Health informatics - Person-owned document repository for PHR applications and health information exchange

Objective: To summarize the recent literature and research and present a selection of the best papers published in 2017 in the field of Health Information Management (HIM) and Health Informatics. Methods: A systematic review of the literature was performed by the two HIM section editors of the International Medical Informatics Association (IMIA) Yearbook with the help of a medical librarian. We searched bibliographic databases for HIM-related papers using both MeSH descriptors and keywords in titles and abstracts. A shortlist of 15 candidate best papers was first selected by section editors before being peer-reviewed by independent external reviewers. Results: Health Information Exchange was a major theme within candidate best papers. The four papers ultimately selected as ‘Best Papers’ represent themes that include health information exchange, governance and policy issues, results of health information exchange, and methods of integrating information from multiple sources. Other articles within the candidate best papers include these themes as well as those focusing on authentication and de-identification and usability of information systems. Conclusions: The papers discussed in the HIM section of IMIA Yearbook reflect the overall theme of the 2018 edition of the Yearbook, i.e., the tension between privacy and access to information. While most of the papers focused on health information exchange, which reflects the “access” side of the equation, most of the others addressed privacy issues. This synopsis discusses these key issues at the intersection of HIM and informatics.

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State of the Art in Clinical Informatics: Evidence and Examples

Yearbook of Medical Informatics ◽

10.1055/s-0038-1638827 ◽

2013 ◽

Vol 22 (01) ◽

pp. 13-19 ◽

Cited By ~ 13

Author(s):

A. B. McCoy ◽

A. Wright ◽

G. Eysenbach ◽

B. A. Malin ◽

E. S. Patterson ◽

...

Keyword(s):

Health Information ◽

Language Processing ◽

Information Exchange ◽

Health Informatics ◽

Health Information Exchange ◽

Clinical Decision ◽

The United States ◽

Clinical Informatics ◽

Privacy And Security ◽

Health Records

Summary Objective: The field of clinical informatics has expanded substantially in the six decades since its inception. Early research focused on simple demonstrations that health information technology (HIT) such as electronic health records (EHRs), computerized provider order entry (CPOE), and clinical decision support (CDS) systems were feasible and potentially beneficial in clinical practice. Methods: In this review, we present recent evidence on clinical informatics in the United States covering three themes: 1) clinical informatics systems and interventions for providers, including EHRs, CPOE, CDS, and health information exchange; 2) consumer health informatics systems, including personal health records and web-based and mobile HIT; and 3) methods and governance for clinical informatics, including EHR usability; data mining, text mining, natural language processing, privacy, and security. Results: Substantial progress has been made in demonstrating that various clinical informatics methodologies and applications improve the structure, process, and outcomes of various facets of the healthcare system. Conclusion: Over the coming years, much more will be expected from the field. As we move past the “early adopters” in Rogers' diffusion of innovations' curve through the “early majority” and into the “late majority,” there will be a crucial need for new research methodologies and clinical applications that have been rigorously demonstrated to work (i.e., to improve health outcomes) in multiple settings with different types of patients and clinicians.

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Findings from the 2021 Yearbook Section on Health Information Management

Yearbook of Medical Informatics ◽

10.1055/s-0041-1726501 ◽

2021 ◽

Vol 30 (01) ◽

pp. 084-090

Author(s):

Meryl Bloomrosen ◽

Eta S. Berner ◽

Keyword(s):

Data Quality ◽

Health Information ◽

Information Management ◽

Information Exchange ◽

Health Informatics ◽

Health Information Exchange ◽

Health Information Management ◽

Bibliographic Databases ◽

Public Health Informatics ◽

Health Records

Objectives: To summarize the recent literature and research and present a selection of the best papers published in 2020 in the field of Health Information Management (HIM) and Health Informatics. Methods: A systematic review of the literature for the IMIA Yearbook HIM section was performed by the two section editors with the help of a medical librarian. We searched bibliographic databases for HIM-related papers using both MeSH headings and keywords in titles and abstracts. A shortlist of the fifteen best candidate papers was first selected by section editors before being peer-reviewed by independent external reviewers. Results: The three major themes of Health Information Exchange (transmitting, sharing, and accessing patient health-related data and information) (HIE), Data Quality, and Privacy and Security make up 80% of the fifteen papers, with individual papers on personal health records, information governance and the professionalism of the HIM field. Conclusions: Traditional HIM concerns about HIM practice and workforce as well as issues about the data in electronic health records (EHRs) including data quality, coding, health information exchange among entities within the healthcare systems and privacy and confidentiality continue to be a large part of the HIM research literature. Although there was little research applying these themes to pandemic concerns, HIM professionals have the expertise to make ccontributions to public health informatics research and this research would benefit from their involvement.

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Public Health Informatics and Health Information Exchange

Health Informatics - Public Health Informatics and Information Systems ◽

10.1007/978-1-4471-4237-9_22 ◽

2013 ◽

pp. 429-448 ◽

Cited By ~ 1

Author(s):

J. A. Magnuson ◽

Paul C. Fu

Keyword(s):

Public Health ◽

Health Information ◽

Information Exchange ◽

Health Informatics ◽

Health Information Exchange ◽

Public Health Informatics

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Health informatics - Person-owned document repository for PHR applications and health information exchange

10.3403/30320689 ◽

2018 ◽

Keyword(s):

Health Information ◽

Information Exchange ◽

Health Informatics ◽

Health Information Exchange

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Implementing health information exchange: Perceptions of leaders within the Veterans Health Administration (Preprint)

10.2196/preprints.19249 ◽

2020 ◽

Author(s):

