Health It And Ehrs

Author : Institute of Medicine,Board on Health Care Services,Committee on Data Standards for Patient Safety
Publisher : National Academies Press
Page : 36 pages
File Size : 55,7 Mb
Release : 2003-07-31
Category : Medical
ISBN : 9780309185431

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Key Capabilities of an Electronic Health Record System by Institute of Medicine,Board on Health Care Services,Committee on Data Standards for Patient Safety Pdf

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.

Author : Agency for Healthcare Research and Quality/AHRQ
Publisher : Government Printing Office
Page : 396 pages
File Size : 51,6 Mb
Release : 2014-04-01
Category : Medical
ISBN : 9781587634338

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Registries for Evaluating Patient Outcomes by Agency for Healthcare Research and Quality/AHRQ Pdf

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.

Author : MIT Critical Data
Publisher : Springer
Page : 427 pages
File Size : 52,8 Mb
Release : 2016-09-09
Category : Medical
ISBN : 9783319437422

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Secondary Analysis of Electronic Health Records by MIT Critical Data Pdf

This book trains the next generation of scientists representing different disciplines to leverage the data generated during routine patient care. It formulates a more complete lexicon of evidence-based recommendations and support shared, ethical decision making by doctors with their patients. Diagnostic and therapeutic technologies continue to evolve rapidly, and both individual practitioners and clinical teams face increasingly complex ethical decisions. Unfortunately, the current state of medical knowledge does not provide the guidance to make the majority of clinical decisions on the basis of evidence. The present research infrastructure is inefficient and frequently produces unreliable results that cannot be replicated. Even randomized controlled trials (RCTs), the traditional gold standards of the research reliability hierarchy, are not without limitations. They can be costly, labor intensive, and slow, and can return results that are seldom generalizable to every patient population. Furthermore, many pertinent but unresolved clinical and medical systems issues do not seem to have attracted the interest of the research enterprise, which has come to focus instead on cellular and molecular investigations and single-agent (e.g., a drug or device) effects. For clinicians, the end result is a bit of a “data desert” when it comes to making decisions. The new research infrastructure proposed in this book will help the medical profession to make ethically sound and well informed decisions for their patients.

Author : Institute of Medicine,Board on Population Health and Public Health Practice,Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records
Publisher : National Academies Press
Page : 374 pages
File Size : 42,8 Mb
Release : 2015-01-08
Category : Medical
ISBN : 9780309312455

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Capturing Social and Behavioral Domains and Measures in Electronic Health Records by Institute of Medicine,Board on Population Health and Public Health Practice,Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records Pdf

Determinants of health - like physical activity levels and living conditions - have traditionally been the concern of public health and have not been linked closely to clinical practice. However, if standardized social and behavioral data can be incorporated into patient electronic health records (EHRs), those data can provide crucial information about factors that influence health and the effectiveness of treatment. Such information is useful for diagnosis, treatment choices, policy, health care system design, and innovations to improve health outcomes and reduce health care costs. Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 identifies domains and measures that capture the social determinants of health to inform the development of recommendations for the meaningful use of EHRs. This report is the second part of a two-part study. The Phase 1 report identified 17 domains for inclusion in EHRs. This report pinpoints 12 measures related to 11 of the initial domains and considers the implications of incorporating them into all EHRs. This book includes three chapters from the Phase 1 report in addition to the new Phase 2 material. Standardized use of EHRs that include social and behavioral domains could provide better patient care, improve population health, and enable more informative research. The recommendations of Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 will provide valuable information on which to base problem identification, clinical diagnoses, patient treatment, outcomes assessment, and population health measurement.

Author : Margret Amatayakul
Publisher : Unknown
Page : 710 pages
File Size : 45,5 Mb
Release : 2017
Category : Medical records
ISBN : 1584265299

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Health IT and EHRs by Margret Amatayakul Pdf

Author : Pradeep K. Sinha,Gaur Sunder,Prashant Bendale,Manisha Mantri,Atreya Dande
Publisher : John Wiley & Sons
Page : 244 pages
File Size : 44,6 Mb
Release : 2012-11-27
Category : Computers
ISBN : 9781118479667

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Electronic Health Record by Pradeep K. Sinha,Gaur Sunder,Prashant Bendale,Manisha Mantri,Atreya Dande Pdf

Discover How Electronic Health Records Are Built to Drive the Next Generation of Healthcare Delivery The increased role of IT in the healthcare sector has led to the coining of a new phrase "health informatics," which deals with the use of IT for better healthcare services. Health informatics applications often involve maintaining the health records of individuals, in digital form, which is referred to as an Electronic Health Record (EHR). Building and implementing an EHR infrastructure requires an understanding of healthcare standards, coding systems, and frameworks. This book provides an overview of different health informatics resources and artifacts that underlie the design and development of interoperable healthcare systems and applications. Electronic Health Record: Standards, Coding Systems, Frameworks, and Infrastructures compiles, for the first time, study and analysis results that EHR professionals previously had to gather from multiple sources. It benefits readers by giving them an understanding of what roles a particular healthcare standard, code, or framework plays in EHR design and overall IT-enabled healthcare services along with the issues involved. This book on Electronic Health Record: Offers the most comprehensive coverage of available EHR Standards including ISO, European Union Standards, and national initiatives by Sweden, the Netherlands, Canada, Australia, and many others Provides assessment of existing standards Includes a glossary of frequently used terms in the area of EHR Contains numerous diagrams and illustrations to facilitate comprehension Discusses security and reliability of data

