|
Click on caduceus to search site.
| |
Welcome to the MsdC information page
We at MsdC are pleased to provide
our archive of articles, whitepapers and other
documents related to our products and company.
These documents are stored as HTML and Adobe Acrobat
files. When you select an Adobe Acrobat
document your system will automatically open up in
the Acrobat reader unless you do not have this
reader.
 Click on logo to
download Adobe Acrobat Reader
Articles, Documents and Notable Quotes
Articles
-
Empirical Derivation of an Electronic Clinically
Useful Problem Statement System,
by S.H. Brown, MD; R.A. Miller, MD; H.N. Camp,
BS; D.A. Guise, DrIng; H.K. Walker, MD,
Annals of Internal
Medicine, Vol 131; No. 2; 20 July 1999
(Adobe PDF format)
-
"The
Problem of Problems: can an empirical approach be
applied?", by H.N. Camp, BS; S.H. Brown, MD; H.K.
Walker, MD, Spring Congress of the
American Medical
Informatics Association, Boston, 1995.
-
Technical Challenges, Past and Future, In Implementing
THERESA - a one million patient, one
billion item patient record and decision support
system,
Health Care Information Infrastructure, 23
October, 1995
-
"Aspirin and nonsteroidal
anti-inflammatory drug use and the risk of
subsequent colorectal cancer"
by I. I. Peleg, H.T. Maibach, S. H. Brown, C.
M. Wilcox in Archives of Internal Medicine,
February 28, 1994.
-
The THERESA Computer-based Patient Record at Grady
memorial Hospital by Brown, S, Walker, HK, Camp H.
8th Annual International Symposium on the
Computerization of Medical Records of The
Medical Records Institute, New Orleans, LA 1992
-
Automated Patient Record System at Grady Memorial
Hospital, Walker HK; Camp H; Brown S.
American Public
Health Association, Atlanta, GA 1991
-
The THERESA Online Integrated Medical Record, Walker
HK; Camp H; Brown S.
Society of General Internal Medicine, Seattle,
WA 1991
Documentation
Notable Quotes
-
From The Institute of Medicine's
The Computer-based Patient Record:
"THERESA
is therefore one of the few clinical systems that
have successfully engaged physicians in direct
patient data entry."
"but the successful experiences discussed earlier
with such systems as ...THERESA...confirm the
existence of currently available alternative
approaches to capturing crucial clinical data
(including text) in the CPR."
-
From Aspects of the Computer-based Patient
Record by Drs. Marion Ball and Morris Collen:
"The system (THERESA) proves that the basic goal of
the Institute of Medicine project, a total
electronic patient record created by direct
provider entry with interactive decision support,
is obtainable with current technology."
-
"...it is a robust system..."
Report
by Kunitz and Associates to the Agency for Health
Care Policy and Research"
-
"THERESA ‘comes to work’ every day and does an
outstanding and high quality job. We could
never go back to a paper system.”
Hugh
Randall, MD
Chief OB/GYN, Grady Health System, Atlanta,
Georgia
-
"No one at Grady knows exactly how many lives THERESA has saved
since it went on-line in 1983. It is certain that the computerized
medical information system has speeded medical care delivery, improved
diagnosis accuracy, improved management decision-making, and cut costs at the
third largest hospital in the United States”
Dr. H. Kenneth Walker, M.D., Deputy Chief of
Medicine at Grady Health System, Atlanta Georgia
(Computers in Healthcare)
-
"Having access to THERESA from my office away from
Grady was a tremendous benefit in many ways, I was
able to spend a bit more time...seeing patients...I
was then able to do my chart work at a more
leisurely pace ...interspersing other office work
... I suspect that the patients had more documented
input from me into their care and, in addition,
there will likely be more successful billing for my
services."
Gerald W. Staton, Jr., MD
Crawford Long Hospital
-
"I
found the system...extremely easy to use, promoted
use of consistent problem oriented medical records,
and most importantly led to a very clear chart in
about half of the time spent compared to a
handwriting a note."
