Transcript Slide 1
Barbara A. Epstein*, Nancy H. Tannery*, Charles B. Wessel*, Frances Yarger*, John LaDue*, Anthony Fiorillo+ *Health Sciences Library System University of Pittsburgh +Ambulatory eRecord University of Pittsburgh Medical Center Setting How it started Snapshot of what was developed Timeline to EHR Challenges and Next Steps Large academic library serving University of Pittsburgh’s six health sciences schools, as well as the University of Pittsburgh Medical Center (UPMC) UPMC hospitals contract with HSLS for access to licensed online resources. UPMC comprises 20 tertiary, specialty, and community hospitals, 400 outpatient sites and doctors’ offices, and retirement and long-term care facilities. eRecord has over 3 million unique patient records and more than 22,000 active users, including more than 5,000 physicians employed by or affiliated with UPMC. More than 196 UPMC physician practices use eRecord. June 2004 – Library director invited to participate in the eRecord Physician Advisory Committee (PAC) 2004-2006 investigated various tools MLA 2006 Phoenix ◦ Integrating Reference Information into the EHR – Practices and Standards Fall 2006 partnered with key physician from PAC Library development team initiated to work with key physician Identify appropriate technology Identify full text information resources Work with key physician to identify usability and work flow issues A meta-search engine that combines results from multiple sources into a single results list allowing users to search several resources at once A search engine that clusters common terms from the results and creates “on the fly” groups to help narrow searches Built on previous HSLS Vivisimo work Minimize dependence on any one resource Take advantage of the wide variety of HSLS licensed resources Find "the fewest number of resources that would still answer the questions" Minimize repetition & redundancy Key physician ◦ Started with dx, disease and patient education tabs Demo to IT Physician's Cabinet members ◦ EBM tab added; tab order changed Demo to Enterprise-Wide eRecord PAC ◦ Drug tab added; tab order changed Usability testing by volunteer group from Enterprise-Wide eRecord PAC ◦ Insert cursor in search box ◦ Resources changed 300 250 200 150 100 50 0 DDx Diseases Drugs EBM Patient Ed Shoestring funding & operations ◦ Both good and bad Scope of UPMC project dwarfs ours ◦ Difficult to find the right people ◦ We are a very small part of a very large project Working across 2 organizations ◦ No direct access to EHR Licensed resources added and removed Tab changes Reformatted search box on results page Behind-the- scenes Java changes to accommodate EHR technology Advisory Committee proposed ◦ evaluate content, access Seek outside funding to do validation study & content analysis Promote/market/educate/train Integrate into dbMotion interoperability