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Christopher A Hughes, Penny Allen, Michael Bentley
Background and objectives: eReferrals have the potential to be a transformative technology in the healthcare space. This study explored attitudes, behaviours and barriers to eReferral use and electronic communication in general. Methods: A survey of doctors and allied health staff was undertaken in north-west Tasmania. Data were analysed using descriptive statistics and thematic analysis. Results: The response rate was 57% (n = 204). For 80% (n = 164) of respondents, fax or post was the main method of sending letters to other healthcare professionals, and 72% (n = 147) wanted to increase the number of letters sent and received electronically...
January 2018: Australian journal of general practice
Alan Yung
QUESTION: Can community-based physiotherapists adopt and use a nationally integrated electronic health record (NEHR) system? DESIGN: Observation and semi-structured interviews in two community-based physiotherapy clinics in Sydney, Australia. PARTICIPANTS: Two physiotherapy practice managers who were also practising physiotherapists. INTERVENTION: The implementation of a nationally integrated EHR system in physiotherapy...
2017: Studies in Health Technology and Informatics
Hilary A Tindle, Robin Daigh, Vivek K Reddy, Linda A Bailey, Judy A Ochs, Marty H Maness, Esa M Davis, Anna E Schulze, Kristi M Powers, Thomas E Ylioja, Hilary B Baca, Jay L Mast, Matthew S Freiberg
No abstract text is available yet for this article.
October 2016: American Journal of Preventive Medicine
Sobia F Ali-Faisal, Lisa Benz Scott, Lauren Johnston, Sherry L Grace
OBJECTIVES: To describe (1) cardiac rehabilitation (CR) referral across cardiac units in a tertiary centre with eReferral; (2) characteristics associated with CR referral and enrolment and (3) the effects of peer navigation (PN) on referral and enrolment. This pilot was a 2 parallel-arm, randomised, single-blind trial with allocation concealment. SETTING: 3 cardiac units (ie, interventional, general cardiology, and cardiac surgery) in 1 of 2 hospitals of a tertiary centre...
March 21, 2016: BMJ Open
Delphine S Tuot, Elizabeth J Murphy, Charles E McCulloch, Kiren Leeds, Evelyn Chan, Alice Hm Chen
BACKGROUND: Electronic referral and consultation systems are gaining popularity, but their contribution to the patient centered medical home-neighborhood framework of coordinated care delivery is not clear. We examined how specialists leverage an electronic referral and consultation system to deliver specialty care, identified determinants of high-quality electronic specialist communication and measured the impact of feedback to specialists on communication quality. METHODS: Referral patterns were identified for 19 specialties using eReferral in the San Francisco public health care delivery system...
December 2015: Healthcare
Esther Suter, Arden Birney, Paola Charland, Renee Misfeldt, Stephen Weiss, Jane Squire Howden, Jennifer Hendricks, Theresa Lupton, Deborah Marshall
INTRODUCTION: This case study was part of a larger programme of research in Alberta that aims to develop an evidence-based model to optimize centralized intake province-wide to improve access to care. A centralized intake model places all referred patients on waiting lists based on severity and then directs them to the most appropriate provider or service. Our research focused on an in-depth assessment of two well-established models currently in place in Alberta to 1) enhance our understanding of the roles and responsibilities of staff in current intake processes, 2) identify workforce issues and opportunities within the current models, and 3) inform the potential use of alternative providers in the proposed centralized intake model...
2015: Human Resources for Health
Clare Liddy, Matthew Hogel, Valerie Blazkho, Erin Keely
Access to specialist care is a point of concern for patients, primary care providers, and specialists in Canada. Innovative e-health platforms such as electronic consultation (eConsultation) and referral (eReferral) can improve access to specialist care. These systems allow physicians to communicate asynchronously and could reduce the number of unnecessary referrals that clog wait lists, provide a record of the patient's journey through the referral system, and lead to more efficient visits. Little is known about the current state of eConsultation and eReferral in Canada...
2015: Studies in Health Technology and Informatics
Meghan M Scheibe, John B Imboden, Gabriela Schmajuk, Mary Margaretten, Jonathan D Graf, Alice H Chen, Edward H Yelin, Jinoos Yazdany
OBJECTIVE: Health information technology (HIT) holds promise in increasing access to rheumatologists by improving the quality and efficiency of referrals, but few studies have examined its use for this purpose. We evaluated the use and impact of a novel electronic referral (eReferral) system in rheumatology in a safety-net health system. METHODS: We examined eReferrals over 4 years. Our primary outcome was use of preconsultation exchange, defined as back-and-forth communication between referring and specialty care providers, facilitating triage of referrals, requests for more information, or resolution of questions without a visit...
August 2015: Arthritis Care & Research
Robert T Adsit, Bradley M Fox, Thanos Tsiolis, Carolyn Ogland, Michelle Simerson, Linda M Vind, Sean M Bell, Amy D Skora, Timothy B Baker, Michael C Fiore
Few smokers receive evidence-based tobacco treatment during healthcare visits. Electronic health records (EHRs) present an opportunity to efficiently identify and refer smokers to state tobacco quitlines. The purpose of this case study is to develop and evaluate a secure, closed-loop EHR referral system linking patients visiting healthcare clinics with a state tobacco quitline. A regional health system, EHR vendor, tobacco cessation telephone quitline vendor, and university research center collaborated to modify a health system's EHR to create an eReferral system...
