J Biomed Inform - The long road to semantic interoperability in support of public health: experiences from two states.

Tópicos

{ health(3367) inform(1360) care(1135) }
{ implement(1333) system(1263) develop(1122) }
{ ehr(2073) health(1662) electron(1139) }
{ data(2317) use(1299) case(1017) }
{ concept(1167) ontolog(924) domain(897) }
{ cost(1906) reduc(1198) effect(832) }
{ extract(1171) text(1153) clinic(932) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ state(1844) use(1261) util(961) }
{ patient(1821) servic(1111) care(1106) }
{ high(1669) rate(1365) level(1280) }
{ decis(3086) make(1611) patient(1517) }
{ can(774) often(719) complex(702) }
{ data(1714) softwar(1251) tool(1186) }
{ import(1318) role(1303) understand(862) }
{ research(1218) medic(880) student(794) }
{ data(1737) use(1416) pattern(1282) }
{ patient(2315) diseas(1263) diabet(1191) }
{ assess(1506) score(1403) qualiti(1306) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ problem(2511) optim(1539) algorithm(950) }
{ howev(809) still(633) remain(590) }
{ research(1085) discuss(1038) issu(1018) }
{ compound(1573) activ(1297) structur(1058) }
{ spatial(1525) area(1432) region(1030) }
{ model(2656) set(1616) predict(1553) }
{ data(3008) multipl(1320) sourc(1022) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ use(1733) differ(960) four(931) }
{ method(1969) cluster(1462) data(1082) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ treatment(1704) effect(941) patient(846) }
{ framework(1458) process(801) describ(734) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ blood(1257) pressur(1144) flow(957) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ patient(2837) hospit(1953) medic(668) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Proliferation of health information technologies creates opportunities to improve clinical and public health, including high quality, safer care and lower costs. To maximize such potential benefits, health information technologies must readily and reliably exchange information with other systems. However, evidence from public health surveillance programs in two states suggests that operational clinical information systems often fail to use available standards, a barrier to semantic interoperability. Furthermore, analysis of existing policies incentivizing semantic interoperability suggests they have limited impact and are fragmented. In this essay, we discuss three approaches for increasing semantic interoperability to support national goals for using health information technologies. A clear, comprehensive strategy requiring collaborative efforts by clinical and public health stakeholders is suggested as a guide for the long road towards better population health data and outcomes.

Resumo Limpo

prolifer health inform technolog creat opportun improv clinic public health includ high qualiti safer care lower cost maxim potenti benefit health inform technolog must readili reliabl exchang inform system howev evid public health surveil program two state suggest oper clinic inform system often fail use avail standard barrier semant interoper furthermor analysi exist polici incentiv semant interoper suggest limit impact fragment essay discuss three approach increas semant interoper support nation goal use health inform technolog clear comprehens strategi requir collabor effort clinic public health stakehold suggest guid long road toward better popul health data outcom

Resumos Similares

AMIA Annu Symp Proc - Applications of health information exchange information to public health practice. ( 0,736348373330995 )
Int J Health Geogr - The Atlas of human African trypanosomiasis: a contribution to global mapping of neglected tropical diseases. ( 0,725263857389329 )
BMC Med Inform Decis Mak - In eHealth in India today, the nature of work, the challenges and the finances: an interview-based study. ( 0,723878731672496 )
Int J Med Inform - The Department of Veterans Affairs' (VA) implementation of the Virtual Lifetime Electronic Record (VLER): findings and lessons learned from Health Information Exchange at 12 sites. ( 0,718903627939284 )
Perspect Health Inf Manag - Commentary on the federal government's role in influencing e-prescribing use and research. ( 0,707208369690942 )
BMC Med Inform Decis Mak - Boundaries and e-health implementation in health and social care. ( 0,704565242259613 )
J. Med. Internet Res. - Patient and public views on electronic health records and their uses in the United kingdom: cross-sectional survey. ( 0,702280757541637 )
