Electronic Medical Records for Physiotherapy - A few things . .
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10/16/2019
Electronic Medical Records
for Physiotherapy
Don’t Miss the Forest While Saving the Trees
Jeremy McAllister, BScPT, MHA
October 19, 2019
A few things . .
.
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10/16/2019
What’s the big
deal with
Electronic
Medical Records?
The Electronic Health Record plan for Canada .. .
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“Interoperability”
Interoperability is the ability of different
information systems, devices and
applications (‘systems’) to access, exchange,
integrate and cooperatively use data in a
coordinated manner, within and across
organizational, regional and national
boundaries, to provide timely and seamless
portability of information and optimize the
health of individuals and populations
globally.
The Canadian Plan – EHR Blueprint
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Electronic Medical Record
• The computer‐based • Encounter‐based / Specific
patient record in the to Clinician or Facility / Local
ambulatory or community
setting
Electronic Health Record
• Provides each individual in • Lifetime‐based / Many
Canada with a secure and Contributors / National
private lifetime record of their
key health history and care
within the health system. The
record is available electronically
to authorized healthcare
providers and the individual
anywhere, anytime in support of
high quality care.
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But Physiotherapy
and EMR?
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Is it worth it for us?
Does what we do justify moving to an electronic
medical record system? And why should we care?
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461 respondents (2200
members)
2015 PABC 75% private practice, 18%
EMR Survey public practice, 7% both
19% were charting
electronically
350 respondents (2200
members)
2017 PABC Approximately same
percentage private /
EMR Survey public
60% were charting
electronically
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Efficiency /
Environmental
QUALITY
Efficiency /
Environmental
Medical System QUALITY
Quality
The standard of something as measured against
other things of a similar kind; the degree of
excellence of something
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Acceptability
• Care that is respectful of patient and family needs,
preferences and values
How does EMR help?
• Healthcare keeping up with a digital society
• Communications – patient / provider
• Communications – provider / provider
• Potential for interoperability
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Accessibility
• Ease with which services are reached
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How does EMR help?
• Online Booking, Communications – Patient / Provider
• Online Exercise Programs, Video Exercise
• Telehealth integrations
• Patient Portals
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Safety
• Avoiding harm resulting from care – Adverse Events
How does EMR help?
• More clear display potential contraindications in patient
charts
• Hand offs – legibility
• Quickly accessible reference materials
• Automated Alerts
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Appropriateness
• Care provided is evidence‐based and specific to the
individual clinical needs of the patient
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How does EMR help?
• Clinical Decision Support
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Magic Project
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Effectiveness
• Care that is known to achieve intended results
How does EMR help?
• Regularly collecting data on clients that in forms that are
analyzable and actionable
• Allowing research on that data
• Systems to allow use of that data to improve practice in a
clinically valuable way for both the clinician and the patient
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Do we have any examples in Physiotherapy?
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And finally . . . . Efficiency!
• Optimal use of resources to achieve maximum
benefits and results
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Some examples of efficiency in PT EMR . . .
• Re‐using data (enter once, use many times)
• Online registration (demographics, job demands, consents, etc)
• Customizable charting and assessments
• Customizable forms
• Secure document sharing
• Online booking
• And yes, you can be mostly PAPERLESS!
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Hardware
Improvements
Software
Improvement
Templates /
Forms
Improved
Workflows
Clinician
Learning
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Recommendations for EMR Adoption
The PABC EMR Toolkit
Implementing electronic medical records in private
practice physiotherapy settings
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Consider your clinic’s lifecycle
Consider your staff – new grads vs
Should I do ‘seasoned veterans’
this? Consider the business case
(investment vs benefits)
Clinic Readiness Assessment in
the PABC EMR Adoption Toolkit
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Demo, Demo, Demo!!
Sketch out a typical patient visit of various ways in
What Vendor which you can see a computer system making things
better (both administrative and clinical point of view)
Should I Go
With? Write out your top ten questions (admin / clinician)
and make sure they are answered in your demos
Most popular Vendors in BC are Jane, Clinicmaster,
and PracticePerfect
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Not nearly as important as it used to be!
PT is unique, practice patterns are unique.
What
Hardware My setup:
Should I Use? • 13” Macbook Pro ($1500)
• iPad ($400) for Patient Education / Outcome Measure
Completion / Exercise Selections in Gym.
• Admin has Mac Mini, Dual Monitors.
Don’t cheap out on internet speed so you
have the best Wi‐Fi you can!
Not nearly as long as MD
adoption
How Long
Average 1‐month to be
Will It Take to up to full caseload again.
Adapt?
3‐6 months for full clinic
stability
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Efficiency Quality ‐ Bigger Interoperability
Picture
Hardware
Improvements
Software
Improvement
Templates /
Forms
Improved
Workflows
Clinician
Learning
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Efficiency /
Environmental
QUALITY
Efficiency /
Environmental
Medical System QUALITY
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End
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