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Perspectives in Health Information Management

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https://www.readbyqxmd.com/read/29618963/value-of-investment-as-a-key-driver-for-prioritization-and-implementation-of-healthcare-software
#1
Seth A Bata, Terry Richardson
Health systems across the nation are recovering from massive financial and resource investments in electronic health record applications. In the midst of these recovery efforts, implementations of new care models, including accountable care organizations and population health initiatives, are underway. The shift from fee-for-service to fee-for-outcomes and fee-for-value payment models calls for care providers to work in new ways. It also changes how physicians are compensated and reimbursed. These changes necessitate that healthcare systems further invest in information technology solutions...
2018: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/29618962/development-of-hospital-based-data-sets-as-a-vehicle-for-implementation-of-a-national-electronic-health-record
#2
Leila Keikha, Seyede Sedigheh Seied Farajollah, Reza Safdari, Marjan Ghazisaeedi, Niloofar Mohammadzadeh
Background: In developing countries such as Iran, international standards offer good sources to survey and use for appropriate planning in the domain of electronic health records (EHRs). Therefore, in this study, HL7 and ASTM standards were considered as the main sources from which to extract EHR data. Objective: The objective of this study was to propose a hospital data set for a national EHR consisting of data classes and data elements by adjusting data sets extracted from the standards and paper-based records...
2018: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/29618961/exploring-midwives-need-and-intention-to-adopt-electronic-integrated-antenatal-care
#3
Hosizah Markam, Harry Hochheiser, Kuntoro Kuntoro, Hari Basuki Notobroto
Documentation requirements for the Indonesian integrated antenatal care (ANC) program suggest the need for electronic systems to address gaps in existing paper documentation practices. Our goals were to quantify midwives' documentation completeness in a primary healthcare center, understand documentation challenges, develop a tool, and assess intention to use the tool. We analyzed existing ANC records in a primary healthcare center in Bangkalan, East Java, and conducted interviews with stakeholders to understand needs for an electronic system in support of ANC...
2018: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/29618960/how-confounder-strength-can-affect-allocation-of-resources-in-electronic-health-records
#4
Kristine E Lynch, Brian W Whitcomb, Scott L DuVall
When electronic health record (EHR) data are used, multiple approaches may be available for measuring the same variable, introducing potentially confounding factors. While additional information may be gleaned and residual confounding reduced through resource-intensive assessment methods such as natural language processing (NLP), whether the added benefits offset the added cost of the additional resources is not straightforward. We evaluated the implications of misclassification of a confounder when using EHRs...
2018: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/29618959/proficiency-of-first-year-podiatric-medical-residents-in-the-use-of-electronic-medical-records
#5
Rebecca Meehan, Jill Kawalec, Bryan Caldwell, David Putman
Objectives: The aim of this study was to survey podiatric residency directors to evaluate the proficiency of first-year podiatric medical residents in the use of electronic medical records and its potential impact on medical care. Methods: An online survey consisting of Likert-scale, multiple-choice, and open-ended questions was sent via email to 216 podiatric residency directors. Questions were directed toward the level of proficiency in electronic medical records expected at the beginning of residency training and the impact on patient care of residents' inexperience with electronic medical records...
2018: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/29618958/the-development-of-a-minimum-data-set-for-an-infertility-registry
#6
Masoumeh Abbasi, Leila Ahmadian, Malihe Amirian, Hamed Tabesh, Saeid Eslami
Effective decision making in the healthcare setting is highly dependent on access to reliable and robust data and information. A minimum data set is a standard assessment instrument that is used during the data collection process to ensure that decision makers have access to a consistent set of information. The objective of the current study was to develop a minimum data set for infertility patients that can be employed as the basis for an infertility registry in Iran. A systematic review resulted in the identification of 2,501 articles and 17 patient forms from infertility centers that were relevant to the study objectives...
2018: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/29118684/a-pilot-study-investigating-employee-utilization-of-corporate-telehealth-services
#7
Seena Shazowee Edgerton
In line with the vision of the University of Mississippi Medical Center (UMMC) to improve health outcomes and eliminate healthcare disparities in Mississippi, a corporate telehealth program was initiated beginning May 2014. A descriptive study was performed to discover common characteristics among enrolled employee users who took advantage of UMMC's corporate telehealth services offered in their workplace throughout the program's first year of operation. This pilot study examined the number of videoconference visits (e-visits) throughout the first year of operation, from May 2014 through April 2015...
