scholarly journals Multispecialty Enterprise Imaging Workgroup Consensus on Interactive Multimedia Reporting Current State and Road to the Future: HIMSS-SIIM Collaborative White Paper

2021 ◽  
Author(s):  
Christopher J. Roth ◽  
David A. Clunie ◽  
David J. Vining ◽  
Seth J. Berkowitz ◽  
Alejandro Berlin ◽  
...  
Keyword(s):  
Interactive Multimedia ◽  
Clinical Care ◽  
Video Clip ◽  
White Paper ◽  
Medical Documentation ◽  
Medical Professionals ◽  
Consensus Definition ◽  
Clinical Images ◽  
Enterprise Imaging ◽  
Electronic Health

AbstractDiagnostic and evidential static image, video clip, and sound multimedia are captured during routine clinical care in cardiology, dermatology, ophthalmology, pathology, physiatry, radiation oncology, radiology, endoscopic procedural specialties, and other medical disciplines. Providers typically describe the multimedia findings in contemporaneous electronic health record clinical notes or associate a textual interpretative report. Visual communication aids commonly used to connect, synthesize, and supplement multimedia and descriptive text outside medicine remain technically challenging to integrate into patient care. Such beneficial interactive elements may include hyperlinks between text, multimedia elements, alphanumeric and geometric annotations, tables, graphs, timelines, diagrams, anatomic maps, and hyperlinks to external educational references that patients or provider consumers may find valuable. This HIMSS-SIIM Enterprise Imaging Community workgroup white paper outlines the current and desired clinical future state of interactive multimedia reporting (IMR). The workgroup adopted a consensus definition of IMR as “interactive medical documentation that combines clinical images, videos, sound, imaging metadata, and/or image annotations with text, typographic emphases, tables, graphs, event timelines, anatomic maps, hyperlinks, and/or educational resources to optimize communication between medical professionals, and between medical professionals and their patients.” This white paper also serves as a precursor for future efforts toward solving technical issues impeding routine interactive multimedia report creation and ingestion into electronic health records.

scholarly journals Workload implications of the proposed new Mental Health Act – an audit

2003 ◽  
Vol 27 (02) ◽  
pp. 54-57
Author(s):  
Sean Whyte ◽  
Clive Meux
Keyword(s):  
Mental Health ◽  
Clinical Care ◽  
White Paper ◽  
Law Reform ◽  
Clinical Implications ◽  
Health Law ◽  
Forensic Patients ◽  
Mental Health Act ◽  
The Government ◽  
Time Required

Aims and Method To estimate specific time and resource implications for professionals, if proposed changes to the Mental Health Act 1983 (England & Wales) in the Government's white paper were to be implemented unchanged. An audit of time spent on current procedures was extrapolated. Results The amount of time required to comply with the Act will rise substantially (by 27% overall). Social workers and independent doctors will spend 30% and 207% more time respectively, complying with the Act, but psychiatrists providing clinical care to forensic patients should be largely unaffected. Clinical Implications If the Government presses ahead with its plans for mental health law reform as currently proposed, extra resources will be required to provide additional social work and independent medical time – or other services for patients will suffer.

scholarly journals 10 Steps to Strategically Build and Implement your Enterprise Imaging System: HIMSS-SIIM Collaborative White Paper

2019 ◽  
Vol 32 (4) ◽  
pp. 535-543
Author(s):  
Henri Primo ◽  
Matthew Bishop ◽  
Louis Lannum ◽  
Dawn Cram ◽  
Abe Nader ◽  
...  
Keyword(s):  
Imaging System ◽  
White Paper ◽  
Enterprise Imaging

scholarly journals Determinants and extent of weight recording in UK primary care: an analysis of 5 million adults’ electronic health records from 2000 to 2017

BMC Medicine ◽  
2019 ◽  
Vol 17 (1) ◽  
Author(s):  
B. D. Nicholson ◽  
P. Aveyard ◽  
C. R. Bankhead ◽  
W. Hamilton ◽  
F. D. R. Hobbs ◽  
...  
Keyword(s):  
Primary Care ◽  
Electronic Health Records ◽  
Negative Binomial ◽  
Cox Regression ◽  
Clinical Care ◽  
Negative Binomial Regression ◽  
Routine Activity ◽  
Health Records ◽  
Clinical Events ◽  
Electronic Health

