Using EMR Data for Decision Making Flashcards
• Digital version of the paper charts in the clinician’s
office
• Contains medical and treatment history
• Advantages over paper records
• Track data over time
• Easily identify which patients are due for
preventive screenings or checkups
• Check how their patients are doing on certain
parameters—such as blood pressure readings or
vaccinations
• Monitor and improve overall quality of care
within the practice
Electronic Medical Record
• Built to share information with
other health care providers, such
as laboratories and specialists
• Contain information from all the
clinicians involved in the
patient’s care
Electronic Health Record
Three divisions who make Decision
- Facility
- County and Sub-County
- National
OSHA
Occupational safety and administration
• Decisions are informed by data
• Transparently and together with
stakeholder or patient consultation.
• Some flags help clinicians identify
patients who are ready to start an HIV
regimen based on their CD4 count or
WHO staging while others may
indicate missed appointments or test
results
Evidence-based decision making
• Decisions that are influenced by stories, powerful or influential connections, politics, or at random
• Process of making decisions is solely based on something that is known, perceived, understood, or believed by instinct, feelings, or nature - without actual evidence.
Intuition-based decision making
Stories or _______ about other patient’s experiences with various care or treatment option
Anecdostes
• Third parties who wield power and influence may use them or be perceived to use them to influence care and treatment decisions.
• If Dr. Ochieng knows that a patient’s brother is a well-known member of a group of merchants, this information may lead her to enroll the patient in the HIV program and set her up to start treatment in order to make a favorable impression on the brother.
Powerful & Influential Connections
• Personally held political views may introduce bias when a policy-maker, administrator, or clinician makes a decision.
• For example, if Dr. Ochieng learned that a patient is heavily involved in promoting a political agenda that goes against Dr. Ochieng’s political beliefs, she may pay less and less attention
to this patient’s progress on treatment over time.
Political
• Decisions made on an ad-hoc basis, without consistency
• Screening random patients for TB―whenever the provider remembers to do so and regardless of any clinical observations or information
Arbitrariness
• Decisions made on an ad-hoc basis, without consistency
• Screening random patients for TB―whenever the provider remembers to do so and regardless of any clinical observations or information
Arbitrariness
____ improves our ability to make
effective decisions
Quality Data
Researchers have access to data in a clinical
data repository that houses the electronic medical records of ~2.5 million patients.
Clinical Data Repository
