scholarly journals Search Functionality Within the Electronic Health Record and Health Information Exchange Databases

2020 ◽  
Vol 3 ◽  
Author(s):  
Brandon Gregory ◽  
Jordan Hill ◽  
Titus Schleyer
Keyword(s):  
Electronic Health Record ◽  
Health Information ◽  
Patient Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Health Record ◽  
Search Function ◽  
Electronic Health

Background and Hypothesis:  In the US today, over 95% of healthcare institutions operate using the electronic health record (EHR). While proven to be a substantial improvement to medical practice, the substantial amount of retained information within those records has made searching the EHR for relevant material difficult and too time consuming. We hypothesize that by providing a search function within the EHR with added capability of collaborative filtration, physicians will be better able to retrieve important patient information and thus provide more efficient care.     Project Methods:   Emergency Department physicians of Sidney & Lois Eskenazi Hospital and Indiana University Health Hospital were recruited to partake in this study based on their use and familiarity of the EHR Cerner and/or Health Information Exchange (HIE) CareWeb Search function. Participants filled out a pre-interview, Likert-scale questionnaire to determine their general impressions of search functions and the frequency with which they were used. Additional insight was obtained during an interview focusing on participants’ previous experiences searching within the EHR/HIE. Participants were then shown a mock-up of potential collaborative filtering integration into CareWeb in order to collect opinions regarding the feature’s usability/practicality, display/format, and a number of suggested terms.    Results:   From the pilot study, current challenges that limit clinician search function use include limited time in clinician workflow, information overload, and inaccurate results. Clinicians are more likely to conduct searches when treating patients who have limited medical history, complex histories, known recent visitations, and/or who have been seen at other institutions. Participants demonstrated interest in a collaborative filtration search feature; they expressed a preference to have the feature recommend five related search terms.    Potential Impact:   The data from this study aims to refine the way healthcare providers search within the EHR/HIE. This will allow healthcare providers to more efficiently extract relevant patient information for improved healthcare delivery and proficient clinician workflow. 

Implementation of Electronic Health Record (EHR) System in the Healthcare Industry

2016 ◽  
pp. 1001-1016
Author(s):  
Robert P Schumaker ◽  
Kavya P. Reganti
Keyword(s):  
Electronic Health Record ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Health Management ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Health Record ◽  
Healthcare Industry ◽  
Efficient Delivery ◽  
Electronic Health

The purpose of this research is to demonstrate the efficiency of the Electronic Health Record (EHR) software that is adopted in the healthcare industry to provide better patient care. The authors examine the impact of EHRs on the efficient delivery of healthcare services. More specifically, they detail the origin of EHR, its significance in modern healthcare delivery along with the selection and implementation criteria for EHR software. They present a survey on the extent of adoption of EHR by clinicians. They also highlight the challenges and barriers faced by organizations in adopting EHR software such as cost, workflow impact and data security. Finally, the authors contemplate the future of EHR, its role in the implementation of health information exchange and its implementation in the cloud. They conclude that the implementation of EHR in the cloud is an important step towards better health management across the population with the end-goal of better health outcomes.

Implementation of Electronic Health Record (EHR) System in the Healthcare Industry

2014 ◽  
Vol 2 (2) ◽  
pp. 57-71 ◽  
Author(s):  
Robert P Schumaker ◽  
Kavya P. Reganti
Keyword(s):  
Electronic Health Record ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Health Management ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Health Record ◽  
Healthcare Industry ◽  
Electronic Health ◽  
The Impact

The purpose of this research is to demonstrate the efficiency of the Electronic Health Record (EHR) software that is adopted in the healthcare industry to provide better patient care. The authors examine the impact of EHRs on the efficient delivery of healthcare services. More specifically, they detail the origin of EHR, its significance in modern healthcare delivery along with the selection and implementation criteria for EHR software. They present a survey on the extent of adoption of EHR by clinicians. They also highlight the challenges and barriers faced by organizations in adopting EHR software such as cost, workflow impact and data security. Finally, the authors contemplate the future of EHR, its role in the implementation of health information exchange and its implementation in the cloud. They conclude that the implementation of EHR in the cloud is an important step towards better health management across the population with the end-goal of better health outcomes.

scholarly journals Health systems’ use of enterprise health information exchange vs single electronic health record vendor environments and unplanned readmissions

2019 ◽  
Vol 26 (10) ◽  
pp. 989-998
Author(s):  
Joshua R Vest ◽  
Mark Aaron Unruh ◽  
Seth Freedman ◽  
Kosali Simon
Keyword(s):  
Electronic Health Record ◽  
Health System ◽  
Health Information ◽  
Health Systems ◽  
Information Exchange ◽  
Fixed Effects ◽  
Health Information Exchange ◽  
Health Record ◽  
Single Vendor ◽  
Electronic Health

