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One way to measure benefits to consumers of the implementation of an EMR is to look at the number of readmissions pre and post implementation.

Benefits to staff could be measure by looking at staff turnover rates and staff satisfaction surveys.

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One way that we could measure the benefits from the implementation of an electronic medical record is to look at how much waste has been reduced (environmentally friendly) and the costs saved from the reduction of waste.

Benefits to staff and the healthcare service might be measured by utilizing staff wellness surveys and by looking at sick leave taken, as mental health days are a significant contributing factor on sick leave.

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One way that we could measure from the implementation of an electronic medical record the benefits to consumers would be in the quality of the experience and improved health outcomes leading to reduced requirement to represent for admission. A good EMR should have adequate data collection and significant practice guidelines to allow the patient to recieve optimal care from all professional and allied health to ensure that not only care has hospital care been planned, executed and documente but discharge provisions, communication with the patient, their care providers and General Practitioner are part of the service to ensure a successful return to manageable health and as a result the likelihood of failed discharge is avoided.

The benefits to staff and the health service can be measured in staff satisfaction providing care suited to the patient, knowing that all available resources are in place and that their is areduction of wasted resources and better patient outcomes. Flow on effects are reduced cost and decreased complaints both which can be measured. It means access for a greater number of people.

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For consumers, improvements can be tracked through enhanced patient outcomes such as reduced hospital readmissions and better chronic disease management. Patient satisfaction can be measured via surveys embedded in EMRs (also utilising ALOs to capture First Nation consumers experience and outcomes), evaluating communication with providers and access to medical information. Additionally, measures like patient engagement, reflected in portal logins and telehealth utilisation, highlight increased participation in care decisions.

For staff, benefits include time savings per patient encounter, improved form management, streamlined workflows, and improved job satisfaction.

Operational benefits to healthcare services encompass cost reductions from lower administrative expenses and enhanced resource allocation. Better quality metrics, such as adhering to clinical guidelines and patient safety measures, can also be monitored alongside improvements in population health management, like increased vaccination rates and better disease surveillance. These benefits are quantitatively analysed using EMR data and compared against industry standards. This can then be supplemented by qualitative feedback to optimise digital health investments for enhanced patient care and operational efficiency.

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Quantifying patient benefit related to an EMR could be undertaken using PROM/PREM analysis, or looking at the number of medical errors pre and post implementation - e.g. medication prescribing or administration errors. Benefits to staff could be calculated by looking at the time saved in administrative activities such as collation of the medical record at discharge, filing, scanning. You could also look at accessibility and availability of information to ensure patient safety and quality of care. Staff who can better care for patients are happier/more satisfied. As a health care service, the benefit might be examined in looking at documentation related standards and KPIs, readmission rates etc.

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For consumers it is Reduction in readmissions, Reduction in unnecessary diagnostic tests and a Reduction in LOS

For staff and the Healthcare Service its better clinical decision making tools and in turn reduction in medication costs. Cost savings in the reduction of paper based records and the use of pre-printed forms. There can also be a cost savings due to the retirement of legacy systems that the EMR will replace.

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For consumers it would be about quality of care received, a quality survey regarding reduced wait times, better communication, improved accessibilty to information etc.

For staff it would be a survey about similar things like accessibilty to medical records shared from more than one site, availability of all information in one place at the right time, clinical decision support etc.

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For consumers it would be a qualitative approach to determining better outcomes for improved health literacy, better informed for appointments, easier access to care etc.

For clinicians it would also be a qualitative survey for improved experience of caring for patients who are better informed, easier access to all patient information not just what is available at your site

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For consumers post-implementation of the EMR were results finalised and distributed to referring doctor and/or patient faster?

For staff has there been increased flow in process with the introduction of the EMR? this could be measured as time taken to complete a task with paper vs EMR and would represent reduced administrative burden.

For the health service was there a reduction in consumables and associated costs i.e., printer maintenance and cartridges, paper, scanning, pens etc. and reduced offsite storage costs.

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Benefit to consumers- comparison of changes in LOS and readmissions before and after EMR implementation.

Benefit to staff/healthcare service- comparing length of time to complete tasks by staff before and after EMR implementation. Also looking at environmental benefits like reduction in use of paper, and associated cost savings.

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collect pre- and post- data on duplication of diagnostic tests within a short time frame (actual timeframe would depend on the test) and across current information barriers (these may be different for different types of diagnostic test categories - eg radiography vs pathology).

A reduction in unnecesary duplication would decrease staff time to conduct/interpret/analyse these test, reduce patient time (fr the test + lead time in waiting for the test), and much more timely assessment/diagnosis/treatment as test results will be available in the same appointment rather than having to go away for the test and return for the results in '2 weeks'.

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What would be one way that we could measure from the implementation of an electronic medical record the benefits to consumers?

Consumer Feedback surveys - pre & post EMR implementation results

Consumer engagement with patient portals and their interactions with the care team

Transparency and access to information to support patients being informed to participate in decision making.

Similarly consider how benefits to staff and the healthcare service might be measured?

