Articles
Cherry BJ et al, Health Care Management Review, 36(3)
BACKGROUND:
Electronic health records (EHRs) are becoming a required technology across the health care sector. Long-term care (LTC) facilities have lagged other settings in adopting health information technologies but represent an area where significant care coordination benefits might be realized. Nevertheless, managers face many of the same challenges implementing EHRs that exist in other environments when implementing enterprise-wide systems.
PURPOSES:
This study was conducted to provide a description of the early users’ experiences with EHRs in LTC facilities.
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19 June 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tags: Adoption, Long-Term Care
Hripcsak G et al, Journal of Biomedical Discovery and Collaboration, 6
Large-scale electronic health record research introduces biases compared to traditional manually curated retrospective research. We used data from a community-acquired pneumonia study for which we had a gold standard to illustrate such biases. The challenges include data inaccuracy, incompleteness, and complexity, and they can produce in distorted results. We found that a naïve approach approximated the gold standard, but errors on a minority of cases shifted mortality substantially.
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19 June 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tags: Data Mining
Pillemer K et al, Journal of Aging and Health, 2011
OBJECTIVE:
To examine the effects of electronic health information technology (HIT) on nursing home residents.
METHODS:
The study evaluated the impact of implementing a comprehensive HIT system on resident clinical, functional, and quality of care outcome indicators as well as measures of resident awareness of and satisfaction with the technology. The study used a prospective, quasi-experimental design, directly assessing 761 nursing home residents in 10 urban and suburban nursing homes in the greater New York City area.
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19 June 2011 | No Comments »
Categories: Science | Country: United States | Tags: Health Information Technology, Implementation, Nursing Home
Heilman JM et al, J Med Internet Res, 13(1)
The Internet has become an important health information resource for patients and the general public. Wikipedia, a collaboratively written Web-based encyclopedia, has become the dominant online reference work. It is usually among the top results of search engine queries, including when medical information is sought. Since April 2004, editors have formed a group called WikiProject Medicine to coordinate and discuss the English-language Wikipedia’s medical content.
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19 June 2011 | No Comments »
Categories: Science | Tags: Education, Health Information, Internet, Public Health, Wikipedia
Katherine Rourke, EMR and EHR
“Now that the government is pushing EMR use, the mainstream press has begun to report on the issue.
True, some astute editors are beginning to dig in to the problems that matter, such as securing patient data and challenges to getting physicians on board.
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19 June 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: Adoption, emr
Schwaab J et al, Academic Emergency Medicine, 18(5)
Objectives:
Oral examination is a method used to evaluate emergency medicine (EM) residents and is a requirement for board certification of emergency physicians. Second Life (SL) is a virtual three-dimensional (3-D) immersive learning environment that has been used for medical education. In this study we explore the use of SL virtual simulation technology to administer mock oral examinations to EM residents.
Methods:
This was a prospective observational study of EM residents who had previously completed mock oral examinations, participating in a similar mock oral examination case scenario conducted via SL. EM residents in this training program completed mock oral examinations in a traditional format, conducted face to face with a faculty examiner. All current residents were invited to participate in a similar case scenario conducted via SL for this study. The examinee managed the case while acting as the physician avatar and communicated via headset and microphone from a remote computer with a faculty examiner who acted as the patient avatar. Participants were surveyed regarding their experience with the traditional and virtual formats using a Likert scale.
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19 June 2011 | No Comments »
Categories: Science | Country: United States | Tags: emergency, Second-Life, Simulation, Virtual
University of Rochester Newsroom
“Health-e-Access, based at Golisano Children’s Hospital at the University of Rochester Medical Center, allows information to be captured by a specialized camera that provides diagnostic-quality images of the ear drum, throat, eyes and skin. In addition, an electronic stethoscope captures lung and heart sounds and videoconferencing allows face-to-face communication. That information is transmitted to a health care provider (ideally, the patient’s own provider) who can then make a diagnosis and prescribe treatments.
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19 June 2011 | No Comments »
Categories: News | Country: United States | Tags: Telemedicine
Anne Steciw, Health IT Pulse
“If a health care organization can be fined $4.3 million over an incident involving a mere 41 patient records, imagine what the penalty might be for a health care data breach involving 8.63 million patient records.
