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Health Team

Duke patient records go paperless

Posted October 18, 2013

Damian Chisolm, 2, has sickle cell disease, so even a fever can become a serious health concern.

The computer chart is central to doctor-patient meetings. It helps Damian’s mom, Yalonda Chisolm, see that antibiotics recently prescribed for her son worked. The chart at Duke University Hospital has all his medical records from wherever he has received medical care.

Duke employs electronic patient records Duke employs electronic patient records

“In a paper-based world, doctors didn't always have all the charts available when they saw a patient,” said Dr. Jeffrey Ferranti, a Duke neonatologist.

Ferranti directed the implementation of Maestro care – a seamless, comprehensive digital health record – including the training of 12,000 Duke employees on how to use it. With Maestro care, patient records can be accessed by computers that are brought in by patient-care teams.

“It can really facilitate decision making. We can get information right there. We can make the decision as a team (and) include the patient and family,” said Dr. Heather McLean, a Duke pediatrician.

Maestro care also includes a system called My Chart, a secure patient portal, which Damian's mom has used from home.

“I've set up appointments on there and got the appointment reminders and paid my bill,” Chisolm said.

The system, which is designed to share information with all health care providers, is essential to the successful implementation of the Affordable Care Act. Organizers say it's even more essential for improved patient care.

“Affordable Care Act or not, it's the right thing to do for the population we serve,” Ferranti said.

The Duke University Health System's other hospitals – Durham Regional and Duke Raleigh – are expected to launch their electronic health records systems by March. The system allows confidential and secure sharing of patient health information with more than 180 health care institutions that use the same system.
 

9 Comments

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  • rushbot Oct 28, 8:13 a.m.

    it worked fine til they cut in the new system earlier this year..then all i can see is my bill!!!

  • wufpaker Oct 23, 6:33 p.m.

    Maestro Care went live June 22 (not July 22 as someone else reported). I was a patient at Duke July 9-14. Other than big issues with follow-up appointments getting scheduled by staff with wrong clinics, I survived the transition as a patient. I am able to review many of my records online.

  • t50 Oct 23, 1:28 p.m.

    we still have no database to retrieve or send information... bulletmom14

    The system is totally paperless. When I had to be referred to Johns Hopkins my records were transmitted electronically. There was no paperwork I had to carry and the doctors at Johns Hopkins had my full history when I arrived for treatment.

  • bulletmom14 Oct 21, 11:27 a.m.

    No doubt it is real...however, there is no such thing as paperless...paper is still received in massive doses and manually scanned into the chart...we still have no database to retrieve or send information..

  • kikinc Oct 21, 10:58 a.m.

    i'll believe it when i see it...

    Maestrocare went live on July 22.

  • TriangleMommy Oct 21, 10:36 a.m.

    hey Rushbot - this system has been live for a while. Guess you don't have much experience with the Duke Healthcare system?

    We do, regularly. It has been fully live (across the entire hospital and clinics) for months now.

  • 68_dodge_polara Oct 21, 10:21 a.m.

    "The system, which is designed to share information with all health care providers, is essential to the successful implementation of the Affordable Care Act. Organizers say it's even more essential for improved patient care."

    With this the government has access to all individuals health information. Which begs the question why do they want such access to it? Would be interesting to know what the NSA is doing with it? Maybe its the transparency our president spoke about during his campaigning as it's the only transparency we've seen so far.

  • Christy Oct 21, 9:26 a.m.

    I see it everyday. It is real!

  • rushbot Oct 18, 7:15 p.m.

    i'll believe it when i see it...