24. ELECTRONIC HEALTH RECORD SYSTEMS IN AUSTRALIA & NEW ZEALAND SH/HIV/HEP C/WOMEN'S HEALTH CLINICS 2006 - A PILOT PROJECT

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 293
Author(s):  
J. Chuah ◽  
W. Fankhauser ◽  
M. Page ◽  
B. Dickson
Keyword(s):  
Sexual Health ◽  
Electronic Health Record ◽  
Women’S Health ◽  
Women's Health ◽  
Response Rate ◽  
Small Sample ◽  
Health Record ◽  
Priority List ◽  
It Support ◽  
Electronic Health

Objective: This pilot study examined the utility pattern of electronic health record & clinic management systems in the region. Methods: An anonymous one-paged survey form was sent either by email or facsimile to 100 randomly selected public & private Sexual Health/ HIV/ Hep C/ Women's Health/ GP (High Case Load ) listed in the Australasian Chapter of Sexual Health Medicine Register of Public SH Clinics 2006 and the ASHM Directory 2006-2007. Responses on the clinics activities & utility for 2006 were collated. Results: Response rate = 20% N = 20 clinics Mean Occasion of service (OS) = 4812 MedianOS = 4150 (Range 162-20 000) 25% of clinics provided estimated figures only Mean No. tests done = 5467 Median = 5474 (Range 224-20 000) Nature of Clinics: SH 81.3% FP/Women's Health 18.8% GP 6.3% Other 6.3% Clinic Software: SHIP 50% Other 25% Nil 25% Regular Reports: None 62.5% Daily 37.1% Weekly 6.4% Monthly 37.5% Quarterly 31.5% Annually 43.8% QA 37.5% Research 31.3% Automatic Results download: Yes 43.8% No, plan to 25% No Plan 12.5% Unsure 18.7% Hours of training provided to staff on clinic software: mean 61.8 hrs median 1 h (Range 0-500) Funding allocated for clinic IT support in 2007: None 37.5% Unsure 56.3% Yes 6.25% (Max $6000) Funding allocated for IT support in next 3-5 yrs: None 100% Discussion: Limitations of study: Small sample (100/355 clinics) and limited response rate (20%), the latter may indicate that issues of eHealth have not featured in the priority list of most clinics surveyed, as evident in the poor level of funding (>90% none or unsure) and training (median 1 h for 2006) allocations. Others trends and issues include: low ratio of utility compared to the functionality of the softwares & technology available; competing interests of policy & privacy etc. will be discussed with recommendations proffered.

The Electronic Health Record to Support Women's Health

2009 ◽  
pp. 65-76 ◽  
Author(s):  
Emma Parry
Keyword(s):  
Electronic Health Record ◽  
Women’S Health ◽  
Women's Health ◽  
Health Informatics ◽  
Clinical Information System ◽  
Future Research ◽  
Health Record ◽  
Data Accessibility ◽  
Middleware Technology ◽  
Electronic Health

The seamless electronic health record is often hailed as the holy grail of health informatics. What is an electronic health record? This question is answered and consideration is given to the advantages and disadvantages of an electronic health record. The place of the electronic health record at the centre of a clinical information system is discussed. In expanding on the advantages several areas are covered including: analysis of data, accessibility and availability, and access control. Middleware technology and its place are discussed. Requirements for implementing a system and some of the issues that can arise in the field of women’s health are elucidated. Finally, in this exciting and fast moving field, future research is discussed.

The Electronic Health Record to Support Women’s Health

2011 ◽  
pp. 1581-1591
Author(s):  
Emma Parry
Keyword(s):  
Electronic Health Record ◽  
Women’S Health ◽  
Women's Health ◽  
Health Informatics ◽  
Clinical Information System ◽  
Future Research ◽  
Health Record ◽  
Data Accessibility ◽  
Middleware Technology ◽  
Electronic Health

The seamless electronic health record is often hailed as the holy grail of health informatics. What is an electronic health record? This question is answered and consideration is given to the advantages and disadvantages of an electronic health record. The place of the electronic health record at the centre of a clinical information system is discussed. In expanding on the advantages several areas are covered including: analysis of data, accessibility and availability, and access control. Middleware technology and its place are discussed. Requirements for implementing a system and some of the issues that can arise in the field of women’s health are elucidated. Finally, in this exciting and fast moving field, future research is discussed.

