EMR: A MAGIC HAMMER?

Disclosure slide

• Nothing to disclose

mnoordzij@spaarneziekenhuis.nl

https://www.linkedin.com/pub/dr-arjen-noordzij/17/486/791

dokter_no

Spaarne Hospital & EMR

• 2004-2008: Norma

– Quick and smooth introduction

– Viewer

– Clinical documentation (physicians, 1-1-2005)

– Clinical documentation (nurses inpatient, 1-1-2006)

• Ambition: the most digital hospital in the Netherlands

The magic hammer: Epic

• Go live in 2 steps

– 2008

– 2009 (big bang)

• Hospital-wide 1 patient one record

• Digital ordering

• Integrated planning

• Resistance (physicians)

Developments (1)

• Speciality specific applications

• Pharmacy, decision cube

• Device integration

• Patient portal

• Financial handling

• Hospital-wide datawarehouse

Developments (2)

• Best practice advisories

• Closed-loop medication

• Complication registration

• Complete perioperative proces

• Management information KPI’s / Reports)

• External accountability (health care inspectorate)

• Optimization of (high volume) specialities

Magic hammer?

• Discrete data

• Big-4

– Medication

– Allergies

– Past medical/surgical history

– Problemlist

• Alert fatigue / best-practice advisories

• Involvement in development

conclusion

• Epic is an excellent tool

• Functionality improves continuously

• Excellent tool

• Excellent professional

• Optimal use