According to HIMSS Analytics's EMR Adoption Model. till now only 1 percent of hospitals have achieved Stage 7 top level capabilities. Among them. ENH (Evanston Northwestern Healthcare) became one of only a handful of healthcare organizations using a completely electronic, fully integrated health record and hospital information system that is built around the patient rather than provider, Re key feature of the system is its ability to function as a comprehensive, state-of-the-art suite of software products that work together in a unified fashion, The achievement is evidenced by using the system can greatly eliminates paper charts and replaces them with a single, secure, electronic medical record that is updated in real time, and thus reduces miscommunication, redundant tests and human error Overall, the system is a tremendous success It came from ENH's approach to management of the project, and benefit by a series of the thoughtful consideration and successful measure at the planning, designing, developing, testing,implement, and deployment phases. It is worth much for us to analyze and share their plentiful experience%按照HIMSS Analytics的EMR Adoption Model分级,美国至今只有1%的医院实现了第7级的顶级功能,其中ENH(Evanston Northwestern Healthcare)医疗机构已被评为实现无纸化的第7级医院,成为极少数使用完全电子化的全面集成的电子病历和医院信息系统的范例,它是围绕以病人为中心而非以医疗提供者为中心建立的.ENH和Epic公司合作建设的这套系统,其关键特性是有能力作为一个综合的、先进的、一体化方式的成套软件产品成功运作,能极大地免除纸质表单,代之以统一、安全、实时更新的电子病历,因此减少了信息传递失误、重复检查及人为医疗差错.该系统的成功取决于决策、组织、管理和技术等多方面综合的项目管理,得益于在计划、设计、开发、测试、实施、培训和推广等各个阶段的一系列有力措施.
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