ACP American College of Physicians - Internal Medicine - Doctors for Adults

October/November 1998

CLINICAL INFORMATION SYSTEMS
Special Editor, Allan T. Khoury, MD, PhD

The Computerized Patient Record: Somewhere over the Rainbow?
AT Khoury, Kaiser Permanente of Ohio

Many opportunities exist for computerized patient records to improve patient care.
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Successful Implementation of a Comprehensive Computer-Based Patient Record System in Kaiser Permanente Northwest: Strategy and Experience
HL Chin and MA Krall, Kaiser Permanente, Northwest Division

The experience of implementing a large-scale computerized patient record system provides lessons to others.
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Population Health Management with Computerized Patient Records
P Churgin and K Strawn, CIGNA Healthcare of Arizona

Diverse roles for a computerized patient record system (EpicCare) include tracking key indicators in disease-specific populations, sending health maintenance reminders to physicians, and offering on-line clinical guidelines.
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Health-Based Payment and Computerized Patient Record Systems
MC Hornbrook, Kaiser Permanente, Northwest Division, and Oregon Health Sciences University, MJ Goodman, HealthPartners Research Foundation, PA Fishman, Group Health Cooperative of Puget Sound, and RT Meenan, Kaiser Permanente, Northwest Division

Computerized patient record systems are useful for determining risk-adjusted or health-based payment.
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Support of Quality and Business Goals by an Ambulatory Automated Medical Record System in Kaiser Permanente of Ohio
AT Khoury, Kaiser Permanente of Ohio

The Medical Automated Record System offers support for both clinical and business goals by improving guideline compliance, decreasing reliance on paper charts, and providing automatic billing.
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EVIDENCE-BASED MEDICINE
Section Editor, Brian R. Budenholzer

When Your Clinical Examination Is as Good as an X-ray Film

Research documents that clinical examinations can safely eliminate the need for unnecessary diagnostic tests in both deep venous thrombosis and acute knee injury.
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HMO INNOVATIONS

Telemedicine and Information Technology at the Veterans Administration Palo Alto Health Care System: Serving Patient Care
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Computer-Prompted Diabetes Care
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A Managed Care Approach to High- Risk Screening and Case Management in the Elderly
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