全球智库信息集成服务系统(G2TT): Are Electronic Medical Records Helpful for Care Coordination? Experiences of Physician Practices

G2TT

来源类型	Publication
来源ID	Journal Article
	Are Electronic Medical Records Helpful for Care Coordination? Experiences of Physician Practices
	Ann S. O'; Malley; Joy M. Grossman; Genna R. Cohen; Nicole M. Kemper; Hoangmai H. Pham
发表日期	2010-03-01
出版者	Journal of General Internal Medicine, vol. 25, issue 3
出版年	2010
语种	英语
概述	Policies promoting widespread adoption of electronic medical records (EMRs) are premised on the hope that they can improve the coordination of care. Yet little is known about whether and how physician practices use current EMRs to facilitate coordination.",
摘要	There is a gap between policy-makers’ expectation of, and clinical practitioners’ experience with, current electronic medical records’ ability to support coordination of care. Policymakers could expand current health information technology policies to support assessment of how well the technology facilitates tasks necessary for coordination. By reforming payment policy to include care coordination, policymakers could encourage the evolution of EMR technology to include capabilities that support coordination, for example, allowing for inter-practice data exchange and multi-provider clinical decision support. Six major themes emerged: (1) EMRs facilitate within-office care coordination, chiefly by providing access to data during patient encounters and through electronic messaging; (2) EMRs are less able to support coordination between clinicians and settings, in part due to their design and a lack of standardization of key data elements required for information exchange; (3) managing information overflow from EMRs is a challenge for clinicians; (4) clinicians believe current EMRs cannot adequately capture the medical decision-making process and future care plans to support coordination; (5) realizing EMRs’ potential for facilitating coordination requires evolution of practice operational processes; (6) current fee-for-service reimbursement encourages EMR use for documentation of billable events (office visits, procedures) and not of care coordination (which is not a billable activity).
URL	https://www.mathematica.org/our-publications-and-findings/publications/are-electronic-medical-records-helpful-for-care
来源智库	Mathematica Policy Research (United States)
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/486405
推荐引用方式 GB/T 7714	Ann S. O',Malley,Joy M. Grossman,et al. Are Electronic Medical Records Helpful for Care Coordination? Experiences of Physician Practices. 2010.