Greater Chicago Chapter of the Healthcare Information and Management Systems Society

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Greater Chicago Chapter of the Healthcare
Information and Management Systems Society

• David Liebovitz, MD
• CMIO, Northwestern Medical Faculty Foundation

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What does the doctor really want?

• Make me faster!
• Make me smarter!
• Show me the data!

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Make me faster!

• Anticipate next steps. Primary action
  categories
• Review/update content (results, notes, CCR
  content)
• Enter orders for meds/tests/nursing/consults
• Create notes
• Communicate with others
• Workflow varies enable any action in ANY context
• System groupers and personal favorites for each
• Fast application response!

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Make me smarter!

• Interrupt real mistakes High SN i.e., dont
  interrupt unless Im doing something dumb then,
  please do!
• Eliminate dangerous options up front! (Dynamic
  order catalogs, sentences, and sets)
• Leverage workflow Med Red at admission and
  discharge with stepwise integration
• Offer unobtrusive assistance with context
  sensitive reference algorithms, and data-sets
  (med info., scoring systems, whats new)

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Show me the data!!!
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The Case of the ICU Report

• Detailed reports requested. But
• Who is an ICU patient?
• When is the patient an ICU patient?
• Why is the patient in the ICU?
• Where are the key data and events?
• Reports now available after agreement on
  definitions.

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EHRs What do we have now?

• Notes reproducing paper chart sections
• CPOE drives downstream processes with rudimentary
  and primarily interruptive decision support
• The centers chart

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EHRs Whats missing?

• Its the patients chart, Doc!
• Anticipatory support and guidance
• Truly finite actions list and content categories
• All related content for cockpit view
• Likely next steps when viewing results, ordering,
  etc.
• Not via interruptions convenience panels
• Problem centered structure
• Up to the minute handoffs
• Actions taken in problem context generating notes

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Questions?

• DavidL_at_northwestern.edu
• https//www.medinformatics.northwestern.edu/