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Design and Implementation of a Centralized Electronic Medical Records Consortium in a Rural Area of Michigan

机译:密歇根州农村地区集中电子病历联盟的设计与实现

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The state of Michigan is divided into two distinct areas, a lower peninsula and an upper peninsula. A five-mile bridge that stretches over the Straits of Lake Michigan and Huron provides passageway between the two peninsulas. While Michigan''s Lower Peninsula is heavily populated with access to advanced healthcare, the Upper Peninsula is a very rural area whose low population is dispersed over a large geographical area and access to advanced healthcare is limited. Due to the low population and geographical separation from the rest of the state, economical access to advanced healthcare is a challenge for the majority of the region. To combat this barrier, nine independent Critical Access Hospitals (CAH) located in Michigan''s Upper Peninsula joined with the region''s only Level II Trauma Center to form Michigan''s first Upper Peninsula Regional Health Information Network. With a mission to improve patient safety, quality of care and offer advanced healthcare through the regional planning, development, and implementation of Health Information Technologies. This project, which began in 2005 with funding from the Agency of Healthcare Research and Quality (AHRQ), has created a web-based, portal / repository application that allow selected clinical information to be accessed by authorized physicians and other health care providers for patient care delivery and quality reporting. Project analysis has been documented and is presented in this report.
机译:密歇根州分为两个不同的区域,下部半岛和上部半岛。横跨密歇根湖和休伦湖海峡的五英里长的桥梁提供了两个半岛之间的通道。密歇根州的下半岛人口众多,可以享受先进的医疗保健服务,而上半岛是一个非常农村的地区,人口稀少,分布在较大的地理区域,获得先进医疗保健的机会有限。由于人口少且与该州其他地区的地理隔离,对于大多数地区来说,经济地获得高级医疗保健是一项挑战。为了克服这一障碍,位于密歇根州上半岛的9家独立的急诊医院(CAH)与该地区唯一的II级创伤中心一起组成了密歇根州的第一个上半岛区域健康信息网络。通过改善健康信息技术的区域计划,开发和实施,以改善患者安全性,护理质量并提供先进的医疗保健为使命。该项目始于2005年,由美国医疗保健研究与质量局(AHRQ)资助,创建了一个基于Web的门户/存储库应用程序,允许授权医生和其他医疗服务提供者访问患者的选定临床信息护理服务和质量报告。项目分析已记录在案,并在本报告中进行介绍。

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