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Category: Literature
Date Submitted: 10/02/2015 01:02 AM
Patient Management
Systems
Terrence Adam, BS Pharm, MD, PhD
Assistant Professor, PCHS
University of Minnesota College of
Pharmacy
Background Interests
• Interest in clinical informatics with training in pharmacy,
medicine and medical informatics and currently a practicing
physician in the Veterans Administration system (17 year
training program)
• Inspired to do medical informatics after a summer pharmacy
internship in the pharmaceutical industry
• Interest in use of information technology to improve
medication safety
• Prior work in IT consulting—data reporting for a managed
care organization
• Involved in implementation of computerized provider order
entry in a major integrated hospital/clinic (Mayo Arizona)
• Interest in patient management systems with prior experience
as a clinical user in pharmacy and medicine, development
and evaluation of a patient monitoring system (lung
transplant), use of secondary data for surveillance
applications and evaluation of HIT for its effect on quality
Patient Management Systems
• Definition: Any tool used to assist in the delivery of
clinical care from the point of care initiation to completion
• Tools include paper-based systems, telecommunications
capabilities, health care organizations and information
technology systems
• Will focus primarily on the use of health information
technology (HIT) systems and their potential to improve
care delivery and their historical evolution in the US
• Identify potential impacts of major recent legislation to
effect implementation and use of health information
technology
Patient Management Systems
• Revolve around clinical encounters and
charts
• Historically limited role for documentation
• Limited Treatments and Diagnostics
• With growing medical complexity came the
need for effective documentation
– Billing
– Professional Communications
• Medical Legal document
Development of Documentation
• Part of slow evolutionary process
• Plummer Chart at Mayo—one of early efforts to
create...