Information Technology
   in PBRN Practices
      Survey vs. Site Visit
Donald E. Nease, Jr, Lee A. Green, Aartee Ignazcek...
why IT & PBRNs?
• practice electronic data
 • demographics, diagnoses, services
• availability of internet access
 • commu...
prior work
     • Andrews, et. al., 2004
       • Kentucky Ambulatory Network (KAN)
       • mailed survey of 68 office man...
GRIPS
GRIN Research Infrastructure Practice Survey

•   Aim: Conduct on-site detailed structural and
    functional assess...
methods
• Pre-visit survey - immediately prior to visit
• Visit
 • Interviews with office manager, clinicians
    & staff
 ...
GRIPS so far

• 33 surveyed & visited (target = 50)
• 85% have no academic affiliation
• Mean # physicians - 3.5 (2.8)
• Me...
results - connectivity
          yes          no                     yes          no
100%
                      97%
      ...
results - office systems
            yes           no

                                        •
100%                      ...
results - office systems
             yes           no                        yes          no
100%
           94%          ...
results - office systems
           yes           no                      yes            no
100%
                          ...
results - IT support
       internal         external                yes           no
100%
                              9...
conclusions
•   GRIN PBRN practices
    visited so far...

    •   IT infrastructure
        limited to basic office
      ...
Transforming the Office Management of Heart Failure using the Chronic Disease Model in a Residenc
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Transforming the Office Management of Heart Failure using the Chronic Disease Model in a Residenc

  1. 1. Information Technology in PBRN Practices Survey vs. Site Visit Donald E. Nease, Jr, Lee A. Green, Aartee Ignazcek, Patricia Watkins, John Calcagni, Gabe Thompson University of Michigan Department of Family Medicine Funded by: AHRQ R03 HS14413
  2. 2. why IT & PBRNs? • practice electronic data • demographics, diagnoses, services • availability of internet access • communication, distribution & return of study related information & materials • collection of data via web Pace WD, Staton EW. Electronic data collection options for practice-based research networks. Ann Fam Med. 2005 May-Jun;3 Suppl 1:S21-9.
  3. 3. prior work • Andrews, et. al., 2004 • Kentucky Ambulatory Network (KAN) • mailed survey of 68 office managers & 116 clinicians (46% & 51% resp. rate) • 100% using electronic billing • 50% have a LAN; internet in all but one • 94% electronic scheduling • 21% with an EMR Andrews JE, Pearce KA, Sydney C, Ireson C, Love M. Current state of information technology use in a US primary care practice-based research network. Inform Prim Care. 2004;12(1):11-8.
  4. 4. GRIPS GRIN Research Infrastructure Practice Survey • Aim: Conduct on-site detailed structural and functional assessments of GRIN practices focused on: • current use of information systems • billing • electronic medical records • reminder systems • internet
  5. 5. methods • Pre-visit survey - immediately prior to visit • Visit • Interviews with office manager, clinicians & staff • Detailed observations • Post-visit report • Did we get it right?
  6. 6. GRIPS so far • 33 surveyed & visited (target = 50) • 85% have no academic affiliation • Mean # physicians - 3.5 (2.8) • Mean # extenders - 1.3 (0.9) among those who have them
  7. 7. results - connectivity yes no yes no 100% 97% 87% 75% 41% 50% 59% 25% 13% 0% 3% survey visit are your computers networked? internet access at all workstations?
  8. 8. results - office systems yes no • 100% 50% of those checking “no” on 87% 83% 75% the survey actually do 50% • One practice that 25% checked “yes” on 17% 13% the survey actually 0% does not survey visit do you utilize computerized billing?
  9. 9. results - office systems yes no yes no 100% 94% 94% 75% 50% 29% 71% 25% 0% 6% 6% survey visit do you utilize computerized scheduling? computerized demographic reports?
  10. 10. results - office systems yes no yes no 100% 20% 75% 73% 70% 50% 25% 30% 27% 80% 0% survey visit do you utilize an EMR? use an EMR beyond basic charting?
  11. 11. results - IT support internal external yes no 100% 93% 75% 67% 42% 50% 58% 33% 25% 0% 7% survey visit IT staff internal or external is IT support externally contracted?
  12. 12. conclusions • GRIN PBRN practices visited so far... • IT infrastructure limited to basic office systems • may not be useful for enabling research • Survey data alone may not give an accurate picture

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