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Title: A protocol-based EMR-enabled care coordination system improves the timeliness and efficiency of care for patients with hematuria.
Epworth Authors: Wickramasinghe, Nilmini
Other Authors: Casey, Jessica
Berkowitz, Lyle
Cashy, Josh
Schaffer, Anthony
Gonzalez, Christopher
Keywords: Urology
Quality of Care
Health Care Costs
Care Coordination System
Electronic Health Records
Chair of Health Informatics Management, Epworth HealthCare, Victoria, Australia
Issue Date: 2013
Publisher: Elsevier
Citation: The Journal of Urology, 190(1), 212-217
Abstract: We determined whether including a care coordination system to manage the referral process for hematuria would lead to improved quality of care. MATERIALS AND METHODS: Inflection Navigator, a protocol based, electronic medical record enabled care coordination system, was developed to support primary care physicians evaluating newly discovered hematuria. We studied the system for patients referred for microscopic and gross hematuria from May 2009 to May 2010. We compared outcomes in these 106 patients and in 105 referred to our urology department for hematuria during the same period who did not use the system. RESULTS: Patients in the care coordination group completed the evaluation in a significantly shorter time with more than a 1-month difference in time between referral and the completion of the imaging and cystoscopy components of the assessment (mean 40.9 vs 74.1 days, p <0.05). This system potentially lowered health care costs by decreasing the mean ± SD number of urology visits needed to complete an evaluation from 2.1 ± 1.5 in the standard referral group to 1.6 ± 1.4 in the care coordination group (p <0.05). CONCLUSIONS: A protocol based care coordination system for hematuria decreased the time needed to complete an evaluation and decreased the number of overall visits required to make a final diagnosis. Thus, the Inflection Navigator system is an example of an electronic medical record enabled process innovation that can improve the efficiency of care while potentially lowering health care costs.
DOI: 10.1016/j.juro.2013.01.018
ISSN: 0022-5347
Journal Title: The Journal of Urology
Type: Journal Article
Affiliated Organisations: Department of Urology (JTC, JC, AJS, CMG) Northwestern University, Chicago, Illinois ,USA
Departments of Medicine (LLB), Northwestern University, Chicago, Illinois, USA
School of Business IT and Logistics and Health Innovations Research Institute, RMIT University, VIC, Australia
Appears in Collections:Health Informatics

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