J Am Med Inform Assoc - The future state of clinical data capture and documentation: a report from AMIA's 2011 Policy Meeting.

Tópicos

{ health(3367) inform(1360) care(1135) }
{ extract(1171) text(1153) clinic(932) }
{ data(3963) clinic(1234) research(1004) }
{ research(1085) discuss(1038) issu(1018) }
{ motion(1329) object(1292) video(1091) }
{ care(1570) inform(1187) nurs(1089) }
{ system(1050) medic(1026) inform(1018) }
{ data(2317) use(1299) case(1017) }
{ can(981) present(881) function(850) }
{ take(945) account(800) differ(722) }
{ treatment(1704) effect(941) patient(846) }
{ clinic(1479) use(1117) guidelin(835) }
{ state(1844) use(1261) util(961) }
{ gene(2352) biolog(1181) express(1162) }
{ decis(3086) make(1611) patient(1517) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ system(1976) rule(880) can(841) }
{ studi(2440) review(1878) systemat(933) }
{ framework(1458) process(801) describ(734) }
{ chang(1828) time(1643) increas(1301) }
{ model(2220) cell(1177) simul(1124) }
{ perform(999) metric(946) measur(919) }
{ perform(1367) use(1326) method(1137) }
{ record(1888) medic(1808) patient(1693) }
{ ehr(2073) health(1662) electron(1139) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ first(2504) two(1366) second(1323) }
{ use(2086) technolog(871) perceiv(783) }
{ method(1969) cluster(1462) data(1082) }
{ model(3404) distribut(989) bayesian(671) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ 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) }
{ patient(2315) diseas(1263) diabet(1191) }
{ assess(1506) score(1403) qualiti(1306) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ 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) }
{ howev(809) still(633) remain(590) }
{ 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) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ model(2656) set(1616) predict(1553) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ 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) }
{ 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

Much of what is currently documented in the electronic health record is in response toincreasingly complex and prescriptive medicolegal, reimbursement, and regulatory requirements. These requirements often result in redundant data capture and cumbersome documentation processes. AMIA's 2011 Health Policy Meeting examined key issues in this arena and envisioned changes to help move toward an ideal future state of clinical data capture and documentation. The consensus of the meeting was that, in the move to a technology-enabled healthcare environment, the main purpose of documentation should be to support patient care and improved outcomes for individuals and populations and that documentation for other purposes should be generated as a byproduct of care delivery. This paper summarizes meeting deliberations, and highlights policy recommendations and research priorities. The authors recommend development of a national strategy to review and amend public policies to better support technology-enabled data capture and documentation practices.

Resumo Limpo

much current document electron health record respons toincreas complex prescript medicoleg reimburs regulatori requir requir often result redund data captur cumbersom document process amia health polici meet examin key issu arena envis chang help move toward ideal futur state clinic data captur document consensus meet move technologyen healthcar environ main purpos document support patient care improv outcom individu popul document purpos generat byproduct care deliveri paper summar meet deliber highlight polici recommend research prioriti author recommend develop nation strategi review amend public polici better support technologyen data captur document practic

