LawrenceG, Microwize Technology
“Under the HITECH Act, individual physicians and small medical facility managers who can illustrate “meaningful use” through their deployment of electronic medical records software are eligible for thousands of dollars in federal funding.
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Christen Brownlee, Health Behavior News Service
“Use of electronic health records shows promise for improving care and outcomes in patients with type 2 diabetes, but still has considerable room for improvement, according to a new study in the journal Health Services Research.
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Herrin J et al, Health Services Research, 2012
Objective
To assess the impact of electronic health record (EHR) implementation on primary care diabetes care.
Data Sources
Charts were abstracted semi-annually for 14,051 diabetes patients seen in 34 primary care practices in a large, fee-for-service network from January 1, 2005 to December 31, 2010. The study sample was limited to patients aged 40 years or older.
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Wagner PJ et al, J Am Med Inform Assoc, 2012
Purpose
To examine the impact of a personal health record (PHR) in patients with hypertension measured by changes in biological outcomes, patient empowerment, patient perception of quality of care, and use of medical services.
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UPI.com
“U.S. nurses working with electronic health records consistently reported improvements tin nursing care and better health outcomes, researchers say.
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Infection Control Today
“With the prodding of new federal legislation, electronic health records (EHRs) are rapidly becoming part of the daily practice of hospital nurses – the frontline providers of care.
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Kutney-Lee A, Kelly D. The Journal of Nursing Administration, 41(11)
The aim of this study was to examine the effect of having a basic electronic health record (EHR) on nurse-assessed quality of care, including patient safety. Few large-scale studies have examined how adoption of EHRs may be associated with quality of care. A cross-sectional, secondary analysis of nurse and hospital survey data was conducted. The final sample included 16,352 nurses working in 316 hospitals in 4 states.
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Pulvirenti M et al, Health Expectations, 2011
Background
Patient or person centred care is widely accepted as the philosophy and practice that underpins quality care. An examination of the Australian National Chronic Disease Strategy and literature in the field highlights assumptions about the self-manager as patient and a focus on clinical settings.
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Koppel R et al, N Engl J Med, 365(24)
Cebul et al. (Sept. 1 issue) report positive associations between the use of electronic health records (EHRs) and the quality of diabetes care, findings remarkably different from those of rigorous systematic reviews. Most researchers, moreover, would exclude from synthesis designs similar to that used by Cebul et al. — designs that fail to account for preexisting secular trends and selection bias.
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Robert Rowley, EHR Bloggers
“It’s tempting to look at the Clinical Quality Measures portion of Meaningful Use as just another hoop to jump through, with little actual clinical impact on day-to-day care. But, upon a little reflection, embedding Clinical Quality Measures (CQM) into Electronic Health Records (EHR) systems is actually quite revolutionary.
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Miles Ellenby, Oregon Live
“California recently passed legislation expanding the use of telemedicine that has the potential to save the state’s Medicaid program several hundred million dollars. These impressive savings could be achieved by using two-way audio-video technology for home monitoring of heart failure and diabetes patients, according to an analysis done for the Center for Connected Health Policy in Sacramento.
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Navarro-Pérez J et al, Avances en Diabetología, 2011
Introduction
Optimising care for people with diabetes goes through the incorporation of information and communication technology to a chronic care model.
Objectives
To determine the development of electronic medical records related to diabetes in different regions of Spain.
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Mihir Patel, MedHealthWorld
“Telemedicine was conceived early in the space program to help monitor astronauts’ vital signs. Like many National Aeronautics and Space Administration innovations, it has spun off and taken on a life of its own, spurred in large part by the growth in technological innovation in health and communications.
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Connelly DP et al, J Am Med Inform Assoc, 2011
Objective
To evaluate if electronic health records (EHR) have observable effects on care outcomes, we examined quality and efficiency measures for patients presenting to emergency departments (ED).
Materials and methods
We conducted a retrospective study of 5166 adults with heart failure in three metropolitan EDs. Patients were termed internal if prior information was in the EHR upon ED presentation, otherwise external. Associations of internality with hospitalization, mortality, length of stay (LOS), and numbers of tests, procedures, and medications ordered in the ED were examined after adjusting for age, gender, race, marital status, comorbidities and hospitalization as a proxy for acuity level where appropriate.
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Anthony Aspesi, FutureDocs
“A classroom at the University of Chicago’s Pritzker School of Medicine was packed earlier this month with both medical students and students in the Graduate Program in Health Administration and Policy (GPHAP) interested in learning more about the IHI and quality improvement.
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Parmeeth M.S. Atwal, Health IT Buzz Blog
“A physician since 1989, Dr. Karen Smith runs a one-physician family medicine practice in Raeford, NC. She credits her electronic health record (EHR) with allowing her to deliver quality care in a rural setting – and to do it so efficiently that she still has time to be a wife and mother.
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Mary Mosquera, Government Health IT
“The final rule for accountable care organizations relieved providers from some of the immediate pressures of establishing health IT, but electronic health records and other technologies will be critical to coordinate care to improve quality and lower costs.
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Amanda Buie, Healthcare IT Solutions
“Data in and of itself has no value. To add value data must be “crunched” or analyzed to examine changes, predict impacts and determine what is working and what isn’t working. There are some “formulas” at work here:
Date + Meaning = Information (data crunching)
Information + Experience + Context = Knowledge (someone using the information)
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Michelle McNickle, Healthcare Finance News
“Healthgrades, an independent source of physician information and hospital quality outcomes, recently released its 2011 Healthcare Consumerism and Hospital Quality in America report, which documented patient outcomes at almost 5,000 American hospitals.
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William Hersh, HitechAnswers
“Last winter, the informatics world was abuzz with a study published in the journal Archives of Internal Medicine that found a lack of improvement in healthcare quality measures for patients whose physicians had adopted electronic health records (EHRs). However, as noted by a colleague and I in a follow-up letter to the editor, this study had a number of flaws.
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