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Use Cases for Historical Records in the ER

In this episode, host Shannon Larkin and Dr. Mark Kricheff, Emergency Physician and Clinical Informaticist at Saint Joseph Health System in Indiana, cover examples of how legacy data and historical records are used in treating patients in the ER. 

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Key Moments

(0:10) The conversation kicks off with Larkin introducing Dr. Kricheff and the topic – use cases for historical records in the ER. 

(2:18) Dr. Kricheff discusses how he uses legacy data in the ER and examples of situations where he might need to access a patient’s complete medical history to properly treat them in the ER (i.e. if they come in unresponsive, suffering from dementia, poor healthcare literacy). 

(3:25) Dr. Kricheff answers Larkin’s next question on examples of when access to legacy data can be valuable when the patient is responsive. Kricheff responds with an example of getting a result that is abnormal, chronically or acutely, from a CT scan. Then he can then look into that patient’s legacy record to see if they had a CT scan five years ago and compare the scans, which drastically improves the value of repeat imaging. 

(4:37) Larkin asks Dr. Kricheff for a use case where non-clinical data can be particularly helpful. Dr. Kricheff responds that knowing who the provider is for a patient is very important so doctors can continue to provide care and maintain their patients within their health system. He can look at a patient’s history and contact other doctors in that health system to ask questions if necessary for treating patients.  

(6:52) Larkin points out Dr. Kricheff’s health system recently went through a system transition and asks him for advice for clinicians or provider organizations who are going through a similar system switch. He responds that it is important to spend time and figure out a plan on how your organization will access legacy data moving forward with your IT team and medical staff, so it is easily accessible to those who need it.  



Shannon Larkin, VP of Marketing and Business Development, utilizes her 25+ years of health IT experience to connect healthcare organizations with a team of experts that consolidate and modernize data storage to reduce cost and risk.

Dr. Mark Kricheff, MD, MPH, FAAEM, Emergency Physician and Clinical Informaticist at Saint Joseph Health System in Indiana, has been practicing emergency medicine full-time since 1994 and clinical informatics part-time since 1998. He completed his residency in emergency medicine at Thomas Jefferson University Hospital in Philadelphia in 1997 and became Board Certified in Emergency Medicine (ABEM) and a Fellow of the American Academy of Emergency Medicine in 1999. Dr. Kricheff  is  an Assistant Clinical Professor of Emergency Medicine at Indiana University School of Medicine at the South Bend Campus. He currently serves as vice-president of the medical staff for St. Joseph Health System in Mishawaka, Indiana.


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