EHR and move forward with a customized version of EHR that focuses on
disease prevention. They currently serve
2,000,000 patients in the five boroughs of
New York City and are a regional extension center that assists physician practices
in adopting EHR and achieving Meaningful Use.
A 2009 HIMSS Nicholas E. Davies
Award of Excellence winner (recognizing
excellence in the implementation and
value from HIT, specifically EHRs), the
Virginia Women’s Center (VWC) in Richmond both explored and implemented an
EHR. 20 However, their goal was not to
implement a plug-and-play system, but to
transform their care delivery. A six facility
organization, VWCs providers have an
estimated 2672 active patients with a clinical staff that serves five local hospitals representing three health systems. Although
VWC has a long history of clinical excellence, leaders did not see EHR as a project
that would automatically improve care
outcomes. Proper staffing, project staging,
and ongoing communication were critical
components to successful adoption. On
another level, their project is a model of
ambulatory care automation due to their
insistence on linking multiple systems.
Interface development across labs, regional
health information organizations (RHIO),
imaging systems, and multiple proprietary
systems was a priority. They kept focused
on data liquidity and continuity of care.
See Table 1 for VWCs EHR implementation budget.
diagnostic and therapeutic processes, and
at the same time opens the door for new
mechanisms of administrative power that
will have unintended effects for how and
who determines the future boundaries of
Routes of data today may bare a resem-
blance to how we may value routes of care
tomorrow. The structures and systems
driving clinical data exchange become not
just an “it” or a “thing” to engineer, but an
occasion from which we can gauge our
current ways of thinking about care deliv-
ery through HIT. EHR is not a new or
technical revolution; it is representative of
how patient care is and continues to be
EHR is not a new or technical revolution; it is
representative of how patient care is and continues
to be conceived.
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