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Discovering the roles for librarians in EHRs.
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INFORMATICS FOR LIBRARIANS12 APRIL 2012
Jacqueline Leskovec, MLIS, MA, RNOutreach, Planning & Evaluation Coordinator
National Network of Libraries of Medicine
Greater Midwest Region
Objectives
Participants will:•Be provided with an overview of the EMR•Be given a history of the role of the librarian in medical records•Explore ideas on the roles of librarians with HIT
HIT?• Health information technology (health IT) makes it
possible for health care providers to better manage patient care through secure use and sharing of health information. Health IT includes the use of electronic health records (EHRs) instead of paper medical records to maintain people's health information.
The Office of the National Coordinator for Health Information Technology: http://healthit.hhs.gov/
What is Human Computer Interaction (HCI)?• Multi disciplinary
• Usability job titles
•Methods define the expertise
http://www.toonpool.com/
In the beginning…
The History of Medical Libraries from 2000 B.C. to 1900 A.D. Kathleen P. Birchettehttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC198686/pdf/mlab00147-0024.pdf
Disciplines & Departments
Librarians and HIT
• 1898: AML• 1907: MLA• 1928: ARLNA• 1938: AAMRL• 1970: AMRA• 1991: AHIMA
Grace Whiting Myers
June 29, 1956
February 13,2009
EMR? EHR? HIE?• EMR: Electronic Medical Record
• Electronic record of health-related information on an individual• Within one health care organization
• EHR: Electronic Health Record• Electronic record of health-related information on an individual• Across more than one health care organization
• HIE: Health Information Exchange• Electronic movement of health-related information among
organizations• Involves networks• Local, state, and national HIE initiatives
The Electronic Medical Record• Complex set of integrated applications• Outpatient/inpatient• Department-specific• Functionality/tasks
The Ideal EMR• Rapid accessibility and response time• Intelligent and flexible data presentation• Consistency• Contextual sensitivity• Prioritization• Promotion of quality improvement• Electronic communication• Patient involvement
Society of General Internal Medicine Blue Ribbon Panel, 2007
Who uses the EMR?
The Most Important User
Medical Model Vs. Patient-Centered Model
Hospitals as Information Environments
• “…altogether the most complex human organization ever devised.”• Peter Drucker, 1993
http://www.aha.org/aha/resource-center/Statistics-and-Studies/index.html
American Hospital Association
The Librarian
AAFP 2003
HIT and Educational Content• Training and education opportunities everywhere
• Physicians and Nurses• Nursing• Other staff• Patient/Family Education
I is for Information
• http://www.ischools.org/
Infobutton
http://solutions.wolterskluwer.com/blog/
• ICD-9-CM• SNOMED CT®• CORE Problem List Subset codes• RXCUI• NDC
http://apps2.nlm.nih.gov/medlineplus/services/demo.html
Training. Free. Yes, FREE.• Practice workflow and Information and Information
Management Redesign Specialist• Clinician/Practitioner Consultant• Implementation Support Specialist• Technical/Software Support Staff• Implementation Manager• Trainer
http://www.onc-ntdc.org/
http://www.onc-ntdc.org/
EMR Optimization• “We are running out of time, let’s just get it up and running
and fix the problems later.”
Patient Education
• Trusted source of information–Your doctor–Your hospital
• Develop online patient education libraries–Well developed content–Easy to find what you
need
Data – Information - Knowledge
Clinical HCI• Optimization Case Study
• Observation• Data analysis
• Solution• New design implementation
Safety and Error Prevention
• Information system configuration/use
• Process design• Communication• Labeling • Education
Research - Clinical Guidelines
Doing what we do best…
•What are you doing??
Questions/comments?• [email protected]• SlideShare: leskovec• 1.800.DEV-ROKS
This project has been funded in whole or in part with Federal funds from the National Library of Medicine, National Institutes of Health, Department of Health and Human Services, under Contract No. HHS-N-276-2011-00005-C with the University of Illinois at
Chicago.