The Growing Gap in Electronic Medical Record Satisfaction Between Clinicians and Information Technology Professionals

2015 ◽  
Vol 97 (23) ◽  
pp. 1979-1984 ◽  
Author(s):  
James S Shaha ◽  
Mouhanad M El-Othmani ◽  
Jamal K Saleh ◽  
Kevin J Bozic ◽  
James Wright ◽  
...  
Keyword(s):  
Information Technology ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Information Technology Professionals

scholarly journals Meaningful use: an electronic medical record tool for cerebrospinal fluid shunt history

2017 ◽  
Vol 19 (4) ◽  
pp. 391-398 ◽  
Author(s):  
Lance S. Governale ◽  
Jeffrey M. Hoffman
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Meaningful Use ◽  
The United States ◽  
Remote Access ◽  
Information Technology Professionals ◽  
Csf Shunt ◽  
Cerebrospinal Fluid Shunt ◽  
Patient Level ◽  
Vast Range

The care of patients with shunted hydrocephalus can be complicated. The best assessment is provided when all data are available to the neurosurgery practitioner. However, data can be time-consuming to gather, especially in the setting of a busy practice, a trainee environment with duty-hour restrictions, and an electronic medical record (EMR) not specifically designed for the needs of subspecialists. For these reasons, the complete clinical picture, especially the historical component, is sometimes not assembled. To address these shortcomings, the authors created a patient-level electronic CSF shunt history tool that leverages the power of the EMR concordant with the United States Centers for Medicare and Medicaid Services meaningful use principles. It is immediately available within the EMR for all users in all patient care contexts (e.g., outpatient, inpatient, perioperative, emergency, and remote access), centrally located, and designed to capture the vast range of circumstances inherent to the hydrocephalus population. Essential shunt data can be rapidly acquired and, as such, may decrease the likelihood of error in diagnosis and/or treatment. The tool also has the potential to aid the practicing neurosurgeon from clinical, quality improvement, and research standpoints. The authors have endeavored to describe this tool in a manner that would allow an interested neurosurgeon to share this publication with health information technology professionals to facilitate the development of a similar tool within their institution's own EMR platform.

scholarly journals The Implementation of Electronic Medical Record (EMR) in The Development Health Care System in Indonesia

2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Nuke Amalia ◽  
Muh Zul Azhri Rustam ◽  
Anna Rosarini ◽  
Dina Ribka Wijayanti ◽  
Maya Ayu Riestiyowati
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Medical Records ◽  
Health Sector ◽  
Developed Countries ◽  
The United States ◽  
Long Time ◽  
The Cost

The development of information technology is now growing rapidly, including in the health sector. According to WHO, medical record is an important compilation of facts about a patient's life and health. The development of information technology in medical records is the electronic medical record (EMR). Developed countries, such as the United States and Korea have implemented EMR for a long time. In developing countries such as Indonesia, the development of EMR is still in progress because its implementation requires many factors to build a system or replace from manual medical records. Eventually, it is hoped that in the future all health care will use the EMR to resume patient datas from admission to discharge. The purpose of this study is to analyse the implementation and preparation of EMR in health care in Indonesia. This study is a literature review on the implementation and preparation of EMR in health care in Indonesia. The review is dome from 28 literature sources (Google-Scholar database). Total of 8 articles were obtained from 2017 to 2021. The results show that there are benefits after switching to EMR, even though some health care only used EMR in certain units. The highest benefit is reducing the cost of duplicating paper for printing. Also there is still limited human resources and tools for implementing EMR in Indonesia. The implementation of this EMR will enable the improvements of the service quality of the health care itself, especially in Indonesia.

Abstract TP393: Information Technology to Measure and Drive Outcomes for Acute Ischemic Stroke Patients

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Kellie Brendle ◽  
Hao Zhang ◽  
Michelle Turner ◽  
Derek Holder ◽  
Kwan Ng
Keyword(s):  
Information Technology ◽  
Data Collection ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Formal System ◽  
Transitions Of Care ◽  
Treatment Regimens ◽  
It Department ◽  
Data Elements ◽  
Get With The Guidelines

Background: The stroke program did not have a formal system to gather data elements needed for driving processes and measuring outcomes. Abstracting data was done by manually auditing every stroke electronic medical record. Purpose: The purpose was to use technology: To collect data for baseline and benchmarking patient demographics and outcomes. To communicate and educate healthcare professionals and improve processes. Methods: Based on the AHA/ASA Get with the Guidelines (GWTG). We identified and abstracted data from discrete fields in the electronic medical record (EMR). Using Clarity the Information Technology (IT) department built discrete fields in EMR to capture 23 missing fields for GWTG. Manual concurrent review and monthly clarity reports were completed. This data was used retrospectively for benchmarking and prospectively for telemedicine and transition of care follow-up. Results: To keep in alignment with AHA/ASA guidelines for GWTG data collection on the 48 GWTG discrete fields 43 are now automated. Random chart review is completed to validate data abstraction. We now have completed demographic and outcomes data on over 600 patients. Conclusions: In conclusion, the use of IT is a reliable and valid way of abstracting GWTG AIS data to provide benchmarking and process improvement. This IT process facilitates clinical data collection, transmission and communication between providers, enabling modification of treatment regimens and transitions of care.

