2. What are ‘Health Calculators’?
• Health calculators assess a patient’s risk for a disease
• Based on scientific and clinical studies
• Dozens of calculators are available on the web and smart phones
• Risk is based on basic data about the patient (age, cholesterol,
BP, etc)
• Relatable
– Risk shown in simple terms – e.g. likelihood of developing a
disease in X years
– Physicians find health calculators to be great tools. Patients can
relate to a percentage risk of disease/outcome (e.g. 10% risk of
developing heart disease) much better than an arbitrary value (e.g.
a total cholesterol of 200).
3. Before eCalcs
• Health Calculators like Framingham Risk are widely used by
physicians
• Providers go to iPhone apps and websites for calculators
• Requires inefficient and error-prone data entry
• Health calculator score must by typed into the patient’s EHR chart
for documentation
4. With eCalcs
• Fully integrated into the EHR screens
– No searching online for Health Calculators
• Patient’s data is automatically brought into the calculator
– No manually data entry
– More time to spend interacting with the patient than typing into a
PC / smart phone
• Health Calculator score saved discretely in the EHR
– Ability to graph and flow scores over time, not to mention no
manual data entry of the patient’s score
7. Currently available calculators
• Framingham Risk for Hard CHD • Reynolds Risk Score
• Framingham Risk for Cardiovascular • PHQ-2/PHQ-9 Screening for Depression
Disease • Crohn’s Disease Calculator
• FRAX Fracture Risk Assessment • CAGE Alcohol Screening Test
• Breast Cancer Risk • EDD / Pregnancy Due Date Calculator
• CHADS2 for Risk of Stroke • Framingham Stroke Risk
• CHA2DS2-VASc Score for Atrial Fibrillation • Corrected QT Interval
Stroke Risk • Ideal Body Weight for pediatrics and adults
• ADA Diabetes Risk Calculator • ARIC Coronary Heart Disease Risk
• MELD Score for Liver Disease Calculator
• Creatinine Clearance • Mid-Parental Target Height Prediction
• Pneumonia Severity Index (Tanner)
• Predicted Peak Flow • GAD-7 Anxiety Disorder Scale
• Child-Pugh Classification for Liver Disease • MDQ - The Mood Disorder Questionnaire
8. eCalcs at a glance
• Launched in February 2012
• Installed at nine client sites
• 24 calculators available
• v1.0.4 to launch this spring – six new calculators + new features
• Currently compatible with Allscripts Unity for Enterprise EHR
– Enterprise EHR v11.1.7+
– Current integration: Unity
– Future integration: Allscripts Web Services
– Next EHR product integration: eCalcs for Professional EHR
9. eCalcs in Summary
• eCalcs . . .
– Makes popular patient education and disease management tools
available within the EHR
– Provides full integration into Enterprise EHR with Unity
– Reduces inefficient and error-prone data entry
– Increases time interacting with patients
