Four physicians and two organizations have been named winners of the 10th annual AMDIS awards for excellence and achievement in applied medical informatics by the Association of Medical Directors of Information Systems, an 1,800-member professional membership organization based in Lake Almanor, Calif.
The 2007 awards will be presented during the 16th annual Physician-Computer Connection Symposium July 25-27 in Ojai, Calif.
As regional medical director for Mercy Health Partners, Toledo, Ohio, Kenneth Bertka, M.D., led the design of a computerized physician order entry system that processes 175,000 physician monthly orders, or 60% of total orders at the four hospitals where the system is installed.
Bertka also developed a cooperative model to promote evidence-based medicine and best practices; implemented a governance structure to oversee electronic health records and CPOE; and developed an electronic medication-reconciliation process.
In addition, Bertka implemented several clinical support alerts, including a duplicate order alert, pneumococcal and influenza vaccine reminders and congestive heart failure reminders. As a result, 175 orders per month at 475-bed St. Vincent Mercy Medical Center, Toledo, are modified or aborted after the physician receives an alert.
Over the past decade at seven-hospital Providence Health System, Portland, Ore., Richard Gibson, M.D., has planned and implemented several clinical information systems in hospital and clinic locations. Gibson became chief information officer at four-hospital Legacy Health System, Portland, in early 2007.
Gibson implemented a CPOE system at 409-bed Providence Portland Medical Center that hospital officials say has helped to transform clinical practice and improve patient safety. The system, ProvExpert, handles some 12,000 orders per week. He also helped to facilitate physician electronic communication that has improved clinical decisionmaking and continuity of care.
Linking three hospitals and private laboratories through an EHR, the Calgary Health Region has created a system that allows thousands of certified healthcare providers access to the medical records of the regionís more than 1.2 million acute-care patients.
Calgary officials say the EHR system has improved the quality, safety and efficiency of acute-care services.
Each day providers record more than 25,000 clinical decisions using computer terminals on mobile wireless carts, nursing stations and in patient rooms. Calgaryís EHR system features 1,300 order sets, or care paths, developed by a multidisciplinary team of 300 healthcare professionals. The order sets have enabled the region to adopt consistent best practices across hospitals and clinics within the region.
Three members of the Calgary team are expected to accept the award, Belinda Boleantu, executive director of clinical transformation; Peter Jamieson, M.D., medical advisory board chairman; and Tom Rosenal, M.D., former executive medical director of clinical informatics.
George Reynolds, M.D., chief medical informatics officer and director of pediatric critical care at 142-bed Childrenís Hospital, Omaha, Neb., played a leading role in implementing an integrated clinical information and pharmacy system at the hospital.
By integrating clinical and pharmacy information into an electronic medical record, the system allows integrated medication management for physicians, nurses and pharmacists. The system also provides clinical alerts to ensure appropriate drug usage and tools to support improved revenue management.
Childrenís Hospital has already experienced a reduction of medication errors, officials say. In addition, the EMR system also has improved pharmacy revenue by more than 30% through more effective drug inventory and pricing.
For its CareConnect information technology program, the team of Richard Tayrien, M.D., vice president of clinical information systems, and medical directors John Fust, M.D., Gifford Leoung, M.D., and John Umekubo, M.D., successfully converted paper medical records to an EMR and CPOE system at three of Catholic Healthcare Westís 42 hospitals.
By combining EMR with CPOE, physicians at participating hospitals and other remote locations use standard order sets that help physician clinical decisionmaking and offer treatment guidance at points of care. The system also has built-in rules and alerts that indicate drug interactions or contraindications.
Participating hospitals are 307-bed Dominican Hospital in Santa Cruz, Calif., and 210-bed St. Francis Memorial Hospital and 232-bed St. Maryís Medical Center, both in San Francisco.
David Lagrew Jr., M.D., medical director of physician informatics, played a leading role in facilitating physician adoption of best informatics practices at Memorial Health Services, a six-hospital system based in Huntington Beach, Calif.
During the two-year implementation period, Lagrew helped guide the inpatient EMR-CPOE project at Memorial facilities. Within the first week, the CPOE rate increased from 30% to nearly 80%.
Lagrew also spearheaded the successful adoption of online physician documentation that has cut dictation activities by 30% and nearly eliminated all written progress notes. He also is medical director at Memorialís 325-bed Saddleback Memorial Medical Center, Laguna Hills, Calif.
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