Media that facilitate transportability of pertinent information concerning patient's illness across varied providers and geographic locations. Some versions include direct linkages to online consumer health information that is relevant to the health conditions and treatments related to a specific patient.
Computer-based systems for input, storage, display, retrieval, and printing of information contained in a patient's medical record.
Longitudinal patient-maintained records of individual health history and tools that allow individual control of access.
Public Law No: 111-5, enacted February 2009, makes supplemental appropriations for job preservation and creation, infrastructure investment, energy efficiency and science, assistance to the unemployed, and State and local fiscal stabilization, for fiscal year ending September 30, 2009.
Using certified ELECTRONIC HEALTH RECORDS technology to improve quality, safety, efficiency, and reduce HEALTHCARE DISPARITIES; engage patients and families in their health care; improve care coordination; improve population and public health; while maintaining privacy and security.
The broad dissemination of new ideas, procedures, techniques, materials, and devices and the degree to which these are accepted and used.
Protective measures against unauthorized access to or interference with computer operating systems, telecommunications, or data structures, especially the modification, deletion, destruction, or release of data in computers. It includes methods of forestalling interference by computer viruses or so-called computer hackers aiming to compromise stored data.
The field of information science concerned with the analysis and dissemination of medical data through the application of computers to various aspects of health care and medicine.
The freedom of patients to review their own medical, genetic, or other health-related records.
The attitude and behavior associated with an individual using the computer.
Information systems, usually computer-assisted, designed to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative activities associated with the provision and utilization of ambulatory care services and facilities.
Computer-based information systems used to integrate clinical and patient information and provide support for decision-making in patient care.
The creation and maintenance of medical and vital records in multiple institutions in a manner that will facilitate the combined use of the records of identified individuals.
The procedures involved in combining separately developed modules, components, or subsystems so that they work together as a complete system. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)
The privacy of information and its protection against unauthorized disclosure.
Data collected during dental examination for the purpose of study, diagnosis, or treatment planning.
Process of substituting a symbol or code for a term such as a diagnosis or procedure. (from Slee's Health Care Terms, 3d ed.)
Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)
Systematic organization, storage, retrieval, and dissemination of specialized information, especially of a scientific or technical nature (From ALA Glossary of Library and Information Science, 1983). It often involves authenticating or validating information.
The organization and operation of the business aspects of a physician's practice.
Information systems, usually computer-assisted, that enable providers to initiate medical procedures, prescribe medications, etc. These systems support medical decision-making and error-reduction during patient care.
Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.
The capacity of an organization, institution, or business to produce desired results with a minimum expenditure of energy, time, money, personnel, materiel, etc.
Data recorded by nurses concerning the nursing care given to the patient, including judgment of the patient's progress.
The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.
A management function in which standards and guidelines are developed for the development, maintenance, and handling of forms and records.
Those actions designed to carry out recommendations pertaining to health plans or programs.
Description of pattern of recurrent functions or procedures frequently found in organizational processes, such as notification, decision, and action.
The concept concerned with all aspects of providing and distributing health services to a patient population.
Controlled vocabulary of clinical terms produced by the International Health Terminology Standards Development Organisation (IHTSDO).
Recording of pertinent information concerning patient's illness or illnesses.
The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.
Use of sophisticated analysis tools to sort through, organize, examine, and combine large sets of information.
Any group of three or more full-time physicians organized in a legally recognized entity for the provision of health care services, sharing space, equipment, personnel and records for both patient care and business management, and who have a predetermined arrangement for the distribution of income.
Integrated, computer-assisted systems designed to store, manipulate, and retrieve information concerned with the administrative and clinical aspects of providing medical services within the hospital.
A scheme which provides reimbursement for the health services rendered, generally by an institution, and which provides added financial rewards if certain conditions are met. Such a scheme is intended to promote and reward increased efficiency and cost containment, with better care, or at least without adverse effect on the quality of the care rendered.
Organized activities related to the storage, location, search, and retrieval of information.
The room or rooms in which the physician and staff provide patient care. The offices include all rooms in the physician's office suite.
The use of COMPUTER COMMUNICATION NETWORKS to store and transmit medical PRESCRIPTIONS.
Referral by physicians to testing or treatment facilities in which they have financial interest. The practice is regulated by the Ethics in Patient Referrals Act of 1989.
The systematic application of information and computer sciences to public health practice, research, and learning.
A specified list of terms with a fixed and unalterable meaning, and from which a selection is made when CATALOGING; ABSTRACTING AND INDEXING; or searching BOOKS; JOURNALS AS TOPIC; and other documents. The control is intended to avoid the scattering of related subjects under different headings (SUBJECT HEADINGS). The list may be altered or extended only by the publisher or issuing agency. (From Harrod's Librarians' Glossary, 7th ed, p163)
The state of being free from intrusion or disturbance in one's private life or affairs. (Random House Unabridged Dictionary, 2d ed, 1993)
The construction or arrangement of a task so that it may be done with the greatest possible efficiency.
Management of the acquisition, organization, storage, retrieval, and dissemination of information. (From Thesaurus of ERIC Descriptors, 1994)
Descriptions and evaluations of specific health care organizations.
Institutional systems consisting of more than one health facility which have cooperative administrative arrangements through merger, affiliation, shared services, or other collective ventures.
Branch of medicine concerned with the prevention and control of disease and disability, and the promotion of physical and mental health of the population on the international, national, state, or municipal level.
Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.
Computer processing of a language with rules that reflect and describe current usage rather than prescribed usage.
Conduct and synthesis of systematic research comparing interventions and strategies to prevent, diagnose, treat, and monitor health conditions. The purpose of this research is to inform patients, providers, and decision-makers, responding to their expressed needs, about which interventions are most effective for which patients under specific circumstances. (hhs.gov/recovery/programs/cer/draftdefinition.html accessed 6/12/2009)
Integrated set of files, procedures, and equipment for the storage, manipulation, and retrieval of information.
Public Law 104-91 enacted in 1996, was designed to improve the efficiency and effectiveness of the healthcare system, protect health insurance coverage for workers and their families, and to protect individual personal health information.
The terms, expressions, designations, or symbols used in a particular science, discipline, or specialized subject area.
Innovation and improvement of the health care system by reappraisal, amendment of services, and removal of faults and abuses in providing and distributing health services to patients. It includes a re-alignment of health services and health insurance to maximum demographic elements (the unemployed, indigent, uninsured, elderly, inner cities, rural areas) with reference to coverage, hospitalization, pricing and cost containment, insurers' and employers' costs, pre-existing medical conditions, prescribed drugs, equipment, and services.
Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.
Individuals licensed to practice medicine.
The portion of an interactive computer program that issues messages to and receives commands from a user.
An American National Standards Institute-accredited organization working on specifications to support development and advancement of clinical and administrative standards for healthcare.
A standardized nomenclature for clinical drugs and drug delivery devices. It links its names to many of the drug vocabularies commonly used in pharmacy management.
A health care system which combines physicians, hospitals, and other medical services with a health plan to provide the complete spectrum of medical care for its customers. In a fully integrated system, the three key elements - physicians, hospital, and health plan membership - are in balance in terms of matching medical resources with the needs of purchasers and patients. (Coddington et al., Integrated Health Care: Reorganizing the Physician, Hospital and Health Plan Relationship, 1994, p7)
The circulation or wide dispersal of information.
The observation and analysis of movements in a task with an emphasis on the amount of time required to perform the task.
Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.
Introduction of changes which are new to the organization and are created by management.
Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.
Management of the acquisition, organization, retrieval, and dissemination of health information.
A system of record keeping in which a list of the patient's problems is made and all history, physical findings, laboratory data, etc. pertinent to each problem are placed under that heading.
Exploitation through misrepresentation of the facts or concealment of the purposes of the exploiter.
Design of patient care wherein institutional resources and personnel are organized around patients rather than around specialized departments. (From Hospitals 1993 Feb 5;67(3):14)
Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.
Spread and adoption of inventions and techniques from one geographic area to another, from one discipline to another, or from one sector of the economy to another. For example, improvements in medical equipment may be transferred from industrial countries to developing countries, advances arising from aerospace engineering may be applied to equipment for persons with disabilities, and innovations in science arising from government research are made available to private enterprise.
The detection of long and short term side effects of conventional and traditional medicines through research, data mining, monitoring, and evaluation of healthcare information obtained from healthcare providers and patients.
The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)
Process of teaching a person to interact and communicate with a computer.
Examination of the mouth and teeth toward the identification and diagnosis of intraoral disease or manifestation of non-oral conditions.
The sum total of nursing activities which includes assessment (identifying needs), intervention (ministering to needs), and evaluation (validating the effectiveness of the help given).
Individual's rights to obtain and use information collected or generated by others.
A professional society in the United States whose membership is composed of hospitals.
A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area.
The attainment or process of attaining a new level of performance or quality.
Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.
Systems used to prompt or aid the memory. The systems can be computerized reminders, color coding, telephone calls, or devices such as letters and postcards.
Encouraging consumer behaviors most likely to optimize health potentials (physical and psychosocial) through health information, preventive programs, and access to medical care.
Organized procedures for establishing patient identity, including use of bracelets, etc.
Facilities which administer the delivery of health care services to people living in a community or neighborhood.
Uniform method for health care providers and medical suppliers to report professional services, procedures, and supplies. It consists of alphanumeric codes and modifiers for the use of all public and private health insurers. It is developed by the Centers for Medicare and Medicaid Services.
A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.
Men and women working in the provision of health services, whether as individual practitioners or employees of health institutions and programs, whether or not professionally trained, and whether or not subject to public regulation. (From A Discursive Dictionary of Health Care, 1976)
Efforts to reduce risk, to address and reduce incidents and accidents that may negatively impact healthcare consumers.
Providers of initial care for patients. These PHYSICIANS refer patients when appropriate for secondary or specialist care.
Descriptive terms and identifying codes for reporting medical services and procedures performed by PHYSICIANS. It is produced by the AMERICAN MEDICAL ASSOCIATION and used in insurance claim reporting for MEDICARE; MEDICAID; and private health insurance programs (From CPT 2002).
