Integrating telehealth in to ‘business as usual’: Is it really possible?

2016 ◽  
Vol 22 (8) ◽  
pp. 499-503 ◽  
Author(s):  
Susan C Jury ◽  
Andrew J Kornberg
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Staff Training ◽  
Web Based ◽  
Face To Face ◽  
Children's Hospital ◽  
Video Consultation ◽  
End To End ◽  
Business As Usual

The Royal Children’s Hospital, Melbourne, began offering web-based telehealth video consultation in 2011, with the principle being that telehealth should be integrated into ‘business as usual’. In telehealth literature, key differences between telehealth and in-person consultations can make this hard to achieve, so an audit was performed that revealed many small gaps in the process. A total of 125 telehealth appointments were booked during the study period. Of these, 13% ( n = 16) were rescheduled, cancelled or changed to face-to-face appointments, and up to two main issues were identified for the remaining appointments. Some 69% of the remaining 108 appointments ( n = 75) were completed successfully, with 23% ( n = 25) completely seamless end to end. Overall, 39 issues were administrative (40%), 34 technical (35%) and 24 scheduling (25%); nine (8%) required some minor troubleshooting. For long-term sustainability, integrating telehealth into business as usual needs to remain the target. Scheduling and technical glitches were the main barriers to seamless telehealth. Several issues have now been addressed with the introduction of an electronic medical record, and the development of standardised processes and staff training.

scholarly journals PERANCANGAN SISTEM INFORMASI REKAM MEDIS ELEKTRONIK RAWAT JALAN BERBASIS WEB DI KLINIK GIGI BRIGHT SMILES BALI

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Dewa Made Andika Dwi Prawiradirjo ◽  
Bambang Hadi Kartiko ◽  
Gerson Feoh
Keyword(s):  
Information System ◽  
Life Cycle ◽  
Data Management ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Web Based ◽  
Patient Medical Record ◽  
Code Search ◽  
Development Life Cycle ◽  
Icd 10

ABSTRACT<br />The medical record officer at Bright Smiles Bali Clinic is still having difficulty in the process of<br />managing the data of outpatients because the clinic still using manual system that has not been<br />computerized. So it is necessary to design a web-based electronic medical record information system<br />that can help medical record officer in patient data management process. The method used in the<br />design of this system is the system development life cycle (SDLC) which consists of the planning,<br />analysis, design, implementation, and usage phases. The purpose and benefits of this information<br />system design is to produce a web based outpatient medical record information system at Bright<br />Smiles Bali Clinic.This information system facilitate medical record officer in carrying out patient<br />data management covering patient registration process, recording of patient medical record, doctors<br />data recording, code search on ICD 9 CM, code search on ICD 10. Besides, this information system<br />produces various reports as well as patient medical record information that management needs for<br />decision making.<br />Keywords: Information System, Electronic Medical Record, Outpatient, Web.<br />ABSTRAK<br />Petugas rekam medis di Klinik Gigi Bright Smiles Bali masih kesulitan dalam proses pengelolaan data<br />pasien rawat jalan karena masih menggunakan sistem manual yang belum terkomputerisasi. Maka<br />diperlukan sebuah sistem informasi rekam medis elektronik berbasis web yang dapat membantu<br />petugas rekam medis dalam proses pengelolaan data pasien tersebut. Metode perancangan sistem ini<br />menggunakan siklus hidup pengembangan sistem (Systems Development Life Cycle-SDLC) yang<br />terdiri dari tahap perencanaan, analisis, desain, implementasi, dan penggunaan. Sedangkan tujuan dan<br />manfaat dari perancangan sistem informasi ini yaitu menghasilkan sistem informasi rekam medis<br />elektronik rawat jalan berbasis web di Klinik Gigi Bright Smiles Bali. Dengan adanya sistem informasi<br />ini, dapat memudahkan petugas rekam medis dalam pengelolaan data pasien yang meliputi proses<br />pendaftaran pasien, pencatatan rekam medis pasien rawat jalan, pencatatan data dokter, pencarian kode<br />ICD 9 CM, pencarian kode ICD 10. Selain itu sistem informasi ini menghasilkan berbagai laporanlaporan<br />serta informasi rekam medis pasien yang dibutuhkan pihak manajemen untuk pengambilan<br />keputusan.<br />Kata Kunci : Sistem Informasi, Rekam Medis Elektronik, Rawat Jalan, Web.

Teaching Statistics and Operations Research Online

2010 ◽  
pp. 298-311 ◽  
Author(s):  
A. Juan ◽  
J. Faulin ◽  
P. Fonseca ◽  
C. Steegmann ◽  
L. Pla ◽  
...  
Keyword(s):  
Operations Research ◽  
Online Teaching ◽  
Teaching And Learning ◽  
Online Courses ◽  
Web Based ◽  
Face To Face ◽  
Face To Face Instruction ◽  
Based Instruction

This chapter presents a case study of online teaching in Statistics and Operations Research (OR) at the Open University of Catalonia (UOC). UOC is a purely online university with headquarters in Barcelona, Spain, with students from many countries. As common to most math-related knowledge areas, teaching and learning Statistics and OR present difficult challenges in traditional higher education. These issues are exacerbated in online environments where face-to-face interactions between students and instructors as well as among students themselves are limited or non-existent. Despite these difficulties, as evidenced in the global growth of online course offerings, Web-based instruction offers comparative benefits to traditional face-to-face instruction. While there exists a plethora of literature covering experiences and best practices in traditional face-to-face instruction in mathematics, there is a lack of research describing long-term successful experiences in Statistics and OR online courses. Based on the authors’ experiences during the last decade, this chapter aims to share some insights on how to design and develop successful online courses in these knowledge areas.

