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PA Governor's Office of Health Care Reform Receives $17 Million From Recovery Act for Health Information Technology Expansion

Friday, February 26, 2010 News on IT in Healthcare
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Primary Care Visit Before PHIX

Primary Care Visit After PHIX

Patient's record is thick file folder of paper.

Patient's record is totally computerized.

All information is hand-written into chart and may be illegible. (Patient provides new health history for nearly every medical appointment).

All information is entered in computer in examining room.

Practitioner asks about visits to specialists since last visit - nothing in file. Information on ER visits or hospitalizations may or may not be available to practitioner, lag time is common.

Practitioner has immediate access to summary info from visits to specialists, ER and hospital since last visit.

Practitioner orders lab tests, writes out script, gives to patient to take to lab.

Practitioner enters lab orders and electronically transmits to lab.

Practitioner tells patient to call back in several weeks for test results.

Practitioner gives patient secure Web site and password into system so patient can check lab results.

Patient is the source of information for medications being used.

Practitioner can see what medications have been prescribed by others in electronic health record.

Practitioner writes out script for medications, gives to patient to take to pharmacy.

Practitioner enters prescriptions and electronically transmits to pharmacy.

Practitioner must glean critical information about key health issues from thick health care paper records.

Practitioner alerted when preventive care is due, and when best practice requires intervention (test, lab work, etc.).

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