High uptake of shared electronic health records among HIV-infected patients at an Australian sexual health clinic

Sexual Health ◽  
2016 ◽  
Vol 13 (4) ◽  
pp. 393
Author(s):  
Bianca Farrugia Parsons ◽  
Nathan Ryder
Keyword(s):  
Sexual Health ◽  
Electronic Health Record ◽  
Health Information ◽  
Demographic Characteristics ◽  
Health Clinic ◽  
Health Record ◽  
High Uptake ◽  
Health Records ◽  
Electronic Health ◽  
Medical Record Audit

The uptake of an opt-in system for integrating the health information of HIV-infected patients of an Australian sexual health clinic into the regional shared electronic health record (EHR) is described. A medical record audit was performed to determine the number and demographic characteristics of HIV-infected patients in the study’s sexual health clinic opting in and out of inclusion in the regional shared EHR. The majority of these HIV-infected patients (70%, 95% CI: 58–79%) took up the option of including their HIV-related records into the regional shared electronic health record.

scholarly journals An Information Systems Model of the Determinants of Electronic Health Record Use

2013 ◽  
Vol 04 (02) ◽  
pp. 185-200 ◽  
Author(s):  
S. Khan ◽  
M. Millery ◽  
A. Campbell ◽  
J. Merrill ◽  
S. Shih ◽  
...  
Keyword(s):  
Information Systems ◽  
Electronic Health Record ◽  
User Satisfaction ◽  
Ease Of Use ◽  
Health Record ◽  
System Quality ◽  
Care Providers ◽  
Systems Model ◽  
It Support ◽  
Electronic Health

SummaryObjectives: The prominence given to universal implementation of electronic health record (EHR) systems in U.S. health care reform, underscores the importance of devising reliable measures of factors that predict medical care providers’ use of EHRs. This paper presents an easily administered provider survey instrument that includes measures corresponding to core dimensions of DeLone and McClean’s (D & M) model of information system success.Methods: Study data came from self-administered surveys completed by 460 primary care providers, who had recently begun using an EHR.Results: Based upon assessment of psychometric properties of survey items, a revised D&M causal model was formulated that included four measures of the determinants of EHR use (system quality, IT support, ease of use, user satisfaction) and five indicators of provider beliefs about the impact on an individual’s clinical practice. A structural equation model was estimated that demonstrated a high level of inter-correlation between the four scales measuring determinants of EHR use. All four variables had positive association with each of the five individual impact measures. Consistent with our revised D&M model, the association of system quality and IT support with the individual impact measures was entirely mediated by ease of use and user satisfaction.Conclusions: Survey research provides important insights into provider experiences with EHR. Additional studies are in progress to investigate how the variables constructed for this study are related to direct measures of EHR use.Citation: Messeri P, Khan S, Millery M, Campbell A, Merrill J, Shih S, Kukafka R. An information systems model of the determinants of electronic health record use. Appl Clin Inf 2013; 4: 185–200http://dx.doi.org/10.4338/ACI-2013-01-RA-0005

Acceptance of Electronic Health Records in Traditional Malay Medicine: An Exploratory Prototyping Approach

2021 ◽  
Vol 13 (4) ◽  
Author(s):  
Raja Rina Raja Ikram ◽  
◽  
Mohd Khanapi Abd Ghani ◽  
Lizawati Salahuddin ◽  
Mohd Hariz Mohd Naim ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Electronic Health Record ◽  
Medication Error ◽  
Women's Health ◽  
Modern Medicine ◽  
Patient Data ◽  
Health Record ◽  
Health Records ◽  
Constructive Feedback ◽  
Electronic Health

The usage of electronic health records is widely used today in the modern medicine field due to its immense benefits. These benefits include and are not limited to allowing physician to access a patient’s chart remotely, provide alerts to a potential medication error and critical lab values. However, the usage of this technology in Traditional Malay Medicine is limited. This paper explores the acceptance usage of electronic health records in Traditional Malay Medicine in five healthcare organisations including private Traditional Malay Medicine practitioners in Malaysia. This research utilizes the exploratory prototyping approach where a prototype, MyPostnatalSys is developed and used to gain constructive feedback of the acceptance of electronic health records. MyPostnatalSys, an electronic health record prototype, was developed for integrating Traditional Malay Medicine and Modern Medicine services using an interoperability standard, HL7. The purpose of interoperability standards is to ensure patient data can be transmitted across multi-platform systems seamlessly. The results show that more than 90% respondents have shown a positive acceptance on the usage of electronic health records in Traditional Malay Medicine. However, there may exist some resistance in accepting electronic health records technology in private Traditional Malay Medicine practitioners. However Traditional Malay practitioners trained by a government led initiative for women’s health, Mamacare programme, are more open to accept the implementation. This shows that upskilling programmes such as Mamacare can reduce the barriers of acceptance in electronic health records in Traditional Malay practitioners.

