Bibliographies thématiques / Electronic Health Record (EHR) systems

Littérature scientifique sur le sujet « Electronic Health Record (EHR) systems »

Auteur : Grafiati
Publié le 10 mars 2023

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Articles de revues sur le sujet "Electronic Health Record (EHR) systems"

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Seymour, Tom, Dean Frantsvog et Tod Graeber. « Electronic Health Records (EHR) ». American Journal of Health Sciences (AJHS) 3, no 3 (13 juillet 2012) : 201–10. http://dx.doi.org/10.19030/ajhs.v3i3.7139.

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Electronic Health Records are electronic versions of patients’ healthcare records. An electronic health record gathers, creates, and stores the health record electronically. The electronic health record has been slow to be adopted by healthcare providers. The federal government has recently passed legislation requiring the use of electronic records or face monetary penalties. The electronic health record will improve clinical documentation, quality, healthcare utilization tracking, billing and coding, and make health records portable. The core components of an electronic health record include administrative functions, computerized physician order entry, lab systems, radiology systems, pharmacy systems, and clinical documentation. HL7 is the standard communication protocol technology that an electronic health record utilizes. Implementation of software, hardware, and IT networks are important for a successful electronic health record project. The benefits of an electronic health record include a gain in healthcare efficiencies, large gains in quality and safety, and lower healthcare costs for consumers. Electronic health record challenges include costly software packages, system security, patient confidentiality, and unknown future government regulations. Future technologies for electronic health records include bar coding, radio-frequency identification, and speech recognition.
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Mehmood, Hamid, Muhammad Aslam, Sadia Aslam, Ammara Waqar, Athar Khan, Yasir Hassan, Faryal Murtaza Cheema, Hassan Mujtaba et Noor-e. Maham. « ELECTRONIC HEALTH RECORD SYSTEMS ; ». Professional Medical Journal 24, no 01 (18 janvier 2017) : 182–87. http://dx.doi.org/10.29309/tpmj/2017.24.01.401.

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Introduction: e-Health is a combination of medical informatics, public health,business and information technology. Health information technology has increased theproductivity by reengineering of health care but it requires new measurement tools to monitorthe impact of it .e-health is not only for the development of technologies but also it includesproper planning, thinking, broad thinking to improve healthcare services with the help ofinformation and communication technology. Objectives: 1) To assess the perceptions ofphysicians towards the use, effectiveness and efficiency of EHR 2) To identify the differencesbetween electronic and paper based records 3) To evaluate the usage of Electronic HealthRecords.4) To analyze satisfaction and challenges face by the physicians using EHR. ResearchDesign: This is an Exploratory and Descriptive Research. In this study hybrid research methodis used which includes qualitative and quantitative research methods. Sampling technique:For this study, a purposive sample of 43 physicians was selected. The sample size was 60but 17 responses were incomplete so they were excluded and the final sample size was 43.Data was collected from two different hospitals of Pakistan which include the physicians fromShaukat Khanum Memorial Cancer Hospital and Research Centre, and Indus Hospital. Of the43 participants, 51% were from Indus Hospital and 49% were from Shaukat Khanum MemorialCancer Hospital and Research Centre. Instrument: A structured questionnaire was used tocollect data and it was collected by email responses and direct interview. EHR Questionnaire:A questionnaire was used in the study. The EHR Questionnaire has comprised of 24 items. Thisquestionnaire was developed by Msukwa. B.K.Martin.1 Data Analysis: Data analysis was doneby Statistical Package for Social Sciences (SPSS) and Microsoft Excel. Procedure: The sampleconsisted of physicians from Shaukat Khanum Memorial Cancer Hospital and Research Centre,and Indus Hospital from Karachi. EHR is a new technology and hospitals are moving towardsit, some are under process and very few like the above mentioned hospitals are using it. Thequestionnaire was not complicated. It was a structured questionnaire with easy questions withmultiple options to fill in. Respondents were also acknowledged for their cooperation andparticipation in the study. Conclusion: EHR should be used effectively, proper training is neededto ensure that physicians are able to operate the system and can have maximum benefits fromthe technology by utilizing all its applications. The government should encourage adoption ofElectronic Health l Records in Pakistan by developing a public-private partnership. The studyfocused also on EHR effectiveness by checking the working of EHR its quick and satisfactoryresults its accuracy, adequacy, timeliness, user- friendliness, availability and reliability.
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King, Jason, Ben Smith et Laurie Williams. « Audit Mechanisms in Electronic Health Record Systems ». International Journal of Computational Models and Algorithms in Medicine 3, no 2 (avril 2012) : 23–42. http://dx.doi.org/10.4018/jcmam.2012040102.

