Electronic Health Record Reminders for Chlamydia Screening in an American Indian Population

2020 ◽  
pp. 003335492097094
Author(s):  
Michael Sang Hughes ◽  
Andria Apostolou ◽  
Brigg Reilley ◽  
Jessica Leston ◽  
Jeffrey McCollum ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
Health Care Providers ◽  
Chlamydia Screening ◽  
Health Record ◽  
Care Providers ◽  
Female Patients ◽  
Screening Performance ◽  
Electronic Health ◽  
Clinical Departments

Objectives Indian Health Service (IHS) screening rates for Chlamydia trachomatis are lower than national rates of chlamydia screening in the Southwest. We describe and evaluate the effect of a public health intervention consisting of electronic health record (EHR) reminders to alert health care providers to screen for chlamydia at an IHS facility. We also conducted an awareness presentation among health care providers on chlamydia screening. Methods We conducted our intervention from November 1, 2013, through October 31, 2015, at an IHS facility in the Southwest. We implemented algorithms that queried database values to assess chlamydia screening performance in 6 clinical departments. We presented data on the screening performance of clinical departments and health care providers (de-identified) in the awareness presentations. We re-queried database values 1 and 2 years after implementation of the EHR reminder intervention to evaluate before-and-after screening rates, comparing data among all patients and among female patients only. Results We found small, sustained relative increases in chlamydia screening rates during the 2012-2015 evaluation period: 20.8% pre-intervention to 24.9% and 24.2% one and two years postintervention, respectively, across all patients; 32.3% preintervention to 36.6% and 35.6% one and two years postintervention, respectively, among female patients. Increases in clinical department–specific screening rates varied and were most prominent in internal medicine (35.8% preintervention to peak 65.8% postintervention). The 1 clinic (obstetrics–gynecology) that did not receive an awareness presentation showed a consistent downward trend in screening rates, although absolute rates were consistently higher in that clinic than in other clinics. Conclusions Awareness presentations that offer feedback to health care providers on screening performance, heighten provider awareness of the importance of chlamydia screening, and promote development of novel provider-initiated screening protocols may help to increase screening rates when combined with EHR reminders.

Electronic Health Records in Developing Countries: The Role Of Intelligent Devices

2020 ◽  
Vol 27 (1) ◽  
Author(s):  
O Kalesanwo ◽  
SO Kuyoro ◽  
D Aleburu ◽  
VO Nwaocha ◽  
AA Adenrele
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Electronic Health Record ◽  
Health Care Providers ◽  
Intelligent Systems ◽  
Easy Access ◽  
Health Record ◽  
Care Providers ◽  
Intelligent Devices ◽  
Electronic Health

The collection and storing of medical records pertaining to the health status of patients in an electronic form so as to allow; easy access, information sharing and making better medical decisions among other things is known as an Electronic Health Record (EHR). Data generated by health care providers from patient‟s diagnosis, prescription, health monitoring and other health related issues were basically kept on paper. However, the rapid proliferation of data has led to the advancement of effective management of these data to help bring about better decision making and also improvement in health care delivery. This paper highlights the importance of EHR, its role in delivering better health care and the development of a nation, taking cognizance of its adoption level in both the developed and developing countries. Strategic solution of integrating intelligent devices (Chatbots and glass) to burgeon the implementation of EHR so as to improve the overall health care of the populace of developing nations was proposed. Keywords: Electronic Health Record, Intelligent systems, Chatbots, Glass

Words Matter

2016 ◽  
Vol 85 (1) ◽  
pp. 123-130 ◽  
Author(s):  
Rachael Spalding ◽  
Elissa Kozlov ◽  
Brian D. Carpenter
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
Health Care Providers ◽  
Subsequent Treatment ◽  
Health Record ◽  
Care Providers ◽  
Linguistic Features ◽  
Palliative Care Consultation ◽  
Care Consultation ◽  
Electronic Health

