Electronic Health Records that Support Health Professional Practice Reflection: A Missed Opportunity in Digital Health (Preprint)

2021 ◽  
Author(s):  
Anna Janssen ◽  
Judy Kay ◽  
Stella Talic ◽  
Martin Pusci ◽  
Robert J. Birnbaum ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Health Professionals ◽  
Digital Health ◽  
Health Records ◽  
Health And Wellbeing ◽  
Electronic Health ◽  
Source Of Information ◽  
Missed Opportunity ◽  
Improve Health

UNSTRUCTURED A foundational component of Digital Health involves collecting and leveraging electronic health data to improve health and wellbeing. One of the central technologies for collecting these data are Electronic Health Records (EHRs). In this Viewpoint we argue that EHRs are a rich source of information on the performance of health professionals and healthcare teams that could be harnessed to support practice reflection and behaviour change. We contextualise the intersection between Digital Health and data-driven practice reflection, including providing an overview of the role of EHRs underpinning technology innovation in healthcare. Subsequently we advocate for designers of EHRs to give more consideration to the value of these systems for supporting practice reflection by health professionals.

Negotiating stigma in health care: disclosure and the role of electronic health records

2015 ◽  
Vol 24 (3) ◽  
pp. 227-241 ◽  
Author(s):  
Timothy Stablein ◽  
Joseph Lorenzo Hall ◽  
Chauna Pervis ◽  
Denise L. Anthony
Keyword(s):  
Health Care ◽  
Electronic Health Records ◽  
Health Records ◽  
Electronic Health

scholarly journals Designing Decentralized Ledger Technology for Electronic Health Records

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Vikram Dhillon
Keyword(s):  
Electronic Health Records ◽  
Open Source ◽  
Digital Health ◽  
Health Records ◽  
Distributed Ledger ◽  
Distributed Ledger Technology ◽  
Electronic Health

No abstract available. Editor’s note: A proposal to implement distributed ledger technology for electronic health records is outlined here. The rationale for integration of distributed ledgers in the healthcare domain is introduced, followed by a discussion of the features enabled by the use of a blockchain. An open source implementation of a distributed ledger is then presented. The article concludes with an examination of opportunities and challenges ahead in deploying blockchains for digital health.

The Impact of the Global, Extensible Electronic Health Record

2011 ◽  
pp. 3-13 ◽  
Author(s):  
David W. Forslund ◽  
David G. Kilman
Keyword(s):  
Electronic Health Records ◽  
Negative Impact ◽  
Global Scale ◽  
Global Perspective ◽  
Health Records ◽  
Technological Advances ◽  
The World ◽  
Electronic Health ◽  
The Impact

With the arrival of the “World Wide Web,” we have witnessed a transition toward a truly global perspective with respect to electronic health records. In recent years, much more discussion has focused on the potential for international virtual electronic health records and what is required for them to become a reality in the world today (Kilman & Forslund, 1997). As the Internet becomes more ubiquitous and Web-enabled, we see access to electronic health records using these technologies becoming more commonplace. Even so, these Web-enabled health records still remain technologically isolated from other medical records in the distributed continuum of care; much of the standardization challenge still stands before us. We have witnessed startling technological advances, but we still face considerable obstacles to the goal of having globally standardized electronic health records. In this chapter we describe some of the issues associated with Web-enabled health records, the role of standards in the evolution of Web-enabled health records, and some of the barriers to the development of globally accessible electronic health records. We discuss possible ways to overcome these barriers and the kinds of benefits and opportunities that global health records will help provide. The global scale perspective makes more evident the very real and potentially tragic consequences of prolonged and unnecessary delays in deploying these technologies. Therefore, in an effort to promote a fuller consciousness of health safety, the chapter concludes with a comparative look at the negative impact of impediments in the movement toward global extensible electronic health records.

scholarly journals The Role of Perceived Usefulness and Attitude on Electronic Health Record Acceptance

2014 ◽  
Vol 5 (4) ◽  
pp. 108-119 ◽  
Author(s):  
Randike Gajanayake ◽  
Tony Sahama ◽  
Renato Iannella
Keyword(s):  
Electronic Health Records ◽  
Healthcare Professionals ◽  
Polynomial Regression ◽  
Perceived Usefulness ◽  
Intention To Use ◽  
Information And Communications Technologies ◽  
Health Records ◽  
Communications Technologies ◽  
Electronic Health

Information and communications technologies are a significant component of the healthcare domain, and electronic health records play a major role in it. Therefore, it is important that they are accepted en masse by healthcare professionals. How healthcare professionals perceive the usefulness of electronic health records and their attitudes towards them have been shown to have significant effects on the overall acceptance in many healthcare systems around the world. This paper investigates the role of perceived usefulness and attitude on the intention to use electronic health records by future healthcare professionals using polynomial regression with response surface analysis. Results show that the relationships between these variables are more complex than predicted in prior research. The paper concludes that the properties of the above determinants must be further investigated to clearly understand: (i) their role in predicting the intention to use electronic health records; and (ii) in designing systems that are better adopted by healthcare professionals of the future.

scholarly journals Documentation of social determinants in electronic health records with and without standardized terminologies: A comparative study

2018 ◽  
Vol 28 (1) ◽  
pp. 39-47 ◽  
Author(s):  
Karen A Monsen ◽  
Joyce M Rudenick ◽  
Nicole Kapinos ◽  
Kathryn Warmbold ◽  
Siobhan K McMahon ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Free Text ◽  
Snomed Ct ◽  
Health Records ◽  
Behavioral Determinants ◽  
Omaha System ◽  
Standardized Terminology ◽  
Electronic Health ◽  
Data Elements ◽  
Improve Health

Background: Electronic health records (EHRs) are a promising new source of population health data that may improve health outcomes. However, little is known about the extent to which social and behavioral determinants of health (SBDH) are currently documented in EHRs, including how SBDH are documented, and by whom. Standardized nursing terminologies have been developed to assess and document SBDH. Objective: We examined the documentation of SBDH in EHRs with and without standardized nursing terminologies. Methods: We carried out a review of the literature for SBDH phrases organized by topic, which were used for analyses. Key informant interviews were conducted regarding SBDH phrases. Results: In nine EHRs (six acute care, three community care) 107 SBDH phrases were documented using free text, structured text, and standardized terminologies in diverse screens and by multiple clinicians, admitting personnel, and other staff. SBDH phrases were documented using one of three standardized terminologies ( N = average number of phrases per terminology per EHR): ICD-9/10 ( N = 1); SNOMED CT ( N = 1); Omaha System ( N = 79). Most often, standardized terminology data were documented by nurses or other clinical staff versus receptionists or other non-clinical personnel. Documentation ‘unknown’ differed significantly between EHRs with and without the Omaha System (mean = 26.0 (standard deviation (SD) = 8.7) versus mean = 74.5 (SD = 16.5)) ( p = .005). SBDH documentation in EHRs differed based on the presence of a nursing terminology. Conclusions: The Omaha System enabled a more comprehensive, holistic assessment and documentation of interoperable SBDH data. Further research is needed to determine SBDH data elements that are needed across settings, the uses of SBDH data in practice, and to examine patient perspectives related to SBDH assessments.

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