-
Comparative Study
Electronic medical record system at an opioid agonist treatment programme: study design, pre-implementation results and post-implementation trends.
- Steven Kritz, Lawrence S Brown, Melissa Chu, Carlota John-Hull, Charles Madray, Roberto Zavala, and Ben Louie.
- Division of Medical Services, Research and Information Technology, Addiction Research and Treatment Corporation, Brooklyn, NY 11201, USA. skritz@artcny.org
- J Eval Clin Pract. 2012 Aug 1; 18 (4): 739745739-45.
RationaleElectronic medical record (EMR) systems are commonly included in health care reform discussions. However, their embrace by the health care community has been slow.MethodsAt Addiction Research and Treatment Corporation, an outpatient opioid agonist treatment programme that also provides primary medical care, HIV medical care and case management, substance abuse counselling and vocational services, we studied the implementation of an EMR in the domains of quality, productivity, satisfaction, risk management and financial performance utilizing a prospective pre- and post-implementation study design.ResultsThis report details the research approach, pre-implementation findings for all five domains, analysis of the pre-implementation findings and some preliminary post-implementation results in the domains of quality and risk management. For quality, there was a highly statistically significant improvement in timely performance of annual medical assessments (P < 0.001) and annual multidiscipline assessments (P < 0.0001). For risk management, the number of events was not sufficient to perform valid statistical analysis.ConclusionsThe preliminary findings in the domain of quality are very promising. Should the findings in the other domains prove to be positive, then the impetus to implement EMR in similar health care facilities will be advanced.© 2011 Blackwell Publishing Ltd.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*
,_underline_
or**bold**
. - Superscript can be denoted by
<sup>text</sup>
and subscript<sub>text</sub>
. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3.
, hyphens-
or asterisks*
. - Links can be included with:
[my link to pubmed](http://pubmed.com)
- Images can be included with:
![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
- For footnotes use
[^1](This is a footnote.)
inline. - Or use an inline reference
[^1]
to refer to a longer footnote elseweher in the document[^1]: This is a long footnote.
.