Table 2.
Functionalities of EVMRs employed by 66 small animal veterinary medical practices in Massachusetts that used EVMRs only (n = 14) or EVMRs and paper records (52).
| Functionality | EVMRS only
|
EVMRs and paper records
|
Percentage difference | 95% CI | P value | ||||
|---|---|---|---|---|---|---|---|---|---|
| No. of responses | No. (%) of practices | 95% CI | No. of responses | No. (%) of practices | 95% CI | ||||
| Scheduling | 14 | 14 (100.0) | — | 50 | 43 (86.0) | 73.0 to 93.3 | 14.0 | 4.4 to 23.6 | 0.138 |
| Automating client reminders | 14 | 13 (92.9) | 60.2 to 99.1 | 51 | 48 (94.1) | 82.8 to 98.2 | −1.2 | −16.2 to 13.7 | 0.862 |
| Recording medical and surgical information | 14 | 14 (100.0) | — | 48 | 29 (60.4) | 45.7 to 74.5 | 39.6 | 25.7 to 53.4 | 0.005 |
| Tracking patient health | 14 | 14 (100.0) | — | 50 | 21 (42.0) | 28.9 to 56.4 | 58.0 | 44.3 to 71.7 | < 0.001* |
| Improving patient health | 10 | 9 (90.0) | 49.0 to 98.8 | 38 | 17 (44.7) | 29.4 to 61.2 | 45.3 | 20.9 to 69.7 | 0.011 |
| Ensuring billing | 14 | 14 (100.0) | — | 51 | 47 (92.2) | 80.4 to 97.1 | 7.8 | 0.5 to 15.2 | 0.279 |
| Automatic billing | 14 | 11 (78.6) | 48.7 to 93.4 | 49 | 35 (71.4) | 57.0 to 82.6 | 7.2 | −17.8 to 32.1 | 0.595 |
| Providing cost estimates | 14 | 14 (100.0) | — | 51 | 46 (90.2) | 78.1 to 96.0 | 9.8 | 1.6 to 18.0 | 0.223 |
| Insurance | 14 | 1 (7.1) | 0.1 to 39.7 | 42 | 7 (16.7) | 7.9 to 31.7 | −9.5 | −27.1 to 8.1 | 0.378 |
| Care credit | 14 | 5 (35.7) | 34.7 to 63.4 | 47 | 23 (48.9) | −13.2 to 42.1 | −13.2 | −42.1 to 15.7 | 0.384 |
| Tracking population health | 14 | 8 (57.1) | 30.3 to 80.4 | 47 | 13 (27.7) | 16.5 to 42.5 | 29.5 | 0.6 to 58.4 | 0.042 |
| Improving population health | 12 | 8 (66.7) | 35.6 to 87.8 | 40 | 9 (22.5) | 11.9 to 38.5 | 44.2 | 14.5 to 73.8 | 0.004 |
| Identifying EIDs | 14 | 4 (28.6) | 10.5 to 57.8 | 45 | 6 (13.3) | 6.0 to 27.2 | 15.2 | −10.4 to 40.9 | 0.184 |
| Research | 14 | 3 (21.4) | 6.6 to 51.4 | 44 | 6 (13.6) | 6.1 to 27.8 | 7.8 | −16.0 to 31.6 | 0.483 |
| Reviewing veterinarian performance | 14 | 11 (78.6) | 48.7 to 93.4 | 49 | 32 (65.3) | 50.7 to 77.5 | 13.3 | −12.0 to 38.6 | 0.347 |
| Marketing | 14 | 10 (71.4) | 42.3 to 89.5 | 47 | 29 (61.7) | 46.8 to 74.7 | 9.7 | −17.7 to 37.2 | 0.506 |
Point estimates for the differences were calculated by subtracting the point estimates for EVMR and paper–record practices from those for EVMR-only practices.
*
Percentage was significantly (P < 0.0031) different between practice types.
— = Not applicable.