Accountability for Electronic-Health systems

2016 ◽  
Author(s):  
Chian Techapanupreeda ◽  
Roongroj Chokngamwong
Keyword(s):  
Health Systems ◽  
Electronic Health

Mobile Health Systems and Electronic Health Record

2019 ◽  
pp. 15-33
Author(s):  
Kijpokin Kasemsap
Keyword(s):  
Health Care ◽  
Global Health ◽  
Electronic Health Record ◽  
Health Systems ◽  
Mobile Health ◽  
Health Record ◽  
Care Services ◽  
Global Health Care ◽  
Mobile Health Systems ◽  
Electronic Health

This chapter reveals the overview of mobile health systems; the adoption of mobile health systems; mobile health systems and patient monitoring; the overview of mobile health technology; the advanced issues of Electronic Health Record (EHR); and the challenges of EHR in global health care. Mobile health helps deliver the health care services with quality care, improved workflow, and increased patient interaction while minimizing complexity and cost to achieve the desired goals in health care settings. EHR systems are the real-time and patient-centered records that make information available instantly and securely to authorized users. The chapter argues that applying mobile health systems and EHR has the potential to improve health care efficiency and gain sustainable competitive advantage in global health care.

scholarly journals Examining attitudes toward and ability to interact with an online personal health record: A case study in Saudi Arabia

2019 ◽  
Vol 6 (1) ◽  
pp. 1 ◽  
Author(s):  
Bandar Faisal Al-Mifgai ◽  
Joseph Sharit ◽  
Arzu Onar-Thomas ◽  
Shihab Asfour
Keyword(s):  
Saudi Arabia ◽  
Health Literacy ◽  
Health Systems ◽  
Health Management ◽  
Personal Health Record ◽  
The Internet ◽  
Personal Health ◽  
Health Record ◽  
Health Numeracy ◽  
Electronic Health

Objective: This study examined the ability for adults from a developing country to use a personal health record (PHR) to perform health-management tasks. The effects of gender differences as well as differences in attitudes about using the internet to manage health prior to and after exposure to the PHR were also investigated.Methods: A simulation of a PHR based on a well-established U.S. online patient portal was designed and tailored for this particular study population. Two hundred and three adults with a mean age of 40.9 years were recruited from various areas in Saudi Arabia and asked to perform seven common health-management tasks of varying degrees of difficulty. Their electronic health literacy and health numeracy, as well as their attitudes about using online health systems for managing their health prior to and following their interaction with the PHR, were assessed using questionnaires.Results: After controlling for education, perceived health status, and comfort using the internet, electronic health literacy and health numeracy were still found to be significant predictors of participants’ task performance, but only for the more challenging health-management tasks. No important differences based on gender were found. Exposure to the PHR significantly increased the acceptability of using the internet for managing their health.Conclusions: The change in attitudes following interaction with the PHR suggests that many adults in this society could benefit from these electronic health systems, including females who, due to cultural considerations, may desire greater control in managing their health. However, the importance of electronic health literacy and health numeracy suggests the need for designs that minimize the impact of these factors for successful performance of health-management tasks.

scholarly journals Collaborating for Competency—A Model for Single Electronic Health Record Onboarding for Medical Students Rotating among Separate Health Systems

2018 ◽  
Vol 09 (01) ◽  
pp. 199-204 ◽  
Author(s):  
Anne Pereira ◽  
Michael Kim ◽  
Marcus Seywerd ◽  
Brooke Nesbitt ◽  
Michael Pitt ◽  
...  
Keyword(s):  
Medical Students ◽  
Electronic Health Record ◽  
Health Systems ◽  
Clinical Training ◽  
Single Type ◽  
Health Record ◽  
Clinical Rotations ◽  
Academic Medical ◽  
Competency Based ◽  
Electronic Health

Background Use of the electronic health record (EHR) is widespread in academic medical centers, and hands-on EHR experience in medical school is essential for new residents to be able to meaningfully contribute to patient care. As system-specific EHR training is not portable across institutions—even when the same EHR platform is used—students rotating across health systems are often required to spend time away from clinical training to complete each system's, often duplicative, EHR training regardless of their competency within the EHR. Methods We aimed to create a single competency-based Epic onboarding process that would be portable across all the institutions in which our medical students complete clinical rotations. In collaboration with six health systems, we created online EHR training modules using a systematic approach to curriculum development and created an assessment within the Epic practice environment. Results All six collaborating health systems accepted successful completion of the developed assessment in lieu of standard site-specific medical student EHR training. In the pilot year, 443 students (94%) completed the modules and assessment prior to their clinical training and successfully entered clinical rotations without time consuming, often repetitive onsite training, decreasing the cumulative time as student might be expected to engage in Epic onboarding as much as 20-fold. Conclusion Medical schools with multisystem training sites with a single type of EHR can adopt this approach to minimize training burden for their learners and to allow them more time in the clinical setting with optimized access to the EHR.

