Health It And Ehrs

Electronic Health Record

• Author : Pradeep K. Sinha
• Publisher : John Wiley & Sons
• File Size : 6,5 Mb
• Release Date : 2012-11-27
• Genre: Computers
• Pages : 376
• ISBN 10 : 9781118479667

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Discover How Electronic Health Records Are Built to Drive the Next Generation of Healthcare Delivery The increased role of IT in the healthcare sector has led to the coining of a new phrase "health informatics," which deals with the use of IT for better healthcare services. Health informatics applications often involve maintaining the health records of individuals, in digital form, which is referred to as an Electronic Health Record (EHR). Building and implementing an EHR infrastructure requires an understanding of healthcare standards, coding systems, and frameworks. This book provides an overview of different health informatics resources and artifacts that underlie the design and development of interoperable healthcare systems and applications. Electronic Health Record: Standards, Coding Systems, Frameworks, and Infrastructures compiles, for the first time, study and analysis results that EHR professionals previously had to gather from multiple sources. It benefits readers by giving them an understanding of what roles a particular healthcare standard, code, or framework plays in EHR design and overall IT-enabled healthcare services along with the issues involved. This book on Electronic Health Record: Offers the most comprehensive coverage of available EHR Standards including ISO, European Union Standards, and national initiatives by Sweden, the Netherlands, Canada, Australia, and many others Provides assessment of existing standards Includes a glossary of frequently used terms in the area of EHR Contains numerous diagrams and illustrations to facilitate comprehension Discusses security and reliability of data

Secondary Analysis of Electronic Health Records

• Author : MIT Critical Data
• Publisher : Springer
• File Size : 9,6 Mb
• Release Date : 2016-09-09
• Genre: Medical
• Pages : 427
• ISBN 10 : 9783319437422

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This book trains the next generation of scientists representing different disciplines to leverage the data generated during routine patient care. It formulates a more complete lexicon of evidence-based recommendations and support shared, ethical decision making by doctors with their patients. Diagnostic and therapeutic technologies continue to evolve rapidly, and both individual practitioners and clinical teams face increasingly complex ethical decisions. Unfortunately, the current state of medical knowledge does not provide the guidance to make the majority of clinical decisions on the basis of evidence. The present research infrastructure is inefficient and frequently produces unreliable results that cannot be replicated. Even randomized controlled trials (RCTs), the traditional gold standards of the research reliability hierarchy, are not without limitations. They can be costly, labor intensive, and slow, and can return results that are seldom generalizable to every patient population. Furthermore, many pertinent but unresolved clinical and medical systems issues do not seem to have attracted the interest of the research enterprise, which has come to focus instead on cellular and molecular investigations and single-agent (e.g., a drug or device) effects. For clinicians, the end result is a bit of a “data desert” when it comes to making decisions. The new research infrastructure proposed in this book will help the medical profession to make ethically sound and well informed decisions for their patients.

Key Capabilities of an Electronic Health Record System

• Author : Institute of Medicine
• Publisher : National Academies Press
• File Size : 6,5 Mb
• Release Date : 2003-07-31
• Genre: Medical
• Pages : 35
• ISBN 10 : 9780309185431

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Commissioned by the Department of Health and Human Services, Key Capabilities of an Electronic Health Record System provides guidance on the most significant care delivery-related capabilities of electronic health record (EHR) systems. There is a great deal of interest in both the public and private sectors in encouraging all health care providers to migrate from paper-based health records to a system that stores health information electronically and employs computer-aided decision support systems. In part, this interest is due to a growing recognition that a stronger information technology infrastructure is integral to addressing national concerns such as the need to improve the safety and the quality of health care, rising health care costs, and matters of homeland security related to the health sector. Key Capabilities of an Electronic Health Record System provides a set of basic functionalities that an EHR system must employ to promote patient safety, including detailed patient data (e.g., diagnoses, allergies, laboratory results), as well as decision-support capabilities (e.g., the ability to alert providers to potential drug-drug interactions). The book examines care delivery functions, such as database management and the use of health care data standards to better advance the safety, quality, and efficiency of health care in the United States.

