scholarly journals Best Paper Selection

2017 ◽  
Vol 26 (01) ◽  
pp. 82-83
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Point Of Care ◽  
Personal Health Record ◽  
Pediatric Emergency ◽  
Personal Health ◽  
Genomic Information ◽  
Electronic Personal Health Record ◽  
Quasi Experimental

Bahous MC, Shadmi E. Health information exchange and information gaps in referrals to a pediatric emergency department. Int J Med Inform 2016;87:68-74 https://linkinghub.elsevier.com/retrieve/pii/S1386-5056(15)30078-2 Esmaeilzadeh P, Sambasivan M. Health Information Exchange (HIE): A literature review, assimilation pattern and a proposed classification for a new policy approach. J Biomed Inform 2016;64:74-86 http://www.sciencedirect.com/science/article/pii/S1532046416301241?via%3Dihub Massoudi BL, Marcial LH, Tant E, Adler-Milstein J, West SL. Using health information exchanges to calculate clinical quality measures: A study of barriers and facilitators. Healthc (Amst) 2016;4(2):104-8 https://linkinghub.elsevier.com/retrieve/pii/S2213-0764(15)30057-9 Toscos T, Daley C, Heral L, Doshi R, Chen YC, Eckert GJ, Plant RL, Mirro MJ. Impact of electronic personal health record use on engagement and intermediate health outcomes among cardiac patients: a quasi-experimental study. J Am Med Inform Assoc 2016;23(1):119-28 https://academic.oup.com/jamia/article-lookup/doi/10.1093/jamia/ocv164 Warner JL, Rioth MJ, Mandl KD, Mandel JC, Kreda DA, Kohane IS, Carbone D, Oreto R, Wang L, Zhu S, Yao H, Alterovitz G. SMART precision cancer medicine: a FHIR-based app to provide genomic information at the point of care. J Am Med Inform Assoc 2016;23(4):701-10 https://academic.oup.com/jamia/article-lookup/doi/10.1093/jamia/ocw015

scholarly journals Best Paper Selection

2017 ◽  
Vol 26 (01) ◽  
pp. e3-e4
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Point Of Care ◽  
Personal Health Record ◽  
Pediatric Emergency ◽  
Personal Health ◽  
Genomic Information ◽  
Electronic Personal Health Record ◽  
Quasi Experimental

Bahous MC, Shadmi E. Health information exchange and information gaps in referrals to a pediatric emergency department. Int J Med Inform 2016;87:68-74 https://linkinghub.elsevier.com/retrieve/pii/S1386-5056(15)30078-2 Esmaeilzadeh P, Sambasivan M. Health Information Exchange (HIE): A literature review, assimilation pattern and a proposed classification for a new policy approach. J Biomed Inform 2016;64:74-86 http://www.sciencedirect.com/science/article/pii/S1532046416301241?via%3Dihub Massoudi BL, Marcial LH, Tant E, Adler-Milstein J, West SL. Using health information exchanges to calculate clinical quality measures: A study of barriers and facilitators. Healthc (Amst) 2016;4(2):104-8 https://linkinghub.elsevier.com/retrieve/pii/S2213-0764(15)30057-9 Toscos T, Daley C, Heral L, Doshi R, Chen YC, Eckert GJ, Plant RL, Mirro MJ. Impact of electronic personal health record use on engagement and intermediate health outcomes among cardiac patients: a quasi-experimental study. J Am Med Inform Assoc 2016;23(1):119-28 https://academic.oup.com/jamia/article-lookup/doi/10.1093/jamia/ocv164 Warner JL, Rioth MJ, Mandl KD, Mandel JC, Kreda DA, Kohane IS, Carbone D, Oreto R, Wang L, Zhu S, Yao H, Alterovitz G. SMART precision cancer medicine: a FHIR-based app to provide genomic information at the point of care. J Am Med Inform Assoc 2016;23(4):701-10 https://academic.oup.com/jamia/article-lookup/doi/10.1093/jamia/ocw015

Consumer Support for Health Information Exchange and Personal Health Records: A Regional Health Information Organization Survey

2010 ◽  
Vol 36 (3) ◽  
pp. 1043-1052 ◽  
Author(s):  
Vaishali N. Patel ◽  
Rina V. Dhopeshwarkar ◽  
Alison Edwards ◽  
Yolanda Barrón ◽  
Jeffrey Sparenborg ◽  
...  
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Personal Health Records ◽  
Information Organization ◽  
Personal Health ◽  
Regional Health ◽  
Health Records

scholarly journals Geometric Data Perturbation-Based Personal Health Record Transactions in Cloud Computing

