Potential Solutions of Data Entry Barrier to EMR Adoption

1
Potential Solutions of Data Entry Barrier to EMR
Adoption

• CIS614 project
• Student Qun Gong
• Professor Dennis Streveler

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Introduction(1)

• EMR definition
• Health information and data
• Results management
• Order management
• Decision support
• Electronic communication and connectivity
• Patient support
• Administrative processes
• Reporting

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Introduction(2)

• EMR benefits
• Improving accessibility and sharing information
• Improving the quality of information
• Saving time
• Saving money in long term
• Reducing medical error
• Benefiting other organizations
• Improving standards of patient care
• Improving the quality of patient care
• EMR adoption barriers
• Financial barrier
• Privacy, Confidentiality and Security
• Standards barrier
• Integrating barrier
• Data Entry barrier

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Introduction(2)
Time Money Accessibility Medical
error Standards Quality

• EMR benefits

Financial Standards Data entry Integrating Le
gal
adoption barriers
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What is data entry barrier?
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What causes the data entry
barrier?

• EMR1
• EMR2
• EMR3
• EMR4
• EMR5
• .
• .
• .

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Problems on the part of EMR

• Data entry methods are not good enough in
• Data entry speed
• Data entry error rate
• Ease of use
• Others (e.g. change traditional way)

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Data entry methods list

• Indirect data entry methods
• Transcription of dictation
• Scanning physician notes into computer
• Entering data by the device that measures or
  collects them automatically
• Others
• Direct data entry methods
• Direct structured data entry methods
• a) Static b) Dynamic---Template based data
  entry
• Direct free-text based data entry methods
• a) By typing b) By speech recognition
• Combination

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Problems on the part of the clinicians

• Lack of computer skills and/or knowledge
• Lack of belief in the benefits of EMR systems
• Lack of training of using EMR systems
• Negative attitude to new things
• Do not want to change medicine practice workflow

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Mismatching of what EMR could
provide and what physicians want
EMR1 EMR2 EMR3 EMR4 EMR5
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How to solve data entry barrier

• What could EMR companies do?
• What could physicians/institutions that want to
  buy EMR do?
• What could government and other organizations do?

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What could EMR companies do?

• Improve data entry methods
• Provide long term training
• (always be there when users need you)
• Others (such as maintenance, updating)

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How to improve EMR data entry
methods

• Involve clinicians during development
• Let physicians directly enter data as little as
  possible
• Allow nurses get the information of patients
  histories and chief complaints
• Allow devices to get data directly

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How to improve data entry methods
(continued)

• Technical improvement
• For free-text based data entry method
• -gt need to improve speech recognition
• ( ideal way but a long way to go)
• For template based data entry method
• -gt need to improve searching navigation
• a) combination of speech recognition in
  navigation
• b) intelligent navigation (expert system)
• -gt provide different versions for different
  users in different time
• -gt others (like, using color, multiple
  methods)

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What could Physicians and Institutions do?

• Involve physicians (when buy EMR system)
• Good preparation for the change
• Know the benefits of EMR
• Might adopt EMR step by step, or pilot adoption
• Try to let EMR system not affect former workflow
  (e.g. enough EMR terminals)
• Help and training of using EMR
• Show physicians the benefits/ forces

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What could government and other organizations
do?

• Provide EMR training at medical schools
• -gt more younger generation ready users
• Improve standards for medical terminology
• Provide some benefits for the institutions who
  use EMR systems

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Any questions?

• Thanks to
• Everyone listening to this presentation
• Dr. Streveler for offering this wonderful course
• All the guest lecturers for giving interesting
  lectures