Compliance with a set of standards defined by non-governmental organizations. Certification is applied for by individuals on a voluntary basis and represents a professional status when achieved, e.g., certification for a medical specialty.
The state wherein the person is well adjusted.
Individuals professionally qualified in the management of patients' records. Duties may include planning, designing, and managing systems for patient administrative and clinical data, as well as patient medical records. The concept includes medical record technicians.
Sequential operating programs and data which instruct the functioning of a digital computer.
Software used to locate data or information stored in machine-readable form locally or at a distance such as an INTERNET site.
Messages between computer users via COMPUTER COMMUNICATION NETWORKS. This feature duplicates most of the features of paper mail, such as forwarding, multiple copies, and attachments of images and other file types, but with a speed advantage. The term also refers to an individual message sent in this way.
Adjunctive computer programs in providing drug treatment to patients.
Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.
The state of the organism when it functions optimally without evidence of disease.
A cabinet department in the Executive Branch of the United States Government concerned with overall planning, promoting, and administering programs pertaining to VETERANS. It was established March 15, 1989 as a Cabinet-level position.
Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).
A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange.
Public attitudes toward health, disease, and the medical care system.
A legal concept for individuals who are designated to act on behalf of persons who are considered incapable of acting in their own behalf, e.g., minors and persons found to be not mentally competent.
The transferring of patient care responsibility from one health-care professional to another.
Component of the NATIONAL INSTITUTES OF HEALTH. It conducts and supports research into the mapping of the human genome and other organism genomes. The National Center for Human Genome Research was established in 1989 and re-named the National Human Genome Research Institute in 1997.
Methods for quantitatively assessing and measuring interpersonal and group relationships.
Medical complexes consisting of medical school, hospitals, clinics, libraries, administrative facilities, etc.
The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.
A system containing any combination of computers, computer terminals, printers, audio or visual display devices, or telephones interconnected by telecommunications equipment or cables: used to transmit or receive information. (Random House Unabridged Dictionary, 2d ed)
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Long-term care facilities which provide supervision and assistance in activities of daily living with medical and nursing services when required.
The process of formulating, improving, and expanding educational, managerial, or service-oriented work plans (excluding computer program development).
Diagnostic, therapeutic and preventive health services provided for individuals in the community.
Management of the internal organization of the hospital.
Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.
For-profit enterprise with relatively few to moderate number of employees and low to moderate volume of sales.
Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.
The legal relation between an entity (individual, group, corporation, or-profit, secular, government) and an object. The object may be corporeal, such as equipment, or completely a creature of law, such as a patent; it may be movable, such as an animal, or immovable, such as a building.
A heterogeneous group of disorders characterized by HYPERGLYCEMIA and GLUCOSE INTOLERANCE.
Public or private organizations that provide, either directly or through arrangements with other organizations, home health services in the patient's home. (Hospital Administration Terminology, 2d ed)
Planning for needed health and/or welfare services and facilities.
Those facilities which administer health services to individuals who do not require hospitalization or institutionalization.
Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)
Coordination of activities and programs among health care institutions within defined geographic areas for the purpose of improving delivery and quality of medical care to the patients. These programs are mandated under U.S. Public Law 89-239.
Behaviors expressed by individuals to protect, maintain or promote their health status. For example, proper diet, and appropriate exercise are activities perceived to influence health status. Life style is closely associated with health behavior and factors influencing life style are socioeconomic, educational, and cultural.
The protection of genetic information about an individual, family, or population group, from unauthorized disclosure.
Automated systems applied to the patient care process including diagnosis, therapy, and systems of communicating medical data within the health care setting.
Terms or expressions which provide the major means of access by subject to the bibliographic unit.
Customer satisfaction or dissatisfaction with a benefit or service received.
Therapeutic approach tailoring therapy for genetically defined subgroups of patients.
Management review designed to evaluate efficiency and to identify areas in need of management improvement within the institution in order to ensure effectiveness in meeting organizational goals.
Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.
Computer programs or software installed on mobile electronic devices which support a wide range of functions and uses which include television, telephone, video, music, word processing, and Internet service.
A system of categories to which morbid entries are assigned according to established criteria. Included is the entire range of conditions in a manageable number of categories, grouped to facilitate mortality reporting. It is produced by the World Health Organization (From ICD-10, p1). The Clinical Modifications, produced by the UNITED STATES DEPT. OF HEALTH AND HUMAN SERVICES, are larger extensions used for morbidity and general epidemiological purposes, primarily in the U.S.
Errors or mistakes committed by health professionals which result in harm to the patient. They include errors in diagnosis (DIAGNOSTIC ERRORS), errors in the administration of drugs and other medications (MEDICATION ERRORS), errors in the performance of surgical procedures, in the use of other types of therapy, in the use of equipment, and in the interpretation of laboratory findings. Medical errors are differentiated from MALPRACTICE in that the former are regarded as honest mistakes or accidents while the latter is the result of negligence, reprehensible ignorance, or criminal intent.
Data processing largely performed by automatic means.
A procedure consisting of a sequence of algebraic formulas and/or logical steps to calculate or determine a given task.
Specific languages used to prepare computer programs.
The application of computer and information sciences to improve dental practice, research, education and management.
Collections of facts, assumptions, beliefs, and heuristics that are used in combination with databases to achieve desired results, such as a diagnosis, an interpretation, or a solution to a problem (From McGraw Hill Dictionary of Scientific and Technical Terms, 6th ed).
Specifications and instructions applied to the software.
Hospital department responsible for the purchasing of supplies and equipment.
Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)
Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.
Services for the diagnosis and treatment of disease and the maintenance of health.
The application of discoveries generated by laboratory research and preclinical studies to the development of clinical trials and studies in humans. A second area of translational research concerns enhancing the adoption of best practices.
Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.
Payment by a third-party payer in a sum equal to the amount expended by a health care provider or facility for health services rendered to an insured or program beneficiary. (From Facts on File Dictionary of Health Care Management, 1988)
Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.
Information systems, usually computer-assisted, designed to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative and clinical activities associated with the provision and utilization of clinical laboratory services.
A broad approach to appropriate coordination of the entire disease treatment process that often involves shifting away from more expensive inpatient and acute care to areas such as preventive medicine, patient counseling and education, and outpatient care. This concept includes implications of appropriate versus inappropriate therapy on the overall cost and clinical outcome of a particular disease. (From Hosp Pharm 1995 Jul;30(7):596)
The concept pertaining to the health status of inhabitants of the world.
Outside services provided to an institution under a formal financial agreement.
Ongoing scrutiny of a population (general population, study population, target population, etc.), generally using methods distinguished by their practicability, uniformity, and frequently their rapidity, rather than by complete accuracy.
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
Planning and control of time to improve efficiency and effectiveness.
Research that involves the application of the natural sciences, especially biology and physiology, to medicine.
The level of governmental organization and function at the national or country-wide level.
Theoretical representations and constructs that describe or explain the structure and hierarchy of relationships and interactions within or between formal organizational entities or informal social groups.
Facilities where dental care is provided to patients.
Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.
The commitment in writing, as authentic evidence, of something having legal importance. The concept includes certificates of birth, death, etc., as well as hospital, medical, and other institutional records.
Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).
The seeking and acceptance by patients of health service.
A vocabulary database of universal identifiers for laboratory and clinical test results. Its purpose is to facilitate the exchange and pooling of results for clinical care, outcomes management, and research. It is produced by the Regenstrief Institute. (LOINC and RELMA [Internet]. Indianapolis: The Regenstrief Institute; c1995-2001 [cited 2002 Apr 2]. Available from http://www.regenstrief.org/loinc)
The optimal state of the mouth and normal functioning of the organs of the mouth without evidence of disease.
Generating, planning, organizing, and administering medical and nursing care and services for patients.
Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.
Education that increases the awareness and favorably influences the attitudes and knowledge relating to the improvement of health on a personal or community basis.
Organized collections of computer records, standardized in format and content, that are stored in any of a variety of computer-readable modes. They are the basic sets of data from which computer-readable files are created. (from ALA Glossary of Library and Information Science, 1983)
The field of information science concerned with the analysis and dissemination of data through the application of computers applied to the field of nursing.
A research and development program initiated by the NATIONAL LIBRARY OF MEDICINE to build knowledge sources for the purpose of aiding the development of systems that help health professionals retrieve and integrate biomedical information. The knowledge sources can be used to link disparate information systems to overcome retrieval problems caused by differences in terminology and the scattering of relevant information across many databases. The three knowledge sources are the Metathesaurus, the Semantic Network, and the Specialist Lexicon.
Patient involvement in the decision-making process in matters pertaining to health.
Acquiring information from a patient on past medical conditions and treatments.
Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.
Delivery of health services via remote telecommunications. This includes interactive consultative and diagnostic services.
The use of DRUGS to treat a DISEASE or its symptoms. One example is the use of ANTINEOPLASTIC AGENTS to treat CANCER.
The relationships between symbols and their meanings.
Laboratory and other services provided to patients at the bedside. These include diagnostic and laboratory testing using automated information entry.
The amounts spent by individuals, groups, nations, or private or public organizations for total health care and/or its various components. These amounts may or may not be equivalent to the actual costs (HEALTH CARE COSTS) and may or may not be shared among the patient, insurers, and/or employers.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
Practice of a health profession by an individual, offering services on a person-to-person basis, as opposed to group or partnership practice.
Reductions in all or any portion of the costs of providing goods or services. Savings may be incurred by the provider or the consumer.
Management of public health organizations or agencies.
Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)
The interchange of goods or commodities, especially on a large scale, between different countries or between populations within the same country. It includes trade (the buying, selling, or exchanging of commodities, whether wholesale or retail) and business (the purchase and sale of goods to make a profit). (From Random House Unabridged Dictionary, 2d ed, p411, p2005 & p283)
Errors in prescribing, dispensing, or administering medication with the result that the patient fails to receive the correct drug or the indicated proper drug dosage.
Information systems, usually computer-assisted, designed to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative activities associated with the provision and utilization of clinical pharmacy services.
Degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.