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
S. Balasubramaniam ◽  
V. Kavitha
Keyword(s):  
Cloud Computing ◽  
Key Management ◽  
Information Exchange ◽  
Service Providers ◽  
Health Information Exchange ◽  
Personal Health Record ◽  
Personal Health ◽  
Health Record ◽  
Data Perturbation ◽  
Geometric Data

Cloud computing is a new delivery model for information technology services and it typically involves the provision of dynamically scalable and often virtualized resources over the Internet. However, cloud computing raises concerns on how cloud service providers, user organizations, and governments should handle such information and interactions. Personal health records represent an emerging patient-centric model for health information exchange, and they are outsourced for storage by third parties, such as cloud providers. With these records, it is necessary for each patient to encrypt their own personal health data before uploading them to cloud servers. Current techniques for encryption primarily rely on conventional cryptographic approaches. However, key management issues remain largely unsolved with these cryptographic-based encryption techniques. We propose that personal health record transactions be managed using geometric data perturbation in cloud computing. In our proposed scheme, the personal health record database is perturbed using geometric data perturbation and outsourced to the Amazon EC2 cloud.

scholarly journals Impact of electronic personal health record use on engagement and intermediate health outcomes among cardiac patients: a quasi-experimental study

2016 ◽  
Vol 23 (1) ◽  
pp. 119-128 ◽  
Author(s):  
Tammy Toscos ◽  
Carly Daley ◽  
Lisa Heral ◽  
Riddhi Doshi ◽  
Yu-Chieh Chen ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Health Outcomes ◽  
Body Mass ◽  
Patient Engagement ◽  
Information Exchange ◽  
Personal Health Record ◽  
Personal Health ◽  
Health Record ◽  
Quasi Experimental ◽  
The Impact

Abstract Objectives To determine the impact of tethered personal health record (PHR) use on patient engagement and intermediate health outcomes among patients with coronary artery disease (CAD). Methods Adult CAD patients ( N = 200) were enrolled in this prospective, quasi-experimental observational study. Each patient received a PHR account and training on its use. PHRs were populated with information from patient electronic medical records, hosted by a Health Information Exchange. Intermediate health outcomes including blood pressure, body mass index, and hemoglobin A1c (HbA1c) were evaluated through electronic medical record review or laboratory tests. Trends in patient activation measure® (PAM) were determined through three surveys conducted at baseline, 6 and 12 months. Frequency of PHR use data was collected and used to classify participants into groups for analysis: Low , Active , and Super users. Results There was no statistically significant improvement in patient engagement as measured by PAM scores during the study period. HbA1c levels improved significantly in the Active and Super user groups at 6 months; however, no other health outcome measures improved significantly. Higher PAM scores were associated with lower body mass index and lower HbA1c, but there was no association between changes in PAM scores and changes in health outcomes. Use of the PHR health diary increased significantly following PHR education offered at the 6-month study visit and an elective group refresher course. Conclusions The study findings show that PHR use had minimal impact on intermediate health outcomes and no significant impact on patient engagement among CAD patients.

scholarly journals Best Paper Selection

2018 ◽  
Vol 27 (01) ◽  
pp. 071-073
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Controlled Trial ◽  
Personal Health ◽  
Medication Discrepancies ◽  
Health Records ◽  
Architecture Model ◽  
Randomized Controlled ◽  
Cluster Randomized

Roehrs A, da Costa CA, da Rosa Righi R. OmniPHR: A distributed architecture model to integrate personal health records. J Biomed Inform 2017 Jul;71:70-81 https://www.sciencedirect.com/science/article/pii/S1532046417301089?via%3Dihub Klein DM, Pham K, Samy L, Bluth A, Nazi KM, Witry M, Klutts JS, Grant KM, Gundlapalli AV, Kochersberger G, Pfeiffer L, Romero S, Vetter B, Turvey CL. The veteran-initiated electronic care coordination: a multisite initiative to promote and evaluate consumer-mediated health information exchange. Telemed J E Health 2017 Apr;23(4):264-27 https://www.liebertpub.com/doi/abs/10.1089/tmj.2016.0078?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub%3Dpubmed& Boockvar KS, Ho W, Pruskowski J, DiPalo KE, Wong JJ, Patel J, Nebeker JR, Kaushal R, Hung W. Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial. J Am Med Inform Assoc 2017 Nov 1;24(6):1095-101 https://academic.oup.com/jamia/article-abstract/24/6/1095/3826531?redirectedFrom=fulltext Downing NL, Adler-Milstein J, Palma JP, Lane S, Eisenberg M, Sharp C; Northern California HIE Collaborative, Longhurst CA. Health information exchange policies of 11 diverse health systems and the associated impact on volume of exchange. J Am Med Inform Assoc 2017 Jan;24(1):113-22 https://academic.oup.com/jamia/article/24/1/113/2631458

scholarly journals Development of a Mobile Personal Health Record Application Designed for Emergency Care in Korea; Integrated Information from Multicenter Electronic Medical Records

