Paper Health Services Research Utilizing Electronic Health Record Data: A Grad Student How-To Paper Ashley W. Collinsworth, ScD, MPH, Baylor Scott & White Health and Tulane University School
There is limited experience and methods for extractions of drug therapy data from electronic health records (EHR) in the hospital setting. We have therefore developed and evaluated completeness and consistency of an automatic versus a semi-automatic extraction procedure applied on prescribing and administration of the TNF inhibitor infliximab using a hospital EHR system in Karolinska University Hospital, Sweden. Using two different extraction methods (automatic and semi-automatic), all administered infusions of infliximab between 2007 and 2010 were extracted from a database linked to the EHR system. Extracted data included encrypted personal identity number (PIN), date of birth, sex, time of prescription/administration, healthcare units, prescribed/administered dose and time of admission/discharge. The primary diagnosis (ICD-10) for the treatment with infliximab was extracted by linking infliximab infusions to their corresponding treatment episode. A total of 13,590 infusions of infliximab were ...
The overall goal of this work was to identify data elements that are needed for site feasibility analysis in clinical studies and are at the same time commonly documented in European EHR systems. The heat map was created to determine the availability across the data provider sites. The coloring of each cell was considered a good means to give an overview of how frequently each element is documented and especially, highlight those which are generally not used. Widely available data elements are from data groups demographics, diagnosis, procedures and laboratory findings. Under-documented elements are those captured in the wish list which are from the groups scores and classifications and medical history. We chose to use own groups instead of using Weng et al./Luo et al.s [12, 13] semantic classes, because our focus was not only on clinical trials, but also on EHRs. With the data groups, we also wanted to indicate where data could be found in EHRs. For example, procedures are used in Europe for ...
The best algorithm for ascertainment of diabetes cases overall was billing data. The best type 1 algorithm was the ratio of the number of type 1 billing codes to the sum of type 1 and type 2 billing codes ≥0.5. A useful algorithm to ascertain type 2 youth with "other" race/ethnicity was identified. Considerable age and racial/ethnic differences were present in type-non-specific and type 2 algorithms ...
One of PCORIs goals is to improve the methods that researchers use for patient-centered outcomes research. PCORI funds methods projects like this one to better understand and advance the use of research methods that improve the strength and quality of comparative effectiveness research. This research project is in progress. PCORI will post the research findings on this page within 90 days after the results are final.
Health surveys (HS) are a well-established methodology for measuring the health status of a population. The relative merit of using information based on HS versus electronic health records (EHR) to measure multimorbidity has not been established. Our study had two objectives: 1) to measure and compare the prevalence and distribution of multimorbidity in HS and EHR data, and 2) to test specific hypotheses about potential differences between HS and EHR reporting of diseases with a symptoms-based diagnosis and those requiring diagnostic testing. Cross-sectional study using data from a periodic HS conducted by the Catalan government and from EHR covering 80% of the Catalan population aged 15 years and older. We determined the prevalence of 27 selected health conditions in both data sources, calculated the prevalence and distribution of multimorbidity (defined as the presence of ≥2 of the selected conditions), and determined multimorbidity patterns. We tested two hypotheses: a) health conditions requiring
Boston Strategic Partners, Inc. is utilizing its extensive experience with Health Economics and Outcomes Research (HEOR) and big data to provide in-depth analysis of hospital treated sepsis.. In 2014, US healthcare spending exceeded $3.0 trillion with nearly 1/3 spent on hospitalizations. BSPs real-world data report, Hospital Treated Sepsis, estimates 30% of all hospital discharges involve treatment of infectious organisms. Sepsis is responsible for an estimated 12% of all hospital stays. At an average cost of $15,500 per occurrence, we estimate that hospitalizations for severe infections account for $212 billion in annual spending or 7% of total healthcare expenditure. In this report, we conduct an in-depth analysis of sepsis patient characteristics, medication management, costs, and laboratory testing.. Gram-positive bacteria are the likely causative agents of most sepsis infections. Physicians treat the vast majority of these infections with vancomycin, piperacillin-tazobactam, ...
(PRWEB) September 14 2017 Boston Strategic Partners Inc. (BSP) a life-sciences and healthcare consulting firm is utilizing its extensive experience with Health Econ,Boston,Strategic,Partners,,Inc.,is,Utilizing,Electronic,Health,Record,Data,to,Analyze,Hospital,Treated,Pneumonia,biological,advanced biology technology,biology laboratory technology,biology device technology,latest biology technology
FORT WASHINGTON, PA--(Marketwired - September 07, 2016) - Although diffuse large B-cell lymphoma (DLBCL) is a curable disease in most patients aged 65 years or older, these patients are also at higher risk of chemotherapy-related death within the first 30 days of treatment.To quantify the risk of early fatality and...
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HL7 is an organization that was founded in 1987 to set international standards for how health information is exchanged between information systems. It expanded its scope beyond data interchange to include specifications for EHR system functions through its Electronic Health Record Technical Committee. The Electronic Health Record Technical Committee, which was founded in 2001, published its first balloted standard for EHR system functions in 2004.34 This standard is being used as the basis for the EHR system certification process specified by the federal Office of the National Coordinator for Health Information Technology (created by Executive Order 13335, April 28, 2004, and authorized by Congress [FR Doc No. 05-16446, Filed August 18, 2005]). The purpose of certification is to set a minimum level of functionality that EHR systems will have to meet to qualify for special treatment, such as participation in pay-for-performance programs.35,36 By contract with the Office of the National ...
