AMIA Annu Symp Proc - Continuity of Care Document (CCD) Enables Delivery of Medication Histories to the Primary Care Clinician.

Tópicos

{ record(1888) medic(1808) patient(1693) }
{ extract(1171) text(1153) clinic(932) }
{ data(1714) softwar(1251) tool(1186) }
{ care(1570) inform(1187) nurs(1089) }
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{ framework(1458) process(801) describ(734) }
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{ perform(999) metric(946) measur(919) }
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{ visual(1396) interact(850) tool(830) }
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{ state(1844) use(1261) util(961) }
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{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
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{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ activ(1452) weight(1219) physic(1104) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

TRODUCTION: The goal of the Enhanced Medication History (EMH) project is to provide medication histories to ambulatory primary care practices in the Indiana Network for Patient Care.METHODS: Medications were aggregated from three different sources of pharmacy data (Medicaid, SureScripts, and the county health system of Indianapolis). Dispensing events were assembled into the Continuity of Care Document (CCD), and presented to clinicians as RxNorm Clinical Drugs.RESULTS: The EMH project completed 46 weeks of operation in a community health center in Indianapolis. Medication Histories were generated for 10498 office visits for 4449 distinct patients. Seven (of nine) attending physicians responded to a written survey and found the Medication Histories useful (3.9?0.4 on a scale of 1 to 5).CONCLUSION: Implementation of the EMH project demonstrated the successful use (as well as the challenging aspects) of the CCD and the RxNorm terminology in the outpatient clinical setting.

Resumo Limpo

troduct goal enhanc medic histori emh project provid medic histori ambulatori primari care practic indiana network patient caremethod medic aggreg three differ sourc pharmaci data medicaid surescript counti health system indianapoli dispens event assembl continu care document ccd present clinician rxnorm clinic drugsresult emh project complet week oper communiti health center indianapoli medic histori generat offic visit distinct patient seven nine attend physician respond written survey found medic histori use scale conclus implement emh project demonstr success use well challeng aspect ccd rxnorm terminolog outpati clinic set

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