Articles
Zhang J, Walji M. Journal of Biomedical Informatics, 2011
This paper presents a unified framework of EHR usability, called TURF, which is (1) a theory for describing, explaining, and predicting usability differences; (2) a method for defining, evaluating, and measuring usability objectively; (3) a process for designing built-in good usability; and (4) once fully developed, a potential principle for developing EHR usability guidelines and standards. TURF defines usability as how useful, usable, and satisfying a system is for the intended users to accomplish goals in the work domain by performing certain sequences of tasks. TURF provides a set of measures for each of the useful, usable, and satisfying dimensions of usability.
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21 August 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tags: Usability
Bowers AM et al, Computers, Informatics, Nursing, 2011
The advent of the electronic medical record has brought a new challenge to nursing education. Although most nursing students are proficient in data entry and computer skills, they often do not comprehend how the information they enter becomes a vital component of interdisciplinary team communication. Furthermore, the electronic medical record becomes a repository for information that can be retrieved for the purpose of decision support. Developed by the Cleveland Clinic, the Deans’ Roundtable, and University Hospitals of Cleveland, the Student Nurse Portal provides a means of assisting the student to understand how data entered into the computer transforms into information and knowledge, resulting in the wisdom that enables healthcare workers to provide optimal patient care.
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21 August 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tags: emr, Nurses, Students
Patel VN et al, Informatics for Health and Social Care, 2011
We surveyed low-income, ethnically diverse consumers regarding their attitudes towards providers’ use of electronic health information exchange (HIE) and consumer use of HIE through personal health records (PHRs). Amongst respondents (n = 214), 48% had an annual household income below $15,000 and 62% spoke a language other than English at home. A majority indicated that they supported providers’ use of HIE (61%). Support for providers’ use of HIE was independently associated with consumer willingness to permit health care providers other than their primary care doctor to view their electronic medical record information (odds ratio (OR) = 2.92, 95% confidence interval (CI) = 1.31–6.50) and beliefs that electronic health record use would improve quality of care (OR = 2.70, 95% CI = 1.18–6.18). Seventy-eight percent would potentially use PHRs.
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21 August 2011 | No Comments »
Categories: Science | Country: United States | Tags: Consumer, Health Information Exchange, Health Information Technology, phr
Sari AK et al, Knowledge-Based Systems, 2011
The global effort in the standardization of electronic health records has driven the need for a model to allow medical practitioners to interact with the newly standardized medical information system by focusing on the actual medical concepts/processes rather than the underlying data representations. An archetype has been introduced as a model that represents functional health concepts or processes such as admission record, which enables capturing all information relevant to the processes transparently to the users. However, it is necessary to ensure that the archetypes capture accurately all information relevant to the archetype concepts. Therefore, a semantic backbone is required for each of the archetype.
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21 August 2011 | No Comments »
Categories: Science | EHR: EHR | Tags: Archetypes, Clinical Information Systems, Ontology, Semantic, SNOMED
Kanthraj GR. Indian Journal of Dermatology, Venereology and Leprology, 77(3)
The study and practice of dermatology care using interactive audio, visual, and data communications from a distance is called teledermatology. A teledermatology practice (TP) provides teleconsultation as well tele-education. Initially, dermatologists used videoconference. Convenience, cost-effectiveness and easy application of the practice made “store and forward” to emerge as a basic teledermatology tool. The advent of newer technologies like third generation (3G) and fourth generation (4G) mobile teledermatology (MT) and dermatologists’ interest to adopt tertiary TP to pool expert (second) opinion to address difficult-to-manage cases (DMCs) has resulted in a rapid change in TP. Online discussion groups (ODGs), author-based second opinion teledermatology (AST), or a combination of both are the types of tertiary TP.
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21 August 2011 | No Comments »
Categories: Science | Country: India | Tags: Teledermatology, Telemedicine, Videoconferencing
Scholl J et al, Journal of Biomedical Informatics, 2011
This paper presents an ethnographically inspired interpretive case study of the Electronic Medical Record (EMR) system at Sankara Nethralaya hospital in India. It presents challenges related to the adoption of the system and methods and strategies that were utilized in order to overcome these challenges and help the system be adopted successfully. One of the more notable challenges at the hospital was a user base that included skeptical users, those lacking computing skills, and that had a history of rejecting designs.
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21 August 2011 | No Comments »
Categories: Science | Country: India | EHR: EHR, EHR India | Tags: Adoption, emr, Hospitals
De Leon SF, Shih SC. J Am Med Inform Assoc, 2011
The Primary Care Information Project is a New York City initiative aimed at improving population health through the improved delivery of preventive care. It has assisted with the adoption of a fully functional electronic health record (EHR) in over 300 primary care practices. Practices with EHRs automatically transmit summary data that can be used to track population health indicators for recommended preventive care. Early analysis, focusing on small practices with fewer than 10 providers serving Medicaid and uninsured populations, showed increases in the delivery of recommended services of 0.1–2.4% per month (p≤0.05).
