Introduction to e calcs
- 2. What are ‘Health Calculators’? • Health calculators assess a patient’s risk for a disease • Based on scientific and clinical studies • Dozens of calculators are available on the web and smart phones • Risk is based on basic data about the patient (age, cholesterol, BP, etc) • Relatable – Risk shown in simple terms – e.g. likelihood of developing a disease in X years – Physicians find health calculators to be great tools. Patients can relate to a percentage risk of disease/outcome (e.g. 10% risk of developing heart disease) much better than an arbitrary value (e.g. a total cholesterol of 200).
- 3. Before eCalcs • Health Calculators like Framingham Risk are widely used by physicians • Providers go to iPhone apps and websites for calculators • Requires inefficient and error-prone data entry • Health calculator score must by typed into the patient’s EHR chart for documentation
- 4. With eCalcs • Fully integrated into the EHR screens – No searching online for Health Calculators • Patient’s data is automatically brought into the calculator – No manually data entry – More time to spend interacting with the patient than typing into a PC / smart phone • Health Calculator score saved discretely in the EHR – Ability to graph and flow scores over time, not to mention no manual data entry of the patient’s score
- 5. Comparison
- 7. Currently available calculators • Framingham Risk for Hard CHD • Reynolds Risk Score • Framingham Risk for Cardiovascular • PHQ-2/PHQ-9 Screening for Depression Disease • Crohn’s Disease Calculator • FRAX Fracture Risk Assessment • CAGE Alcohol Screening Test • Breast Cancer Risk • EDD / Pregnancy Due Date Calculator • CHADS2 for Risk of Stroke • Framingham Stroke Risk • CHA2DS2-VASc Score for Atrial Fibrillation • Corrected QT Interval Stroke Risk • Ideal Body Weight for pediatrics and adults • ADA Diabetes Risk Calculator • ARIC Coronary Heart Disease Risk • MELD Score for Liver Disease Calculator • Creatinine Clearance • Mid-Parental Target Height Prediction • Pneumonia Severity Index (Tanner) • Predicted Peak Flow • GAD-7 Anxiety Disorder Scale • Child-Pugh Classification for Liver Disease • MDQ - The Mood Disorder Questionnaire
- 8. eCalcs at a glance • Launched in February 2012 • Installed at nine client sites • 24 calculators available • v1.0.4 to launch this spring – six new calculators + new features • Currently compatible with Allscripts Unity for Enterprise EHR – Enterprise EHR v11.1.7+ – Current integration: Unity – Future integration: Allscripts Web Services – Next EHR product integration: eCalcs for Professional EHR
- 9. eCalcs in Summary • eCalcs . . . – Makes popular patient education and disease management tools available within the EHR – Provides full integration into Enterprise EHR with Unity – Reduces inefficient and error-prone data entry – Increases time interacting with patients