2014 02 05 - ehr discussion - can they save lives without stealing your sunshine?

8/13/2019 2014 02 05 - EHR Discussion - Can they save lives without stealing your sunshine?

1/14

Daniel J. Vreeman, PT, DPT, MSc Assistant Research Professor

, Indiana University School of Medicine Associate Director for Terminology Services

, Regenstrief Institute, Inc

[email protected]

APTA Combined Sections Meeting | Las Vegas, NV

Electronic Health RecordsCan they save lives without stealing your suns
mailto:[email protected]?subject=


2/14

Priming the Pump

1. EHRs are here to stay2. We (PTs) need to use them

to reach our broader vision3. They can make a huge

difference even where youdleast expect


3/14

Hospitals use EHRs

Tripled since 2009!


4/14


5/14

80% of physicians say using an EHR

improves patient care

CDC/NCHS, National Ambulatory Medical Care Survey, Electronic Health Record Survey. http://www.cdc.gov/nchs/data/databriefs/db143.pdf


6/14

APTA 2010 Member Survey

Yes, all electronic Yes, paper and electronic

NoDont know

Got EMR?


7/14

Looking forward, I am profoundly

uninspired by such a narrow, inwardlydirected vision for our future as aprofession. Today, Vision 2020 isneither bold nor visionary, and asDuncan stated in her 2002 McMillanLecture, it sounds self-promotingand self-aggrandizing.

- Alan M. Jette, PT, PhD, FAPTA43rd Mary McMillan Lecture


8/14


9/14

We need to shift dramatically

our focus from optimizingparts to focusing on our role inthe changing systems andsociety in which we practice.



10/14

First, therapists must become interested in

data. Second, they must become skilled inthe ability to devise solutions for thesystem problems that data and experience

uncover . Third, the physical therapyprofession must develop the ability toimplement at scale - the ability to gettherapists along the entire chain of care

functioning in concert, in collaboration.



11/14

Human+

ComputerHuman


12/14


13/14

4xincrease in completion of

overdue clinical tasks!(68% vs 18%)

Were MC, Nyandiko WM, et al. Computer-Generated Reminders and Quality ofPediatric HIV Care in a Resource-Limited Setting. Pediatrics . 2013:131(3).


14/14

Food for Thought

1. How could an EHR help you make betterdecisions with smart reminders?2. How could widespread use of EHRs help or

hurt delivery of patient-centered care ?3. How could EHRs improve your collaboration ?4. How could they help demonstrate our

professional value ?5. If you could change one thing about your

current EHR, what would it be?6. How do you see EHRs enabling the other uses

of technology presented here?

2014 02 05 - ehr discussion - can they save lives without stealing your sunshine?

Documents