Table 1: Description and Potential Applications for Various eTools.
eTool | Description | Application |
---|---|---|
Alerts and reminders | A system that uses patient-level data and clinical guidelines to prompt physicians with alerts and reminders for patient check-ups and treatments | Usually part of a CPOE or EMR system |
CDSS | A system that uses patient-level data and clinical guidelines to prompt physicians with treatment and prevention opportunities for their patients | May be part of a comprehensive EMR system or implemented as a stand-alone system |
CPOE | A system to share physician orders with multiple care providers, including nurses, pharmacists, and other allied health care professionals | May be part of a comprehensive EMR system or implemented as a stand-alone system |
Disease registry | A system that maintains lists of patients with a particular diagnosis or who require routine health maintenance manoeuvres | Used to track patients who need regular follow-up and to conduct population health status and service utilization monitoring |
EHR | Linked health records to identify a patient’s interaction with multiple points of contact in the health care system | Used to monitor and manage the population health to identify trends in prevalence rates and risk assessments |
EMR | A comprehensive health record at the level of the patient within a single health care system | Typically applied at the level of a single institution or network; may or may not be accessible to health care professionals outside of that institution (e.g., PCPs sharing EMRs with hospital physicians) |
e-Prescribing | A system to add, adjust, edit, monitor, and share prescribing orders | May be part of a comprehensive EMR system or implemented as a stand-alone system |
Health information system or health information tool | Generic term to describe electronic systems that manage, store, and/or retrieve health data | May be used to describe any combination of eTools used in health information management |
PACS | A system to manage, store, and retrieve results of certain health tests, such as an MRI or CT scan | May be part of a comprehensive EMR system or implemented as a stand-alone system |
Patient portal | Extensions of existing EMR systems that allow patients to view and interact with at least part of the EMR under the responsibility of physicians and hospitals | Used to facilitate patient interactions with their physicians and other health care professionals; may be used to assist with self-management programs that are guided and monitored by health care providers |
PHR | Patient-accessible health record; may or may not include a mechanism to facilitate monitoring by, and communication with, health care providers | May be used to assist with patient self-management, specifically with chronic disease (e.g., monitoring blood glucose levels in patients with diabetes). Usually used to give patients access to their own health records |
Risk assessment tool | A system that uses patient-level data and validated risk assessment tools to identify patients at risk (e.g., for diabetes, cardiovascular disease, or rehospitalization) | May be implemented at the level of the individual patient, physician practice, or population level |
Abbreviations: CDSS, clinical decision support system; CPOE, computerized physician (or provider) order entry; CT, computed tomography; EHR, electronic health record; EMR, electronic medical record; eTool, electronic tool; MRI, magnetic resonance imaging; PACS, picture archiving communication system; PCP, primary care physician; PHR, personal (or patient) health record.