September 2014: Translational Behavioral Medicine
Yulong Gu, Jim Warren, Martin Orr
Referrals are traditionally defined as sending a patient to another program or practitioner for services or advice. The increasing adoption of electronic referral systems (eReferrals) requires a more complex model and shared understanding of what a referral is. eReferrals are designed to support writing referrals and automating referrals processing, and sometimes triaging. The reported benefits of eReferrals include secured delivery of referrals, improved efficiency, access to care, quality of care and continuity of care, better quality of documentation and communication, as well as reduced cost...
July 18, 2014: New Zealand Medical Journal
Matt-Mouley Bouamrane, Frances S Mair
BACKGROUND: The ever increasing volume of referrals from primary care to specialist services is putting considerable pressure on resource-constrained health services while effective communication across fragmented services remains a substantial challenge. Previous studies have suggested that electronic referrals (eReferral) can bear important benefits for cross-organisational processes and patient care management. METHODS: We conducted 25 semi-structured interviews and 1 focus group with primary care providers to elucidate General Practitioners' (GPs) perspectives on information management processes in the patient pathway in NHSScotland, 1 focus group with members of the Scottish Electronic Patient Record programme and one interview with a senior architect of the Scottish Care Information national eReferral System (SCI Gateway)...
April 9, 2014: BMC Medical Informatics and Decision Making
Rebecka Janols, Thomas Lind, Bengt Göransson, Bengt Sandblad
BACKGROUND: In Sweden there are modular region-wide EPR systems that are implemented at various health organisations in the region. The market is dominated by four IT systems that have been procured and deployed in 18 out of 21 regions. METHODS: In a 2.5-year research study, deployments of three region-wide EPR modules: a patient administration system, eReferral module and eMedication module were followed and evaluated. Health professionals, EPR maintenance organisation, IT and health care managers were observed, interviewed and responded to questionnaires...
June 2014: International Journal of Medical Informatics
Jonathan Bergman, Katherine Neuhausen, Karim Chamie, Charles D Scales, Stacey Carter, Lorna Kwan, Steven E Lerman, William Aronson, Mark S Litwin
OBJECTIVE: To analyze whether ereferral is associated with decreased time to completion of hematuria workup. METHODS: We included 100 individuals referred to Olive View-UCLA Medical Center for urologic consultation for hematuria. Half were referred before implementation of ereferral, and half were referred after the system was implemented. We performed bivariate analysis to assess correlations of baseline subject sociodemographic and clinical characteristics with ereferral status...
December 2013: Urology
Matt-Mouley Bouamrane, Frances S Mair
We conducted a study of information management processes across the patient surgical pathway in NHSScotland. While the majority of general practitioners (GPs) consider electronic medical records systems as an essential and integral part of their work during the patient consultation, many were not fully satisfied with the functionalities of these systems. A majority of GPs considered that the national eReferral system streamlined referral processes. Almost all GPs reported marked variability in the quality of discharge information...
2013: Studies in Health Technology and Informatics
Alice Hm Chen, Elizabeth J Murphy, Hal F Yee
Health care reform has generated new pressures for the U.S. health care system to take better care of more patients at lower cost. Whereas these challenges are relatively new in the fee-for-service private sector, safety-net systems have perennially had to "do more with less"; innovations in this..
June 27, 2013: New England Journal of Medicine
J Warren, S White, K J Day, Y Gu, M Pollock
BACKGROUND: Electronic referral (eReferral) from community into public secondary healthcare services was introduced to 30 referring general medical practices and 28 hospital based services in late 2007. OBJECTIVES: To measure the extent of uptake of eReferral and its association with changes in referral processing. METHODS: Analysis of transactional data from the eReferral message service and the patient information management system of the affected hospital; interview of clinical, operational and management stakeholders...
2011: Applied Clinical Informatics
Nicholas F Jones, Lester Calder
OBJECTIVES: New Zealand is currently implementing a standard for the electronic referral of patients from primary care to District Health Board (DHB) provided specialist services (eReferral). Medical Officers of Health working within DHB public health services receive referrals through a legally mandated disease notification system. Although laboratories have reported notifiable diseases electronically since 2007 clinical and risk factor information are still reported by fax or telephone...
September 2012: Healthcare Informatics Research
Jim Warren, Yulong Gu, Karen Day, Sue White, Malcolm Pollock
BACKGROUND: Between September 2010 and May 2011 we evaluated three implementations of electronic referral (eReferral) systems at Hutt Valley, Northland and Canterbury District Health Boards in New Zealand. METHODS: Qualitative and quantitative data were gathered through project documentation, database records and stakeholder interviews. This paper reports on the user perspectives based on interviews with 78 clinical, management and operational stakeholders in the three regions...
2012: Studies in Health Technology and Informatics
Susan G Straus, Alice Hm Chen, Half Yee, Margot B Kushel, Douglas S Bell
Poor communication between primary care and specialists often leads to delays, inefficiencies and suboptimal patient outcomes. This study examined implementation of an electronic referral system (eReferral) that creates direct communication between primary care providers and specialist reviewers. Semi-structured interviews were conducted to assess factors affecting the success of eReferral implementation; transcripts were analyzed using qualitative methods. Primary and specialty care providers were enthusiastic about the system...
2011: AMIA ... Annual Symposium Proceedings
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