J. Med. Internet Res. - Health domains for sale: the need for global health Internet governance. ( 0,700081251059558 )
Int J Med Inform - Achieving the integrated and smart health and wellbeing paradigm: a call for policy research and action on governance and business models. ( 0,697513559038778 )
AMIA Annu Symp Proc - Peers, regulators, and professions: the influence of organizations in health information technology adoption. ( 0,696873147644567 )
BMC Med Inform Decis Mak - Applying a framework for assessing the health system challenges to scaling up mHealth in South Africa. ( 0,696418476086685 )
J Med Syst - eHealth in Denmark: a case study. ( 0,696317265120865 )
Healthc (Amst) - Re-designing primary care: Implementation of patient-aligned care teams. ( 0,693477558176316 )
J Med Syst - Organizational challenges in developing one of the Nationwide Health Information Network trial implementation awardees. ( 0,692722045475962 )
Int J Med Inform - Do service innovations influence the adoption of electronic health records in long-term care organizations? Results from the U.S. National Survey of Residential Care Facilities. ( 0,692078717339817 )
Int J Med Inform - Integrated personal health and care services deployment: experiences in eight European countries. ( 0,691194914990722 )
Int J Med Inform - Policy initiatives for health information technology: a qualitative study of U.S. expectations and Canada's experience. ( 0,687874225607142 )
Telemed J E Health - Federal efforts to define and advance telehealth--a work in progress. ( 0,6864565906477 )
Int J Med Inform - The essential role of reconfiguration capabilities in the implementation of HIV-related health information exchanges. ( 0,683451561871779 )
BMC Med Inform Decis Mak - Information technology systems in public sector health facilities in developing countries: the case of South Africa. ( 0,679033446212465 )
J Med Syst - Analysis of the EHR systems in Spanish Primary Public Health System: the lack of interoperability. ( 0,677137286401801 )
J Am Med Inform Assoc - Louisiana Clinical Data Research Network: establishing an infrastructure for efficient conduct of clinical research. ( 0,675921586798889 )
Perspect Health Inf Manag - Evaluating the usability of a free electronic health record for training. ( 0,66545748482018 )
Int J Comput Assist Radiol Surg - Grid-based implementation of XDS-I as part of image-enabled EHR for regional healthcare in Shanghai. ( 0,6646401970473 )
BMC Med Inform Decis Mak - Building consensus about eHealth in Slovene primary health care: Delphi study. ( 0,662427659925335 )
AMIA Annu Symp Proc - How communities are leveraging the health information technology workforce to implement electronic health records. ( 0,661281588758945 )
Int J Med Inform - Lessons learned implementing a regional health information exchange in Geneva as a pilot for the Swiss national eHealth strategy. ( 0,659042577519215 )
Appl Clin Inform - Lessons Learned from Implementation of Information and Communication Technologies in Spain's Healthcare Services: Issues and Opportunities. ( 0,658886058482028 )
Health Info Libr J - Analysis of library associated information needs of staff in a specialist palliative and gerontological care centre in Mid-West Ireland. ( 0,658720604846275 )
Appl Clin Inform - Telemedicine: What have we learned? ( 0,656926528701111 )
J. Med. Internet Res. - Opportunities and challenges of cloud computing to improve health care services. ( 0,653983153848202 )
Health Info Libr J - Information needs of public health practitioners: a review of the literature. ( 0,653248805142683 )
J Am Med Inform Assoc - Health information technology interventions enhance care completion, engagement in HIV care and treatment, and viral suppression among HIV-infected patients in publicly funded settings. ( 0,653115673015614 )
Methods Inf Med - The lower saxony bank of health. rationale, principles, services, organization and architectural framework. ( 0,652549121485162 )
Telemed J E Health - e-Health policy and deployment activities in Europe. ( 0,652174068352546 )
J Med Syst - Cloud-based hospital information system as a service for grassroots healthcare institutions. ( 0,649895124473753 )
BMC Med Inform Decis Mak - The use of regional platforms for managing electronic health records for the production of regional public health indicators in France. ( 0,64975618663203 )