Allen-Ramey et al. Allergy, Asthma & Clinical Immunology 2013, 9:27 ALLERGY, ASTHMA & CLINICAL IMMUNOLOGY RESEARCH Open Access Electronic health record-based assessment of oral corticosteroid use in a
Principles of electronic health records and information systems theory and life cycle. Course work covers development, implementation, and management of electronic health records (EHR) systems, including the following topics: challenges to EHR adoption; EHR goal setting and impact on quality; strategic planning for the EHR migration path; health care process assessment; assessment of functional needs, data infrastructure, and information technology and systems infrastructure; analysis of return on investment for EHR expenditures; EHR selection and contract negotiation; EHR project management; EHR system implementation and ongoing maintenance; acute care EHR applications; and the growing momentum toward health information exchange. 3 Credits (3 Lecture) Prerequisite(s): HIT310. As needed.. ...
In order to achieve a learning health care system in which quality and effectiveness of health care are improved as costs are lowered, leveraging electronic health record data for purposes beyond treatment and payment will need to become easier and more widespread. This paper explores the current legal and policy challenges associated with secondary use of electronic clinical data, including those inherently relying on Institutional Review Board (IRB) review, and discusses a number of strategies that early health IT-adopters have employed to address them. The paper closes by noting potential changes to federal research rules that could ease restrictions on research in the future and by raising one additional policy challenge - support for health services research infrastructure - that, if unresolved, could create obstacles to further progress. ...
Training is a critical part of health information technology implementations, but little emphasis is placed on post-implementation training to support day-to-day activities. The goal of this study was to evaluate the impact of post-implementation training on key electronic health record activities. Based on feedback from providers and requests for technical support, we developed two classes designed to improve providers effectiveness with the electronic health record. Training took place at Kaiser Permanente, Mid-Atlantic States. The classes focused on managing patient-level information using problem lists and medication lists, as well as efficient documentation and chart review. Both classes used the blended learning method, integrating concrete scenarios, hands-on exercises and take-home materials to reinforce class concepts. To evaluate training effectiveness, we used a case-control study with a 1:4 match on pre-training performance. We measured the usage rate of two key electronic health record
The Principal Investigator (Efrain Riveros-Perez, [email protected]) was responsible for the conduct of this study, including overseeing participant confidentiality, executing the Data and Safety Monitoring (DSM) plan, and complying with all reporting requirements to local and federal authorities. Since this is a database study uses already existing electronic health record data and does not involve direct patient care, we believe that a DSM Board is not needed. The only patient rights issue is maintaining confidentiality of the data. The data was abstracted from each patients electronic health record using their name and medical record number (MRN). The patient name and MRN was replaced by a patient study number for use in the analysis file. A separate file was used to maintain linking patient name and MRN with the patient study number. The analysis file might contain limited PHI information, such as dates of hospitalization. ...
The Agency for Healthcare Research and Quality (AHRQ) has issued two new health care patient safety primers: 1) electronic health records; and 2) individual clinician performance. On electronic health records, AHRQ noted that the transition to this new way of recording and communicating health care information has also introduced new opportunities for error and other unanticipated consequences that can present safety risks. On individual clinician performance, AHRQ noted that individual clinician performance issues may relate to technical competence to perform specific tasks or procedures necessary to provide safe patient care. Alternatively, a clinician may be technically proficient-or even outstanding-but provide unsafe care for a variety of other reasons, including poor communication skills, lack of professionalism, or medical or mental health conditions. To read the AHRQ patient safety primer on electronic health records, use the first link below. To read the AHRQ patient safety primer on ...
Driven by major federal investments in health information technology over the last several years, hospitals, physicians and other providers have made significant strides in the adoption of Health Information Technology (HIT).
Compare electronic health records systems designed to meet the unique needs of cardiologists. Cardiology is one of the most demanding specializations in medicine..... ...
Compare electronic health records systems designed to meet the unique needs of cardiologists. Cardiology is one of the most demanding specializations in medicine..... ...
A collaborative studying including Dr. Brian Bossak at Georgia Southern University Jiann-Ping Hsu College of Public Health examines changes to the electronic health records market in light of health information technology certification and meaningful use. Health information technology (HIT) certification and meaningful use are interventions encouraging the adoption of electronic health records (EHRs) in the USA. However, these initiatives also constitute a significant intervention which will change the structure of the EHR market.. Researchers found that there was movement away from paper records, upward trends in the number of EHR vendors, and greater competition. However, changes differed according to hospital size and region of the country. Changes were greatest for small hospitals, whereas competition and the number of vendors did not change dramatically for large hospitals.. To read more click here.. ...
More than 100,000 health care providers are using electronic health records that meet federal standards and have benefitted from the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs, the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) announced.
