How a screening prompted by clinical decision support saved a patient’s life

Anti-aircraft artillery and abdominal aortic aneurysms have a couple of things in common. First, they are both known as ‘Triple A’ (AAA). Second, they both blow up.

Killing time before the recent eHealth Summit at CMS in Baltimore, Larry Garber, an internist at Worcester, Massachusetts-based Reliant Medical Group, who was speaking at the event, mentioned the abbreviation (referencing the aneurysm, not the Ack/Ack guns).

Garber, an ONC Health IT Fellow and early adopter of EHRs, tells the Buzz blog how a simple decision support prompt likely saved the life of one of Reliant’s patients.

A notification on the screen of Reliant’s patient portal alerted a 65-year-old Medicare patient that he was due for the AAA screening. Garber said that the United States Preventive Services Task Force (USPSTF) recommends that when men who smoked in the past turn 65, they should be screened for Abdominal Aortic Aneurysm. “He contacted us because he saw the reminder which was triggered by his prior smoking history in our EHR,” said Garber.  A screening ultrasound was scheduled and the man came in for the test.

“We found an aneurysm this big,” Garber said, making a spheroid shape with his hands the size of a Florida grapefruit. If the aneurysm had ruptured, Garber said, it more than likely would have killed the patient.  The patient was promptly admitted to the hospital and had the aneurysm repaired.

Garber agreed that although there are certainly challenges with the implementation of  health IT usability, the benefits to patients outweigh them all.

Have a similar anecdote about how health IT saved a life, reduced redundancies or improved the health of one of your patients? Leave a comment below or contact me at brett.coughlin@hhs.gov.

2 Comments

  1. Instituto Tecnológico says:

    As electronic health record (EHR) technology spreads quickly across the healthcare industry, providers are developing a wide range of clinical decision support tools-such as electronic alerts, order sets, protocols, and smart documentation forms-to improve and standardize clinical care.

    For instance, at Southeast Texas Medical Associates, clinical decision support helps physicians at the multidisciplinary clinic comply with more than 250 quality measures, with physician performance on each measure reported on the clinic’s website. “Once you open the books to public reporting, the only place you have to hide is in excellence,” says James L. Holly, MD, the practice’s CEO.

    In addition to the purchase and implementation of EHR technology, a successful clinical decision support program requires continuous monitoring and updating, which means an ongoing commitment of staff and financial resources. But, within a matter of years, physicians and health systems that do not use clinical decision support will find themselves unable to offer the quality of care that will become routine because of the technology.

  2. Nathan Buzza says:

    http://www.linkedin.com/pulse/clinical-decision-support-elixir-healthcare-nathan-buzza?trk=mp-author-card

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