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Radiation Oncology in a Hospital Wide Electronic Medical Record Environment

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L Doyle

L Doyle1*, A Harrison1, J Williamson1 , N DeGregorio1 , E Comber1 , Y Yu1 , A Khariton1 , J Geiger2 , A Lowther1 , (1) Thomas Jefferson Univ. Hospital, Philadelphia, PA, (2) Encore Health Resources, Quintiles-IMS company, Houston, TX


SU-I-GPD-P-5 (Sunday, July 30, 2017) 3:00 PM - 6:00 PM Room: Exhibit Hall

Purpose: To highlight the role of radiation oncology in the setting of a hospital-wide electronic medical record (EMR) conversion or adoption. The conversions from a paper-based patient chart to a radiation oncology (RO) specific record and verify (R&V) system, and now a more sophisticated RO EMR system seems like a topic of the past. However, as a mid-size academic institution, we find ourselves in a current state of hospital-wide EMR adoption. In many ways, we are ahead of most departments, due to our complete utilization of the Mosaiq® EMR for all facets of patient care in radiation oncology. However, we also find ourselves in the midst of a struggle to find our place as an outpatient department that provides care with many other specialty departments (inpatient/outpatient). Focusing on patient-centered care and searching for ways to improve care coordination, we describe our experience of a hospital-wide EMR adoption and highlight challenges and benefits others may find useful in their own practice.

Methods: To adopt a new hospital-wide EMR, our department created champions for each area of practice (billing, scheduling, documentation, prescribing, etc.) and specialty (brachytherapy, selective internal radiation therapy, inpatient care, etc.). Workflows were created and distributed to champions on the hospital EMR team.

Results: Breakout sessions proved to be opportunities for workflow improvement, in addition to workflow analysis in the setting of EMR conversion. Areas of emphasis include improved communication, radiation safety documentation, improved transparency and redundancy elimination.

Conclusion: Radiation oncology has been a field reliant on EMRs for many years due to early use of R&V systems. Integration with hospital wide systems offers our field an opportunity to improve patient care and create a more efficient and transparent environment within the hospital system.

Funding Support, Disclosures, and Conflict of Interest: Author (Geiger, J) is employed by Encore Health Resources, Quintiles-IMS company, maker of EPIC EMR.

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