Author: James H. Bigelow
Publisher:
ISBN:
Category : Medical informatics
Languages : en
Pages : 54
Get Book Here
Book Description
This document summarizes the evidence and analysis that support two papers appearing in "Health Affairs," Vol. 24, No. 5, Sept/Oct 2005, by Hillestad et al. and by Taylor et al. Three much more complete technical reports are as follows: (1) Fonkych, K., and R. Taylor, "The State and Pattern of Health Information Technology Adoption," RAND Corporation, MG-409-HLTH, 2005; Girosi, F., R. Meili, and R. Scoville, "Extrapolating Evidence of Health Information Technology Savings and Costs," RAND Corporation, MG-410-HLTH, 2005; and Bigelow, J. H., K. Fonkych, C. Fung, and J. Wang, "Analysis of Healthcare Interventions that Change Patient Trajectories," RAND Corporation, MG-408-HLTH, 2005. The three sections of this paper summarize these documents in the order listed. Report no. 1 estimates the degree to which hospitals and physician practices have adopted electronic medical records (EMRs), and identifies factors that correlate with adoption. The primary source of data was the Healthcare Information and Management Systems Society (HIMSS)-Dorenfest database for the beginning of 2004, which covers nearly 4,000 acute care community hospitals in the United States (75% of the total number) and most physician practices owned by hospital systems. Report no. 2 quantifies potential national-level efficiency savings that might be obtained with HIT and associated health care changes, and compares them to the costs the nation would incur to realize those savings (efficiency savings are those savings resulting from the ability to perform the same task with fewer resources). A patient trajectory is the sequence of events that involves the patient with the healthcare system. Report no. 3 examines four interventions in the healthcare system that affect patient trajectories, and how HIT may facilitate those interventions.
Author: United States. Congress. House. Committee on Small Business. Subcommittee on Regulatory Reform and Oversight
Publisher:
ISBN:
Category : Electronic government information
Languages : en
Pages : 68
Get Book Here
Book Description
Author: Federico Girosi
Publisher: Rand Corporation
ISBN: 0833040995
Category : Medical
Languages : en
Pages : 109
Get Book Here
Book Description
Provides the technical details and results of one component of a study to better understand the role and importance of Electronic Medical Record Systems (EMR-S) in improving health and reducing healthcare costs--the national-level efficiency savings that would be brought about by using Healthcare Information Technology-and the costs the nation would have to incur to realize those savings.
Author: Katya Fonkych
Publisher: Rand Corporation
ISBN: 0833040987
Category : Medical
Languages : en
Pages : 67
Get Book Here
Book Description
Helps focus the policy agenda for incentives to speed Healthcare Information Technology (HIT) adoption by estimating the current level and pattern of HIT adoption in the different types of healthcare organizations, according to information the Healthcare Information and Management Systems Society (HIMSS)-Dorenfest database, and evaluates factors that affect this diffusion process, using existing empirical studies and regression analysis.
Author: James H. Bigelow
Publisher: Rand Corporation
ISBN: 0833040979
Category : Medical
Languages : en
Pages : 210
Get Book Here
Book Description
Examines interventions in the healthcare system that use Electronic Medical Record Systems (EMR-S) to affect patient trajectories--i.e., the sequence of encounters a patient has with the healthcare system--by improving health and thereby reducing healthcare utilization, or by reducing a costly form of utilization (e.g., inpatient stays) and increasing a more economical form (e.g., office visits to physicians, or prescription medications).
