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The Journal of Bone and Joint Surgery 82:1494 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

SYMPOSIUM

The Emerging Impact of the Information Age on Orthopaedic Surgery*

Implementation of a Computer-Based Patient Record and an Outcomes Data-Collection System at the Department of Orthopaedic Surgery, University of Iowa

Richard C. Johnston, M.D., M.S.

American Orthopaedic Association
*Presented at the Annual Meeting of the American Orthopaedic Association, Sun Valley, Idaho, June 7, 1999.
Address for R. C. Johnston: Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, JPP 01016, Iowa City, Iowa 52242. E-mail address for R. C. Johnston: richard-johnston@uiowa.edu.


   Introduction
 
The goal of this presentation is to report our experiences to date with implementation of a computer-based patient record along with a system for the collection of patient health-status outcomes data as an integral part of routine patient care in the orthopaedic department. We are "going live" in our first clinic as this is written. Therefore, this is a report of all activity leading up to this point in the project.


   Background
 
An excellent argument for the collection of health-status outcomes data in orthopaedics was recently published3. Health-status outcomes data are defined as data about the state of health, the primary disease, and comorbidities before and after an appropriate interval following the application of a selected treatment strategy. It is widely agreed that collection of these data is important; however, they are collected rarely, and for practical purposes they are never collected in a sustained, generalized manner. Most policy analyses . . . [Full Text of this Article]


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