AMIA Annu Symp Proc - The promise of the CCD: challenges and opportunity for quality improvement and population health.

Tópicos

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

Resumo

Interoperability is a requirement of recent electronic health record (EHR) adoption incentive programs in the United States. One approved structure for clinical data exchange is the continuity of care document (CCD). While primarily designed to promote communication between providers during care transitions, coded data in the CCD can be re-used to aggregate data from different EHRs. This provides an opportunity for provider networks to measure quality and improve population health from a consolidated database. To evaluate such potential, this research collected CCDs from 14 organizations and developed a computer program to parse and aggregate them. In total, 139 CCDs were parsed yielding 680 data in the core content modules of problems, medications, allergies and results. Challenges to interoperability were catalogued and potential quality metrics evaluated based on available content. This research highlights the promise of CCDs for population health and recommends changes for future interoperability standards.

Resumo Limpo

interoper requir recent electron health record ehr adopt incent program unit state one approv structur clinic data exchang continu care document ccd primarili design promot communic provid care transit code data ccd can reus aggreg data differ ehr provid opportun provid network measur qualiti improv popul health consolid databas evalu potenti research collect ccds organ develop comput program pars aggreg total ccds pars yield data core content modul problem medic allergi result challeng interoper catalogu potenti qualiti metric evalu base avail content research highlight promis ccds popul health recommend chang futur interoper standard