Abstract Background Excess weight and unexpected weight loss are associated with multiple disease states and increased morbidity and mortality, but weight measurement is not routine in many primary care settings. The aim of this study was to characterise who has had their weight recorded in UK primary care, how frequently, by whom and in relation to which clinical events, symptoms and diagnoses. Methods A longitudinal analysis of UK primary care electronic health records (EHR) data from 2000 to 2017. Descriptive statistics were used to summarise weight recording in terms of patient sociodemographic characteristics, health professional encounters, clinical events, symptoms and diagnoses. Negative binomial regression was used to model the likelihood of having a weight record each year, and Cox regression to the likelihood of repeated weight recording. Results A total of 14,049,871 weight records were identified in the EHR of 4,918,746 patients during the study period, representing 26,998,591 person-years of observation. Around a third of patients had a weight record each year. Forty-nine percent of weight records were repeated within a year with an average time to a repeat weight record of 1.92 years. Weight records were most often taken by nursing staff (38–42%) and GPs (37–39%) as part of a routine clinical care, such as chronic disease reviews (16%), medication reviews (6–8%) and health checks (6–7%), or were associated with consultations for contraception (5–8%), respiratory disease (5%) and obesity (1%). Patient characteristics independently associated with an increased likelihood of weight recording were as follows: female sex, younger and older adults, non-drinkers, ex-smokers, low or high BMI, being more deprived, diagnosed with a greater number of comorbidities and consulting more frequently. The effect of policy-level incentives to record weight did not appear to be sustained after they were removed. Conclusion Weight recording is not a routine activity in UK primary care. It is recorded for around a third of patients each year and is repeated on average every 2 years for these patients. It is more common in females with higher BMI and in those with comorbidity. Incentive payments and their removal appear to be associated with increases and decreases in weight recording.

scholarly journals Leveraging Big Data and Electronic Health Records to Enhance Novel Approaches to Acute Kidney Injury Research and Care

2017 ◽  
Vol 44 (1) ◽  
pp. 68-76 ◽  
Author(s):  
Scott M. Sutherland ◽  
Stuart L. Goldstein ◽  
Sean M. Bagshaw
Keyword(s):  
Acute Kidney Injury ◽  
Electronic Health Records ◽  
Kidney Injury ◽  
Diagnostic Strategy ◽  
Consensus Definition ◽  
Health Records ◽  
Electronic Health ◽  
Predictive Approaches ◽  
Care Improvement ◽  
Injury Research

While acute kidney injury (AKI) has been poorly defined historically, a decade of effort has culminated in a standardized, consensus definition. In parallel, electronic health records (EHRs) have been adopted with greater regularity, clinical informatics approaches have been refined, and the field of EHR-enabled care improvement and research has burgeoned. Although both fields have matured in isolation, uniting the 2 has the capacity to redefine AKI-related care and research. This article describes how the application of a consistent AKI definition to the EHR dataset can accurately and rapidly diagnose and identify AKI events. Furthermore, this electronic, automated diagnostic strategy creates the opportunity to develop predictive approaches, optimize AKI alerts, and trace AKI events across institutions, care platforms, and administrative datasets.

scholarly journals comportamento de busca de informação dos profissionais médicos em um Hospital Universitário Público Brasileiro

2014 ◽  
Vol 8 (1/2) ◽  
Author(s):  
Marcelo Novaes MACHADO ◽  
Ricardo Rodrigues BARBOSA
Keyword(s):  
Information Search ◽  
Information Needs ◽  
Clinical Care ◽  
Professional Role ◽  
University Hospital ◽  
Medical Professionals ◽  
Sources Of Information ◽  
Teaching And Research ◽  
Care Teaching ◽  
Research Activities

This paper describes the information-seeking behavior of medical professionals at a public university hospital, according to the different roles that professionals can take on these institutions, namely physician and teacher, as well as to major tasks associated with them, which are clinical care, teaching and research. The research was conducted at the Hospital of the Federal University of Minas Gerais (HC/UFMG), by applying an electronic questionnaire to medical professionals who have there their clinical care, teaching and research activities. The main information needs of these professionals and the influence of contextual factors, the professional role and the activity performed in the emergence of these needs and in the information search process configuration were identified. The results also show the sources of information most used, electronic sources, the influence of the characteristics of these sources and prior knowledge about them in choosing a particular source, besides the problems commonly encountered by medical professionals in their quest for information. Besides obtaining a profile of activity of medical professionals at the institution, it was also characterized the influence of the professional role and the activity performed in the information retrieval process of these professional setting.

scholarly journals The Digitization of Patient Care: A Review of the Effects of Electronic Health Records on Health Care Quality and Utilization

2019 ◽  
Vol 40 (1) ◽  
pp. 487-500 ◽  
Author(s):  
Hilal Atasoy ◽  
Brad N. Greenwood ◽  
Jeffrey Scott McCullough
Keyword(s):  
Electronic Health Records ◽  
Health Informatics ◽  
Health Care Quality ◽  
Clinical Care ◽  
Academic Research ◽  
Care Quality ◽  
Health Records ◽  
Policy Practice ◽  
Electronic Health ◽  
Cost Implications

Electronic health records (EHRs) adoption has become nearly universal during the past decade. Academic research into the effects of EHRs has examined factors influencing adoption, clinical care benefits, financial and cost implications, and more. We provide an interdisciplinary overview and synthesis of this literature, drawing on work in public and population health, informatics, medicine, management information systems, and economics. We then chart paths forward for policy, practice, and research.