In January 2015, President Obama launched the Precision Medicine Initiative, a plan to support research into treatment and prevention strategies that take differences between people - especially genetics - into account.. However, precision medicine cant just look gene-deep. Where we live - the air we breathe, the water we drink, the environments around us - has a huge impact on our health and even on our DNA.. As a professor of environmental health sciences, epidemiology and medicine and codirector of the Joint Geisinger-JHSPH Environmental Health Institute (EHI), I have been working with electronic health record data to link such environmental issues as animal feeding operations, agricultural practices, unconventional natural gas development and the built environment to such outcomes as drug-resistant infections, diabetes and asthma control, pregnancy outcomes and obesity. Working with Dr Annemarie Hirsch, an epidemiologist in the EHI, we are seeking to discover how to translate these findings ...
The MGH & BWH Center for Clinical Data Science (CCDS) is a cross-functional, cross-institutional group of clinicians, researchers, data scientists, product development and translational experts. We are working to build a "smart" healthcare delivery system through the creation of an ever-learning and ever-changing set of machine learning (ML) based tools and services. Our goal is to develop and deploy applications to empower clinicians and enhance outcomes.. Principal Duties and Responsibilities. Support clinical research strategy Support data pipeline and processing efforts necessary for model training (e.g., data curation, annotation, and augmentation). Interface with physicians to help identify high value opportunities in medical imaging, pathology, and electronic health record data for the use of machine learning. Understand and ensure compliance with policies and procedures required for clinical validation within the Partners HealthCare system Prepare and report on the status of clinical ...
This paper demonstrates that data-driven clinical pathways can be developed using electronic health record data to facilitate innovations in practice-based care delivery for chronic disease management.
I am a Senior Lecturer in Neonatal Medicine and honorary consultant neonatologist at Chelsea and Westminster NHS Foundation Trust. My primary research interest is using routinely collected electronic health record data to develop large, simple clinical trials. A central aspect of this work is increasing parent and patient involvement in neonatal research. My other interests include better understanding how prematurity and early life nutrition influence adult health and better applying evidence based practice to neonatal care.. I initially studied Medicine at the University of Newcastle, graduating in 2002. I undertook my paediatric training in Sydney and London and gained membership of the Royal College of Paediatrics and Child Health in 2006. I completed a MSc in Clinical Paediatrics at the Institute of Child Health, University College London, in 2010; my thesis examined neonatal and perinatal transfers. My PhD at Imperial College London examined the influence of infant feeding on adiposity, ...
ARMR is a longitudinal study. Were collecting data over time, which will allow us to study changes in headache patterns, health care resource utilization, diagnostic and management strategies, development of co-morbidities and responses to therapies," Dr. Schwedt says. The registry is comprised of multiple components: The first component is an online platform in which participants fill out a baseline and follow-up questionnaires and clinicians enter the participants headache diagnoses. There is also an ARMR headache diary mobile app in which participants share daily information about their migraine attacks, their level of function and their treatment, if any. The third component is a blood sample, which is processed and stored in the ARMR biobank and will be used for genetic analyses. Brain imaging data are collected in the ARMR Neuroimaging Repository, and electronic health record data are pulled and confidentially entered into a centralized ARMR database. "Oftentimes, research is done in ...
BACKGROUND: Approximately 13% of black individuals carry 2 copies of the apolipoprotein L1 (APOL1) risk alleles G1 or G2, which are associated with 1.5- to 2.5-fold increased risk of chronic kidney disease. There have been conflicting reports as to whether an association exists between APOL1 risk alleles and cardiovascular disease (CVD) that is independent of the effects of APOL1 on kidney disease. We sought to test the association of APOL1 G1/G2 alleles with coronary artery disease, peripheral artery disease, and stroke among black individuals in the Million Veteran Program. METHODS: We performed a time-to-event analysis of retrospective electronic health record data using Cox proportional hazard and competing-risks Fine and Gray subdistribution hazard models. The primary exposure was APOL1 risk allele status. The primary outcome was incident coronary artery disease among individuals without chronic kidney disease during the 12.5-year follow-up period. We separately analyzed the cross-sectional ...
The growing trend of automation & digitalization in healthcare drives the global Electronic Health Records Market. This industry is anticipated to surpass USD 30 billion by the end of the forecast period (2015 to 2022). Need for greater efficiency, improvements in service quality, and patient safety are factors that may augment growth in the forthcoming years. Implementation of favorable government initiatives, such as the ARRA (America Recovery and Reinvestment Pack) helps foster widespread adoption of health record systems.. Technological improvements in EHR have led to greater access to critical information with the help of handheld devices, such as tablets and iPhones. EHR systems are equipped with technologies that facilitate monitoring, evaluation, management, sharing, and modifications of treatment plans. They can even track the exact patient location in times of medical emergencies.. The global electronic health records Market is segmented as per applications, end users, and geographies. ...
Sites listed here relate to structure, concepts and methodologies. An Electronic Health Record Architectures (EHRA) is an information model or framework for the construction of electronic health records. It has been defined by the European Standards Committee (CEN). An EHR Architecture is a model of the generic features necessary in any electronic healthcare record in order that the record may be communicable, complete, a useful and effective ethico-legal record of care, and may retain integrity across systems, countries, and time. The Architecture does not prescribe or dictate what anyone stores in their healthcare records. Nor does it prescribe or dictate how any electronic healthcare record system is implemented. It places no restrictions on the types of data which can appear in the record, including those which have no counterpart in paper records. From http://www.gehr.org/gpcgglossary.pdf Viewed 22/12/2003
There is broad consensus that electronic health records (EHR) have the potential to improve the efficiency and effectiveness of healthcare providers. Yet, to date, there has been no reliable estimate of the prevalence of EHR use among U.S. hospitals. In a new study, researchers from the Harvard School of Public Health (HSPH), Massachusetts General Hospital and George Washington University found that less than 2% of surveyed hospitals had implemented comprehensive EHR; further, less than 8% had basic EHR in place. It is the first nationally representative study of the prevalence of EHR in hospitals.. The findings are significant as Congress and the Obama administration targeted $19 billion in the federal stimulus package for improving adoption of health information technology such as electronic health records. Many policy makers hope that the money will help doctors and hospitals adopt electronic records, which should help improve the quality and efficiency of the healthcare system.. "This study ...
