Electronic Health Records (EHR, EMR)

University Hospital Southampton NHS Foundation Trust CIO Adrian Byrne discusses his organization's route to developing an electronic patient record (EPR), which involved an integration engine and standard messaging.

The U.S. Department of Health and Human Services has announced the winners of a new challenge to develop software for identifying and reporting safety and usability issues in EHRs in a way that doesn’t disrupt clinical workflow. The winning tools aim to make it easy to report IT issues within the healthcare workflow: giving feedback to developers and guiding the formation of best practices. The hope is to targeting usability challenges before they become major problems. Three winners were announced: The James Madison Advisory Group came in first, with a hotkey that allows a clinician to document an issue without leaving their EHR and which simplifies the process of reporting issues. Pegwin, in second place, developed an intuitive reporting system that allows a user to document an issue “in as few as three clicks.” Jared Schwartz and team came in third with a Google Chrome plugin which integrates with common IT ticketing platforms, making it easy to work into existing systems. The winners received $45,000, $25,000, and $10,000 respectively. WHY IT MATTERS Like any software, EHRs sometimes have flaws or malfunctions. An already busy clinician who is trying to manage a full patient load, perform diagnostic work and enter data usually doesn’t have time to document and report safety or usability issues to his or her IT department. Webinar: Improving Patient Matching in your EHR: A Case Study Finding a way to work tools into the care workflow that allow practitioners to capture and share potential safety and usage concerns results in greater efficiency without disrupting a clinical workflow. "Improving the safety of health IT remains an important priority," said Dr. Andy Gettinger, ONC chief clinical officer. "We believe that making it easier for end users to report will help in that goal." THE LARGER TREND EHRs have the potential to be the first point of data capture in a new landscape of precision care. First, though, they need to win over physicians who see them as cumbersome and byzantine replacements to the old pen and paper methods. Some healthcare systems are focusing on identifying those problems and addressing them to enhance the value of their EHR systems. Practitioners are experiencing EHR burnout – something ONC has also recently been working to help combat – where poor usability or other IT safety concerns can have a detrimental impact on effective patient care. ON THE RECORD "Helping reduce the burden of health IT continues to be a key area of focus at the Office of the National Coordinator for Health Information Technology, and we anticipate the winning submissions to the Easy EHR Issue Reporting Challenge will help with those efforts," said ONC chief Dr. Don Rucker. Benjamin Harris is a Maine-based freelance writer and and former new media producer for HIMSS Media. Twitter: @BenzoHarris.

Last week, Calvary Mater Newcastle Hospital in New South Wales (NSW), Australia became the 17th Intensive Care Unit (ICU) across the state to replace paper charting with Electronic Record for Intensive Care (eRIC), which digitally integrates patient data from bedside monitors, ventilators and other specialised equipment every minute. With this latest go live, more than a third of NSW’s 44 ICU hospitals are onboard the eRIC clinical information system. The electronic Record for Intensive Care (eRIC) is an electronic clinical information system within an Intensive Care Unit (ICU) that integrates patient data every minute from multiple systems, to improve patient safety and provide better clinical decision-making. “eRIC will cut manual documentation work, which is very time consuming,” said Kelly Duff, Clinical Nurse Educator and Change Manager at Calvary Mater. “With eRIC, we expect that documentation and compliance will improve, resulting in fewer mistakes relating to these.” Webinar: Leveraging Cloud to Revolutionize Health IT and Transform Your EMR System Calvary Mater Newcastle is the major cancer care centre for the Hunter New England Local Health District, delivering more than 320,000 occasions of outpatient services and in excess of 16,000 inpatient treatments per year. In October 2016, Port Macquarie Base Hospital (PMBH) was selected as the first ICU in NSW to deploy eRIC. Subsequently, there were eight hospital deployments of eRIC in 2017 and this year, there were nine hospital deployments, including the latest deployment by Calvary Mater Newcastle Hospital. Including Calvary Mater’s ICU, 345 beds in 17 health facilities across nine Local Health Districts (LHDs) have been enabled with eRIC as part of the ongoing digital transformation of NSW Health. Deployments of eRIC will continue in 2019, starting with Gosford Hospital and Wyong Hospital in Central Coast LHD. eRIC will also be introduced next year in the ICUs of St Vincent’s Private Hospital within South Eastern Sydney LHD, Broken Hill Base Hospital in Far West LHD and Nepean Hospital in Nepean Blue Mountains LHD.

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During December, we’ll interview thought leaders and experts to determine how data is redesigning the roles CEOs, CFOs, COOs and other execs play and take a business-first perspective on tactics such as cloud computing, telehealth and patient experience

(Sponsored) Ali Slimani, Cerner's general manager of strategic partnerships for Middle East sales, says Cerner is aligned with IHI's "Quadruple Aim," which includes improving patient and clinician experience well as lowering overall cost of care.

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In the decade-and-a-half since the startling “To Err is Human” report, it’s still hard to discern whether billions invested in electronic medical records are improving patient safety.

Hospitals and health systems using IT from CommonWell member companies will be able to bilaterally exchange patient data within their EHR workflows.

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