205392 Benefits in utilizing barcode technology in EMR at a community health center: Findings and implications from a mixed-methods evaluation

Monday, November 9, 2009

Janice Anne Magno, MPA , Charles B. Wang Community Health Center, Flushing, NY
Grace Hsinlan Yeh , Department of Pediatrics, Charles B. Wang Community Health Center, New York, NY
Holly Lee, FNP , Charles B. Wang Community Health Center, Flushing, NY
Esther Chan, RN , Department of Pediatrics, Charles B. Wang Community Health Center, New York, NY
Loretta Au, MD , Department of Pediatrics, Charles B. Wang Community Health Center, New York, NY
Hyoseong Nuna Kim, MD , Charles B. Wang Community Health Center, Flushing, NY
Hyung Paek, MD , Charles B. Wang Community Health Center, New York, NY
Kai Yeung , Charles B. Wang Community Health Center, New York, NY
Shao-Chee Sim, PhD , Charles B. Wang Community Health Center, New York, NY
Background: Utilization of Electronic Medical Records (EMR) has greatly improved many aspects of health center operations particularly in documentation of patient record. However, vaccine documentation in EMR is tedious and prone to human error as it requires several mouse-clicking and data entry of multiple items. The documentation process affects nursing staff efficiency and documentation accuracy particularly in pediatric visits receiving up to six vaccines. Methods: At the Charles B. Wang Community Health Center (CBWCHC), barcode technology was implemented in 2007 to automate vaccine documentation and thus improve efficient use of EMR in nursing care. An inter-departmental taskforce consisting of nurses, administrators, IT and CI staff planned the implementation process, which included workflow re-design, nursing training, and revision of EMR vaccine templates. An evaluation was conducted on a pre-post basis to assess the benefits of barcode technology implementation in three areas (1) vaccine documentation efficiency, (2) documentation accuracy and (3) staff satisfaction. Results: Review of clinical flow through a pre- and post-implementation time study and analysis of the charting of vaccine lot number data showed improved efficiency and accuracy in documentation. Self-administered surveys given to the nursing staff also showed increased satisfaction post-implementation. Conclusion: Barcode technology facilitates the process of vaccine documentation with increased efficiency and accuracy, as well as increasing nursing staff satisfaction in a busy ambulatory pediatric community healthcare setting. The findings suggest that barcode technology can be a promising innovation for healthcare facilities, especially in improving clinical operations and patient care.

Learning Objectives:
1. Describe the positive effects that Health Information Technology has on clinical operations and patient care. 2. Compare the quality of data documentation with and without the use of the barcode system. 3. Understand steps involved in implementation of a barcoding technology for health care practices utilizing EMR

Keywords: Community Health Centers, Health Information Systems

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I oversee and carry out the research activities described in the abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.