Reduction in duplicate tests

Decision-support tools in EMR for drug interactions, tests

Automated workflows and care pathways

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Benefits to consumers can be measured using patient reported experience measures (PREMs) and patient reported outcome measures (PROMS) as well as data analysis such as looking at changing length of stay, readmission rates, medication management incidents and change over time.

Improved staff capability could look at staff efficiency - numbers of patients seen, time taken to perform tasks, incidents of misadventure by staff member (if the health service would agree), employee satisfaction.

Organisation benefits could be measured by reviewing changes to the cost of delivering health services eg expected reduction in testing, reduction in patient facilities to provide due to virtual care and shift to primary care, increased throughput, improved reputation due to increased safety etc.

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An EMR can direct users to enable complete data entry - this allows for more complete reporting outputs.

Efficient access of records by clinicians and other users and record availability to multiple users at any particular time.

Safety smarts to reduce some errors, such as medications and alerts/allergies.

Notification of diagnostic results in a more timely way to improve health care efficiency.

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Patient satisfaction surveys to assess frustration levels of repetitive communication, assessments, questions and paperwork at multiple points of care.

For staff, an indicator would be the time saved in repetitive communication, assessments, questions and paperwork at multiple points of care.

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For consumers- Data/statistics can show if there has been a reduction in readmissions, length of time on waitlists, wait for procedures, length of stays etc. For the service/staff, surveys for clinicians can show if they find the new system beneficial i.e ease of use, time reduction for diagnostics, usefulness of new tools i.e diagnosis led discharges, letters to GP's/Specialists etc with auto populating fields etc

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For the patient/consumers: Use of patient reported outcome measures (PROMs) can be used to measure the patient's experience.

For the health service: Measurement of avoidable readmissions would be a way to monitor the benefits of an electronic medical record.

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One way to measure the benefits to consumers from the implementation of an electronic medical record (EMR) is by assessing patient experience and satisfaction PROMs and PREMs, which evaluate how easy it is to access health records, schedule appointments, receive test results, and communicate with healthcare providers via online portals.

Benefits to staff can be measured by tracking clinical workflow improvements, such as reduced time spent on documentation. Staff satisfaction surveys can also provide insights into perceived workload and system usability.

For the healthcare service, KPI's like reduced duplication of tests, lower hospital readmission rates, and improved care coordination can demonstrate system-level benefits.

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Benefit to consumers could be satisfaction surveys (conducted pre-and post-implementation). It could also be looking at engagement rates with the service - do they increase after the EMR goes live?

Benefits to staff could be looking at staff wellbeing, via impacts on staff sick leave or via staff satisfaction surveys.

Looking at the benefits to the system, may be the quality of referrals to other services. It could be looking at efficiencies like a reduction in waiting times for surgery, or the triage process within an outpatient clinic from receiving the referral to the time of the appointment.

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For consumers - outcomes of the change may be evident in consumer satisfaction surveys. Data would also be promptly accessible through the EMR to look at waiting times, readmissions, errors, near misses, referrals and clinical outcomes could be tracked.

For staff - staff satisfaction surveys, as the article discussed may show initially not as positive feedback that would be expected to improve with time as confidence and familiarity with the systems improves. Also, sick leave, burn out, as well as potential improvements in things like keeping up with core learnings, QI, additional education may improve as workflow potentially improves.

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Once way to measure the benefits of the implementation of an EMR would be to analyse waitlist data.  EMR efficiency should result in shorter patient wait times and reduced time to treatment.  This can enhance the consumer experience by reducing delays and improving service delivery.  Improved workflows and time management allows staff to manage patient flow more efficiently, allows better resource allocation and scheduling.

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What would be ONE way that we could measure from the implementation of an EMR the benefits to consumers:

A qualitative research project that looked at the patient experience (perhaps one patient group, such as oncology outpatients). Prior to the implementation and post. Understand the themes that emerged and differences in experiences. This would be a different way to understand a persons journey through the health care system. Did it enhance their experience? Did it make any difference to cost or outcomes and did the staff caring for them feel they had more time/less paperwork? It would be interesting to explore, perhaps with patient and staff interviews before and after.

Similarly consider how benefits to staff and health care service might be measured:

Staff satisfaction surveys.

Productivity gains - achieving established goals related to standard documentation

Reduction in SRLS relating to communication/access to information

Staff retainment/reduction in costs associated with stress leave/well being etc.

Where having an EMR is an asset for recruitment. Making an organisation desirable.

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One way to measure consumer benefits would be through patient centred outcomes and experiences and looking at data such as HACS, medications and incident reports. For staff, this could be time saved on administrative tasks and the looking at the workflows to improve efficiency and usability.

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Consumers:

Satisfaction surveys - did they feel that all clinicians involved in their care had an accurate understanding of their health and social history and they weren't required to repeat themselves each time they cam into contact with someone new. Did they feel that their health care needs were responded to in a realistic manner.

Staff:

Increased levels of engagement, greater understanding of the overall patient journey. Less staff turnover, decreased rates of personal leave.