Behavioral Health Electronic Medical Record

Lawlor, Ted; Barrows, Erik

doi:10.1016/j.psc.2007.11.009

Cited by 29 publications

(6 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Psychiatry has lagged behind other medical disciplines in its adoption of EMR [3,5,7–9]. One potential explanation for this is the restricted access to psychiatric records within hospitals.…”

Section: Introductionmentioning

confidence: 99%

Separate may not be equal: A preliminary investigation of clinical correlates of electronic psychiatric record accessibility in academic medical centers

Kozubal

Samus

Bakare

et al. 2013

International Journal of Medical Informatics

View full text Add to dashboard Cite

Objectives Electronic Medical Records (EMR) have the potential to improve the coordination of healthcare in this country, yet the field of psychiatry has lagged behind other medical disciplines in its adoption of EMR. Methods Psychiatrists at 18 of the top US hospitals completed an electronic survey detailing whether their psychiatric records were stored electronically and accessible to non-psychiatric physicians. Electronic hospital records and accessibility statuses were correlated with patient care outcomes obtained from the University Health System Consortium Clinical Database available for 13 of the 18 top US hospitals. Results 44% of hospitals surveyed maintained most or all of their psychiatric records electronically and 28% made psychiatric records accessible to non-psychiatric physicians; only 22% did both. Compared with hospitals where psychiatric records were not stored electronically, the average 7-day readmission rate of psychiatric patients was significantly lower at hospitals with psychiatric EMR (5.1% vs. 7.0%, p = .040). Similarly, the 14 and 30-day readmission rates at hospitals where psychiatric records were accessible to non-psychiatric physicians were lower than those of their counterparts with non-accessible records (5.8% vs. 9.5%, p = .019, 8.6% vs. 13.6%, p = .013, respectively). The 7, 14, and 30-day readmission rates were significantly lower in hospitals where psychiatric records were both stored electronically and made accessible than at hospitals where records were either not electronic or not accessible (4% vs 6.6%, 5.8% vs 9.1%, 8.9 vs 13%, respectively, all with p = 0.045). Conclusions Having psychiatric EMR that were accessible to non-psychiatric physicians correlated with improved clinical care as measured by lower readmission rates specific for psychiatric patients.

show abstract

Section: Introductionmentioning

confidence: 99%

Separate may not be equal: A preliminary investigation of clinical correlates of electronic psychiatric record accessibility in academic medical centers

Kozubal

Samus

Bakare

et al. 2013

International Journal of Medical Informatics

View full text Add to dashboard Cite

show abstract

“…Behavioral health treatment demands certain additions to the capabilities of a standard general medical EHRs system. An efficient and effective EHRs system will greatly assist the overall clinical enterprise in a number of important areas (Lawlor & Barrows, 2008). The employment of EHRs will contribute to continuity of care across organizations for the growing number of elderly and chronically ill people who need continuous nursing care after an episode of hospitalization (Helleso & Lorensen, 2005).…”

Section: Discussionmentioning

confidence: 99%

Mobile Web Application Development to Access to Psychiatric Electronic Health Records

Díez¹,

Antón-Rodríguez²,

Pernas³

2011

Telemedicine Techniques and Applications

View full text Add to dashboard Cite

“…Psychology clinics, however, may face some unique challenges regarding EMR implementation. Lawlor and Barrows [10] noted that EMRs are generally developed without much attention paid to behavioral health processes, a serious concern since lack of user friendliness is a frequent criticism of HIT. A French study [20] found that an important component of satisfaction with EMRs in psychiatry involved possible impact on professional-patient communication, highlighting the therapeutic alliance.…”

Section: Emr Implementation and Impact In Behavioral Healthmentioning

confidence: 99%

“…Asking respondents to consider how an EMR system could improve care and the qualitative themes that emerged are important in challenging the stage of electronic paper records. Examples of meaningful use in behavioral healthcare might include routine screening for high prevalence medical comorbidities or embedding standardized protocols for high risk presentations [10,31]. Xiao and colleagues [32] found that more extensive use of EMR functionalities related to meaningful use was associated with perceived improvement in quality and efficiency of care within physician practices.…”

Section: Reasonmentioning

confidence: 99%