Registries for Evaluating Patient Outcomes

• Author : Agency for Healthcare Research and Quality/AHRQ
• Publisher : Government Printing Office
• File Size : 16,5 Mb
• Release Date : 2014-04-01
• Genre: Medical
• Pages : 356
• ISBN 10 : 9781587634338

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This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Better EHR

• Author : Jiajie Zhang (Professor of biomedical informatics)
• Publisher : Unknown
• File Size : 13,9 Mb
• Release Date : 2014-10-01
• Genre: Uncategoriezed
• Pages : 384
• ISBN 10 : 0692262962

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Electronic Health Records (EHR) offer great potential to increase healthcare efficiency, improve patient safety, and reduce health costs. The adoption of EHRs among office-based physicians in the US has increased from 20% ten years ago to over 80% in 2014. Among acute care hospitals in US, the adoption rate today is approaching 100%. Finding relevant patient information in electronic health records' (EHRs) large datasets is difficult, especially when organized only by data type and time. Automated clinical summarization creates condition-specific displays, promising improved clinician efficiency. However, automated summarization requires new kinds of clinical knowledge (e.g., problem-medication relationships).

Information Discovery on Electronic Health Records

• Author : Vagelis Hristidis
• Publisher : CRC Press
• File Size : 15,9 Mb
• Release Date : 2009-12-10
• Genre: Medical
• Pages : 331
• ISBN 10 : 1420090410

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Exploiting the rich information found in electronic health records (EHRs) can facilitate better medical research and improve the quality of medical practice. Until now, a trivial amount of research has been published on the challenges of leveraging this information. Addressing these challenges, Information Discovery on Electronic Health Records explores the technology to unleash the data stored in EHRs. Assembling a truly interdisciplinary team of experts, the book tackles medical privacy concerns, the lack of standardization for the representation of EHRs, missing or incorrect values, and the availability of multiple rich health ontologies. It looks at how to search the EHR collection given a user query and return relevant fragments from the EHRs. It also explains how to mine the EHR collection to extract interesting patterns, group entities to various classes, or decide whether an EHR satisfies a given property. Most of the book focuses on textual or numeric data of EHRs, where more searching and mining progress has occurred. A chapter on the processing of medical images is also included. Maintaining a uniform style across chapters and minimizing technical jargon, this book presents the various ways to extract useful knowledge from EHRs. It skillfully discusses how EHR data can be effectively searched and mined.

Health IT and EHRs

• Author : Margret Amatayakul
• Publisher : Unknown
• File Size : 15,9 Mb
• Release Date : 2017
• Genre: Medical records
• Pages : 710
• ISBN 10 : 1584265299

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Electronic Health Records and Medical Big Data

• Author : Sharona Hoffman
• Publisher : Cambridge University Press
• File Size : 13,5 Mb
• Release Date : 2016-12-07
• Genre: Law
• Pages : null
• ISBN 10 : 9781316738900

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This book helps readers gain an in-depth understanding of electronic health record (EHR) systems, medical big data, and the regulations that govern them. It analyzes both the shortcomings and benefits of EHR systems, exploring the law's response to the creation of these systems, highlighting gaps in the current legal framework, and developing detailed recommendations for regulatory, policy, and technological improvements. Electronic Health Records and Medical Big Data addresses not only privacy and security concerns but also other important challenges, such as those related to data quality and data analysis. In addition, the author formulates a large body of recommendations to improve the technology's safety, security, and efficacy for both clinical and secondary (such as research) uses of medical data.