scholarly journals Pilot Study of iPad Incorporation Into Graduate Medical Education

2013 ◽  
Vol 5 (1) ◽  
pp. 142-144 ◽  
Author(s):  
Mark J. Lobo ◽  
Edwin F. Crandley ◽  
Jake S. Rumph ◽  
Susan E. Kirk ◽  
Neal E. Dunlap ◽  
...  
Keyword(s):  
Pilot Study ◽  
Electronic Health Record ◽  
Data Entry ◽  
Virtual Private Network ◽  
Health Record ◽  
Security Risks ◽  
It Support ◽  
Electronic Health ◽  
Private Network ◽  
The University

Abstract Background Increased documentation and charting requirements are challenging for residents, given duty hour limits. Use of mobile electronic devices may help residents complete these tasks efficiently. Objective To collect initial data on usage rates, information technology (IT) support requirements, and resident use of iPads during training. Methods In this pilot study, we provided 12 residents/fellows from various specialties at the University of Virginia with an iPad with IT support. The system used a virtual private network with access to the institution's electronic health record. Participants were allowed to develop their own methods and systems for personalized iPad use, and after 9 months they provided data on the utility of the iPad. Feedback from the IT team also was obtained. Results Average iPad use was 2.1 h/d (range, 0.5–6 h/d). The average self-reported reduction in administrative work due to the iPad was 2.7 h/wk (range, 0–9 h/wk). A total of 75% (9 of 12) of the users would recommend universal adoption among residents and fellows. More than 90% (11 of 12) of users reported the iPad would improve communication for coordination of care. A total of 68% (8 of 12) of users reported that an iPad facilitated their activities as educators of medical students and junior residents. Residents cited slow data entry into the electronic health record and hospital areas lacking Wi-Fi connectivity as potential drawbacks to iPad use. The IT team reported minimal support time for device setup, maintenance, and upgrades, and limited security risks. Conclusions The iPad may contribute to increased clinical efficiency, reduced hours spent on administrative tasks, and enhanced educational opportunities for residents, with minimal IT support.

Real-world incidence, duration, and severity of treatment-emergent (TE) neutropenia among patients (pts) with metastatic breast cancer (MBC) treated with ribociclib (RIB) or palbociclib (PAL).

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e13048-e13048
Author(s):  
Lee S. Schwartzberg ◽  
Juan Pablo Zarate ◽  
David Chandiwana ◽  
Chu-Ling Yu ◽  
Sanjeev Balu ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Real World ◽  
Rate Ratio ◽  
Small Sample ◽  
Administrative Claims ◽  
Health Record ◽  
Real World Data ◽  
World Data ◽  
Electronic Health ◽  
Grade 3

e13048 Background: Neutropenia is the most common adverse event following administration of CDK4/6 inhibitors RIB and PAL for hormone receptor–positive (HR+) MBC. There are limited comparative real-world data on TE neutropenia in pts receiving these agents. Here we report incidence, duration, and severity data on TE neutropenia in such pts from an electronic health record dataset and administrative claims. Methods: This retrospective study comprised 2 mutually exclusive cohorts of pts with MBC receiving RIB or PAL. Pts were matched 1:1 based on age and year of treatment start. Prior baseline activity of ≥6 mo was required. The MarketScan claims databases was used to evaluate incidence rates of TE neutropenia from Jan 1, 2015, to Dec 31, 2018, in pts receiving RIB or PAL. Rate ratio was calculated using a Poisson model. Data on neutropenia severity and duration were obtained from Optum de-identified Electronic Health Record dataset. Neutropenia severity was defined by neutrophil counts from lab tests (grade 1/2, 1000- < 1500/μL; grade 3, 500- < 1000/μL; grade 4 < 500/μL) within the first 180 days of treatment. Neutropenia duration was estimated using Kaplan-Meier analysis and defined as the time between first abnormal neutrophil result and a lab result demonstrating neutropenia resolution. Results: After 1:1 matching, 152 pts from the MarketScan database were included in both the PAL and RIB cohorts; 168 matched pts were included from the Optum dataset. Neutropenia was reported in 38 pts (25%) in the PAL group and 25 pts (17%) in the RIB group. The rate of neutropenia per person–treatment year was 0.5 (95% CI, 0.4-0.7) in PAL pts vs 0.4 (95% CI, 0.3-0.6) in RIB pts. The rate ratio of neutropenia between treatments (PAL vs RIB) was 1.4 (95% CI, 0.8-2.3), which was not statistically significant, likely due to small sample size. Rates of neutropenia by severity with PAL vs RIB were 32% vs 32% for grade 1/2, 35% vs 26% for grade 3, and 4% vs 4% for grade 4, respectively. The rate ratio for grade 3 or grade 4 neutropenia (PAL vs RIB) was 1.3 (95% CI, 0.9-1.8). Median neutropenia duration was 29 vs 20 days ( P< .01) with PAL vs RIB. Conclusions: Treatment of HR+ MBC with RIB and PAL requires optimal management of TE neutropenia. Real-world data showed that pts with MBC receiving PAL had a numerically higher rate of neutropenia than pts receiving RIB. Rates of grade 3 neutropenia were higher with PAL vs RIB, and duration of neutropenia was longer with PAL vs RIB. Economic burden analyses of neutropenia will be presented.

