J Am Med Inform Assoc - Re-examining health IT policy: what will it take to derive value from our investment?

Tópicos

{ ehr(2073) health(1662) electron(1139) }
{ cost(1906) reduc(1198) effect(832) }
{ health(3367) inform(1360) care(1135) }
{ method(1557) propos(1049) approach(1037) }
{ method(1219) similar(1157) match(930) }
{ research(1085) discuss(1038) issu(1018) }
{ chang(1828) time(1643) increas(1301) }
{ imag(1057) registr(996) error(939) }
{ studi(2440) review(1878) systemat(933) }
{ clinic(1479) use(1117) guidelin(835) }
{ implement(1333) system(1263) develop(1122) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ learn(2355) train(1041) set(1003) }
{ blood(1257) pressur(1144) flow(957) }
{ record(1888) medic(1808) patient(1693) }
{ research(1218) medic(880) student(794) }
{ sampl(1606) size(1419) use(1276) }
{ time(1939) patient(1703) rate(768) }
{ analysi(2126) use(1163) compon(1037) }
{ decis(3086) make(1611) patient(1517) }
{ detect(2391) sensit(1101) algorithm(908) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ data(1714) softwar(1251) tool(1186) }
{ 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) }
{ howev(809) still(633) remain(590) }
{ 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) }
{ 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) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ 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) }
{ 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(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

Despite substantial investments in health information technology (HIT), the nation's goals of reducing cost and improving outcomes through HIT remain elusive. This period of transition, with new Office of National Coordinator for HIT leadership, upcoming Meaningful Use Stage III definitions, and increasing congressional oversight, is opportune to consider needed course corrections in HIT strategy. This article describes current problems and recommended changes in HIT policy, including approaches to usability, interoperability, and quality measurement. Recommendations refrain from interim measures, such as electronic health record adoption rates, and instead focus on measurable national value to benefit the economy, to reduce healthcare costs, and to improve clinical efficiency and care quality.

Resumo Limpo

despit substanti invest health inform technolog hit nation goal reduc cost improv outcom hit remain elus period transit new offic nation coordin hit leadership upcom meaning use stage iii definit increas congression oversight opportun consid need cours correct hit strategi articl describ current problem recommend chang hit polici includ approach usabl interoper qualiti measur recommend refrain interim measur electron health record adopt rate instead focus measur nation valu benefit economi reduc healthcar cost improv clinic effici care qualiti

