scholarly journals A State-wide Health IT Infrastructure for Population Health: Building a Community-wide Electronic Platform for Maryland’s All-Payer Global Budget

2017 ◽  
Vol 9 (3) ◽  
Author(s):  
Elham Hatef ◽  
Hadi Kharrazi ◽  
Ed VanBaak ◽  
Marc Falcone ◽  
Lindsey Ferris ◽  
...  
Keyword(s):  
Data Collection ◽  
Real Time ◽  
Population Health ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Smoking Status ◽  
Digital Data ◽  
Health It ◽  
Global Budget ◽  
Health Initiatives

Maryland Department of Health (MDH) has been preparing for alignment of its population health initiatives with Maryland’s unique All-Payer hospital global budget program. In order to operationalize population health initiatives, it is required to identify a starter set of measures addressing community level health interventions and to collect interoperable data for those measures. The broad adoption of electronic health records (EHRs) with ongoing data collection on almost all patients in the state, combined with hospital participation in health information exchange (HIE) initiatives, provides an unprecedented opportunity for near real-time assessment of the health of the communities. MDH’s EHR-based monitoring complements, and perhaps replaces, ad-hoc assessments based on limited surveys, billing, and other administrative data. This article explores the potential expansion of health IT capacity as a method to improve population health across Maryland.First, we propose a progression plan for four selected community-wide population health measures: body mass index, blood pressure, smoking status, and falls-related injuries. We then present an assessment of the current and near real-time availability of digital data in Maryland including the geographic granularity on which each measure can be assessed statewide. Finally, we provide general recommendations to improve interoperable data collection for selected measures over time via the Maryland HIE. This paper is intended to serve as a high- level guiding framework for communities across the US that are undergoing healthcare transformation toward integrated models of care using universal interoperable EHRs.

scholarly journals Health Information Systems

2012 ◽  
Vol 21 (01) ◽  
pp. 79-82
Author(s):  
C. Bréant ◽  
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Health Information Systems ◽  
Health It ◽  
It Impacts

SummarySummarize excellent current research in the field of Health Information Systems.Synopsis of the articles selected for the IMIA Yearbook 2012.Three papers from international peer reviewed journals have been selected for the section on health information systems.The selected articles illustrate current research regarding health IT impacts and evaluation and the latest developments in health information exchange.

scholarly journals Consumer perceptions of health IT utilization and benefits

JAMIA Open ◽  
2018 ◽  
Vol 2 (1) ◽  
pp. 99-106 ◽  
Author(s):  
Sue S Feldman ◽  
Grishma P Bhavsar ◽  
Benjamin L Schooley
Keyword(s):  
Conceptual Framework ◽  
Health Information ◽  
Information Exchange ◽  
Medical Information ◽  
Health Information Exchange ◽  
Consumer Perceptions ◽  
Bivariate Analysis ◽  
Health It ◽  
Cross Sectional Survey ◽  
Cross Sectional

AbstractObjectivesThe objective of this article is to examine consumer perceptions of health information technology (health IT) utilization and benefits through an integrated conceptual framework.Materials and MethodsThis article employs an integrated conceptual framework to examine consumer perceptions of health IT. A consumer survey yielded 1125 completed responses. A factor-based scale was developed for each sub-construct. Bivariate analysis using χ2 tests was performed to determine differences in the percentage of respondents who agreed with each sub-construct based on whether their physician used an electronic health record (EHR) system. Multivariable logistic regression that controlled for demographic characteristics of respondents was performed to determine adjusted odds of agreeing with selected opinions of health information exchange (HIE).ResultsResults indicate that respondents whose physicians used an EHR system were significantly more likely to agree that there was a perceived benefit with HIE and to care provided; that the patient should have control over the record; that they trust the physician and security of the medical information; that they understand the need for HIE, and that HIE must be easy to use.DiscussionThe results suggest that consumers who have experienced the use of one technology in the healthcare setting can recognize the potential benefit of another technology. Race/ethnicity, gender, and education played some role in respondents’ views of EHRs and HIE, more specifically, non-Hispanic African American participants indicated lower levels of trust in HIE when compared with non-Hispanic Whites.ConclusionThis cross-sectional survey indicated that physician use of EHRs significantly increases the odds of consumers’ seeing perceived benefits of HIE and understanding the need for HIE.

scholarly journals The Population Health OutcomEs aNd Information Exchange (PHOENIX) Program - A Transformative Approach to Reduce the Burden of Chronic Disease

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Steven J. Korzeniewski ◽  
Carla Bezold ◽  
Jason T. Carbone ◽  
Shooshan Danagoulian ◽  
Bethany Foster ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Health Outcomes ◽  
Population Health ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Historical Context ◽  
State Level ◽  
Public Health Services ◽  
Multimodal Data ◽  
Transformative Approach

This concept article introduces a transformative vision to reduce the population burden of chronic disease by focusing on data integration, analytics, implementation and community engagement. Known as PHOENIX (The Population Health OutcomEs aNd Information EXchange), the approach leverages a state level health information exchange and multiple other resources to facilitate the integration of clinical and social determinants of health data with a goal of achieving true population health monitoring and management. After reviewing historical context, we describe how multilevel and multimodal data can be used to facilitate core public health services, before discussing the controversies and challenges that lie ahead.

scholarly journals Modelling, Simulation and Social Network Data: What’s New for Public Health and Epidemiology Informatics?

