Improving colonoscopy referral rates through computer-supported, primary care practice redesign. J Healthc Qual 2009;31(4):43-52; quiz 52-3
Date
09/17/2009Pubmed ID
19753808DOI
10.1111/j.1945-1474.2009.00037.xScopus ID
2-s2.0-77957727504 (requires institutional sign-in at Scopus site) 11 CitationsAbstract
This quality improvement project was designed to improve rates of referral for colonoscopy screening in the Utah Health Research Network, University of Utah Community Clinics. This study was conducted between October 2004 and June 2007 with the main intervention being a clinic workflow modification using computerized screening reminders embedded in the electronic medical record (EMR). The intervention led to sustained improvement, largely driven by the performance of two network clinics. This study demonstrates that a robust EMR, with decision prompts, accompanied by clinic workflow changes and feedback to providers, can lead to sustained change in the rates of colonoscopy referral.
Author List
Magill MK, Day J, Mervis A, Donnelly SM, Parsons M, Baker AN, Johnson L, Egger MJ, Nunu J, Prunuske J, James BC, Burt RMESH terms used to index this publication - Major topics in bold
ColonoscopyElectronic Health Records
Humans
Primary Health Care
Quality Assurance, Health Care
Referral and Consultation
Reminder Systems