Adoption of Electronic Health Care Records

2013 ◽  
pp. 148-165
Author(s):  
Jerald D. Hatton ◽  
Thomas M. Schmidt ◽  
Jonatan Jelen
Keyword(s):  
Electronic Health Records ◽  
New Technologies ◽  
Phenomenological Study ◽  
Cost Effective ◽  
Research Quality ◽  
Control Cost ◽  
Health Records ◽  
The Usa ◽  
Electronic Health ◽  
Support Of Research

Political, economic, and safety concerns have militated for the adoption of Electronic Health Records by physicians in the United States, but current rates of adoption have failed to penetrate the 50% level. A qualitative phenomenological study of practicing physicians reveals stumbling blocks to adoption. Maintaining a physician’s perceived sense of control of the process is key. Electronic Health Records (EHRs) are critical to the support of research, quality control, cost reduction, and implementation of new technologies and methods in healthcare. Progress in the USA towards adoption of standardized EHRs has been halting. The authors discuss the results of a phenomenological study of physicians and draw conclusions that will assist all stakeholders in building a more consistent, comprehensive, and cost-effective healthcare system. When attempting to persuade physicians to migrate to an EMR-based solution, a strong focus on the control that physicians will have should be emphasized. The transition to an EHR system is eased by clearly articulating early in the process the potential benefits and the degree of control physicians can have in the use of the applications.

scholarly journals case study in distributed team science in research using electronic health records

2018 ◽  
Vol 3 (3) ◽  
Author(s):  
Jiao Song ◽  
Elizabeth Elliot ◽  
Andrew D Morris ◽  
Joannes J Kerssens ◽  
Ashley Akbari ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Oral Anticoagulants ◽  
Cost Effective ◽  
Study Cohort ◽  
Team Science ◽  
Data Types ◽  
Health Records ◽  
Distributed Team ◽  
Electronic Health ◽  
The Uk

IntroductionDue to various regulatory barriers, it is increasingly difficult to move pseudonymised routine health data across platforms and among jurisdictions. To tackle this challenge, we summarized five approaches considered to support a scientific research project focused on the risk of the new non-vitamin K Target Specific Oral Anticoagulants (TSOACs) and collaborated between the Farr institute in Wales and Scotland. ApproachIn Wales, routinely collected health records held in the Secure Anonymous Information Linkage (SAIL) Databank were used to identify the study cohort. In Scotland, data was extracted from national dataset resources administered by the eData Research & Innovation Service (eDRIS) and stored in the Scottish National Data Safe Haven. We adopted a federated data and multiple analysts approach, but arranged simultaneous accesses for Welsh and Scottish analysts to generate study cohorts separately by implementing the same algorithm. Our study cohort across two countries was boosted to 6,829 patients towards risk analysis. Source datasets and data types applied to generate cohorts were reviewed and compared by analysts based on both sites to ensure the consistency and harmonised output.  DiscussionThis project used a fusion of two approaches among five considered. The approach we adopted is a simple, yet efficient and cost-effective method to ensure consistency in analysis and coherence with multiple governance systems. It has limitations and potentials of extending and scaling. It can also be considered as an initialisation of a developing infrastructure to support a distributed team science approach to research using Electronic Health Records (EHRs) across the UK and more widely. KeywordsTeam science, cross-jurisdictional data linkage, electronic health records

Adoption of electronic health records in UK hospitals: lessons from the USA

The Lancet ◽  
2014 ◽  
Vol 384 (9937) ◽  
pp. 8-9 ◽  
Author(s):  
Aziz Sheikh ◽  
Ashish Jha ◽  
Kathrin Cresswell ◽  
Felix Greaves ◽  
David W Bates
Keyword(s):  
Electronic Health Records ◽  
Health Records ◽  
The Usa ◽  
Electronic Health

scholarly journals Identification of Effective Factors related to Implementation of Electronic Health Records in Imam Khomeini Hospital, Tehran

2020 ◽  
Author(s):  
Nader Sheikh Eslami ◽  
Soheila Sardar ◽  
Nahid Abbasabadi
Keyword(s):  
Electronic Health Records ◽  
New Technologies ◽  
External Factors ◽  
Successful Implementation ◽  
Structural Factors ◽  
Health Records ◽  
Statistical Population ◽  
Factors Affecting ◽  
Effective Factors ◽  
Electronic Health

