WHY SHOULD WE FOCUS ON A STRUCTURED MODEL OF SECURE DIGITAL EXCHANGES TO INCORPORATE NEW DOCUMENTS IN ELECTRONIC PATIENT RECORDS?
Author(s)
Perrier L1, Plantier M1, Farsi F2, Vandenbergh P3, Spacagna H2, Gomez F1, Biron P1, Durand T1
1Cancer Centre Léon Bérard, Lyon Cedex 08, France, 2Réseau Espace Santé Cancer Rhône-Alpes, Lyon, France, 3Agence régionale de santé (ARS) Auvergne-Rhône-Alpes, Lyon, France
OBJECTIVES: The positive impact of information systems, and notably electronic patient records, on the quality of care is increasingly supported in the literature. Here, the objective was to analyze the number of documents coming from outside the institution, that had to be invalidated based on the entry mode into the electronic patient record: a structured model of secure digital exchanges vs. a manual method using a scanner. METHODS: The comparison of the number of invalid documents was carried out at the Leon Berard Cancer Centre (Lyon, France), a pilot testing site for the automation of secure digital exchange, alongside the University Hospital Centers in Lyon and Grenoble. Invalidation was defined as when information associated with the integrated document was not valid. This is usually due to an integration on the wrong patient file but can also be a mistake in the date and type of document. The analysis period extended from January 2013 to December 2015. The manual method was carried out with the intervention of a medical secretary who scanned the documents. Descriptive statistics were initially used. RESULTS: Among the 15,778 incoming documents in the computerized patient records over the period considered, 37 (0.24%) were invalidated during the use of the structured model of secure digital exchange. In the same period, 709,124 incoming documents were scanned manually, of which 15,298 (2.16%) were invalidated (p<0.0001). CONCLUSIONS: This study shows a significant difference between the two methods of integration of incoming documents in the electronic patient record. Any error detected, given its potential impact on management (e.g., identity monitoring issues) requires the invalidation of the document and its reintegration into the corresponding electronic patient record; these corrections also generate additional costs. Structured models of secure digital exchanges should therefore be promoted in the implementation phases of the computerized patient record.
Conference/Value in Health Info
2016-10, ISPOR Europe 2016, Vienna, Austria
Value in Health, Vol. 19, No. 7 (November 2016)
Code
PHS146
Topic
Real World Data & Information Systems
Topic Subcategory
Health & Insurance Records Systems
Disease
Oncology