A Diabetes Dashboard and Physician Efficiency and Accuracy in Accessing Data Needed for High-Quality Diabetes Care

Richelle J. Koopman; Karl M. Kochendorfer; Joi L. Moore; David R. Mehr; Douglas S. Wakefield; Borchuluun Yadamsuren; Jared S. Coberly; Robin L. Kruse; Bonnie J. Wakefield; Jeffery L. Belden

doi:10.1370/afm.1286

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Usability matters...and can improve HIT dramatically
Ross Koppel

Published on: 24 September 2011
Integrated dashboards the next step [response to Nease]
Richelle J. Koopman

Published on: 15 September 2011
EHR's not built for delivering evidence based care
Donald E. Nease

Published on: 14 September 2011

Published on: (24 September 2011)

Usability matters...and can improve HIT dramatically
Ross Koppel, Phila, PA USA
Nifty study. Modest but significant. Shows how useful EHRs can be if they are usable. Dr. Koopman may well have prevented herself from receiving additional funding from the Cerner Corporation because she has shown how much better the dashboard performs than Cerner's current offering. On the other hand, if I were Cerner, I'd hire Dr. Koopman and ask her to redesign all of our software before EPIC eclipses us completel...
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Nifty study. Modest but significant. Shows how useful EHRs can be if they are usable. Dr. Koopman may well have prevented herself from receiving additional funding from the Cerner Corporation because she has shown how much better the dashboard performs than Cerner's current offering. On the other hand, if I were Cerner, I'd hire Dr. Koopman and ask her to redesign all of our software before EPIC eclipses us completely.
A serious contribution to medical informatics. Thank you.
Competing interests: None declared
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Competing Interests: None declared.
Published on: (15 September 2011)

Integrated dashboards the next step [response to Nease]
Richelle J. Koopman, Columbia, MO, USA
Thanks, Don.
You are exactly right. Integrated multi-condition dashboards are the next step. The other next step is interactivity - being able to enter data directly on the dashboard page, and then having that help you with your documentation, too. There are lots of exciting possibilities, but we need clinicians on these teams so we can really get what we need.
Competing interests: None declared
...
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Thanks, Don.
You are exactly right. Integrated multi-condition dashboards are the next step. The other next step is interactivity - being able to enter data directly on the dashboard page, and then having that help you with your documentation, too. There are lots of exciting possibilities, but we need clinicians on these teams so we can really get what we need.
Competing interests: None declared
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Competing Interests: None declared.
Published on: (14 September 2011)

EHR's not built for delivering evidence based care
Donald E. Nease, Aurora, CO, USA
This paper is a great illustration of the workflow issues associated with using the current generation of EHR's to deliver evidence-based care in routine practice. Over 5 minutes to access relevant information for diabetes, translates out to the bulk of the time available during a visit once you factor in prevention issues and other common co-morbid chronic diseases. Similarly, a dashboard focused on diabetes is on...
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This paper is a great illustration of the workflow issues associated with using the current generation of EHR's to deliver evidence-based care in routine practice. Over 5 minutes to access relevant information for diabetes, translates out to the bulk of the time available during a visit once you factor in prevention issues and other common co-morbid chronic diseases. Similarly, a dashboard focused on diabetes is only a first step. Rarely does diabetes exist alone as a chronic disease. We need the next generation of EHR's to address these issues.
Great work, Dr. Koopman and colleagues!
Competing interests: None declared
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Competing Interests: None declared.