EMR and EHR, Open Source Electronic Health Records: Will They Support the Clinical Data Needs of the Future? (Part 1 of 2) , ACO, EHR, Electronic Health Record, Healthcare IT, Meaningful Use
When Kaiser Permanente Northern California rolled out a new electronic health record (EHR) system for outpatients a few years back, a team of researchers considered it a golden opportunity to evaluate how such systems affect care and outcomes.. The staggered implementation of the EHR system at 17 KP-owned medical centers from 2004 to 2009 allowed researchers to "examine the association between use of a commercially available certified EHR and clinical care processes and disease control in patients with diabetes," says the study "Outpatient Electronic Health Records and the Clinical Care and Outcomes of Patients With Diabetes Mellitus" in the Oct. 12 issue of Annals of Internal Medicine.. Mary Reed, DrPH, the lead author, tells Managed Care that "patients diabetes and cholesterol control were actually significantly better when their physicians used an EHR compared to when they didnt. We found that the patients who needed the most care, meaning their lab values were furthest out of control, were ...
Read a description of EHR (Electronic Health Records). Free detailed reports on EHR (Electronic Health Records) are also available.
This disparity is suggested to play a key role in the ability and desire of professional to use technological solutions in their day-to-day activities. Our intent is to expand this possibility to medical health professionals use of electronic health records. Our research will attempt to determine if being native to technology has any impact on a practitioners desire to incorporate information technology in to their work routine. We will also see if natives have perform better in health information settings as has been shown in other areas.. Previous Research A 2008 study by DesRoches et al. attempted to discern barriers to the adoption of electronic health records. The authors conducted a survey of physicians registered in the masterfile of the American Medical Association, excluding Doctors of Osteopathy. The authors listed 4 basic reasons the respondents could choose from; financial barriers, organizational barriers, legal barriers, and barriers from the state of the technology. Respondents ...
This report studies the global Electronic Health Records Software market, analyzes and researches the Electronic Health Records Software development status and forecast in United States, EU, Japan, China, India and Southeast Asia.
Moving to end years of studies and patchwork software fixes, the VA Secretary announced on Monday that the Department of Veterans Affairs will start using a commercial platform for electronic health records that is already used by the Pentagon, all to ensure complete and accurate data in the VA heal...
The papers in this issue by Desai et al1 on use of electronic health records (EHRs) to form disease registries and Kahn et al2 regarding quality control in the EHR both discuss important and timely issues. Use of frameworks, strategies, and recommendations provided in these articles will go a long way toward improving the quality of EHR data for purposes ranging from local quality improvement to comparative studies and national population-based research.. This is clearly a case where "the devil is in the details," as is well documented in examples provided in these articles. The data quality and checking issues and multiple decisions that need to be made in creating registries are paramount, because electronic data are not inherently better or worse than paper records. As often happens, debates have often focused on the overall advantages and disadvantages of EHR data, instead of on the important subissues discussed in these papers, such as the purpose for which the data are intended, whether ...
Although, in England, patients have had the legal right to access their health records since 1998, access to paper-based health records is mediated by health professionals and data controllers, through a cumbersome procedural process.1 Additionally, as health information is fragmented between different organisations and levels of care, data access requests are often unable to provide a comprehensive health history record.2 3 In the last decade, electronic health records (EHR) have emerged as a promising solution to enhance patients access to centralised medical information.4 The adoption of EHR by primary care practices, hospitals and other healthcare organisations has steadily increased in the last years. In England, the percentage of general practice surgeries that allowed patients to access their medical records online increased from 3% to 97% between April 2014 and February 2016.5 Patients willingness and ability to access their health information through web portals is influenced by both ...
This is a 2-arm, multi-site, physician-randomized pragmatic trial to evaluate the impact and scalability of the EMC2 strategy to promote safe medication use and adherence.. Treatment Arms and Duration:. Usual Care. Usual care includes 1) variable provider counseling with limited or variable EHR notifications or counseling support; 2) no distribution of print medication information materials, including FDA Medication Guides in clinics and variable distribution in pharmacies; and 3) limited or no active surveillance of medication use post-visits.. Intervention: EMC2 Strategy.. In brief, there are several components to this strategy that will be embedded into the workflow via EHR/patient portal platforms, mostly automating their implementation. Following patient movement through a provider visit, the following activities will occur for a select list of pre-specified medications:. ...
