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Management: Electronic Health Records (EHR)

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Understanding how to improve collaboration between hospitals and primary care in postdischarge care transitions: A qualitative study of primary care leaders' perspectives
CONCLUSIONSEfforts to improve care transitions should focus on aligning financial incentives, standardizing regulations around EHR interoperability and data sharing, and enhancing opportunities for interpersonal networking. Journal of Hospital Medicine 2014. © 2014 Society of Hospital Medicine
Source: Journal of Hospital Medicine - September 11, 2014 Category: Hospital Management Authors: Oanh Kieu Nguyen, Jenna Kruger, S. Ryan Greysen, Audrey Lyndon, L. Elizabeth Goldman Tags: Original Research Source Type: research

Improving Incidence of Code Status Documentation Through Process and Discipline Quality in Action
Documentation of a patient's preferred code status is a critical outcome of advance care planning. Although there is agreement that code status is valuable information, little progress has been made to increase the incidence of documented code status within the medical record in an outpatient setting. Incidence of code status documentation in the community oncology setting has not been studied. In April 2013, the US Oncology Network and McKesson Specialty Health launched a new advance care planning initiative for the purpose of promoting conversations between clinicians and patients regarding end-of-life care preferences. ...
Source: Journal of Oncology Practice - March 17, 2015 Category: Cancer & Oncology Authors: Neubauer, M. A., Taniguchi, C. B., Hoverman, J. R. Tags: Communication, Doctor-patient communication, Ethics issues, Management and treatment, Communication, Treatment related issues, Quality of life, Supportive care, Quality, Palliative care, Quality of care, Cost of care, General public, Cost of care, Ethics Source Type: research

Abstract 319: Development and Validation of a Mortality Prediction Model for Hospitalized Heart Failure Patients Session Title: Poster Session III
Conclusions: A heart failure mortality model based on detailed administrative data available in the first 2 hospital days had excellent performance characteristics in a derivation and an external, EHR-based validation dataset. When clinical data are not available, this model may be useful for severity adjustment in comparative effectiveness studies of heart failure patients.
Source: Circulation: Cardiovascular Quality and Outcomes - April 29, 2015 Category: Cardiology Authors: Lagu, T., Stefan, M., Pack, Q., Atreya, A., Kashef, M. A., Slawsky, M., Valania, G., Shieh, M.-S., Pekow, P. S., Lindenauer, P. K. Tags: Session Title: Poster Session III Source Type: research

DoD and VA: When will your EHRs really interoperate?
Talk about a daunting deadline.  The National Defense Authorization Act (NDAA) for Fiscal Year 2014 mandated that the Defense and Veterans Affairs departments "certify that all healthcare data in their systems complied with national standards and were computable in real time," by Oct.1, 2014. Interoperability read more
Source: Healthcare IT News - August 14, 2015 Category: Information Technology Authors: Tom Sullivan Tags: Online Only Electronic Health Records Health Information Exchange (HIE) Interoperability Policy and Legislation Source Type: news

Use of Simulation to Study Nurses' Acceptance and Nonacceptance of Clinical Decision Support Suggestions.
This study provides preliminary evidence that high-quality simulation and targeted questionnaires about specific clinical decision support selections offer a cost-effective means for testing before full deployment in clinical practice. PMID: 26361268 [PubMed - as supplied by publisher]
Source: Computers, Informatics, Nursing : CIN - September 10, 2015 Category: Nursing Authors: Sousa VE, Lopez KD, Febretti A, Stifter J, Yao Y, Johnson A, Wilkie DJ, Keenan GM Tags: Comput Inform Nurs Source Type: research

Factors affecting physicians’ use of a dedicated overview interface in an electronic health record: The importance of standard information and standard documentation
Searching for data and creating an overview of data in information-intensive environments such as hospitals can prove a challenging task. Clinicians spend much time seeking and examining data about their patients in order to integrate these data with their overall medical knowledge. They may find it difficult to create a quick overview of patient information and may therefore overlook vital information [1]. In hospitals, the patient record or the health record is often the primary information source.
Source: International Journal of Medical Informatics - December 16, 2015 Category: Information Technology Authors: Lotte Groth Jensen, Claus Bossen Source Type: research

Pre‐birth cohort study of atopic dermatitis and severe bronchiolitis during infancy
ConclusionsAD is significantly associated with severe bronchiolitis in infancy. The mechanism of the AD‐bronchiolitis association is unclear and merits further study; this research may shed light on the pathogenesis of asthma.This article is protected by copyright. All rights reserved.
Source: Pediatric Allergy and Immunology - January 13, 2016 Category: Allergy & Immunology Authors: Diana S. Balekian, Rachel W. Linnemann, Victor M. Castro, Roy Perlis, Ravi Thadhani, Carlos A. Camargo Tags: Original Source Type: research

