Customizing An Electronic Medical Record In One Rural Health Area: The Impact On Patient Appointments

2.50
Hdl Handle:
http://hdl.handle.net/10755/595186
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Outcomes Research
Research Approach:
Quantitative Research
Title:
Customizing An Electronic Medical Record In One Rural Health Area: The Impact On Patient Appointments
Author(s):
Martindale, Nadia
Advisors:
Fairley, JoAnna; Schramm, Jill; Spencer, James B.
Degree:
DNP
Degree Year:
2016
Grantor:
Capella University
Abstract:

Purpose:  To analyze the effect and use of electronic medical record systems on appointment compliance in one small rural health clinic.

Design:  Quantitative study. Appointment compliance was analyzed using population data pre-implementation of an electronic medical record and post implementation of an electronic medical record.

Key Words: electronic medical record, patient portal, rural health clinic, appointment compliance, evidence-based practice, patient empowerment, appointment scheduling

Methods: The data was collected in a 6 month period in 2015 from data recorded in paper scheduling books and electronic medical records. The population data gathered was analyzed using the International Business Machines Corporation (IBM) Statistical Package for Social Sciences (SPSS) version 20.0 software to determine the percentage of patients who missed appointments pre-implementation and post implementation of the electronic medical record.

Findings:  Results indicate an 8% no-show rate while using paper documentation and a 12% no-show rate after implementation of the electronic medical record. These findings indicate that the implementation of an electronic medical records system using alerts for notification of appointments was not conducive to improvement in the no-show rate.  Multiple factors could indicate the cause of the increase in percentages of no-show after implementation such as time of year, skill level of user, adaptation to new method of notification, and short time frame from implementation.

Conclusions:  These findings suggest that the project could be duplicated to determine if a larger study with a longer time frame would make a difference in the outcome.  Currently the findings indicate that in one small rural health clinic, implementation of an electronic medical record system did not improve patient appointment compliance.

Clinical Relevance:  The use of an electronic medical record will enhance the clinical care of patients by ensuring formats which provide easier access to medical data. The clinical relevance of an electronic medical record becomes apparent in the ease of storage of relevant patient documents and information (Davis & Haines, 2015).  

Keywords:
electronic medical record; patient empowerment; appointment compliance
MeSH:
Electronic Health Records
CINAHL Headings:
Empowerment; Patient Compliance
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2016-01-28T21:54:32Z
Date of Publication:
2016-01-28

Full metadata record

DC FieldValue Language
dc.contributor.advisorFairley, JoAnnaen
dc.contributor.advisorSchramm, Jillen
dc.contributor.advisorSpencer, James B.en
dc.contributor.authorMartindale, Nadiaen
dc.date.accessioned2016-01-28T21:54:32Zen
dc.date.available2016-01-28T21:54:32Zen
dc.date.issued2016-01-28en
dc.identifier.urihttp://hdl.handle.net/10755/595186en
dc.description.abstract<p><strong>Purpose:  </strong>To analyze the effect and use of electronic medical record systems on appointment compliance in one small rural health clinic.</p> <p><strong>Design:</strong>  Quantitative study. Appointment compliance was analyzed using population data pre-implementation of an electronic medical record and post implementation of an electronic medical record.</p> <p><strong>Key Words: </strong>electronic medical record, patient portal, rural health clinic, appointment compliance, evidence-based practice, patient empowerment, appointment scheduling</p> <p><strong>Methods: </strong>The data was collected in a 6 month period in 2015 from data recorded in paper scheduling books and electronic medical records. The population data gathered was analyzed using the International Business Machines Corporation (IBM) Statistical Package for Social Sciences (SPSS) version 20.0 software to determine the percentage of patients who missed appointments pre-implementation and post implementation of the electronic medical record.</p> <p><strong>Findings:  </strong>Results indicate an 8% no-show rate while using paper documentation and a 12% no-show rate after implementation of the electronic medical record. These findings indicate that the implementation of an electronic medical records system using alerts for notification of appointments was not conducive to improvement in the no-show rate.  Multiple factors could indicate the cause of the increase in percentages of no-show after implementation such as time of year, skill level of user, adaptation to new method of notification, and short time frame from implementation.</p> <p><strong>Conclusions:  </strong>These findings suggest that the project could be duplicated to determine if a larger study with a longer time frame would make a difference in the outcome.  Currently the findings indicate that in one small rural health clinic, implementation of an electronic medical record system did not improve patient appointment compliance.</p> <p><strong>Clinical Relevance:  </strong>The use of an electronic medical record will enhance the clinical care of patients by ensuring formats which provide easier access to medical data. The clinical relevance of an electronic medical record becomes apparent in the ease of storage of relevant patient documents and information (Davis & Haines, 2015).  </p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjectelectronic medical recorden
dc.subjectpatient empowermenten
dc.subjectappointment complianceen
dc.subject.meshElectronic Health Recordsen
dc.titleCustomizing An Electronic Medical Record In One Rural Health Area: The Impact On Patient Appointmentsen_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorCapella Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.en
thesis.degree.year2016en
dc.type.categoryFull-texten
dc.evidence.levelOutcomes Researchen
dc.research.approachQuantitative Researchen
dc.subject.cinahlEmpowermenten
dc.subject.cinahlPatient Complianceen
This item is licensed under a Creative Commons License
Creative Commons
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.