CMS wants to help health care providers code their billing claims appropriately in this increasingly electronic environment. The Centers for Medicare and Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC) will host a presentation and "listening session" on May 3 in Woodlawn, Maryland, to discuss the impact of electronic health records (EHRs) on coding trends, the increase in code levels billed for some Medicare services, and developing standards for coding with EHRs. After a break from the presentations, invited speakers will discuss key issues such as the impact of EHRs on the quality of clinical care, provider efficiency, and coding challenges and opportunities facing various groups, including hospitals, clinicians, and other interested stakeholders. CMS provides a list of invited speakers and online registration at this link. ...
Read Accentures report about Norways electronic health record system and find out how it impacted the way healthcare is delivered in Norway.
Serves as the principal advisor and coordinator to the Agency for health information technology and quality. Specifically: (1) Provides support, policy direction, and leadership for HRSAs health quality efforts; (2) serves as the focal point for developing policy to promote the coordination and advancement of health information technology, including telehealth, to HRSAs programs, including the use of electronic health record systems; (3) develops an Agency-wide health information technology and telehealth strategy for HRSA; (4) assists HRSA components in program-level health information technology and health quality efforts; (5) ensures successful dissemination of appropriate information technology advances, such as electronic health records systems, to HRSA programs; (6) works collaboratively with States, foundations, national organizations, private sector providers, as well as departmental agencies and other Federal departments in order to promote the adoption of health information ...
The federal government announced Tuesday proposed rules that would give its Office of the National Coordinator for Healthcare Technology (ONC) greater oversight to ensure that certified electronic health records (EHR) can actually fulfill the functions physicians need them to, especially when it comes to interoperability. ...
Current electronic health record (EHR) systems facilitate the storage, retrieval, persistence, and sharing of patient data. However, the way physicians interact with EHRs has not changed much. More specifically, support for temporal analysis of a large number of EHRs has been lacking. A number of information visualization techniques have been proposed to alleviate this problem. Unfortunately, due to their limited application to a single case study, the results are often difficult to generalize across medical scenarios. We present the usage data of Lifelines2 (Wang et al. 2008 ), our information visualization system, and user comments, both collected over eight different medical case studies. We generalize our experience into a visual analytics process model for multiple EHRs. Based on our analysis, we make seven design recommendations to information visualization tools to explore EHR systems.. ...
Drawing on work that began over five years ago at Mass General Imaging to help improve patient care, radiologist Michael Zalis and Mitch Harris co-founded QPID™ Inc. to help manage electronic health records (EHR). The recently launched company uses software developed at Mass General Imaging to retrieve and integrate EHR data into clinical practice ...
PubMed Central Canada (PMC Canada) provides free access to a stable and permanent online digital archive of full-text, peer-reviewed health and life sciences research publications. It builds on PubMed Central (PMC), the U.S. National Institutes of Health (NIH) free digital archive of biomedical and life sciences journal literature and is a member of the broader PMC International (PMCI) network of e-repositories.
Ensuring the privacy and security of clinical information, including electronic health records and personal health records. healthcare information security
Lake Health has selected Cerner, a global leader in health care technology, as its long-term supplier to deliver an integrated electronic health record (EHR). The Cerner Millennium EHR will support the Lake Health system and its employed providers, as well as create greater integration with its community physician network. Patients will benefit from a single health record accessible from a patient portal.
Ensuring the privacy and security of clinical information, including electronic health records and personal health records. bank information security
For decades, health care providers relied on paper charts filled with handwritten notes and abbreviations for an accurate look at a patients medical history.. Often stored in manila folders, the files contain decades worth of information and detail anything from observations or a patients X-ray results to medications he or she is prescribed to take.. But sparked by financial incentive programs and a nationwide push toward health information technology, many office-based physicians and hospitals over the last several years have converted the paper files to electronic records.. The entire cycle in the hospital is now computerized, said Patrick Conaboy, M.D., chief medical information officer at Regional Hospital of Scranton. When (a patient) leaves the hospital, all the information is available to (their) doctor.. Touted as a way to enhance the quality of care, electronic health records log patients medical histories and clinical information and store it on a database accessible to ...
In a study population comprising 7 diverse hospitals and 39,604 adults of all ages hospitalized for a broad range of medical reasons, an electronic model utilizing EMR data routinely available within 24 h of admission identified patients at high risk of post-discharge death or readmission events early in their hospitalization.. Adding information available on discharge (e.g. length of stay and other comorbidities) to the electronic model had a small incremental benefit in predicting the risk of readmission and death, but no significant impact on predicting the risk of readmission alone. This suggests that meaningful patient-level risk stratification of readmission risk can occur early in the hospital stay without waiting for further information at time of discharge. The electronic model does not require manual computation by staff and was constructed such that it can be calculated directly from the commonly used commercial EMR employed by this diverse group of 7 hospitals. With wide-spread ...