Electronic Health Systems

2013 ◽  
Vol 32 (3) ◽  
pp. 246-252 ◽  
Author(s):  
Christina Farala Agno ◽  
Kristina L. Guo
Keyword(s):  
Health Systems ◽  
Electronic Health

scholarly journals Wearable Health Technology and Electronic Health Record Integration: Scoping Review and Future Directions

10.2196/12861 ◽  
2019 ◽  
Vol 7 (9) ◽  
pp. e12861 ◽  
Author(s):  
Catherine Dinh-Le ◽  
Rachel Chuang ◽  
Sara Chokshi ◽  
Devin Mann
Keyword(s):  
Health Systems ◽  
Meaningful Use ◽  
Health Technology ◽  
Patient Data ◽  
Insurance Companies ◽  
Publication Date ◽  
Patient Privacy ◽  
Patient Portals ◽  
Start Up ◽  
Electronic Health

Background Due to the adoption of electronic health records (EHRs) and legislation on meaningful use in recent decades, health systems are increasingly interdependent on EHR capabilities, offerings, and innovations to better capture patient data. A novel capability offered by health systems encompasses the integration between EHRs and wearable health technology. Although wearables have the potential to transform patient care, issues such as concerns with patient privacy, system interoperability, and patient data overload pose a challenge to the adoption of wearables by providers. Objective This study aimed to review the landscape of wearable health technology and data integration to provider EHRs, specifically Epic, because of its prevalence among health systems. The objectives of the study were to (1) identify the current innovations and new directions in the field across start-ups, health systems, and insurance companies and (2) understand the associated challenges to inform future wearable health technology projects at other health organizations. Methods We used a scoping process to survey existing efforts through Epic’s Web-based hub and discussion forum, UserWeb, and on the general Web, PubMed, and Google Scholar. We contacted Epic, because of their position as the largest commercial EHR system, for information on published client work in the integration of patient-collected data. Results from our searches had to meet criteria such as publication date and matching relevant search terms. Results Numerous health institutions have started to integrate device data into patient portals. We identified the following 10 start-up organizations that have developed, or are in the process of developing, technology to enhance wearable health technology and enable EHR integration for health systems: Overlap, Royal Philips, Vivify Health, Validic, Doximity Dialer, Xealth, Redox, Conversa, Human API, and Glooko. We reported sample start-up partnerships with a total of 16 health systems in addressing challenges of the meaningful use of device data and streamlining provider workflows. We also found 4 insurance companies that encourage the growth and uptake of wearables through health tracking and incentive programs: Oscar Health, United Healthcare, Humana, and John Hancock. Conclusions The future design and development of digital technology in this space will rely on continued analysis of best practices, pain points, and potential solutions to mitigate existing challenges. Although this study does not provide a full comprehensive catalog of all wearable health technology initiatives, it is representative of trends and implications for the integration of patient data into the EHR. Our work serves as an initial foundation to provide resources on implementation and workflows around wearable health technology for organizations across the health care industry.

Intelligent Electronic Health Systems

2018 ◽  
pp. 73-97
Author(s):  
David A. Clifton ◽  
Marco A. F. Pimentel ◽  
Katherine E. Niehaus ◽  
Lei Clifton ◽  
Timothy E. A. Peto ◽  
...  
Keyword(s):  
Health Systems ◽  
Electronic Health

scholarly journals Electronic Health Records, Interoperability and Patient Safety in Health Systems of High-income Countries: A Systematic Review Protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e044941
Author(s):  
Edmond Li ◽  
Jonathan Clarke ◽  
Ana Luisa Neves ◽  
Hutan Ashrafian ◽  
Ara Darzi
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Electronic Health Records ◽  
Health Systems ◽  
Risk Of Bias ◽  
High Income ◽  
The Body ◽  
Health Records ◽  
Electronic Health ◽  
The Impact

IntroductionThe availability and routine use of electronic health records (EHRs) have become commonplace in healthcare systems of many high-income countries. While there is an ever-growing body of literature pertaining to their use, evidence surrounding the importance of EHR interoperability and its impact on patient safety remains less clear. There is, therefore, a need and opportunity to evaluate the evidence available regarding this relationship so as to better inform health informatics development and policies in the years to come. This systematic review aims to evaluate the impact of EHR interoperability on patient safety in health systems of high-income countries.Methods and analysisA systematic literature review will be conducted via a computerised search through four databases: PubMed, Embase, Health Management Information Consortium and PsycInfo for relevant articles published between 2010 and 2020. Outcomes of interest will include impact on patient safety and the broader effects on health systems. Quality of the randomised quantitative studies will be assessed using Cochrane Risk of Bias Tool. Non-randomised papers will be evaluated with the Risk of Bias In Non-Randomised Studies—of Interventions tool. Drummond’s Checklist will be used for publications pertaining to economic evaluation. The National Institute for Health and Care Excellence quality appraisal checklist will be used to assess qualitative studies. A narrative synthesis will be conducted for included studies, and the body of evidence will be summarised in a summary of findings table.Ethics and disseminationThis review will summarise published studies with non-identifiable data and, thus, does not require ethical approval. Findings will be disseminated through preprints, open access peer-reviewed publications, and conference presentations.PROSPERO registration numberCRD42020209285.

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