Capturing Social and Behavioral Domains and Measures in Electronic Health Records

• Author : Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records
• Publisher : National Academy Press
• File Size : 12,6 Mb
• Release Date : 2015-01-08
• Genre: Medical
• Pages : 374
• ISBN 10 : 0309312426

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Determinants of health - like physical activity levels and living conditions - have traditionally been the concern of public health and have not been linked closely to clinical practice. However, if standardized social and behavioral data can be incorporated into patient electronic health records (EHRs), those data can provide crucial information about factors that influence health and the effectiveness of treatment. Such information is useful for diagnosis, treatment choices, policy, health care system design, and innovations to improve health outcomes and reduce health care costs. "Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2" identifies domains and measures that capture the social determinants of health to inform the development of recommendations for the meaningful use of EHRs. This report is the second part of a two-part study. The Phase 1 report identified 17 domains for inclusion in EHRs. This report pinpoints 12 measures related to 11 of the initial domains and considers the implications of incorporating them into all EHRs. This book includes three chapters from the Phase 1 report in addition to the new Phase 2 material. Standardized use of EHRs that include social and behavioral domains could provide better patient care, improve population health, and enable more informative research. The recommendations of "Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2" will provide valuable information on which to base problem identification, clinical diagnoses, patient treatment, outcomes assessment, and population health measurement.

Electronic Health Records For Dummies

• Author : Trenor Williams
• Publisher : John Wiley & Sons
• File Size : 6,9 Mb
• Release Date : 2010-12-03
• Genre: Medical
• Pages : 441
• ISBN 10 : 1118023935

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The straight scoop on choosing and implementing an electronic health records (EHR) system Doctors, nurses, and hospital and clinic administrators are interested in learning the best ways to implement and use an electronic health records system so that they can be shared across different health care settings via a network-connected information system. This helpful, plain-English guide provides need-to-know information on how to choose the right system, assure patients of the security of their records, and implement an EHR in such a way that it causes minimal disruption to the daily demands of a hospital or clinic. Offers a plain-English guide to the many electronic health records (EHR) systems from which to choose Authors are a duo of EHR experts who provide clear, easy-to-understand information on how to choose the right EHR system an implement it effectively Addresses the benefits of implementing an EHR system so that critical information (such as medication, allergies, medical history, lab results, radiology images, etc.) can be shared across different health care settings Discusses ways to talk to patients about the security of their electronic health records Electronic Health Records For Dummies walks you through all the necessary steps to successfully choose the right EHR system, keep it current, and use it effectively.

Process Improvement with Electronic Health Records

• Author : Margret Amatayakul
• Publisher : CRC Press
• File Size : 15,6 Mb
• Release Date : 2017-07-27
• Genre: Business & Economics
• Pages : 279
• ISBN 10 : 9781439872345

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Although physicians and hospitals are receiving incentives to use electronic health records (EHRs), there is little emphasis on workflow and process improvement by providers or vendors. As a result, many healthcare organizations end up with incomplete product specifications and poor adoption rates.Process Improvement with Electronic Health Records:

The Electronic Health Record

• Author : Eike-Henner W. Kluge
• Publisher : Academic Press
• File Size : 6,7 Mb
• Release Date : 2020-03-13
• Genre: Business & Economics
• Pages : 168
• ISBN 10 : 9780128220450

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The Electronic Health Record: Ethical Considerations analyses the ethical issues that surround the construction, maintenance, storage, use, linkage, manipulation and communication of electronic health records. Its purpose is to provide ethical guidance to formulate and implement policies at the local, national and global level, and to provide the basis for global certification in health information ethics. Electronic health records (EHRs) are increasingly replacing the use of paper-based records in the delivery of health care. They are integral to providing eHealth, telehealth, mHealth and pHealth - all of which are increasingly replacing direct and personal physician-patient interaction - as well as in the developing field of artificial intelligence and expert systems in health care. The book supplements considerations that are raised by national and international regulations dealing with electronic records in general, for instance the General Data Protection Regulation of the European Union. This book is a valuable resource for physicians, health care administrators and workers, IT service providers and several members of biomedical field who are interested in learning more about how to ethically manage health data. Provides examples to explain the various points made in each chapter to increase the readability of the book and provide, in more familiar terms, illustrations of the reasoning that is advanced Encompasses several diagrams to illustrate the logical structure of the ethical relationships that are discussed in the various chapters and to show how they are related to the decision making process Presents a glossary to provide short definitions for some of the more technical terms used in the book