Opportunities for electronic health record data to support business functions in the pharmaceutical industry--a case study from Pfizer, Inc. (1/1552)

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Methodologic issues in health informatics trials: the complexities of complex interventions. (2/1552)

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Three years experience with the implementation of a networked electronic medical record in Haiti. (3/1552)

Since 2005 we have been developing and implementing an electronic medical record (EMR) that supports both individual and population health care of HIV-infected patients in Haiti. Unreliable electrical power and network infrastructure, cultural differences, variable levels of experience and computer literacy, and the geographic dispersion of the team remain challenges, but the system is now implemented in about 40 sites nationwide providing antiretroviral therapy, and includes records for about 18,600 patients. The need to support country-wide monitoring and evaluation drove early architectural decisions to support linking systems under conditions of network uncertainty. We have found surprising end user acceptance of the system, with the adoption of interactive EMR usage exceeding our expectations and timeline.  (+info)

Paperless protocoling of CT and MRI requests at an outpatient imaging center. (4/1552)

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Unified Modeling Language (UML) for hospital-based cancer registration processes. (5/1552)

OBJECTIVE: Hospital-based cancer registry involves complex processing steps that span across multiple departments. In addition, management techniques and registration procedures differ depending on each medical facility. Establishing processes for hospital-based cancer registry requires clarifying specific functions and labor needed. In recent years, the business modeling technique, in which management evaluation is done by clearly spelling out processes and functions, has been applied to business process analysis. However, there are few analytical reports describing the applications of these concepts to medical-related work. In this study, we initially sought to model hospital-based cancer registration processes using the Unified Modeling Language (UML), to clarify functions. METHODS: The object of this study was the cancer registry of Osaka University Hospital. We organized the hospital-based cancer registration processes based on interview and observational surveys, and produced an As-Is model using activity, use-case, and class diagrams. After drafting every UML model, it was fed-back to practitioners to check its validity and improved. RESULTS: We were able to define the workflow for each department using activity diagrams. In addition, by using use-case diagrams we were able to classify each department within the hospital as a system, and thereby specify the core processes and staff that were responsible for each department. The class diagrams were effective in systematically organizing the information to be used for hospital-based cancer registries. Using UML modeling, hospital-based cancer registration processes were broadly classified into three separate processes, namely, registration tasks, quality control, and filing data. An additional 14 functions were also extracted. Many tasks take place within the hospital-based cancer registry office, but the process of providing information spans across multiple departments. Moreover, additional tasks were required in comparison to using a standardized system because the hospital-based cancer registration system was constructed with the pre-existing computer system in Osaka University Hospital. Difficulty of utilization of useful information for cancer registration processes was shown to increase the task workload. CONCLUSION: By using UML, we were able to clarify functions and extract the typical processes for a hospital-based cancer registry. Modeling can provide a basis of process analysis for establishment of efficient hospital-based cancer registration processes in each institute.  (+info)

The Kaiser Permanente Electronic Health Record: transforming and streamlining modalities of care. (6/1552)

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If you build it, will they come? The Kaiser Permanente model of online health care. (7/1552)

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A tale of two large community electronic health record extension projects. (8/1552)

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There are several types of diabetes mellitus, including:

1. Type 1 DM: This is an autoimmune condition in which the body's immune system attacks and destroys the cells in the pancreas that produce insulin, resulting in a complete deficiency of insulin production. It typically develops in childhood or adolescence, and patients with this condition require lifelong insulin therapy.
2. Type 2 DM: This is the most common form of diabetes, accounting for around 90% of all cases. It is caused by a combination of insulin resistance (where the body's cells do not respond properly to insulin) and impaired insulin secretion. It is often associated with obesity, physical inactivity, and a diet high in sugar and unhealthy fats.
3. Gestational DM: This type of diabetes develops during pregnancy, usually in the second or third trimester. Hormonal changes and insulin resistance can cause blood sugar levels to rise, putting both the mother and baby at risk.
4. LADA (Latent Autoimmune Diabetes in Adults): This is a form of type 1 DM that develops in adults, typically after the age of 30. It shares features with both type 1 and type 2 DM.
5. MODY (Maturity-Onset Diabetes of the Young): This is a rare form of diabetes caused by genetic mutations that affect insulin production. It typically develops in young adulthood and can be managed with lifestyle changes and/or medication.

