Adsit Robert T, Fox Bradley M, Tsiolis Thanos, Ogland Carolyn, Simerson Michelle, Vind Linda M, Bell Sean M, Skora Amy D, Baker Timothy B, Fiore Michael C
School of Medicine and Public Health, University of Wisconsin Center for Tobacco Research and Intervention, 1930 Monroe Street, Suite 200, Madison, WI 53711 USA.
Epic Systems Corporation, Verona, WI USA.
Transl Behav Med. 2014 Sep;4(3):324-32. doi: 10.1007/s13142-014-0259-y.
Few smokers receive evidence-based tobacco treatment during healthcare visits. Electronic health records (EHRs) present an opportunity to efficiently identify and refer smokers to state tobacco quitlines. The purpose of this case study is to develop and evaluate a secure, closed-loop EHR referral system linking patients visiting healthcare clinics with a state tobacco quitline. A regional health system, EHR vendor, tobacco cessation telephone quitline vendor, and university research center collaborated to modify a health system's EHR to create an eReferral system. Modifications included the following: clinic workflow adjustments, EHR prompts, and return of treatment delivery information from the quitline to the patient's EHR. A markedly higher percentage of adult tobacco users were referred to the quitline using eReferral than using the previous paper fax referral (14 vs. 0.3 %). The eReferral system increased the referral of tobacco users to quitline treatment. This case study suggests the feasibility and effectiveness of a secure, closed-loop EHR-based eReferral system.
很少有吸烟者在就诊时接受循证烟草治疗。电子健康记录（EHR）为有效识别吸烟者并将其转介至州戒烟热线提供了契机。本案例研究的目的是开发并评估一种安全的闭环EHR转诊系统，该系统将前往医疗诊所就诊的患者与州戒烟热线相连接。一个区域卫生系统、EHR供应商、戒烟电话热线供应商以及大学研究中心合作，对一个卫生系统的EHR进行修改，以创建一个电子转诊系统。修改内容包括：诊所工作流程调整、EHR提示，以及将治疗交付信息从戒烟热线返回至患者的EHR。与使用先前的纸质传真转诊相比，使用电子转诊被转介至戒烟热线的成年烟草使用者比例显著更高（14%对0.3%）。电子转诊系统增加了烟草使用者被转介至戒烟热线治疗的比例。本案例研究表明了一种基于EHR的安全闭环电子转诊系统的可行性和有效性。
