2007 Medical Education Conference Conférence de 2007 sur l’éducation médicale

1. 2007 Medical Education ConferenceConférence de 2007 sur l’éducation médicale Welcome AFMC – CAME – CFPC – MCC – RCPSC AFMC – ACÉM – CMFC – CMC – CRMCC Bienvenue

2. Using Electronic Health Records For education and research Robyn Tamblyn, McGill University

3. Outline • Key Components of Electronic Health Records • Uses in Education • Uses in Research

4. Key Components of EHR

5. Retrieval of lab, drug, dx test + report information from feeder systems Health Problem List Medication List

6. Drug and Visit Profile Information from Regional/ Provincial Repositories Costs of Medications Dates of Hospitalizations & ER Visits List of Drugs Dispensed over Past 6 Months .

7. Structured order entry

8. Clinical Notes

9. Uses in Education

10. Educate About Preventive Care and Provide Practice Reminders Reminders

12. E-Rx PadEducate + Reduce Potential Errors by Providing Menus for Dose Selection & Treatment Indication cou

13. Educate about Drug Interactions & Reduce Errors in Drug Selection by Providing Alerts for Prescribing Problems

14. Evidence-Based Asthma Decision Support Customized for Individual Patient Profiles CIHR supported RCT-2004-2008

15. Uses in Research

16. Practice Profiles

17. My Practice Profile Asthma COPD Hypertension Diabetes CHF Risk Factor Management Vulnerable Patients

18. My Practice Profile Asthma COPD Hypertension Diabetes CHF Risk Factor Management Vulnerable Patients Show me my current asthma treatment outcomes Compare my asthma treatment outcomes to those of my peers My Asthma Patients Disease Control Proportion of my asthma patients with poor control Compliance with Rx Asthma Quality Indicators All asthma patients should have an action plan All asthma patients with poor control should have inhaled corticosteroids

19. My Practice Profile Asthma COPD Hypertension Diabetes CHF Risk Factor Management Vulnerable Patients Compare my asthma treatment outcomes for the past 2 years Compare my asthma treatment outcomes to those of my peers My Asthma Patients Disease Control Proportion of my asthma patients with poor control Compliance with Rx Asthma Quality Indicators All asthma patients should have an action plan All asthma patients with poor control should have inhaled corticosteroids

20. My Practice Profile Asthma COPD Hypertension Diabetes CHF Risk Factor Management Vulnerable Patients Compare my asthma treatment outcomes for the past 2 years Compare my asthma treatment outcomes to those of my peers My Asthma Patients Disease Control Proportion of my asthma patients with poor control Compliance with Rx Asthma Quality Indicators All asthma patients should have an action plan All asthma patients with poor control should have inhaled corticosteroids (guidelines)

21. My Practice Profile Asthma COPD Hypertension Diabetes CHF Risk Factor Management Vulnerable Patients Show me my current asthma treatment outcomes Compare my asthma treatment outcomes for the past 2 years My Asthma Patients Disease Control Proportion of my asthma patients with poor control Compliance with Rx Asthma Quality Indicators All asthma patients should have an action plan All asthma patients with poor control should have inhaled corticosteroids

22. My Practice Profile Asthma COPD Hypertension Diabetes CHF Risk Factor Management Vulnerable Patients Compare my hypertension treatment outcomes for the past 2 years Compare my hypertension treatment outcomes to those of my peers My Hypertension Patients Disease Control Hospitalizations for hypertension complications Compliance with Rx Hypertension Quality Indicators All hypertension patients should have their blood pressure monitored regularly All patients with complicated hypertension should be prescribed an ACE Inhibitor (unless contraindicated)

23. The voyage begins… Thank you. robyn.tamblyn@mcgill.ca