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11
February, 2012
Saturday

HIS

Assessment of Software Maintainability of openEHR Based Health Information Systems – A Case Study In Endoscopy

Atalag K et al, electronic Journal of Health Informatics, 7(1)

Maintaining health information systems over time requires significant effort and time. This is especially marked in clinical information systems where most, if not all, functional software requirements are dependent on healthcare concepts and processes which are prone to high rate of change. Software engineering literature indicates that maintenance tasks alone may constitute 70-80% of the total development cost. It has been suggested that openEHR based systems will effectively tackle this by separating domain knowledge from software code. The objective of this paper is to assess the maintainability of an openEHR based clinical application with comparison to another application based on the same functional requirements but implemented using traditional development methods.
[ More ]

26 January 2012 | No Comments »
Categories: Science | EHR: EHR | Tag(s): HIS, openEHR, Standards

How Microsoft Moved Out Of One Health Business To Protect Another

Dave Chase, Forbes

“In 2006, Microsoft acquired a health care computing system called Amalga, which aggregates health care data so doctors and hospitals can draw broader conclusions and patients can use it for better care.
[ More ]

19 December 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Cloud, HealthVault, HIS, Platform, vendors

Sending the Questions to the Data

John Halamka, Life as a Healthcare CIO

“As hospitals and practices form accountable care organizations, they will accelerate their efforts to build healthcare information exchanges and novel analytics that support community-wide lifetime care rather than siloed episodic care,
[ More ]

12 December 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Data analysis, HIS

The adoption of electronic medical records and decision support systems in Korea

Chae YM et al, Healthcare Informatics Research, 17(3)

OBJECTIVES
To examine the current status of hospital information systems (HIS), analyze the effects of Electronic Medical Records (EMR) and Clinical Decision Support Systems (CDSS) have upon hospital performance, and examine how management issues change over time according to various growth stages.
[ More ]

28 November 2011 | No Comments »
Categories: Science | Country: Korea | EHR: EHR, EHR Korea | Tag(s): Decision Support, emr, HIS, Information Management, Knowledge Management

Healthcare IT in China

John, EMR and EHR

“Needless to say, this fascination with China has grown into an interest in healthcare IT in China. In fact, I’ve been considering attending a healthcare IT conference in Asia to learn even more. Plus, I think the US healthcare system can learn a lot by looking outside our borders at other countries.
[ More ]

9 September 2011 | No Comments »
Categories: News | Country: China | Tag(s): Health Information Technology, HIS, Hospitals

Encryption and the loss of patient data

Miller AR, Tucker CE. Journal of Policy Analysis and Management, 30(3)

Fast-paced IT advances have made it increasingly possible and useful for firms to collect data on their customers on an unprecedented scale. One downside of this is that firms can experience negative publicity and financial damage if their data are breached. This is particularly the case in the medical sector, where we find empirical evidence that increased digitization of patient data is associated with more data breaches. The encryption of customer data is often presented as a potential solution, because encryption acts as a disincentive for potential malicious hackers, and can minimize the risk of breached data being put to malicious use.
[ More ]

30 July 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Confidentiality, HIS, Security

Chipsoft voert CS-EZIS.Net door bij UMC Utrecht

Computable

“Het Universitair Medisch Centrum Utrecht (UMC Utrecht) is overgestapt op het elektronische zorginformatiesysteem van Chipsoft (CS-EZIS.Net). Naast uitgebreide dossiervoering, ondersteuning van medicatiegerelateerde handelingen, zorgportaalfuncties en facturatieoplossingen, biedt Chipsoft ook ondersteuning voor specifiek academische doeleinden en trajecten.
[ More ]

22 June 2011 | No Comments »
Categories: News | Country: Netherlands | Tag(s): HIS, Implementation

‘A Virtual Record Room’

Jay Mehta, Express Healthcare

“Today, the definition of healthcare for hospitals has become wider than just ‘providing treatment’ to patients. Owing to better education, internet and globalisation, the patient has become more informed and looks forward to more from hospitals – such as smoother registration process, better nursing, pre-operative orientation, post-operative care, dependable administrative support, etc.
[ More ]

6 June 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Data Storage, HIS, Hospitals, Virtual

Concept and implementation of a computer-based reminder system to increase completeness in clinical documentation

Herzberg S et al, International Journal of Medical Informatics, 2011

PURPOSE:
Medical documentation is often incomplete. Missing information may impede or bias analysis of study data and can cause delays. In a single source information system, clinical routine documentation and electronic data capture (EDC) systems are connected in the hospital information system (HIS). In this setting, both clinical routine and research would benefit from a higher rate of complete documentation.
[ More ]

20 March 2011 | No Comments »
Categories: Science | Tag(s): Alert/Reminder, Documentation, HIS, Monitoring, Quality

Development of a clinical information tool for the electronic medical record: a case study

Epstein BA et al, Journal of the Medical Library Association, 98(3)

Question:
What is the process of developing a clinical information tool to be embedded in the electronic health record of a very large and diverse academic medical center?

