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...doctor, but Bob Lemon has been saving lives for nearly 30 years. As lead computer-systems analyst at Cleveland Clinic, Lemon has had a hand in every facet of the hospital's electronic infrastructure since 1980. He has digitized Cleveland Clinic's charts, given patients online access and found ways to allow doctors to perform exams over the Internet. What Lemon does every day on the job "ensures my heart patients receive the best care on the planet," says Dr. James Young, a cardiologist at Cleveland Clinic...
...cardiovascular care, the medical center has also positioned itself as a leader in health-information technology at every level of patient care. The medical charts of nearly 5 million patients have been digitized, more than 3 million electronic prescriptions have been filled, and more than 120,000 patients regularly access their full health records online. And along the way, the team of doctors, nurses, Web developers and software engineers has improved safety, cut costs and given patients more control over their care. The transition away from paper, says chief information officer Dr. C. Martin Harris, "has allowed...
Harris put together a diverse collection of health-care providers and computer scientists to create Cleveland Clinic's flagship online product, MyChart. Launched in 2005 on the clinic's website, MyChart allows patients to access their EHRs and find up-to-date medical research on their ailments. Doctors must log all examinations, lab results, prescriptions and diagnoses for patients to review. Mary Adams, who lives in a western suburb of Cleveland, is one patient who has come to rely on MyChart. "I can log on, it reminds me I need a tetanus booster, and I schedule it," she says...
...success of MyChart, which is used regularly by more than 120,000 Cleveland Clinic patients, inspired Dr. Toby Cosgrove, the hospital's CEO, to make an even bolder move. Doing away with decades of hospital tradition, Cosgrove declared last year that patients should have access to their EHRs at all times. Only a handful of hospitals worldwide have adopted this level of transparency. "The charts really aren't the hospital's--they belong to the patients," says Cosgrove, a heart surgeon. "We think it's their right to have that information...
Cosgrove believes giving patients access to their EHRs will improve care. For one, errors are more easily avoided. The electronic chart automatically alerts doctors when the drugs they prescribe are inappropriate or could cause harmful interactions with medicine a patient is already taking. Young's patients even note typos in their charts, corrections that could avert disaster. "They'll point out things like, 'Hey, doc, I had my left coronary artery operated on, but you've got right written down here,'" Young says. "It's an important distinction...