BACKGROUND: The NHS is moving towards electronic access to health records for patients from 2004 and needs to involve patients in the development process. The aim of the study was to explore the views of a large sample of patients about online access to EPRs and health information in primary care. Areas covered included: accuracy rights of access; security; confidentiality and smart cards. MATERIAL/METHODS: The questionnaire was sent to 1050 patients selected at random from the practice list after stratification for age and sex. RESULTS: 66% of patients aged over 20 years old responded. Patients know they have the right to see their records although few have done so. Overall they feel the advantages of electronic health records outweigh the disadvantages. They have concerns about security, confidentiality, understanding their records, their accuracy and completeness. The patients recognised the potential benefits to their healthcare and relationships with health professionals. There was a majority view
BACKGROUND: The NHS is moving towards electronic access to health records for patients from 2004 and needs to involve patients in the development process. The aim of the study was to explore the views of a large sample of patients about online access to EPRs and health information in primary care. Areas covered included: accuracy rights of access; security; confidentiality and smart cards. MATERIAL/METHODS: The questionnaire was sent to 1050 patients selected at random from the practice list after stratification for age and sex. RESULTS: 66% of patients aged over 20 years old responded. Patients know they have the right to see their records although few have done so. Overall they feel the advantages of electronic health records outweigh the disadvantages. They have concerns about security, confidentiality, understanding their records, their accuracy and completeness. The patients recognised the potential benefits to their healthcare and relationships with health professionals. There was a majority view
The advancement in technology mandates the extensive use of computerized healthcare devices making Electronic Health Records (EHRs) the way to store the patient details. The EHR systems have high availability and security requirements for the storage database. DIGHT is a distributed key-value store architecture being developed at SICS addressing the problems of high availability and scalability, data integrity and confidentiality, accountability, EHR versioning and extensibility.. This Master thesis addresses the authorization requirements of the EHR systems. eXtensible Access Control Markup Language (XACML) is a OASIS standard for general purpose access control policy language designed for managing the access for resources. All of the available open source implementation of Policy Decision Point(PDP) conforms to XACML version 2.0 and retrieves the policies from the traditional file systems.. Sun open source implementation of PDP conforming to XACML 2.0 was evaluated. It was upgraded to conform ...
Electronic Health Records (EHRs) are digital versions of patients charts that are available to health care providers wherever and whenever they are needed.
THE WOODLANDS, Texas--(BUSINESS WIRE)--Jan 22, 2013--For the second consecutive year, iKnowMed electronic health record (EHR) has been named the top ranked EHR for oncologists and hematologists by Black Book Rankings, a division of the Brown-Wilson Group, an unbiased source for polling, surveys and market research. In addition, KLAS, an independently owned and operated healthcare industry research firm, recently indicated that iKnowMed attained the highest medical oncology-specific performance rating for an EHR built for the ambulatory setting.. "Created in close collaboration with the physicians of The US Oncology Network, the broad functionality of iKnowMed delivers multiple benefits for community oncology practices - including enhanced patient safety, work flow efficiency and evidence-based clinical decision support at the point of care," said Asif Ahmad , SVP of Technology for McKesson Specialty Health. "We are excited to see the undeniable value of iKnowMed reflected in these important ...
A recent study funded by Agency for Healthcare Research and Quality suggests that patients with fully electronic health records experienced fewer adverse events such as hospital-acquired infections. In order to be considered a fully electronic EHR, physician notes, nursing assessments, problem lists, medication lists, discharge summaries and provider orders are electronically generated, according to researchers.
Technologies for Security of EHR 2017 : Emerging Technologies for Security and Authentication of Electronic Health Record (EHR): Opportunities and Challenges
While electronic medical records have the potential to vastly improve a patients health care, their introduction also raises new and complex security and privacy issues. The challenge of preserving what patients believe as their privacy in the context of the introduction of the Personally Controlled Electronic Health Record (PCEHR), into the multi-layered and decentralised Australian health system is discussed. Based on a number of European case studies the paper outlines the institutional measures for privacy and security that have been put in place, and compares them with the current status in Australia. The implementation of the PCEHR has not been as straight forward, holistic or as uniform as in the European countries studied. This has meant that issues around personal privacy and security have not been addressed in an effective and functional manner. Surprisingly, the researchers found that the patient is absent in the PCEHR privacy and security discussion; and their perceptions of, and
Even though it is better if the system can be used without documentation, it may be necessary to provide help and documentation. Any such information should be easy to search, focused on the users task, list concrete steps to be carried out, and not be too large.". Heuristic observed: The EHR displays task-specific tips when the user hovers over icons.. Heuristic violated: Documentation is inconvenient to access in the active workspace in the EHR.. Sources. Armijo D, McDonnell C, Werner K. Electronic Health Record Usability: Evaluation and Use Case Framework. AHRQ Publication No. 09(10)-0091-1-EF. Rockville, MD: Agency for Healthcare Research and Quality. October 2009. Accessed Hayward J et al. Too much, too late: mixed methods multi-channel video recording study of computerized decision support systems and GP prescribing. J Am Med Inform Assoc 2013;0:1-9. doi:10.1136/amiajnl-2012-001484.. Nielsen J. 10 Usability Heuristics for User Interface Design. Accessed on August 16, 2014.. ...
BACKGROUND Nationally endorsed, clinical performance measures are available that allow for quality reporting using electronic health records (EHRs). To our knowledge, how well they reflect actual quality of care has not been studied. We sought to evaluate the validity of performance measures for coronary artery disease (CAD) using an ambulatory EHR. METHODS We performed a retrospective electronic medical chart review comparing automated measurement with a 2-step process of automated measurement supplemented by review of free-text notes for apparent quality failures for all patients with CAD from a large internal medicine practice using a commercial EHR. The 7 performance measures included the following: antiplatelet drug, lipid-lowering drug, beta-blocker following myocardial infarction, blood pressure measurement, lipid measurement, low-density lipoprotein cholesterol control, and angiotensin-converting enzyme inhibitor or angiotensin receptor blocker for patients with diabetes mellitus or left
This statewide, retrospective cross-sectional study identified longer than expected length of stay for urgent surgical procedures on the weekend compared to weekdays. Hospitals with electronic operating room scheduling and electronic bed management systems were less likely to demonstrate the weekend effect. These results suggest that health information technology can be employed to mitigate the weekend effect.
