Progress and Challenges with the Implementation and Use of Electronic Health Records Among Critical Access Hospitals


Book Description

Although electronic health record (EHR) adoption among rural hospitals has increased substantially in recent years, concerns remain regarding the unique challenges they face in adopting and achieving meaningful use (MU) of EHRs. These challenges include resource constraints and infrastructure issues such as limited broadband availability. This data brief describes the progress of Critical Access Hospitals with EHR adoption and MU and highlights the challenges that remain.




Registries for Evaluating Patient Outcomes


Book Description

This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.




Key Capabilities of an Electronic Health Record System


Book Description

Commissioned by the Department of Health and Human Services, Key Capabilities of an Electronic Health Record System provides guidance on the most significant care delivery-related capabilities of electronic health record (EHR) systems. There is a great deal of interest in both the public and private sectors in encouraging all health care providers to migrate from paper-based health records to a system that stores health information electronically and employs computer-aided decision support systems. In part, this interest is due to a growing recognition that a stronger information technology infrastructure is integral to addressing national concerns such as the need to improve the safety and the quality of health care, rising health care costs, and matters of homeland security related to the health sector. Key Capabilities of an Electronic Health Record System provides a set of basic functionalities that an EHR system must employ to promote patient safety, including detailed patient data (e.g., diagnoses, allergies, laboratory results), as well as decision-support capabilities (e.g., the ability to alert providers to potential drug-drug interactions). The book examines care delivery functions, such as database management and the use of health care data standards to better advance the safety, quality, and efficiency of health care in the United States.




Advances in Data Communications and Networking for Digital Business Transformation


Book Description

Sustaining a competitive edge in today’s business world requires innovative approaches to product, service, and management systems design and performance. Advances in computing technologies have presented managers with additional challenges as well as further opportunities to enhance their business models. Advances in Data Communications and Networking for Digital Business Transformation is a critical scholarly resource that examines transformative technologies from the perspective of data communication and networking and research challenges faced by the industry and research and development laboratories. Featuring coverage on a broad range of topics such as routing protocols, network visualization, and corporate social responsibility, this book is geared towards executives, managers, academicians, researchers, and students.




Responding to The Grand Challenges In Healthcare Via Organizational Innovation


Book Description

This book contains two Open Access chapters. Responding to The Grand Challenges in Healthcare Via Organizational Innovation explores scenarios for dealing with unexpected crises, improving diversity, equity and inclusion in health care, inter-sector collaboration, and analyzes organizational governance.




Electronic Health Records


Book Description

This book provides an overview of the challenges in electronic health records (EHR) design and implementation along with an introduction to the best practices that have been identified over the past several years. The book examines concerns surrounding EHR use and proposes eight examples of proper EHR use. It discusses the complex strategic planning that accompanies the systemic organizational changes associated with EHR programs and highlights key lessons learned regarding health information—including technology errors and risk management concerns.




Developing and Utilizing Digital Technology in Healthcare for Assessment and Monitoring


Book Description

This book discusses the current trends in nursing and healthcare in relation to the integration of information technological interventions across the care continuum. The use of such interventions in healthcare has increased rapidly in recent years, partly due to the rise in technological gadgets/applications used in daily routines (e.g. actigraphy bracelets, smartphones) and their unique properties that can be utilized in assessing, monitoring and managing a patient’s condition remotely. This book highlights the areas and the ways in which these interventions can facilitate patient assessment and monitoring and complement conventional treatments in the management of disease-induced or treatment-induced side effects. Furthermore, the book describes the development of such interventions and examines how they are designed to promote adherence and acceptance by the user. To this end, the book also discusses the need for personalizing the technological experience according to the user’s preferences and needs. Drawing on the latest studies in these areas, it not only provides suggestions for undertaking research in this context, but also offers insights into how these technologies impact patients’ clinical outcomes. Lastly, it addresses the challenges of utilizing such technologies and future directions. Providing multiple perspectives on the topic, the book appeals to a wide range of readers, including nurses, clinicians, researchers, technology experts and students, making them familiar with a broad selection of technological interventions and their application in clinical practice. Moreover, it highlights the factors that need to be considered in the development (and testing) of future interventions, in particular in nursing, and provides inspiration for future studies.




Factors Associated With Patient Electronic Health Record View, Download, and Transmit Rates at Critical Access Hospitals


Book Description

To date, the federal government has paid $35 billion in incentive payments to eligible hospitals who adopt electronic health records (EHRs) and meet certain criteria on EHR implementation and use, as part of what is called the meaningful use program. One such criteria is that hospitals provide patients with the ability to view, download, and transmit information about a hospital admission, also called VDT. Hospitals are penalized if too few patients view, download, or transmit their information after discharge. This study seeks to identify and quantify factors that affect whether or not a patient accesses their health information online by matching county level demographic data with the nation’s 1,423 critical access hospitals and VDT data from the subset of 1,062 CAHs participating in the meaningful use program. A Heckman selection model was run to address CAHs non-random selection into the meaningful use program. Correcting for hospital and county-level variables, I found that both the length of meaningful use program participation and the percent of patients provided the ability to VDT are positively associated (p




Health Information Exchange


Book Description

Health Information Exchange: Navigating and Managing a Network of Health Information Systems, Second Edition, now fully updated, is a practical guide on how to understand, manage and make use of a health information exchange infrastructure, which moves patient-centered information within the health care system. The book informs and guides the development of new infrastructures as well as the management of existing and expanding infrastructures across the globe. Sections explore the reasons for the health information exchange (HIE) infrastructures, how to manage them, examines the key drivers of HIE, and barriers to their widespread use. In addition, the book explains the underlying technologies and methods for conducting HIE across communities as well as nations. Finally, the book explains the principles of governing an organization that chiefly moves protected health information around. The text unravels the complexities of HIE and provides guidance for those who need to access HIE data and support operations. Encompasses comprehensive knowledge on the technology and governance of health information exchanges (HIEs) Presents business school style case studies that explore why a given HIE has or hasn't been successful Discusses the kinds of data and practical examples of the infrastructure required to exchange clinical data to support modern medicine in a world of disparate EHR systems




Implementing an Electronic Health Record System


Book Description

- Practical in its scope and coverage, the authors have provided a tool-kit for the medical professional in the often complex field of medical informatics - All editors are from the Geisinger Health System, which has one of the largest Electron Health systmes in the USA, and is high in the list of the AMIA "100 Most Wire" healthcare systems - Describes the latest successes and pitfalls