June 6, 2012
Abstract:
Abstract: The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 that was signed into law as part of the “stimulus package” represents the largest US initiative to date that is designed to encourage widespread use of electronic health records (EHRs). In light of the changes anticipated from this policy initiative, the purpose of this paper is to review and summarize the literature on the benefits and drawbacks of EHR systems. Much of the literature has focused on key EHR functionalities, including clinical decision support systems, computerized order entry systems, and health information exchange. Our paper describes the potential benefits of EHRs that include clinical outcomes (eg, improved quality, reduced medical errors), organizational outcomes (eg, financial and operational benefits), and societal outcomes (eg, improved ability to conduct research, improved population health, reduced costs). Despite these benefits, studies in the literature highlight drawbacks associated with EHRs, which include the high upfront acquisition costs, ongoing maintenance costs, and disruptions to workflows that contribute to temporary losses in productivity that are the result of learning a new system. Moreover, EHRs are associated with potential perceived privacy concerns among patients, which are further addressed legislatively in the HITECH Act. Overall, experts and policymakers believe that significant benefits to patients and society can be realized when EHRs are widely adopted and used in a “meaningful” way.
Posted in Journal Articles, READ Portal | Tagged with Information technology, Medical records | No Comments
March 22, 2011
“In Chapter 1 we understand why health information should be made available directly to patients and why electronic information is the best means of information sharing. A few important aspects related to these issues are laid down: trustworthiness and comprehensibility. Information should be available to patients in all languages so that when faced with such information, all patients can have the opportunity to understand it with the maximum level of responsibility and data security.
Moreover, another feature of modern technologies is technical interoperability, which should be seen as a future ‘must do’ so that information becomes not only mobile but accessible. In light of this, e-health should bring with it the simplification of administrative procedures and should be a source of education and evaluation for the medical profession, facilitating the patient-doctor relationship.
Chapter 2 tries to answer just that, explaining why we are so sure that e-health is a tool that empowers citizens. It will deliver key services such as rapid access to medical records, making it possible that a chronic disease could even be remotely monitored or that 5 million yearly prescription errors could be avoided. Thus, it improves the management of healthcare and what is essential to remember is that we know it works. A similar program has already been implemented in Sweden and people there could tangibly feel that it delivered on its promises. In addition, Malta, Germany, Slovenia and Slovakia have developed ID cards where health and illness information is accessibly stored.
Chapter 3 then explains two aspects about ICT technologies: that projects such as the Virtual Physiological Human were a success and that in spite of being an advanced technological tool e-health is still in its infancy and has even greater potential for innovation. Hence, this chapter explains in specific terms what e-health does and most importantly what it could do in practice.
Last but not least, Chapter 4 puts the topic into perspective, telling of present and future challenges that affect the medical profession and overall, the EU and its patients. The two articles both recognize that under the pressure of an ageing population phenomenon, healthcare services need the digitisation that could be brought by e-health investments. In this sense, the main points voiced refer to training professionals in the best way possible, facilitating for them both hardware and software material.”
Posted in READ Portal, Reports & Papers | Tagged with Benchmarking, e-health, Efficiency, Forecasting, Health technology, Information technology, Medical records, Patient-centered care, Technology | No Comments
March 15, 2011
This article reviews how health care management can stop the leakage of personal health information. The author advocates engaging in and being aware of the following five areas:
- Find and Remove “Shadow Systems”;
Eliminate user recreations of existing hospital data and stop future duplications.
- Include Only Required Information in Reports;
Eliminate all unnecessary personal information in reports.
- Find and Digitally Shred Unneeded Information;
Dispose of outdated reports containing personal information.
- The Human Element;
Ensure all staff are properly trained in secure data handling.
- Authorized Access.
Manage access to secure and confidential data.
By engaging in these practices health care management can over many of the potential risks associated with the handling of private personal information.
Posted in Journal Articles, READ Portal | Tagged with Benchmarking, Decision making, Medical records, Policy | No Comments
November 5, 2010
This article presents a comprehensive infographic of iPad use by doctors, and a brief overview of some of its specific benefits and uses.
Posted in Mass Media Articles, READ Portal | Tagged with e-health, Efficiency, Health technology, Medical records | No Comments
October 15, 2010
A new Markle survey found that most of the U.S. public and doctors believe patients should be able to download and keep copies of their personal health information.
Posted in Mass Media Articles, READ Portal | Tagged with e-health, Hospital administration, Information technology, Medical records | No Comments
October 6, 2010
Family physicians routinely prescribe drugs under the wrong circumstances and overuse diagnostic imaging tests, serious problems the Health Council of Canada says must be repaired by introducing electronic health records across the country.
Posted in Mass Media Articles, READ Portal | Tagged with Canada, Decision making, e-health, Information technology, Medical records, Policy, Quality control | No Comments
September 8, 2010
This article is the eleventh in a series (links to the previous articles are printed with the article) exploring electronic health records (EHRs). The Obama administration is adopting regulations to pay American physicians to use EHRs as an incentive to promote their use. In order to claim the benefits, physicians must follow specific user guidelines outlining “meaningful use.” EHR systems in Canadian Provinces are discussed and it is suggested that Canadian provinces should adopt the American approach to EHR implementation.
Posted in Journal Articles, READ Portal | Tagged with e-health, Medical records | No Comments
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