scholarly journals Meaningful Use and Electronic Laboratory Reporting: Challenges Health Information Technology Vendors Face in Kentucky

2017 ◽  
Vol 9 (3) ◽  
Author(s):  
Michael Abisa
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Meaningful Use ◽  
Virtual Private Network ◽  
Transport Protocol ◽  
Private Network ◽  
Electronic Laboratory Reporting

Objectives: To explore the challenges Health Information Technology (HIT) vendors face to satisfy the requirements for Meaningful Use (MU) and Electronic Laboratory Reporting (ELR) of reportable diseases to the public health departments in Kentucky.Methodology:  A survey was conducted of Health Information Exchange (HIE) vendors in Kentucky through the Kentucky Health Information Exchange (KHIE). The survey was cross-sectional. Data were collected between February and March 2014. Participants were recruited from KHIE vendors.  Participants received online survey link and by email and asked to submit their responses. Vendors’ feedback were summarized and analyzed to identify their challenges. Out of the 55 vendors who received the survey, 35(63.64%) responded.Results: Of the seven transport protocol options for ELR, vendors selected virtual private network (VPN) as the most difficult to implement (31.7%).  Secure File Transfer Protocol (SFTP) was selected as preferred ELR transport protocol (31.4%). Most of the respondents, 80% responded that they do not have any challenge with the Health Level 7 (HL7) standard implementation guide required by MU for 2014 ELR certification.Conclusion: The study found that the most difficult transport protocol to implement for ELR is VPN and if vendors have preference, they would use SFTP for ELR over KHIE choice of VPN and Simple Object Access Protocol (SOAP). KHIE vendors do not see any variability in what is reportable by different jurisdiction and also it is not difficult for them to detect what is reportable from one jurisdiction verse the other

scholarly journals Health Information Systems

2013 ◽  
Vol 22 (01) ◽  
pp. 114-116
Author(s):  
M. Cuggia ◽  
L. Toubiana
Keyword(s):  
Information Technology ◽  
Information Systems ◽  
Health Information Technology ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Health Information Systems ◽  
It Impacts

Summary Objectives: Summarize excellent current research in the field of Health Information Systems. Method: Synopsis of the articles selected for the IMIA Yearbook 2013. Results: Five papers from international peer reviewed journals have been selected for the section on health information systems. Conclusions: The selected articles illustrate current research regarding health information technology (IT) impacts and evaluation and the latest developments in health information exchange.

Survey of Information Exchange and Advanced Use of Other Health Information Technology in Primary Care Settings

Medical Care ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Dori A. Cross ◽  
Maria A. Stevens ◽  
Steven B. Spivack ◽  
Genevra F. Murray ◽  
Hector P. Rodriguez ◽  
...  
Keyword(s):  
Primary Care ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Information Exchange ◽  
Primary Care Settings

scholarly journals Meaningful use of health information technology and declines in in-hospital adverse drug events

2017 ◽  
Vol 24 (4) ◽  
pp. 729-736 ◽  
Author(s):  
Michael F Furukawa ◽  
William D Spector ◽  
M Rhona Limcangco ◽  
William E Encinosa
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Adverse Drug Events ◽  
Meaningful Use ◽  
Patient Characteristics ◽  
Medicare Patient ◽  
Lower Odds ◽  
Random Intercept ◽  
Safety Monitoring System

Abstract Objective: Nationwide initiatives have promoted greater adoption of health information technology as a means to reduce adverse drug events (ADEs). Hospital adoption of electronic health records with Meaningful Use (MU) capabilities expected to improve medication safety has grown rapidly. However, evidence that MU capabilities are associated with declines in in-hospital ADEs is lacking. Methods: Data came from the 2010–2013 Medicare Patient Safety Monitoring System and the 2008–2013 Healthcare Information and Management Systems Society (HIMSS) Analytics Database. Two-level random intercept logistic regression was used to estimate the association of MU capabilities and occurrence of ADEs, adjusting for patient characteristics, hospital characteristics, and year of observation. Results: Rates of in-hospital ADEs declined by 19% from 2010 to 2013. Adoption of MU capabilities was associated with 11% lower odds of an ADE (95% confidence interval [CI], 0.84–0.96). Interoperability capability was associated with 19% lower odds of an ADE (95% CI, 0.67- 0.98). Adoption of MU capabilities explained 22% of the observed reduction in ADEs, or 67,000 fewer ADEs averted by MU. Discussion: Concurrent with the rapid uptake of MU and interoperability, occurrence of in-hospital ADEs declined significantly from 2010 to 2013. MU capabilities and interoperability were associated with lower occurrence of ADEs, but the effects did not vary by experience with MU. About one-fifth of the decline in ADEs from 2010 to 2013 was attributable to MU capabilities. Conclusion: Findings support the contention that adoption of MU capabilities and interoperability spurred by the Health Information Technology for Economic and Clinical Health Act contributed in part to the recent decline in ADEs.

Health Information Technology and the Idea of Informed Consent

2010 ◽  
Vol 38 (1) ◽  
pp. 27-35 ◽  
Author(s):  
Melissa M. Goldstein
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Informed Consent ◽  
Health Information Technology ◽  
Health Information ◽  
Information Exchange ◽  
Health Care Quality ◽  
Early Stage ◽  
Care Quality ◽  
Health Care Environment

As policy makers place great hope in health information technology (HIT) as a means to lower costs and achieve improvements in health care quality, safety, and efficiency, organizations at the forefront of building health information exchange (HIE) networks attempt to weave the concept and function of informed consent into an evolving information-driven health care system. The vast amount of information that will become available to both health professionals and patients in the new HIT-driven environment can reasonably be expected to affect the relationship between them in many ways, particularly in the area of informed consent. During this early stage of HIT adoption, it is critical that we engage in discussions regarding informed consent’s proper role in a heretofore unknown health care environment — one in which electronic information sharing holds primary (and possibly rightful) importance. The central and largely unexamined question of whether and how the legal and ethical underpinnings of informed consent will fit into the context of HITenabled treatment is critical to both public policy and clinical practice.

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