Utilizing Health Information Technology to Support Universal Healthcare Delivery: Experience of a National Healthcare System

2015 ◽  
Vol 21 (9) ◽  
pp. 742-747 ◽  
Author(s):  
Shabbir Syed-Abdul ◽  
Min-Huei Hsu ◽  
Usman Iqbal ◽  
Jeremiah Scholl ◽  
Chih-Wei Huang ◽  
...  
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Healthcare System ◽  
Healthcare Delivery ◽  
Universal Healthcare ◽  
National Healthcare ◽  
National Healthcare System

Where do Technology-Induced Errors Come From? Towards a Model for Conceptualizing and Diagnosing Errors Caused by Technology

2010 ◽  
pp. 148-166 ◽  
Author(s):  
Elizabeth M. Borycki ◽  
Andre W. Kushniruk
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Medical Errors ◽  
Medical Error ◽  
Healthcare Delivery

Borycki, Elizabeth M.; Kushniruk, Andre W. Health information technology has the potential to greatly improve healthcare delivery. Indeed, in recent years many have argued that introduction of information technology will be essential in order to decrease medical error and increase healthcare safety. In this chapter we review some of the evidence that has accumulated indicating the positive benefits of health information technology for improving safety in healthcare. However, a number of recent studies have indicated that if systems are not designed and implemented properly health information technology may actual inadvertently result in new types of medical errors—technology-induced errors. In this chapter we discuss where such error may arise and propose a model for conceptualizing and diagnosing technology-induced error so that the benefits of technology can be achieved while the likelihood of the occurrence of technology-induced medical error is reduced.

A Bounded Health Information Technology System Design Approach to Support Community-Based Care Delivery

2015 ◽  
Vol 5 (1) ◽  
pp. 32-45 ◽  
Author(s):  
Liam Peyton ◽  
Jaspreet Bindra ◽  
Aladdin Baarah ◽  
Austin Chamney ◽  
Craig Kuziemsky
Keyword(s):  
Information Technology ◽  
Cloud Computing ◽  
System Design ◽  
Health Information Technology ◽  
Health Information ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Systems Design ◽  
Community Based ◽  
Mobile Form

Health information technology (HIT) offers great potential for supporting healthcare delivery, particularly collaborative care delivery that is provided across multiple settings and providers. To date much of HIT design has focused on digitizing data or processes on a departmental or healthcare provider basis. However, this bounded approach has not scaled well for supporting community based care across disparate providers or settings because of the lack of boundaries (e.g. disprate data and processes) that exist in community based care. Cloud computing approaches that leverage mobile form applications for developing integrated HIT solutions have the potential to support collaborative healthcare delivery in the community. However, to date there is a shortage of methods that describe how to develop integrated cloud computing solutions to support community based care delivery. In particular there is a need for methods that identify how to incorporate boundaries into cloud computing systems design. This paper uses a three year case study of the design of the Palliative Care Information System (PAL-IS) to provide system design insight on cloud computing approaches that leverage mobile forms applications to support community care management.

The Application of Data Mining Techniques in Health Plan Population Management

2008 ◽  
pp. 1799-1809 ◽  
Author(s):  
Theodore L. Perry ◽  
Travis Tucker ◽  
Laurel R. Hudson ◽  
William Gandy ◽  
Amy L. Neftzger ◽  
...  
Keyword(s):  
Data Mining ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Health Informatics ◽  
Healthcare Delivery ◽  
Data Sets ◽  
Data Intensive ◽  
Technology Industry ◽  
American Medical Informatics Association

Healthcare has become a data-intensive business. Over the last 30 years, we have seen significant advancements in the areas of health information technology and health informatics as well as healthcare modeling and artificial intelligence techniques. Health informatics, which is the science of health information,1 has made great progress during this period (American Medical Informatics Association). Likewise, data mining, which has been generally defined as the application of technology and statistical/mathematical methods to uncover relationships and patterns between variables in data sets, has experienced noteworthy improvements in computer technology (e.g., hardware and software) in addition to applications and methodologies (e.g., statistical and biostatistical techniques such as neural networks, regression analysis, and classification/segmentation methods) (Kudyba & Hoptroff, 2001). Though health informatics is a relatively young science, the impact of this area on the health system and health information technology industry has already been seen, evidenced by improvements in healthcare delivery models, information systems, and assessment/diagnostic tools.