Ensuring the Integrity of Electronic Health Records

• Author : Orlando Lopez
• Publisher : CRC Press
• File Size : 13,5 Mb
• Release Date : 2020-12-22
• Genre: Business & Economics
• Pages : 320
• ISBN 10 : 9781000223033

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Data integrity is a critical aspect to the design, implementation, and usage of any system which stores, processes, or retrieves data. The overall intent of any data integrity technique is the same: ensure data is recorded exactly as intended and, upon later retrieval, ensure the data is the same as it was when originally recorded. Any alternation to the data is then traced to the person who made the modification. The integrity of data in a patient’s electronic health record is critical to ensuring the safety of the patient. This book is relevant to production systems and quality control systems associated with the manufacture of pharmaceuticals and medical device products and updates the practical information to enable better understanding of the controls applicable to e-records. The book highlights the e-records suitability implementation and associated risk-assessed controls, and e-records handling. The book also provides updated regulatory standards from global regulatory organizations such as MHRA, Medicines and Healthcare Products Regulatory Agency (UK); FDA, Food and Drug Administration (US); National Medical Products Association (China); TGA, Therapeutic Goods Administration (Australia); SIMGP, Russia State Institute of Medicines and Good Practices; and the World Health Organization, to name a few.

The Computer Based Patient Record

• Author : Committee on Improving the Patient Record
• Publisher : National Academies Press
• File Size : 19,6 Mb
• Release Date : 1997-10-28
• Genre: Medical
• Pages : 215
• ISBN 10 : 9780309578851

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Most industries have plunged into data automation, but health care organizations have lagged in moving patients' medical records from paper to computers. In its first edition, this book presented a blueprint for introducing the computer-based patient record (CPR). The revised edition adds new information to the original book. One section describes recent developments, including the creation of a computer-based patient record institute. An international chapter highlights what is new in this still-emerging technology. An expert committee explores the potential of machine-readable CPRs to improve diagnostic and care decisions, provide a database for policymaking, and much more, addressing these key questions: Who uses patient records? What technology is available and what further research is necessary to meet users' needs? What should government, medical organizations, and others do to make the transition to CPRs? The volume also explores such issues as privacy and confidentiality, costs, the need for training, legal barriers to CPRs, and other key topics.

Capturing Social and Behavioral Domains in Electronic Health Records

• Author : Institute of Medicine
• Publisher : Unknown
• File Size : 20,5 Mb
• Release Date : 2014
• Genre: Medical
• Pages : 0
• ISBN 10 : 0309301106

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Substantial empirical evidence of the contribution of social and behavioral factors to functional status and the onset and progression of disease has accumulated over the past few decades. Electronic health records (EHRs) provide crucial information to providers treating individual patients, to health systems, including public health officials, about the health of populations, and to researchers about the determinants of health and the effectiveness of treatment. Inclusion of social and behavioral health domains in EHRs is vital to all three uses. The Health Information Technology for Economic and Clinical Health Act and the Patient Protection and Affordable Care Act place new importance on the widespread adoption and meaningful use of EHRs. "Meaningful use" in a health information technology context refers to the use of EHRs and related technology within a health care organization to achieve specified objectives. Achieving meaningful use also helps determine whether an organization can receive payments from the Medicare EHR Incentive Program or the Medicaid EHR Incentive Program. Capturing Social and Behavioral Domains in Electronic Health Records is the first phase of a two-phase study to identify domains and measures that capture the social determinants of health to inform the development of recommendations for meaningful use of EHRs. This report identifies specific domains to be considered by the Office of the National Coordinator, specifies criteria that should be used in deciding which domains should be included, identifies core social and behavioral domains to be included in all EHRs, and identifies any domains that should be included for specific populations or settings defined by age, socioeconomic status, race/ethnicity, disease, or other characteristics.