Agreement Between HEDIS Performance Assessments in the VA and Medicare Advantage: Is Quality in the Eye of the Beholder?
Medicare Advantage (MA) plans and the Veterans Affairs (VA) health care system assess quality of care using standardized Healthcare Effectiveness Data and Information Set (HEDIS) performance measures. Little is known, however, about the relative accuracy of quality indicators for persons receiving care in more than one health care system. Among Veterans dually enrolled in an MA plan, we examined the agreement between MA and VA HEDIS assessments. Our study tested the hypothesis that private health plans underreport quality of care relative to a fully integrated delivery system utilizing a comprehensive electronic health rec...
Source: Inquiry: The Journal of Health Care Organization, Provision, and Financing - March 30, 2016 Category: Health Management Authors: Trivedi, A. N., Wilson, I. B., Charlton, M. E., Kizer, K. W. Tags: Original Research Source Type: research

Implementation of electronic health records in Polish outpatient health care clinics - starting point, progress, problems, and forecasts.
CONCLUSIONS: Most health care entities providing specialized outpatient care would not have complied with the provisions of the Act on Information System in Health Care had the deadline for implementation of EHR not been postponed. Five months before the date stipulated in the first version of the Act (August 2014), about 74% of health care entities covered by this study did not yet have a ready EHR system. The study also showed that 2 years is insufficient time for the entire process of informatization of a health care establishment. PMID: 27294642 [PubMed - in process]
Source: Annals of Agricultural and Environmental Medicine : AAEM - June 1, 2016 Category: Environmental Health Authors: Czerw A, Fronczak A, Witczak K, Juszczyk G Tags: Ann Agric Environ Med Source Type: research

Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented electronic health record
Conclusions During the initial phase of implementation of an EHR, inaccuracies were more common in progress notes in the EHR compared to the paper charts. Residents had a lower rate of inaccuracies and omissions compared to attending physicians. Further research is needed to identify training methods and incentives that can reduce inaccuracies in EHRs during initial implementation.
Source: Journal of the American Medical Informatics Association - June 28, 2016 Category: Information Technology Authors: Yadav, S., Kazanji, N., K C, N., Paudel, S., Falatko, J., Shoichet, S., Maddens, M., Barnes, M. A. Tags: Research and Applications Source Type: research

Mobile Technologies in Healthcare and Electronic Health Records.
Authors: Tsirintani M Abstract Mobile Health (mHealth) is an emerging and rapidly developing field. It seems to play a significant role in the transformation of healthcare and increase its quality and efficiency as a sub-segment of Electronic Health (eHealth). In this article, we did a literature review about the potentials for this transformation and the crucial organizational issues for developing Electronic Health Record's applications with mHealth technologies in healthcare organizations. PMID: 27350517 [PubMed - in process]
Source: Studies in Health Technology and Informatics - July 1, 2016 Category: Information Technology Tags: Stud Health Technol Inform Source Type: research

Early Detection of Heart Failure Using Electronic Health Records: Practical Implications for Time Before Diagnosis, Data Diversity, Data Quantity, and Data Density Original Articles
Conclusions— These empirical findings suggest possible guidelines for the minimum amount and type of data needed to train effective disease onset predictive models using longitudinal electronic health records data.
Source: Circulation: Cardiovascular Quality and Outcomes - November 14, 2016 Category: Cardiology Authors: Ng, K., Steinhubl, S. R., deFilippi, C., Dey, S., Stewart, W. F. Tags: Information Technology, Primary Prevention, Risk Factors, Heart Failure Original Articles Source Type: research

Safety huddles to proactively identify and address electronic health record safety
Conclusions: Safety huddles promoted discussion of several technology-related issues at the organization level and can serve as a promising technique to identify and address EHR-related safety concerns. Based on our findings, we recommend that health care organizations consider huddles as a strategy to promote understanding and improvement of EHR safety.
Source: Journal of the American Medical Informatics Association - December 27, 2016 Category: Information Technology Authors: Menon, S., Singh, H., Giardina, T. D., Rayburn, W. L., Davis, B. P., Russo, E. M., Sittig, D. F. Tags: Research and Applications Source Type: research

Graphics help patients distinguish between urgent and non-urgent deviations in laboratory test results
Conclusion: Patient-facing displays of laboratory test results should use visual displays rather than tables to increase people’s sensitivity to variations in their results.
Source: Journal of the American Medical Informatics Association - December 29, 2016 Category: Information Technology Authors: Zikmund-Fisher, B. J., Scherer, A. M., Witteman, H. O., Solomon, J. B., Exe, N. L., Tarini, B. A., Fagerlin, A. Tags: Research and Applications Source Type: research

Adverse and Hypersensitivity Reactions to Prescription Nonsteroidal Anti-Inflammatory Agents in a Large Health Care System
Conclusions NSAID therapeutic use can be limited by ADRs; about 1 in 5 NSAID ADRs is an HSR. Both patient and drug factors contribute to HSR risk and are important to guide patient counseling.
Source: The Journal of Allergy and Clinical Immunology: In Practice - January 18, 2017 Category: Allergy & Immunology Source Type: research