Comparing Costs of Data Entry: Manual Charts vs Computerized Registry

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Comparing Costs of Data Entry Manual Charts vs
Computerized Registry

• Allan Lieberthal MD, Marlene Lugg Dr.P.H, Stephen
  Tannenbaum MD
• Kaiser-Permanente, Southern California

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Problem Addressed

• Clinicians are concerned that data entry into a
  registry will increase office work and costs
  compared with current manual procedures

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Study Plan

• Compare nurses time entering immunization data
  and preparing patient and school immunization
  records using manual and electronic methods

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Methods

• 10 LVNs and NAs
• All active KITS users
• Most with prior experience with manual logs
• 9 case scenarios typical of daily immunization
  practice

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Methods

• Nurses performed same procedure using KITS
  followed by manual system
• Enter data into KITS or manual log plus AAP
  immunization record
• Enter data into or print California Immunization
  Record
• Prepare or print school report when needed
• Observed and timed by investigator or nursing
  supervisor
• Statistics
• 3 way ANOVA, 2 way blocked design

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KITSKaiser-Permanente Immunization Tracking
System

• Operational since 1994
• Mainframe-Character based
• 910,000 patients - 0-18 Y/O
• gt 20 million immunizations
• Approx. 5000 users
• MDs, NPs, RNs, LVNs, NAs etc.

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KITS Menu
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Manufacturer/Lot Defaults
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Add Innoculation
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VIS
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California Immunization Record
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Scenarios
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Results
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Conclusions

• Use of a registry takes less office time than use
  of a manual system
• Greatest time savings occurs when immunization
  and/or school records require completion
• If each scenario is done twice a day, average
  time saved per day would be approximately 16
  minutes

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Acknowledgements

• Joan Franco RN
• Martin Lee PhD
• KITS Administrative Team
• Jacqueline Arana, MA
• Gloria Arguello, LVN
• Doreen Ayala, LVN

• Elena Doronio, LVN
• Susana DSouza, MA
• Celia Gonzalez, LVN
• Herena Hartenstein, LVN
• Marcella Jackson, LVN
• Roy Judiong, LVN
• Frances Martinez, LVN