1097: Middle Cerebral Artery Peak Systolic Velocity predicts neonatal hematocrit (HCT) in Congenital Heart Disease (CHD)

Abstract

To characterize information technology (IT) platforms used by maternal-fetal medicine (MFM) practices in the USA. STUDY DESIGN: The Practice Management Division of SMFM administered the Operational Benchmarking Survey to MFM practices recruited by nationwide e-mail and social media solicitation. The online Survey, conducted in the Spring of 2019, comprised >120 questions examining aspects of MFM practice during calendar year 2018. Response data are summarized to provide benchmark information. RESULTS: 45 MFM practices participated, representing 26 USA states and 315 MFM providers. An electronic medical record (EMR) was used by 44 of the practices (98%). Ten different commercial EMRs were used, of which 5 were used by 84% of practices (Figure 1). Interface of the practice EMR to the hospital EHR was reported as Complete or Partial by all Epic users, a majority of Cerner users (3 of 4), and by less than half the users of the other systems. Practices reported that information technology (IT) infrastructure was maintained by a hospital (44%), practice or medical group (28%), contracted external vendor (9%), or a combination of these (18%). IT maintenance expenses were paid by hospital (38%), practice or medical group (55%), or a combination of sources (7%). Telehealth was used for patient evaluation and management visits (E&M) in 33% of practices and teleradiology or remote US reading in 44% (Table). We did not ask for names of commercial systems or platforms used for telemedicine services. Telehealth E&M visits were more common among Corporate-or-Independent practices than among Hospital-based-or-University practices (55% vs 16%, p¼0.04, Chi squared test). CONCLUSION: These data provide a "snapshot" of IT platforms used by a sample of MFM practices. Utilization is generally similar among different types of practice. There is a need for better integration of practice EMRs to hospital EMRs.