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Lung Cancer Patients the Centerpiece for Northwestern Medicine Quality of Care Study
Date:11/18/2010

aff in the electronic health record.  For example post-operative pain is assessed on a 0 to 10 scale by the nursing staff at least every 4 hours.  These pain scores are recorded in the vital signs area of the record and any score greater than 3 mandates an intervention (change in medication and/or dose) with a follow-up pain assessment in the next hour.  As the record is electronic, the original pain score, the intervention and reassessment are date and time stamped when entered.  

At Northwestern, our Enterprise Data Warehouse (EDW) is able to generate a ProvenCare "electronic report card" combining and analyzing both our out-patient and in-patient records.  The EDW verifies when and how often each care element was completed and more importantly flags episodes where the best-practice standard was not met. This tally, which can be updated daily, is often a wake-up call for clinicians about consistency in routine.  

"ProvenCare methodology will allow us to rapidly identify potential problems electronically and provide timely feedback to the care team," said DeCamp. "That way, we can constantly be aware of and fix minor slips before there's a compounded affect.  It's a bit like simple rocket science – after blast off, if the rocket is a bit off course you can correct it pretty easily.  But if you wait too long to address it, it could crash jeopardizing the entire mission.   ProvenCare is a system that allows for constant and early course correction."

At the conclusion of the trial, outcomes from the six centers participating will be compared with those from non-participating centers who already report results to the STS National General Thoracic Database.  Based on results, ProvenCare could lead to improved care for all patients with operable lung cancer.  

For more information on Northwestern's thoracic surgery program, which addresses both benign (non-cancerous) and malig
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SOURCE Northwestern Memorial Hospital
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