Abstract Objective Enterprise health information exchange (HIE) and a single electronic health record (EHR) vendor solution are 2 information exchange approaches to improve performance and increase the quality of care. This study sought to determine the association between adoption of enterprise HIE vs a single vendor environment and changes in unplanned readmissions. Materials and Methods The association between unplanned 30-day readmissions among adult patients and adoption of enterprise HIE or a single vendor environment was measured in a panel of 211 system-member hospitals from 2010 through 2014 using fixed-effects regression models. Sample hospitals were members of health systems in 7 states. Enterprise HIE was defined as self-reported ability to exchange information with other members of the same health system who used different EHR vendors. A single EHR vendor environment reported exchanging information with other health system members, but all using the same EHR vendor. Results Enterprise HIE adoption was more common among the study sample than EHR (75% vs 24%). However, adoption of a single EHR vendor environment was associated with a 0.8% reduction in the probability of a readmission within 30 days of discharge. The estimated impact of adopting an enterprise HIE strategy on readmissions was smaller and not statically significant. Conclusion Reductions in the probability of an unplanned readmission after a hospital adopts a single vendor environment suggests that HIE technologies can better support the aim of higher quality care. Additionally, health systems may benefit more from a single vendor environment approach than attempting to foster exchange across multiple EHR vendors.

Health Information Exchange in Practice

2019 ◽  
pp. 264-280
Author(s):  
Mark E. Frisse ◽  
Karl E. Misulis
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Data Exchange ◽  
Health Information Exchange ◽  
Healthcare Delivery ◽  
Health Record ◽  
Healthcare Data ◽  
Electronic Health ◽  
Alternative Settings ◽  
Collaborative Efforts

Even when restricting the focus of care to hospitals and ambulatory clinics, most individuals seek care from many practitioners operating in different locations and often employing different electronic health records. Early efforts at creating interoperable data exchange among these systems have often disappointed users and administrators. Effective collaboration is a prerequisite for effective healthcare delivery. Even if using different EHRs, every clinician and caregiver should share a common clinical record set and means of communicating to other providers. Recent collaborative efforts among major electronic health record vendors are simplifying exchange of information among hospitals and large clinics, but they have not yet sufficiently addressed the necessary broader exchange of healthcare data among the caregivers in alternative settings and in the home.

Electronic health record adoption and health information exchange among hospitals in New York State

2011 ◽  
Vol 18 (6) ◽  
pp. 1156-1162 ◽  
Author(s):  
Erika L. Abramson ◽  
Sandra McGinnis ◽  
Alison Edwards ◽  
Dayna M. Maniccia ◽  
Jean Moore ◽  
...  
Keyword(s):  
New York ◽  
Electronic Health Record ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
New York State ◽  
Health Record ◽  
York State ◽  
Electronic Health

scholarly journals Emergency physician use and perceptions of the Alberta Netcare Portal, a province-wide interoperable electronic health record (Preprint)

2018 ◽  
Author(s):  
Timothy AD Graham ◽  
Mark Ballerman ◽  
Eddy Lang ◽  
Michael J Bullard ◽  
Denise Parsons ◽  
...  
Keyword(s):  
Patient Safety ◽  
Electronic Health Record ◽  
Health Information ◽  
Continuity Of Care ◽  
Information Exchange ◽  
Clinical Information System ◽  
Positive Impact ◽  
Health Record ◽  
Structured Interviews ◽  
Electronic Health