Resumos Similares

Telemed J E Health - Assessing the cost of electronic health records: a review of cost indicators. ( 0,821360338810543 )
Perspect Health Inf Manag - Impact of electronic health record systems on information integrity: quality and safety implications. ( 0,817976477719483 )
J Med Syst - Organization's quality maturity as a vehicle for EHR success. ( 0,805064780795535 )
J Med Syst - Challenges, alternatives, and paths to sustainability for health information exchange efforts. ( 0,803935119038137 )
J Am Med Inform Assoc - Exploring the sociotechnical intersection of patient safety and electronic health record implementation. ( 0,80340930294228 )
Int J Med Inform - Do integrated record systems lead to integrated services? An observational study of a multi-professional system in a diabetes service. ( 0,79645559438947 )
Perspect Health Inf Manag - Electronic health record adoption and use by Nebraska pharmacists. ( 0,783631464447492 )
AMIA Annu Symp Proc - Implementing the IT infrastructure for health reform: adoption of health IT among patient-centered medical home practices. ( 0,783487357712386 )
J Biomed Inform - Translating standards into practice: experience and lessons learned at the Department of Veterans Affairs. ( 0,783005102684796 )
AMIA Annu Symp Proc - Leveraging standards to support patient-centric interdisciplinary plans of care. ( 0,780067036652909 )
J Am Med Inform Assoc - Evaluating and classifying the readiness of technology specifications for national standardization. ( 0,779013451916238 )
Healthc (Amst) - A novel community-based delivery model to combat cancer disparities. ( 0,778936180334248 )
J Am Med Inform Assoc - Phased implementation of electronic health records through an office of clinical transformation. ( 0,778806467275044 )
J Biomed Inform - Implementations of the HL7 Context-Aware Knowledge Retrieval (Infobutton) Standard: challenges, strengths, limitations, and uptake. ( 0,765220269927308 )
Healthc (Amst) - Electronic health records and technical assistance to improve quality of primary care: Lessons for regional extension centers. ( 0,763397571104586 )
Int J Med Inform - Collaboration in electronic medical evidence development: a case study of the Social Security Administration's MEGAHIT System. ( 0,763361430275681 )
Appl Clin Inform - Lessons Learned from Implementation of Information and Communication Technologies in Spain's Healthcare Services: Issues and Opportunities. ( 0,76325810547353 )
Appl Clin Inform - Predictors of success for electronic health record implementation in small physician practices. ( 0,762556458363255 )
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. ( 0,761304144365703 )
J Am Med Inform Assoc - Electronic health record use and preventive counseling for US children and adolescents. ( 0,760718536995451 )
Perspect Health Inf Manag - Health information technology: integration of clinical workflow into meaningful use of electronic health records. ( 0,760030167198854 )
Appl Clin Inform - Capturing information needs of care providers to support knowledge sharing and distributed decision making. ( 0,759082649205418 )
Perspect Health Inf Manag - Hospital characteristics related to the intention to apply for meaningful use incentive payments. ( 0,756373909517392 )
J Am Med Inform Assoc - A typology of electronic health record workarounds in small-to-medium size primary care practices. ( 0,756120305141528 )
Perspect Health Inf Manag - Adoption and utilization of electronic health record systems by long-term care facilities in Texas. ( 0,754221192652897 )
Int J Med Inform - Adoption of electronic health records in Korean tertiary teaching and general hospitals. ( 0,75244071946609 )
AMIA Annu Symp Proc - Assessing readiness for meeting meaningful use: identifying electronic health record functionality and measuring levels of adoption. ( 0,748977096475238 )
J Med Syst - Benefits and challenges of electronic health record system on stakeholders: a qualitative study of outpatient physicians. ( 0,747066178477275 )
BMC Med Inform Decis Mak - A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review. ( 0,74334696430632 )
Healthc (Amst) - Health information exchange among U.S. hospitals: who's in, who's out, and why? ( 0,743043195371607 )
J Am Med Inform Assoc - Implications of an emerging EHR monoculture for hospitals and healthcare systems. ( 0,743021618130208 )
Appl Clin Inform - The impact of geography on hospital electronic health records implementation in alabama: implications for meaningful use. ( 0,741851373799711 )
Perspect Health Inf Manag - Leveraging the cloud for electronic health record access. ( 0,740355138489825 )
J Am Med Inform Assoc - Data standards to support health information exchange between poison control centers and emergency departments. ( 0,738110207203415 )
AMIA Annu Symp Proc - Progress and challenge in meeting meaningful use at an integrated delivery network. ( 0,737661119508013 )
Health Info Libr J - Do quality improvement systems improve health library services? A systematic review. ( 0,731838177615043 )
BMC Med Inform Decis Mak - Use and satisfaction with key functions of a common commercial electronic health record: a survey of primary care providers. ( 0,73052255412662 )
J Am Med Inform Assoc - Sequencing of EHR adoption among US hospitals and the impact of meaningful use. ( 0,729908371976163 )
Healthc (Amst) - Meaningful use: Floor or ceiling? ( 0,729601502232503 )
J Med Syst - EHR systems in the Spanish Public Health National System: the lack of interoperability between primary and specialty care. ( 0,729441672956385 )
Perspect Health Inf Manag - Use of health information technology by office-based physicians: comparison of two contemporaneous public-use physician surveys. ( 0,729283198380339 )
Int J Med Inform - Rates, levels, and determinants of electronic health record system adoption: a study of hospitals in Riyadh, Saudi Arabia. ( 0,729271794644059 )
J Am Med Inform Assoc - Area-level factors associated with electronic health record adoption and meaningful use in the Regional Extension Center Program. ( 0,727689630759768 )
AMIA Annu Symp Proc - Initial Steps toward Validating and Measuring the Quality of Computerized Provider Documentation. ( 0,726389932388321 )
J Am Med Inform Assoc - Health-information exchange: why are we doing it, and what are we doing? ( 0,725279230742765 )
Appl Clin Inform - Physician specialty and variations in adoption of electronic health records. ( 0,72320446873627 )
AMIA Annu Symp Proc - The promise of the CCD: challenges and opportunity for quality improvement and population health. ( 0,722543863843746 )
Healthc (Amst) - Improving the value of healthcare delivery using publicly available performance data in Wisconsin and California. ( 0,719590289038431 )
