TY - JOUR
T1 - Electronic medical records for a rural family practice
T2 - A case study in systems development
AU - O'Neill, Liam
AU - Klepack, William
PY - 2007/2/1
Y1 - 2007/2/1
N2 - In this paper, we describe the planning, development, and overall impact of Electronic Medical Records (EMRs) on Dryden Family Medicine (DFM), a rural family practice in Dryden, New York. The EMR system was installed in July, 2003, and the full conversion to the new system was accomplished in three phases. Significant efficiency gains were achieved in billing, prescription ordering, and other routine processes. Protocols were developed to enhance quality management, preventive medicine, and disease management. Job responsibilities changed and expanded for all members of the practice and coding issues became paramount. Practice revenue increased by about 20 percent and average "case-mix" increased by 10 percent in the second year following the implementation of EMRs due to improved billing documentation. We focus on the implementation process, the lessons learned, the obstacles encountered, and the successes achieved by one rural family practice.
AB - In this paper, we describe the planning, development, and overall impact of Electronic Medical Records (EMRs) on Dryden Family Medicine (DFM), a rural family practice in Dryden, New York. The EMR system was installed in July, 2003, and the full conversion to the new system was accomplished in three phases. Significant efficiency gains were achieved in billing, prescription ordering, and other routine processes. Protocols were developed to enhance quality management, preventive medicine, and disease management. Job responsibilities changed and expanded for all members of the practice and coding issues became paramount. Practice revenue increased by about 20 percent and average "case-mix" increased by 10 percent in the second year following the implementation of EMRs due to improved billing documentation. We focus on the implementation process, the lessons learned, the obstacles encountered, and the successes achieved by one rural family practice.
KW - Electronic medical records
KW - Family practice
KW - Systems development
KW - Vendor selection
UR - http://www.scopus.com/inward/record.url?scp=33845960818&partnerID=8YFLogxK
U2 - 10.1007/s10916-006-9040-1
DO - 10.1007/s10916-006-9040-1
M3 - Article
C2 - 17283920
AN - SCOPUS:33845960818
SN - 0148-5598
VL - 31
SP - 25
EP - 33
JO - Journal of Medical Systems
JF - Journal of Medical Systems
IS - 1
ER -