BACKGROUND The adoption and use of an Electronic Health Record can facilitate real-time access to key health information and support improved outcomes. Many Canadian provinces use interoperable Electronic Health Records (iEHRs) to facilitate Health Information Exchange (HIE), but, to date, the clinical use and utility of iEHRs has not been well-described. OBJECTIVE Our study's primary objective was to describe the use and reported utility of a provincial iEHR known as the Alberta Netcare Portal (ANP) in four urban Alberta emergency departments (EDs). The secondary objectives were to characterize the time spent using the respective electronic tools, and which aspects were perceived as most useful by ED physicians. METHODS Four EDs were included in the study, two using paper-based ordering (University of Alberta Hospital [UAH] and Grey Nuns Community Hospital [GNCH]) and two using a commercial vendor Clinical Information System (Peter Lougheed Centre [PLC] and Foothills Medical Centre [FMC]). Structured clinical observations of ANP use, semi-structured interviews, and system audit logs analysis were compared at the four sites from October 2014 to March 2016. RESULTS Observers followed 142 physicians for a total of 566 hours over 376 occasions. The median percentage of observed time spent using ANP was 8.5% at UAH (interquartile range IQR: 3.7% - 13.3%), 4.4% at GNCH (2.4%-4.4%), 4.6% at FMC (2.4%-7.6%), and 5.1% at PLC (3.0%-7.7%). By combining administrative and access audit data, the median number of ANP screens (i.e., results and reports displayed on a screen) accessed per patient visit were 20 at UAH (IQR: 6-67), 9 at GNCH (4-29), 7 at FMC (2-18) and 5 at PLC (2-14) indicating that clinicians found significant value in using ANP while providing ED care. To explore this hypothesis, semi-structured interviews were analyzed using an inductive approach. The themes that emerged from the interviews were that the ANP improved the quality and continuity of care and patient safety. Further enhancements related to medication management would support better outcomes for patients. CONCLUSIONS This study shows that the iEHR is well utilized at the four sites studied and physicians participating in the study perceived ANP had a positive impact on knowledge of their patients, patient safety, and quality and continuity of care. Physicians described high utility and usability of ANP. More study about the clinical impacts of using iEHRs in the Canadian context, including longer term impacts on quality of practice and safety are required.

scholarly journals A system architecture for ensuring interoperability in a South African national electronic health record system

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Tamir Tsegaye ◽  
Stephen Flowerday
Keyword(s):  
Electronic Health Record ◽  
South African ◽  
Patient Information ◽  
System Architecture ◽  
Healthcare Delivery ◽  
Electronic Record ◽  
Health Record ◽  
Record System ◽  
System Architectures ◽  
Electronic Health

ountries such as South Africa have attempted to leverage eHealth by digitising patients' medical records with the aim of improving the delivery of healthcare. This involves the use of an electronic health record (EHR) which is a longitudinal electronic record of a patient's information. The EHR includes all the patient's encounters that have been made with different health facilities. In the national context, the EHR is also known as a national EHR, which enables the sharing of patient information between points of care. However, a lack of interoperability exists between many South African health information systems making communication between these disparate systems impossible. As a result, the sharing of patient information is inhibited and the benefit of improving healthcare delivery cannot be realised. This paper proposes a system architecture for addressing interoperability challenges and indicates how interoperability can be ensured in a national EHR system. The proposed system architecture is differentiated from other national EHR system architectures found in the literature in order to emphasise its novelty. Secondary data obtained from a systematic literature review was analysed using content analysis, resulting in 9482 tags which informed the development of the proposed system architecture.

scholarly journals The 21 Century Cures Act and Multi-User Electronic Health Record Access: Potential Pitfalls of Information Release (Preprint)

2021 ◽  
Author(s):  
Simone Arvisais-Anhalt ◽  
May Lau ◽  
Christoph U. Lehmann ◽  
A Jay Holmgren ◽  
Richard J. Medford ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Health Information ◽  
Healthcare Providers ◽  
Pediatric Care ◽  
Health Record ◽  
Institutional Practices ◽  
Final Rule ◽  
Electronic Health ◽  
A Minor ◽  
Electronic Health Information

UNSTRUCTURED While the Office of The National Coordinator for Health Information Technology’s (ONC) Information Blocking Provision of the Cures Act Final Rule is an important step forward in providing patients free and unfettered access to their electronic health information (EHI), in the contexts of multi-user electronic health record (EHR) access and proxy access concerns emerged over the potential for harm in adolescent care contexts. We describe how the provision could erode the trust and the willingness of patients (both adolescent and older patients alike) to seek care. The rules’ preventing harm exception does not apply to situations where the patient is a minor and the healthcare provider wishes to restrict a parent’s or guadian’s access to the minor’s EHI to avoid violating the minor’s confidentiality and potentially harming patient-clinician trust. This may violate government-developed principles in the design and implementation of EHRs for pediatric care. Creating legally acceptable workarounds by means such as duplicate “shadow charting” will be burdensome (and prohibitive) for healthcare providers. Under the privacy exception, patients have the opportunity to request information not be shared; however, depending upon institutional practices, providers and patients may have limited awareness of this exception. Notably, the privacy exception states that providers cannot “improperly encourage or induce a patient’s request to block information”. Fearing being found in violation of the information-blocking provisions, providers may feel unable to guide patients navigating releasing their EHI in the multi-use/proxy access setting. ONC should provide more detailed guidance on their website and targeted outreach to providers and their specialty organizations who care for adolescents and other individuals affected by the Cures Act, and researchers should carefully monitor charting habits in these multi-user/proxy access situations.

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