what are the issues and challenges in implementing electronic health record i...shoei yoshida
this slides are intended to present the issues regarding difficulties in implementing electronic medical record in primary care setup and identifying possible solutions that we can apply
because without electronic medical record, we will not be able to have the building block to construct sound eHealth solutions which is supposed to translate to the improvement of general public health
please share your comments, idea and suggestions :D
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Patient safety issues are increasing as practice of medicine gets more complex and expansive, and deserves utmost attention in controlling this exponentially growing challenge.
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Keynote for the Australian 10th Annual Health Care Congress ( http://www.webcitation.org/5Vlz9j0HO ) in Sydney, 27th - 29th February 2008. Keynote contains a run-down of what ehealth is all about, and then focusses a fair bit on Personal Health Records (PHR 2.0) and Personal Health Applications. This is partly because the new Australian government under its new prime minister Kevin Rudd has set a couple of priorities for reforming health care, among them is "focussing on preventative health care and health promotion to help keep Australians healthy and out of hospital", which is a goal that can - in my opinion - be attained or at least greatly supported with Personal Health Records, or more specifically with what I call second generation PHRs or PHR 2.0. Contains screenshots of our Healthbook (TM) project, which was subsequently mentioned mentioned in the preliminary report of the 2020 Summit to the Prime Minister in Australia, see http://gunther-eysenbach.blogspot.com/search/label/healthbook
what are the issues and challenges in implementing electronic health record i...shoei yoshida
this slides are intended to present the issues regarding difficulties in implementing electronic medical record in primary care setup and identifying possible solutions that we can apply
because without electronic medical record, we will not be able to have the building block to construct sound eHealth solutions which is supposed to translate to the improvement of general public health
please share your comments, idea and suggestions :D
Patient Safety and eHealth in the rescue: A revolution unfoldingMohammad Yeakub
Patient safety issues are increasing as practice of medicine gets more complex and expansive, and deserves utmost attention in controlling this exponentially growing challenge.
Eysenbach: eHealth: Transforming the dynamics of a complex health systemGunther Eysenbach
Keynote for the Australian 10th Annual Health Care Congress ( http://www.webcitation.org/5Vlz9j0HO ) in Sydney, 27th - 29th February 2008. Keynote contains a run-down of what ehealth is all about, and then focusses a fair bit on Personal Health Records (PHR 2.0) and Personal Health Applications. This is partly because the new Australian government under its new prime minister Kevin Rudd has set a couple of priorities for reforming health care, among them is "focussing on preventative health care and health promotion to help keep Australians healthy and out of hospital", which is a goal that can - in my opinion - be attained or at least greatly supported with Personal Health Records, or more specifically with what I call second generation PHRs or PHR 2.0. Contains screenshots of our Healthbook (TM) project, which was subsequently mentioned mentioned in the preliminary report of the 2020 Summit to the Prime Minister in Australia, see http://gunther-eysenbach.blogspot.com/search/label/healthbook
Consumer Health Informatics, Mobile Health, and Social Media for Health: Part...Nawanan Theera-Ampornpunt
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 10, 2021
Running Head ELECTRONIC HEALTH RECORDS .docxtodd271
Running Head: ELECTRONIC HEALTH RECORDS 1
Electronic Health Records 2
Electronic Health Records
University of Saint Augustine for Health Sciences IPE7400B900: Healthcare Informatics and Technology Management
Health is a very critical part of human life that signifies the absence of illness. The goal of every country is to provide the best healthcare services for all citizens to promote health and improve lives. Many countries have had various problems in relation to the prioritization of health for its citizens. This has called for more fund allocation into research to establish better ways of attaining better health and solving chronic diseases. This brings the burden of medical care to be high for a country especially the developing countries which have had many mortality rates due to insufficient funds for the research. This calls for better equipping of the health sector in a way that could reduce of research expense. The electronic health record is one of the major successes in the health sector. This is because the discovery and development have made information readily available and accessible which enables the researchers to carry out research with minimal funds and at shorter time periods. Therefore, this paper will focus on electronic health records pinpointing its weaknesses and recommend ways to improve the same for a better health system in the country.
Problem Statement
Health is a very critical part of human health and better living. This calls for innovations and inventions in the health sector. However, the cost of health in many countries especially in the developing countries has been so high that the mortality rates due to medical inaccessibility have continuously gone high. The high mortality rates have been contributed by the chronic diseases which researchers take more time to come up with a cure or even intervention methods. All this has been contributed by the increased budget of healthcare. The introduction of electronic health record although not yet widely adopted by the developing countries, is a light at the end of a tunnel. This is because of its reduced cost in record storage, easy accessibility of health information and easy transfer of the patient's information (Fatt & Zain, 2016, pp.75).
