title: A provider-interactive medical record system can favorably influence costs and quality of medical care.
abstract: The Geriatric Record and Multidisciplinary Planning System (GRAMPS) is a provider-interactive computerized medical record system designed to support outpatient geriatric practice in Department of Veterans Affairs (DVA) clinics. In a controlled prospective study, physician use of the system was demonstrated to be associated with a reduction of the costs, and improvement in the quality and outcomes of patient care. The system was well-accepted by users, and provided a practical approach to physician data-entry. The system's text-handling and narrative generation capabilities support an extensive clinical content domain, contributing to overall performance. These features will be described in detail.
authors.affiliation: Health Services Research and Development, American Lake VA Medical Center, Tacoma, WA 98493.
authors.forename: K W
authors.initials: KW
authors.lastname: Hammond
authors.forename: R J
authors.initials: RJ
authors.lastname: Prather
authors.forename: V V
authors.initials: VV
authors.lastname: Date
authors.forename: C A
authors.initials: CA
authors.lastname: King
mesh_terms: D000368:Aged; D000555:Ambulatory Care Information Systems / Q000191:economics*; D002140:California; D005260:Female; D006299:Health Services for the Aged / Q000458:organization & administration*; D006760:Hospitalization; D006801:Humans; D008297:Male; D016347:Medical Records Systems, Computerized / Q000191:economics*; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration* / Q000706:statistics & numerical data; D011446:Prospective Studies; D011787:Quality of Health Care; D012984:Software