J Med Syst - Closing the feedback loop: an interactive voice response system to provide follow-up and feedback in primary care settings.

Tópicos

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{ analysi(2126) use(1163) compon(1037) }
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{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
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Resumo

In primary care settings, follow-up regarding the outcome of acute outpatient visits is largely absent. We sought to develop an automated interactive voice response system (IVRS) for patient follow-up with feedback to providers capable of interfacing with multiple pre-existing electronic medical records (EMRs). A system was designed to extract data from EMRs, integrate with the IVRS, call patients for follow-up, and provide a feedback report to providers. Challenges during the development process were analyzed and summarized. The components of the technological solution and details of its implementation are reported. Lessons learned include: (1) Modular utilization of system components is often needed to adapt to specific clinic workflow and patient population needs (2) Understanding the local telephony environment greatly impacts development and is critical to success, and (3) Ample time for development of the IVRS questionnaire (mapping all branching paths) and speech recognition tuning (sensitivity, use of barge-in tuning, use of "known voice") is needed. With proper attention to design and development, modular follow-up and feedback systems can be integrated into existing EMR systems providing the benefits of IVRS follow-up to patients and providers across diverse practice settings.

Resumo Limpo

primari care set followup regard outcom acut outpati visit larg absent sought develop autom interact voic respons system ivr patient followup feedback provid capabl interfac multipl preexist electron medic record emr system design extract data emr integr ivr call patient followup provid feedback report provid challeng develop process analyz summar compon technolog solut detail implement report lesson learn includ modular util system compon often need adapt specif clinic workflow patient popul need understand local telephoni environ great impact develop critic success ampl time develop ivr questionnair map branch path speech recognit tune sensit use bargein tune use known voic need proper attent design develop modular followup feedback system can integr exist emr system provid benefit ivr followup patient provid across divers practic set

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