PadE-Rx PadEducate + Reduce Potential Errors by Providing Educate + Reduce Potential Errors by Providing Menus for Dose Selection & Treatment IndicationMenus for Dose Selection & Treatment Indication
cou
Educate about Drug Interactions & Reduce Educate about Drug Interactions & Reduce Errors in Drug Selection by Providing Alerts Errors in Drug Selection by Providing Alerts
for Prescribing Problemsfor Prescribing Problems
Evidence-Based Asthma Decision Support Evidence-Based Asthma Decision Support Customized for Individual Patient Profiles Customized for Individual Patient Profiles
CIHR supported RCT-2004-2008CIHR supported RCT-2004-2008
Uses in ResearchUses in Research
Practice ProfilesPractice Profiles
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ER Visit Hospitalization Mortality
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Perc
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Mammograms PAP Smears Prostate Screens
VulnerablePatients
Risk FactorManagementCHFDiabetesHypertension COPDAsthmaMy Practice
Profile
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Perc
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Excess RescueMedication
ER Visit Overall PoorControl
2004 2005 2006
Demographics: My Practice
2004 2005 2006 Number of asthmatics 45 52 64 Average age (years) 37 38 34 Female (%) 45 48 45 Receive an income subsidy (%) 4 7 6
Comorbidity:
Average number of serious health problems
0.68 0.72 0.84
Average number of medications 3 3.1 2.1
Continuity of care:
Average number of visits to my practice
4 5 1.8
Average number of visits to other physicians
1 1.2 0.9
Patients with all asthma therapy Rx by me (%)
65 68 72
My Asthma Patients
VulnerablePatients
Risk FactorManagementCHFDiabetesHypertensionMy Practice
Profile COPDAsthma
Asthma Quality IndicatorsAsthma Quality Indicators
Proportion of my asthma patients with poor control
Compliance with Rx
All asthma patients should have an action plan
All asthma patients with poor control should have inhaled corticosteroids
Disease ControlDisease Control
Show me my current asthma treatment outcomes
Compare my asthma treatment outcomes to those of my peers
My Asthma Patients
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Mea
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Inhaled Steroids Long Acting B-Agonist
Leukotriene
Demographics: 2006
Number of asthmatics 64 Average age (years) 34 Female (%) 45 Receive income subsidy (%) 6
Comorbidity:
Average number of serious health problems 0.84 Average number of medications 2.1
Continuity of care:
Average number of visits to my practice 1.8 Average number of visits to other physicians 0.9 Patients with all asthma therapy Rx by me (%) 72
Asthma Quality IndicatorsAsthma Quality Indicators
Proportion of my asthma patients with poor control
Compliance with Rx
All asthma patients should have an action plan
All asthma patients with poor control should have inhaled corticosteroids
Disease ControlDisease Control
Compare my asthma treatment outcomes for the past 2 years
Compare my asthma treatment outcomes to those of my peers
VulnerablePatients
Risk FactorManagementCHFDiabetesHypertensionMy Practice
Profile COPDAsthma
My Asthma Patients
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80
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Perc
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f Pat
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ith IC
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Poor Control Good Control
Demographics: 2006
Number of asthmatics 64 Average age (years) 34 Female (%) 45 Receive income subsidy (%) 6
Comorbidity:
Average number of serious health problems 0.84 Average number of medications 2.1
Continuity of care:
Average number of visits to my practice 1.8 Average number of visits to other physicians 0.9 Patients with all asthma therapy Rx by me (%) 72
Compare my asthma treatment outcomes for the past 2 years
Compare my asthma treatment outcomes to those of my peers
Asthma Quality IndicatorsAsthma Quality Indicators
Proportion of my asthma patients with poor control
Compliance with Rx
All asthma patients should have an action plan
All asthma patients with poor control should have inhaled corticosteroids (guidelines)
Disease ControlDisease Control
VulnerablePatients
Risk FactorManagementCHFDiabetesHypertensionMy Practice
Profile COPDAsthma
My Asthma Patients
Demographics: My
Practice 2006
My Peers 2006
Number of asthmatics 64 89 Average age 34 36 Female (%) 45 42 Receive an income subsidy (%) 6 7
Comorbidity:
Average number of serious health problems
0.84 0.72
Average number of medications 2.1 3.1
Continuity of care:
Average number of visits to my practice 1.8 2.2 Average number of visits to other physicians
0.9 0.6
Patients with all asthma therapy Rx by me (%)
72 64
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Perc
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Excess RescueMedication
ER Visit Overall PoorControl
My Practice My Peers
VulnerablePatients
Risk FactorManagementCHFDiabetesHypertensionMy Practice
Profile COPDAsthma
Asthma Quality IndicatorsAsthma Quality Indicators
Proportion of my asthma patients with poor control
Compliance with Rx
All asthma patients should have an action plan
All asthma patients with poor control should have inhaled corticosteroids
Disease ControlDisease Control
Show me my current asthma treatment outcomes
Compare my asthma treatment outcomes for the past 2 years
My Hypertension Patients
Demographics: 2006
Number of hypertensives 64 Average age (years) 34 Female (%) 45 Receive an income subsidy (%) 6
Comorbidity:
Average number of serious health problems 0.84 Average number of medications 2.6
Continuity of care:
Average number of visits to my practice 1.9 Average number of visits to other physicians 1.0 Patients with all anti-hypertensive therapy Rx by me (%)
72
My PracticeProfile Asthma Vulnerable
Patients Risk FactorManagementCHFDiabetesCOPD Hypertension
Compare my hypertension treatment outcomes for the past 2 years
Compare my hypertension treatment outcomes to those of my peers
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HTN Stroke MI All CV
Hypertension Quality IndicatorsHypertension Quality Indicators
Hospitalizations for hypertension complications
Compliance with Rx
All hypertension patients should have their blood pressure monitored regularly
All patients with complicated hypertension should be prescribed an ACE Inhibitor (unless contraindicated)
Disease ControlDisease Control
The voyage begins…Thank you.