Louisa Denomme | Western University Canada (original) (raw)

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Papers by Louisa Denomme

Research paper thumbnail of Primary health care teams' experience of electronic medical record use after adoption

Family medicine, 2011

This study explored the views and perspectives of primary health care providers participating in ... more This study explored the views and perspectives of primary health care providers participating in the DELPHI (Deliver Primary Healthcare Information) project regarding their experiences using electronic medical records (EMRs) in their practices 2 years after adoption. This research was conducted in follow up to a previous qualitative study looking at early EMR implementation experiences. This descriptive qualitative study explored the experiences of 19 participants. Semi-structured interviews were conducted. Both individual and team analyses were performed. Emergent from the data were five interwoven elements of team behavior when using the EMR. Consistent data entry was imperative to successful EMR utilization. The EMR software was utilized differently depending on the role of the team member. Team members continued to seek out a team champion/problem solver to help overcome obstacles. Communication was enhanced by using the common messaging system within the EMR. Finally, success with certain functions such as communication, champion enthusiasm, and recognition of the value of the EMR encouraged others to learn additional features and advanced the adoption process. These findings illuminate important elements of team behavior that promoted EMR adoption and provide insight for primary health care providers moving through the continuum of initial to advanced EMR adoption.

Research paper thumbnail of Feedback and training tool to improve provision of preventive care by physicians using EMRs: a randomised control trial

Informatics in primary care, 2011

Electronic medical records (EMRs) have the potential to improve the provision of preventive care ... more Electronic medical records (EMRs) have the potential to improve the provision of preventive care by allowing general practitioners (GPs) to track and recall eligible patients and record testing for feedback on their service provision. This study evaluates the effect of an educational intervention and feedback tool designed to teach GPs how to use their EMRs to improve their provision of preventive care. A randomised controlled trial comparing rates of mammography, Papanicolaou tests, faecal occult blood tests and albumin creatinine ratios one-year pre- and post-intervention was conducted. Nine primary care practices (PCPs) representing over 30 000 patients were paired by practice size and experience of GPs, and randomly allocated to intervention or control groups. Physicians at the four intervention practices received a two-hour feedback session on their current level of preventive care and training to generate eligible patient lists for preventive services from their EMR database. One-year post-intervention results provided no evidence of a difference. The intervention was not a significant predictor of the one-year postintervention test rates for any of the four tests. On average, the intervention practices increased postintervention test rates on all tests by 16.8%, and control practices increased by 22.3%. The non-significant results may be due to a variety of reasons, including the level of intensity of the educational intervention, the cointervention of a government programme which provided incentives to GPs meeting specific targets for preventive care testing or the level of recording of tests performed in the EMR.

Research paper thumbnail of Perspectives on electronic medical record implementation after two years of use in primary health care practice

Journal of the American Board of Family Medicine : JABFM

Purpose: This qualitative study explored the experiences of primary health care providers and sta... more Purpose: This qualitative study explored the experiences of primary health care providers and staff who had moved beyond the stage of implementing electronic medical records (EMRs) in their practices to using this technology on an on-going basis.

Research paper thumbnail of Quality of congestive heart failure care: assessing measurement of care using electronic medical records

Canadian family physician Médecin de famille canadien, 2010

OBJECTIVE To study the feasibility of using electronic medical record (EMR) data from the Deliver... more OBJECTIVE To study the feasibility of using electronic medical record (EMR) data from the Deliver Primary Healthcare Information (DELPHI) database to measure quality of care for patients with congestive heart failure (CHF) in primary care and to determine the percentage of patients with CHF receiving the recommended care.

Research paper thumbnail of Primary health care teams' experience of electronic medical record use after adoption

Family medicine, 2011

This study explored the views and perspectives of primary health care providers participating in ... more This study explored the views and perspectives of primary health care providers participating in the DELPHI (Deliver Primary Healthcare Information) project regarding their experiences using electronic medical records (EMRs) in their practices 2 years after adoption. This research was conducted in follow up to a previous qualitative study looking at early EMR implementation experiences. This descriptive qualitative study explored the experiences of 19 participants. Semi-structured interviews were conducted. Both individual and team analyses were performed. Emergent from the data were five interwoven elements of team behavior when using the EMR. Consistent data entry was imperative to successful EMR utilization. The EMR software was utilized differently depending on the role of the team member. Team members continued to seek out a team champion/problem solver to help overcome obstacles. Communication was enhanced by using the common messaging system within the EMR. Finally, success with certain functions such as communication, champion enthusiasm, and recognition of the value of the EMR encouraged others to learn additional features and advanced the adoption process. These findings illuminate important elements of team behavior that promoted EMR adoption and provide insight for primary health care providers moving through the continuum of initial to advanced EMR adoption.

Research paper thumbnail of Feedback and training tool to improve provision of preventive care by physicians using EMRs: a randomised control trial

Informatics in primary care, 2011

Electronic medical records (EMRs) have the potential to improve the provision of preventive care ... more Electronic medical records (EMRs) have the potential to improve the provision of preventive care by allowing general practitioners (GPs) to track and recall eligible patients and record testing for feedback on their service provision. This study evaluates the effect of an educational intervention and feedback tool designed to teach GPs how to use their EMRs to improve their provision of preventive care. A randomised controlled trial comparing rates of mammography, Papanicolaou tests, faecal occult blood tests and albumin creatinine ratios one-year pre- and post-intervention was conducted. Nine primary care practices (PCPs) representing over 30 000 patients were paired by practice size and experience of GPs, and randomly allocated to intervention or control groups. Physicians at the four intervention practices received a two-hour feedback session on their current level of preventive care and training to generate eligible patient lists for preventive services from their EMR database. One-year post-intervention results provided no evidence of a difference. The intervention was not a significant predictor of the one-year postintervention test rates for any of the four tests. On average, the intervention practices increased postintervention test rates on all tests by 16.8%, and control practices increased by 22.3%. The non-significant results may be due to a variety of reasons, including the level of intensity of the educational intervention, the cointervention of a government programme which provided incentives to GPs meeting specific targets for preventive care testing or the level of recording of tests performed in the EMR.

Research paper thumbnail of Perspectives on electronic medical record implementation after two years of use in primary health care practice

Journal of the American Board of Family Medicine : JABFM

Purpose: This qualitative study explored the experiences of primary health care providers and sta... more Purpose: This qualitative study explored the experiences of primary health care providers and staff who had moved beyond the stage of implementing electronic medical records (EMRs) in their practices to using this technology on an on-going basis.

Research paper thumbnail of Quality of congestive heart failure care: assessing measurement of care using electronic medical records

Canadian family physician Médecin de famille canadien, 2010

OBJECTIVE To study the feasibility of using electronic medical record (EMR) data from the Deliver... more OBJECTIVE To study the feasibility of using electronic medical record (EMR) data from the Deliver Primary Healthcare Information (DELPHI) database to measure quality of care for patients with congestive heart failure (CHF) in primary care and to determine the percentage of patients with CHF receiving the recommended care.

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