View source for Willey C. The mother of invention. A physician-owned medical group builds its own clinical decision support tool and brings it to the open market. Health Manag Technol. 2007 Aug;28(8):12-5.

'''Introduction:''' The small, 60-physicians primary care provider created a new way to “challenge the status quo related to patient care, cost and physician reimbursement.” They came up with decision support software at the point of care --- at the point of decision making.

'''Objective:''' To reduce medical errors in small and medium-sized practice groups. Specifically, to resolve the problem related to their being “little time to keep appraised of the latest information on various medications, their efficacy and how much they actually cost.”

'''Results:'''

12 percent savings in the costs of new prescriptions and refills.

Generic prescribing rates had all climbed to about 75 percent.

Esse Health's (their subsequently formed company) came up with diagnosis-driven (4000 diagnoses included) electronic prescribing software called Purkinje that guides clinicians’ prescribing decisions by presenting prescription costs, efficacy, and “adverse effects and short- and long-term outcomes of treatment strategies for common problems in pharmacotherapy.”

'''Comments:''' One of the doctors that used the system had said it helped him by preventing him from harming patients. Another doctor had saved his patient saved 1800 per year in prescription costs. This system clearly increases the quality of healthcare while lowering cost.
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--[[User:Crawford|Crawford]] 14:56, 1 November 2007 (CDT)