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Electronic Medical Records  and Handheld Computing  by Physician Assistants  in Clinical Practice An Applied Dissertation Submitted to the Fischler School of Education and Human Services in Partial Fulfillment of the Requirements for the  Degree of Doctor of Education Calvin R. Finley, Ed.D., PA-C Assistant Professor Physician Assistant Department College of Allied Health and Nursing Nova Southeastern University
Purpose of the Study ,[object Object],[object Object],[object Object]
Hypotheses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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[object Object],[object Object],[object Object],[object Object],[object Object],A questionnaire was mailed to the members of the 2002, 2003, and 2004 graduating classes of the PA program of Nova Southeastern University
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Background ,[object Object],[object Object],[object Object],[object Object],[object Object]
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Literature Review ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Breakdown of Lit Review ,[object Object],[object Object],[object Object],[object Object]
Innovation   Diffusion Theories ,[object Object],[object Object],[object Object],[object Object]
Summary of Literature Review ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary of Lit Review ,[object Object],[object Object],[object Object],[object Object],[object Object]
Summary of Lit Review ,[object Object],[object Object],[object Object],[object Object],[object Object]
Instrument for Study ,[object Object],[object Object],[object Object],[object Object],[object Object]
Survey Instrument ,[object Object],[object Object],[object Object],[object Object],[object Object]
Survey Instrument ,[object Object],[object Object],[object Object],[object Object]
Informal Review and Feedback ,[object Object],[object Object],[object Object],[object Object]
Limitations and Delimitations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results
 
Figure 3.  Number of respondents using PDAs in daily clinical practice. 1 = not using a PDAs in daily clinical practice; 2 = less than once a week; 3 = once a week; 4 = several days a week; and 5 = everyday.
42 Alert to drug-drug interactions 35 Alert to drug-patient interactions or drug allergies 5 Access embedded clinical practice guidelines 13 Generate recall lists and reminder notices 3 Generate and print patient educational material 4 Electronically store scanned photos 3 Electronically capture and store lab results 18 Access medically related Web sites 3 Access patient files from remote location Frequency Clinical Application Clinical Application Use of a PDA Only
6 Do not use for personal activities 8 Coordination with Outlook 27 Games 10 Electronic communications 52 Personal or private scheduling 7 Personal word processing 8 Personal finances 56 Education Frequency Personal Application Personal Application Use of a PDA Only
2 Enter patient visit notes via keyboard 2 Print prescriptions 4 Alert to drug-drug interactions 4 Alert to drug-patient interactions or drug allergies 2 Electronically transfer patient files to other locations 2 Access patient files from remote location Frequency Clinical Application Clinical Application Use of a PDA in Conjunction With an EMR
1 2 2 Improves patient satisfaction 1 3 0 Improves clinical data capture Facilitates clinical decision support Provides access at remote locations Improves patient safety Improves workflow efficiency Improves quality of patient care Shares patient record information Clinical Skills Benefits of Using a PDA in Conjunction With an EMR System 2 0 3 1 2 2 Agree 3 2 2 3 3 2 Strongly Agree 0 2 0 1 0 0 Disagree
Increases the number of patients that are seen Saves time Provides a more complete patient medical record Provides better access to radiology results Provides better access to laboratory results Improves efficiency of post-visit patient education Clinical Skills Benefits of Using a PDA in Conjunction With an EMR System 1 1 2 2 1 2 Agree 2 3 1 0 2 0 Strongly Agree 2 1 2 2 2 2 Disagree
Changed the way in which you practice medicine Improves your patient communication skills Improves your treatment planning skills Assists in readily obtaining answers to complex patient management problems Assists in logically organizing information Enhances your problem solving skills Clinical Skills Benefits of PDA and EMR Integration on Clinical Skills 1 1 0 2 3 2 Agree 3 1 3 2 2 3 Strongly Agree 1 3 2 1 0 0 Disagree
Results Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Discussion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Summary - Conclusion ,[object Object],[object Object],[object Object],[object Object]
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Electronic Medical Records

  • 1. Electronic Medical Records and Handheld Computing by Physician Assistants in Clinical Practice An Applied Dissertation Submitted to the Fischler School of Education and Human Services in Partial Fulfillment of the Requirements for the Degree of Doctor of Education Calvin R. Finley, Ed.D., PA-C Assistant Professor Physician Assistant Department College of Allied Health and Nursing Nova Southeastern University
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  • 24. Figure 3. Number of respondents using PDAs in daily clinical practice. 1 = not using a PDAs in daily clinical practice; 2 = less than once a week; 3 = once a week; 4 = several days a week; and 5 = everyday.
  • 25. 42 Alert to drug-drug interactions 35 Alert to drug-patient interactions or drug allergies 5 Access embedded clinical practice guidelines 13 Generate recall lists and reminder notices 3 Generate and print patient educational material 4 Electronically store scanned photos 3 Electronically capture and store lab results 18 Access medically related Web sites 3 Access patient files from remote location Frequency Clinical Application Clinical Application Use of a PDA Only
  • 26. 6 Do not use for personal activities 8 Coordination with Outlook 27 Games 10 Electronic communications 52 Personal or private scheduling 7 Personal word processing 8 Personal finances 56 Education Frequency Personal Application Personal Application Use of a PDA Only
  • 27. 2 Enter patient visit notes via keyboard 2 Print prescriptions 4 Alert to drug-drug interactions 4 Alert to drug-patient interactions or drug allergies 2 Electronically transfer patient files to other locations 2 Access patient files from remote location Frequency Clinical Application Clinical Application Use of a PDA in Conjunction With an EMR
  • 28. 1 2 2 Improves patient satisfaction 1 3 0 Improves clinical data capture Facilitates clinical decision support Provides access at remote locations Improves patient safety Improves workflow efficiency Improves quality of patient care Shares patient record information Clinical Skills Benefits of Using a PDA in Conjunction With an EMR System 2 0 3 1 2 2 Agree 3 2 2 3 3 2 Strongly Agree 0 2 0 1 0 0 Disagree
  • 29. Increases the number of patients that are seen Saves time Provides a more complete patient medical record Provides better access to radiology results Provides better access to laboratory results Improves efficiency of post-visit patient education Clinical Skills Benefits of Using a PDA in Conjunction With an EMR System 1 1 2 2 1 2 Agree 2 3 1 0 2 0 Strongly Agree 2 1 2 2 2 2 Disagree
  • 30. Changed the way in which you practice medicine Improves your patient communication skills Improves your treatment planning skills Assists in readily obtaining answers to complex patient management problems Assists in logically organizing information Enhances your problem solving skills Clinical Skills Benefits of PDA and EMR Integration on Clinical Skills 1 1 0 2 3 2 Agree 3 1 3 2 2 3 Strongly Agree 1 3 2 1 0 0 Disagree
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