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November 2008

26 posts, 20 posts per page.

Pages: [1] [2]

Patience is a virtue.

Baldwin, Gary, Health Data Management, 16(11)

When he is treating patients, internist Mike Kerkering, M.D., shows up empty-handed every time – so to speak. Rather than toting in a paper chart, Kerkering swings out a monitor mounted on a flexible arm in the exam room. “It’s in the periphery so I can maintain eye contact with the patient,” he says. “Every piece of data I need is there for me.”

1 November 2008 | No Comments » Categories: Science | Country: | EHR: ,

Patient Accessible Electronic Health Records: Exploring Recommendations for Successful Implementation Strategies

Wiljer, David et al, J Med Internet Res, 10(4)

Background:
Providing patients with access to their electronic health records offers great promise to improve patient health and satisfaction with their care, as well to improve professional and organizational approaches to health care. Although many benefits have been identified, there are many questions about best practices for the implementation of patient accessible Electronic Health Records (EHRs).
[ More ]

3 November 2008 | No Comments » Categories: Patients, RA General, RA Research, Record Access, Science | Country: | EHR: , | Tags: ,

Record Limbo: Hybrid Systems Add Burden and Risk to Data Reporting

Dimick, Chris, Journal of AHIMA, 79(11)

The transition from paper to electronic records is occurring in many HIM departments across the country, but few simply flip a switch and send their facility buzzing into the digital age. Instead, HIM departments must live in record limbo, switching between new electronic systems and old paper documents.
[ More ]

3 November 2008 | No Comments » Categories: Science | Country: | EHR: ,

Health IM and health IT. Frequent traveling companions

Acker, Beth A. et al, Journal of AHIMA, 79(11)

Healthcare systems and data responsibilities increasingly are converging and overlapping in a variety of settings. As health information managers and health information technology professionals work on applying health technology to improve patient care, their professional paths are crossing frequently.
[ More ]

3 November 2008 | No Comments » Categories: Science | Country: | EHR: , | Tags:

HIM and Health IT

AHIMA, Journal of AHIMA, 79(11)

Health information management and health information technology are disciplines with completely different functions; however, the two disciplines are striving to find common ground with the emergence of increasing volumes of electronic data. HIM and health IT are finding that the scope and responsibilities of individual job functions are increasingly crossing department domains.
[ More ]

3 November 2008 | No Comments » Categories: Science | Country: | EHR: , | Tags: , , ,

Information exchange among physicians caring for the same patient in the community

van Walraven, Carl et al, CMAJ, 179(10)

Background:
The exchange of information is an integral component of continuity of health care and may limit or prevent costly duplication of tests and treatments. This study determined the probability that patient information from previous visits with other physicians was available for a current physician visit.
[ More ]

4 November 2008 | No Comments » Categories: Science | Country: | EHR: , | Tags: ,

Adoption of information technology in primary care physician offices in New Zealand and Denmark, part 1: healthcare system comparisons

Protti D et al, Informatics in Primary Care, 16(3)

Denmark and New Zealand are two small countries whose primary care physicians are at the forefront of the use of electronic medical records (EMRs). This is the first of a series of five papers which contrasts the health care systems in Denmark and New Zealand.
[ More ]

4 November 2008 | No Comments » Categories: Science | Country: , | EHR: , , | Tags: , ,

Adoption of information technology in primary care physician offices in New Zealand and Denmark, part 2: historical comparisons

Protti, Denis et al, Informatics in Primary Care, 16(3)

This second paper in a series of five looks at how computing in primary care began and provides background to the driving forces for automation in Danish and New Zealand primary care physician offices.
[ More ]

4 November 2008 | No Comments » Categories: Science | Country: , | EHR: , , | Tags: , , ,

Underutilization of Information and Knowledge in Everyday Medical Practice: Computer-based Solutions

Zakim, David et al, BMC Medical Informatics and Decision Making

Background
The medical history is acknowledged as the sine qua non for quality medical care because recognizing problems is pre-requisite for managing them. Medical histories typically are incomplete and inaccurate, however. We show here that computers are a solution to this issue of information gathering about patients. Computers can be programmed to acquire more complete medical histories with greater detail across a range of acute and chronic issues than physician histories.
[ More ]

5 November 2008 | No Comments » Categories: Science | Country: | Tags: ,

IVF and Internet – Evaluation of an Interactive Personal Health Record for IVF Patients

Tuil, Wouter S., 2008

The internet is rapidly revolutionizing healthcare. It contributes to the development of new ways of health promotion, disease prevention and the treatment of medical problems. Patient access to the hospitals Electronic Health Record (EHR) is seen as an important step towards patient empowerment, one of the main focal points in modern day healthcare redesign.
[ More ]

6 November 2008 | No Comments » Categories: Science | Country: | EHR: , | Tags: , , ,

Views On Health Care Technology: Americans Consider The Risks And Sources Of Information

Schur, Claudia L., and Marc L. Berk, Health Affairs, 27(6)

We conducted a survey to learn about Americans’ familiarity with specific technologies, their sources of information, and their trust in those sources. Our findings indicate a high degree of familiarity with common devices and procedures as well as a high level of interest in better understanding them.
[ More ]

10 November 2008 | 1 Comment » Categories: Science | Country: | Tags: ,

Supporting the Patient’s Role in Guideline Compliance: A Controlled Study

Rosenberg, Stephen N. et al, Am J Manag Care, 14(11)

