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Practice systems for chronic care: frequency and dependence on an electronic medical record.
Am J Manag Care. 2005 Dec; 11(12):789-96.AJ

Abstract

OBJECTIVES

To document the presence and functioning of different practice systems in a small sample of medical groups in Minnesota and to examine the relationship between the presence of practice systems and prior adoption of an electronic medical record (EMR).

STUDY DESIGN

Descriptive study of the frequency of practice systems in 11 medical groups.

METHODS

We recruited 11 medical groups for the study. Four groups had an EMR; the other groups used paper medical records, often supplemented by electronic ordering or data systems. Using an on-site audit team, we validated the presence of practice systems organized under 8 categories.

RESULTS

All of the medical groups had implemented a substantial number of practice systems for care management of patients with chronic conditions. Although the medical groups with an EMR tended to have more comprehensive practice systems in place, the medical groups without an EMR also had most of the practice systems.

CONCLUSIONS

Although required in some functions, an EMR may not be necessary in facilitating practice systems that support consistent management of patients with chronic illness. Approaches are needed that will encourage the implementation of practice systems in medical groups with and without an EMR.

Authors+Show Affiliations

HealthPartners Research Foundation, Minneapolis MN, USA. leif.i.solberg@healthpartners.com.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16336063

Citation

Solberg, Leif I., et al. "Practice Systems for Chronic Care: Frequency and Dependence On an Electronic Medical Record." The American Journal of Managed Care, vol. 11, no. 12, 2005, pp. 789-96.
Solberg LI, Scholle SH, Asche SE, et al. Practice systems for chronic care: frequency and dependence on an electronic medical record. Am J Manag Care. 2005;11(12):789-96.
Solberg, L. I., Scholle, S. H., Asche, S. E., Shih, S. C., Pawlson, L. G., Thoele, M. J., & Murphy, A. L. (2005). Practice systems for chronic care: frequency and dependence on an electronic medical record. The American Journal of Managed Care, 11(12), 789-96.
Solberg LI, et al. Practice Systems for Chronic Care: Frequency and Dependence On an Electronic Medical Record. Am J Manag Care. 2005;11(12):789-96. PubMed PMID: 16336063.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Practice systems for chronic care: frequency and dependence on an electronic medical record. AU - Solberg,Leif I, AU - Scholle,Sarah Hudson, AU - Asche,Stephen E, AU - Shih,Sarah C, AU - Pawlson,L Gregory, AU - Thoele,Merry Jo, AU - Murphy,Amy L R, PY - 2005/12/13/pubmed PY - 2006/3/15/medline PY - 2005/12/13/entrez SP - 789 EP - 96 JF - The American journal of managed care JO - Am J Manag Care VL - 11 IS - 12 N2 - OBJECTIVES: To document the presence and functioning of different practice systems in a small sample of medical groups in Minnesota and to examine the relationship between the presence of practice systems and prior adoption of an electronic medical record (EMR). STUDY DESIGN: Descriptive study of the frequency of practice systems in 11 medical groups. METHODS: We recruited 11 medical groups for the study. Four groups had an EMR; the other groups used paper medical records, often supplemented by electronic ordering or data systems. Using an on-site audit team, we validated the presence of practice systems organized under 8 categories. RESULTS: All of the medical groups had implemented a substantial number of practice systems for care management of patients with chronic conditions. Although the medical groups with an EMR tended to have more comprehensive practice systems in place, the medical groups without an EMR also had most of the practice systems. CONCLUSIONS: Although required in some functions, an EMR may not be necessary in facilitating practice systems that support consistent management of patients with chronic illness. Approaches are needed that will encourage the implementation of practice systems in medical groups with and without an EMR. SN - 1088-0224 UR - https://www.unboundmedicine.com/medline/citation/16336063/Practice_systems_for_chronic_care:_frequency_and_dependence_on_an_electronic_medical_record_ L2 - https://www.ajmc.com/pubMed.php?pii=3058 DB - PRIME DP - Unbound Medicine ER -