Difference between revisions of "Akron Children's Hospital and IBM"

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[https://www.akronchildrens.org/cms/home/index.html Akron Children's Hospital] and [http://www.ibm.com/us/en/ IBM] in 1966 started a “joint study” to determine if it was possible to eliminate the paperwork or at least part of the paperwork which has burdened the nurses and doctors in hospitals for many years. In this short [http://www.youtube.com/watch?v=t-aiKlIc6uk video] then hospital president Roger J. Sherman introduces the system, giving a brief insight into how the system worked. One aspect of the very forward-thinking portrayed in this video, made in 1966, is that the nurse on the floor was reminded by the computer system when a medication was due for one of her patients, including the drug name and dosage. The conclusion reached in the video was that paperwork can be reduced, disease "correlation" can be performed, and errors reduced.
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In 1961, Akron Children's Hospital and IBM '''in 1961''' conducted a joint study to examine the viability of eliminating some or all of the paperwork that has burdened hospital personnel for many years. The study resulted in an initiative, announced on Feb. 18, 1962, '''to''' addressing many of the same issues which Health Information Technology (HIT) strives to solve today:such as '''becoming more''' efficiency, '''reducing''' costs reduction and patient safety and care. ''''''Thereby'''and improving patient care'''. Two years in '''into''' the project'''effort''', Roger Sherman, the hospital's administrator at the time, implemented '''heralded developments''' '''such as''' drug dosage monitoring and '''harmful'''and adverse drug interaction (ADI) alerts, concluding that it '''both of which he said''' had improved quality of care as well as '''and the ability to''' tracking disease correlation [5]. '''The system also allowed users to easily view lab results on terminals'''. Users were able to view their lab results.
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Here is the actual announcement [http://www.scribd.com/doc/81639384/Press-Release-Febuary-18-1962][5]
  
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The above milestones were note mentioned when discussing the history of Electronic Medical Records (EMRs).'''The effort is sometimes neglected when the history of the development of electronic medical records is discussed'''.  A 1966 film on the use of computers in healthcare features Roger Sherman showcasing the system [5] [6].  The project is also discussed in Melville H. Hodge’s 1978 book titled Medical Information Systems: A Resource for Hospitals, and a 2004 brochure titled Reducing Medical Errors: IT Helps Secure the Patient Safety Net [3].
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== The Akron's Childrn's hospital at the time ==
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# Was the largest children's hospital in the country based on admission
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# had 14,000 admissions each year
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# 275 beds with close to 300 hundred doctors and nurses
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== System Used ==
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I.B.M. Ramac 305 [[http://www.computerhistory.org/revolution/memory-storage/8/259/1044]][http://graphics8.nytimes.com/images/2012/02/16/technology/16bits-records/16bits-records-hpMedium.jpg]
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== Features ==
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#centralize patient records
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#share patient information
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#eliminate paperwork
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#alert nurses when patients needed their medication. 
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#project the amount and type of nursing care required on each floor for each shift in the hospital's daily operation [8][http://asmarterplanet.com/blog/2012/02/electronic-medical-records-its-back-to-the-future.html]
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== Time decommissioned ==
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Unknown [6]
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== Historical Values ==
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# first attempt to apply systems approach to the operations of an hospital
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# first attempt to improve the improve the efficiency and quality of health care using computerized information systems
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# first application of computer system supporting the patient care activities of nurses [1]
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== Current EHR system of Akron children's hospital ==
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Akron has started a 5-year, 60 million project to upgrade the EHR to EPIC system. The migration is expected to complete by 2014.[6]
  
Roger J. Sherman, the narrator of the above video, and former Children’s Hospital president died on May 18, 2011 at the age of 96. His obituary [http://www.ohio.com/news/former-children-s-hospital-president-roger-j-sherman-dies-at-96-1.204864] was published on The Akron Beacon Journal’s web site (www.Ohio.com Akron), and contained the following:
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== References ==
  
- Long before anyone was using computers, way back in the 1960s, Roger had the foresight to see computers had their advantages, ...
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# http://www.scribd.com/doc/81639384/Press-Release-Febuary-18-1962
 
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# https://www.akronchildrens.org/cms/home/index.html
- With an IBM grant, he introduced computers to the hospital. He used them to display lab results on each floor so that people didn't have to call down to the lab to get the information.
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# http://www.ibm.com/us/en/
 
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# http://www.ncbi.nlm.nih.gov/pubmed/15179735
- The hospital's auditorium bears his name.
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# http://www.navinet.net/blog/1961-year-electronic-health-record‎
 
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# http://bits.blogs.nytimes.com/2012/02/17/the-miracle-of-digital-health-records-50-years-ago/
 
