J Am Med Inform Assoc - Implementing health information exchange for public health reporting: a comparison of decision and risk management of three regional health information organizations in New York state.

Tópicos

{ health(3367) inform(1360) care(1135) }
{ risk(3053) factor(974) diseas(938) }
{ care(1570) inform(1187) nurs(1089) }
{ measur(2081) correl(1212) valu(896) }
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{ inform(2794) health(2639) internet(1427) }
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{ method(1557) propos(1049) approach(1037) }
{ studi(1410) differ(1259) use(1210) }
{ record(1888) medic(1808) patient(1693) }
{ state(1844) use(1261) util(961) }
{ data(2317) use(1299) case(1017) }
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{ drug(1928) target(777) effect(648) }
{ model(3404) distribut(989) bayesian(671) }
{ bind(1733) structur(1185) ligand(1036) }
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{ take(945) account(800) differ(722) }
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{ chang(1828) time(1643) increas(1301) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(984) reconstruct(947) comput(926) }
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{ surgeri(1148) surgic(1085) robot(1054) }
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{ system(1050) medic(1026) inform(1018) }
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{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ use(976) code(926) identifi(902) }
{ result(1111) use(1088) new(759) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Health information exchange (HIE) is a significant component of healthcare transformation strategies at both the state and national levels. HIE is expected to improve care coordination, and advance public health, but implementation is massively complex and involves significant risk. In New York, three regional health information organizations (RHIOs) implemented an HIE use case for public health reporting by demonstrating capability to deliver accurate responses to electronic queries via a set of services called the Universal Public Health Node. We investigated process and outcomes of the implementation with a comparative case study. Qualitative analysis was structured around a decision and risk matrix. Although each RHIO had a unique operational model, two common factors influenced risk management and implementation success: leadership capable of agile decision-making and commitment to a strong organizational vision. While all three RHIOs achieved certification for the public health reporting, only one has elected to deploy a production version.

Resumo Limpo

health inform exchang hie signific compon healthcar transform strategi state nation level hie expect improv care coordin advanc public health implement massiv complex involv signific risk new york three region health inform organ rhio implement hie use case public health report demonstr capabl deliv accur respons electron queri via set servic call univers public health node investig process outcom implement compar case studi qualit analysi structur around decis risk matrix although rhio uniqu oper model two common factor influenc risk manag implement success leadership capabl agil decisionmak commit strong organiz vision three rhio achiev certif public health report one elect deploy product version

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