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21 August 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tags: Adoption, Preventive Care, Primary Care
Anja Stagge, Healthcare meets Social Media…
“Mithilfe eines Videospiels wird die Therapiestunde zu einem interaktiven Erlebnis – das Videospiel verwandelt das Therapiewerkzeug in einen Game Controller.
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21 August 2011 | No Comments »
Categories: News | Tags: games, Health Information Technology
Ron Sterling, KevinMD
“Clinical content refers to the various checklists, documents, and forms that address an area of medicine when using an EHR. For example, a pediatric practice would be interested in documentation tools for a newborn visit.
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21 August 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: Clinical Content, Physicians
John, EMR and HIPAA
“This is a really big announcement for the open source ambulatory EHR community. A number of other open source EHR are certified, but they’re mostly for the hospital EHR space.
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21 August 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: Certification, Open Source
Kasiri N et al, Simulation, 2011
Implementing electronic health record (EHR) systems in the next few years is on the agenda for many healthcare organizations. Before investing in an EHR system, however, decision makers need to identify and measure the benefits of such systems. We propose using a system dynamics (SD) approach to measuring the benefits of EHR systems. Using an SD approach, it is possible to map complex relationships among clinical processes in hospitals into a model by which one can dynamically measure the effect of any changes in the parameters over time.
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21 August 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tags: Benefits, Evaluation, Implementation, Simulation
Kuperman GJ. J Am Med Inform Assoc, 18(5)
Health-information exchange, that is, enabling the interoperability of automated health data, can facilitate important improvements in healthcare quality and efficiency. A vision of interoperability and its benefits was articulated more than a decade ago. Since then, important advances toward the goal have been made.
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21 August 2011 | 1 Comment »
Categories: Science | Country: United States | Tags: Health Information Exchange
John Moehrke, Healthcare Security/Privacy
“The ANPRM Metadata Standards to Support Nationwide Electronic Health Information Exchange has been the focus of my blog article One Metadata Model – Many Deployment Architectures. I will now fill in my answers to the questions that are asked in the ANPRM.
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21 August 2011 | No Comments »
Categories: News | Country: United States | Tags: Health Information Exchange, Metadata
René Schoemaker, Webwereld
“Het uitwisselen van medische gegevens van patiënten tussen artsen die elkaar vervangen, is mogelijk illegaal. De wettelijke grondslag van lokale medische databases is onduidelijk.
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21 August 2011 | No Comments »
Categories: News | Country: Netherlands | EHR: EHR, EHR Netherlands | Tags: Health Information Exchange, Legal
Urowitz S et al, BMC Medical Informatics and Decision Making, 8
BACKGROUND
Access to personal health information through the electronic health record (EHR) is an innovative means to enable people to be active participants in their own health care. Currently this is not an available option for consumers of health. The absence of a key technology, the EHR, is a significant obstacle to providing patient accessible electronic records. To assess the readiness for the implementation and adoption of EHRs in Canada, a national scan was conducted to determine organizational readiness and willingness for patient accessible electronic records.
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21 August 2011 | No Comments »
Categories: Patients, Record Access, Science | Country: Canada | EHR: EHR, EHR Canada | Tags: Access, Patient
Kent Bottles
“Within in five years primary care providers will begin being replaced by sociable humanoid robots, avatars, and computer programs. Within ten years you will no longer hear any complaints about medical students choosing specialty residencies over family practice because the role of the physician will be completely redefined to complement a rules based approach to the diagnosis and treatment of many diseases.
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20 August 2011 | No Comments »
Categories: News | Tags: Artificial Intelligence, Avatar, Primary Care, Robot
George Crump, InformationWeek
“Cloud storage has a role to play in many organizations. It can be used as part of the backup and archive processes and in some cases even used for primary storage. There are specific enterprise vertical markets however where cloud storage can be especially beneficial.
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20 August 2011 | No Comments »
Categories: News | Tags: Cloud, Data Storage, lifetime record, Medical History
Megan Darby, e-Health Insider
“The US Department of Veterans Affairs is urging its employees to use blogs, chat rooms, Facebook, RSS feeds and Twitter to collaborate and share information with users.
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20 August 2011 | No Comments »
Categories: News | Country: United States | Tags: Social Media
John, EMR and HIPAA
“This is the start of a new series of posts that I plan to do over the next week or two. I’ll probably try and space them out so that they don’t overwhelm anyone. However, it’s going to be a series of common EMR implementation issues that I hear over and over again.
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20 August 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: Costs, Implementation
News Ontario
“More than 7,000 doctors, who care for 6.5 million Ontarians, now manage their patients’ health information with an electronic medical record.
That is just some of the significant progress outlined in the 2011 eHealth Progress Report.
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20 August 2011 | No Comments »
Categories: News | Country: Canada | EHR: EHR, EHR Canada | Tags: Adoption, Benefits
