A Community-shared Clinical Abstract to Improve Care

Summary

Principal Investigator: Donald P Connelly
Abstract: Relevance: Poorly executed care transitions as patients move from one delivery setting to another lead to fragmented care evidenced by duplication of services, inappropriate and conflicting recommendations, medication errors, and patient confusion and distress. The lack of timely transfer of essential clinical information is a major barrier to effective care transitions. Project Summary: Three large Minnesota based health care delivery systems have come together to use information technology to enhance communication at care transitions of patients with congestive heart failure and evaluate its impact. The long term objective which is crucial to the well being of the 100 million Americans with chronic illness and a rapidly growing population of elderly is to enable more informed clinical decisions which should result in safer and higher quality care of patients undergoing transitions. In addition, information exchange will be employed to facilitate the development of complete medication lists to be used as part of each organization's medication reconciliation process. The partners will execute an implementation plan for a community shared electronic medical record abstract designed to enhance the care and safety of those crossing delivery sites. This abstract will be available near the point of care. Using a federated information model, the abstract will be a composite derived from the electronic medical records of each partner. The abstract will hold pertinent information such as a problem list, medications, allergies, recent procedures, baseline physical, physiologic, and cognitive function and supplemented by recent prescription claims history. Our specific aims are to successfully execute our implementation plan, to evaluate the effect the shared abstract has on the care of patients with CHF by measuring indicators prior to our intervention and during both of a two phased intervention using health information exchange, and to demonstrate the integration of other clinical users into this information exchange once the project is operational and has documented its connection and participation standards.
Funding Period: 2005-09-30 - 2010-01-31
more information: NIH RePORT

Top Publications

  1. pmc The impact of electronic health records on people with diabetes in three different emergency departments
    Stuart M Speedie
    Institute for Health Informatics, University of Minnesota, Minneapolis, Minnesota, USA
    J Am Med Inform Assoc 21:e71-7. 2014
  2. pmc Impact of prior clinical information in an EHR on care outcomes of emergency patients
    Nawanan Theera-Ampornpunt
    Institute for Health Informatics, University of Minnesota, Minneapolis, Minnesota, USA
    AMIA Annu Symp Proc 2009:634-8. 2009
  3. pmc The use of count data models in biomedical informatics evaluation research
    Jing Du
    Division of Health Policy and Management, University of Minnesota, Minneapolis, Minnesota, USA
    J Am Med Inform Assoc 19:39-44. 2012
  4. pmc The impact of electronic health records on care of heart failure patients in the emergency room
    Donald P Connelly
    Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, Minnesota 55455, USA
    J Am Med Inform Assoc 19:334-40. 2012

Scientific Experts

  • Donald P Connelly
  • Jing Du
  • Stuart M Speedie
  • Nawanan Theera-Ampornpunt
  • Young Taek Park
  • Daniel T Routhe
  • Raymond A Gensinger
  • Barry A Bershow
  • Boonchai Kijsanayotin

Detail Information

Publications7

  1. pmc The impact of electronic health records on people with diabetes in three different emergency departments
    Stuart M Speedie
    Institute for Health Informatics, University of Minnesota, Minneapolis, Minnesota, USA
    J Am Med Inform Assoc 21:e71-7. 2014
    ..To evaluate if electronic health records (EHR) with prior clinical information have observable effects for patients with diabetes presenting to emergency departments (ED), we examined measures of quality and resource utilization...
  2. pmc Impact of prior clinical information in an EHR on care outcomes of emergency patients
    Nawanan Theera-Ampornpunt
    Institute for Health Informatics, University of Minnesota, Minneapolis, Minnesota, USA
    AMIA Annu Symp Proc 2009:634-8. 2009
    ..However, there were also contradictory effects and lack of significance in other subgroups. The effects vary by ED and disease, highlighting the possibility of contextual differences influencing the effects of such clinical information...
  3. pmc The use of count data models in biomedical informatics evaluation research
    Jing Du
    Division of Health Policy and Management, University of Minnesota, Minneapolis, Minnesota, USA
    J Am Med Inform Assoc 19:39-44. 2012
    ..The objective of this paper is to encourage greater use of count data models by demonstrating their utility with an example based on the authors' current work...
  4. pmc The impact of electronic health records on care of heart failure patients in the emergency room
    Donald P Connelly
    Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, Minnesota 55455, USA
    J Am Med Inform Assoc 19:334-40. 2012
    ..To evaluate if electronic health records (EHR) have observable effects on care outcomes, we examined quality and efficiency measures for patients presenting to emergency departments (ED)...