2017: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/29118683/the-e-health-literacy-demands-of-australia-s-my-health-record-a-heuristic-evaluation-of-usability
#8
Louisa Walsh, Bronwyn Hemsley, Meredith Allan, Natalie Adams, Susan Balandin, Andrew Georgiou, Isabel Higgins, Shaun McCarthy, Sophie Hill
Background: My Health Record is Australia's electronic personal health record system, which was introduced in July 2012. As of August 2017, approximately 21 percent of Australia's total population was registered to use My Health Record. Internationally, usability issues have been shown to negatively influence the uptake and use of electronic health record systems, and this scenario may particularly affect people who have low e-health literacy. It is likely that usability issues are negatively affecting the uptake and use of My Health Record in Australia...
2017: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/29118682/mobile-robotic-telepresence-solutions-for-the-education-of-hospitalized-children
#9
Neelkamal Soares, Jeffrey C Kay, Geoff Craven
Hospitalization affects children's school attendance, resulting in poor academic and sociodevelopmental outcomes. The increasing ubiquity of mobile and tablet technology in educational and healthcare environments, and the growth of the mobile robotic telepresence (MRT) industry, offer opportunities for the use of MRT to connect hospitalized children to their school environments. This article describes an approach at one rural healthcare center in collaboration with local school districts with the aim of describing strategies and limitations of MRT use...
2017: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/29118681/national-survey-on-doctoral-level-education-in-health-information-management-perceptions-and-rationale
#10
Angela L Morey, Shannon H Houser, Janelle Wapola
Objective: The purpose of this survey was to understand the perceptions and educational goals of the health information management (HIM) workforce in regard to pursuing doctoral-level degrees. Method: Survey data were collected from members of the American Health Information Management Association (AHIMA) to gain further insight into their interest in pursuing a doctoral degree, their reasons for obtaining such a degree, their methods of learning, and their financial support for an advanced degree...
2017: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/29118680/mapping-of-standards-to-facilitate-immunization-information-exchange-through-two-dimensional-bar-coding-of-vaccine-products
#11
Saira N Haque, Suzanne West, Alan O'Connor
Purpose: A two-dimensional barcode that includes both static information (vaccine identifier) and variable information (expiration date and lot number) can facilitate streamlined documentation and sharing of vaccine administration. We sought to identify how vaccine tracking information in the two-dimensional barcode is represented in systems that are used by pharmacies, providers, and public health agencies. Methods: We identified and reviewed relevant information technology standards that govern data storage and exchange for providers, pharmacy systems, billing systems, and manufacturers to identify how each system codes the vaccine identifier, expiration date, and lot number...
2017: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/29118679/an-electronic-health-record-data-driven-model-for-identifying-older-adults-at-risk-of-unintentional-falls
#12
Adam Baus, Jeffrey Coben, Keith Zullig, Cecil Pollard, Charles Mullett, Henry Taylor, Jill Cochran, Traci Jarrett, Dustin Long
Screening for risk of unintentional falls remains low in the primary care setting because of the time constraints of brief office visits. National studies suggest that physicians caring for older adults provide recommended fall risk screening only 30 to 37 percent of the time. Given prior success in developing methods for repurposing electronic health record data for the identification of fall risk, this study involves building a model in which electronic health record data could be applied for use in clinical decision support to bolster screening by proactively identifying patients for whom screening would be beneficial and targeting efforts specifically to those patients...
2017: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/28855857/a-health-information-system-for-scalable-and-comprehensive-assessment-of-well-being-a-multidisciplinary-team-solution
#13
Leming Zhou, Valerie Watzlaf, Paul Abernathy, Mervat Abdelhak
To improve the health and well-being of the medically underserved in a free clinic in Pittsburgh, Pennsylvania, a multidisciplinary team representing several health information management and information technology (IT) professionals, including faculty, students, researchers, and clinicians, created a novel IT system called imHealthy. The imHealthy system includes four critical components: a multidomain well-being questionnaire, a mobile app for data collection and tracking, a customization of an open-source electronic health record (EHR), and a data integration and well-being evaluation program leading to recommendations for personalized interventions to caregivers serving the medically underserved...
