JM2010 Invited Speaker Dr. Keith Frey
Posted on January 29, 2010 by ebrennan | No Comments
Posted by Marcus Banks, MLIS, Manager of Education and Research Services; UC San Francisco Library and Center for Knowledge Management
THE EMR: OUR JOURNEY TO FULL MEDICAL PRACTICE AUTOMATION
By: Dr. Keith Frey, Mayo Clinic Arizona
To begin the afternoon plenary session, Dr. Frey discussed how the Mayo Clinic has made–and continues to make–strides towards computerized physician order entry and a robust electronic medical record (EMR). Mayo has a patient-based orientation and a long history of providing information resources for the benefit of multiple care providers; in 1907, Dr. Henry Plummer of Mayo developed the “Plummer Chart” as a paper-based unified medical record.
One hundred years later there is strong evidence that paper-based orders lead to medical errors and sometimes death of patients. However, putting pen to paper is still a faster means of making an order than going through several clicks in a computer session. To overcome physician resistance to using Mayo’s EMR, Dr. Frey consistently presents objective data about how the electronic approach is better for patients. At this point less than 10% of orders are still written or verbal, which far exceeds the general threshold of no more than 30% written or verbal records.
A related and important goal for Mayo is to ensure that research knowledge generated within Mayo moves rapidly from bench to bedside. EMRs can serve this function too, especially if they are linked across multiple parts of the same organization. This year Mayo will build a single EMR to serve its locations in Florida and Arizona, and require all physicians to use it by September 2010. Over the longer term Dr. Frey foresees significant roles for librarians in designing meaningful ontologies and other forms of standardization. This expertise will be essential for optimal delivery of evidence-based information to the point of care.
Posted 1/28/10
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