J Am Med Inform Assoc - Tracking the delivery of prevention-oriented care among primary care providers who have adopted electronic health records. ( 0,649509000545724 )
J. Med. Internet Res. - Principles and framework for eHealth strategy development. ( 0,648500198794874 )
Int J Med Inform - The implications of e-health system delivery strategies for integrated healthcare: lessons from England. ( 0,648404531598365 )
Geospat Health - GeoMedStat: an integrated spatial surveillance system to track air pollution and associated healthcare events. ( 0,648372290964438 )
J Med Syst - EHR systems in the Spanish Public Health National System: the lack of interoperability between primary and specialty care. ( 0,647612843245018 )
J Am Med Inform Assoc - Agreement of Medicaid claims and electronic health records for assessing preventive care quality among adults. ( 0,644488640007511 )
J. Med. Internet Res. - Open source, open standards, and health care information systems. ( 0,643959837092467 )
J Med Syst - Integration of footprints information systems in palliative care: the case of Medical Center of Central Georgia. ( 0,643515369130929 )
J Am Med Inform Assoc - Facility characteristics associated with the use of electronic health records in residential care facilities. ( 0,642798153805593 )
J Med Syst - Using multiple array sensing and non-invasive data capture as a model for polypharmacy error detection. ( 0,642569151875912 )
Health Info Libr J - Health information support provided by professional associations in Canada. ( 0,641595291244597 )
J Am Med Inform Assoc - Area-level factors associated with electronic health record adoption and meaningful use in the Regional Extension Center Program. ( 0,638927000088204 )
J Am Med Inform Assoc - Implementation of an innovative, integrated electronic medical record (EMR) and public health information exchange for HIV/AIDS. ( 0,638748218717585 )
J Am Med Inform Assoc - Improving the quality of cancer care in America through health information technology. ( 0,638693292837022 )
Appl Clin Inform - How could health information exchange better meet the needs of care practitioners? ( 0,63813596013741 )
Int J Med Inform - Trustworthy reuse of health data: a transnational perspective. ( 0,637842654391517 )
Health Informatics J - Electronic patient information systems and care pathways: the organisational challenges of implementation and integration. ( 0,635779150479258 )
J. Med. Internet Res. - Scope of policy issues in eHealth: results from a structured literature review. ( 0,633263556069492 )
J Am Med Inform Assoc - Electronic recording and reporting system for tuberculosis in China: experience and opportunities. ( 0,632391295550906 )
Int J Health Geogr - Injury surveillance in low-resource settings using Geospatial and Social Web technologies. ( 0,631321538798438 )
Perspect Health Inf Manag - Adoption and utilization of electronic health record systems by long-term care facilities in Texas. ( 0,630129124396872 )
AMIA Annu Symp Proc - Implementation of interinstitutional and transnational remote terminology services. ( 0,629515503764523 )
Healthc (Amst) - Case study: Delivery and payment reform in congestive heart failure at two large academic centers. ( 0,629042958074763 )
J. Med. Internet Res. - Analysis of the definition and utility of personal health records using Q methodology. ( 0,628049489859915 )
Comput Methods Programs Biomed - Study on the potential for delay tolerant networks by health workers in low resource settings. ( 0,627664133236035 )
BMC Med Inform Decis Mak - Communicating information about what not to do to consumers. ( 0,625722190927776 )
Perspect Health Inf Manag - Health information exchange between jails and their communities: a bridge that is needed under healthcare reform. ( 0,622413841345925 )
Med Decis Making - A model to support shared decision making in electronic health records systems. ( 0,62114086587593 )
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. ( 0,618905698506086 )
Perspect Health Inf Manag - Long-term care and health information technology: opportunities and responsibilities for long-term and post-acute care providers. ( 0,618529921717006 )
Med Decis Making - STAR--people-powered prioritization: a 21st-century solution to allocation headaches. ( 0,616950074670565 )
J Am Med Inform Assoc - A partnership model for implementing electronic health records in resource-limited primary care settings: experiences from two nurse-managed health centers. ( 0,615385416695823 )
