The quality of the electronic patient records of general practitioners measured, NIVEL 2011 Kees van...

The quality of the electronic patient records of general practitioners measured, NIVEL 2011

Kees van Boven

Research questions

1.How is the quality of the recording of medical data in the EMR of general practices in the region Twente?

2. Are there differences in the quality of registration between the general practices in the region Twente? Do these differences have a connection with the used EMR?

• Promedico ASP (Blue)• Medicom (Yellow)• Mira (Green)• MicroHIS 8.5.2 (Red)

Indicators of the EMR scan GPs

Indicators of the completeness of medical history

Indicators of structured work in the medical journal

Indicators for the completeness and timeliness of the medication list

Indicators of medication monitoring

General Practitioner Practice Nurse (POH) Doctor assistant Fysiotherapist0

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20

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100

Percentage

Percentage

Use and sharing of EMR data

Out of Hour Fysiotherapist Pharmacy Hospital Lab/Diagnostic Center0

10

20

30

40

50

60

70

80

90

100

Percentage

Percentage

exchange of electronic data

Average number of active defined episodes per patient per practice

Percentage of all problem episodes (following the definition of the Dutch College) that actually got a problem status.

Percentage of all general episodes that defined a meaningful ICPC code

Sub-encounters linked to an episode

Incorrectly identified as "current medication"

The percentage of prescriptions that is linked to a “defined” episode.

Current medication that is linked to an episode with a significant ICPC code

Drug allergy or intolerance

Contraindication