The symptoms of diabetes mellitus can vary depending on the severity of the condition, but may include:

1. Increased thirst and urination
2. Fatigue
3. Blurred vision
4. Cuts or bruises that are slow to heal
5. Tingling or numbness in hands and feet
6. Recurring skin, gum, or bladder infections
7. Flu-like symptoms such as weakness, dizziness, and stomach pain
8. Dark, velvety skin patches (acanthosis nigricans)
9. Yellowish color of the skin and eyes (jaundice)
10. Delayed healing of cuts and wounds

If left untreated, diabetes mellitus can lead to a range of complications, including:

1. Heart disease and stroke
2. Kidney damage and failure
3. Nerve damage (neuropathy)
4. Eye damage (retinopathy)
5. Foot damage (neuropathic ulcers)
6. Cognitive impairment and dementia
7. Increased risk of infections and other diseases, such as pneumonia, gum disease, and urinary tract infections.

It is important to note that not all individuals with diabetes will experience these complications, and that proper management of the condition can greatly reduce the risk of developing these complications.

There are several types of drug-related side effects and adverse reactions, including:

1. Common side effects: These are side effects that are commonly experienced by patients taking a particular medication. Examples include nausea, dizziness, and fatigue.
2. Serious side effects: These are side effects that can be severe or life-threatening. Examples include allergic reactions, liver damage, and bone marrow suppression.
3. Adverse events: These are any unwanted or harmful effects that occur during the use of a medication, including side effects and other clinical events such as infections or injuries.
4. Drug interactions: These are interactions between two or more drugs that can cause harmful side effects or reduce the effectiveness of one or both drugs.
5. Side effects caused by drug abuse: These are side effects that occur when a medication is taken in larger-than-recommended doses or in a manner other than as directed. Examples include hallucinations, seizures, and overdose.

It's important to note that not all side effects and adverse reactions are caused by the drug itself. Some may be due to other factors, such as underlying medical conditions, other medications being taken, or environmental factors.

To identify and manage drug-related side effects and adverse reactions, healthcare providers will typically ask patients about any symptoms they are experiencing, perform physical exams, and review the patient's medical history and medication list. In some cases, additional tests may be ordered to help diagnose and manage the problem.

Overall, it's important for patients taking medications to be aware of the potential for side effects and adverse reactions, and to report any symptoms or concerns to their healthcare provider promptly. This can help ensure that any issues are identified and addressed early, minimizing the risk of harm and ensuring that the patient receives the best possible care.

The burden of chronic diseases is significant, with over 70% of deaths worldwide attributed to them, according to the World Health Organization (WHO). In addition to the physical and emotional toll they take on individuals and their families, chronic diseases also pose a significant economic burden, accounting for a large proportion of healthcare expenditure.

In this article, we will explore the definition and impact of chronic diseases, as well as strategies for managing and living with them. We will also discuss the importance of early detection and prevention, as well as the role of healthcare providers in addressing the needs of individuals with chronic diseases.

What is a Chronic Disease?

A chronic disease is a condition that lasts for an extended period of time, often affecting daily life and activities. Unlike acute diseases, which have a specific beginning and end, chronic diseases are long-term and persistent. Examples of chronic diseases include:

1. Diabetes
2. Heart disease
3. Arthritis
4. Asthma
5. Cancer
6. Chronic obstructive pulmonary disease (COPD)
7. Chronic kidney disease (CKD)
8. Hypertension
9. Osteoporosis
10. Stroke

Impact of Chronic Diseases

The burden of chronic diseases is significant, with over 70% of deaths worldwide attributed to them, according to the WHO. In addition to the physical and emotional toll they take on individuals and their families, chronic diseases also pose a significant economic burden, accounting for a large proportion of healthcare expenditure.

Chronic diseases can also have a significant impact on an individual's quality of life, limiting their ability to participate in activities they enjoy and affecting their relationships with family and friends. Moreover, the financial burden of chronic diseases can lead to poverty and reduce economic productivity, thus having a broader societal impact.

Addressing Chronic Diseases

Given the significant burden of chronic diseases, it is essential that we address them effectively. This requires a multi-faceted approach that includes:

1. Lifestyle modifications: Encouraging healthy behaviors such as regular physical activity, a balanced diet, and smoking cessation can help prevent and manage chronic diseases.
2. Early detection and diagnosis: Identifying risk factors and detecting diseases early can help prevent or delay their progression.
3. Medication management: Effective medication management is crucial for controlling symptoms and slowing disease progression.
4. Multi-disciplinary care: Collaboration between healthcare providers, patients, and families is essential for managing chronic diseases.
5. Health promotion and disease prevention: Educating individuals about the risks of chronic diseases and promoting healthy behaviors can help prevent their onset.
6. Addressing social determinants of health: Social determinants such as poverty, education, and employment can have a significant impact on health outcomes. Addressing these factors is essential for reducing health disparities and improving overall health.
7. Investing in healthcare infrastructure: Investing in healthcare infrastructure, technology, and research is necessary to improve disease detection, diagnosis, and treatment.
8. Encouraging policy change: Policy changes can help create supportive environments for healthy behaviors and reduce the burden of chronic diseases.
9. Increasing public awareness: Raising public awareness about the risks and consequences of chronic diseases can help individuals make informed decisions about their health.
10. Providing support for caregivers: Chronic diseases can have a significant impact on family members and caregivers, so providing them with support is essential for improving overall health outcomes.

Conclusion

Chronic diseases are a major public health burden that affect millions of people worldwide. Addressing these diseases requires a multi-faceted approach that includes lifestyle changes, addressing social determinants of health, investing in healthcare infrastructure, encouraging policy change, increasing public awareness, and providing support for caregivers. By taking a comprehensive approach to chronic disease prevention and management, we can improve the health and well-being of individuals and communities worldwide.