Author : Sharona Hoffman
Publisher : Cambridge University Press
Page : 128 pages
File Size : 53,8 Mb
Release : 2016-12-07
Category : Law
ISBN : 9781316738900

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Electronic Health Records and Medical Big Data by Sharona Hoffman Pdf

This book helps readers gain an in-depth understanding of electronic health record (EHR) systems, medical big data, and the regulations that govern them. It analyzes both the shortcomings and benefits of EHR systems, exploring the law's response to the creation of these systems, highlighting gaps in the current legal framework, and developing detailed recommendations for regulatory, policy, and technological improvements. Electronic Health Records and Medical Big Data addresses not only privacy and security concerns but also other important challenges, such as those related to data quality and data analysis. In addition, the author formulates a large body of recommendations to improve the technology's safety, security, and efficacy for both clinical and secondary (such as research) uses of medical data.

Author : Trenor Williams,Anita Samarth
Publisher : John Wiley & Sons
Page : 340 pages
File Size : 53,9 Mb
Release : 2010-12-03
Category : Medical
ISBN : 9781118023938

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Electronic Health Records For Dummies by Trenor Williams,Anita Samarth Pdf

The straight scoop on choosing and implementing an electronic health records (EHR) system Doctors, nurses, and hospital and clinic administrators are interested in learning the best ways to implement and use an electronic health records system so that they can be shared across different health care settings via a network-connected information system. This helpful, plain-English guide provides need-to-know information on how to choose the right system, assure patients of the security of their records, and implement an EHR in such a way that it causes minimal disruption to the daily demands of a hospital or clinic. Offers a plain-English guide to the many electronic health records (EHR) systems from which to choose Authors are a duo of EHR experts who provide clear, easy-to-understand information on how to choose the right EHR system an implement it effectively Addresses the benefits of implementing an EHR system so that critical information (such as medication, allergies, medical history, lab results, radiology images, etc.) can be shared across different health care settings Discusses ways to talk to patients about the security of their electronic health records Electronic Health Records For Dummies walks you through all the necessary steps to successfully choose the right EHR system, keep it current, and use it effectively.

Author : Vagelis Hristidis
Publisher : CRC Press
Page : 334 pages
File Size : 43,7 Mb
Release : 2009-12-10
Category : Business & Economics
ISBN : 9781420090413

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Information Discovery on Electronic Health Records by Vagelis Hristidis Pdf

Exploiting the rich information found in electronic health records (EHRs) can facilitate better medical research and improve the quality of medical practice. Until now, a trivial amount of research has been published on the challenges of leveraging this information. Addressing these challenges, Information Discovery on Electronic Health Records exp

Author : Dean F. Sittig,Hardeep Singh
Publisher : CRC Press
Page : 506 pages
File Size : 55,9 Mb
Release : 2015-04-14
Category : Business & Economics
ISBN : 9781498726382

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SAFER Electronic Health Records by Dean F. Sittig,Hardeep Singh Pdf

This important volume provide a one-stop resource on the SAFER Guides along with the guides themselves and information on their use, development, and evaluation. The Safety Assurance Factors for EHR Resilience (SAFER) guides, developed by the editors of this book, identify recommended practices to optimize the safety and safe use of electronic health records (EHRs). These guides are designed to help organizations self-assess the safety and effectiveness of their EHR implementations, identify specific areas of vulnerability, and change their cultures and practices to mitigate risks. This book provides EHR designers, developers, implementers, users, and policymakers with the requisite historical context, clinical informatics knowledge, and real-world, practical guidance to enable them to utilize the SAFER Guides to proactively assess the safety and effectiveness of their electronic health records EHR implementations. The first five chapters are designed to provide readers with the conceptual knowledge required to understand why and how the guides were developed. The next nine chapters focus on the underlying informatics concepts, key research activities, and methods used to develop each of the guides. Each of these chapters concludes with a copy of the guide itself. The final chapter provides a vision for the future and the work required to ensure that future generations of EHRs are designed, developed, implemented, and used to improve the overall safety of the EHR-enabled healthcare system. Taken together, the information provided in this book should help any organization, whether large or small, implement its EHR program and improve the safety and effectiveness of its existing EHR-enabled healthcare systems. This volume will be extremely valuable to small, ambulatory physician practices and larger outpatient settings as well as for hospitals and professors and instructors charged with teaching safe and effective implementation and use of EHRs. It will also be highly useful for health information technology professionals responsible for maintaining a safe and effective EHR and for clinical and administrative staff working in EHR-enabled healthcare systems.

