Abstract
Objective
Electronic medical records (EMR) may increase the safety and efficiency of healthcare. Anesthesia care is a significant component of the perioperative period, yet little is known about the adoption of anesthesia information management systems (AIMS) by US anesthesiologists, particularly in non-academic settings. Herein, we report the results of a survey of US anesthesiologists regarding adoption of AIMS and anesthesiologist-perceived advantages and barriers to AIMS adoption.
Methods
Using the e-mail database of the American Society of Anesthesiologists, we solicited randomly selected US anesthesiologists to participate in a survey of their AIMS adoption, perceived advantages and barriers to AIMS. Two and then 3 weeks after the initial mailing, a follow-up e-mail was sent to each anesthesiologist. The study was closed 4 weeks after the initial mailing.
Results
Five thousand anesthesiologists were solicited; 615 (12.3%) responses were received. Twenty-four percent of respondents had installed an AIMS, while 13% were either installing a system now or had selected one, and an additional 13% were actively searching. Larger anesthesiology groups with large case loads, urban settings, and government affiliated or academic institutions were more likely to have adopted AIMS. Initial cost was the most frequently cited AIMS barrier. The most commonly cited benefit was more accurate clinical documentation (79%), while unanticipated need for ongoing information technology support (49%) and difficult integration of AIMS with an existing EMR (61%) were the most commonly cited problems. There were no barriers cited significantly more often by non-adopters than adopters.
Conclusions
At least 50% of our survey respondents were currently using, installing, planning to install, or searching for an AIMS. However, the strength of any conclusion is undermined by a low survey response rate and potential bias as respondents using or searching for an AIMS may be more likely to participate. Nonetheless, challenges exist for anesthesiologists considering AIMS adoption including cost. Furthermore, important questions remain regarding payment for anesthesia services and the relationship of AIMS and “meaningful use” as defined by the Centers for Medicare & Medicaid Services.
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References
Bates DW, Gawande AA. Improving safety with information technology. N Engl J Med. 2003;348:2526–2534.
DesRoches CM, Campbell EG, Rao SR, Donelan K, Ferris TG, Jha A, Kaushal R, Levy DE, Rosenbaum S, Shields AE, Blumenthal D. Electronic health records in ambulatory care—a national survey of physicians. N Engl J Med. 2008;359:50–60.
Jha AK, DesRoches CM, Campbell EG, Donelan K, Rao SR, Ferris TG, Shields A, Rosenbaum S, Blumenthal D. Use of electronic health records in U.S. hospitals. N Engl J Med. 2009;360:1628–1638.
AHA. Hospital statistics 2009 Edition. Chicago: American Hospital Association and Health Forum, LLC; 2009.
Mueller JT, Trentman TL. Electronic health records in hospitals. N Engl J Med 2009;361:421; author reply 2.
Egger Halbeis CB, Epstein RH, Macario A, Pearl RG, Grunwald Z. Adoption of anesthesia information management systems by academic departments in the United States. Anesth Analg. 2008;107:1323–1329.
Kheterpal S, Gupta R, Blum JM, Tremper KK, O’Reilly M, Kazanjian PE. Electronic reminders improve procedure documentation compliance and professional fee reimbursement. Anesth Analg. 2007;104:592–597.
Spring SF, Sandberg WS, Anupama S, Walsh JL, Driscoll WD, Raines DE. Automated documentation error detection and notification improves anesthesia billing performance. Anesthesiology. 2007;106:157–163.
Wax DB, Beilin Y, Levin M, Chadha N, Krol M, Reich DL. The effect of an interactive visual reminder in an anesthesia information management system on timeliness of prophylactic antibiotic administration. Anesth Analg. 2007;104:1462–1466.
Muravchick S, Caldwell JE, Epstein RH, Galati M, Levy WJ, O’Reilly M, Plagenhoef JS, Rehman M, Reich DL, Vigoda MM. Anesthesia information management system implementation: a practical guide. Anesth Analg. 2008;107:1598–1608.
Sandberg WS. Anesthesia information management systems: almost there. Anesth Analg. 2008;107:1100–1102.
http://www.cms.gov/EHRIncentivePrograms/Last accessed May 3, 2011.
http://www.asahq.org/For-the-Public-and-Media/Press-Room/News-Archives/CMS-and-ONC-Release-Final-EHR-Rules.aspx Last accessed May 3, 2011.
http://www.asahq.org/For-Members/Advocacy/Washington-Alerts/ASA-Recommends-Changes-to-Meaningful-Use-Criteria-of-EHRs.aspx Last accessed May 3, 2011.
Balust J, Egger Halbeis CB, Macario A. Prevalence of anaesthesia information management systems in university-affiliated hospitals in Europe. Eur J Anaesthesiol. 2010;27:202–208.
Feldman JM. Do anesthesia information systems increase malpractice exposure? Results of a survey. Anesth Analg. 2004;99:840–843.
Stonemetz J. Market penetration of AIMS. ASA Newslett. 2010;74:40–41.
Acknowledgments
The authors wish to thank Celeste Kirschner of the ASA for assistance with survey distribution, Jason Byrd JD and Chip Amoe JD, ASA, Office of Governmental Affairs, for editorial assistance regarding “meaningful use” regulation, and Donna Goede of the Survey Research Center, Mayo Clinic Rochester, for assistance with survey development. This study is funded by Mayo Clinic Arizona.
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Trentman TL, Mueller JT, Ruskin KJ, Noble BN, Doyle CA. Adoption of anesthesia information management systems by US anesthesiologists.
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Trentman, T.L., Mueller, J.T., Ruskin, K.J. et al. Adoption of anesthesia information management systems by US anesthesiologists. J Clin Monit Comput 25, 129–135 (2011). https://doi.org/10.1007/s10877-011-9289-x
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DOI: https://doi.org/10.1007/s10877-011-9289-x