Background: With the advancement of science and emergence of new technologies for solving human health and medical problems, one of the most important applications of technology in the field of health care is creation of electronic health records. The purpose of this study was to determine the effective internal and external factors related to successful implementation of the electronic health records in Imam Khomeini Hospital of Tehran, Iran. Methods: This descriptive-analytic research was carried out in 2018-2019. The statistical population consisted of 15 experts from Azad University of Tehran and Imam Khomeini Hospital selected by targeted sampling method. The main data collection tool was a researcher-made questionnaire designed to identify and rank the effective factors. Data were analyzed using SPSS 22, Excel, and Matlab software to perform a structural-interpretive approach. Results: Based on the findings, 6 criteria were identified related to the internal factors affecting successful implementation of the electronic health records. These factors included education, culture, comprehensiveness, safety and confidentiality, constructive communication, and participation approved by experts. According to the experts, 4 criteria were identified as effective external factors: technology / Economic, social / cultural factors, management / structural factors and legal factors. Conclusion: implementation of an electronic health record needs to take into educational, cultivation, comprehensiveness, safety & privacy, constructive communication, collaboration, technology / economic, social / cultural, management / structural, and legal factors.

scholarly journals Harnessing electronic health records to study emerging environmental disasters: a proof of concept with perfluoroalkyl substances (PFAS)

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Mary Regina Boland ◽  
Lena M. Davidson ◽  
Silvia P. Canelón ◽  
Jessica Meeker ◽  
Trevor Penning ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Disease Risk ◽  
Cost Effective ◽  
Perfluoroalkyl Substances ◽  
Proof Of Concept ◽  
Traditional Methods ◽  
Health Records ◽  
Environmental Disasters ◽  
Effective Manner ◽  
Electronic Health

AbstractEnvironmental disasters are anthropogenic catastrophic events that affect health. Famous disasters include the Seveso disaster and the Fukushima-Daiichi nuclear meltdown, which had disastrous health consequences. Traditional methods for studying environmental disasters are costly and time-intensive. We propose the use of electronic health records (EHR) and informatics methods to study the health effects of emergent environmental disasters in a cost-effective manner. An emergent environmental disaster is exposure to perfluoroalkyl substances (PFAS) in the Philadelphia area. Penn Medicine (PennMed) comprises multiple hospitals and facilities within the Philadelphia Metropolitan area, including over three thousand PFAS-exposed women living in one of the highest PFAS exposure areas nationwide. We developed a high-throughput method that utilizes only EHR data to evaluate the disease risk in this heavily exposed population. We replicated all five disease/conditions implicated by PFAS exposure, including hypercholesterolemia, thyroid disease, proteinuria, kidney disease and colitis, either directly or via closely related diagnoses. Using EHRs coupled with informatics enables the health impacts of environmental disasters to be more easily studied in large cohorts versus traditional methods that rely on interviews and expensive serum-based testing. By reducing cost and increasing the diversity of individuals included in studies, we can overcome many of the hurdles faced by previous studies, including a lack of racial and ethnic diversity. This proof-of-concept study confirms that EHRs can be used to study human health and disease impacts of environmental disasters and produces equivalent disease-exposure knowledge to prospective epidemiology studies while remaining cost-effective.

scholarly journals A Physician’s Commentary on Electronic Health Records in the United States Medical Practice

2021 ◽  
Vol 6 (1) ◽  
pp. 9-11
Author(s):  
Irina V. Angel ◽  
Keyword(s):  
United States ◽  
Electronic Health Records ◽  
New Technologies ◽  
Healthcare Providers ◽  
The United States ◽  
Point Of View ◽  
Health Records ◽  
Electronic Health ◽  
Healthcare Innovation ◽  
The Right

This commentary presents a point of view on how the arrival of electronic health records (EHR) in the United States (U.S.) has changed physicians’ practice. EHR implementation has pros and cons. EHR systems have been a great asset during the pandemic and help with efficiency, safety, and cost reduction. Despite their benefits, healthcare providers and organizations still face challenges, including usability and interoperability across systems, contributing to physicians’ burnout. Can physicians adopt new technologies and adapt to current challenges? Is it the right time for physicians to stop being observers and become active participants in the process of healthcare innovation and implementation?

