E-Discovery and Health Care IT

Health Information ◽

Health Data ◽

Health Records ◽

Increase Risk ◽

Electronic Health ◽

Legal Discovery ◽

Unexpected Outcomes

The increase in electronic health records has introduced an increase risk of litigation related to collection, storage and exchange of health information. This chapter explores the issues associated with activities involving legal discovery that can result from failure to properly manage this stored data. It offers insights into strategies that organizations can use to protect against litigation resulting from failure to properly consider and mitigate against unexpected outcomes involving legal discovery involving stored health data.

Electronic Health Records Usher in a New Era in Health Care: Making the Transition to Health Information Technology

IEEE Pulse ◽

10.1109/mpul.2012.2216718 ◽

2012 ◽

Vol 3 (6) ◽

pp. 43-50 ◽

Cited By ~ 2

Author(s):

Leslie Mertz

Keyword(s):

Health Care ◽

Information Technology ◽

Health Information Technology ◽

Health Information ◽

Health Records ◽

New Era ◽

A Simulated Graphical Interface for Integrating Patient-Generated Health Data From Smartwatches With Electronic Health Records: Usability Study

JMIR Human Factors ◽

10.2196/19769 ◽

2020 ◽

Vol 7 (4) ◽

pp. e19769

Author(s):

Jordan M Alpert ◽

Naga S Prabhakar Kota ◽

Sanjay Ranka ◽

Tonatiuh V Mendoza ◽

Laurence M Solberg ◽

...

Keyword(s):

Health Care ◽

Health Care Professionals ◽

Health Data ◽

Graphical Interface ◽

Usability Study ◽

Health Records ◽

Information Navigation ◽

Key Stakeholders ◽

Background Wearable technology, such as smartwatches, can capture valuable patient-generated data and help inform patient care. Electronic health records provide logical and practical platforms for including such data, but it is necessary to evaluate the way the data are presented and visualized. Objective The aim of this study is to evaluate a graphical interface that displays patients’ health data from smartwatches, mimicking the integration within the environment of electronic health records. Methods A total of 12 health care professionals evaluated a simulated interface using a usability scale questionnaire, testing the clarity of the interface, colors, usefulness of information, navigation, and readability of text. Results The interface was positively received, with 14 out of the 16 questions generating a score of 5 or greater among at least 75% of participants (9/12). On an 8-point Likert scale, the highest rated features of the interface were quick turnaround times (mean score 7.1), readability of the text (mean score 6.8), and use of terminology/abbreviations (mean score 6.75). Conclusions Collaborating with health care professionals to develop and refine a graphical interface for visualizing patients’ health data from smartwatches revealed that the key elements of the interface were acceptable. The implementation of such data from smartwatches and other mobile devices within electronic health records should consider the opinions of key stakeholders as the development of this platform progresses.

Using Data from Ambient Assisted Living and Smart Homes in Electronic Health Records

Methods of Information in Medicine ◽

10.3414/me14-10-0003 ◽

2014 ◽

Vol 53 (03) ◽

pp. 149-151 ◽

Cited By ~ 7

Author(s):

L. Schöpe ◽

P. Knaup

Keyword(s):

Health Care ◽

Assisted Living ◽

Ambient Assisted Living ◽

Smart Homes ◽

Health Data ◽

Sensor Data ◽

Health Records ◽

Electronic Health ◽

Using Data

SummaryIntroduction: This editorial is part of the Focus Theme of Methods of Information in Medicine on “Using Data from Ambient Assisted Living and Smart Homes in Electronic Health Records”.Background: To increase efficiency in the health care of the future, data from innovative technology like it is used for ambient assisted living (AAL) or smart homes should be available for individual health decisions. Integrating and aggregating data from different medical devices and health records enables a comprehensive view on health data.Objectives: The objective of this paper is to present examples of the state of the art in research on information management that leads to a sustainable use and long-term storage of health data provided by innovative assistive technologies in daily living.Results: Current research deals with the perceived usefulness of sensor data, the participatory design of visual displays for presenting monitoring data, and communication architectures for integrating sensor data from home health care environments with health care providers either via a regional health record bank or via a telemedical center.Conclusions: Integrating data from AAL systems and smart homes with data from electronic patient or health records is still in an early stage. Several projects are in an advanced conceptual phase, some of them exploring feasibility with the help of prototypes. General comprehensive solutions are hardly available and should become a major issue of medical informatics research in the near future.

