Technology's Enabling Role to Improve Care Coordination

2020 ◽  
pp. 358-365
Author(s):  
Rima Gibbings ◽  
Nilmini Wickramasinghe
Keyword(s):  
Information Technology ◽  
Drug Interactions ◽  
Patient Care ◽  
Prescription Drug ◽  
Care Coordination ◽  
Healthcare Systems ◽  
Care Plans ◽  
Treatment Services ◽  
Drug Errors ◽  
The U.S

The U.S. healthcare system has been often characterized as fragmented and disconnected. Lack of effective and concurrent adoption of information technology has been known to be a factor that contributes to the decentralization of healthcare systems. Fragmented systems are also responsible for creating silos that operate with minimal coordination. Clinicians in such systems are providing duplicate services because they are not aware of patient care plans set by other practitioners. These duplications could lead to prescription drug errors due to inconsistencies and lack of coordination in the treatment services and in some cases drug-drug interactions. The following suggests a role for technology to facilitate better care coordination.

scholarly journals Health Information Technology Coordination to Support Patient-centered Care Coordination

2015 ◽  
Vol 24 (01) ◽  
pp. 34-37 ◽  
Author(s):  
W. Gregg ◽  
O. Steichen ◽  
Keyword(s):  
Information Technology ◽  
Health Information ◽  
Care Coordination ◽  
Patient Centered Care ◽  
Unintended Consequences ◽  
Patient Centered ◽  
Care Plans ◽  
Number Of Factors ◽  
Centered Care ◽  
Health Information Sharing

Summary Objective: To select papers published in 2014, illustrating how information technology can contribute to and improve patient-centered care coordination.Method: The two section editors performed a literature review from Medline and Web of Science to select a list of candidate best papers on the use of information technology for patient-centered care coordination. These papers were peer-reviewed by external reviewers and three of them were selected as “best papers”. Results: The first selected paper reports a qualitative study exploring the gap between current practices of care coordination in various settings and idealized longitudinal care plans. The second selected paper illustrates several unintended consequences of HIT designed to improve care coordination. The third selected paper shows that advanced analytic techniques in medical informatics can be instrumental in studying patient-centered care coordination. Conclusions: The realization of true patient-centered care coordination is dependent upon a number of factors. Standardization of clinical documentation and HIT interoperability across organization and settings is a critical prerequisite for HIT to support patient-centered care coordination. Enabling patient involvement is an efficient means for goal setting and health information sharing. Additionally, unintended consequences of HIT tools (both positive and negative) must be measured and taken into account for quality improvement.

Clinical Cybersecurity Training Through Novel High Fidelity Simulations (Preprint)

2018 ◽  
Author(s):  
Christian Dameff ◽  
Jordan Selzer ◽  
Jonathan Fisher ◽  
James Killeen ◽  
Jeffrey Tully
Keyword(s):  
Patient Safety ◽  
Patient Care ◽  
Medical Devices ◽  
Healthcare Systems ◽  
High Fidelity ◽  
Protected Health Information ◽  
Patient Harm ◽  
Security Vulnerabilities ◽  
Clinical Simulations ◽  
Medical Infrastructure

BACKGROUND Cybersecurity risks in healthcare systems have traditionally been measured in data breaches of protected health information but compromised medical devices and critical medical infrastructure raises questions about the risks of disrupted patient care. The increasing prevalence of these connected medical devices and systems implies that these risks are growing. OBJECTIVE This paper details the development and execution of three novel high fidelity clinical simulations designed to teach clinicians to recognize, treat, and prevent patient harm from vulnerable medical devices. METHODS Clinical simulations were developed which incorporated patient care scenarios with hacked medical devices based on previously researched security vulnerabilities. RESULTS Clinician participants universally failed to recognize the etiology of their patient’s pathology as being the result of a compromised device. CONCLUSIONS Simulation can be a useful tool in educating clinicians in this new, critically important patient safety space.

scholarly journals Reflective Choice in Health Care: Using Information Technology to Present Allocation Options

1999 ◽  
Vol 25 (2-3) ◽  
pp. 387-402
Author(s):  
Arti K. Rai
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Care System ◽  
Medical Technology ◽  
Health Benefit ◽  
Cost Benefit ◽  
Alternative Funding ◽  
Health Care Interventions ◽  
The U.S ◽  
Care System

Over the last few decades, the U.S. health care system has been the beneficiary of tremendous growth in the power and sheer quantity of useful medical technology. As a consequence, our society has, for some time, had to make cost-benefit tradeoffs in health care. The alternative—funding all health care interventions that would produce some health benefit for some patient—is not feasible, because it would effectively consume all of our resources.

Sign in / Sign up

Export Citation Format

Share Document