Author : Margret Amatayakul
Publisher : Unknown
Page : 452 pages
File Size : 54,5 Mb
Release : 2004
Category : Computers
ISBN : NWU:35557000136018

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Electronic Health Records by Margret Amatayakul Pdf

"This book discusses the elements of EHR implementation in a clear, chronological format from planning to execution. Along the way, readers receive a solid background in EHR history, trends, and common pitfalls and gain the skills they will need for a successful implementation."

Author : Egondu R. Onyejekwe,Jon Rokne,Cory L. Hall
Publisher : Springer Nature
Page : 325 pages
File Size : 52,8 Mb
Release : 2019-09-06
Category : Medical
ISBN : 9783030199371

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Portable Health Records in a Mobile Society by Egondu R. Onyejekwe,Jon Rokne,Cory L. Hall Pdf

This book details how electronic health records (EHRs) and medical records (EMRs) can be optimized to enable meaningful interactions between provider and patient to enhance quality of care in this new era of mHealth. As the technologies evolve to provide greater opportunities for mHealth applications, so do the challenges. This book addresses the issues of interoperability limitations, data processing errors and patient data privacy while providing instruction on how blockchain-like processes can potentially ensure the integrity of an externally maintained EHR. Portable Health Records in a Mobile Society identifies important issues and promising solutions to create a truly portable EHRs. It is a valuable resource for all informaticians and healthcare providers seeking an up-to-date resource on how to improve the availability, reliability, integrity and sustainability of these revolutionary developments in healthcare management.

Author : Margret Amatayakul
Publisher : CRC Press
Page : 279 pages
File Size : 55,8 Mb
Release : 2017-07-27
Category : Business & Economics
ISBN : 9781439872345

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Process Improvement with Electronic Health Records by Margret Amatayakul Pdf

Although physicians and hospitals are receiving incentives to use electronic health records (EHRs), there is little emphasis on workflow and process improvement by providers or vendors. As a result, many healthcare organizations end up with incomplete product specifications and poor adoption rates.Process Improvement with Electronic Health Records:

Author : Institute of Medicine,Institute of Medicine (U.S.). Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records
Publisher : Unknown
Page : 0 pages
File Size : 53,7 Mb
Release : 2014
Category : Medical
ISBN : 0309301106

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Capturing Social and Behavioral Domains in Electronic Health Records by Institute of Medicine,Institute of Medicine (U.S.). Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records Pdf

Substantial empirical evidence of the contribution of social and behavioral factors to functional status and the onset and progression of disease has accumulated over the past few decades. Electronic health records (EHRs) provide crucial information to providers treating individual patients, to health systems, including public health officials, about the health of populations, and to researchers about the determinants of health and the effectiveness of treatment. Inclusion of social and behavioral health domains in EHRs is vital to all three uses. The Health Information Technology for Economic and Clinical Health Act and the Patient Protection and Affordable Care Act place new importance on the widespread adoption and meaningful use of EHRs. "Meaningful use" in a health information technology context refers to the use of EHRs and related technology within a health care organization to achieve specified objectives. Achieving meaningful use also helps determine whether an organization can receive payments from the Medicare EHR Incentive Program or the Medicaid EHR Incentive Program. Capturing Social and Behavioral Domains in Electronic Health Records is the first phase of a two-phase study to identify domains and measures that capture the social determinants of health to inform the development of recommendations for meaningful use of EHRs. This report identifies specific domains to be considered by the Office of the National Coordinator, specifies criteria that should be used in deciding which domains should be included, identifies core social and behavioral domains to be included in all EHRs, and identifies any domains that should be included for specific populations or settings defined by age, socioeconomic status, race/ethnicity, disease, or other characteristics.

Author : Orlando López
Publisher : CRC Press
Page : 203 pages
File Size : 46,9 Mb
Release : 2020-12-21
Category : Business & Economics
ISBN : 9781000223033

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Ensuring the Integrity of Electronic Health Records by Orlando López Pdf

Data integrity is a critical aspect to the design, implementation, and usage of any system which stores, processes, or retrieves data. The overall intent of any data integrity technique is the same: ensure data is recorded exactly as intended and, upon later retrieval, ensure the data is the same as it was when originally recorded. Any alternation to the data is then traced to the person who made the modification. The integrity of data in a patient’s electronic health record is critical to ensuring the safety of the patient. This book is relevant to production systems and quality control systems associated with the manufacture of pharmaceuticals and medical device products and updates the practical information to enable better understanding of the controls applicable to e-records. The book highlights the e-records suitability implementation and associated risk-assessed controls, and e-records handling. The book also provides updated regulatory standards from global regulatory organizations such as MHRA, Medicines and Healthcare Products Regulatory Agency (UK); FDA, Food and Drug Administration (US); National Medical Products Association (China); TGA, Therapeutic Goods Administration (Australia); SIMGP, Russia State Institute of Medicines and Good Practices; and the World Health Organization, to name a few.