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Management: Electronic Health Records (EHR)

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Meeting Meaningful Use Criteria and Managing Patient Populations: A National Survey of Practicing Physicians
Background: Meaningful use, as defined by the Centers for Medicare & Medicaid Services, will require the aggregation of patient data to enable population assessment. Little is known about the proportion of physicians who are able to meet meaningful use criteria or their use of electronic health records (EHRs) to manage patient populations. Objective: To evaluate physicians’ reports of [...]
Source: ICMCC: The International Council on Medical and Care Compunetics - June 4, 2013 Category: Information Technology Authors: Lodewijk Tags: Bibliography Journal Article Science Data Aggregation Meaningful Use Source Type: news

Not everyone happy about MU delay
After months of physicians, hospitals and IT groups calling for more time to complete meaningful use, the federal government has finally responded. But not everyone is pleased. read more
Source: Healthcare IT News - December 9, 2013 Category: Information Technology Authors: Anthony Brino Tags: Online Only Industry News Meaningful Use Hospitals & IDNs Physician Practices Ambulatory Care Electronic Health Records Vendors Policy and Legislation Source Type: news

EHRA has complaints about 2015 criteria
In a letter to National Coordinator for Healthcare Information Technology Karen DeSalvo, MD, the Electronic Health Record Association argues that ONC's proposed Voluntary 2015 Edition Electronic Health Record Certification Criteria rule will cost too much, will disrupt progress and simply isn't "necessary or workable." read more
Source: Healthcare IT News - April 25, 2014 Category: Information Technology Authors: Mike Miliard Tags: Online Only Industry News Meaningful Use Electronic Health Records Vendors Policy and Legislation Source Type: news

3 common ICD-10 myths, debunked
Three of the most persistent and pernicious untruths about ICD-10 are tackled by AHIMA as confusion clouds the lead up to a long-overdue switchover. [See also: ICD-10 conversion a hot topic at HIMSS14] read more
Source: Healthcare IT News - July 31, 2014 Category: Information Technology Authors: Mike Miliard Tags: Online Only Industry News Hospitals & IDNs Physician Practices Ambulatory Care Payers Vendors Electronic Health Records ICD-10 Policy and Legislation Source Type: news

Wikipedia and Facebook for clinical documentation
Over the past several years I've written about the inadequate state of clinical documentation, which is largely unchanged since the days of Osler, (except for a bit more structure introduced by Larry Weed in the 1970s) and was created for billing/legal purposes not for care coordination.   read more
Source: Healthcare IT News - October 21, 2014 Category: Information Technology Authors: John Halamka Tags: Online Only Data Warehousing Electronic Health Records Quality and Safety Source Type: news

Epic and athenahealth: Must one choose sides?
In this excerpt from his book The Digital Doctor: Hope, Hype and Harm at the Dawn of Medicine's Computer Age, Robert Wachter, MD, explores the unique characteristics of two very different EHR vendors, with very different philosophies about how technology can improve healthcare. Electronic Health Records read more
Source: Healthcare IT News - May 26, 2015 Category: Information Technology Authors: Robert Wachter, MD Tags: Online Only Cloud Computing Electronic Health Records Meaningful Use Quality and Safety Workforce Source Type: news

EHR vendors uneasy about meaningful use certification
This past spring, the Office of the National Coordinator for Health IT announced the 2015 Edition Health IT Certification Criteria proposed rule, along with the proposed rule for Stage 3 of the EHR incentive program. [See also: Stage 3 meaningful use proposed rule and certification criteria released] Meaningful Use read more
Source: Healthcare IT News - August 14, 2015 Category: Information Technology Authors: Michelle Ronan Noteboom Tags: Online Only Clinical Electronic Health Records Meaningful Use Policy and Legislation Quality and Safety Source Type: news

Trends in Individuals' Perceptions regarding Privacy and Security of Medical Records and Exchange of Health Information: 2012-2014
The results of a survey which examined consumers security and privacy concerns about their electronic health records.
Source: HSR Information Central - February 17, 2016 Category: Global & Universal Source Type: news