Charles E.N. Kinsella., MD
University of Indiana Medical Center
-
"To do
research you must know the magnitude and
demographics of the population, and THERESA is
immediate access to the potential numbers of
available patients and to a large number of their
characteristics and in particular their
comorbidities."
Dr.
Nanette Wenger, Director of the Grady Health
System Cardiac Clinics (GHS)
-
"The
growth of THERESA has continued to improve the
quality and timeliness of our service and has
essentially revolutionized the delivery of
radiological care at Grady."
Dr.
William Fajman, Chief of Radiology, Grady Health
System, and Professor of Radiology, Emory
University School of Medicine.
-
"THERESA increased our Radiology billings
$2,000,000 per year."
Phillip Lamson, Associate Director, Grady Health
System
-
A
young mother recently brought a desperately sick
four-week-old infant into the emergency ward of a
hospital. Physicians could see the child wasn't
getting enough oxygen. As they examined the baby,
doctors entered his name into the hospital's
computerized medical information system, THERESA,
designed and supported by Medical Systems
Development Corporation of Atlanta. The baby's name
and medical records popped up on the computer
screen-his birth and medical history were recorded
only four weeks before. The THERESA system
indicated multiple problems at birth that explained
why the infant was so desperately short of breath.
With this much information at their finger tips,
physicians were able to start appropriate
lifesaving treatment immediately.
An
event described by Dr. Ken Walker, Deputy Chief
of Medicine, Grady Health System in Computers
in Healthcare, p 36, March 1989.
-
"THERESA has liberated our staff for more
productive jobs while at the same time increasing
our charge capture by over $1,000,000 per year."
James Dorsey, Chief Pharmacist, Grady Health
System
-
The
Medical Director is notified that two patients with
spinal cord injuries had developed decubitus ulcers
(bed sores) within a day of arriving at a
spinal-care center. The question arises as to
whether nursing is afraid of increasing the damage
to the spinal cord and is not moving these patients
enough. If this is true, then a training program
must be implemented on the correct handling of
spinal injuries. As training will involve 1000
nurses, requiring such a program will be expensive,
disruptive, and demoralizing. But a major issue
involving patient care and potential liability may
exist and must be addressed. Is this an isolated
incident or illustrative of a significant problem?
How do you determine the comorbidity of decubitus
ulcers with all possible types of spinal cord
injuries in hundreds of thousands of medical
records? The Medical Director used the
sentence-building decision support tools in THERESA
to ask the following question:
List in key sequence the
keywords for Discharge Dx for all patients that had
a Discharge Dx of Decubitus Ulcer and did not have
and admitting Dx of Decubitus Ulcer.
"In two minutes THERESA searched 450,000
discharge diagnoses from 150,000 discharges,
displayed the comorbidities, and showed there was
no significant occurrence of decubitus ulcers in
relation to spinal cord injuries. The two cases
were isolated incidents and can be investigated on
their own."
An event described by Dr. Asa Yancey, former
Medical Director of Grady Memorial Hospital
- "The ultimate advantage of our computer system
is that it enhances our ability to provide our
patients with the best possible healthcare."
J.W. Pinkston, Jr., Grady Executive Director,
Grady Health System (GHS), 1963-1989
-
"It's an
elegant system with down to earth capabilities for
mental health."
Eric
Nelson, MD
Medical Director, Georgia Regional Hospital,
Atlanta, Georgia
- "I fought very hard against computers in the
beginning, but now, after using THERESA, it can be
a life saver and I don't know how we ever did
without it. It has the current patient data that is
valuable and it reduced my workload from one and
one-half hours before THERESA to five minutes after
THERESA."
Norma Unger, Assistant Head Nurse in
Psychiatry, Grady Health System
- "The folks at MsdC are wonderful to work with.
They are knowledgeable, disciplined and
responsive."
Lynn
Copeland
Operations Manager
Fulton
County MHMRSA Regional Board
Atlanta, Georgia
|