J Am Med Inform Assoc - When does adoption of health information technology by physician practices lead to use by physicians within the practice? ( 0,71795356079864 )
Perspect Health Inf Manag - The impact of electronic health record usage on cancer registry systems in Alabama. ( 0,717287191366337 )
J Am Med Inform Assoc - Consumer experience with and attitudes toward health information technology: a nationwide survey. ( 0,717048773033071 )
Perspect Health Inf Manag - Evaluation of inpatient clinical documentation readiness for ICD-10-CM. ( 0,714889468614401 )
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. ( 0,714682918262901 )
J Am Med Inform Assoc - Impact of electronic health record implementation on patient flow metrics in a pediatric emergency department. ( 0,714439481871912 )
BMC Med Inform Decis Mak - Economic analysis of cloud-based desktop virtualization implementation at a hospital. ( 0,71332856185917 )
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. ( 0,710405241467167 )
J Med Syst - Threat modeling for electronic health record systems. ( 0,708548561340852 )
J Am Med Inform Assoc - Changes to the electronic health records market in light of health information technology certification and meaningful use. ( 0,706544464908109 )
Int J Med Inform - Evidence-based management of ambulatory electronic health record system implementation: an assessment of conceptual support and qualitative evidence. ( 0,702674882270759 )
J Biomed Inform - Implementing standards for the interoperability among healthcare providers in the public regionalized Healthcare Information System of the Lombardy Region. ( 0,702313465795988 )
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. ( 0,700682854042268 )
Telemed J E Health - Teledentistry in practice: literature review. ( 0,699870071210248 )
Perspect Health Inf Manag - Electronic health records and information portability: a pilot study in a rural primary healthcare center in India. ( 0,699525813143302 )
J Am Med Inform Assoc - The long-term financial impact of electronic health record implementation. ( 0,699356815375359 )
Int J Med Inform - The implementation of electronic health records: a case study of bush computing the Ngaanyatjarra lands. ( 0,698830406618842 )
J Biomed Inform - Building a robust, scalable and standards-driven infrastructure for secondary use of EHR data: the SHARPn project. ( 0,698510264555144 )
J Am Med Inform Assoc - There is no neutral position on fraud! ( 0,698050449244293 )
AMIA Annu Symp Proc - Cross-mapping clinical notes between hospitals: an application of the LOINC Document Ontology. ( 0,696822583046257 )
J Am Med Inform Assoc - Facility characteristics associated with the use of electronic health records in residential care facilities. ( 0,69635342182303 )
Appl Clin Inform - Physician beliefs about the impact of meaningful use of the EHR: a cross-sectional study. ( 0,695450060708643 )
J Am Med Inform Assoc - Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. ( 0,694238757980688 )
J Biomed Inform - Content overlap in nurse and physician handoff artifacts and the potential role of electronic health records: a systematic review. ( 0,692880091720521 )
Methods Inf Med - Electronic health record interoperability as realized in the Turkish health information system. ( 0,692710866254464 )
J Am Med Inform Assoc - Improving the quality of cancer care in America through health information technology. ( 0,692107696543701 )
Comput Methods Programs Biomed - The relationship between usage intention and adoption of electronic health records at primary care clinics. ( 0,687803924803487 )
Int J Med Inform - Electronic health records implementation: an evaluation of information system impact and contingency factors. ( 0,686318800864524 )
Perspect Health Inf Manag - Use of health information technology among racial and ethnic underserved communities. ( 0,686278529718453 )
J Am Med Inform Assoc - Organizational complements to electronic health records in ambulatory physician performance: the role of support staff. ( 0,686120767883657 )
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. ( 0,684189332107464 )
AMIA Annu Symp Proc - Bridging informatics and implementation science: evaluating a framework to assess electronic health record implementations in community settings. ( 0,684065748114051 )
Int J Med Inform - Development of an in-house hospital information system in a hospital in Pakistan. ( 0,680028417377062 )
J Med Syst - Creating content modules for Chinese EHR documents and their trial implementation in Wuwei City. ( 0,679874451029508 )
J Am Med Inform Assoc - The Hub Population Health System: distributed ad hoc queries and alerts. ( 0,679801141434861 )
AMIA Annu Symp Proc - Health information exchange, Health Information Technology use, and hospital readmission rates. ( 0,679741228815299 )
Methods Inf Med - SS-MIX: a ministry project to promote standardized healthcare information exchange. ( 0,678264876340263 )
Appl Clin Inform - Electronic Health Record Adoption - Maybe It's not about the Money: Physician Super-Users, Electronic Health Records and Patient Care. ( 0,676421482299968 )
Methods Inf Med - Utilizing IHE-based Electronic Health Record systems for secondary use. ( 0,672428487583674 )
J Am Med Inform Assoc - Are Meaningful Use Stage 2 certified EHRs ready for interoperability? Findings from the SMART C-CDA Collaborative. ( 0,670491972153835 )
Healthc (Amst) - Instant replay. ( 0,669426143701664 )
Inform Health Soc Care - Attitudes of health professionals towards electronic health records in primary health care settings: a questionnaire survey. ( 0,669290373637431 )
BMC Med Inform Decis Mak - Has information technology finally been adopted in Flemish intensive care units? ( 0,668939129308723 )
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. ( 0,668171665038645 )
Int J Med Inform - Physician experiences transitioning between an older versus newer electronic health record for electronic prescribing. ( 0,668056690522822 )
J Am Med Inform Assoc - Let the left hand know what the right is doing: a vision for care coordination and electronic health records. ( 0,667724287279923 )
Health Informatics J - Using electronic health record systems to optimize admission decisions: the Creatinine case study. ( 0,667205418354869 )
AMIA Annu Symp Proc - Using process visualizations to validate electronic form design. ( 0,666411843201828 )
J Am Med Inform Assoc - The use of open source electronic health records within the federal safety net. ( 0,665702030479108 )
J Med Syst - Factors related to health information exchange participation and use. ( 0,661528413015778 )
Healthc (Amst) - EHR adopters vs. non-adopters: Impacts of, barriers to, and federal initiatives for EHR adoption. ( 0,661502814571224 )
BMC Med Inform Decis Mak - Evaluating quality of care for patients with type 2 diabetes using electronic health record information in Mexico. ( 0,660565725592212 )