2020 ◽  
Vol 10 (19) ◽  
pp. 6711 ◽  
Author(s):  
Yuri Choi ◽  
June-sung Kim ◽  
In Ho Kwon ◽  
Taerim Kim ◽  
Su Min Kim ◽  
...  
Keyword(s):  
Emergency Care ◽  
Medical Records ◽  
Information Exchange ◽  
Health Information Exchange ◽  
System Development ◽  
Personal Health Record ◽  
Health Data ◽  
Mobile App ◽  
Personal Health ◽  
Tertiary Hospitals

Collecting patient’s medical data is essential for emergency care. Although hospital-tethered personal health records (PHRs) can provide accurate data, they are not available as electronic information when the hospital does not develop and supply PHRs. The objective of this research was to evaluate whether a mobile app can assemble health data from different hospitals and enable interoperability. Moreover, we identified numerous barriers to overcome for putting health data into one place. The new mobile PHR (mPHR) application was developed and evaluated according to the four phases of the system development life cycle: defining input data and functions, developing a prototype, developing a mobile application, and implementation testing. We successfully introduced the FirstER (First for Emergency Room) platform on 23 September 2019. Additionally, validation in three tertiary hospitals has been carried out since the launch date. From 14 October to 29 November 2019, 1051 cases registered with the FirstER, and the total download count was 15,951 records. We developed and successfully implemented the mPHR service, which can be used as a health information exchange tool in emergency care, by integrating medical records from three different tertiary hospitals. By recognizing the significance and limitations of this service, it is necessary to study the development and implementation of mPHR services that are more suitable for emergency care.

scholarly journals How could health information exchange better meet the needs of care practitioners?

2014 ◽  
Vol 05 (04) ◽  
pp. 861-877 ◽  
Author(s):  
R. Kaushal ◽  
J.R. Vest ◽  
P. Kierkegaard
Keyword(s):  
New York ◽  
Health Information ◽  
Patient Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Point Of Care ◽  
New York State ◽  
Multiple Sources ◽  
Healthcare Organizations ◽  
York State

SummaryBackground: Health information exchange (HIE) has the potential to improve the quality of health-care by enabling providers with better access to patient information from multiple sources at the point of care. However, HIE efforts have historically been difficult to establish in the US and the failure rates of organizations created to foster HIE have been high.Objectives: We sought to better understand how RHIO-based HIE systems were used in practice and the challenges care practitioners face using them. The objective of our study were to so investigate how HIE can better meet the needs of care practitioners.Methods: We performed a multiple-case study using qualitative methods in three communities in New York State. We conducted interviews onsite and by telephone with HIE users and non-users and observed the workflows of healthcare professionals at multiple healthcare organizations participating in a local HIE effort in New York State.Results: The empirical data analysis suggests that challenges still remain in increasing provider usage, optimizing HIE implementations and connecting HIE systems across geographic regions. Important determinants of system usage and perceived value includes users experienced level of available information and the fit of use for physician workflows.Conclusions: Challenges still remain in increasing provider adoption, optimizing HIE implementations, and demonstrating value. The inability to find information reduced usage of HIE. Healthcare organizations, HIE facilitating organizations, and states can help support HIE adoption by ensuring patient information is accessible to providers through increasing patient consents, fostering broader participation, and by ensuring systems are usable.Citation: Kierkegaard P, Kaushal R, Vest JR. How could health information exchange better meet the needs of care practitioners? Appl Clin Inf 2014; 5: 861–877http://dx.doi.org/10.4338/ACI-2014-06-RA-0055

scholarly journals Preparing Nursing Homes for the Future of Health Information Exchange

2015 ◽  
Vol 06 (02) ◽  
pp. 248-266 ◽  
Author(s):  
M. Rantz ◽  
C. Galambos ◽  
A. Vogelsmeier ◽  
M. Flesner ◽  
L. Popejoy ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Use Cases ◽  
Personal Health Information ◽  
Personal Health ◽  
Structured Interviews ◽  
Resident Care ◽  
External Stakeholders