Utilizing Information Technology and the Electronic Medical Record to Assist Infection Preventionists in Identifying Ventilator-associated Events (VAE's)

2013 ◽  
Vol 41 (6) ◽  
pp. S126-S127
Author(s):  
Paulette M. Sebastian ◽  
Lisa M. Esolen ◽  
Tamara F. Persing ◽  
Amanda Bengier ◽  
Paulette Sebastian ◽  
...  
Keyword(s):  
Information Technology ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Infection Preventionists

scholarly journals Regenstrief teaching electronic medical record (tEMR) platform: a novel tool for teaching and evaluating applied health information technology

JAMIA Open ◽  
2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Blaine Y Takesue ◽  
William M Tierney ◽  
Peter J Embi ◽  
Burke W Mamlin ◽  
Jeff Warvel ◽  
...  
Keyword(s):  
Information Technology ◽  
Health Professional ◽  
Health Information Technology ◽  
Health Information ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Professional Students ◽  
Related Data ◽  
Patient Database ◽  
The Impact

Abstract The objective of this study is to provide an overview of the Regenstrief Teaching Electronic Medical Record (tEMR), how the tEMR could be used, and how it is currently being used in health professions education. The tEMR is a derivative of a real-world electronic health record (EHR), a large, pseudonymized patient database, and a population health tool designed to support curricular goals. The tEMR has been successfully adopted at 12 health professional, public health, and health information technology (HIT) schools, with over 11 800 unique student users and more than 74 000 logins, for case presentation, to develop diagnostic and therapeutic plans, and to practice documentation skills. With the exponential growth of health-related data and the impact of HIT on work-life balance, it is critical for students to get early EHR skills practice and understand how EHR’s work. The tEMR is a promising, scalable, flexible application to help health professional students learn about common HIT tools and issues.

Expanding Scope of Information Technology in Clinical Care

2021 ◽  
pp. 1888-1900
Author(s):  
Gumpeny R. Sridhar
Keyword(s):  
Information Technology ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Clinical Care ◽  
Biochemical Data ◽  
Lifestyle Advice ◽  
Rule Based ◽  
Endocrine Diseases ◽  
Clinical Encounters

Data obtained from clinical encounters can be harnessed with the power and innovation of information technology (IT). This chapter describes the genesis and evolution of an electronic medical record (EMR) system at the Endocrine and Diabetes Centre. The clinical and biochemical data were captured, and rule-based methods implement to provide calculated values, diagnoses, lifestyle advice and diet prescription. The reliability of the system is established by its being in continual use for nearly 30 years containing data on more than 80,000 subjects with endocrine diseases including diabetes. The authors propose ways in which the existing system can be further developed with additional features.

scholarly journals Outcomes of health information technology utilization in nursing homes: Do implementation processes matter?

2020 ◽  
Vol 26 (3) ◽  
pp. 2249-2264
Author(s):  
Darla J Hamann ◽  
Karabi C Bezboruah
Keyword(s):  
Information Technology ◽  
Nursing Homes ◽  
Health Information Technology ◽  
Health Information ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Change Leadership ◽  
Quality Outcomes ◽  
Technology Utilization ◽  
Implementation Processes

We examined several outcomes of health information technology utilization in nursing homes and how the processes used to implement health information technology affected these outcomes. We hypothesized that one type of health information technology, electronic medical records, will improve efficiency and quality-related outcomes, and that the use of effective implementation processes and change leadership strategies will improve these outcomes. We tested these hypotheses by creating an original survey based on the case study literature, which we sent to the top executives of nursing homes in seven US states. The administrators reported that electronic medical record adoption led to moderately positive efficiency and quality outcomes, but its adoption was unrelated to objective quality indicators obtained from regulatory agencies. Improved electronic medical record implementation processes, however, were positively related to administrator-reported efficiency and quality outcomes and to decreased deficiency citations at the next regulatory visit to the nursing home. Change leadership processes did not matter as much as technological implementation processes.

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