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Electronic Medical Record Keeping
               Canada- A Case Study
                        Project Report

      IMSE 91-519, Work Organization-Analysis and Design

                             By
                     Syed Wiquar Husain
                       Mukesh Gupta
                        Jasjot Duggal
                        Syed Ahmed

Instructor:
Dr. Zbignew Pasek                               December 4,
2012                                                          1
Definition
Medical Record: A record of a patient's medical information (as
medical history, care or treatments received, test results, diagnoses,
and medications taken)


Electronic medical record: An electronic medical record (EMR) is a
digital version of the traditional paper-based medical record for an
individual. The EMR represents a medical record within a single
facility, such as a doctor's office or a clinic.
Benefits of using EMR
   Digital Storage: Capable of carrying much more
    information then traditional system

   Ease of Access: Allows information to downloaded
    directly onto a PDA and authorized individual can
    access online from any location

   Reduce costs: The initial cost of electronic
    medical record is very high but the overall cost in
    maintaining is less.
Benefits of using EMR
   Increased Risk Management: Digital form help the
    physician to know the patient effectively and doing
    the medication accordingly.

   Accuracy: Electronic medical record come with the
    features that make sure all the necessary
    information of patient is included in the form.

   Quality: Faster and error free health care
    decisions on the part of the physician, and faster
    implementation of those decisions by support
    staff.
Global adoption of EMR
EMR Certification Process- Canada Health Infoway


• Electronic Medical Record
(EMR)

•Ambulatory Electronic
Medical Record (aEMR)

• Client Registry

• Consumer Health
Application




                                                   6
EMR Certification Process- Canada Health Infoway


 • Consumer Health Platform

 • Diagnostic Imaging (DI)

 • Drug Information System
 (DIS)

 • Immunization Registry

 • Provider Registry




                                                   7
EMR Progress by Provence and Territory




       Canada Health Infoway


                                         8
Different EMR Module
 Client Registry
 Provider Registry
 Diagnostic Imaging
 Drugs
 Labs
 Clinical Reports




                       9
EMR Implementation across Canada

      Provinces and territories are building and upgrading
       their EHR systems so they're consistent from one region
       to the next, each one is at a different stage of
       development

      Six core types of databases need to be in place for a
       provincial EHR to be considered complete.

      Of the six core types of databases that need to be
       completed, nine provinces already have at least four in
       place.


                                                             10
EMR Implementation across Canada

   EMR help in implementing Point-of-care systems in
    clinical practices across Canada. Many physicians,
    nurses and pharmacists are currently using electronic
    systems in their practices, providing them with a
    comprehensive electronic record of their patients’
    pertinent health information.




                                                       11
Recommendation for Adoption of EMR




                                     12
Organizational Approach to
EMR
Beware of the “Techno-Geek” Leader
 Over enthusiastic about technology
 Choice of sophisticated technology
 Focus on transition of Work Culture


Anti - Champions
 Should be heard
 Analyze their inhibitions
 They will eventually come with systems
  success
                                           13
Organizational Approach to
EMR
Physician – EMR Committee
 Well respected and aware Physicians in the
  institution
 Responsible for Implementation
 Monthly meets to reflect back and future
  decisions.
 Incentives to Physicians




                                           14
Organizational Approach to
EMR
Super Users
 Early adopters
 Use their clinics as Pilot Sites
 Expend extra resources for their success


Office Staff Of Physician
 Invaluable information and Support for EMR
 Involvement is imperative



                                             15
Organizational Approach to
EMR
Other Physician Support
   Help Desk
Important to have staff that understands technology.


   Clinical Liaisons
Vital link between Information system and Physician


   EMR Assistants
Data Entry


                                                       16
Future




         17
Future Work: Continuous Patient Supervision
on General Care Floors




                                              18
Conclusion




             19
References




             20
Thank You !




Thank you !


                  21

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Electronic Medical Records in Canada, Work Org

  • 1. Electronic Medical Record Keeping Canada- A Case Study Project Report IMSE 91-519, Work Organization-Analysis and Design By Syed Wiquar Husain Mukesh Gupta Jasjot Duggal Syed Ahmed Instructor: Dr. Zbignew Pasek December 4, 2012 1
  • 2. Definition Medical Record: A record of a patient's medical information (as medical history, care or treatments received, test results, diagnoses, and medications taken) Electronic medical record: An electronic medical record (EMR) is a digital version of the traditional paper-based medical record for an individual. The EMR represents a medical record within a single facility, such as a doctor's office or a clinic.
  • 3. Benefits of using EMR  Digital Storage: Capable of carrying much more information then traditional system  Ease of Access: Allows information to downloaded directly onto a PDA and authorized individual can access online from any location  Reduce costs: The initial cost of electronic medical record is very high but the overall cost in maintaining is less.
  • 4. Benefits of using EMR  Increased Risk Management: Digital form help the physician to know the patient effectively and doing the medication accordingly.  Accuracy: Electronic medical record come with the features that make sure all the necessary information of patient is included in the form.  Quality: Faster and error free health care decisions on the part of the physician, and faster implementation of those decisions by support staff.
  • 6. EMR Certification Process- Canada Health Infoway • Electronic Medical Record (EMR) •Ambulatory Electronic Medical Record (aEMR) • Client Registry • Consumer Health Application 6
  • 7. EMR Certification Process- Canada Health Infoway • Consumer Health Platform • Diagnostic Imaging (DI) • Drug Information System (DIS) • Immunization Registry • Provider Registry 7
  • 8. EMR Progress by Provence and Territory Canada Health Infoway 8
  • 9. Different EMR Module  Client Registry  Provider Registry  Diagnostic Imaging  Drugs  Labs  Clinical Reports 9
  • 10. EMR Implementation across Canada  Provinces and territories are building and upgrading their EHR systems so they're consistent from one region to the next, each one is at a different stage of development  Six core types of databases need to be in place for a provincial EHR to be considered complete.  Of the six core types of databases that need to be completed, nine provinces already have at least four in place. 10
  • 11. EMR Implementation across Canada  EMR help in implementing Point-of-care systems in clinical practices across Canada. Many physicians, nurses and pharmacists are currently using electronic systems in their practices, providing them with a comprehensive electronic record of their patients’ pertinent health information. 11
  • 13. Organizational Approach to EMR Beware of the “Techno-Geek” Leader  Over enthusiastic about technology  Choice of sophisticated technology  Focus on transition of Work Culture Anti - Champions  Should be heard  Analyze their inhibitions  They will eventually come with systems success 13
  • 14. Organizational Approach to EMR Physician – EMR Committee  Well respected and aware Physicians in the institution  Responsible for Implementation  Monthly meets to reflect back and future decisions.  Incentives to Physicians 14
  • 15. Organizational Approach to EMR Super Users  Early adopters  Use their clinics as Pilot Sites  Expend extra resources for their success Office Staff Of Physician  Invaluable information and Support for EMR  Involvement is imperative 15
  • 16. Organizational Approach to EMR Other Physician Support  Help Desk Important to have staff that understands technology.  Clinical Liaisons Vital link between Information system and Physician  EMR Assistants Data Entry 16
  • 17. Future 17
  • 18. Future Work: Continuous Patient Supervision on General Care Floors 18
  • 21. Thank You ! Thank you ! 21