Resumos Similares

J Biomed Inform - Natural language processing: state of the art and prospects for significant progress, a workshop sponsored by the National Library of Medicine. ( 0,685273704211149 )
Telemed J E Health - The patient-centered medical home and health information technology. ( 0,652932187726613 )
BMC Med Inform Decis Mak - Video observation in HIT development: lessons learned on benefits and challenges. ( 0,647474754252359 )
Methods Inf Med - The lower saxony bank of health. rationale, principles, services, organization and architectural framework. ( 0,635654937735071 )
Int J Med Inform - Transforming healthcare with information technology in Japan: a review of policy, people, and progress. ( 0,62663197703514 )
Health Info Libr J - Information needs of public health practitioners: a review of the literature. ( 0,622626265227231 )
Appl Clin Inform - Health information technology knowledge and skills needed by HIT employers. ( 0,61735009032203 )
Telemed J E Health - Telehealth trends and the challenge for infrastructure. ( 0,61646058079442 )
J Am Med Inform Assoc - A highly scalable, interoperable clinical decision support service. ( 0,613529910298935 )
J Biomed Inform - Consumer-mediated health information exchanges: the 2012 ACMI debate. ( 0,609207699080171 )
BMC Med Inform Decis Mak - Communicating information about what not to do to consumers. ( 0,605974183858498 )
Inform Health Soc Care - Information technology and hospice palliative care: social, cultural, ethical and technical implications in a rural setting. ( 0,602704032381758 )
J Am Med Inform Assoc - A risk-based regulatory framework for health IT: recommendations of the FDASIA working group. ( 0,59666502200053 )
J Am Med Inform Assoc - An integrative framework for sensor-based measurement of teamwork in healthcare. ( 0,596538757669312 )
J Med Syst - The adoption and implementation of RFID technologies in healthcare: a literature review. ( 0,59579564682787 )
J Med Syst - Organizational challenges in developing one of the Nationwide Health Information Network trial implementation awardees. ( 0,595260096884404 )
BMC Med Inform Decis Mak - Health communication in primary health care -a case study of ICT development for health promotion. ( 0,5939920476218 )
AMIA Annu Symp Proc - A survey of rural hospitals' perspectives on health information technology outsourcing. ( 0,591058574905958 )
Comput. Biol. Med. - Implementing the lifelong personal health record in a regionalised health information system: the case of Lombardy, Italy. ( 0,590397598773125 )
J Am Med Inform Assoc - Implementation of an innovative, integrated electronic medical record (EMR) and public health information exchange for HIV/AIDS. ( 0,590283253694957 )
Inform Health Soc Care - Construction of a linked health and social care database resource--lessons on process, content and culture. ( 0,589854044360825 )
J. Med. Internet Res. - Opportunities and challenges of cloud computing to improve health care services. ( 0,587241205704246 )
AMIA Annu Symp Proc - Toward a Virtual Lifetime Electronic Record: the Department of Veterans Affairs experience with the Nationwide Health Information Network. ( 0,585539033645207 )
BMC Med Inform Decis Mak - An evaluation of data quality in Canada's Continuing Care Reporting System (CCRS): secondary analyses of Ontario data submitted between 1996 and 2011. ( 0,584102246151253 )
J Am Med Inform Assoc - A system dynamics evaluation model: implementation of health information exchange for public health reporting. ( 0,582474226804124 )
J Am Med Inform Assoc - Why common carrier and network neutrality principles apply to the Nationwide Health Information Network (NWHIN). ( 0,581181439523686 )
J Biomed Inform - Secondary use of electronic health records for building cohort studies through top-down information extraction. ( 0,581149287043642 )
J Am Med Inform Assoc - Data governance requirements for distributed clinical research networks: triangulating perspectives of diverse stakeholders. ( 0,579579881416414 )
Appl Clin Inform - Association of Medical Directors of Information Systems consensus on inpatient electronic health record documentation. ( 0,577121298223179 )
AMIA Annu Symp Proc - Using Digital Crumbs from an Electronic Health Record to identify, study and improve health care teams. ( 0,577072675632218 )
J. Med. Internet Res. - Home care technology through an ability expectation lens. ( 0,574690190280726 )
J. Med. Internet Res. - Issues in mHealth: findings from key informant interviews. ( 0,574052624362254 )
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. ( 0,569348871732346 )
J Am Med Inform Assoc - Advanced networks and computing in healthcare. ( 0,568820019063988 )
Med Decis Making - Addressing adoption and research design decisions simultaneously: the role of value of sample information analysis. ( 0,566670035701864 )
