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Implementing a Medical-Dental Integrated Electronic Health Record (iEHR) Environment

Marshfield Clinic's Cattails Dental

Founded in 1916, Marshfield Clinic is one of the largest comprehensive medical systems in the nation. This 777-physician, 6519-employee multi-specialty group practice provides patient care, research and medical education across 49 Wisconsin locations. Family Health Center of Marshfield, Inc. (FHC) in partnership with Marshfield Clinic has been serving low-income, underinsured and uninsured individuals since March 1974. FHC has been providing on-site dental services since the fall of 2002. Currently, FHC operates six dental sites with two additional sites scheduled to go live in the summer of 2010. CattailsMD, the internally developed Electronic Health Record (EHR) at Marshfield Clinic in Wisconsin, is one of the oldest electronic medical records systems in the country, with coded diagnoses back to 1960. CattailsMD is also the first internally developed EHR to be certified by the Certification Commission for Health-care Information Technology (CCHIT). Marshfield Clinic is currently developing a comprehensive medical-dental integrated electronic health record (iEHR) environment. As part of this initiative, a beta version of the dental module, CattailsDental has been implemented and successfully rolled out in all of the six dental centers of Family Health Center of Marshfield, Inc. across Central and Northern Wisconsin. The CattailsDental system is a system designed specifically for a sharing of patient’s health information between physicians and dentists within the Marshfield Clinic healthcare delivery system and St. Joseph’s Hospital a 524-bed acute healthcare facility. CattailsDental has been developed based on an open-source dental software platform, Open Dental (Salem, OR). The beta version of the CattailsDental includes: a dental dashboard, workflow management tools including tooth charting, periodontal charting and treatment planning; access to centralized medications, allergies, special conditions, problems list, demographics and HIPAA forms; access to medical appointments to support better coordination of care; and highly secure remote access supporting alternate devices (laptops and tablets).

Type of project: industry


Involved Persons:

Project Leader: Gregory Nycz and Amit Acharya (Marshfield Clinic)
Other involved People: Fred Eichmiller, Justin Starren, John Melski, Carl Christensen, Terri Kleutsch, Kim Cumming, Jeffrey Luke, Andrea Mahnke, Brad Kowalski, Tammy Frieders, Tammy Zimmerman, Peter Shave, Annie Steinmetz, Matt Ekenstedt


Is the project funded?yes
Funding source:Delta Dental of Wisconsin and Family Health Center of Marshfield, Inc.

Other information:

Duration of project:Long Term

DIOC user:

amit acharya (34 star_turquoise), Marshfield Clinic Research Foundation
amit acharya's interests: digital imaging/image processing, clinical decision support, educational technology, practice management, computer-based patient records, patients and computers/consumer health informatics, implementation/maintenance of IT, evidence-based dentistry/electronic information resources, research methods, library information sciences, diagnostic and therapeutic technologies, Electronic Dental Records Information Model, Standards Development


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