A Bounded Health Information Technology System Design Approach to Support Community-Based Care Delivery

Oncology ◽  
2017 ◽  
pp. 187-202
Author(s):  
Liam Peyton ◽  
Jaspreet Bindra ◽  
Aladdin Baarah ◽  
Austin Chamney ◽  
Craig E. Kuziemsky
Keyword(s):  
Information Technology ◽  
Cloud Computing ◽  
System Design ◽  
Health Information Technology ◽  
Health Information ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Systems Design ◽  
Community Based ◽  
Technology System

Health information technology (HIT) offers great potential for supporting healthcare delivery, particularly collaborative care delivery that is provided across multiple settings and providers. To date much of HIT design has focused on digitizing data or processes on a departmental or healthcare provider basis. However, this bounded approach has not scaled well for supporting community based care across disparate providers or settings because of the lack of boundaries (e.g. disprate data and processes) that exist in community based care. Cloud computing approaches that leverage mobile form applications for developing integrated HIT solutions have the potential to support collaborative healthcare delivery in the community. However, to date there is a shortage of methods that describe how to develop integrated cloud computing solutions to support community based care delivery. In particular there is a need for methods that identify how to incorporate boundaries into cloud computing systems design. This paper uses a three year case study of the design of the Palliative Care Information System (PAL-IS) to provide system design insight on cloud computing approaches that leverage mobile forms applications to support community care management.

Health Information Technology

2019 ◽  
Author(s):  
Jordan Everson ◽  
Melinda Beeuwkes Buntin
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Delivery System ◽  
Healthcare Delivery ◽  
Healthcare Organizations ◽  
Healthcare Delivery System ◽  
Learning Health System ◽  
Adoption And Diffusion ◽  
The Impact

The potential for health information technology (HIT) to reshape the information-intensive healthcare industry has been recognized for decades. Nevertheless, the adoption and use of IT in healthcare has lagged behind other industries, motivating governments to take a role in supporting its use to achieve envisioned benefits. This dynamic has led to three major strands of research. Firstly, the relatively slow and uneven adoption of HIT, coupled with government programs intended to speed adoption, has raised the issue of who is adopting HIT, and the impact of public programs on rates of adoption and diffusion. Secondly, the realization of benefits from HIT appears to be occurring more slowly than its proponents had hoped, leading to an ongoing need to empirically measure the effect of its use on the quality and efficiency of healthcare as well as the contexts under which benefits are best realized. Thirdly, increases in the adoption and use of HIT have led to the potential for interoperable exchange of patient information and the dynamic use of that information to drive improvements in the healthcare delivery system; however, these applications require developing new approaches to overcoming barriers to collaboration between healthcare organizations and the HIT industry itself. Intertwined through each of these issues is the interaction between HIT as a tool for standardization and systemic change in the practice of healthcare, and healthcare professionals’ desire to preserve autonomy within the increasingly structured healthcare delivery system. Innovative approaches to improve the interactions between professionals, technology, and market forces are therefore necessary to capitalize on the promise of HIT and develop a continually learning health system.

scholarly journals Meeting the challenge: Health information technology’s essential role in achieving precision medicine

2021 ◽  
Author(s):  
Teresa Zayas-Cabán ◽  
Kevin J Chaney ◽  
Courtney C Rogers ◽  
Joshua C Denny ◽  
P Jon White
Keyword(s):  
Information Technology ◽  
Precision Medicine ◽  
Health Information Technology ◽  
Health Information ◽  
Clinical Data ◽  
Policy Development ◽  
Healthcare Delivery ◽  
Health It ◽  
Data Infrastructure ◽  
Medicine Research

