The Electronic Medical Record in Dermatology

Grosshandler, Joshua A.; Tulbert, Brittain H; Kaufmann, Mark D; Bhatia, Ashish C.

doi:10.1001/archdermatol.2010.229

Cited by 9 publications

(10 citation statements)

References 19 publications

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“…Psychiatrists also worry that patients may adjust what they discuss during psychiatric visits based on the perceived privacy of the record [41]. Ophthalmology and dermatology both have high patient volume, require the integration of specialized images and hand written drawings, and typically include both a busy outpatient practice and surgical procedures [13,19,22,44]. Pediatricians have many specific information needs that differ from those of physicians who care for adults, including immunization management, documentation of growth, and weight and age based dosing [43].…”

Section: Potential Explanations For Ehr Adoption Variability Among Phmentioning

confidence: 99%

Physician Specialty and Variations in Adoption of Electronic Health Records

Grinspan

Banerjee²,

Kaushal³

et al. 2013

Appl Clin Inform

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SummaryObjective: Efforts to promote adoption of electronic health records (EHRs) have focused on primary care physicians, who are now expected to exchange data electronically with other providers, including specialists. However, the variation of EHR adoption among specialists is underexplored. Methods: We conducted a retrospective cross-sectional study to determine the association between physician specialty and the prevalence of EHR adoption, and a retrospective serial cross-sectional study to determine the association of physician specialty and the rate of EHR adoption over time. We used the 2005-2009 National Ambulatory Medical Care Survey. We considered fourteen specialties, and four definitions of EHR adoption (any EHR, basic EHR, full EHR, and a novel definition of EHR sophistication). We used multivariable logistic regression, and adjusted for several covariates (geography, practice characteristics, revenue characteristics, physician degree). Results: Physician specialty was significantly associated with EHR adoption, regardless of the EHR definition, after adjusting for covariates. Psychiatrists, dermatologists, pediatricians, ophthalmologists, and general surgeons were significantly less likely to adopt EHRs, compared to the reference group of family medicine / general practitioners. After adjustment for covariates, these specialties were 44 -94% less likely to adopt EHRs than the reference group. EHR adoption increased in all specialties, by approximately 40% per year. The rate of EHR adoption over time did not significantly vary by specialty. Conclusions: Although EHR adoption is increasing in all specialties, adoption varies widely by specialty. In order to insure each individual's network of providers can electronically share data, widespread adoption of EHRs is needed across all specialties. BackgroundThe United States (U.S.) federal government has committed more than $20 billion to encourage physicians to adopt electronic health records (EHRs) [8]. Driving these incentives is the expectation that large scale appropriate use of EHRs will facilitate coordination of care, improve health care quality, and lower national health care costs [5,9]. To receive incentive payments, physicians must purchase and install a certified EHR, then demonstrate "meaningful use" by meeting specific criteria. Example criteria include use of software to reduce medical errors (i.e. electronic prescribing), collection of data relevant for clinical quality measurement (i.e. smoking status), and maintenance of patient summaries to facilitate sharing of data among providers (i.e. electronic problem lists and medication lists) [10].Several previous initiatives, such as national recognition programs for the Patient-Centered Medical Home, have encouraged adoption of EHRs among primary care physicians [17]. Many of the most common quality measures, including those for EHRs, also focus on primary care [24]. However, there is an increasing effort to facilitate electronic exchange of clinical data across providers caring for commo...

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Section: Potential Explanations For Ehr Adoption Variability Among Phmentioning

confidence: 99%

Physician Specialty and Variations in Adoption of Electronic Health Records

Grinspan

Banerjee²,

Kaushal³

et al. 2013

Appl Clin Inform

View full text Add to dashboard Cite

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“…End user buy-in has been recognized as a significant aspect in relation to their successful implementation [5]. While informative articles in the literature written by experts have outlined the specific EHR needs in respect to dermatology, there are few studies assessing the opinions of larger groups of dermatologist endusers [1], [9]. We feel that our study provides important information in this regard that is not only relevant within a country that is largely EHR naïve such as Ireland, but also to the wider dermatology community with respect to defining the essential components and functionality of a system to suit the distinctive requirements of Dermatology.…”

Section: Discussionmentioning

confidence: 99%

“…Treatments prescribed by other physicians would be available at all times, and redundant laboratory studies and potentially harmful drug interactions could be avoided" [1]. Internationally, EHRs are widely heralded as a tool that can dramatically transform the practice of medicine.…”

Section: Introductionmentioning

confidence: 99%

Electronic Health Records: A Survey of the Experiences and Expectations of Irish Dermatologists

Wall

Hackett

Kane

et al. 2014

2014 IEEE 27th International Symposium on Computer-Based Medical Systems

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Abstract-The potential of Electronic Health Records (EHRs)is widely recognised, however studies assessing dermatology endusers expectations and perceived benefits are lacking.We report on a survey of 142 physicians working in Dermatology in Ireland. Eight question stems assess experience with EHRs and expectations of an ideal system for use in Dermatology. 61 (43 %) physicians responded, of which 27 (44 %) describe their experience with EHRs. 6 (33%) of 18 suggest components of an ideal dermatology EHR (ease of data inputting, integration with laboratory systems and radiology, integration with administrative systems, photography, drawing tools and standardised nomenclature) rate between very important and vital.The usefulness of an ideal dermatology EHR rates between very and extremely useful across all categories proposed, with safety, building a National network and demonstrating the work performed by a department rating highest.This survey highlights the core needs of dermatology end-users, whose integral involvement is essential to ensure successful EHR implementation.

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“…This is an efficient system that stores all patient information and allows for electronic ordering of investigations and prescription of drugs. The EMR has been shown to be time‐efficient and an invaluable resource for dermatological research 3,4 . A well‐executed EMR system also offers patients seamless quality care 3,4 .…”

Section: Discussionmentioning

confidence: 99%

“…The EMR has been shown to be time‐efficient and an invaluable resource for dermatological research 3,4 . A well‐executed EMR system also offers patients seamless quality care 3,4 . NSC has previously embarked on a successful project tapping on EMR technology to ensure adherence to isotretinion prescription guidelines 5 …”

Section: Discussionmentioning

confidence: 99%