Palliative care consultation teams (PCCTs) provide input to other health-care providers working with patients who have life-limiting disease. This study examines whether the diction and phrasing of consultation recommendations in the electronic health record influence their implementation. We reviewed 288 verbatim PCCT recommendations that were made for 111 unique patients in a Veterans Affairs hospital and available in the electronic health record. Recommendations were coded for linguistic features, such as the presence of conditionals (e.g., “could”) and tentative phrasing (e.g., “would suggest”). Each patient’s subsequent treatment was followed in the medical record to determine whether PCCT recommendations were implemented. Only 57% of the consultation recommendations were eventually implemented. Recommendations that included a conditional word or phrase were significantly less likely to be implemented. In particular, recommendations that included the words “could” and “consider” were less likely to be implemented. PCCTs may enhance their effectiveness by attending to the subtle pragmatics of how they communicate with other health-care providers, particularly in electronic communication where nonverbal features of communication are unavailable.

Mastering Electronic Health Record in Global Health Care

2017 ◽  
pp. 222-242 ◽  
Author(s):  
Kijpokin Kasemsap
Keyword(s):  
Health Care ◽  
Global Health ◽  
Electronic Health Record ◽  
Health Care Providers ◽  
Clinical Decision ◽  
Health Record ◽  
Care Providers ◽  
Global Health Care ◽  
Electronic Health ◽  
The One

This chapter describes the overview of electronic health record (EHR); the trends and issues with EHR; EHR and clinical decision support system (CDSS); the trust and privacy concerns of EHR systems; and the significance of EHR in global health care. EHR systems are very important in health care settings and have the potential to transform the health care system from a mostly paper-based industry to the one that utilizes the clinical data and other pieces of information to assist health care providers in delivering the higher quality of care to their patients. EHRs and their ability to electronically exchange health information can help health care providers effectively provide higher quality and safer care for patients while creating tangible enhancements in global health care.

Naming Notes: Transitions from Free Text to Structured Entry

1995 ◽  
Vol 34 (01/02) ◽  
pp. 57-67 ◽  
Author(s):  
J. Gregory ◽  
J. E. Mattison ◽  
C. Linde
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
Health Care Providers ◽  
Medical Records ◽  
Care Delivery ◽  
Free Text ◽  
Development Effort ◽  
Health Record ◽  
Care Providers ◽  
Electronic Health

Abstract:To practice medicine in the near future, health care providers in the USA need an information infrastructure they do not yet have. We offer a contribution from social science research to discussions of current medical records practices and how health care activity systems may be transformed by the advent of electronic health records. The goal of the paper is to set forth a framework that connects over-arching questions concerning medical informatics systems development with the practical, cultural and conceptual issues involved in transitions from handwritten and other free text documentation to structured entry of medical records to build patient profiles. The research is broadly framed by an interest in how reciprocal modifications of the design and use of an electronic health record are negotiated in an iterative prototyping project. It is conducted as part of a complex multi-disciplinary research and development effort to create an electronic health record prototype for use in the integrated health care delivery environment of the Southern California Kaiser Permanente Medical Care Program.

scholarly journals Pattern of Use of Electronic Health Record (EHR) among the Chronically Ill: A Health Information National Trend Survey (HINTS) Analysis

2021 ◽  
Vol 18 (14) ◽  
pp. 7254
Author(s):  
Rose Calixte ◽  
Sumaiya Islam ◽  
Zainab Toteh Osakwe ◽  
Argelis Rivera ◽  
Marlene Camacho-Rivera
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
Health Care Providers ◽  
Medical Records ◽  
Chronically Ill ◽  
Health Record ◽  
Provider Communication ◽  
Care Providers ◽  
Patient Portals ◽  
Electronic Health

Effective patient–provider communication is a cornerstone of patient-centered care. Patient portals provide an effective method for secure communication between patients or their proxies and their health care providers. With greater acceptability of patient portals in private practices, patients have a unique opportunity to manage their health care needs. However, studies have shown that less than 50% of patients reported accessing the electronic health record (EHR) in a 12-month period. We used HINTS 5 cycle 1 and cycle 2 to assess disparities among US residents 18 and older with any chronic condition regarding the use of EHR for secure direct messaging with providers, to request refills, to make clinical decisions, or to share medical records with another provider. The results indicate that respondents with multimorbidity are more likely to share their medical records with other providers. However, respondents who are 75 and older are less likely to share their medical records with another provider. Additionally, respondents who are 65 and older are less likely to use the EHR for secure direct messaging with their provider. Additional health care strategies and provider communication should be developed to encourage older patients with chronic conditions to leverage the use of patient portals for effective disease management.