AMIA Annu Symp Proc - Multi-National, Multi-Institutional Analysis of Clinical Decision Support Data Needs to Inform Development of the HL7 Virtual Medical Record Standard. ( 0,615024253246298 )
J. Med. Internet Res. - Interpretive flexibility in mobile health: lessons from a government-sponsored home care program. ( 0,614040092217443 )
Int J Med Inform - Conceptualising and creating a global learning health system. ( 0,613304949628826 )
Appl Clin Inform - Physician beliefs about the impact of meaningful use of the EHR: a cross-sectional study. ( 0,612157195782477 )
J. Med. Internet Res. - Major infection events over 5 years: how is media coverage influencing online information needs of health care professionals and the public? ( 0,611828193574085 )
Appl Clin Inform - Strategic Procedures and Revisions for implementing Telemedicine and Telecare in Greece. ( 0,611056918739911 )
J Am Med Inform Assoc - The military health system's personal health record pilot with Microsoft HealthVault and Google Health. ( 0,61104149596308 )
BMC Med Inform Decis Mak - Designing a patient-centered personal health record to promote preventive care. ( 0,610722438986003 )
Int J Med Inform - Electronic health record: design and implementation of a lab test request module. ( 0,607996972931761 )
J Med Syst - E-Health: a global approach with extensive semantic variation. ( 0,606879378082181 )
J Med Syst - A review of the personal health records in selected countries and Iran. ( 0,605544960468173 )
J Am Med Inform Assoc - Moving toward multimedia electronic health records: how do we get there? ( 0,605477635720146 )
Inform Health Soc Care - A study on people's concepts associating community health exam interventions with their participation in future health examinations. ( 0,605123626597637 )
J Am Med Inform Assoc - The future of health IT innovation and informatics: a report from AMIA's 2010 policy meeting. ( 0,604123759871584 )
Perspect Health Inf Manag - Innovation in Indian healthcare: using health information technology to achieve health equity for American Indian and Alaska Native populations. ( 0,602788168161268 )
Int J Health Geogr - Mapping the capacities of fixed health facilities to cover people at risk of gambiense human African trypanosomiasis. ( 0,602002567102647 )
J. Med. Internet Res. - Mobile health (mHealth) approaches and lessons for increased performance and retention of community health workers in low- and middle-income countries: a review. ( 0,601855812116456 )
Health Info Libr J - Healthcare librarians and the delivery of critical appraisal training: barriers to involvement. ( 0,599945317443755 )
Perspect Health Inf Manag - A journey through meaningful use at a large academic medical center: lessons of leadership, administration, and technical implementation. ( 0,599707828451097 )
AMIA Annu Symp Proc - OpenMRS, a global medical records system collaborative: factors influencing successful implementation. ( 0,599403457642934 )
Appl Clin Inform - Meaningful use of a standardized terminology to support the electronic health record in new zealand. ( 0,599282516185686 )
J Am Med Inform Assoc - Organizational strategies for promoting patient and provider uptake of personal health records. ( 0,597684422921824 )
Int J Med Inform - A Rasch model analysis of technology usage in Minnesota hospitals. ( 0,597165723051763 )
BMC Med Inform Decis Mak - Integration of a nationally procured electronic health record system into user work practices. ( 0,597055998147158 )
Int J Health Geogr - Spatial optimization of residential care facility locations in Beijing, China: maximum equity in accessibility. ( 0,59694306212358 )
Healthc (Amst) - How it's done: Keys to implementation of delivery system reform. ( 0,596598149843739 )
J Am Med Inform Assoc - A personally controlled electronic health record for Australia. ( 0,596559407887195 )
Healthc (Amst) - Will new care delivery solve the primary care physician shortage?: A call for more rigorous evaluation. ( 0,596549165386138 )
J Telemed Telecare - National telemental health responses to a major bushfire disaster. ( 0,595693122862671 )
AMIA Annu Symp Proc - Exploring local public health workflow in the context of automated translation technologies. ( 0,594905706174918 )
Int J Med Inform - Collective action for a common service platform for independent living services. ( 0,594754806429249 )