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Carter, E.M., Potts, H.W.W. (4 April 2014). "Predicting length of stay from an electronic patient record system: a primary ... Additionally, length of stay in hospital can be linked to additional quality metrics such as patient satisfaction with health ... Value in Health. 12 (2): 309-314. doi:10.1111/j.1524-4733.2008.00421.x. PMID 20667062. Retrieved 23 April 2014.{{cite journal ...
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Fortune and Kaiser Health News Story: "Death by a Thousand Clicks: Where Electronic Health Records Went Wrong", March 18, 2019 ... Fry, Erika; Schulte, Fred (March 19, 2019). "Death by a Thousand Clicks: Where Electronic Health Records Went Wrong". Fortune. ...
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Thanks to technological advances in electronic toll collection, electronic detection, and video surveillance technology, ... Kimiko de Reytas-Tamura (2017-02-17). "A Push for Diesel Leaves London Gasping Amid Record Pollution". The New York Times. ... Frakt, Austin (2019-01-21). "Stuck and Stressed: The Health Costs of Traffic". The New York Times. ISSN 0362-4331. Retrieved ... The Norwegian electronic toll collection system is called AutoPASS and is part of the joint venture EasyGo. Congestion pricing ...
How health reform can improve the health of women and babies in America" (PDF). Washington, D.C.: Trust for America's Health. ... Britain started recording maternal mortality data from 1880 onward. Distress levels vary widely during pregnancy as well as ... "Birth". The Columbia Electronic Encyclopedia (6 ed.). Columbia University Press. 2016. Archived from the original on 6 March ... The World Health Organization has developed guidelines with recommendations to improve the chances of survival and health ...
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Chakraborty, Riddhi (November 30, 2018). "Exclusive: Watch Nam Taehyun Talk About Mental Health, Rock Icons and South Club". ... South Korean record producers, Winner (band) members, 21st-century South Korean male singers, 21st-century South Korean male ... South Korean electronic music singers, South Korean rock singers, South Korean pop singers, South Korean company founders, ... "Winner's Taehyun tentatively halts group activities, citing health problems". Kpop Herald. October 13, 2016. "2NE1 disbands, ...
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There is no record of conflict between the Kushites and Ptolemies. However, there was a serious revolt at the end of Ptolemy IV ... ISBN 978-1-107-00866-3. Rilly, Claude (2004). "The Linguistic Position of Meroitic" (PDF). Sudan Electronic Journal of ... Roach, John (17 May 2005). "Antibiotic Beer Gave Ancient Africans Health Buzz". National Geographic. Bianchi 2004, p. 230. ... Early records of bloomery furnaces dated at least to seventh and sixth century BC have been discovered in Kush. It is known ...
"We Share Our Mothers' Health" is a song by Swedish electronic music duo The Knife from their third studio album, Silent Shout ( ... Mute Records singles, Songs written by Karin Dreijer, Songs written by Olof Dreijer, V2 Records singles). ... Health (Radio Edit)" - 3:32 "We Share Our Mothers' Health (Trentemøller Remix)" - 8:01 "We Share Our Mothers' Health (Original ... Health (Trentemøller Remix)" - 7:58 "We Share Our Mothers' Health (Album Version)" - 4:06 "We Share Our Mothers' Health (Radio ...
... producer Gordon Bynum brought the band to Houston to record two songs to release as a single on his newly formed Contact record ... Erickson, due to health and legal problems, and Tommy Hall were only involved with a few tracks, including "Livin' On", "Never ... and by electronic band The Shamen on their 1992 promo, Make It Mine. Le Bonne Route, a 1996 album by Deniz Tek of Radio Birdman ... He recorded All That May Do My Rhyme for the Trance Syndicate label, owned by the Butthole Surfers's King Coffey, who claimed ...
Work by the late Jeremy Burdett showed that the electronic energy density of states can be derived using the method of moments ... 2007). Amphiboles: crystal chemistry, occurrence, and health issues. Mineralogical Society of America. ISBN 9780939950799. OCLC ... and hence the structures retain a record of the pH of the solutions from which they crystallized. A mathematical hierarchy is ... By combining Graph Theory, Bond-Valence Theory and the moments approach to the electronic energy density of solids he has ...
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Electronic Medical Records/Electronic Health Records (EMRs/EHRs). ... Trends in Electronic Health Record Use Among Residential Care Communities: United States, 2012, 2014, and 2016 [PDF - 306 KB] ... Source: 2021 National Electronic Health Records Survey Public Use File National Weighted Estimates ... of Patient Health Information Functions Among Office-Based Physicians With and Without a Certified Electronic Health Record ( ...
... and the EHR Classroom. The use of an Electronic Health Record (EHR) is essential to the modern ... HSS forms the foundation for our curricula and the health of our patients. Electronic Health Records are employed for critical ... EHRs are a core component of healthcare informatics, which is a domain of Health Systems Science (HSS). Along with Basic ... The creation of robust cases spanning a broad spectrum of social determinants of health, healthcare settings, and conditions ...
The Rise of Electronic Health Record Adoption Among Family Physicians Imam M. Xierali, Chun-Ju Hsiao, James C. Puffer, Larry A ... Use of the Electronic Health Record During Clinical Encounters: An Experience Survey Ellen C. Meltzer, Kelly S. Vorseth, Ivana ... Designing and Implementing an Electronic Health Record-Embedded Card Study in Primary Care: Methods and Considerations Arwen ... Patient-Reported Social Risks and Clinician Decision Making: Results of a Clinician Survey in Primary Care Community Health ...
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When fully deployed, MHS GENESIS will provide a single health record for service members, veterans, and their families. ... This includes garrison, operational, and en route care, increasing efficiencies for beneficiaries and health care professionals ... secure technology to manage your health information. MHS GENESIS integrates inpatient and outpatient solutions that will ... the new electronic health record for the Military Health System (MHS), provides enhanced, ...
World Health Organization. Regional Office for the Western Pacific. (‎2006)‎. Electronic health records : manual for developing ...
Electronic health records (EHR) and digital clerical work are linked to burnout among doctors, finds a new study on physician ... the increasingly electronic nature of medicine. The digital parts of doctoring, like maintaining electronic health records, ... Of the many physicians who used electronic health records, 44% were dissatisfied with them and nearly 63% of doctors believed ... Just as disturbing, doctors were split on whether or not electronic health records actually improved patient care; 41% believed ...
... of the initiatives that are proceeding internationally to develop standards for the exchange of electronic health record (EHR) ... which primarily originates from Europe through a series of EU funded Health Telematics projects over the past thirteen years. ...
Amazon Web Services launched a new service that pulls key information from unstructured electronic health record data, giving ... Healthcare organizations might also use those insights derived from clinical records for building clinical trials more quickly ... researchers are using Comprehend Medical to index clinical records for research databases, making it easier to find patients ... "since it can enhance their understanding of the health of individuals and populations." ...
1 electronic health record. Our industry-leading EHR was developed with feedback from over 150,000 professionals. ... Medical Records Data Retention and EHRs How long should medical records be retained, whether on paper or electronically? Does ... keeping records indefinitely increase ones exposure to liability? These questions have occasionally arisen, and deserve ...
... including Electronic Health Records (EHR), Practice Management, Medical Billing Services, Population Health, Telehealth, and ... this article looks at how electronic health records have helped to improve the overall quality of health care. ... One change that has had a great impact on the quality of modern medical care is the Electronic Health Record, or EHR. What was ... Electronic health records provide essential information and pertinent patient data in an accessible format that improves the ...
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So the committee has decided to transition from paper to electronic records to track the complex medical care of Olympians. ... U.S. Olympic Team Sprints Ahead With Electronic Health Records Kaiser Health News , By Christian Torres ... Now, its time for digital health records. The U.S. Olympic Committee is converting to electronic medical records this month ... Electronic records are gaining momentum across the country, largely because the federal government has encouraged health care ...
Healthcare professionals with the ability to understand, update and maintain the electronic health record are in great demand. ... health information systems staff, patient registration professionals and other related positions. ... With the nations healthcare system moving to the electronic medical record, numerous employment opportunities exist for ... Electronic Health Record Management. Electronic Health Record Management. With the nations healthcare system moving to the ...
Physician Practice Check-Up: Assessing a Practices Readiness for Electronic Health Records by Janice Crocker, MSA, RHIA, CCS, ... "Physician Practice Check-Up: Assessing a Practices Readiness for Electronic Health Records " Journal of AHIMA 80, no.8 (August ... Federal incentives will take some of the pain out of transitioning a practice to an electronic health record system, but the ... "Recommended Requirements for Enhancing Data Quality in Electronic Health Record Systems." Final report, June 2007. Available ...