2015 ◽  
Vol 24 (01) ◽  
pp. 216-219
Author(s):  
L. Toubiana ◽  
N Griffon ◽  
Keyword(s):  
Public Health ◽  
Social Network ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Network Data ◽  
Health It ◽  
Social Network Data ◽  
The Impact ◽  
Modelling Simulation

Summary Objectives: Summarize excellent current research in the field of Public Health and Epidemiology Informatics. Method: Synopsis of the articles selected for the IMIA Yearbook 2015. Results: Four papers from international peer-reviewed journals have been selected as best papers for the section on Public Health and Epidemiology Informatics. Conclusions: The selected articles illustrate current research regarding the impact and assessment of health IT and the latest developments in health information exchange.

scholarly journals Shipboard Data Compression Method for Sustainable Real-Time Maritime Communication in Remote Voyage Monitoring of Autonomous Ships

2021 ◽  
Vol 13 (15) ◽  
pp. 8264
Author(s):  
Irena Jurdana ◽  
Nikola Lopac ◽  
Nobukazu Wakabayashi ◽  
Hongze Liu
Keyword(s):  
Data Compression ◽  
Real Time ◽  
Data Transmission ◽  
Information Exchange ◽  
Data Exchange ◽  
Transmission Rate ◽  
Digital Data ◽  
Monitoring And Control ◽  
Compression Method ◽  
Data Encoding

Due to the ever-increasing amount of data collected and the requirements for the rapid and reliable exchange of information across many interconnected communication devices, land-based communications networks are experiencing continuous progress and improvement of existing infrastructures. However, maritime communications are still characterized by slow communication speeds and limited communication capacity, despite a similar trend of increasing demand for information exchange. These limitations are particularly evident in digital data exchange, which is still limited to relatively slow and expensive narrowband satellite transmission. Furthermore, with the increasing digitalization of ships and introducing the sustainable concept of autonomous ship operation, large amounts of collected data need to be transmitted in real-time to enable remote voyage monitoring and control, putting additional pressure on the already strained means of maritime communications. In this paper, an adaptive shipboard data compression method based on differential binary encoding is proposed for real-time maritime data transmission. The proposed approach is verified on the actual data collected on board a training ship equipped with the latest data acquisition system. The obtained results show that the proposed data encoding method efficiently reduces the transmitted data size to an average of 3.4% of the original shipboard data, thus significantly reducing the required data transmission rate. Moreover, the proposed method outperforms several other tested competing methods for shipboard data encoding by up to 69.6% in terms of compression efficiency. Therefore, this study suggests that the proposed data compression approach can be a viable and efficient solution for transmitting large amounts of digital shipboard data in sustainable maritime real-time communications.

How community health information exchanges can evolve to support population health and healthcare: The case study of the Indiana Network for Patient Care (Preprint)

2020 ◽  
Author(s):  
Karmen Williams ◽  
Saurabh Rahurkar ◽  
Brian Dixon ◽  
Shaun Grannis ◽  
Titus Schleyer
Keyword(s):  
Patient Care ◽  
Community Health ◽  
Health Information ◽  
Population Health ◽  
Information Exchange ◽  
Health Information Exchange ◽  
The United States ◽  
Clinical Applications ◽  
Data Sets ◽  
The Status

BACKGROUND Community Health Information Exchange (HIEs) organizations were originally designed to support individual patient care, but their ability to aggregate health and non-health information about populations offers significant opportunities. OBJECTIVE The aim of this paper is to discuss and illustrate current opportunities for HIEs using the status and trajectory of the Indiana Network for Patient Care (INPC), the oldest and one of the largest HIEs in the United States. METHODS We reviewed the research and clinical applications the INPC has developed and introduced numerous innovations and initiatives. RESULTS HIEs have the positioning and opportunity to provide highly relevant services in today’s healthcare, and public and population health contexts, such as research-ready data sets, state registry collaborations, data commons, population health applications, clinical applications, nationwide interoperability, and support of accountable care organizations. CONCLUSIONS Community HIEs can help advance the practice of medicine and population health and help shift sick-focused to health-focused care. To fully take advantage of their potential, community HIEs must continue to innovate and evolve.

Enhancing Clinical Supervision Using High-Definition Real-Time Digital Recording, Annotation, and Bluetooth Technology

2019 ◽  
Vol 4 (2) ◽  
pp. 356-362
Author(s):  
Jennifer W. Means ◽  
Casey McCaffrey
Keyword(s):  
Graduate Students ◽  
Data Collection ◽  
Real Time ◽  
Clinical Supervision ◽  
Video Recording ◽  
Advanced Technology ◽  
High Definition ◽  
Recording Technology ◽  
Self Confidence ◽  
Additional Data Collection

Purpose The use of real-time recording technology for clinical instruction allows student clinicians to more easily collect data, self-reflect, and move toward independence as supervisors continue to provide continuation of supportive methods. This article discusses how the use of high-definition real-time recording, Bluetooth technology, and embedded annotation may enhance the supervisory process. It also reports results of graduate students' perception of the benefits and satisfaction with the types of technology used. Method Survey data were collected from graduate students about their use and perceived benefits of advanced technology to support supervision during their 1st clinical experience. Results Survey results indicate that students found the use of their video recordings useful for self-evaluation, data collection, and therapy preparation. The students also perceived an increase in self-confidence through the use of the Bluetooth headsets as their supervisors could provide guidance and encouragement without interrupting the flow of their therapy sessions by entering the room to redirect them. Conclusions The use of video recording technology can provide opportunities for students to review: videos of prospective clients they will be treating, their treatment videos for self-assessment purposes, and for additional data collection. Bluetooth technology provides immediate communication between the clinical educator and the student. Students reported that the result of that communication can improve their self-confidence, perceived performance, and subsequent shift toward independence.

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