Emergency EMR Created in a Week to Respond to COVID-19 Crisis

A team from Regenstrief Institute leveraged OpenMRS, a global open-source EMR, to create -- in a week -- an emergency EMR for first responders preparing for a possible influx of COVID-19 patients. Lessons learned can be applied to future health crises. Courtesy of Regenstrief Institute

A team from Regenstrief Institute leveraged OpenMRS, a global open-source electronic medical record (EMR), to create an emergency EMR for Indianapolis first responders preparing for a possible influx of COVID-19 patients. This process was completed in a week to allow Indianapolis Emergency Medical Services (IEMS) to register patients, collect basic clinical information, and send these encounters to Indiana's health information exchange, a crucial element to help the response to the COVID-19 pandemic.

IEMS asked Regenstrief research scientists for help as they made plans to create a triage center to treat patients in case the health system in Indianapolis became overwhelmed with COVID-19 patients. IEMS needed a faster, easier way to collected patient information and to send these data to the Indiana Network for Patient Care (INPC), which is managed by the Indiana Health Information Exchange (IHIE). This way patient records would be accessible to health systems and doctors during future visits.

Most EMRs are from large software vendors and vary by health systems. IEMS did not have access to one.

"Our entire team jumped into action, employing the open source system available in OpenMRS," said Jonathan J. Dick, MD, a project leader and member of Regenstrief's Global Health Informatics program. "We worked with IHIE and IEMS to create forms to enter relevant COVID-19 data into the INPC. Within one week, we were prepared to make the interface live. Thankfully, we never needed to break the glass because the healthcare systems in the state did not become overwhelmed."

This work demonstrates that it is possible to leverage existing tools to create EMRs in emergency situations to improve crisis response.

"We learned valuable lessons from this experience that can be applied to future emergencies. This system can be adapted to work in other states or even countries, and it can be done very quickly," said Burke Mamlin, MD, a project leader and member of Regenstrief's Global Health Informatics program. "This shows the value of open source and how it can lead to global goods that can benefit us in the United States."

Regenstrief Institute helped to found OpenMRS, which is used to build and manage health systems in underserved countries. The institute continues to be a leader in the worldwide volunteer network, helping with technical direction, implementation and innovation.

The process of creating the EMR was laid out in the peer-reviewed paper "OpenMRS as an Emergency EMR - How we used a Global Good to create an Emergency EMR in a Week" published in the International Journal of Medical Informatics online ahead of print.

In addition to Mamlin and Dick, other authors on the paper are Jennifer E. Shivers, MFA, of Regenstrief Institute and Nancy K. Glober, MD, of Indiana University School of Medicine.

Source: Regenstrief Institute

 

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