Enabling Consumer-Driven Service Innovation in Health Care: The Role of Online Health Information Technologies (HIT)

2009 ◽  
pp. 159-177 ◽  
Author(s):  
Priya Nambisan
Keyword(s):  
Health Care ◽  
Health Information ◽  
Information Technologies ◽  
Service Innovation ◽  
Online Health Information ◽  
Health Information Technologies

Using Electronic Health Records and Data Warehouse Collaboratively in Community Health Centers

2013 ◽  
Vol 15 (4) ◽  
pp. 45-62 ◽  
Author(s):  
Xiaoming Zeng ◽  
Elizabeth J. Forrestal ◽  
Leigh W. Cellucci ◽  
Michael H. Kennedy ◽  
Doug Smith
Keyword(s):  
Health Care ◽  
Electronic Health Records ◽  
Community Health ◽  
Health Information ◽  
Data Warehouse ◽  
Information Technologies ◽  
Community Health Centers ◽  
Health Centers ◽  
Health Records ◽  
Health Information Technologies

The organization Community Partners HealthNet (CPH), Inc. is a so-called Health-Center-Controlled Networks (HCCNs) that provide health information technologies, in particular Electronic Health Records and Data Warehouse, to participating community health centers (CHC) and rural health clinics (RHC). All 16 member organizations (CHCs and RHCs) in CPH are non-profit health care organizations providing primary health care to individuals in medically underserved areas. To provide quality and accessible health care to those medically needed, CPH and member organization rely heavily on funding from federal and state governments as well as charitable foundations. The investment in system-wide Health Information Technologies has been financially limited given the nature of the organizations. CPH and member organizations, through visionary leadership and cost-effective execution, have been able to adopt and implement advanced information technologies like EHR and data warehouse since early 1990s. There has been software updates and EHR upgrades, but the original design of the system still serve the information needs of the organization. This case study describes CPH in the health care environment, discusses the collaboration of six original individual CHCs to create CPH, the EHR and Data Warehouse projects at CPH, and then explains CPH’s on-going operations and new challenges in the context of meaningful use and big data movement.

scholarly journals Do people have an ethical obligation to share their health information? Comparing narratives of altruism and health information sharing in a nationally representative sample

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0244767
Author(s):  
Minakshi Raj ◽  
Raymond De Vries ◽  
Paige Nong ◽  
Sharon L. R. Kardia ◽  
Jodyn E. Platt
Keyword(s):  
Health Care ◽  
Health Information ◽  
Representative Sample ◽  
Information Technologies ◽  
Online Survey ◽  
Personal Information ◽  
Care Providers ◽  
Ethical Obligation ◽  
Health Information Technologies ◽  
Nationally Representative

Background With the emergence of new health information technologies, health information can be shared across networks, with or without patients’ awareness and/or their consent. It is often argued that there can be an ethical obligation to participate in biomedical research, motivated by altruism, particularly when risks are low. In this study, we explore whether altruism contributes to the belief that there is an ethical obligation to share information about one’s health as well as how other health care experiences, perceptions, and concerns might be related to belief in such an obligation. Methods We conducted an online survey using the National Opinion Research Center’s (NORC) probability-based, nationally representative sample of U.S. adults. Our final analytic sample included complete responses from 2069 participants. We used multivariable logistic regression to examine how altruism, together with other knowledge, attitudes, and experiences contribute to the belief in an ethical obligation to allow health information to be used for research. Results We find in multivariable regression that general altruism is associated with a higher likelihood of belief in an ethical obligation to allow one’s health information to be used for research (OR = 1.22, SE = 0.14, p = 0.078). Trust in the health system and in care providers are both associated with a significantly higher likelihood of believing there is an ethical obligation to allow health information to be used (OR = 1.48, SE = 0.76, p<0.001; OR = 1.58, SE = 0.26, p<0.01, respectively). Conclusions Belief that there is an ethical obligation to allow one’s health information to be used for research is shaped by altruism and by one’s experience with, and perceptions of, health care and by general concerns about the use of personal information. Altruism cannot be assumed and researchers must recognize the ways encounters with the health care system influence (un)willingness to share one’s health information.

Dynamics of Physicians’ Trust in Fellow Health Care Providers and the Role of Health Information Technology

2019 ◽  
pp. 107755871989234
Author(s):  
Minakshi Raj ◽  
Adam S. Wilk ◽  
Jodyn E. Platt
Keyword(s):  
Health Information ◽  
Health Care Providers ◽  
Information Technologies ◽  
Supporting Evidence ◽  
Care Providers ◽  
Health Information Technologies ◽  
Academic Center ◽  
Semistructured Interviews ◽  
Robust Measures

Physicians are expected and incentivized to coordinate patient care with other providers, including nonphysician clinician (NPC) members of care teams, requiring trust. Trust in the context of care teams has not been well-studied; even less is known about how health information technologies (HIT) may modify trust in these relationships. We conducted semistructured interviews with 30 physicians at a Midwestern academic center to examine how physicians determine they can trust NPCs, and how technology modifies these relationships. A majority of physicians base trust in NPCs on cognitive factors such as competence and reliability. Technology enhances trust between physicians and NPCs by supporting evidence-based decision making; it can also erode trust by limiting opportunities for developing familiarity and comfort with fellow providers. Our work has implications for enhancing HIT to promote trust between providers, and for developing more robust measures of trust that can be used in evaluating and improving teamwork within practices.

Health Information Technology Collaboration in Community Health Centers

2013 ◽  
pp. 171-196
Author(s):  
Elizabeth J. Forrestal ◽  
Leigh W. Cellucci ◽  
Xiaoming Zeng ◽  
Michael H. Kennedy ◽  
Doug Smith
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Information ◽  
Information Technologies ◽  
Community Health Centers ◽  
Health Centers ◽  
Non Profit ◽  
Health Information Technologies ◽  
Collaborative Ventures

Health-Center-Controlled Networks (HCCNs) are collaborative ventures that provide health information technologies to Community Health Centers (CHCs). Community Partners HealthNet (CPH), Inc. is a HCCN. CPH’s member organizations are non-profit health care organizations that provide primary health care to individuals in medically underserved areas. As non-profits, they must regularly seek grant funding from foundations and state and federal agencies to provide quality, accessible health care. Consequently, initiatives to adopt and implement Health Information Technologies (HIT) require individual CHCs to carefully consider how best to incorporate HIT for improved patient care. This case study describes CPH, discusses the collaboration of six individual CHCs to create CPH, and then explains CPH’s on-going operations.

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