J Am Med Inform Assoc - Implementation of an innovative, integrated electronic medical record (EMR) and public health information exchange for HIV/AIDS.

Tópicos

{ health(3367) inform(1360) care(1135) }
{ data(2317) use(1299) case(1017) }
{ search(2224) databas(1162) retriev(909) }
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{ model(3480) simul(1196) paramet(876) }
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{ state(1844) use(1261) util(961) }
{ patient(2837) hospit(1953) medic(668) }
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{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
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{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
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{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
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{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Louisiana is severely affected by HIV/AIDS, ranking fifth in AIDS rates in the USA. The Louisiana Public Health Information Exchange (LaPHIE) is a novel, secure bi-directional public health information exchange, linking statewide public health surveillance data with electronic medical record data. LaPHIE alerts medical providers when individuals with HIV/AIDS who have not received HIV care for >12 months are seen at any ambulatory or inpatient facility in an integrated delivery network. Between 2/1/2009 and 1/31/2011, 488 alerts identified 345 HIV positive patients. Of those identified, 82% had at least one CD4 or HIV viral load test over the study follow-up period. LaPHIE is an innovative use of health information exchange based on surveillance data and real time clinical messaging, facilitating rapid provider notification of those in need of treatment. LaPHIE successfully reduces critical missed opportunities to intervene with individuals not in care, leveraging information historically collected solely for public health purposes, not health care delivery, to improve public health.

Resumo Limpo

louisiana sever affect hivaid rank fifth aid rate usa louisiana public health inform exchang laphi novel secur bidirect public health inform exchang link statewid public health surveil data electron medic record data laphi alert medic provid individu hivaid receiv hiv care month seen ambulatori inpati facil integr deliveri network alert identifi hiv posit patient identifi least one cd hiv viral load test studi followup period laphi innov use health inform exchang base surveil data real time clinic messag facilit rapid provid notif need treatment laphi success reduc critic miss opportun interven individu care leverag inform histor collect sole public health purpos health care deliveri improv public health

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