scholarly journals Harnessing Electronic Health Records to Study Emerging Environmental Disasters: A Proof of Concept with Perfluoralkyl Substances (PFAS)

2020 ◽  
Author(s):  
Mary Regina Boland ◽  
Lena Davidson ◽  
Silvia P Canelon ◽  
Jessica Meeker ◽  
Trevor Penning ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Disease Risk ◽  
Cost Effective ◽  
Proof Of Concept ◽  
Traditional Methods ◽  
Health Records ◽  
Environmental Disasters ◽  
Exposed Population ◽  
Effective Manner ◽  
Electronic Health

Objective: Environmental disasters are anthropogenic catastrophic events that affect health. Famous disasters include the Chernobyl and Fukushima-Daiichi nuclear meltdowns, which had disastrous health consequences. Traditional methods for studying environmental disasters are costly and time-intensive. We propose the use of Electronic Health Records (EHR) and informatics methods to study the health effects of emergent environmental disasters in a cost-effective manner. Materials and Methods: An emergent environmental disaster is exposure to Perfluoralkyl Substances (PFAS) in the Philadelphia area. Penn Medicine (PennMed) comprises multiple hospitals and facilities within the Philadelphia Metropolitan area, including over three thousand PFAS-exposed women living in one of the highest PFAS exposure areas nationwide. We developed a high-throughput method that utilizes only EHR data to evaluate the disease risk in this heavily exposed population. Results: We replicated all five disease/conditions implicated by PFAS exposure, including hypercholesterolemia, proteinuria, thyroid disease, kidney disease and colitis, either directly or via closely related diagnoses. Discussion: Using EHRs coupled with informatics enables the health impacts of environmental disasters to be more easily studied in large cohorts versus traditional methods that rely on interviews and expensive serum-based testing. By reducing cost and increasing the diversity of individuals included in studies, we can overcome many of the hurdles faced by previous studies, including a lack of racial and ethnic diversity. Conclusion: This proof-of-concept study confirms that EHRs can be used to study human health and disease impacts of environmental disasters and produces equivalent disease-exposure knowledge to prospective epidemiology studies while remaining cost-effective.

scholarly journals Electronic health records improve clinical note quality

2014 ◽  
Vol 22 (1) ◽  
pp. 199-205 ◽  
Author(s):  
Harry B Burke ◽  
Laura L Sessums ◽  
Albert Hoang ◽  
Dorothy A Becher ◽  
Paul Fontelo ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Primary Care Physicians ◽  
Time Interval ◽  
Clinical Practices ◽  
Health Records ◽  
Clinical Note ◽  
Clinical Notes ◽  
The Usa ◽  
Electronic Health

Abstract Background and objective The clinical note documents the clinician's information collection, problem assessment, clinical management, and its used for administrative purposes. Electronic health records (EHRs) are being implemented in clinical practices throughout the USA yet it is not known whether they improve the quality of clinical notes. The goal in this study was to determine if EHRs improve the quality of outpatient clinical notes. Materials and methods A five and a half year longitudinal retrospective multicenter quantitative study comparing the quality of handwritten and electronic outpatient clinical visit notes for 100 patients with type 2 diabetes at three time points: 6 months prior to the introduction of the EHR (before-EHR), 6 months after the introduction of the EHR (after-EHR), and 5 years after the introduction of the EHR (5-year-EHR). QNOTE, a validated quantitative instrument, was used to assess the quality of outpatient clinical notes. Its scores can range from a low of 0 to a high of 100. Sixteen primary care physicians with active practices used QNOTE to determine the quality of the 300 patient notes. Results The before-EHR, after-EHR, and 5-year-EHR grand mean scores (SD) were 52.0 (18.4), 61.2 (16.3), and 80.4 (8.9), respectively, and the change in scores for before-EHR to after-EHR and before-EHR to 5-year-EHR were 18% (p<0.0001) and 55% (p<0.0001), respectively. All the element and grand mean quality scores significantly improved over the 5-year time interval. Conclusions The EHR significantly improved the overall quality of the outpatient clinical note and the quality of all its elements, including the core and non-core elements. To our knowledge, this is the first study to demonstrate that the EHR significantly improves the quality of clinical notes.

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