SummaryObjective: Our purpose was to describe how we prepared 16 nursing homes (NHs) for health information exchange (HIE) implementation.Background: NH HIE connecting internal and external stakeholders are in their infancy. U.S. initiatives are demonstrating HIE use to increase access and securely exchange personal health information to improve patient outcomes.Method: To achieve our objectives we conducted readiness assessments, performed 32 hours of clinical observation and developed 6 use cases, and conducted semi-structured interviews with 230 participants during 68 site visits to validate use cases and explore HIE.Results: All 16 NHs had technology available to support resident care. Resident care technologies were integrated much more with internal than external stakeholders. A wide range of technologies were accessible only during administrative office hours. Six non-emergent use cases most commonly communicated by NH staff were: 1) scheduling appointments, 2) laboratory specimen drawing, 3) pharmacy orders and reconciliation, 4) social work discharge planning, 5) admissions and pre-admissions, and 6) pharmacy-medication reconciliation. Emerging themes from semi-structured interviews about use cases included: availability of information technology in clinical settings, accessibility of HIE at the point of care, and policies/procedures for sending/receiving secure personal health information.Conclusion: We learned that every facility needed additional technological and human resources to build an HIE network. Also, use cases help clinical staff apply theoretical problems of HIE implementation and helps them think through the implications of using HIE to communicate about clinical care.Citation: Alexander GL, Rantz M, Galambos C, Vogelsmeier A, Flesner M, Popejoy L, Mueller J, Shumate S, Elvin M. Preparing nursing homes for the future of health information exchange. Appl Clin Inf 2015; 6: 248–266http://dx.doi.org/10.4338/ACI-2014-12-RA-0113

Low-income, ethnically diverse consumers' perspective on health information exchange and personal health records

2011 ◽  
Vol 36 (4) ◽  
pp. 233-252 ◽  
Author(s):  
Vaishali N. Patel ◽  
Rina V. Dhopeshwarkar ◽  
Alison Edwards ◽  
Yolanda Barron ◽  
Antonios Likourezos ◽  
...  
Keyword(s):  
Health Information ◽  
Low Income ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Ethnically Diverse ◽  
Personal Health Records ◽  
Personal Health ◽  
Health Records

scholarly journals The Potential of Blockchain Technology for Health Information Exchange: Experimental Study From Patients’ Perspectives (Preprint)

2019 ◽  
Author(s):  
Pouyan Esmaeilzadeh ◽  
Tala Mirzaei
Keyword(s):  
Health Care ◽  
Health Information ◽  
Information Exchange ◽  
Health Care Organizations ◽  
Health Information Exchange ◽  
Health Care Industry ◽  
Personal Health Information ◽  
Personal Health ◽  
Web Based ◽  
Blockchain Technology

BACKGROUND Nowadays, a number of mechanisms and tools are being used by health care organizations and physicians to electronically exchange the personal health information of patients. The main objectives of different methods of health information exchange (HIE) are to reduce health care costs, minimize medical errors, and improve the coordination of interorganizational information exchange across health care entities. The main challenges associated with the common HIE systems are privacy concerns, security risks, low visibility of system transparency, and lack of patient control. Blockchain technology is likely to disrupt the current information exchange models utilized in the health care industry. OBJECTIVE Little is known about patients’ perceptions and attitudes toward the implementation of blockchain-enabled HIE networks, and it is still not clear if patients (as one of the main HIE stakeholders) are likely to opt in to the applications of this technology in HIE initiatives. Thus, this study aimed at exploring the core value of blockchain technology in the health care industry from health care consumers’ views. METHODS To recognize the potential applications of blockchain technology in health care practices, we designed 16 information exchange scenarios for controlled Web-based experiments. Overall, 2013 respondents participated in 16 Web-based experiments. Each experiment described an information exchange condition characterized by 4 exchange mechanisms (ie, direct, lookup, patient-centered, and blockchain), 2 types of health information (ie, sensitive vs nonsensitive), and 2 types of privacy policy (weak vs strong). RESULTS The findings show that there are significant differences in patients’ perceptions of various exchange mechanisms with regard to patient privacy concern, trust in competency and integrity, opt-in intention, and willingness to share information. Interestingly, participants hold a favorable attitude toward the implementation of blockchain-based exchange mechanisms for privacy protection, coordination, and information exchange purposes. This study proposed the potentials and limitations of a blockchain-based attempt in the HIE context. CONCLUSIONS The results of this research should be of interest to both academics and practitioners. The findings propose potential limitations of a blockchain-based HIE that should be addressed by health care organizations to exchange personal health information in a secure and private manner. This study can contribute to the research in the blockchain area and enrich the literature on the use of blockchain in HIE efforts. Practitioners can also identify how to leverage the benefit of blockchain to promote HIE initiatives nationwide.

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