Objective: Clinical messages alerting physicians to gaps in the care of specific patients have been shown to increase compliance with evidence-based guidelines. This study sought to measure any additional impact on compliance when alerting messages also were sent to patients.
[ More ]

10 November 2008 | No Comments » Categories: Science | Country: | Tags: , ,

Individuals Appreciate Having Their Medication Record on the Web: A Survey of Attitudes to a National Pharmacy Register

Montelius E et al, J Med Internet Res, 10(4)

Background:
Many patients receive health care in different settings. Thus, a limitation of clinical care may be inaccurate medication lists, since data exchange between settings is often lacking and patients do not regularly self-report on changes in their medication. Health care professionals and patients are both interested in utilizing electronic health information. However, opinion is divided as to who should take responsibility for maintaining personal health records. In Sweden, the government has passed a law to enforce and fund a national register of dispensed medications. The register comprises all individuals with dispensed medications (6.4 million individuals, September 2006) and can be accessed by the individual online via “My dispensed medications”. The individual has the right to restrict the accessibility of the information in health care settings.
[ More ]

12 November 2008 | No Comments » Categories: Patients, RA News, RA Research, Record Access, Science | Country: | EHR: , | Tags: , , , ,

eHealth Trends in Europe 2005-2007: A Population-Based Survey

Kummervold PE et al, J Med Internet Res, 10(4)

Background:
In the last decade, the number of Internet users worldwide has dramatically increased. People are using the Internet for various health-related purposes. It is important to monitor such use as it may have an impact on the individual’s health and behavior, patient-practitioner roles, and on general health care provision.
[ More ]

17 November 2008 | No Comments » Categories: Science | Country: | Tags: , ,

Hope and hype: predicting the impact of electronic medical records

Himmelstein DU, Woolhandler S. Health Affairs, 24(5)

The current fascination with electronic medical records (EMRs) is not new. For decades, vendors have capitalized on this enthusiasm. But hospitals and clinics have ended up with little to show for their large outlays. Indeed, computing at a typical hospital has not gotten much beyond what was available twenty-five years ago.
[ More ]

22 November 2008 | No Comments » Categories: Science | Country: | EHR: , | Tags:

The Use Of Electronic Medical Records For Homeless Outreach

Cavacuiti, Chris, and Tomislav Svobod, Journal of Health Care for the Poor and Underserved, 19(4)

Objectives.
To assess the features of Electronic Medical Records (EMRs) used by North American homeless outreach organizations.

Methods.
Twenty-eight homeless outreach agencies throughout North America were contacted. Nine used EMRs for homeless outreach. Service providers from these nine agencies were interviewed to learn more about their EMRs.
[ More ]

24 November 2008 | No Comments » Categories: Science | Country: | EHR: , | Tags: , ,

IDENTITY CRISIS – An Examination of the Costs and Benefits of a Unique Patient Identifier for the U.S. Health Care System

Hillestad, Richard, RAND Monographs

A national health information network, or NHIN, that enables disparate health care information systems across the United States to allow authorized users to easily and quickly share critical health information has the potential to enhance safety and dramatically improve the quality and efficiency of the national health care system. A unique patient identifier (UPI) to use as a singular key to accurately link, file, and retrieve individual health records was seen as an important element of the national system and was mandated as part of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) legislation. However, privacy and security concerns about electronically sharing patient information have completely sidetracked the development of standards for a UPI and threaten to delay the development of the NHIN. This monograph examines the operational advantages and disadvantages, compares the errors, examines the costs, and discusses the privacy issues associated with the UPI and its alternatives.
This monograph should be of interest to health care IT professionals, other health care executives and researchers, and officials in the government responsible for health policy.

25 November 2008 | No Comments » Categories: Science | Country: | EHR: , | Tags: , , ,

Electronic Health Records and Malpractice Claims in Office Practice

Virapongse A et al, Arch Intern Med, 168(21)

Background
Electronic health records (EHRs) may improve patient safety and health care quality, but the relationship between EHR adoption and settled malpractice claims is unknown.
[ More ]

25 November 2008 | No Comments » Categories: Science | Country: | EHR: , | Tags:

Web-assisted tobacco interventions: empowering change in the global fight for the public’s (e)Health

Norman, Cameron D. et al, J Med Internet Res, 10(5)

Tobacco control in the 21(st) century faces many of the same challenges as in the past, but in different contexts, settings and enabled by powerful new tools including those delivered by information and communication technologies via computer, videocasts, and mobile handsets to the world. Building on the power of electronic networks, Web-assisted tobacco interventions (WATI) provide a vehicle for delivering tobacco prevention, cessation, social support and training opportunities on-demand and direct to practitioners and the public alike. The Framework Convention on Tobacco Control, the world’s first global public health treaty, requires that all nations develop comprehensive tobacco control strategies that include provision of health promotion information, population interventions, and decision-support services. WATI research and development has evolved to provide examples of how eHealth can address all of these needs and provide exemplars for other areas of public health to follow.
[ More ]

25 November 2008 | No Comments » Categories: Science | Tags: , , , ,

Electronic Health Record Components and the Quality of Care.

Keyhani S et al, Medical Care, 46(12)

Background: Electronic health records (EHRs) have been promoted as an important tool to improve quality of care. We examined the association between EHR components, a complete EHR, and the quality of care.
[ More ]

26 November 2008 | No Comments » Categories: Science | EHR: , | Tags:

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