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Integrating patient data into the EHR.



Automating the collection of data from patient-monitoring devices at the bedside and integrating it into the electronic health record will cost less than manual data entry and reduce transcription errors. Nearly all Most Wired facilities have a system in place for automatic updates of blood glucose blood glucose Diabetology The principal sugar produced by the body from food–especially carbohydrates, but also from proteins and fats; glucose is the body's major source of energy, is transported to cells via the circulation and used by cells in the presence  compared with less than three-quarters of all surveyed hospitals. More Most Wired hospitals link electrocardiogram, blood pressure and pulse oximetry pulse oximetry Oxygen saturation measurement, SaO Critical care
A method used to determine the O2 saturation–SaO2 and desaturation of blood in a continuous noninvasive fashion, through the noninvasive assessment of arterial Hb-bound
 readings directly.

[ILLUSTRATION OMITTED]

To speed up collaboration with physicians on an integrated inpatient and outpatient medical record, almost 90 percent of Most Wired organizations report subsidizing physician-office EHRs. Even with hospital support, Most Wired hospitals report a much higher percentage of employed physician practices with electronic clinical documentation, CPOE CPOE Computerized Physician Order Entry
CPOE Computerized Provider Order Entry
CPOE Computerized Prescriber Order Entry
 and decision support implemented; independent physician practices lag in EHR (Electronic Health Records) Computerized medical records that bring patient care into the digital age and save time, money and lives. The push to adopt comprehensive electronic documentation between doctors' offices and hospital settings intensified after the RAND  implementation by about 40 percent.

Each month, H&HN will provide continuing coverage of the annual Most Wired Survey and Benchmarking Study and other IT issues. The survey is mode possible through o partnership among H&HN, the American Hospital Association and the College of Healthcare Information Management Executives College of Healthcare Information Management Executives, or CHIME, is a United States professional organization formed to aid the professional development needs of healthcare industry Chief Information Officers (CIOs), and to advocate the more effective use of information , McKesson Corp. and HIT Exchange. AT&T and CareTech Solutions provide additional support.
Patient monitoring results sent directly to patient's EHR

                        * 2011 All     * 2011 Most Wired

Blood glucose               71%                 88%
ECG                         61%                 80%
Bedside blood pressure      48%                 71%
Bedside pulse oximetry      48%                 70%
Bedside lab tests           47%                 65%

Source: Hospitals & Health Networks' Most Wired Survey, 2011

Note: Table made from the bar graph.

Differences in physician office EHRs in Most Wired organizations

Percentage of physician practices in which the following
physician-office EHR functionalities are implemented (weighted
average):

                                      Employed      Independent
                                      physician      physician
                                      practices      practices

Electronic clinical documentation       74%             43%
Results viewing                         80%             57%
CPOE                                    71%             41%
Decision support                        73%             41%

Source: Hospitals & Health Networks' Most Wired Survey, 2011

Note: Table made from the bar graph.
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Title Annotation:Health Care's Most Wired[R]
Author:Hoppszallern, Suzanna
Publication:H&HN Hospitals & Health Networks
Date:Jan 1, 2012
Words:299
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