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De-identified electronic mental health records for research and recruitment. Add to your list(s) Download to your calendar ... De-identified electronic mental health records for research and recruitment ...
... ... electronic health records (EHR) to help them set improvement priorities, guide clinical change, and monitor progress. Here, we ... In addition, facilitators helped practices communicate with EHR vendors or health systems in requesting data they needed. ...
One of the easy wins for information technology in medicine is electronic prescribing. Our colleagues in general practice have ...
Numerous studies have evaluated the difficulty of health-related text using readability formulas such as Flesch-Kincaid Grade ... leading to improved health care outcomes. However, the highly technical language in EHR notes impedes patients comprehension. ... general health information and EHR notes. We also validated the formulas appropriateness and generalizability on predicting ... Electronic health records (EHRs) are a rich resource for developing applications to engage patients and foster patient ...
You want to be able to expedite the review of electronic records. You know that electronic medical record use will increase as ... Modified from Mila Carlson, Ph.D., RN CLNC, CNLCP Adoption Rates and Barriers to Implementation of Electronic Health Records in ... 6 Top ways electronic health records save money. Apr 22, 2013 by ArtiModi ... Electronic documentation provides real time entry of patient health information and promotes accuracy of the data. It increases ...
Europe Electronic Health Records Market. Europe Electronic Health Records (EHR) Market Analysis, By Solution (EHR Software, EHR ... The most complete guide to Europe Electronic Health Records Market in 2023 ...
After breakdowns, the VA stopped all work on the $16 billion update with the Oracle-Cerner electronic health record. ... It took decades for the VA to begin updating its electronic health records system. ... It took decades for the Department of Veterans Affairs to begin updating its electronic health record system. Now, billions of ... LAWRENCE: The Department of Veterans Affairs pioneered electronic health records with a program called VistA back in the 1990s ...
We searched the electronic health record (EHR) at UCSDH and validated this search by reviewing a subset of individual EHRs. The ... We used proxy data from electronic health records to determine that 17.5% of foreign-born outpatients attending the UC San ... Jenks JD, Garfein RS, Zhu W, Hogarth M. Latent Tuberculosis Screening Using Electronic Health Record Data. Emerg Infect Dis. ... Latent Tuberculosis Screening Using Electronic Health Record Data. Emerging Infectious Diseases. 2020;26(9):2285-2287. doi: ...
Electronic health records may be necessary for a more high-tech and transparent health care system, but hospitals with ... YOU ARE HERE: Home , About ACC , Press Releases , Electronic-Health-Records-May-Not-Improve-Outcomes-in-Ischemic-Stroke- ... Electronic Health Records May Not Improve Outcomes in Ischemic Stroke Patients. May 04, 2015 ... They found that after controlling for patient and hospital characteristics, having an electronic health record was not ...
Health & Medicine Smokers get help with the use of electronic health record. ... Smokers get help with the use of electronic health record. Majority of new cases of diabetes in older U.S. adults could be ... "As the use of the electronic health record expands, so does the opportunity to use it to improve patient care and delivery. In ... Researchers at Brigham and Womens Hospital (BWH) have found that by enhancing the electronic health record, physicians were ...
... the Department of Health & Human Services published two proposed rules that, if finalized, would implement significant changes ... or interoperability of the items or services with other electronic prescribing or electronic health records systems (now known ... HHS Proposes Sweeping Changes to AKS and Stark Law, Part 2: Cybersecurity Technology and Electronic Health Records By Karen S. ... Definitions of "Electronic Health Records" and "Interoperability." The OIG and CMS are proposing minor modifications to align ...
... practices while getting hands-on practice and learn important medical terminology in the Certified Electronic Health Records ... p>Learn the ins and outs of electronic health records (EHR) systems, along with the many benefits they offer medical ... Are electronic health records specialists in high demand?. Yes! Electronic Health Records Specialists are in high demand, and ... How much do electronic health records specialists make?. The median salary for electronic health records specialists is just ...
The Health Information Technology for Economic and Clinical Health (HITECH) Act (2009) was legislation passed focused on ... Electronic Health Record Implementation in the United States Healthcare Industry: Making the Process of Change Manageable: ... Electronic Health Records (EHRs) will have a significant impact on health care practitioners, organizations and the industry as ... "Electronic Health Record Implementation in the United States Healthcare Industry: Making the Process of Change Manageable." In ...
  • EHRs are a core component of healthcare informatics, which is a domain of Health Systems Science (HSS). (umassmed.edu)
  • Of the many physicians who used electronic health records, 44% were dissatisfied with them and nearly 63% of doctors believed that EHRs made their jobs less efficient. (time.com)
  • EHRs can support health care providers in managing preventable diseases more efficiently. (amazingcharts.com)
  • Since the early part of this decade, the US healthcare industry has been slowly moving toward the adoption and implementation of interoperable electronic health records (EHRs). (ahima.org)
  • Electronic health records (EHRs) are a rich resource for developing applications to engage patients and foster patient activation, thus holding a strong potential to enhance patient-centered care. (jmir.org)
  • We searched the electronic health record (EHR) at UCSDH and validated this search by reviewing a subset of individual EHRs. (cdc.gov)
  • In a corresponding editorial comment, John R. Windle, M.D., professor and chief of cardiology at University of Nebraska Medical Center in Omaha, Nebraska, said EHRs have not been shown to help achieve the Triple Aim of health care systems: improving the quality of health care, the health of populations and the efficiency of health care systems. (acc.org)
  • The mission of this chapter is to review how American health care practitioners and organizations will integrate one aspect of HIT, the use of Electronic Health Records (EHRs), into the workplace. (igi-global.com)
  • While objectives and deadlines have been established and aligned with incentives for the meaningful use of EHRs, it seems the missing component is a strategic plan that could be applied by health care organizations to guide the implementation process. (igi-global.com)
  • ABSTRACT The present descriptive-comparative study was conducted to give an overview of the messaging standards that are necessary for interoperable electronic health records (EHRs). (who.int)
  • The use of an Electronic Health Record (EHR) is essential to the modern practice of medicine. (umassmed.edu)
  • Information is generally not shared outside the health care practice. (amazingcharts.com)
  • But at most, only about a third of hospitals and private-practice doctors have fully functional electronic systems, according to recent estimates. (kalw.org)
  • This Electronic Health Record (EHR) Management program prepares students to understand and use electronic records in a medical practice. (ccp.edu)
  • Federal incentives will take some of the pain out of transitioning a practice to an electronic health record system, but the transformation will be monumental, nonetheless. (ahima.org)
  • This study was performed in 26 primary care practices that were randomized to be intervention practices, and have the enhancement implemented in their electronic health record system, or be a control practice without the enhanced electronic medical record. (harvard.edu)
  • Learn the ins and outs of electronic health records (EHR) systems, along with the many benefits they offer medical practices while getting hands-on practice and learn important medical terminology in the Certified Electronic Health Records Specialist + Medical Terminology course. (ed2go.com)
  • Through 14 comprehensive lessons, you'll learn what kind of information is stored in an electronic health record (EHR) system, what steps are required to implement a system in a medical practice, how staff members and patients interact with EHR systems, and what benefits these systems provide compared to traditional paper records. (ed2go.com)
  • 1,200 ready-to-use CareGuide templates with best practice guidelines, and automated health management plans customized for each patient. (allscripts.com)
  • Pain Management in Clinical Practice Research Using Electronic Health Records. (bvsalud.org)
  • They should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information. (bvsalud.org)
  • Journal of public health management and practice : JPHMP. (who.int)
  • The proposed safe harbor and exception are designed to promote interconnected and interoperable healthcare information technology systems and to allow the health care industry to take additional action to mitigate the risks posed by cyber attacks while minimizing the risk that these arrangements serve as payments for referrals or inappropriately influence clinical decision-making. (mintz.com)
  • On October 17, 2019, the Department of Health & Human Services (HHS) published two proposed rules ( one by the Office of Inspector General (OIG) and one by the Centers for Medicare & Medicaid Services (CMS) ) that, if finalized, would implement significant changes to the Anti-Kickback Statute (AKS) and the Physician Self-Referral Law (commonly known as the Stark Law). (mintz.com)