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18 June 2011 | No Comments »
Categories: News | Country: UK, United States | Tags: Encryption, Personal Health Information
Daloni Carlisle, e-Health Insider Acute
“More than 30 acute trusts have now adopted a telemedicine system designed to deliver fast and appropriate treatment to stroke victims.
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18 June 2011 | No Comments »
Categories: News | Country: UK | Tags: Stroke, Telemedicine
Josh Herigon, KevinMD
“Bryan Vartabedian, MD blogs at 33 Charts about the convergence of medicine and social media. A post last year gives a vision of how current social media concepts will merge with existing electronic medical record (EMR) technologies to produce a fully integrated communications system for health professionals.
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18 June 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: emr, Health Information Technology, Social Media
Charles Wright, eHealthCentral
“I think I know what the UK Department of Health’s chief technology officer, Paul Jones, is on about when he declares that we’re currently raising a generation of “digital natives” who will “expect healthcare processes to reflect the ways that they use IT”, but on the other hand … we’re talking about a cohort that can’t tear itself away from Facebook. Can’t bear to be separated from the iPhone. Lounge about in public with a pair of [usually white] wires trailing snot-like from their ears.
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18 June 2011 | 1 Comment »
Categories: News | Country: UK | Tags: Digital care, Social Media
Business Wire
“A team of neonatologists at Children’s Hospital Los Angeles have published the first research paper indicating that the use of a remote-controlled, robotic telemedicine system in the neonatal intensive care unit (NICU) is feasible and safe. The investigators report good to excellent agreement, in most areas, when comparing the assessments made by onsite compared with off-site neonatologists controlling the robot from a remote location.
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18 June 2011 | No Comments »
Categories: News | Country: United States | Tags: Babies, Intensive care, Telemedicine
Jennifer Vogel, Minnesota Public Radio
“Aboard a semi-truck refashioned to serve as a mobile clinic in Shakopee, Kai Hjermstad takes the temperature and blood pressure of a patient named Jose, who’s come in to have his blood sugar tested. Hjermstad asks about Jose’s history. Who told him he was diabetic? Does he take medication? Does he have pain in his legs or feet?
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18 June 2011 | No Comments »
Categories: News | Country: United States | Tags: Paramedics, Rural, Telemedicine
Ken Terry, InformationWeek
“CliniComp, a San Diego-based health IT vendor, has completed implementation of a partial electronic medical records system in all 59 U.S. military hospitals around the world, according to the firm.
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18 June 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: Data Integration, Data Sharing, Hospitals
Anthony Guerra, InformationWeek Healthcare
“The HIMSS Electronic Health Record Association (EHRA) is pleased that the Accountable Care Organization (ACO) Notice of Proposed Rulemaking isn’t overly prescriptive as to how entities must use health information technology.
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18 June 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: ACO, vendors
Adam H. Greene, mobihealthnews
“Once you have established that your mobile application is going to be subject to HIPAA, the next step is making sure that it allows its users (HIPAA covered entities or business associates) to fully comply with the HIPAA Privacy, Security, and Breach Notification Rules.
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18 June 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: Encryption, mHealth, Privacy, Security
Jennifer Vogel, Minnesota Public Radio
“Under federal health care reform, hospitals and clinics have to start using electronic records to a “meaningful” degree by 2015 or face escalating penalties. For now there are incentives, but down the line, most underachievers will see Medicare reimbursements trimmed by 1 percent per year up to a possible 5 percent.
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18 June 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: Costs, Hospitals, Implementation, Rural
Fred Trotter
“Once a persons record has gone electronic, it really should never go back.
A paper printout of an Electronic Health Record is often huge and unwieldy. If it is printed out or faxed it creates something so huge that it is pretty impossible to be useful in a paper record.
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17 June 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: Health Information Exchange, Standards
Neil Versel, EMR and HIPAA
“Two articles I’ve written in the last 24 hours have gotten me thinking that we’ve already entered the post-implementation era of EMRs, even as implementation remains in progress at so many healthcare organizations.
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17 June 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: emr, ICD-10
St. Louis Business Journal
“Almost all Missouri hospitals are using some form of electronic health record to track patient care, representing a big jump in public adoption of the technology, according to a new study.
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17 June 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: CPOE, Health Information Exchange, Hospitals
