A Literature Review of Electronic Health Records in Chiropractic Practice: Common Challenges and Solutions

Taylor, David N.

doi:10.1016/j.echu.2016.12.001

Cited by 7 publications

(4 citation statements)

References 22 publications

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“…This might be an appropriate context to collect data on the receipt and experience of healthcare. Electronic health records might also facilitate the collection of chiropractors’ and patients’ data [ 25 – 27 ].…”

Section: Discussionmentioning

confidence: 99%

Developing key performance indicators for the Canadian chiropractic profession: a modified Delphi study

et al. 2022

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Background The purpose of this study is to develop a list of performance indicators to assess the status of the chiropractic profession in Canada. Method We conducted a 4-round modified Delphi technique (March 2018–January 2020) to reach consensus among experts and stakeholders on key status indicators for the chiropractic profession using online questionnaires. During the first round, experts suggested indicators for preidentified themes. Through the following two rounds, the importance and feasibility of each indicator was rated on an 11-point Likert scale, and their related potential sources of data identified. In the final round, provincial stakeholders were recruited to rate the importance of the indicators within the 90th percentile and identified those most important to their organisation. Results The first round generated 307 preliminary indicators of which 42 were selected for the remaining rounds, and eleven were preferentially selected by most of the provincial stakeholders. Experts agreed the feasibility of all indicators was high, and that data could be collected through a combination of data obtained from professional liability insurance records and survey(s) of the general population, patients, and chiropractors. Conclusions A set of performance indicators to assess the status of the Canadian chiropractic profession emerged from a scientific and stakeholder consensus.

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Section: Discussionmentioning

confidence: 99%

Developing key performance indicators for the Canadian chiropractic profession: a modified Delphi study

et al. 2022

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“…However, an EHR requires significant provider buy-in, financial investment and upkeep, and requires intensive staff training and redevelopment of practice work flow for successful implementation. [29,30,31] Regardless of the form of record documentation, paper or electronic, a provider can maximize documentation by comprehensively describing the care provided, the rationale for that care, and the results of tracked patient outcomes. Better documentation would also facilitate internal practice audits for those clinics who may want to self-evaluate their care as a basis for quality improvement.…”

Section: Discussionmentioning

confidence: 99%

Researching the Appropriateness of Care in the Complementary and Integrative Health Professions Part 5: Using Patient Records: Selection, Protection, and Abstraction

Roth

Coulter

Kraus

et al. 2019

Journal of Manipulative and Physiological Therapeutics

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Objectives.-The purpose of this paper is to describe the 4-step process (consent, selection, protection, and abstraction) of acquiring a large sample of chiropractic patient records from multiple practices and subsequent data abstraction.Methods.-From April 2017 to December 2017 RAND acquired patient records from 99 chiropractic practices across the United States. The records included patients enrolled in a survey e study (prospective sample) and a random sample of all clinic patients (retrospective sample) with chronic back or neck pain. Clinic staff were trained to collect the sample, scan, and transfer the records We designed an on-line data collection tool for abstraction. Protocols were instituted to protect patient confidentiality. Doctors of chiropractic were selected and trained as abstractors, and a system was established to monitor data collection.Results.-In compliance with data protection protocols, 3,603 patient records were scanned, including 1,475 in the prospective sample and 2,128 in the random sample. A total of 1,716 patients (prospective sample) consented to having their records scanned, but only 1,475 could be retrieved. Of records scanned, 19 percent were unusable due to illegibility, no care during the period of interest, or poor scanning. The abstractor inter-rater reliability for appropriateness of care decisions was fair to moderate (kappa .38-.48).

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“…Association to be about 33% in 2010 [20]. Within the Swiss context, primary care physicians showed EPR adoption of roughly 23% in 2010 [4], and up to 45% in 2013 [21].…”

Section: Findings Context Of Existing Evidencementioning

confidence: 99%

Use of electronic patient records and encrypted email patient communication among Swiss chiropractors: a population-based cross-sectional study

Hincapié

Hofstetter²,

Lalji³

et al. 2023

Preprint

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Background: The implementation of electronic health information technologies is a key target for healthcare quality improvement. Among Swiss chiropractors, reliable data on the use of electronic heath information technologies and distribution of the health workforce was lacking. Objectives: To estimate the prevalence of electronic patient record (EPR) and encrypted email communication use among Swiss chiropractors and describe the geographic distribution of chiropractors in Switzerland. Methods: Population-based cross-sectional study of all active practising members of the Swiss Chiropractic Association (ChiroSuisse) between 3 December 2019 and 31 January 2020. We asked about clinician and practice characteristics, EPR use for clinical record keeping, use of encrypted email for patient communication, and information on EPR and encrypted email communication products used. Multivariable logistic regression analyses assessed the association between clinician and practice characteristics and (1) EPR use and (2) encrypted email use. Results: Among 286 eligible Swiss chiropractors (193 [68%] men; mean age, 51.4 [SD, 11.2] years), 217 (76%) completed the survey (140 [65%] men; mean age 50.7 [11.2] years). The density of chiropractors in Switzerland was 3.3 per 100,000 inhabitants. 47% of respondents (95% confidence interval [CI], 40% to 54%) reported using an EPR in their practice, while 60% (95% CI, 54% to 67%) endorsed using encrypted email technology. Chiropractors aged ≥60 (versus those ≤39) years were 74% less likely to use an EPR system (OR 0.26, 95% CI 0.08 to 0.77), while clinicians from practices with 4 or more chiropractors (versus those from solo practices) were over 5 times more likely to report EPR use (OR 5.6, 2.1 to 16.5). Findings for factors associated with encrypted email use were similar. Conclusions: As of January 2020, 286 duly licensed chiropractors were available to provide musculoskeletal healthcare in Switzerland — just under 50% of Swiss chiropractors used an EPR system in clinical practice, while 60% used encrypted email technology. Better implementation of EPR and electronic health information technologies in Swiss chiropractic practice is possible and desirable for the purpose of musculoskeletal healthcare quality improvement.

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A Literature Review of Electronic Health Records in Chiropractic Practice: Common Challenges and Solutions

Cited by 7 publications

References 22 publications

Developing key performance indicators for the Canadian chiropractic profession: a modified Delphi study

Developing key performance indicators for the Canadian chiropractic profession: a modified Delphi study

Researching the Appropriateness of Care in the Complementary and Integrative Health Professions Part 5: Using Patient Records: Selection, Protection, and Abstraction

Use of electronic patient records and encrypted email patient communication among Swiss chiropractors: a population-based cross-sectional study

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