Additional information on participating countries current use of electronic medical and electronic patient records by health care providers

2013 ◽  
pp. 179-184
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Patient Records ◽  
Care Providers ◽  
Electronic Patient Records ◽  
Additional Information

Drs. Russo and Gururaj Reply

PEDIATRICS ◽  
1976 ◽  
Vol 57 (4) ◽  
pp. 576-576
Author(s):  
Raymond M. Russo ◽  
Vymutt J. Gururaj
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Health Care Providers ◽  
Practical Importance ◽  
Outpatient Service ◽  
House Staff ◽  
Patient Records ◽  
Care Providers

The involvement of health care providers, whose patient records are to be reviewed, in evolving a set of audit criteria would appear to be an important compliance determinant. And, while its degree of importance remains to be determined, ideally all providers should be involved in creating self-audit criteria. There is, however, an issue of practical importance that arises when large staffs are to be audited, and particularly when a part of this staff is assigned only temporarily to the outpatient service, e.g., house staff officers or medical students.

Advanced Patient Records: Some Ethical and Legal Considerations Touching Medical Information Space

1993 ◽  
Vol 32 (02) ◽  
pp. 95-103 ◽  
Author(s):  
E.-H. W. Kluge
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Medical Information ◽  
Ethical Issues ◽  
Care Delivery ◽  
Patient Records ◽  
Care Providers ◽  
Physician Patient Relationship ◽  
Resource Base ◽  
Ethical Problems

Abstract:The application of advanced computer-based information technology to patient records presents an opportunity for expanding the informational resource base that is available to health-care providers at all levels. Consequently, it has the potential for fundamentally restructuring the ethics of the physician/patient relationship and the ethos of contemporary health-care delivery. At the same time, the technology raises several important ethical problems. This paper explores some of these implications. It suggests that the fundamental ethical issue at stake in these developments is the status of the electronic record which functions as the analog of the health-care consumer in health-care decision making. Matters such as control and patient dignity are implicated. Other important ethical issues requiring solution include data ownership, data liability, informed consent to use and retrieval, security and access. The paper suggests that the ethical problems that arise cannot be solved in piecemeal fashion and on a purely national basis. They should be addressed in a coordinated international fashion and receive appropriate legal expression in the relevant countries and be incorporated into appropriate codes of ethics.

Bedside Treatment Decisions: An Evaluation of the Factors Physicians Take into Consideration When Making Complex Rationing Decisions

2020 ◽  
Vol 1 (1) ◽  
pp. 9-17
Author(s):  
Judith Trarbach ◽  
Stephan Schosser ◽  
Bodo Vogt
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Treatment Method ◽  
Treatment Decisions ◽  
Daily Basis ◽  
Final Decision ◽  
Care Providers ◽  
Additional Information ◽  
Rationing Decision ◽  
The Needy

Background: The budget limitations that are imposed on health care providers often force caregivers to become rationers, and physicians are required to select which patients receive treatments and which go without on a daily basis. This involves making highly complex decisions, and physicians are required to evaluate both relevant and irrelevant parameters to ensure the final decision is sound. Objective: This research examined which of seven parameters physicians used to make rational decisions as to which of a group of five patients in need received treatment. Method: An experiment was conducted in which the decision relevance of objective parameters and additional information about the needy, such as gender or smoking habits, were investigated. Results and conclusion: The findings indicated that physicians focus on central disease-related criteria very well and, thus, arrive at a comprehensive rationing decision, even in complex situations.

Online Medical Records: A Decade of Experience

1999 ◽  
Vol 38 (04/05) ◽  
pp. 308-312 ◽  
Author(s):  
D. Z. Sands ◽  
D. M. Rind ◽  
C. Safran
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Medical Center ◽  
Work Flow ◽  
Care Providers ◽  
Electronic Patient Records ◽  
Face To Face ◽  
Care Services ◽  
Practice Of Medicine

AbstractThe electronic patient record at the Beth Israel Deaconess Medical Center has fundamentally changed the practice of medicine in ways that its developers never foresaw. This type of highly interactive and work flow enabled program is creating new collaborative roles for computers in complex organizations [4]. With the system able to supervise and monitor care, computers are able to perform many care coordination and documentation functions, freeing people to concentrate more on interpersonal interactions and provision of health care services. One of the challenges in the design of electronic patient records to assist health care providers is how to support collaboration while not requiring that people meet face-to-face. Moreover, a greater challenge for each of us as clinicians is to use this technology as a bridge (rather than a barrier) towards better patient-doctor relationships.

