Douglas Ivan Thompson

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Proponents of electronic medical record systems cite numerous benefits of their use; however prospective electronic medical record (EMR) purchasers can find relatively little hard evidence these systems will deliver promised or expected benefits. The lack of good information to help identify EMR benefits, estimate and prioritize these benefits, and(More)
In the third stage of electronic medical record development, key features of EMR systems have converged, making them more difficult to differentiate from a cost/benefit standpoint. Fourth stage EMR systems are likely to introduce new, more effective decision support capabilities, offering a competitive advantage to hospitals that use them. Intermountain(More)
There are five common pitfalls in using clinical studies to calculate the ROI of electronic medical records (EMRs): Imputing value to minutes of time saved when staffing is not reduced. Imputing or estimating cost savings that can't be measured. Ignoring the revenue impact of reduced resource utilization. Ignoring baseline performance in extrapolating(More)
Implementation of an electronic health record is expensive and labor-intensive. For this reason, providers often seek information about possible benefits to help them decide whether to implement an EHR. Our study found that a benefits database maintained by an ambulatory clinical systems vendor provided information that is useful, but that also has(More)
BACKGROUND Most health care executives see outcome measurement as a technical or tactical matter rather than as a strategic tool. Accordingly, provider investment in outcome measurement and management is relatively small. Nevertheless, outcome information can be key to achieving an organization's strategic objectives. Advances in risk adjustment and(More)
Over the past three decades the focus of physicians delivering intensive care has been on patient management whereas the management of critical care units has been done primarily by nurses. This article reviews existing literature and the arguments supporting a more active role for physicians in the management of critical care units.
Allina Hospitals and Clinics is implementing an enterprise-wide information system with inpatient and ambulatory clinical documentation and orders, clinical decision support, and revenue cycle applications. Allina has adopted a rigorous approach to planning for and realizing the expected clinical and financial benefits from this investment. Allina's(More)
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