Advance Care Planning Documentation Practices and Accessibility in the Electronic Health Record: Implications for Patient Safety
Documenting patients ’ advance care planning wishes is essential to providing value-aligned care, as is having this documentation readily accessible. Little is known about advance care planning documentation practices in the electronic health record.
Source: Journal of Pain and Symptom Management - September 21, 2017 Category: Palliative Care Authors: Evan Walker, Ryan McMahan, Deborah Barnes, Mary Katen, Daniela Lamas, Rebecca Sudore Source Type: research

Advance Care Planning Documentation Practices and Accessibility in the Electronic Health Record: Implications for Patient Safety (FR420C)
Documenting patients ’ advance care planning (ACP) wishes is essential to providing value-aligned care, as is having this documentation readily accessible. Little is known about ACP documentation practices in the electronic health record (EHR).
Source: Journal of Pain and Symptom Management - February 1, 2018 Category: Palliative Care Authors: Evan Walker, Ryan McMahan, Deborah Barnes, Mary Katen, Daniela Lamas, Rebecca Sudore Source Type: research

Do Electronic Health Records support the complex needs of people with disability?
Beginning in the 1990 ’s, a series of seminal reports by the Institute of Medicine (now National Academies of Sciences, Engineering, and Medicine) identified and discussed concerns about delivering quality medical care to all Americans (1-4). In particular, studies noted that people with chronic, usually multiple, cond itions may be at particular disadvantage in traversing the health care system, especially related to coordination of care (5). This of course has significant implications for people with disability.
Source: Disability and Health Journal - August 1, 2018 Category: Disability Authors: Margaret A. Turk, Suzanne McDermott Source Type: research

Assessing brief intervention for unhealthy alcohol use: a comparison of electronic health record documentation and patient self-report - Hoggatt KJ, Hepner KA.
OBJECTIVE: Alcohol screening and brief intervention (BI) are recommended preventive health practices. Veterans Health Administration (VA) uses a performance measure to incentivize BI delivery. Concerns have been raised about the validity of the BI performa...
Source: SafetyLit - November 16, 2018 Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

Caring About Cancer —Advance Care Planning Group Visit Intervention (QI744)
Electronic health record (EHR) documentation of a medical durable power of attorney (MDPOA) for persons living with cancer is only 25% at the University of Colorado Hospital Anschutz Cancer Pavilion (UCH-CP). Engaging in Advance Care planning Talks Group Visit (ENACT-GV) intervention can improve ACP discussions and EHR documentation in the primary care setting.
Source: Journal of Pain and Symptom Management - January 23, 2019 Category: Palliative Care Authors: Jeanie Youngwerth, Nancy Robertson, Erin Nielsen, Hillary Lum Source Type: research

Retinal detachment: Patient perspective and Electronic Medical Records
Two perspectives are provided on the retinal detachment suffered by one of the authors on a national holiday. One perspective is the personal one - a disturbing visual symptom, the surgery, the recovery and the worry about potential long lasting sequelae, and the need to reiterate detailed medical information several times during a stressful period. The other perspective is a national one regarding electronic health records. Current systems have been called “soul-sapping”, requiring physicians to direct their focus to the computer, rather than the patient.
Source: American Journal of Ophthalmology - July 15, 2019 Category: Opthalmology Authors: Gary D. Novack, Michele C. Lim Tags: Perspective Source Type: research

171 Hidradenitis suppurativa genome-wide association study
Hidradenitis suppurativa (HS) is a prevalent inflammatory skin disease. HS causes deep, painful, recurrent abscesses. African Americans and females are at an increased risk. A lack of effective therapies and limited knowledge about HS pathogenesis contribute to unmet needs. Unlike other common inflammatory skin diseases, there has never been a genome-wide association study (GWAS) conducted for HS. Here, we performed a first GWAS for HS using data from the eMERGE network of electronic health record linked biorepositories (project NT227).
Source: Journal of Investigative Dermatology - April 19, 2021 Category: Dermatology Authors: A. Khan, C.P. Lu, M. Hayes, J. Connolly, F. Mentch, P. Sleiman, H. Hakonarson, E. Mukherjee, C. Weng, G. Hripcsak, K. Kiryluk, L. Wheless, L. Petukhova Tags: Genetic Disease, Gene Regulation, and Gene Therapy Source Type: research