Mastering Electronic Health Record in Global Health Care

2017 ◽  
pp. 1091-1111
Author(s):  
Kijpokin Kasemsap
Keyword(s):  
Health Care ◽  
Global Health ◽  
Electronic Health Record ◽  
Health Care Providers ◽  
Clinical Decision ◽  
Health Record ◽  
Care Providers ◽  
Global Health Care ◽  
Electronic Health ◽  
The One

This chapter describes the overview of electronic health record (EHR); the trends and issues with EHR; EHR and clinical decision support system (CDSS); the trust and privacy concerns of EHR systems; and the significance of EHR in global health care. EHR systems are very important in health care settings and have the potential to transform the health care system from a mostly paper-based industry to the one that utilizes the clinical data and other pieces of information to assist health care providers in delivering the higher quality of care to their patients. EHRs and their ability to electronically exchange health information can help health care providers effectively provide higher quality and safer care for patients while creating tangible enhancements in global health care.

scholarly journals MHS Genesis Implementation: Strategies in Support of Successful EHR Conversion

2020 ◽  
Vol 185 (9-10) ◽  
pp. e1520-e1527
Author(s):  
Edward W Woody II
Keyword(s):  
Literature Review ◽  
Electronic Health Record ◽  
Health Care Providers ◽  
Change Theory ◽  
The United States ◽  
Theory Of Change ◽  
Health Record ◽  
Care Providers ◽  
Factors Associated ◽  
Electronic Health

Abstract Introduction The Military Health System (MHS) is implementing a new electronic health record (EHR) which will impact 9.5 million Department of Defense (DoD) beneficiaries and over 205,000 MHS employees globally. The scale and scope of this EHR rollout is unprecedented; however, lessons learned from previous rollouts across smaller contexts in tandem with Kurt Lewin’s Change Theory provide insights into critical success factors (CSFs) and critical barriers to implementation (CBIs) in which leadership may leverage to streamline future go-live efforts. Materials and Methods The researcher conducted a narrative literature review to identify breadth of knowledge currently available surrounding EHR implementation and change management. A Boolean search of UMGC OneSearch was conducted utilizing the search string “electronic health record* OR EHR* AND change* AND implement*” which resulted in 7,084 results. Additional inclusion criteria and limiters were then applied to these results which included full-text, scholarly, and published journal articles, written in English from January 2009 to November 2019, from Europe, the United States, and Canada, in health and medicine, military history and science, and social science and humanities disciplines. 758 articles were identified through database searching. A cursory review of titles and abstracts for goodness of fit eliminated an additional 696 articles leaving 62 for full review. 18 of these articles were used for the final literature review. Through snowballing as well as Google Scholar, eight additional articles were identified and included. Finally, as a result of MHS Genesis being a new, government-backed EHR, the researcher also utilized three pieces of gray literature and non-peer-reviewed articles from professional websites, and three articles for background regarding Lewin’s Theory of Change bringing the total references to 32. Results The manuscript uncovered two main themes regarding organizational change and EHR implementation. The first theme, coined CSF, includes factors associated with positive outcomes in implementing EHRs. The three CSFs are Process Change Champions, Training, and Feedback, and definitions can be found in Table I. The second theme identified, coined CBI, includes factors associated with hindering EHR implementation. The three CBIs are Technophobia, Resistance from Leaders/Providers, and Insufficient Communication, and definitions can be found in Table II. Conclusions By operationalizing pre-identified CSFs and CBIs, leaders of the MHS are able to streamline future waves of MHS Genesis rollouts utilizing Kurt Lewin’s Change Theory and the newly crafted Conceptual Framework of MHS Genesis Implementation presented in Figure 1. Through full acceptance and use of CSFs, adapting to feedback and barriers, and dynamically adjusting strategies, the challenges associated with a large-scale phased EHR implementation can be minimized. The results and implications of this literature review are significant as the MHS Genesis rollout is still in its infancy and evidence-based best practices can still be executed. MHS Genesis continues to be phase implemented and currently only the Pacific Northwest and parts of California have gone operational. Increasing efficiency in this process provides a benefit to stakeholders at all levels: health care providers, patients, leadership, and taxpayers.

