M-ton s fantastic view ferris wheel the automated patient

M-ton’s “fantastic view” ferris wheel: the automated patient history 12/13/07

Would you like. . . • having half of your visit note done before you even walk into the patient room? • having a detailed summary of your patient’s concerns before you even walk into the patient room? • having your PCO note done when the patient leaves?

Instant Medical History http: //www. medicalhistory. com/usertools/videos. asp (FFM project)

how it works • patients answer a series of questions • program prompts for chief complaint -> appropriate follow-up questions • lay language -> clinical language • automatically populates your EHR note

what the patient does. . .

. . . what you get!

http: //www. medicalhistory. com/usertools/videos. asp (interfacing with amazing charts)

Patients like it & can do it! • most patients like using the software • most patients can use the software (and if they can’t, you now know about another problem. . . )

Why not use paper? • program can flexibly react to answers (e. g. , positive 2 question depression screen -> PHQ-9) • you don’t need someone to enter the data • you can add screening questions relevant to your own population • patients more likely to enter sensitive information into a computer than tell you

weaknesses • computer cannot sense nonverbals • computer must be maintained • computers require space • some patients don’t like it • doctor can end up with too much data

benefits • patient better prepared for interview • doctor edits data instead of entering it (much faster!) • language translation available • research and QI database easily available • more documentation = more $$$

too futuristic? • already in use at and • software is available that can interact with • can you imagine this software in our own FHCs?

references • • • Bachman J. The Patient-Computer Interview: A Neglected Tool That Can Aid the Clinican. Mayo Clin Proc. 2003; 78: 67 -78. Bachman J. Improving Care With an Automated Patient History. Family Practice Management. July/August 2007: 39 -43. Conn J. “HITS @ TEPR: Software helps docs ID depression. ” Modern Healthcare online. 5/24/07. http: //www. modernhealthcare. com/apps/pbcs. dll/article? AID=/20070524/FREE/7 0524004/1029/FREE. Lapp, T. “Paperless system: the cure for the harried physician. ” FPReport Online. Sept 2003. http: //www. aafp. org/fpr/20030900/1. html Smith PD and Grasmick M. Computer Interviewing in a Primary Care Office: The Patients are Ready. IMIA 2004. http: //cmbi. bjmu. edu. cn/news/report/2004/medinfo 2004/pdffiles/papers/5082 Smi th%20 P. pdf Reese RL. Automating Patient History Boosts Physician Productivity. Physician Practice Options. 3/15/02. http: //www. medicalhistory. com/practiceoptions. pdf