BACKGROUND: Temporal variability in health-care processes or protocols is intrinsic to medicine. Such variability can potentially introduce dataset shifts, a data quality issue when reusing electronic health records (EHRs) for secondary purposes. Temporal data-set shifts can present as trends, as well as abrupt or seasonal changes in the statistical distributions of data over time. The latter are particularly complicated to address in multimodal and highly coded data. These changes, if not delineated, can harm population and data-driven research, such as machine learning. Given that biomedical research repositories are increasingly being populated with large sets of historical data from EHRs, there is a need for specific software methods to help delineate temporal data-set shifts to ensure reliable data reuse.. RESULTS: EHRtemporalVariability is an open-source R package and Shiny app designed to explore and identify temporal data-set shifts. EHRtemporalVariability estimates the statistical ...
In early August, the Centers for Medicare and Medicaid Services (CMS) will hold teleconference educational sessions on the Medicare Electronic Health Record (EHR) Incentive Program.
With the EHR (Electronic Health Record) being central to most health informatics applications, several countries have initiated programs for implementing national EHR infrastructures. Building and implementing such a national EHR infrastructure requires an understanding of healthcare standards, coding systems, and standard frameworks, each of which may vary across borders and/or come from a myriad of sources. With this in mind, the authors compiled their study and analysis results in a groundbreaking single-source guide to fill the void in this area for the benefit of others working in similar areas ...
Many health institutions digitally store their patients health information. Learn about electronic health records (EHRs) and how they can improve health care.
This study tested the sensitivity of obesity diagnosis in electronic health records (EHRs) using body mass index (BMI) classification and identified variables associated with obesity diagnosis. . Eligible children aged 2 to 18 years had a calculable BMI in 2017 and had at least 1 visit in 2016 and 2017. Sensitivity of clinical obesity diagnosis compared with childrens BMI percentile was calculated. Logistic regression was performed to determine variables associated with obesity diagnosis. . Analyses included 31 059 children with BMI at or above 95th percentile. Sensitivity of clinical obesity diagnosis was 35.81%. Clinical obesity diagnosis was more likely if the child had a well visit, had Medicaid insurance, was female, Hispanic or Black, had a chronic disease diagnosis, and saw a provider in a practice in an urban area or with academic affiliation. . Sensitivity of clinical obesity diagnosis in EHR is low. Clinical obesity diagnosis is associated with nonmodifiable child-specific factors but ...
Maryland has made its first payments to medical providers and hospitals through the federal Medicaid Electronic Health Records Incentive Program.
Internet of Things (IoT) has emerged as a key technology promising to transform the delivery and experience of patient care spanning the hospital to the patient home. However, many healthcare providers still struggling to realize the value of the electronic health record (EHR) have difficulty moving beyond the EHR to embrace a near‐term future where IoT becomes a key enabling technology in patient care delivery. In this interactive workshop, participants will explore the value of IoT across the continuum of care and discuss barriers and solutions for driving purposeful adoption of IoT in next‐generation patient care ...
Madison Wis. While Wisconsin may be ahead of the curve in implementation of healthcare technologies theres a long way to go before full use of electronic health records is common across the United States. Despite the recognized quality improvements and long-term cost savings implementation challenges can be daunting notes Frances Dare director of the a href http://www.cisc,Organizations,finding,ways,to,overcome,barriers,to,electronic,health,records,implementation,biological,advanced biology technology,biology laboratory technology,biology device technology,latest biology technology
Despite considerable financial incentives for adoption, there is little evidence available about providers use and satisfaction with key functions of electronic health records (EHRs) that meet
By 2016, the government reported that more than 97 percent of hospitals and 70 percent of office-based physicians participating in the incentive program were using electronic health record systems. Both Stanford Health Care and Stanford Childrens Health had transitioned by the mid-2000s, adding functions over subsequent years.. Christopher Sharp, MD, chief medical information officer for Stanford Health Care, said a crucial part of the process was convincing doctors to embrace the far-reaching change. "We called it driving adoption," he told the audience at the EHR symposium.. Though few wish to return to paper files, the medical worlds transition to electronic records generally has been rocky. Some of the struggle comes simply from learning to navigate a complicated new software system and related programs. But other challenges arise from increased - and changing - documentation requirements from payers and the government, along with decreased opportunities to delegate.. Adding to the ...
A new study found that doctors with computerized records are more likely to order tests. The study is another piece of evidence, among many, in the debate surrounding electronic health records. But that debate is really about the best way to adopt the technology, and at what pace - not whether moving from the paper records to the computer age makes sense.
Satisfaction and usability ratings for certified electronic health records (EHRs) have decreased since 2010 among clinicians across a range of indicators, according to survey results.
A group that holds a federal contract to certify electronic health records will begin a pilot test of EHRs for physicians offices and other ambulatory settings next month.The C...