Resumos Similares

J Med Syst - Organization's quality maturity as a vehicle for EHR success. ( 0,856583560870245 )
J Am Med Inform Assoc - A typology of electronic health record workarounds in small-to-medium size primary care practices. ( 0,848707489966879 )
J Med Syst - Benefits and challenges of electronic health record system on stakeholders: a qualitative study of outpatient physicians. ( 0,826820308538733 )
J Am Med Inform Assoc - Electronic health record use and preventive counseling for US children and adolescents. ( 0,821021514294971 )
J Am Med Inform Assoc - Evaluating and classifying the readiness of technology specifications for national standardization. ( 0,820741731609816 )
Methods Inf Med - Utilizing IHE-based Electronic Health Record systems for secondary use. ( 0,818715513374339 )
AMIA Annu Symp Proc - Assessing readiness for meeting meaningful use: identifying electronic health record functionality and measuring levels of adoption. ( 0,817629817532677 )
Healthc (Amst) - A novel community-based delivery model to combat cancer disparities. ( 0,817629817532677 )
J Biomed Inform - Implementations of the HL7 Context-Aware Knowledge Retrieval (Infobutton) Standard: challenges, strengths, limitations, and uptake. ( 0,817135217381194 )
J Am Med Inform Assoc - Sequencing of EHR adoption among US hospitals and the impact of meaningful use. ( 0,816179476590975 )
J Med Syst - Threat modeling for electronic health record systems. ( 0,815582323891973 )
J Biomed Inform - Translating standards into practice: experience and lessons learned at the Department of Veterans Affairs. ( 0,81480631018434 )
Perspect Health Inf Manag - Electronic health record adoption and use by Nebraska pharmacists. ( 0,813305487118112 )
Appl Clin Inform - Capturing information needs of care providers to support knowledge sharing and distributed decision making. ( 0,811171365835698 )
Perspect Health Inf Manag - Health information technology: integration of clinical workflow into meaningful use of electronic health records. ( 0,806919294361954 )
Healthc (Amst) - Electronic health records and technical assistance to improve quality of primary care: Lessons for regional extension centers. ( 0,802260345920043 )
Int J Med Inform - Do integrated record systems lead to integrated services? An observational study of a multi-professional system in a diabetes service. ( 0,800468727023525 )
Int J Med Inform - Adoption of electronic health records in Korean tertiary teaching and general hospitals. ( 0,796046359995699 )
J Biomed Inform - Building a robust, scalable and standards-driven infrastructure for secondary use of EHR data: the SHARPn project. ( 0,788621118510048 )
J Am Med Inform Assoc - The long-term financial impact of electronic health record implementation. ( 0,787935377627524 )
J Am Med Inform Assoc - Security practices and regulatory compliance in the healthcare industry. ( 0,787837637946466 )
J Am Med Inform Assoc - Data standards to support health information exchange between poison control centers and emergency departments. ( 0,787678601658578 )
Perspect Health Inf Manag - Leveraging the cloud for electronic health record access. ( 0,786724254444364 )
J Am Med Inform Assoc - Exploring the sociotechnical intersection of patient safety and electronic health record implementation. ( 0,785003328575679 )
J Biomed Inform - Implementing standards for the interoperability among healthcare providers in the public regionalized Healthcare Information System of the Lombardy Region. ( 0,78398916197528 )
AMIA Annu Symp Proc - Progress and challenge in meeting meaningful use at an integrated delivery network. ( 0,783973058601988 )
AMIA Annu Symp Proc - Initial Steps toward Validating and Measuring the Quality of Computerized Provider Documentation. ( 0,78167849135783 )
J Am Med Inform Assoc - Phased implementation of electronic health records through an office of clinical transformation. ( 0,780134515497647 )
BMC Med Inform Decis Mak - A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review. ( 0,779248228697856 )
Int J Med Inform - Collaboration in electronic medical evidence development: a case study of the Social Security Administration's MEGAHIT System. ( 0,778353696240829 )
Int J Med Inform - Rates, levels, and determinants of electronic health record system adoption: a study of hospitals in Riyadh, Saudi Arabia. ( 0,777633712158451 )
Perspect Health Inf Manag - The impact of electronic health record usage on cancer registry systems in Alabama. ( 0,777366436372207 )
J Biomed Inform - Content overlap in nurse and physician handoff artifacts and the potential role of electronic health records: a systematic review. ( 0,776846531199044 )
J Am Med Inform Assoc - When does adoption of health information technology by physician practices lead to use by physicians within the practice? ( 0,776355918996202 )
Methods Inf Med - SS-MIX: a ministry project to promote standardized healthcare information exchange. ( 0,772848785191247 )
AMIA Annu Symp Proc - Leveraging standards to support patient-centric interdisciplinary plans of care. ( 0,772804980267367 )
Appl Clin Inform - Physician specialty and variations in adoption of electronic health records. ( 0,770974091959167 )
Perspect Health Inf Manag - Use of health information technology by office-based physicians: comparison of two contemporaneous public-use physician surveys. ( 0,77000235073931 )
Perspect Health Inf Manag - Use of health information technology among racial and ethnic underserved communities. ( 0,767975925670496 )
Appl Clin Inform - Predictors of success for electronic health record implementation in small physician practices. ( 0,767622118438536 )
Health Info Libr J - Do quality improvement systems improve health library services? A systematic review. ( 0,763510718740553 )
AMIA Annu Symp Proc - Bridging informatics and implementation science: evaluating a framework to assess electronic health record implementations in community settings. ( 0,763010821624624 )
J Am Med Inform Assoc - The Hub Population Health System: distributed ad hoc queries and alerts. ( 0,761856956309253 )
Perspect Health Inf Manag - Electronic health records and information portability: a pilot study in a rural primary healthcare center in India. ( 0,760907642960217 )
Int J Med Inform - Electronic health records implementation: an evaluation of information system impact and contingency factors. ( 0,756936647944318 )
Methods Inf Med - Electronic health record interoperability as realized in the Turkish health information system. ( 0,752634289688885 )
J Am Med Inform Assoc - Assessing the process of designing and implementing electronic health records in a statewide public health system: the case of Colima, Mexico. ( 0,75234665404549 )
J Med Syst - Challenges, alternatives, and paths to sustainability for health information exchange efforts. ( 0,751869650281545 )
BMC Med Inform Decis Mak - Use and satisfaction with key functions of a common commercial electronic health record: a survey of primary care providers. ( 0,750431028476449 )
Perspect Health Inf Manag - Evaluation of inpatient clinical documentation readiness for ICD-10-CM. ( 0,74866855778302 )
Perspect Health Inf Manag - Hospital characteristics related to the intention to apply for meaningful use incentive payments. ( 0,74866709096984 )