Wiley Interdiscip Rev Syst Biol Med - Promise of personalized omics to precision medicine. ( 0,562633966271847 )
AMIA Annu Symp Proc - Automatically extracting clinically useful sentences from UpToDate to support clinicians' information needs. ( 0,562281640710624 )
J Am Med Inform Assoc - Pathology imaging informatics for quantitative analysis of whole-slide images. ( 0,559004788343454 )
J Am Med Inform Assoc - National-scale clinical information exchange in the United Kingdom: lessons for the United States. ( 0,557895836436712 )
Int J Health Geogr - Injury surveillance in low-resource settings using Geospatial and Social Web technologies. ( 0,555915293761254 )
Perspect Health Inf Manag - Navigating regulatory change: preliminary lessons learned during the healthcare provider transition to ICD-10-CM/PCS. ( 0,555826037452872 )
J Am Med Inform Assoc - Workshop on using natural language processing applications for enhancing clinical decision making: an executive summary. ( 0,555585698826545 )
BMC Med Inform Decis Mak - A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland. ( 0,552641816181095 )
BMC Med Inform Decis Mak - The human resource information system: a rapid appraisal of Pakistan's capacity to employ the tool. ( 0,55158933118046 )
AMIA Annu Symp Proc - Implementation of interinstitutional and transnational remote terminology services. ( 0,551508551973139 )
J Telemed Telecare - National telemental health responses to a major bushfire disaster. ( 0,550182792196804 )
Inform Health Soc Care - Identifying health facilities outside the enterprise: challenges and strategies for supporting health reform and meaningful use. ( 0,549921025952153 )
Healthc (Amst) - Kenya's voluntary male medical circumcision program: Translatable lessons for both domestic and international programs. ( 0,549786907565577 )
Perspect Health Inf Manag - Health information exchange between jails and their communities: a bridge that is needed under healthcare reform. ( 0,549100476473942 )
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. ( 0,548941540197658 )
J Med Syst - Integration of footprints information systems in palliative care: the case of Medical Center of Central Georgia. ( 0,547614931893946 )
J Am Med Inform Assoc - Scalable Collaborative Infrastructure for a Learning Healthcare System (SCILHS): architecture. ( 0,547437963739172 )
J Biomed Inform - An Integrated Model for Patient Care and Clinical Trials (IMPACT) to support clinical research visit scheduling workflow for future learning health systems. ( 0,547309491771749 )
J Am Med Inform Assoc - The future of health IT innovation and informatics: a report from AMIA's 2010 policy meeting. ( 0,546405519721088 )
J Am Med Inform Assoc - Privacy by Design at Population Data BC: a case study describing the technical, administrative, and physical controls for privacy-sensitive secondary use of personal information for research in the public interest. ( 0,545216174986457 )
J Am Med Inform Assoc - Lessons from the Canadian national health information technology plan for the United States: opinions of key Canadian experts. ( 0,544627664462584 )
Inform Health Soc Care - The need of a multi-actor perspective to understand expectations from virtual presence: managing elderly homecare informatics. ( 0,544019562622188 )
J. Med. Internet Res. - Examining the differences in format and characteristics of zoonotic virus surveillance data on state agency websites. ( 0,543659512864841 )
Perspect Health Inf Manag - Long-term care and health information technology: opportunities and responsibilities for long-term and post-acute care providers. ( 0,543332090321106 )
BMC Med Inform Decis Mak - Applying a framework for assessing the health system challenges to scaling up mHealth in South Africa. ( 0,542759616012068 )
J Am Med Inform Assoc - Don't take your EHR to heaven, donate it to science: legal and research policies for EHR post mortem. ( 0,542457275400069 )
J. Med. Internet Res. - A multidimensional view of personal health systems for underserved populations. ( 0,541205930537586 )
Telemed J E Health - Content-based management service for medical videos. ( 0,541005945463302 )
J Am Med Inform Assoc - Toward a science of learning systems: a research agenda for the high-functioning Learning Health System. ( 0,540334229508331 )
Appl Clin Inform - Measurement error in performance studies of health information technology: lessons from the management literature. ( 0,539798171108892 )
Appl Clin Inform - Estimation of severe drug-drug interaction warnings by medical specialist groups for Austrian nationwide eMedication. ( 0,539647420807527 )
Appl Clin Inform - A case report in health information exchange for inter-organizational patient transfers. ( 0,539470719109748 )
