Word: clinicals
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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...
Lemon is part of a team of 700 technologists at Cleveland Clinic who are reinventing the hospital experience for health-care providers and patients alike. Renowned for its 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...
...health record (EHR) might seem like an obvious step. But it is, in fact, a revolution. American physicians have been notoriously slow to adopt digital record-keeping--only 14% of U.S. medical practices keep electronic records, according to the Department of Health and Human Services. When Harris began Cleveland Clinic's technology push in 1999, the hospital's 1,800 M.D.s were equally resistant to change, he says. "We had to prove that this effort was going to make their job easier, not harder...
Luckily, Harris' IT team was able to solve one problem for doctors and nurses right away with the digital chart. Hospital policy mandates that every time a Cleveland Clinic patient sees a doctor in any of 37 buildings on the main campus or dozens of satellite locations in Florida, Abu Dhabi and southeastern Ohio, that doctor will be holding his or her medical chart. With paper records, physicians didn't have those records 20% of the time. As soon as charts were digitized, EHRs were at their fingertips. "No more repeat tests, no more taking extensive histories," says Gene Lazuta...
Harris, a practicing general internist and a Wharton M.B.A., has used his clinical experience to foster innovation that directly benefits patients. The hospital's 3 million--plus patients can schedule appointments online, for example, and fill out paperwork on the Web before they get to the waiting room. Cleveland Clinic's specialists supply second opinions to patients worldwide who enter symptoms into an Internet form and then send test results to doctors via FedEx. Cardiologists silently, invisibly monitor patients' pacemakers and other implanted devices remotely to make sure they're functioning correctly. Soon robotic carts will transport supplies and sanitary...