Longitudinal Medical Record LMR Tobacco Treatment Enhancements

1
Longitudinal Medical Record (LMR) Tobacco
Treatment Enhancements

• Partners Tobacco Treatment Retreat
• September 7, 2006
• Jeffrey A. Linder, MD, MPH
• Assistant Professor of Medicine
• Division of General Medicine and Primary Care
• Brigham and Womens Hospital
• Harvard Medical School
• Partners HealthCare System

2
Are Hospitals Really that Important?

• Hospital discharges per year 38 million
• Ambulatory visits per year 996 million

3
CEASCE

• Computerized EHR-Assisted Smoking Cessation
  Effort
• Study Aims
• Develop EHR-based intervention consistent with
  the 5A model
• Implement it in a practice-based research network
• Funding NCI (PI Jennifer Haas, Co-PI Nancy
  Rigotti)
• Partners Goals
• Facilitate the clinicians job
• Get smoking status as a coded field

4
CEASCE Components

• Webshell Icon
• Enhanced Reminders
• Enhanced Health Maintenance Screen
• Tobacco Smart Form
• Smart Forms integrate decision support, ordering,
  and documentation
• One-click access to a smoking cessation
  coordinator

5
Webshell Icon Reminder
6
Webshell Icon
7
Enhanced Health Maintenance Screen
8
Enhanced Health Maintenance Screen
9
Tobacco Smart Form
10
Tobacco Smart Form
11
Tobacco Smart Form Functionality

• Update smoking status
• Print patient handouts
• Prescribe medications
• One-click referral to smoking cessation
  coordinator
• Everything ordered is easily documented

12
Timeline

• First prototype Yesterday
• Testing 9/15/06
• Go live in production 10/8/06
• RCT 9 months