Oncology EHR

Promoting Quality & Safety in Oncology Electronic Health Records

Douglas Blayney, M.D.
  • Ann Arbor, MI
  • United States
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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
EHR products do not come ready to use "out of the box" and success or failure lies in decisions on implementation that consider safety, consensus practice workflows and reduction in variation. Think of a kitchen remodel project, no two are the same…
January 27
The "mental model" most of us have for chemotherapy is that all drugs to be given sit together. For usability, the "big picture" should be visible. Furthermore, the clinician wants to have an order set ready to launch with the fewest possible modifi…
January 25
A blog post by Douglas Blayney, M.D. was featured
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,…
January 20
Douglas Blayney, M.D. added a blog post
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,…
January 19
A blog post by Douglas Blayney, M.D. was featured
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…
January 4
Douglas Blayney, M.D. added a blog post
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…
December 29, 2009

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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.

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 11:50am — 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 —

Douglas Blayney, M.D.

Mortality and cost benefits of inpatient Health Information Technology -- A cross sectional study from Texas hospitals

Another study, demonstrating the clinical utility of Clinical Information Technology (CIT) -- including some positive influence on mortality and cost of care, albeit in non-oncology conditions, was published earlier this year. Use of the four domains of information technology (test results, notes and records, order entry, and decision-support) in the inpatient setting was studied in a statstically valid selection of forty-one Texas hospitals and reported… Continue

Posted on April 24, 2009 at 8:00am —

Douglas Blayney, M.D.

More on polite patient interaction while integrating the computer into the visit

Several weeks ago I wrote here about a panel in which I participated on the topic of cancer survivorship.

Afterward, a doctor came up to me, knowing of my interest in EHR technology, to tell me of an interaction he had with a neighbor. His neighbor knocked on his door one evening, asking if he was home. His wife ushered her in, and she proceeded to tell her tale of a newly diagnosed, localized breast cancer. She had be… Continue

Posted on April 22, 2009 at 4:00pm — 2 Comments

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