scholarly journals What can we do about Dr. Google? Using the electronic medical record (EMR) to prescribe reliable online patient education

2019 ◽  
Vol 107 (4) ◽  
Author(s):  
Ruti Volk ◽  
Nabeel Obeid
Keyword(s):  
Patient Education ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Web Pages ◽  
Uniform Resource Locator ◽  
Web Based ◽  
Medical Library ◽  
It Department ◽  
Virtual Projects ◽  
Online Patient Education

Objective: The project enabled clinicians to utilize the electronic medical record (EMR) to easily prescribe preapproved online patient education resources to their patients.Background: Physicians and other clinicians are concerned about the wide use of “Dr. Google” and the difficulties of responding to patients who demand unproven or unnecessary tests and therapies they found out about on the Internet.Setting/Participants/Resources: Participants were providers at a large health system using Epic EMR. The institution maintains a web-based database that links to print and electronic patient education materials that have been vetted by content experts.Methods: Clinicians worked with librarians to create web pages that link to the resources they recommend for their patients. Librarians collaborated with the information technology (IT) department to implement a solution that enables clinicians to quickly and easily send the uniform resource locator (URL) to the after visit summary (AVS) or as a message via the patient portal.Results: This solution has been implemented in more than 20 units across the institution. Analytics data demonstrate that the majority of patients in a surgery clinic visited recommended resources.Conclusion: This simple solution is effective in directing patients to reliable resources. It can be easily adapted by other institutions using an EMR system such as EPIC or Cerner.Virtual Projects are published on an annual basis in the Journal of the Medical Library Association (JMLA) following an annual call for virtual projects in MLAConnect and announcements to encourage submissions from all types of libraries. An advisory committee of recognized technology experts selects project entries based on their currency, innovation, and contribution to health sciences librarianship.

scholarly journals Cohort profile: protocol and baseline survey for the Shanghai Suburban Adult Cohort and Biobank (SSACB) study

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e035430 ◽  
Author(s):  
Qi Zhao ◽  
Bo Chen ◽  
Ruiping Wang ◽  
Meiying Zhu ◽  
Yueqin Shao ◽  
...  
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Record System ◽  
Baseline Data ◽  
Local Health ◽  
Record System ◽  
Face To Face ◽  
System A ◽  
Registry System ◽  
Medical Record System

PurposeThe Shanghai Suburban Adult Cohort and Biobank (SSACB) was established to identify environmental, lifestyle and genetic risk factors for non-communicable chronic diseases (NCDs) in adults (20–74 years old) living in a suburban area of Shanghai with rapid urbanisation.ParticipantsTwo of eight suburban district were purposely selected according to participant willingness, health service facilities, population, geographic region and electronic medical record system. From these suburban districts, four communities were selected based on economic level and population size. At stage three, one-third of the committees/villages were randomly selected from each community. All residents aged 20–74 years old were invited as study participants.Findings to dateThe baseline data on demographics, lifestyle and physical health-related factors were collected using a face-to-face questionnaire interview. All participants completed physical examinations and had blood and urine tests. Blood and urine samples from these tests were stored in a biobank. From 6 April 2016 through 31 October 2017, we conducted face-to-face interviews and clinical examinations in 44 887 participants: 35 727 from Songjiang District and 9160 from Jiading District. The average age of participants was 56.4±11.2 years in Songjiang and 56.6±10.5 years in Jiading. The prevalence of hypertension, diabetes and dyslipidaemia was 34.0%, 8.2% and 11.1%, respectively.Future plansIn-person surveys will be conducted every 5 years. For annual tracking, baseline data was linked to the local health information system, which was composed of an electronic medical record system, a chronic disease management system, a cancer registry system, an infectious disease report system and a death registry system. The data of the SSACB cohort is located in the School of Public Health, Fudan University. International and domestic collaborative research projects are encouraged and inherent in the project.

ASHA's Documentation Initiative

2008 ◽  
Vol 18 (1) ◽  
pp. 43-44
Author(s):  
Janet Brown
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Working Group ◽  
Web Based ◽  
Electronic Medical Record Systems

This article describes the various audiences of documentation for both clinical and reimbursement purposes and the challenges of developing documentation formats that can meet all those needs. The benefits and limitations of electronic medical record systems are discussed. The American Speech-Language-Hearing Association's Working Group on Documentation's current initiative to develop documentation templates is described, and ASHA Web-based resources are included for reference.

A web based national registry for facial anomalies (DFA) in Bulgaria: An Electronic Medical Record for Facial Anomaly

2017 ◽  
Vol 4 (3) ◽  
pp. 118
Author(s):  
YouriConstantinov Anastassov ◽  
Kostadin Gigov ◽  
ReginaHassan Khater ◽  
RadostVelikova Velikova ◽  
MaryiaStoyanova Kazakova ◽  
...  
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
National Registry ◽  
Web Based ◽  
Facial Anomalies ◽  
Facial Anomaly
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