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Data and communications are critical contributors to health care. I recently attended a forum on how my state, Massachusetts, is facilitating the move to Electronic Health Records, a prerequisite for many things doctors, patients, and insurance companies can do to improve health. Its notable that the chief sponsor of the event, the Massachusetts Health Data Consortium, was largely set up by insurance companies. Lots of invective has been thrown at these companies recently, but the questions of technology can pull together the insurers, providers, and patients in a common quest. My own understanding of the progress and frustrations in deploying heath care technology was enhanced by the conversations I had that day and the statistics bandied about.
Because EHRs improve how well your doctors talk to each other and coordinate your treatment, they can enhance your overall care. This article gives the facts on electronic health records.
For Thursday, July 26th we are back to our regularly scheduled 6pm Pacific/9 Eastern. The topic is Electronic Health Records (EHRs), led by Alisha Miles (@alisha764 ...
|ScienceDaily (Dec. 15, 2009) - Although physicians support the use of electronic health records, concerns about potential privacy breaches remain an issue, according to two research articles published in the January 2010 issue of the Journal of the American Informatics Association (JAMIA), in its premiere issue as one of 30 specialty titles published by the…
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OBJECTIVE: To compare the accuracy in recording of pressure-ulcer prevalence and prevention before and after implementing an electronic health record (EHR) with templates for pressure-ulcer assessment. METHODS: All inpatients at the departments of su
UC Davis Health System will become the first academic health system in the country to incorporate sexual orientation and gender identity as standard demographic elements within the electronic health records for its patients.
Advanced practice nurses (APNs) play an important role in preoperative screening. The purpose of this project was to determine the effectiveness of pre-operative screening criterion established February 2012 for patients greater than 40 years old who underwent total knee or hip replacement surgery. Of the 1850 electronic health records reviewed, 1065 (57.6%) total knee and total hip replacement surgeries took place before and 785 (42.4%) took place after screening criteria were implemented. Before implementation of screening criteria 53 (4.98%) patients experienced critical changes (code blue or critical assessment team call); after the implementation of screening 30 (3.82%) patients experienced critical changes (code blue or critical assessment team call), a decrease of 1.16% after screening. Critical changes (code blue or critical assessment team call) were higher for patients undergoing total knee replacement (pre 3.47% and post 2.80%) than for patients undergoing total hip replacement (pre 1.50% and
International Rescue Committee (IRC), a crisis organization, is bringing in electronic health records (EHR) to its new Ebola treatment unit
Hot on the heels of its successful April 6 Epic Electronic Health Record (EHR) system launch, Asante today officially released the MyChart mobile application. The mobile app is now available to all Asante patients who create a MyChart account.
VersaSuite today announced that Louisiana-based Acadia-St. Landry Hospital, a Critical Access Hospital (CAH), has selected its adaptive electronic health records and hospital information system software.
NDRCs Fergus ODea outlines why he believes Irelands Electronic Health Record might be the most important healthcare investment of the decade.
Mold, F, de Lusignan, S, Sheikh, A, Majeed, A, Wyatt, JC, Quinn, T, Cavill, M, Franco, C, Chauhan, U, Blakey, H et al, Kataria, N, Arvanitis, TN and Ellis, B. (2015) Patients online access to their electronic health records and linked online services: a systematic review in primary care ...
A University of Michigan study shows that many of the nations hospitals struggled to meet a federally mandated electronic health records deadline, and as a result could collectively face millions of dollars in reduced Medicare payments this year.
Ethnicity and the first diagnosis of a wide range of cardiovascular diseases: Associations in a linked electronic health record cohort of 1 million patients. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.
This graph presents the number of electronic health record registration centers in Hong Kong New Territories as of 2017, by region.
An agency within the Centers for Disease Control and Prevention on Wednesday asked for feedback as it looks to recommend recording work-related information in patients’ electronic health records, saying such data could help pinpoint ailments common among certain professions.
An innovative program that cut cardiac deaths by 73 percent by linking coronary artery disease patients and teams of pharmacists, nurses, primary care doctors, and cardiologists with an electronic health record also kept ...
The purpose of this study is to examine characteristics of early Sacubitril/Valsartan patients in a large US electronic health records database and to compare
Ancker, J., Brenner, S., Richardson, J., & Kaushal, R. (2015). Trends in public perceptions of electronic health records during early years of meaningful life. American Journal of Managed Care, 21(8), e487 - e493 ...
With the spread of electronic health records and increasingly low cost assays for patient molecular data, powerful data repositories with tremendous potential for biomedical research, clinical care and personalized medicine are being built. But these databases are large and difficult for any one specialist to analyze. To find the hidden associations within the full set of data, we introduce methods for data-mining at the internet scale, the handling of large-scale electronic medical records data for machine learning, methods in natural language processing and text-mining applied to medical records, methods for using ontologies for the annotation and indexing of unstructured content as well as semantic web technologies. Prerequisites: CS 106A; familiarity with statistics ( STATS 202) and biology. Recommended: one of CS 246 (previously CS 345A), STATS 305, or CS 229 ...
Xierali, Imam M., Hsiao, Chun-Ju, Puffer, James C., Green, Larry A., Rinaldo, Jason C.B., Bazemore, Andrew W., Burke, Mathew T., Phillips, Robert L. The rise of electronic health record adoption among family physicians ...