J Am Med Inform Assoc - Physicians' opinions of a health information exchange. ( 0,53866184908929 )
Int J Med Inform - Holistic health: predicting our data future (from inter-operability among systems to co-operability among people). ( 0,537915119130314 )
Healthc (Amst) - Will new care delivery solve the primary care physician shortage?: A call for more rigorous evaluation. ( 0,536994528774589 )
Med Biol Eng Comput - Effectiveness of medical equipment donations to improve health systems: how much medical equipment is broken in the developing world? ( 0,53679315792399 )
J Am Med Inform Assoc - Policies for patient access to clinical data via PHRs: current state and recommendations. ( 0,536483104927754 )
J Am Med Inform Assoc - The next-generation electronic health record: perspectives of key leaders from the US Department of Veterans Affairs. ( 0,53622076526539 )
Int J Med Inform - Introducing a nationally shared electronic patient record: case study comparison of Scotland, England, Wales and Northern Ireland. ( 0,535911603153979 )
Health Info Libr J - If you cannot beat them, join them! Using Health 2.0 and popular Internet applications to improve information literacy. ( 0,533172455080687 )
AMIA Annu Symp Proc - Probing the benefits of real-time tracking during cancer care. ( 0,530358860480197 )
J Am Med Inform Assoc - Two open access, high-quality datasets from anesthetic records. ( 0,529963785645828 )
J Med Syst - Provider stakeholders' perceived benefit from a nascent health information exchange: a qualitative analysis. ( 0,529801249715421 )
J Am Med Inform Assoc - Health data use, stewardship, and governance: ongoing gaps and challenges: a report from AMIA's 2012 Health Policy Meeting. ( 0,529691374097867 )
Health Info Libr J - Evaluating clinical librarians: mixing apple merchants and orange sellers? ( 0,527589343584494 )
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. ( 0,527461722254807 )
AMIA Annu Symp Proc - TextHunter--A User Friendly Tool for Extracting Generic Concepts from Free Text in Clinical Research. ( 0,526460553280809 )
Telemed J E Health - The link between information and communication technologies and global public health: pushing forward. ( 0,52625567859898 )
J. Med. Internet Res. - The impact of social media on medical professionalism: a systematic qualitative review of challenges and opportunities. ( 0,525349582483042 )
Int J Med Inform - Trustworthy reuse of health data: a transnational perspective. ( 0,524776862013962 )
J Am Med Inform Assoc - Sociotechnical challenges to developing technologies for patient access to health information exchange data. ( 0,524685735136706 )
J Am Med Inform Assoc - Patient-centered care, collaboration, communication, and coordination: a report from AMIA's 2013 Policy Meeting. ( 0,52459551865237 )
J Am Med Inform Assoc - Development of an optical character recognition pipeline for handwritten form fields from an electronic health record. ( 0,524431727572147 )
J Integr Bioinform - Data partitioning enables the use of standard SOAP Web Services in genome-scale workflows. ( 0,524423326650607 )
Health Info Libr J - A mapping review of the literature on UK-focused health and social care databases. ( 0,523210996942542 )
Appl Clin Inform - Using a scripted data entry process to transfer legacy immunization data while transitioning between electronic medical record systems. ( 0,522835170555258 )
Int J Med Inform - Telemedicine across borders: a systematic review of factors that hinder or support implementation. ( 0,522600276064918 )
AMIA Annu Symp Proc - The Lexicon Builder Web service: Building Custom Lexicons from two hundred Biomedical Ontologies. ( 0,521949225831905 )
Spat Spatiotemporal Epidemiol - The role of public health and how boundary analysis can provide a tool for public health investigations: the public health perspective. ( 0,521939321743598 )
Telemed J E Health - Realist review to inform development of the electronic advance care plan for the personally controlled electronic health record in Australia. ( 0,521806413502632 )
Health Informatics J - University of California, Irvine-Pathology Extraction Pipeline: the pathology extraction pipeline for information extraction from pathology reports. ( 0,521315167714714 )
Int J Med Inform - Healthcare professionals' organisational barriers to health information technologies-a literature review. ( 0,52056387236683 )
Int J Med Inform - Health information exchange interventions can enhance quality and continuity of HIV care. ( 0,520447895822342 )
Comput. Biol. Med. - An empirical study of healthcare providers and patients' perceptions of electronic health records. ( 0,520007020142158 )
Health Info Libr J - Analysis of library associated information needs of staff in a specialist palliative and gerontological care centre in Mid-West Ireland. ( 0,519523381301532 )