Setting:
The development took place at the University of Pittsburgh Health Sciences Library System.
[ More ]

17 January 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): evidence-based, HIS, Internet, Point of Care

Why don’t innovation models help with informatics implementations?

Ward R. MEDINFO 2010

This paper describes various models that have been postulated to understand and explain the acceptance and diffusion of technological innovation. The wide range of factors relating to the innovation itself, and, most importantly, the human and organisational factors which will impinge on these processes, is detailed. Attempts to apply the model to healthcare settings are explored. In particular a systematic review in 2005 which attempted to integrate the models and apply them in the UK’s National Health Service will be critiqued.
[ More ]

3 January 2011 | No Comments »
Categories: Science | Country: UK | Tag(s): Health Informatics, HIS, Implementation, Innovation

A business case for HIT adoption: effects of “meaningful use” EHR financial incentives on clinic revenue

Behkami NA et al, MEDINFO 2010, 2010

The goal of this study is to describe a framework that allows decision makers to efficiently evaluate factors that affect Electronic Health Record (EHR) adoption and test suitable interventions; specifically financial incentives. The United States healthcare delivery system is experiencing a transformation to improve population health. There is strong agreement that “meaningful use” of Health Information Technology (HIT) is a major enabler in this effort.
[ More ]

2 January 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Adoption, Costs, HIS, Meaningful Use, Simulation

Model-based design of clinical information systems

Mathe J et al, Methods of Information in Medicine, 47(5)

Objective:
The goal of this research is to provide a framework to enable the model-based development, simulation, and deployment of clinical information system prototypes with mechanisms that enforce security and privacy policies.
[ More ]

27 November 2010 | No Comments »
Categories: Science | Country: United States | Tag(s): Design, HIS, Software

Ontology driven health information systems architectures enable pHealth for empowered patients

Blobel B. International Journal of Medical Informatics, 2010

The paradigm shift from organization-centered to managed care and on to personal health settings increases specialization and distribution of actors and services related to the health of patients or even citizens before becoming patients. As a consequence, extended communication and cooperation is required between all principals involved in health services such as persons, organizations, devices, systems, applications, and components. Personal health (pHealth) environments range over many disciplines, where domain experts present their knowledge by using domain-specific terminologies and ontologies.
[ More ]

8 November 2010 | No Comments »
Categories: Science | Tag(s): Empowerment, HIS, Ontology, Patient, pHealth, Privacy

Effect of a nursing information system on the quality of information processing in nursing: An evaluation study using the HIS-monitor instrument

Ammenwerth E et al, International Journal of Medical Informatics, 2010

Objectives
To assess the changes in the quality of information processing in nursing after the introduction of a computer-based nursing information system.
[ More ]

8 November 2010 | No Comments »
Categories: Science | Tag(s): Evaluation, health-information-system, HIS, Information Management, Nursing Informatics, Quality

Delegates From Nine African Countries Discuss Health Information Systems

Medical News Today

“Nine southern African countries and donors have gathered in Namibia for the second regional leadership Health Information Systems (HIS) meeting to discuss “how recipient countries should take ownership of these systems,” New Era reports (Sasman, 10/26). Participant countries “will work together to develop country specific strategies to strengthen their national HIS and prepare a country-led action plan,” writes the Southern Times.
[ More ]

28 October 2010 | No Comments »
Categories: News | Country: Africa | Tag(s): HIS

E-Gesundheitskarte entzweit Ärzte

Hartmut Wiehr, CIO

“Seit Jahren schleppt sich die Einführung der elektronischen Gesundheitskarte dahin. Jetzt zeigt ein Report der Bundesärztekammer auf, wie gespalten die Ärzte in dieser Frage sind.
[ More ]

13 October 2010 | No Comments »
Categories: News | Country: Germany | EHR: EHR, EHR Germany | Tag(s): HIS, Physicians, Security, Smart Card

Indian Hospital Adopts the Cloud to Increase Its Reach

John Ribeiro, IDG News

“Max Healthcare, a large hospital chain in India, said on Wednesday that it has moved its Health Information System (HIS) to a private cloud-computing system, making it easier to treat and follow up with patients from any of its locations across the country.
[ More ]

2 September 2010 | No Comments »
Categories: News | Country: India | EHR: EHR, EHR India | Tag(s): Cloud, HIS, Hospitals

Morecambe Bay admits problems with Lorenzo

Smart Healthcare

“Staff and patients have reported problems with the system, which went live at the start of June, ranging from not being able to access notes and staff having to stay behind for an extra two hours to put data into the system.
[ More ]

30 July 2010 | No Comments »
Categories: News | Country: UK | Tag(s): HIS, Hospitals

Microsoft leaving HIS market!

Musings by Seref Arikan

“Wow! I do not know how I should feel about this. Heather Leslie of Ocean Informatics wrote on Twitter that MS is leaving the HIS market, and as you can read here, it is true.
[ More ]

22 July 2010 | No Comments »
Categories: News | Tag(s): HIS, open standards

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