scholarly journals Behavioral medicine perspectives on the design of health information technology to improve decision-making, guideline adherence, and care coordination in chronic pain management

2011 ◽  
Vol 1 (1) ◽  
pp. 35-44 ◽  
Author(s):  
Amanda M Midboe ◽  
Eleanor T Lewis ◽  
Ruth C Cronkite ◽  
Dallas Chambers ◽  
Mary K Goldstein ◽  
...  
2015 ◽  
Vol 24 (01) ◽  
pp. 8-10 ◽  
Author(s):  
B. Séroussi ◽  
M.-C. Jaulent ◽  
C. U. Lehmann

Summary Objectives: To provide an editorial introduction to the 2015 IMIA Yearbook of Medical Informatics. Methods: We provide a brief overview of the 2015 special topic “Patient-Centered Care Coordination”, discuss the addition of two new sections to the Yearbook, Natural Language Processing and Public Health & Epidemiology Informatics, and present our editorial plans for the upcoming celebration of the 25th anniversary of the Yearbook. Results: Care delivery currently occurs through the processing of complex clinical pathways designed for increasingly multi-morbid patients by various practitioners in different settings. To avoid the consequences of the fragmentation of services, care should be organized to coordinate all providers, giving them the opportunity to share the same holistic view of the patient’s condition, and to be informed of the planned clinical pathway that establishes the roles and interventions of each one. The adoption and use of electronic health records (EHRs) is a solution to address health information sharing and care coordination challenges. However, while EHRs are necessary, they are not sufficient to achieve care coordination, creating information availability does not mean the information will be accessed. This edition of the Yearbook acknowledges the fact that health information technology (HIT), and EHRs in particular, are not yet fully addressing the challenges in care coordination. Emerging trends, tools, and applications of HIT to support care coordination are presented through the keynote paper, survey papers, and working group contributions. Conclusions: In 2015, the IMIA Yearbook has been extended to emphasize two fields of biomedical informatics through new sections. Next year, the 25th anniversary of the Yearbook will be celebrated in grand style! A special issue with a touch of reflection, a bit of rediscovery, and some “science-fiction” will be published in addition to the usual edition.


Medical Care ◽  
2015 ◽  
Vol 53 (2) ◽  
pp. 184-190 ◽  
Author(s):  
Chun-Ju Hsiao ◽  
Jennifer King ◽  
Esther Hing ◽  
Alan E. Simon

2012 ◽  
Vol 13 (4) ◽  
pp. S106
Author(s):  
A. Hirsh ◽  
N. Hollingshead ◽  
J. Wu ◽  
M. Bair ◽  
M. Matthias ◽  
...  

2013 ◽  
Vol 61 (6) ◽  
pp. 475-489 ◽  
Author(s):  
Pamela F. Cipriano ◽  
Kathryn Bowles ◽  
Maureen Dailey ◽  
Patricia Dykes ◽  
Gerri Lamb ◽  
...  

2015 ◽  
Vol 22 (4) ◽  
pp. 815-820 ◽  
Author(s):  
Joshua E Richardson ◽  
Joshua R Vest ◽  
Cori M Green ◽  
Lisa M Kern ◽  
Rainu Kaushal ◽  
...  

Abstract Objective We investigated ways that patient-centered medical homes (PCMHs) are currently using health information technology (IT) for care coordination and what types of health IT are needed to improve care coordination. Materials and Methods A multi-disciplinary team of researchers conducted semi-structured telephone interviews with 28 participants from 3 PCMHs in the United States. Participants included administrators and clinicians from PCMHs, electronic health record (EHR) and health information exchange (HIE) representatives, and policy makers. Results Participants identified multiple barriers to care coordination using current health IT tools. We identified five areas in which health IT can improve care coordination in PCMHs: 1) monitoring patient populations, 2) notifying clinicians and other staff when specific patients move across care settings, 3) collaborating around patients, 4) reporting activities, and 5) interoperability. To accomplish these tasks, many participants described using homegrown care coordination systems separate from EHRs. Discussion The participants in this study have resources, experience, and expertise with using health IT for care coordination, yet they still identified multiple areas for improvement. We hypothesize that focusing health IT development in the five areas we identified can enable more effective care coordination. Key findings from this work are that homegrown systems apart from EHRs are currently used to support care coordination and, also, that reporting tools are key components of care coordination. Conclusions New health IT that enables monitoring, notifying, collaborating, reporting, and interoperability would enhance care coordination within PCMHs beyond what current health IT enables.


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