An Evidence-Based Tool for Safe Configuration of Electronic Health Records: The eSafety Checklist

Applied Clinical Informatics ◽

10.1055/s-0038-1675210 ◽

2018 ◽

Vol 09 (04) ◽

pp. 817-830 ◽

Cited By ~ 2

Author(s):

Pritma Dhillon-Chattha ◽

Ruth McCorkle ◽

Elizabeth Borycki

Keyword(s):

Health Care ◽

Information Technology ◽

Health Information Technology ◽

Health Information ◽

Expert Panel ◽

Clinical Informatics ◽

Evidence Based ◽

Health Records ◽

Background Electronic health records (EHRs) are transforming the way health care is delivered. They are central to improving the quality of patient care and have been attributed to making health care more accessible, reliable, and safe. However, in recent years, evidence suggests that specific features and functions of EHRs can introduce new, unanticipated patient safety concerns that can be mitigated by safe configuration practices. Objective This article outlines the development of a detailed and comprehensive evidence-based checklist of safe configuration practices for use by clinical informatics professionals when configuring hospital-based EHRs. Methods A literature review was conducted to synthesize evidence on safe configuration practices; data were analyzed to elicit themes of common EHR system capabilities. Two rounds of testing were completed with end users to inform checklist design and usability. This was followed by a four-member expert panel review, where each item was rated for clarity (clear, not clear), and importance (high, medium, low). Results An expert panel consisting of three clinical informatics professionals and one health information technology expert reviewed the checklist for clarity and importance. Medium and high importance ratings were considered affirmative responses. Of the 870 items contained in the original checklist, 535 (61.4%) received 100% affirmative agreement among all four panelists. Clinical panelists had a higher affirmative agreement rate of 75.5% (656 items). Upon detailed analysis, items with 100% clinician agreement were retained in the checklist with the exception of 47 items and the addition of 33 items, resulting in a total of 642 items in the final checklist. Conclusion Safe implementation of EHRs requires consideration of both technical and sociotechnical factors through close collaboration of health information technology and clinical informatics professionals. The recommended practices described in this checklist provide systems implementation guidance that should be considered when EHRs are being configured, implemented, audited, or updated, to improve system safety and usability.

A Simulated Graphical Interface for Integrating Patient-Generated Health Data From Smartwatches With Electronic Health Records: Usability Study (Preprint)

10.2196/preprints.19769 ◽

2020 ◽

Author(s):

Jordan M Alpert ◽

Naga S Prabhakar Kota ◽

Sanjay Ranka ◽

Tonatiuh V Mendoza ◽

Laurence M Solberg ◽

...

Keyword(s):

Health Care ◽

Health Care Professionals ◽

Health Data ◽

Graphical Interface ◽

Usability Study ◽

Health Records ◽

Information Navigation ◽

Key Stakeholders ◽

BACKGROUND Wearable technology, such as smartwatches, can capture valuable patient-generated data and help inform patient care. Electronic health records provide logical and practical platforms for including such data, but it is necessary to evaluate the way the data are presented and visualized. OBJECTIVE The aim of this study is to evaluate a graphical interface that displays patients’ health data from smartwatches, mimicking the integration within the environment of electronic health records. METHODS A total of 12 health care professionals evaluated a simulated interface using a usability scale questionnaire, testing the clarity of the interface, colors, usefulness of information, navigation, and readability of text. RESULTS The interface was positively received, with 14 out of the 16 questions generating a score of 5 or greater among at least 75% of participants (9/12). On an 8-point Likert scale, the highest rated features of the interface were quick turnaround times (mean score 7.1), readability of the text (mean score 6.8), and use of terminology/abbreviations (mean score 6.75). CONCLUSIONS Collaborating with health care professionals to develop and refine a graphical interface for visualizing patients’ health data from smartwatches revealed that the key elements of the interface were acceptable. The implementation of such data from smartwatches and other mobile devices within electronic health records should consider the opinions of key stakeholders as the development of this platform progresses.