Oncology EHR

Promoting Quality & Safety in Oncology Electronic Health Records

Douglas Blayney, M.D.
  • Ann Arbor, MI
  • United States
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A blog post by Douglas Blayney, M.D. was featured
John Cox invited me to his Texas Oncology Practice at the Methodist Charlton Cancer Center in Dallas, to talk about multidisciplinary breast cancer clinics. After lunch, which was attended by most of the practice’s oncologists, John showed me his iK…
April 19
Douglas Blayney, M.D. added a blog post
John Cox invited me to his Texas Oncology Practice at the Methodist Charlton Cancer Center in Dallas, to talk about multidisciplinary breast cancer clinics. After lunch, which was attended by most of the practice’s oncologists, John showed me his iK…
April 17
It is an interesting situation - the more useful medical records become, the greater the security concerns become. The addition of every party that has access to medical data is another point of vulnerability. Information breaches in the insurance i…
April 8
The concerns about patient privacy raised in the Wall Street Journal article are important for healthcare organizations to start thinking about more. I am sure that the issues will only grow larger as an increasing number of physician hospital pract…
April 6
A blog post by Douglas Blayney, M.D. was featured
An article by Schiff and Bates, writing in the March 25th New England Journal of Medicine, here caught my attention. They make some suggestions to answer the question, "Can electronic clinical documentation help prevent diagnostic errors?" They star…
March 26
Douglas Blayney, M.D. added a blog post
An article by Schiff and Bates, writing in the March 25th New England Journal of Medicine, caught my attention (I'm reviewing my paper copy which came by "snail mail" and will update the online link when available) They makes some suggestions to ans…
March 24
Very impressed (but would have expected nothing less from Peter!!).... A couple of comments: I am an old doc. Our office has been on EHR for 30 months. We too, have a computer in every exam room. I quickly found out that using the computer screen (…
March 10
The patients are very much aware of how the EHR is contributing to their health care because it becomes a focus of interaction, starting from when the medical assistant rooms the patient, pulls up the chart and reconciles the medication list with wh…
March 4

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When I was in community practice, we went live with the internet version of iKnowMed in 2000. I moved to the University of Michigan in 2003, where a "homebrew" document viewer (CareWeb) had been in use for several years. After a long gestation, UofM went live with the Eclypsis order entry product in the University Hospital in April 2008, as part of a staged implementation that first started in the Children's and Women's Hospital.
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Douglas Blayney, M.D.'s Blog

Douglas Blayney, M.D.

My visit to an iKnowMed Practice

John Cox invited me to his Texas Oncology Practice at the Methodist Charlton Cancer Center in Dallas, to talk about multidisciplinary breast cancer clinics. After lunch, which was attended by most of the practice’s oncologists, John showed me his iKnowmed EHR. The iKnowmed product has changed since we first used it in October, 2000 at Wils

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Posted on April 17, 2010 at 10:00am —

Douglas Blayney, M.D.

Clinicians need to take back ownership of the medical record, and a cautionary word on privacy from a psychiatrist

An article by Schiff and Bates, writing in the March 25th New England Journal of Medicine, here caught my attention. They make some suggestions to answer the question, "Can electronic clinical documentation help prevent diagnostic errors?" They start with the premise that "electronic prescribing appears to reduce the rate of medication errors, but the other benefits of electronic records are less clear," and

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Posted on March 24, 2010 at 5:30pm — 2 Comments

Douglas Blayney, M.D.

Field trip to see the EPIC EHR in action at Palo Alto Medical Foundation

I arranged to spend last Thursday afternoon with Peter Yu, at his El Camino Real office of the Palo Alto Medical Foundation (PAMF). PAMF has largely implemented EPIC as their EHR, and as Peter and I had an ASCO-related conference call scheduled, I was going to take the call with him and observe his EHR in action. The call was canceled, but he had three patients whom he had set up to see.



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Posted on March 2, 2010 at 11:30am — 3 Comments

Douglas Blayney, M.D.

Building Chemotherapy Order Sets

We're beginnning implementation of our Eclypsis CPOE in our Cancer Center (see here). Our system does not come with pre-built order sets, so we're in the process of building our own. We're trying to balance patient safety (no overdoses, missed meds, etc), efficiency (which I define as the fewest clicks by the ordering physician consonant with the safety goal), and teaching (making sure t… Continue

Posted on January 19, 2010 at 1:00pm — 2 Comments

Douglas Blayney, M.D.

The complexity of using clinical data to measure outcomes and comparative effectiveness

So... I've been thinking about how to use our existing data repositories for measuring cancer outcomes and for comparative effectiveness. QOPI is a great start (here) -- it is oncologist-driven and adaptable; the measurement process is scalable and can be accomplished in private practices and in large cancer centers. Because data extraction is labor intensive -- taking about an hour per chart (… Continue

Posted on December 29, 2009 at 11:00am —

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