scholarly journals Standard Anatomic Terminologies: Comparison for Use in a Health Information Exchange–Based Prior Computed Tomography (CT) Alerting System

2017 ◽  
Vol 5 (4) ◽  
pp. e49 ◽  
Author(s):  
Anton Oscar Beitia ◽  
Tina Lowry ◽  
Daniel J Vreeman ◽  
George T Loo ◽  
Bradley N Delman ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Alerting System

scholarly journals Patient crossover and potentially avoidable repeat computed tomography exams across a health information exchange

2016 ◽  
Vol 24 (1) ◽  
pp. 30-38 ◽  
Author(s):  
Benjamin H Slovis ◽  
Tina Lowry ◽  
Bradley N Delman ◽  
Anton Oscar Beitia ◽  
Gilad Kuperman ◽  
...  
Keyword(s):  
Computed Tomography ◽  
New York ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Cohort Analysis ◽  
Time Frame ◽  
Ct Scans ◽  
Number Of Patients ◽  
Alerting System

Objective: The purpose of this study was to measure the number of repeat computed tomography (CT) scans performed across an established health information exchange (HIE) in New York City. The long-term objective is to build an HIE-based duplicate CT alerting system to reduce potentially avoidable duplicate CTs. Methods: This retrospective cohort analysis was based on HIE CT study records performed between March 2009 and July 2012. The number of CTs performed, the total number of patients receiving CTs, and the hospital locations where CTs were performed for each unique patient were calculated. Using a previously described process established by one of the authors, hospital-specific proprietary CT codes were mapped to the Logical Observation Identifiers Names and Codes (LOINC®) standard terminology for inter-site comparison. The number of locations where there was a repeated CT performed with the same LOINC code was then calculated for each unique patient. Results: There were 717 231 CTs performed on 349 321 patients. Of these patients, 339 821 had all of their imaging studies performed at a single location, accounting for 668 938 CTs. Of these, 9500 patients had 48 293 CTs performed at more than one location. Of these, 6284 patients had 24 978 CTs with the same LOINC code performed at multiple locations. The median time between studies with the same LOINC code was 232 days (range of 0 to 1227); however, 1327 were performed within 7 days and 5000 within 30 days. Conclusions: A small proportion (3%) of our cohort had CTs performed at more than one location, however this represents a large number of scans (48 293). A noteworthy portion of these CTs (51.7%) shared the same LOINC code and may represent potentially avoidable studies, especially those done within a short time frame. This represents an addressable issue, and future HIE-based alerts could be utilized to reduce potentially avoidable CT scans.

scholarly journals Maturity assessment of Kenya’s health information system interoperability readiness

2021 ◽  
Vol 28 (1) ◽  
pp. e100241
Author(s):  
Job Nyangena ◽  
Rohini Rajgopal ◽  
Elizabeth Adhiambo Ombech ◽  
Enock Oloo ◽  
Humphrey Luchetu ◽  
...  
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Working Group ◽  
Data Exchange ◽  
Enterprise Architecture ◽  
Health Information Exchange ◽  
Digital Health ◽  
Health Information System ◽  
Maturity Level ◽  
Technical Standards

BackgroundThe use of digital technology in healthcare promises to improve quality of care and reduce costs over time. This promise will be difficult to attain without interoperability: facilitating seamless health information exchange between the deployed digital health information systems (HIS).ObjectiveTo determine the maturity readiness of the interoperability capacity of Kenya’s HIS.MethodsWe used the HIS Interoperability Maturity Toolkit, developed by MEASURE Evaluation and the Health Data Collaborative’s Digital Health and Interoperability Working Group. The assessment was undertaken by eHealth stakeholder representatives primarily from the Ministry of Health’s Digital Health Technical Working Group. The toolkit focused on three major domains: leadership and governance, human resources and technology.ResultsMost domains are at the lowest two levels of maturity: nascent or emerging. At the nascent level, HIS activities happen by chance or represent isolated, ad hoc efforts. An emerging maturity level characterises a system with defined HIS processes and structures. However, such processes are not systematically documented and lack ongoing monitoring mechanisms.ConclusionNone of the domains had a maturity level greater than level 2 (emerging). The subdomains of governance structures for HIS, defined national enterprise architecture for HIS, defined technical standards for data exchange, nationwide communication network infrastructure, and capacity for operations and maintenance of hardware attained higher maturity levels. These findings are similar to those from interoperability maturity assessments done in Ghana and Uganda.

scholarly journals Despite Substantial Progress In EHR Adoption, Health Information Exchange And Patient Engagement Remain Low In Office Settings

2014 ◽  
Vol 33 (9) ◽  
pp. 1672-1679 ◽  
Author(s):  
Michael F. Furukawa ◽  
Jennifer King ◽  
Vaishali Patel ◽  
Chun-Ju Hsiao ◽  
Julia Adler-Milstein ◽  
...  
Keyword(s):  
Health Information ◽  
Patient Engagement ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Substantial Progress ◽  
Ehr Adoption

scholarly journals Interest in Health Information Exchange in Ambulatory Care: A Statewide Survey

2010 ◽  
Vol 01 (01) ◽  
pp. 1-10 ◽  
Author(s):  
S. E. Ross ◽  
B. K. Mellis ◽  
B. L. Beaty ◽  
L. M. Schilling ◽  
A. J. Davidson ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Value Proposition ◽  
Data Types ◽  
Clinical Notes ◽  
Childhood Immunizations ◽  
Problem Lists ◽  
Discharge Summaries

SummaryObjective: Assess the interest in and preferences of ambulatory practitioners in HIE.Background: Health information exchange (HIE) may improve the quality and efficiency of care. Identifying the value proposition for smaller ambulatory practices may help those practices engage in HIE.Methods: Survey of primary care and specialist practitioners in the State of Colorado.Results: Clinical data were commonly (always [2%], often [29%] or sometimes [49%]) missing during clinic visits. Of 12 data types proposed as available through HIE, ten were considered “extremely useful” by most practitioners. “Clinical notes/consultation reports,” “diagnosis or problem lists,” and “hospital discharge summaries” were considered the three most useful data types. Interest in EKG reports, diagnosis/problem lists, childhood immunizations, and discharge summaries differed among ambulatory practitioner groups (primary care, obstetrics-gynecology, and internal medicine subspecialties).Conclusion: Practitioners express strong interest in most of the data types, but opinions differed by specialties on what types were most important. All providers felt that a system that provided all data types would be useful. These results support the potential benefit of HIE in ambulatory practices.

scholarly journals Physicians' Perceptions and Use of a Health Information Exchange: A Pilot Program in South Korea

2012 ◽  
Vol 18 (8) ◽  
pp. 604-612 ◽  
Author(s):  
Sang-il Lee ◽  
Hayoung Park ◽  
Jeong-Whun Kim ◽  
Hee Hwang ◽  
Eun-Young Cho ◽  
...  
Keyword(s):  
South Korea ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Pilot Program
Sign in / Sign up

Export Citation Format

Share Document