  • The creation of robust cases spanning a broad spectrum of social determinants of health, healthcare settings, and conditions brings diverse, longitudinal patient care into course activities to enrich both teaching and learning throughout the curriculum. (umassmed.edu)
  • Healthcare organizations might also use those insights derived from clinical records for building clinical trials more quickly and accurately, using automation to improve upon a process that traditionally has required researchers to go over unstructured clinical data manually. (modernhealthcare.com)
  • This is really where a lot of systems are excited about this opportunity," said Dr. Taha Kass-Hout, a senior leader at Amazon focused on healthcare and artificial intelligence-related initiatives, "since it can enhance their understanding of the health of individuals and populations. (modernhealthcare.com)
  • How Do Electronic Health Records Enhance HealthCare Quality? (amazingcharts.com)
  • According to Jim Corrigan, vice president and general manager of GE Healthcare IT - which created the committee's electronic medial record system - members of Team USA will have their paper records digitally scanned or added manually to the collection. (kalw.org)
  • With the nation's healthcare system moving to the electronic medical record, numerous employment opportunities exist for medical assistants, health information systems staff, patient registration professionals and other related positions. (ccp.edu)
  • Healthcare professionals with the ability to understand, update and maintain the electronic health record are in great demand. (ccp.edu)
  • Other losses include decreased confidence in America's healthcare system, loss of satisfaction with health care by patients and providers, physical discomfort and increased hospital stays for patients suffering from the medical error. (medleague.com)
  • Lower morale for healthcare providers, lower school attendance rates, and decreased health status of the population are additional losses attributed to medical errors. (medleague.com)
  • Improved quality of patient care resulting from electronic healthcare records can increase name recognition and branding in its geographical market. (medleague.com)
  • Windle reported that he received funding from an Agency for Healthcare Research and Quality health IT grant. (acc.org)
  • Electronic Health Record Implementation in the United States Healthcare Industry: Making the Process of Change Manageable. (igi-global.com)
  • With a commitment to providing quality healthcare, the LSI member organizations merged, in part, to leverage their size in offering the Electronic Health Record from Allscripts to their physicians. (allscripts.com)
  • With the merger of our organizations, Lakeside Systems now has the leverage to bring the electronic health record to the community to fulfill our vision of a fully integrated healthcare delivery system that provides high quality, affordable patient care. (allscripts.com)
  • World Health Organization. (who.int)
  • The World Health Organization End TB Strategy aims to end the global tuberculosis (TB) epidemic by 2035 ( 1 ). (cdc.gov)
  • World Health Organization Vaccine Coverage Cluster Surveys: Reference Manual - Version 3. (who.int)
  • Researchers at the Mayo Clinic looked at several months of 2014 survey data from 6,560 U.S. physicians measuring features of work life, including burnout and electronic use. (time.com)
  • Older doctors hated the electronic aspects of their jobs more than young physicians, possibly because they had to adjust to new technology that comes more easily to younger professionals. (time.com)
  • I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. (getbetterhealth.com)
  • The U.S. Public Health Service recommends that physicians ask all patients about their tobacco use and connect them to cessation services, but there are still many patients who are never asked about their smoking habits. (harvard.edu)
  • Researchers at Brigham and Women's Hospital (BWH) have found that by enhancing the electronic health record, physicians were more likely to document a patient's smoking habit, and access to cessation counseling was improved. (harvard.edu)
  • Both will contain data on the patient's medical history, demographic information, medications, immunization records, and radiology reports, as well as lab and other test results. (amazingcharts.com)
  • We aimed to determine the accuracy and completeness of the newly introduced electronic immunization register for calculating vaccination coverage and determining vaccine effectiveness within two districts in Mongolia in comparison to written health provider records. (who.int)
  • Methods: We conducted a cross-sectional record review among children 2-23 months of age vaccinated at immunization clinics within the two districts. (who.int)
  • We linked data from written records with the electronic immunization register using the national identification number to determine the completeness and accuracy of the electronic register. (who.int)
  • 95% CI: 84.1-97.4) of the electronic immunization register were high when compared to written records. (who.int)
  • Electronic medical records (EMRs) are excellent for retrieval of information about labs, medications, and past medical history of our patients. (getbetterhealth.com)
  • Studies have shown that providing patients with access to their own EHR notes may improve the understanding of their own clinical conditions and treatments, leading to improved health care outcomes. (jmir.org)
  • Electronic health records may be necessary for a more high-tech and transparent health care system, but hospitals with electronic health records for ischemic stroke patients did not demonstrate better quality of care or clinical outcomes for those patients when compared to similar hospitals without electronic health records, according to a study published today in the Journal of the American College of Cardiology . (acc.org)
  • Upon completion of this course, you will be prepared to take the Electronic Health Record Specialist Certification (CEHRS) exams offered by NHA, and the cost of the exam is included in your tuition. (ed2go.com)
  • It took decades for the Department of Veterans Affairs to begin updating its electronic health record system. (wqcs.org)
  • It abruptly stopped all work on its $16 billion rollout of the Oracle Cerner electronic health system. (wqcs.org)
  • The decades-long push to update VistA and make it compatible with the Pentagon's health system wrapped up in 2017 when the Trump administration bought the Cerner system for $10 billion over 10 years in a no-bid contract. (wqcs.org)
  • Picture archiving and communication system (PACS) serves as the health provider's primary tool for viewing and interpreting medical images, and because PACS is web-based, radiologists can more easily access images on mobile devices and computers. (medscape.com)
  • It presents the BVS Infobutton, a platform available in the Virtual Health Library developed to recovery of technical and scientific information according to the context of Clinical Information System. (bvsalud.org)
  • These recommendations outline inclusion of a template in electronic health record systems that prompts clinicians to counsel about smoking prevention and cessation when patients present for well-patient exams or with symptoms or conditions associated with smoking. (ahrq.gov)
  • This paper seeks to provide an overview of the initiatives that are proceeding internationally to develop standards for the exchange of electronic health record (EHR) information between EHR systems. (consortiuminfo.org)
  • Although there is some overlap in the meaning of EHR and EMR (electronic medical record), there is a difference in the benefits the two systems offer. (amazingcharts.com)
  • Course reviews the implementation and management of electronic health information using common electronic data interchange systems and maintaining the medical, legal, accreditation and regulatory requirements of the electronic health record. (ccp.edu)
  • The use of electronic health record (EHR) systems encourages and facilitates the use of data for the development and surveillance of quality indicators , including pain management . (bvsalud.org)
  • BVS Infobutton: VHL information contextualized in electronic health record systems. (bvsalud.org)
  • We used the clinical data repository module of our EHR, EPIC ( https://www.epic.com ), to search the records of all patients who accessed care in the outpatient clinic at UCSDH at least once from March 31, 2018, through March 30, 2019, and who were determined to be at high risk for LTBI on the basis of birth country ( 5 ). (cdc.gov)
  • To validate the EHR search we reviewed these records. (cdc.gov)
  • Our search of 1,061 records from PubMed , Scopus, and Cinahl was narrowed down to 28 eligible articles to be analyzed. (bvsalud.org)
  • They found that after controlling for patient and hospital characteristics, having an electronic health record was not associated with higher quality of care, more patients discharged home or lower in-hospital mortality rates, though electronic records were associated with a slightly lower risk of having a prolonged hospital stay. (acc.org)
  • Methods:The paper reviews the clinical and ethico-legal requirements and research background on the representation and communication of EHR data, which primarily originates from Europe through a series of EU funded Health Telematics projects over the past thirteen years. (consortiuminfo.org)
  • Amazon Web Services unveiled a new natural language processing service that it says can pull keywords and important messages from text, known as unstructured medical data, providing fuel for population health and clinical trials, the company announced Tuesday. (modernhealthcare.com)
  • Electronic documentation provides real time entry of patient health information and promotes accuracy of the data. (medleague.com)
  • We used proxy data from electronic health records to determine that 17.5% of foreign-born outpatients attending the UC San Diego Health clinic (San Diego, CA, USA) underwent screening. (cdc.gov)
  • We designed a preliminary model after data collection and compared the messaging standards of Health Level Seven (HL7) and the International Organization for Standardization (ISO). (who.int)
