1. Missouri State Medical Association Electronic Medical Records Seminar January 30 th, 2010 St. Louis, MO

2. Karl Kochendorfer, MD Assistant Clinical Professor Family and Community Medicine Director of Clinical Informatics Adjunct Faculty, MU Informatics Institute Founder, Medsocket LLC Physician Consultant, Cerner Corp

3.  Current state of EMR usage at my clinic  Shared experience (EMR users)  Data on our outcomes  Future efforts  Questions?

4.  Summary page  Reporting  Quality Measures  Dynamic Algorithms  Screening Tools  Online Calculators  Clinical Documentation  Patient Portal

6.  Who has something like this in their EMR?  Previously: 60 clicks + almost 6 minutes  After: 2 clicks + less than 2 minutes

7.  Paper Rounding Report – saved each Resident + Attending Physician 45 min/day

13. From: Healthcare IT News. 9/2008

19.  “The patient has been depressed since she began seeing me in 1993.”  “She has no rigors or shaking chills, but her husband states that she was very hot in bed last night.”  “The lab test indicated abnormal lover function.”  “Rectal examination revealed a normal size thyroid.”

22.  Alerts  CPOE - Order Sets  eRx  Search Engines  Handheld access  Online Pt Self Management  Pt-generated Hx  HIE  Regional Center

26. Integrated medical search engine within the chart

27. My Email My Notes The Internet My Intranet

28.  Getting data to display on portable devices

32. Help get providers to meaningful use Missouri – HIE website:  http://www.dss.mo.gov/hie/index.shtml http://www.dss.mo.gov/hie/index.shtml Regional Center website:  http://telehealth.muhealth.org/general%20in formation/RC.html http://telehealth.muhealth.org/general%20in formation/RC.html

33.  Email: kochendorferk@missouri.edukochendorferk@missouri.edu