From maternity paper hand-held records to electronic health records: what do women tell us about their use?

2016 ◽  
Vol 22 (4) ◽  
pp. 339 ◽  
Author(s):  
Glenda Hawley ◽  
Julie Hepworth ◽  
Shelley A. Wilkinson ◽  
Claire Jackson
Keyword(s):  
Electronic Health Record ◽  
Health Care Providers ◽  
Qualitative Content Analysis ◽  
Phase 1 ◽  
Antenatal Visit ◽  
Health Record ◽  
Phase 2 ◽  
Care Providers ◽  
Structured Interviews ◽  
Electronic Health

The paper hand-held record (PHR) has been used extensively in general practice (GP) shared care management of pregnant women, and recently, the first Mater Shared Electronic Health Record (MSEHR) was introduced. The aim of this qualitative study was to examine women’s experiences using the records and the contribution of the records to integrate care. At the 36-week antenatal visit in a maternity tertiary centre clinic, women were identified as a user of either the PHR or the MSEHR and organised into Phase 1 and Phase 2 studies respectively. Fifteen women were interviewed in Phase 1 and 12 women in Phase 2. Semi-structured interviews were used for data collection, and analysed using qualitative content analysis. Four main themes were identified: (1) purpose of the record, (2) perceptions of the record; (3) content of the record, and (4) sharing the record. Findings indicate that the PHR is a well-liked maternity tool. The findings also indicate there is under-usage of the MSEHR due to health-care providers failing to follow up and discuss the option of using the electronic health record option or if a woman has completed the log-in process. This paper adds to an already favourable body of knowledge about the use of the PHR. It is recommended that continued implementation of the MSEHR be undertaken to facilitate its use.

scholarly journals Measuring prevailing practices of healthcare professional on electronic health record through the lens of Iraq

2021 ◽  
Vol 10 (2) ◽  
pp. 970-977
Author(s):  
Murtaja Ali Saare ◽  
Alia Ahmed Mahdi ◽  
Saima Anwar Lashari ◽  
Sari Ali Sari ◽  
Norhamreeza Abdul Hamid
Keyword(s):  
Electronic Health Record ◽  
Technology Acceptance ◽  
Health Care Providers ◽  
Professional Staff ◽  
Ease Of Use ◽  
Equation Modeling ◽  
Health Record ◽  
Care Providers ◽  
Main Hospital ◽  
Electronic Health

Paper based approach to clinical documentation such as handwritten notes among health care providers are cause of errors in medical field. Therefore, health record system needs to be replaced with electronic health record (EHR). Many health professionals in developing countries specifically in Iraq refuse to use the systems implemented for their benefits due to many reasons. Thus, the use of electronic services is important for successful electronic health implementations. Therefore, this study is intended to identify the main factors affecting the intention of use of the electronic health record in Iraq. Health professional staff who work in the main hospital in Dhi-Qar is chosen because this province is the first local province that implemented many electronic projects. The present study examined use of user acceptance of technology, based on the technology acceptance model (TAM). Moreover, the quantitative method approach for data collection using survey from staff who work in the main hospital in Dhi-Qar. Data was analyzed using Structural Equation Modeling using AMOS. The results indicated significant relationship between Ease of Use, Usefulness, Usefulness, Attitude, and Intention of use of EHR. These finding have implementation for decision makers in Iraq government to improve future implementation of e-health services.

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