The introduction of electronic health records has improved the health sector. However, research done in the USA to determine the effectiveness of the system has pointed out some challenges that raise eyebrows. According to Rumbold, & Pierscionek, (2017, pp. 92), the use of technology has its costs. There have been concerns about the security of the information that is stored electronically due to the latest security breaches. Standing & Cripps, (2015, pp. 75-85) points out the inconsistency of information from the patients as som.
Evolution of Health Care Paper and TimelineThere are specifi.docxSANSKAR20
Evolution of Health Care Paper and Timeline
There are specific trends from manual to electronic operations in the health care facilities, healthcare providers and similar businesses operators. The evolution has taken place within the health care providers, administrative data and the insurance plans as well. The health care industries have automated several procedures such as the supply of drugs and accurate record keeping (Loker 2012). Electronic health care uses sophisticated technology unlike the manual one; this advanced technology has been applied in the provision of health care all over the world hence saving both time and cost It has also widened and perfected the scope of operation.
How has this change impacted the quality of care?
The change to electronic medical records has proven to be successful and helpful in providing quality patient care. Some ways that it has helped is improving patient care, increasing patient participation, improved care coordination, improved diagnostic and patient outcomes, and practice efficiencies and cost savings. (HealthIT.gov). Patients are able to be more involved in the patient care process and are able to access to their records which was not possible in the past. The transporting of records from one physician to another is much quicker now because it can be done by a click of a button. When needing to send a patient to a specialist or when getting an authorization for a patient’s recommended treatment can be done a lot quicker as well. This is speeding up the process in being able to provide quick and quality care so the patient does not need to wait as long as they would have had to in the past.
Percentage of physicians whose electronic health records provided selected benefits
(HealthIT.gov)
Electronic medical records has proven to be a good thing for both the medical provider as well as the patient and it has decreased the wait times to results or any potential errors and enhanced patient care.
Did Societal beliefs and values influence this change? Why or why not?
The health care delivery system in our country has its roots in the beliefs and values of the people (Shi & Singh, 2012). The firm belief in technological innovations leads to higher expectations of people, which has fueled the growth in technological innovations. The culture of individualism has led the medical practice to keep the individual healthy. Patients tend to evaluate the institutions by their acquisition of advanced technology. The expectation of Americans on what technology can do to cure illness is higher compared to the Canadians and Germans (Shi & Singh, 2012, p. 168). The societal beliefs and values impact not only the structure of health care delivery but also the training of health care providers.
The use of EHRs provided access to patients’ records on demand and have improved the quality of health care (Shi & Singh, 2012). Although the EHRs were to improve the quality of health care delivery, many ...
Role of Health Information Systems in Health CareIn the articl.docxhealdkathaleen
Role of Health Information Systems in Health Care
In the article, Robert Fichman, Rajiv Kohli, and Ranjani Krishnan discussed the role of the Health Information System in Health Care on the medical, social, and economic points related to the diagnosis providing and financial transactions. The main argument of the article indicates the future indispensability of the IS utilization in Health Care system regarding the optimization of the medical process, which will benefit the medical staff and clients’ recuperation. The authors support the claim stating that the involvement of the IS promotes the reduction of treatment costs caused by the mechanized data recording. Moreover, the adaptation of IS leads to the successful outperformance of the challenges related to the hierarchical nature of healthcare, which implies the physicians’ appropriate implementation of technology for the process of examination, treatment, and rehabilitation program elaboration, which intensifies the adherence of the medical professional to the client-centered orientation. Finally, IS deals with the privacy concern, which presents the obligation of the medical professional to ensure the security of the patient’s data to avoid the leakage of information as the issue of data loss deals with PHI, which can follow the court procedures. Hence, the authors lead to the point that the utilization of the Information Systems will optimize the quality of medical service due to the improvement of the data transfer, diagnosis and treatment program creation, and reduction of the cost of service.
Recommendations
1. According to Fichman, Kohli, and Krishnan (2011), the utilization of IS enhances the risk of patients’ data leakage, which captures media attention and violates security regulations. Regarding the presented perspective the recommendation implies ensuring IS with encryption, which will provide anonymity of the clients’ data and its automatic deletion in case of hacking attack. In this case, addressing the program of the identity based anonymization represents a reasonable solution of the privacy preservation as it encodes and removes patients’ identifiable information from the data set and means that the necessary information is visible for the clients/medical professionals and deleted for the hackers (Abouelmehdi, Beni Hessane, & Khaloufi, 2018).