2017: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/28855856/determinant-factors-in-applying-picture-archiving-and-communication-systems-pacs-in-healthcare
#14
Mohammadhiwa Abdekhoda, Kawa Mirza Salih
OBJECTIVES: Meaningful use of picture archiving and communication systems (PACS) can change the workflow for accessing digital images, lead to faster turnaround time, reduce tests and examinations, and increase patient throughput. This study was carried out to identify determinant factors that affect the adoption of PACS by physicians. METHODS: This was a cross-sectional study in which 190 physicians working in a teaching hospital affiliated with Tehran University of Medical Sciences were randomly selected...
2017: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/28855855/the-role-of-health-information-management-professionals-in-the-use-of-geographic-information-systems
#15
Jennifer Peterson
In recent years the use of geographic information systems (GIS) in healthcare has expanded rapidly. Although the use of GIS has increased quickly, very little consensus has been reached on which healthcare professionals are best suited to be trained in and use GIS. A moderate amount of research has addressed the use of GIS in healthcare, but very little research has addressed selecting and training healthcare professionals in the area of GIS. As the use of GIS becomes more closely tied to electronic health records (EHRs), the thought arises that those best versed in EHRs, health information management (HIM) professionals, would be best suited to take on the GIS role...
2017: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/28566996/working-with-an-electronic-medical-record-in-ambulatory-care-a-study-of-patient-perceptions-of-intrusiveness
#16
Milisa K Rizer, Cynthia Sieck, Jennifer S Lehman, Jennifer L Hefner, Timothy R Huerta, Ann Scheck McAlearney
OBJECTIVE: To assess patient perceptions of electronic medical record (EMR) intrusiveness during ambulatory visits to clinics associated with a large academic medical center. METHOD: We conducted a survey of patients seen at any of 98 academic medical center clinics. The survey assessed demographics, visit satisfaction, computer use, and perceived intrusiveness of the computer. RESULTS: Of 7,058 patients, slightly more than 80 percent reported that the physician had used the computer while in the room, but only 24 percent were shown results in the EMR...
2017: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/28566995/the-use-of-automated-snomed-ct-clinical-coding-in-clinical-decision-support-systems-for-preventive-care
#17
Bader Al-Hablani
OBJECTIVE: The objective of this study is to discuss and analyze the use of automated SNOMED CT clinical coding in clinical decision support systems (CDSSs) for preventive care. The central question that this study seeks to answer is whether the utilization of SNOMED CT in CDSSs can improve preventive care. METHOD: PubMed, Google Scholar, and Cochrane Library were searched for articles published in English between 2001 and 2012 on SNOMED CT, CDSS, and preventive care...
2017: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/28566994/the-odds-of-success-predicting-registered-health-information-administrator-exam-success
#18
Diane Dolezel, Alexander McLeod
The purpose of this study was to craft a predictive model to examine the relationship between grades in specific academic courses, overall grade point average (GPA), on-campus versus online course delivery, and success in passing the Registered Health Information Administrator (RHIA) exam on the first attempt. Because student success in passing the exam on the first attempt is assessed as part of the accreditation process, this study is important to health information management (HIM) programs. Furthermore, passing the exam greatly expands the graduate's job possibilities because the demand for credentialed graduates far exceeds the supply of credentialed graduates...
2017: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/28566993/secure-clinical-texting-patient-risk-in-high-acuity-care
#19
George A Gellert, George S Conklin, Lynn A Gibson
The Joint Commission recently reversed its prior authorization of the use of secure clinical texting to issue patient care orders, now again prohibiting texting of orders. However, the potential sole or exclusive use of clinical texts to transmit other patient care information beyond care orders still poses a risk to patient safety in high acuity care because of text transmission delays resulting from carrier-dependent latency. Although texting in routine patient care may deliver high value to clinicians, the risk of latency and delayed receipt of clinically urgent or time-sensitive texted patient information in high-acuity care settings can harm patients...
2017: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/28566992/mobile-device-security-perspectives-of-future-healthcare-workers
#20
Barbara Hewitt, Diane Dolezel, Alexander McLeod
Healthcare data breaches on mobile devices continue to increase, yet the healthcare industry has not adopted mobile device security standards. This increase is disturbing because individuals are often accessing patients' protected health information on personal mobile devices, which could lead to a data breach. This deficiency led the researchers to explore the perceptions of future healthcare workers regarding mobile device security. To determine healthcare students' perspectives on mobile device security, the investigators designed and distributed a survey based on the Technology Threat Avoidance Theory...
2017: Perspectives in Health Information Management
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