Cherie Luckhurst ◽

Brian E Dixon ◽

David Haggstrom

Keyword(s):

Health Information ◽

Medical Staff ◽

Information Exchange ◽

Health Informatics ◽

Success Factors ◽

Health Information Exchange ◽

Care Delivery ◽

Electronic Record ◽

Veterans Health ◽

Health Administration

BACKGROUND The U.S. Department of Veterans Affairs (VA) seeks to achieve interoperability with other organizations, including other integrated delivery networks, via its Virtual Lifetime Electronic Record (VLER) program. OBJECTIVE While prior research has examined the adoption and use of VA health information exchange (HIE) among providers, this study sought to understand the implementation of VA-HIE by a wider range of organizational leaders. METHODS Operational, clinical, and health informatics leaders at the VA facility and its external community HIE partner were interviewed. Respondents discussed their experiences with HIE including barriers and facilitators to implementation. Qualitative analyses utilized a hybrid method that combined inductive and deductive approaches. RESULTS VA leaders considered training and preparation to be key success factors when implementing HIE and employed a wide array of strategies to prepare medical staff. During recruitment, a “high-touch approach” was successfully used to enlist patients in-person. Operational and clinical leaders described at least two potential barriers to HIE use: (1) the time and effort to use the system and (2) a fear of disappointment among medical staff and leadership. Overall enthusiasm was consistently high regarding the potential value of data sharing in improving care coordination and patient health outcomes. CONCLUSIONS The major management challenge was coordination of the complex interrelationships among entities within and outside the VA. A model that captures the interconnected web of information systems and human teams is helpful to visualize and describe HIE implementation. This model can be applied by other national and regional networks that seek to achieve interoperability goals across health care delivery systems. CLINICALTRIAL n/a

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Defining Health Information Exchange: Scoping Review of Published Definitions

Journal of Innovation in Health Informatics ◽

10.14236/jhi.v23i4.838 ◽

2017 ◽

Vol 23 (4) ◽

pp. 684 ◽

Cited By ~ 9

Author(s):

Ather Akhlaq ◽

Aziz Sheikh ◽

Claudia Pagliari

Keyword(s):

Health Information ◽

Information Exchange ◽

Health Informatics ◽

Information Science ◽

Health Information Exchange ◽

Grey Literature ◽

Clinical Information ◽

Scientific Databases ◽

Literature Searches ◽

Generic Term

ObjectiveThe term Health Information Exchange (HIE) is often used in health informatics, yet uncertainties remain about its precise meaning. This study aimed to capture and analyse existing definitions in order to map variations in its use and the concepts associated with it.MethodsSystematic literature search to identify published definitions of HIE and equivalent terms such as Clinical Information Exchange. Medline, Web of Science, Library Information Science and Technology Abstracts, EMBASE and CINAHL Plus were searched to identify relevant research, and Google to identify grey literature. Searches were not limited by language or date of publication. In order to warrant inclusion documents had to either define the concept explicitly or do so via a concrete description. Included references were tabulated by author affiliation, source of quote, year of publication, country of origin and definitions and the definitions themselves were analysed thematically.ResultsSearches revealed 603 scientific articles and 5981 website links. From these, a total of 268 unique definitions of HIE were identified and extracted: 103 from scientific databases and 165 from Google. Eleven constructs emerged from the thematic analysis. Contextual factors influenced the emphasis of the definitions and the framing of HIE as a concept/process, a set of enabling technologies, or an entity/organisation.ConclusionsHIE is a complex and evolving concept and uses of the term vary across settings, presenting challenges for communication. Developing a generic term is difficult, given the importance of context, but the authors suggest one covering key attributes of HIE, which may be helpful.

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Maturity assessment of Kenya’s health information system interoperability readiness

BMJ Health & Care Informatics ◽

10.1136/bmjhci-2020-100241 ◽

2021 ◽

Vol 28 (1) ◽

pp. e100241

Author(s):

Job Nyangena ◽

Rohini Rajgopal ◽

Elizabeth Adhiambo Ombech ◽

Enock Oloo ◽

Humphrey Luchetu ◽

...

Keyword(s):

Health Information ◽

Information Exchange ◽

Working Group ◽

Data Exchange ◽

Enterprise Architecture ◽

Health Information Exchange ◽

Digital Health ◽

Health Information System ◽

Maturity Level ◽

Technical Standards

BackgroundThe use of digital technology in healthcare promises to improve quality of care and reduce costs over time. This promise will be difficult to attain without interoperability: facilitating seamless health information exchange between the deployed digital health information systems (HIS).ObjectiveTo determine the maturity readiness of the interoperability capacity of Kenya’s HIS.MethodsWe used the HIS Interoperability Maturity Toolkit, developed by MEASURE Evaluation and the Health Data Collaborative’s Digital Health and Interoperability Working Group. The assessment was undertaken by eHealth stakeholder representatives primarily from the Ministry of Health’s Digital Health Technical Working Group. The toolkit focused on three major domains: leadership and governance, human resources and technology.ResultsMost domains are at the lowest two levels of maturity: nascent or emerging. At the nascent level, HIS activities happen by chance or represent isolated, ad hoc efforts. An emerging maturity level characterises a system with defined HIS processes and structures. However, such processes are not systematically documented and lack ongoing monitoring mechanisms.ConclusionNone of the domains had a maturity level greater than level 2 (emerging). The subdomains of governance structures for HIS, defined national enterprise architecture for HIS, defined technical standards for data exchange, nationwide communication network infrastructure, and capacity for operations and maintenance of hardware attained higher maturity levels. These findings are similar to those from interoperability maturity assessments done in Ghana and Uganda.

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