HIMSS EMR adoption model stage 6, Spaarne Hospital, Netherlands
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Transcript of HIMSS EMR adoption model stage 6, Spaarne Hospital, Netherlands
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EMR: A MAGIC HAMMER?
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Disclosure slide
• Nothing to disclose
https://www.linkedin.com/pub/dr-arjen-noordzij/17/486/791
dokter_no
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Spaarne Hospital & EMR
• 2004-2008: Norma
– Quick and smooth introduction
– Viewer
– Clinical documentation (physicians, 1-1-2005)
– Clinical documentation (nurses inpatient, 1-1-2006)
• Ambition: the most digital hospital in the Netherlands
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The magic hammer: Epic
• Go live in 2 steps
– 2008
– 2009 (big bang)
• Hospital-wide 1 patient one record
• Digital ordering
• Integrated planning
• Resistance (physicians)
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Developments (1)
• Speciality specific applications
• Pharmacy, decision cube
• Device integration
• Patient portal
• Financial handling
• Hospital-wide datawarehouse
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Developments (2)
• Best practice advisories
• Closed-loop medication
• Complication registration
• Complete perioperative proces
• Management information KPI’s / Reports)
• External accountability (health care inspectorate)
• Optimization of (high volume) specialities
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Magic hammer?
• Discrete data
• Big-4
– Medication
– Allergies
– Past medical/surgical history
– Problemlist
• Alert fatigue / best-practice advisories
• Involvement in development
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conclusion
• Epic is an excellent tool
• Functionality improves continuously
• Excellent tool
• Excellent professional
• Optimal use
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