scholarly journals Electronic health record–integrated approach for collection of patient-reported outcome measures: a retrospective evaluation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maggie E. Horn ◽  
Emily K. Reinke ◽  
Richard C. Mather ◽  
Jonathan D. O’Donnell ◽  
Steven Z. George
Keyword(s):  
Electronic Health Record ◽  
Outcome Measures ◽  
Response Rate ◽  
Response Rates ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Health Record ◽  
Preliminary Evaluation ◽  
Patient Reported ◽  
Electronic Health

Abstract Background The integration of Patient Reported Outcome Measures (PROMs) into clinical care presents many challenges for health systems. PROMs provide quantitative data regarding patient-reported health status. However, the most effective model for collecting PROMs has not been established. Therefore the purpose of this study is to report the development and preliminary evaluation of the standardized collection of PROMs within a department of orthopedic surgery at a large academic health center. Methods We utilized the Users’ Guide to Integrating Patient-Reported Outcomes in Electronic Health Records by Gensheimer et al., 2018 as a framework to describe the development of PROMs collection initiative. We framed our initiative by operationalizing the three aspects of PROM collection development: Planning, Selection, and Engagement. Next, we performed a preliminary evaluation of our initiative by assessing the response rate of patients completing PROMs (no. of PROMs completed/no. of PROMs administered) across the entire department (18 clinics), ambulatory clinics only (14 clinics), and hospital-based clinics only (4 clinics). Lastly, we reported on the mean response rates for the top 5 and bottom 5 orthopaedic providers to describe the variability across providers. Results We described the development of a fully-integrated, population health based implementation strategy leveraging the existing resources of our local EHR to maximize clinical utility of PROMs and routine collection. We collected a large volume of PROMs over a 13 month period (n = 10,951) across 18 clinical sites, 7 clinical specialties and over 100 providers. The response rates varied across the department, ranging from 29 to 42%, depending on active status for the portal to the electronic health record (MyChart). The highest single provider mean response rate was 52%, and the lowest provider rate was 13%. Rates were similar between hospital-based (26%) and ambulatory clinics (29%). Conclusions We found that our standardized PROMs collection initiative, informed by Gensheimer et al., achieved scope and scale, but faced challenges in achieving a high response rate commensurate with existing literature. However, most studies reported a targeted recruitment strategy within a narrow clinical population. Further research is needed to elucidate the trade-off between scalability and response rates in PROM collection initiatives.

Business: The Electronic Health Record: Front Line Experience

2011 ◽  
Vol 21 (1) ◽  
pp. 18-22
Author(s):  
Rosemary Griffin
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Electronic Health Record ◽  
Financial Incentives ◽  
Best Practice ◽  
Health Care Systems ◽  
The United States ◽  
Health Record ◽  
Health Trends ◽  
Electronic Health

National legislation is in place to facilitate reform of the United States health care industry. The Health Care Information Technology and Clinical Health Act (HITECH) offers financial incentives to hospitals, physicians, and individual providers to establish an electronic health record that ultimately will link with the health information technology of other health care systems and providers. The information collected will facilitate patient safety, promote best practice, and track health trends such as smoking and childhood obesity.

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