A Protocol Based, Electronic Medical Record Enabled Care Coordination System Improves the Timeliness and Efficiency of Care for Patients with Hematuria
| Autor: | Jessica T. Casey, Chris M. Gonzalez, John Cashy, Nilmini Wichramasinghe, Lyle Berkowitz, Anthony J. Schaeffer |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Quality management Referral Office Visits Urology MEDLINE Statistics Nonparametric Ambulatory care Cost Savings Recurrence Health care medicine Electronic Health Records Humans Practice Patterns Physicians' Intensive care medicine Hematuria Protocol (science) Primary Health Care medicine.diagnostic_test business.industry Primary care physician Health Care Costs Cystoscopy Middle Aged Quality Improvement Organizational Innovation United States Emergency medicine Female business |
| Zdroj: | Journal of Urology. 190:212-217 |
| ISSN: | 1527-3792 0022-5347 |
| Popis: | We determined whether including a care coordination system to manage the referral process for hematuria would lead to improved quality of care.Inflection Navigator, a protocol based, electronic medical record enabled care coordination system, was developed to support primary care physicians evaluating newly discovered hematuria. We studied the system for patients referred for microscopic and gross hematuria from May 2009 to May 2010. We compared outcomes in these 106 patients and in 105 referred to our urology department for hematuria during the same period who did not use the system.Patients in the care coordination group completed the evaluation in a significantly shorter time with more than a 1-month difference in time between referral and the completion of the imaging and cystoscopy components of the assessment (mean 40.9 vs 74.1 days, p0.05). This system potentially lowered health care costs by decreasing the mean ± SD number of urology visits needed to complete an evaluation from 2.1 ± 1.5 in the standard referral group to 1.6 ± 1.4 in the care coordination group (p0.05).A protocol based care coordination system for hematuria decreased the time needed to complete an evaluation and decreased the number of overall visits required to make a final diagnosis. Thus, the Inflection Navigator system is an example of an electronic medical record enabled process innovation that can improve the efficiency of care while potentially lowering health care costs. |
| Databáze: | OpenAIRE |
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