Abstract Precision medicine can revolutionize health care by tailoring treatments to individual patient needs. Advancing precision medicine requires evidence development through research that combines needed data, including clinical data, at an unprecedented scale. Widespread adoption of health information technology (IT) has made digital clinical data broadly available. These data and information systems must evolve to support precision medicine research and delivery. Specifically, relevant health IT data, infrastructure, clinical integration, and policy needs must be addressed. This article outlines those needs and describes work the Office of the National Coordinator for Health Information Technology is leading to improve health IT through pilot projects and standards and policy development. The Office of the National Coordinator for Health Information Technology will build on these efforts and continue to coordinate with other key stakeholders to achieve the vision of precision medicine. Advancement of precision medicine will require ongoing, collaborative health IT policy and technical initiatives that advance discovery and transform healthcare delivery.

scholarly journals Modernizing health information technology: lessons from healthcare delivery systems

JAMIA Open ◽  
2020 ◽  
Vol 3 (3) ◽  
pp. 369-377
Author(s):  
Joseph Amlung ◽  
Hannah Huth ◽  
Theresa Cullen ◽  
Thomas Sequist
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Qualitative Interviews ◽  
Healthcare Delivery ◽  
Theory Of Change ◽  
Data Conversion ◽  
Resource Constrained ◽  
Technological Infrastructure ◽  
Implementation Challenges

Abstract Objective To identify recurrent themes, insights, and process recommendations from stakeholders in US organizations during the health information technology (HIT) modernization of an existing electronic health record (EHR) to a commercial-off-the-shelf product in both resource-plentiful settings and in a resource-constrained environment, the US Indian Health Service. Materials and Methods Thirteen qualitative interviews with stakeholders in various organizations were conducted about HIT modernization efforts. Using a Theory of Change framework, recurring themes were identified and analyzed. Results The interviewees emphasized the importance of organizational and process revision during modernization, converting historical data, and clinical and leadership involvement. HIT implementation required technological and infrastructure redesign, additional training, and workflow reconfiguration. Motivations for modernization included EHR usability dissatisfaction, revenue enhancements, and improved clinical operations. Decision-making strategies, primarily during HIT selection, included meetings with stakeholders. Successful modernization resulted in improvements in clinical operations, patient experience, and financial outlay. Discussion Existing implementation frameworks fail to provide experiential feedback, such as implementation challenges, like data conversion, regulatory, functionality, and interoperability requirements. Regardless of the healthcare environment, HIT modernization requires the engagement of leadership and end-users during HIT selection and through all stages of the implementation to prepare people, processes, and technology. Organizations must iteratively define the technological, infrastructure, organizational, and workflow changes required for a successful HIT modernization effort. Conclusions HIT modernization is an opportunity for organizational and technological change. Successful modernization requires a comprehensive, intentional, well-communicated, and multidisciplinary approach. Resource-constrained environments have the additional challenges of financial burdens, limited staffing, and unstable infrastructure.

scholarly journals Change management and adoption of health information technology (HIT)/eHealth in public hospitals in Ghana: A qualitative study

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Salifu Yusif ◽  
Abdul Hafeez-Baig ◽  
Jeffrey Soar
Keyword(s):  
Information Technology ◽  
Change Management ◽  
Health Information Technology ◽  
Health Information ◽  
Stakeholder Participation ◽  
Healthcare Delivery ◽  
Public Hospitals ◽  
Senior Managers ◽  
Factors Affecting ◽  
Successful Change

In Ghana, as with other developing countries, there are several health information technology (HIT) initiatives as interventions to improve healthcare delivery. HIT implementation undoubtedly results in change. However, most studies relating to HIT implementation readiness have constantly neglected the role of change in successfully implementing HIT. This study intends to identify factors affecting successful change management as part of preparation towards successfully implementing HIT in public hospital in Ghana. To carry out this study, we conducted in-depth interviews with a matrix of HIT senior managers and thematically analyzed the data. The data was transcribed and uploaded into a Nvivo 11 software for analysis using thematic analysis techniques. Five (5) themes were discovered. They are: 1) Stakeholder participation; 2) Proof of experience in similar project; 3) Availability of committed change agents/all-levels-change representatives; 4) Clearly articulated change implementation strategy; and 5) Training and improvement mechanism (post-implementation). A fresh call is made for more attention to be paid to change as part of preparatory measures towards the adoption of HIT in Ghana using the five cardinal approaches identified as a guide.

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