Author: Agency for Healthcare Research and Quality/AHRQ
Publisher: Government Printing Office
ISBN: 1587634333
Category : Medical
Languages : en
Pages : 396
Get Book Here
Book Description
This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Author: Louise L. Liang
Publisher: John Wiley & Sons
ISBN: 0470639377
Category : Medical
Languages : en
Pages : 274
Get Book Here
Book Description
Kaiser Permanente has implemented the largest nongovernmental electronic health record in the world, serving more than 8.6 million Kaiser Permanente members. Called KP HealthConnect, its impact on patient care outcomes, efficiency, safety, and patient engagement and satisfaction already is of intense interest throughout the health care industry. In this volume, Louise L. Liang, MD, who led the massive KP HealthConnect implementation, collects lessons learned from the organization's successful deployment strategy and highlights ways in which the new technological tools are changing and improving - the health care provided to patients and the operations and culture of the organization. Advance praise for Connected for Health "Health care transformation requires leadership and innovation. Connected for Health clearly shows there is no shortage of either at Kaiser Permanente. This is a must read for policy makers and practitioners as the lessons are of critical value if we are to achieve quality, affordable care for Americans." —H. Stephen Lieber, president and CEO, Healthcare Information and Management Systems Society "Connected for Health shares what Kaiser Permanente has learned so far in tapping the vast potential of electronic health records to improve care and expand the frontiers of medical research. It is a journey that should be of great interest to policy leaders in the United States and around the world." —Karen Davis, president, The Commonwealth Fund "This book is destined to become an important part of the critical dialogue on what reforming our health care system really means." —James J. Mongan, MD, Professor of Health Care Policy and Social Medicine, Harvard Medical School "Connected for Health shows how KP HealthConnect is facilitating great team-based care, getting quality right every time, getting patients activated, and freeing caregivers to connect as true healers with their patients." —Margaret E. O'Kane, president, National Committee for Quality Assurance "Effective implementation and use of health information technology is critical to improving the quality, safety, and affordability of health care. This book provides a great opportunity for others to learn from Kaiser Permanente's pioneering efforts." —Janet M. Corrigan, president and CEO, National Quality Forum
Author: Committee on Maintaining Privacy and Security in Health Care Applications of the National Information Infrastructure
Publisher: National Academies Press
ISBN: 0309524253
Category : Medical
Languages : en
Pages : 287
Get Book Here
Book Description
When you visit the doctor, information about you may be recorded in an office computer. Your tests may be sent to a laboratory or consulting physician. Relevant information may be transmitted to your health insurer or pharmacy. Your data may be collected by the state government or by an organization that accredits health care or studies medical costs. By making information more readily available to those who need it, greater use of computerized health information can help improve the quality of health care and reduce its costs. Yet health care organizations must find ways to ensure that electronic health information is not improperly divulged. Patient privacy has been an issue since the oath of Hippocrates first called on physicians to "keep silence" on patient matters, and with highly sensitive data--genetic information, HIV test results, psychiatric records--entering patient records, concerns over privacy and security are growing. For the Record responds to the health care industry's need for greater guidance in protecting health information that increasingly flows through the national information infrastructure--from patient to provider, payer, analyst, employer, government agency, medical product manufacturer, and beyond. This book makes practical detailed recommendations for technical and organizational solutions and national-level initiatives. For the Record describes two major types of privacy and security concerns that stem from the availability of health information in electronic form: the increased potential for inappropriate release of information held by individual organizations (whether by those with access to computerized records or those who break into them) and systemic concerns derived from open and widespread sharing of data among various parties. The committee reports on the technological and organizational aspects of security management, including basic principles of security; the effectiveness of technologies for user authentication, access control, and encryption; obstacles and incentives in the adoption of new technologies; and mechanisms for training, monitoring, and enforcement. For the Record reviews the growing interest in electronic medical records; the increasing value of health information to providers, payers, researchers, and administrators; and the current legal and regulatory environment for protecting health data. This information is of immediate interest to policymakers, health policy researchers, patient advocates, professionals in health data management, and other stakeholders.
Author: Commission on Systemic Interoperability
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 360
Get Book Here
Book Description
"This report is all about people and using computers to connect them and their healthcare information. It is a report about how we get consumers and clinicians to use these tools, how we pay for them, and what we want the computers to do. But computers are only a tool, a means to an end. We have focused this report on computers because they seem to be the best tool--and maybe the only tool--that will allow the nation to change the way healthcare works... This report articulates a vision of an information-connected healthcare system, where consumers' privacy is protected and their convenience facilitated, where doctors and nurses have the information they need to efficiently deliver safe and effective care, where our public health and homeland security can be protected while still guarding each individual's privacy. The report recommends specific actions and broader policy objectives, all with the goal of allowing healthcare to effectively use computers and information technology. If followed, the Commission's recommendations will accelerate healthcare's transformation." [From Foreword].
Author: David Garets
Publisher: CRC Press
ISBN: 149876147X
Category : Business & Economics
Languages : en
Pages : 284
Get Book Here
Book Description
If your health care organization is typical, you were successful in getting your electronic medical record (EMR) system installed on time and within budget. You declared victory and collected some money from meaningful use. But very quickly, you realized you were not getting the expected return on your investment. So you started the "optimization"