scholarly journals Challenges and Opportunities Faced by Biofield Practitioners in Global Health and Medicine: A White Paper

2015 ◽  
Vol 4 (1_suppl) ◽  
pp. gahmj.2015.024. ◽  
Author(s):  
Erminia Guarneri ◽  
Rauni Prittinen King
Keyword(s):  
Interprofessional Education ◽  
Core Competencies ◽  
Clinical Care ◽  
White Paper ◽  
Current Status ◽  
Integrative Health ◽  
Team Care ◽  
Challenges And Opportunities ◽  
Definition Of ◽  
Professional Licensure

Biofield therapies (BTs) are increasingly employed in contemporary healthcare. In this white paper, we review specific challenges faced by biofield practitioners resulting from a lack of (1) a common scientific definition of BT; (2) common educational standards for BT training (including core competencies for clinical care); (3) collaborative team care education in complementary and alternative medicine (CAM) and in integrative health and medicine (IHM); (4) a focused agenda in BT research; and (5) standardized devices and scientifically validated mechanisms in biofield research. We present a description of BT and discuss its current status and challenges as an integrative healthcare discipline. To address the challenges cited and to enhance collaboration across disciplines, we propose (1) standardized biofield education that leads to professional licensure and (2) interprofessional education (IPE) competencies in BT training required for licensed healthcare practitioners and encouraged for other practitioners using these therapies. Lastly, we discuss opportunities for growth and a potential strategic agenda to achieve these goals. The Academy of Integrative Health and Medicine (AIHM) provides a unique forum to facilitate development of this emerging discipline, to facilitate IPE, and to further increase the availability of BT to patients.

Resident Notes in an Electronic Health Record

2016 ◽  
Vol 56 (3) ◽  
pp. 257-262 ◽  
Author(s):  
Megan Aylor ◽  
Emily M. Campbell ◽  
Christiane Winter ◽  
Carrie A. Phillipi
Keyword(s):  
Focus Group ◽  
Electronic Health Records ◽  
Electronic Health Record ◽  
Medical Documentation ◽  
Health Record ◽  
Health Records ◽  
Resident Perceptions ◽  
Progress Notes ◽  
Electronic Health

Adoption of electronic health records (EHRs) has forced a transition in medical documentation, yet little is known about clinician documentation in the EHR. This study compares electronic inpatient progress notes written by residents pre- and post introduction of standardized note templates and investigates resident perceptions of EHR documentation. A total of 454 resident progress notes pre– and 610 notes post–template introduction were identified. Note length was 263 characters shorter ( P = .004) and mean end time was 73 minutes later ( P < .0001) with new template implementation. In subanalysis of 100 notes, the assessment and plan section was 46 words shorter with the new template ( P < .01). Among survey respondents, 89% liked the new note templates, 78% stated the new templates facilitated note completion. The resident focus group revealed ambivalence toward the EHR’s contribution to note writing. Note templates resulted in shorter notes. Residents appreciate electronic note templates but are unsure if the EHR supports note writing overall.

Implementation and early adaptation of patient-reported outcome measures into an electronic health record: A technical report

2018 ◽  
Vol 26 (1) ◽  
pp. 129-140 ◽  
Author(s):  
Heather Taffet Gold ◽  
Raj J Karia ◽  
Alissa Link ◽  
Rachel Lebwohl ◽  
Joseph D Zuckerman ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Outcome Measures ◽  
Computerized Adaptive Testing ◽  
Clinical Care ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Measurement Information ◽  
Health Record ◽  
Patient Reported ◽  
Electronic Health

We integrated and optimized patient-reported outcome measures into the electronic health record to provide quantitative, objective data regarding patients’ health status, which is important for patient care, payer contracts, and research. With a multidisciplinary team from information technology, clinical informatics, population health, and physician champions, we used formal human–computer interaction techniques and user-centered design to integrate several technology platforms and computerized adaptive testing for the National Institutes of Health Patient-Reported Outcomes Measurement Information System. The patient-reported outcome measure system leverages software frequently used by health systems and provides data for research and clinical care via a mobile-responsive web application using Symfony, with REDCap for configuring assessments and de-identified data storage. The system incorporates Oracle databases and Epic flowsheets. Patients complete patient-reported outcome measures, with data viewable in MyChart and Epic Synopsis Reports. Researchers can access data portals. The highly usable, successful patient-reported outcome measures platform is acceptable to patients and clinicians and achieved 73 percent overall completion rates.

scholarly journals A Foundation for Enterprise Imaging: HIMSS-SIIM Collaborative White Paper

2016 ◽  
Vol 29 (5) ◽  
pp. 530-538 ◽  
Author(s):  
Christopher J. Roth ◽  
Louis M. Lannum ◽  
Kenneth R. Persons
Keyword(s):  
White Paper ◽  
Enterprise Imaging
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