Robert J. Hye, MD, Andrea E. Smith, MSN, RN, PHN, Gary H

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Presentation transcript:

Leveraging the electronic medical record to implement an abdominal aortic aneurysm screening program Robert J. Hye, MD, Andrea E. Smith, MSN, RN, PHN, Gary H. Wong, MD, MPH, Southida S. Vansomphone, PharmD, Ronald D. Scott, MD, Michael H. Kanter, MD Journal of Vascular Surgery Volume 59, Issue 6, Pages 1535-1543 (June 2014) DOI: 10.1016/j.jvs.2013.12.016 Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 1 Screen shot of “Best Practice Alert” (BPA) used in the electronic medical record (EMR) to notify office staff that screening abdominal aortic aneurysm (AAA) ultrasound should be ordered. Journal of Vascular Surgery 2014 59, 1535-1543DOI: (10.1016/j.jvs.2013.12.016) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 2 Abdominal aortic aneurysm (AAA) management guidelines appended to each aortic ultrasound report or other imaging report showing AAA in Kaiser Permanente (KP) Southern California. CVD, Cardiovascular disease; SCPMG, Southern California Permanente Medical Group. Journal of Vascular Surgery 2014 59, 1535-1543DOI: (10.1016/j.jvs.2013.12.016) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 3 Cumulative percentage of patients having undergone an abdominal imaging study within 10 years by medical center. The best practice alert (BPA) was activated in the first quarter of 2012 (Y12Q1) in 10 of 13 medical centers, and a marked increase in percentage of screened patients was noted. Activation of the BPA was delayed in medical centers 2 and 7, and center 5 has not been activated. AAA, Abdominal aortic aneurysm. Journal of Vascular Surgery 2014 59, 1535-1543DOI: (10.1016/j.jvs.2013.12.016) Copyright © 2014 Society for Vascular Surgery Terms and Conditions