  • Health Level Seven International (HL7) develops and maintains standards for exchanging, integrating, and sharing medical data. (medscape.com)
  • A medical EMR, however, deals with an individual patient's medical records as they pertain to one particular provider or procedure. (amazingcharts.com)
  • Researchers found that documentation of a patient's smoking status in the health record was improved in all participating practices, but intervention practices had a higher increase, a 17 percent increase compared with 11 percent in control practices. (harvard.edu)
  • Important features of the Electronic Health Record include robust tools for documentation and orders, seamless support for pay-for-performance initiatives, clinical trials integration, and plug-and-play connectivity to more than 100 medical devices through the Universal Application Integrator(TM). (allscripts.com)
  • In our study, we found that an enhancement in the electronic health record is a successful tool to remind clinicians to ask patients about smoking status and refer smokers for cessation counseling," said Jeffrey Linder , a physician and researcher at BWH and lead author of the study. (harvard.edu)
  • Tobacco use is the leading preventable cause of death in the United States, and more research is needed to maximize the utilization of health information technology to streamline tobacco treatment efforts by clinicians," said Linder. (harvard.edu)
  • The Electronic Health Record from Allscripts automates everyday clinical tasks such as prescribing medications, ordering and viewing laboratory tests, and documenting patient care. (allscripts.com)
  • Along with Basic Science and Clinical Science , HSS forms the foundation for our curricula and the health of our patients. (umassmed.edu)
  • At the Fred Hutchinson Cancer Research Center in Seattle, an early customer of the product, researchers are using Comprehend Medical to index clinical records for research databases, making it easier to find patients for trials and to figure out whether trials are feasible in the first place. (modernhealthcare.com)
  • The primary care provider can access remote monitoring devices, send electronic reminders to patients, and support appointment scheduling for routine screenings and tests. (amazingcharts.com)
  • Thus, allowing patients access to their own EHR records holds a strong potential to enhance patient-centered care. (jmir.org)
  • Linder and colleagues developed an electronic health record enhancement to increase documentation of smoking status, the prescription of tobacco treatment medications, and referral of patients to tobacco treatment counseling. (harvard.edu)
  • They also found that in practices with the intervention, patients who were documented smokers at the start of the study were more likely to be non-smokers at the end of the study (a 3.4 percent increase in documented non-smokers) when compared with practices without the enhancement in the medical record. (harvard.edu)
  • To connect providers to patients, LSI will implement iHealth from Allscripts, providing patients with a secure, online Personal Health Record and patient-provider communications. (allscripts.com)
  • The only way to make that happen is using an Electronic Health Record that delivers information when and where it's needed most - at the point of care - and that provides connectivity to pharmacies, labs, payers and most important, patients, through our iHealth service. (allscripts.com)
  • Using ' blood pressure control' (which considered only patients with a valid blood pressure recording) as the indicator attenuated the reduction to 83%, 80% and 78% respectively. (bvsalud.org)
  • Researchers looked at 1,236 hospitals in Get With the Guidelines-Stroke between 2007 and 2010 and compared the 511 that had electronic health records to those that did not. (acc.org)
  • Health records are now maintained electronically and doctors submit medication orders to pharmacies by computer-both strategies meant to streamline doctors' visits, reduce errors and improve patient care. (time.com)
  • How long should medical records be retained, whether on paper or electronically? (practicefusion.com)
  • Conclusion: Through this audit, we have demonstrated concordance between a newly introduced electronic register and health provider records in a middle-income country setting. (who.int)
  • There's no one cause for doctor burnout , but a new study published in Mayo Clinic Proceedings has found a major one: the increasingly electronic nature of medicine. (time.com)
  • According to Bill Moreau, the USOC's managing director of sports medicine, the committee decided to transition from paper to electronic once it saw that electronic records could handle the unique needs of Olympians. (kalw.org)
  • One of the easy wins for information technology in medicine is electronic prescribing. (medicalnerds.com)
  • The service, Comprehend Medical, is designed to home in on diagnoses, medication dosage, symptoms and other information that's often hidden in unstructured text, which, according to Optum, makes up about 80% of information in health records. (modernhealthcare.com)
  • LAWRENCE: The Department of Veterans Affairs pioneered electronic health records with a program called VistA back in the 1990s. (wqcs.org)
  • Below we dive into: (i) the proposed new safe harbor and Stark Law exception for cybersecurity technology and related services, and (ii) significant proposed modifications to the existing safe harbor and exception for electronic health records (EHR) technology and services. (mintz.com)
  • Noting the increasing prevalence of cyber attacks, which result in patient harm and high costs to the health care industry, the OIG and CMS proposed a similar safe harbor and exception that would protect cybersecurity technology and related services if certain conditions are met. (mintz.com)
  • The Health Information Technology for Economic and Clinical Health (HITECH) Act (2009) was legislation passed focused on improving health care delivery and patient care in America through the development of health information technology (HIT). (igi-global.com)
  • Paper records also created challenges for coordinating care. (kalw.org)
  • These records are much easier to access than our old paper charts. (getbetterhealth.com)
  • They may be on paper or electronic. (medlineplus.gov)
  • How Do Electronic Health Records Improve Health Care Quality? (amazingcharts.com)
  • One change that has had a great impact on the quality of modern medical care is the Electronic Health Record, or EHR. (amazingcharts.com)
  • Although they have had a definite impact on office efficiency, this article looks at how electronic health records have helped to improve the overall quality of health care. (amazingcharts.com)
  • Based on this experience, we recommend that electronic registers be accompanied by routine quality assurance procedures for the monitoring of vaccination programmes in such settings. (who.int)
  • The objective of our study was to explore the relationship between the aforementioned readability formulas and the laypeople's perceived difficulty on 2 genres of text: general health information and EHR notes. (jmir.org)
  • In 224,329 adults with hypertension , the proportion with a blood pressure (BP) recorded within the preceding 1 year fell from a 91% pre- pandemic peak to 62% at the end of the pandemic lock-down phase and improved to 77% by the end of the study. (bvsalud.org)
  • Although recording and control have improved, these had not returned to pre- pandemic levels by the end of the study period. (bvsalud.org)
  • This study is an experience report that approaches and problematizes the act of recording information on collective charts in the context of Family Health teams carried out by Psychology professionals of a Multiprofessional Residency Program. (bvsalud.org)
  • Less time is spent searching for patient information and managing patient records, meaning more time can be spent on actual care. (amazingcharts.com)
  • Now, it's time for digital health records. (kalw.org)
  • Some say this step is a sign that electronic medical records have finally made it to the big time. (kalw.org)
  • Previously, the committee had to gather and ship its records to each Olympic host city and didn't have access to athletes' health information for days at a time. (kalw.org)
  • So at the time of the last analysis, which was mid-February, there were about 55 million people receiving dose one of any dose of COVID vaccine, about 3.9 million registrants in v-safe completing at least one health check in and just over 30,000 self-reported pregnancies to v-safe. (cdc.gov)
  • Contact a health care provider if you have questions about your health. (medlineplus.gov)
  • To keep track of all this information, it's a good idea to keep your own personal health record. (medlineplus.gov)
  • What kind of information would you put in a personal health record? (medlineplus.gov)
  • The WHO COVID-19 Research Database is a resource created in response to the Public Health Emergency of International Concern (PHEIC). (bvsalud.org)
  • Rising health care costs make it important to understand the reasons that families with children seek ER care, rather than less expensive office-based or outpatient care. (cdc.gov)
  • Electronic records are gaining momentum across the country, largely because the federal government has encouraged health care providers with financial incentives. (kalw.org)
  • But about half of the athletes aren't in constant contact with the USOC and its health care providers at all. (kalw.org)
  • Health care providers are a high value target for cyber criminals. (mintz.com)
  • An EHR's first priority must be support of clinical care, not documentation for billing and reimbursement that adds a burden translatable into neither value, nor patient health or safety. (acc.org)
  • Does keeping records indefinitely increase one's exposure to liability? (practicefusion.com)
  • Sign up to receive the latest health and science news, plus answers to wellness questions and expert tips. (time.com)
  • To see more, visit Kaiser Health News . (kalw.org)