J Am Med Inform Assoc - Health-information exchange: why are we doing it, and what are we doing? ( 0,748455199183749 )
J Med Syst - Factors related to health information exchange participation and use. ( 0,747142942577677 )
Healthc (Amst) - Meaningful use: Floor or ceiling? ( 0,746706348151916 )
J Am Med Inform Assoc - Implications of an emerging EHR monoculture for hospitals and healthcare systems. ( 0,744793247238504 )
AMIA Annu Symp Proc - Adoption of clinical data exchange in community settings: a comparison of two approaches. ( 0,743000586577044 )
J Am Med Inform Assoc - There is no neutral position on fraud! ( 0,74281774255412 )
Healthc (Amst) - Health information exchange among U.S. hospitals: who's in, who's out, and why? ( 0,741782492130691 )
J Am Med Inform Assoc - Area-level factors associated with electronic health record adoption and meaningful use in the Regional Extension Center Program. ( 0,74086503746219 )
BMC Med Inform Decis Mak - Evaluating quality of care for patients with type 2 diabetes using electronic health record information in Mexico. ( 0,740246790068558 )
Telemed J E Health - Seamless integration of ISO/IEEE11073 personal health devices and ISO/EN13606 electronic health records into an end-to-end interoperable solution. ( 0,738156369427163 )
Perspect Health Inf Manag - Impact of electronic health record systems on information integrity: quality and safety implications. ( 0,735397602687689 )
J Am Med Inform Assoc - Consumer experience with and attitudes toward health information technology: a nationwide survey. ( 0,735336980054863 )
J Am Med Inform Assoc - Harmonized patient-reported data elements in the electronic health record: supporting meaningful use by primary care action on health behaviors and key psychosocial factors. ( 0,735088443841967 )
Healthc (Amst) - Instant replay. ( 0,731423739160605 )
Appl Clin Inform - Lessons Learned from Implementation of Information and Communication Technologies in Spain's Healthcare Services: Issues and Opportunities. ( 0,730345557620836 )
J Am Med Inform Assoc - The NIAID Division of AIDS enterprise information system: integrated decision support for global clinical research programs. ( 0,729484901431327 )
J Am Med Inform Assoc - The marginal value of pre-visit paper reminders when added to a multifaceted electronic health record based quality improvement system. ( 0,72607605708904 )
Int J Med Inform - Physician experiences transitioning between an older versus newer electronic health record for electronic prescribing. ( 0,725624442983616 )
J Am Med Inform Assoc - Are Meaningful Use Stage 2 certified EHRs ready for interoperability? Findings from the SMART C-CDA Collaborative. ( 0,725306923554558 )
Perspect Health Inf Manag - Adoption and utilization of electronic health record systems by long-term care facilities in Texas. ( 0,723882331913218 )
J Am Med Inform Assoc - The use of open source electronic health records within the federal safety net. ( 0,723196514468741 )
AMIA Annu Symp Proc - Implementing the IT infrastructure for health reform: adoption of health IT among patient-centered medical home practices. ( 0,723025672273207 )
J Am Med Inform Assoc - Re-examining health IT policy: what will it take to derive value from our investment? ( 0,722543863843746 )
Int J Med Inform - Evidence-based management of ambulatory electronic health record system implementation: an assessment of conceptual support and qualitative evidence. ( 0,720407075739702 )
Methods Inf Med - A Regional health care network: eHealth.Braunschweig. Domain fields and architectural challenges. ( 0,71896902471998 )
Int J Med Inform - The implementation of electronic health records: a case study of bush computing the Ngaanyatjarra lands. ( 0,714512865668144 )
J Am Med Inform Assoc - Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. ( 0,712488254519464 )
Appl Clin Inform - Electronic Health Record Adoption - Maybe It's not about the Money: Physician Super-Users, Electronic Health Records and Patient Care. ( 0,710330526392207 )
Inform Health Soc Care - Attitudes of health professionals towards electronic health records in primary health care settings: a questionnaire survey. ( 0,709773167366405 )
Appl Clin Inform - The impact of geography on hospital electronic health records implementation in alabama: implications for meaningful use. ( 0,706019624618975 )
Int J Med Inform - The IT productivity paradox in health: a stakeholder's perspective. ( 0,70504642848894 )
Comput Methods Programs Biomed - The relationship between usage intention and adoption of electronic health records at primary care clinics. ( 0,702199801603352 )
J Biomed Inform - Technical desiderata for the integration of genomic data with clinical decision support. ( 0,701238659249369 )
Health Informatics J - Evaluation of ISO EN 13606 as a result of its implementation in XML. ( 0,698572589645244 )
J Am Med Inform Assoc - Impact of electronic health record implementation on patient flow metrics in a pediatric emergency department. ( 0,698340578143852 )
Appl Clin Inform - Diabetes and hypertension quality measurement in four safety-net sites: lessons learned after implementation of the same commercial electronic health record. ( 0,698203488773935 )
J Am Med Inform Assoc - Next-generation phenotyping of electronic health records. ( 0,697263284827956 )
AMIA Annu Symp Proc - Meeting the electronic health record meaningful use criterion for the HL7 infobutton standard using OpenInfobutton and the Librarian Infobutton Tailoring Environment (LITE). ( 0,695665592999935 )
Perspect Health Inf Manag - Annual survey on the level and extent of usage of electronic health records in government-related hospitals in Eastern Province, Saudi Arabia. ( 0,695081906307508 )
J Med Syst - EHR systems in the Spanish Public Health National System: the lack of interoperability between primary and specialty care. ( 0,694806417074937 )
J Med Syst - Quality and cost improvement of healthcare via complementary measurement and diagnosis of patient general health outcome using electronic health record data: research rationale and design. ( 0,692411258141498 )
J Am Med Inform Assoc - Changes to the electronic health records market in light of health information technology certification and meaningful use. ( 0,690956375251982 )
BMC Med Inform Decis Mak - Development and evaluation of a de-identification procedure for a case register sourced from mental health electronic records. ( 0,689893718123282 )
AMIA Annu Symp Proc - Cross-mapping clinical notes between hospitals: an application of the LOINC Document Ontology. ( 0,688828126156105 )
J Am Med Inform Assoc - Blue Button use by patients to access and share health record information using the Department of Veterans Affairs' online patient portal. ( 0,688554684743024 )
Appl Clin Inform - Utilizing an electronic health record system to improve vaccination coverage in children. ( 0,688007151730387 )
Appl Clin Inform - Impact of homecare electronic health record on timeliness of clinical documentation, reimbursement, and patient outcomes. ( 0,687276389206674 )
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. ( 0,686616566497598 )
J Med Syst - Factors associated with health information exchange system usage in a safety-net ambulatory care clinic setting. ( 0,686149757210485 )