HSR&D Citation Abstract
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Does incorporation of a clinical support template in the electronic medical record improve capture of wound care data in a cohort of veterans with diabetic foot ulcers?
Lowe JR, Raugi GJ, Reiber GE, Whitney JD. Does incorporation of a clinical support template in the electronic medical record improve capture of wound care data in a cohort of veterans with diabetic foot ulcers? Journal of Wound, Ostomy, and Continence Nursing : Official Publication of The Wound, Ostomy and Continence Nurses Society / Wocn. 2013 Mar 1; 40(2):157-62.
The purpose of this cohort study was to evaluate the effect of a 1-year intervention of an electronic medical record wound care template on the completeness of wound care documentation and medical coding compared to a similar time interval for the fiscal year preceding the intervention.
From October 1, 2006, to September 30, 2007, a "good wound care" intervention was implemented at a rural Veterans Affairs facility to prevent amputations in veterans with diabetes and foot ulcers. The study protocol included a template with foot ulcer variables embedded in the electronic medical record to facilitate data collection, support clinical decision making, and improve ordering and medical coding.
The intervention group showed significant differences in complete documentation of good wound care compared to the historic control group (? = 15.99, P < .001), complete documentation of coding for diagnoses and procedures (? = 30.23, P < .001), and complete documentation of both good wound care and coding for diagnoses and procedures (? = 14.96, P < .001).
An electronic wound care template improved documentation of evidence-based interventions and facilitated coding for wound complexity and procedures.