Efficiency of automation and electronic health records in optometric practice

McVeigh, Francis L.; Tarbett, Aaron K.; Betts, Aaron M.; Boal, Thomas R.

doi:10.1016/j.optm.2007.06.013

Cited by 7 publications

(5 citation statements)

References 14 publications

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“…The speed of ophthalmic documentation has also been observed to be slower for keyboard and mouse electronic strategies when compared with paper‐based recording . McVeigh et al . compared the use of electronic health records and clinical automation with health IT advancements with traditional practice modes in an optometric clinic.…”

Section: Discussionmentioning

confidence: 99%

“…Studies comparing the use of electronic and paper‐based records have shown electronic records in a favourable light when applied to optometric practice, and generally across primary care . Electronic communication has been widely adopted in the UK National Health Service (NHS), with the ambitious strategic vision for the future set out in Public Health England's Knowledge Strategy: Harnessing the power of information to improve the public's health published in October 2013, and driven by targets such as the Department of Health's goal for a ‘Paperless NHS by 2018’ .…”

Section: Introductionmentioning

confidence: 99%

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A survey of current and anticipated use of standard and specialist equipment by UK optometrists

Dabasia

Edgar

Garway-Heath

et al. 2014

Ophthalmic Physiologic Optic

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Purpose: To investigate current and anticipated use of equipment and information technology (IT) in community optometric practice in the UK, and to elicit optometrists' views on adoption of specialist equipment and IT. Methods: An anonymous online questionnaire was developed, covering use of standard and specialist diagnostic equipment, and IT. The survey was distributed to a random sample of 1300 UK College of Optometrists members. Results: Four hundred and thirty-two responses were received (response rate = 35%). Enhanced (locally commissioned) or additional/separately contracted services were provided by 73% of respondents. Services included glaucoma repeat measures (30% of respondents), glaucoma referral refinement (22%), fast-track referral for wet age-related macular degeneration (48%), and direct cataract referral (40%). Most respondents (88%) reported using non-contact/pneumo tonometry for intra-ocular pressure measurement, with 81% using Goldmann or Perkins tonometry. The most widely used item of specialist equipment was the fundus camera (74% of respondents). Optical Coherence Tomography (OCT) was used by 15% of respondents, up from 2% in 2007. Notably, 43% of those anticipating purchasing specialist equipment in the next 12 months planned to buy an OCT. 'Paperless' records were used by 39% of respondents, and almost 80% of practices used an electronic patient record/practice management system. Variations in responses between parts of the UK reflect differences in the provision of the General Ophthalmic Services contract or community enhanced services. There was general agreement that specialised equipment enhances clinical care, permits increased involvement in enhanced services, promotes the practice and can be used as a defence in clinico-legal cases, but initial costs and ongoing maintenance can be a financial burden. Respondents generally agreed that IT facilitates administrative flow and secure exchange of health information, and promotes a state-of-the-art practice image. However, use of IT may not save examination time; its dynamic nature necessitates frequent updates and technical support; the need for adequate training is an issue; and security of data is also a concern. Conclusion: UK optometrists increasingly employ modern equipment and IT services to enhance patient care and for practice management. While the clinical benefits of specialist equipment and IT are appreciated, questions remain as to whether the investment is cost-effective, and how specialist equipment and IT may be used to best advantage in community optometric practice.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A survey of current and anticipated use of standard and specialist equipment by UK optometrists

Dabasia

Edgar

Garway-Heath

et al. 2014

Ophthalmic Physiologic Optic

View full text Add to dashboard Cite

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“… 2 , 48 There was no consensus on the time required to realize benefits, but many suggested that benefits do not emerge automatically but are elicited by organizations facilitating EMR usage. 28 , 36 , 39 , 49 Existing research on outpatient settings has limited information on timelines and organizational interventions to facilitate system use, but recommendations include promoting group norms related to the required EMR usage levels 49 and providing support during the transition period. 14 Future studies should examine the role of organization leaders in supporting enhanced EMR use and BR.…”

Section: Discussionmentioning

confidence: 99%

Benefits, facilitators, and barriers of electronic medical records implementation in outpatient settings: A scoping review

Kavandi,

Al Awar,

Jaana

2024

Healthc Manage Forum

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This scoping review examined the breadth and depth of evidence on Electronic Medical Record (EMR) implementation benefits in outpatient settings. Following PRISMA guidelines for scoping reviews, five databases were searched, and 24 studies were retained and reviewed. Benefits, facilitators, and barriers to EMR implementation were extracted. Direct benefits included improved communication/reporting, work efficiency, care process, healthcare outcomes, safety, and patient-centredness of care. Indirect benefits were improved financial performance and increased data accessibility, staff satisfaction, and decision-support usage. Barriers included time and financial constraints; design/technical issues; limited information technology resources, skills, and infrastructure capacity; increased workload and reduced efficiency during implementation; incompatibility of existing systems and local regulations; and resistance from healthcare professionals. Facilitators included training, change management, user-friendliness and alignment with workflow, user experience with EMRs, top management support, and sufficient resources. More rigorous, systematic research is needed, using relevant frameworks to inform healthcare policies and guide EMR projects in outpatient areas.

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“…Within the current literature, there are very few studies looking at the benefits of and barriers to HIT in optometric practice. One study examined the efficiency of automation and electronic health records in optometric practices and another study noted that investment in advanced HIT facilitated communication with patients and improved the quality of referral for diagnosis and treatment …”

Section: Hit In Optometrymentioning

confidence: 99%

Health information technology adoption in New Zealand optometric practices

Heidarian

Mason

2013

Clinical and Experimental Optometry

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Background: Health information technology (HIT) has the potential to fundamentally change the practice of optometry and the relationship between optometrists and patients and to improve clinical outcomes. This paper aims to provide data on how health information technology is currently being used in New Zealand optometric practices. Also this paper aims to explore the potential benefits and barriers to the future adoption of health information technology in New Zealand. Methods: One hundred and six New Zealand optometrists were surveyed about their current use of health information technology and about potential benefits and barriers. In addition, 12 semi-structured interviews were carried out with leaders of health information technology in New Zealand optometry. The areas of interest were the current and intended use of HIT, the potential benefits of and barriers to using HIT in optometric offices and the level of investment in health information technology. Results: Nearly all optometrists (98.7 per cent) in New Zealand use computers in their practices and 93.4 per cent of them use a computer in their consulting room. The most commonly used clinical assessment technology in optometric practices in New Zealand was automated perimeter (97.1 per cent), followed by a digital fundus/retinal camera (82.6 per cent) and automated lensometer (62.9 per cent). The pachymeter is the technology that most respondents intended to purchase in the next one to five years (42.6 per cent), followed by a scanning laser ophthalmoscope (36.8 per cent) and corneal topographer (32.9 per cent). The main benefits of using health information technology in optometric practices were improving patient perceptions of 'state of the art' practice and providing patients with information and digital images to explain the results of assessment. Barriers to the adoption of HIT included the need for frequent technology upgrades, cost, lack of time for implementation, and training. Conclusions: New Zealand optometrists are using HIT broadly in their practices and expect HIT use to increase over time.

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Efficiency of automation and electronic health records in optometric practice

Cited by 7 publications

References 14 publications

A survey of current and anticipated use of standard and specialist equipment by UK optometrists

A survey of current and anticipated use of standard and specialist equipment by UK optometrists

Benefits, facilitators, and barriers of electronic medical records implementation in outpatient settings: A scoping review

Health information technology adoption in New Zealand optometric practices

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