Patient Confidentiality Statutes in Medicare & Medicaid Fraud Investigations

1987 ◽  
Vol 13 (1) ◽  
pp. 105-137
Author(s):  
Dina Khajezadeh
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Patient Information ◽  
Medical Records ◽  
Court Decisions ◽  
Patient Records ◽  
Care Providers ◽  
Confidential Information ◽  
Right Of Privacy ◽  
Physician Patient

AbstractThe Medicare and Medicaid programs have been burdened with health care providers’ fraudulent and abusive practices since their implementation in 1965. To help states discover and prevent Medicare and Medicaid fraud, Congress has enacted statutes permitting access to patients’ medical records in investigations of fraud. The majority of states have enacted physician-patient and psychotherapist-patient privilege statutes to protect confidential information from disclosure. Thus, the state's need for patient information conflicts with the patient's right of privacy. This Note discusses several court decisions that have wrestled with the tension between these two policies. The courts, after balancing the state interest in eliminating fraud against the patient's privacy interest, have often allowed disclosure of patient medical records. Although some courts have attempted to limit the extent of the information disclosed, few have set forth explicit standards to protect patient records from unwarranted disclosure of confidential information. This Note suggests guidelines for courts, legislatures and health care providers to uniformly limit the extent of this disclosure.

A Review into E-Health Services and Therapies

2013 ◽  
pp. 267-279
Author(s):  
Alice Good ◽  
Arunasalam Sambhanthan
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Patient Records ◽  
Care Providers ◽  
Health It ◽  
The Impact

E-health has expanded hugely over the last fifteen years and continues to evolve, providing greater benefits for patients, health care professionals, and providers alike. The technologies that support these systems have become increasingly more sophisticated and have progressed significantly from standard databases, used for patient records, to highly advanced Virtual Reality (VR) systems for the treatment of complex mental health illnesses. The scope of this chapter is to initially explore e-health, particularly in relation to technologies supporting the treatment and management of wellbeing in mental health. It then provides a case study of how technology in e-health can lend itself to an application that could support and maintain the wellbeing of people with a severe mental illness. The case study uses Borderline Personality Disorder as an example, but could be applicable in many other areas, including depression, anxiety, addiction, and PTSD. This type of application demonstrates how e-health can empower the individuals using it but also potentially reduce the impact upon health care providers and services.

De eHealthMonitor: een bevraging naar het gebruik van eHealth bij zorgverleners en patiënten

2022 ◽  
Author(s):  
E. Steenberghs ◽  
A. Georges ◽  
D. Schuurman
Keyword(s):  
Health Care ◽  
General Practitioners ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Online Survey ◽  
Target Group ◽  
Patient Records ◽  
Care Providers ◽  
Target Groups

The eHealthMonitor: a survey on the use of eHealth in health care professionals and patients The idea behind eHealth is to manage patient records more efficiently and to communicate more easily with other health care providers or patients. However, the implementation of eHealth has not always gone smoothly, leading to dissatisfaction of the health care providers, who should use the applications. Therefore, it is important to monitor the use, satisfaction and attitudes of health care providers towards eHealth applications and the digitisation of health care. To this end, the eHealthMonitor was established. This article discusses the results of the first eHealthMonitor, which focused on 5 target groups of health care providers (general practitioners, specialists, pharmacists, nurses and caretakers) and patients. Each target group was invited to complete a specific online survey from October until December 2019. A total of 9.428 respondents were reached.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

Interdisciplinary Therapy Assessments for the Older Adult

2012 ◽  
Vol 17 (1) ◽  
pp. 11-16
Author(s):  
Lynn Chatfield ◽  
Sandra Christos ◽  
Michael McGregor
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Standardized Testing ◽  
Health Care Providers ◽  
Outcome Measurement ◽  
Care Providers ◽  
Patient Centered ◽  
Screening Process ◽  
Evidenced Based ◽  
Changing Economy

In a changing economy and a changing industry, health care providers need to complete thorough, comprehensive, and efficient assessments that provide both an accurate depiction of the patient's deficits and a blueprint to the path of treatment for older adults. Through standardized testing and observations as well as the goals and evidenced-based treatment plans we have devised, health care providers can maximize outcomes and the functional levels of patients. In this article, we review an interdisciplinary assessment that involves speech-language pathology, occupational therapy, physical therapy, and respiratory therapy to work with older adults in health care settings. Using the approach, we will examine the benefits of collaboration between disciplines, an interdisciplinary screening process, and the importance of sharing information from comprehensive discipline-specific evaluations. We also will discuss the importance of having an understanding of the varied scopes of practice, the utilization of outcome measurement tools, and a patient-centered assessment approach to care.

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