2. Fichman, Kohli, and Krishnan (2011) state that the medical professionals apply IS during the process of treatment program creation, which aims to enhance patients’ satisfaction. However, the principal challenge of the presented point specifies the necessity of the correct assessment of the clients’ clinical history. Regarding the mentioned perspective, the recommendation means the elaboration of the separate Patient Data Analysis information system. PDA-IS utilizes the query engine, that implies the generation of standard and ad-hoc analytical patient and service-centric queries, which promotes the qualified analysis of the pati ...
Public Health Informatics, Consumer Health Informatics, mHealth & Personal He...Nawanan Theera-Ampornpunt
Presented at the Health Informatics and Health Information Technology Course, Doctor of Philosophy and Master of Science Programs in Data Science for Health Care (International Program), Faculty of Medicine Ramathibodi Hospital, Mahidol University on October 24, 2017
Plenary presentation at the first EHR Summit of the UP Manila Medical Informatics Unit and the Philippine Medical Informatics Society, 10 Nov 2019. Philippine Heart Center.
Held each year in Boston, Medical Informatics World connects more than 400 healthcare, biomedical science, health informatics, and IT leaders to navigate emerging trends and opportunities in the evolving industry. The event responds to the challenges in collaborating and maximizing the benefit of enabling technologies with inspiring plenary keynotes combined with focused expert-led presentations and discussions. Coverage includes population health management, predictive analytics, payer-provider-pharma data collaborations, patient care and engagement, mobile and wearable technologies, care delivery models, enterprise hospital information systems, clinical decision support, error and readmission reduction, and healthcare data security. The 2015 program features six conference tracks, two interactive dinner workshops and six plenary keynote presentations, providing attendees with the connections, tools and strategies for taking their research and care delivery to the next level. Learn more at http://www.medicalinformaticsworld.com
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Public Health informatics, Consumer health informatics, mHealth & PHRs (Novem...Nawanan Theera-Ampornpunt
Presented at the M.S. and Ph.D. Programs in Data Science for Health Care, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 11, 2019
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1. Health Informatics: Its Evolution
and Impact
Lynn Wedin
Health Informatics Capstone
Instructor: Olivia Pollard
October 6, 2014
2. Health Informatics: Its Evolution and
Impact
Topics of Discussion
Health care informatics evolution and transitions to
today
The impact on the electronic medical records integration
Current health care information systems
3. Health care informatics evolutions and
transitions to today
Discuss the history of regulations
Discuss the Health Information Technology
Economic and Clinical Health Act
Discuss the evolution of electronic health
records
Discuss Meaningful Use
Discuss advanced health record technologies
4. Impact on the Electronic Medical Records
Integration
Discuss end user adoption and usability
Discuss workflow changes and challenges
Discuss interoperability
Discuss availability of patient health information
Discuss use of evidence based medicine and
documentation standardization
Discuss codification of health information
5. Current Health Care Information Systems
Discuss various health care information
system components
Discuss hardware security
Discuss access and software security
6. Why is this important?
Understand why health care needs to change
Understand how informatics can support change
Understand informatics options available to support
change
Understand how to implement health informatics
7. Final Project Outline
Health Informatics Evolution and Transitions to Today
IOM (1999), To Err is Human
Estimated 98,000 people die annually in U.S. hospitals
HiTech Act
Penalties for not using electronic health records
Meaningful Use
Increase communication, efficiency, quality, and safety
Meet objectives across stages
8. Impact on Electronic Medical Record Integration
Ease adoption
Training
End user involvement
Workflow challenges
Incorporating computer in workflow
Standardized templates and evidence based order sets
Codification
Standardized identification of items
Data sharing and extraction
Better patient care
Increased quality
Increased safety
Faster diagnostic result turnaround
9. Current Health Care Systems
Registration and Finance
Admission and scheduling
Billing and charging
Clinical
Order entry
Documentation
Pharmacy
Medication verification
Barcode medication administration
Diagnostic
Laboratory
Radiology
Cardiology
10. References
Blumenthal, D. (2011). A quick look at Meaningful Use: The age of
meaningful use. Stat: Bulletin of the Wisconsin Nurses Association, 80(5), 1-3.
Retrieved from EBSCOhost.
Goldberg, L., Lide, B., Lowry, S., Massett, H. A., O'Connell, T., Preece, J., &
Schneiderman, B. (2011). Usability and accessibility in consumer health
informatics: Current trends and future challenges. American Journal of
Preventative Medicine, 40, pS187-
S197. doi:10.1016/j.amepre.2011.01.009Hamid, F., & Cline, T. W. (2013).
Hamid, F., & Cline, T. W. (2013). Providers' Acceptance Factors and their
Perceived Barriers to Electronic Health Record (EHR) Adoption. Online
Journal Of Nursing Informatics, 17(3), 1-11.
Perkins, J., & Schmidt, M. (2012). Meaningful Use: Today and tomorrow.
MLO: Medical Laboratory Observer, 44(10), 34-36.