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# http://www.youtube.com/watch?v=t-aiKlIc6uk
Akron Children’s Hospital, during the time period of this study, is one of the hospitals listed in Melville H. Hodge’s 1978 book titled Medical Information Systems: A Resource for Hospitals. The book states, “… in the early 1960s, a small group of hospitals became identified with one common goal, that of a commitment to serve as a site for the development of computerized handling of patient information.
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# http://asmarterplanet.com/blog/2012/02/electronic-medical-records-its-back-to-the-future.html
 
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The hospital and IBM are also referred, during the same time period, in a brochure titled Reducing Medical Errors: IT Helps Secure the Patient Safety Net [http://www.google.com/url?sa=t&source=web&cd=2&sqi=2&ved=0CCMQFjAB&url=http%3A%2F%2Fwww.providersedge.com%2Fehdocs%2Fehr_articles%2FReducing_Medical_Errors-IT_Helps_Secure_Patient_Safety_Net.pdf&rct=j&q=Akron%20Children%27s%20Hospital%20and%20IBM%20joint%20study%201966&ei=8s9eTsD_BMShsQL-nI0F&usg=AFQjCNGKAwYZuCVHMv0K0suf2GrL3L4Tdw&sig2=NwzNMlAKQ0HHT4DVxd69fw&cad=rja], published by The McGraw-Hill Companies in 2004. It includes Children’s Hospital in a Safety First time line and states that in “1965: Children’s Hospital, Akron, Ohio, installs IBM model 1620 with 1710 process control system (shown in 1966 photo- graph at left) and keys for order entry, admissions, nutrition services and census information.
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[[Category: EHR]]
 
[[Category: EHR]]
 
[[Category: UT-SHIS SP09]]
 
[[Category: UT-SHIS SP09]]

Latest revision as of 20:37, 7 September 2014

In 1961, Akron Children's Hospital and IBM in 1961' conducted a joint study to examine the viability of eliminating some or all of the paperwork that has burdened hospital personnel for many years. The study resulted in an initiative, announced on Feb. 18, 1962, to addressing many of the same issues which Health Information Technology (HIT) strives to solve today:such as becoming more efficiency, reducing costs reduction and patient safety and care. 'Therebyand improving patient care. Two years in into the projecteffort, Roger Sherman, the hospital's administrator at the time, implemented heralded developments such as drug dosage monitoring and harmfuland adverse drug interaction (ADI) alerts, concluding that it both of which he said had improved quality of care as well as and the ability to tracking disease correlation [5]. The system also allowed users to easily view lab results on terminals. Users were able to view their lab results. Here is the actual announcement [1][5]

The above milestones were note mentioned when discussing the history of Electronic Medical Records (EMRs).The effort is sometimes neglected when the history of the development of electronic medical records is discussed. A 1966 film on the use of computers in healthcare features Roger Sherman showcasing the system [5] [6]. The project is also discussed in Melville H. Hodge’s 1978 book titled Medical Information Systems: A Resource for Hospitals, and a 2004 brochure titled Reducing Medical Errors: IT Helps Secure the Patient Safety Net [3].

The Akron's Childrn's hospital at the time

  1. Was the largest children's hospital in the country based on admission
  2. had 14,000 admissions each year
  3. 275 beds with close to 300 hundred doctors and nurses

System Used

I.B.M. Ramac 305 [[2]][3]

Features

  1. centralize patient records
  2. share patient information
  3. eliminate paperwork
  4. alert nurses when patients needed their medication.
  5. project the amount and type of nursing care required on each floor for each shift in the hospital's daily operation [8][4]

Time decommissioned

Unknown [6]

Historical Values

  1. first attempt to apply systems approach to the operations of an hospital
  2. first attempt to improve the improve the efficiency and quality of health care using computerized information systems
  3. first application of computer system supporting the patient care activities of nurses [1]

Current EHR system of Akron children's hospital

Akron has started a 5-year, 60 million project to upgrade the EHR to EPIC system. The migration is expected to complete by 2014.[6]

References

  1. http://www.scribd.com/doc/81639384/Press-Release-Febuary-18-1962
  2. https://www.akronchildrens.org/cms/home/index.html
  3. http://www.ibm.com/us/en/
  4. http://www.ncbi.nlm.nih.gov/pubmed/15179735
  5. http://www.navinet.net/blog/1961-year-electronic-health-record‎
  6. http://bits.blogs.nytimes.com/2012/02/17/the-miracle-of-digital-health-records-50-years-ago/
  7. http://www.youtube.com/watch?v=t-aiKlIc6uk
  8. http://asmarterplanet.com/blog/2012/02/electronic-medical-records-its-back-to-the-future.html