scholarly journals Capturing health literacy assessment in the electronic health record through evidence-based concept creation: A review of the literature and recommendations for action

2017 ◽  
Vol 25 (3) ◽  
pp. 1025-1037 ◽  
Author(s):  
Ruth E Wetta ◽  
Roberta D Severin ◽  
Heidi Gruhler ◽  
Nate Lewis

Health literacy is the capacity to understand and act upon health-related information and navigate the healthcare system. Published evidence demonstrates a relationship between health literacy and health status. Because of this, there are increasingly calls for a health literacy assessment to be collected and stored in the electronic health record for use by the healthcare team. This article describes the results of a literature review of health literacy assessment instruments with the goal of formulating semantically interoperable concepts that may be used to store the interpretation of the health literacy assessment in the electronic health record. The majority of health literacy instruments could be stored in the electronic health record using a three-concept solution of inadequate, marginal and adequate health literacy. This three-concept solution fully supports semantic interoperability needs across the patient care spectrum.

Author(s):  
Elease McLaurin ◽  
Ellen J. Bass ◽  
Kathryn H. Bowles ◽  
Paulina Sockolow

A study was conducted to investigate how well the design of an electronic health record (EHR) supported the shared understanding of medication-related information between home healthcare team members. EHR data from a home healthcare admission visit was obtained and reviewed for medication-related entries. Entries were characterized based on their location within the EHR interface. The analysis identified 50 different medication-related entries which were distributed across 18 EHR sections. The results highlight opportunities to improve the EHR design to better support a shared understanding between healthcare team members of medication-related information, and patient information more generally.


Author(s):  
Richard I. Levin ◽  
Brianne Warner Alcala

Imagine an appointment with a new patient. She’s waiting, fidgeting, looking down at her lap. You say hello, introduce yourself, and sit behind the computer. You enter key details into the EHR (electronic health record) as the appointment goes along. “Tell me why you’re here today,” you say. You try listening, but menus keep popping up. The patient launches into her complaints, knowing that time is limited. You type as fast as you can to keep up. Soon, it has been 10 minutes, and you need to wrap things up and move on to the next patient. Did you feel connected to the patient? Did she feel connected to you? Perhaps neither of you made eye contact. Both of you might have left the appointment feeling unsatisfied and unsettled. To feel connected to a patient requires more than being in the same room. In fact, being in the same room may not be essential. Connecting with a patient or another healthcare team member requires humanism—the simple act of being human—and the deliberate acts that accompany it. For those working in telehealth, creating a bond with a patient can be a bit different but no less important or possible than in a physical room.


2017 ◽  
Vol 1 (4) ◽  
pp. e203-e207 ◽  
Author(s):  
Omoye E. Imoisili ◽  
Erik Levinsohn ◽  
Cassie Pan ◽  
Benjamin A. Howell ◽  
Shoshana Streiter ◽  
...  

2011 ◽  
Vol 21 (1) ◽  
pp. 18-22
Author(s):  
Rosemary Griffin

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.


2012 ◽  
Author(s):  
Robert Schumacher ◽  
Robert North ◽  
Matthew Quinn ◽  
Emily S. Patterson ◽  
Laura G. Militello ◽  
...  

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