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Inadequate audit mechanisms may result in undetected misuse of data in software-intensive systems. In the healthcare domain, electronic health record (EHR) systems should log the creating, reading, updating, or deleting of privacy-critical protected health information. The objective of this paper is to assess electronic health record audit mechanisms to determine the current degree of auditing for non-repudiation and to assess whether general audit guidelines adequately address non-repudiation. The authors analyzed the audit mechanisms of two open source EHR systems, OpenEMR and Tolven eCHR, and one proprietary EHR system. The authors base the qualitative assessment on a set of 16 general auditable events and 58 black-box test cases for specific auditable events. The authors find that OpenEMR satisfies 62.5% of the general criteria and passes 63.8% of the black-box test cases. Tolven eCHR and the proprietary EHR system each satisfy less than 19% of the general criteria and pass less than 11% of the black-box test cases.
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Nøhr, C. « Evaluation of Electronic Health Record Systems ». Yearbook of Medical Informatics 15, no 01 (août 2006) : 107–13. http://dx.doi.org/10.1055/s-0038-1638481.

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SummaryThe objective of this article is to present an overview of the various considerations to be made prior to evaluating electronic health record (EHR) systems.From the methodological literature, a number of themes for decisions are presented and related to the contemporary EHR situation. Special attention is paid to a number of important methodological themes.Definitive checklists for evaluation of EHR systems can not be recommended, but seven key steps are listed to guide the design of evaluation projects.It is concluded that the issues presented are not completely exhausted and the seven key steps might have to include iterative loops because of interdependencies between some of the steps.
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Kalra, D. « Electronic Health Record Standards ». Yearbook of Medical Informatics 15, no 01 (août 2006) : 136–44. http://dx.doi.org/10.1055/s-0038-1638463.

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SummaryThis paper seeks to provide an overview of the initiatives that are proceeding internationally to develop standards for the exchange of electronic health record (EHR) information between EHR systems.The paper reviews the clinical and ethico-legal requirements and research background on the representation and communication of EHR data, which primarily originates from Europe through a series of EU funded Health Telematics projects over the past thirteen years. The major concepts that underpin the information models and knowledge models are summarised. These provide the requirements and the best evidential basis from which HER communications standards should be developed.The main focus of EHR communications standardisation is presently occurring at a European level, through the Committee for European Normalisation (CEN). The major constructs of the CEN 13606 model are outlined. Complementary activity is taking place in ISO and in HL7, and some of these efforts are also summarised.There is a strong prospect that a generic EHR interoperability standard can be agreed at a European (and hopefully international) level. Parts of the challenge of EHR interoperability cannot yet be standardised, because good solutions to the preservation of clinical meaning across heterogeneous systems remain to be explored. Further research and empirical projects are therefore also needed.
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Galli, Brian J. « Ethics of Electronic Health Record Systems ». International Journal of Information Systems and Social Change 9, no 3 (juillet 2018) : 53–69. http://dx.doi.org/10.4018/ijissc.2018070104.

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This article describes how healthcare and IT are combatting the ethical implications of electronic health records (EHRs) in order to make them adopted by over 90% of small practices. There is a lack of trust in EHRs and uneasiness about what they will accomplish. Furthermore, security concerns have become more prevalent as a result of increased hacker activity. The objective of this article is to analyze these ethical issues in an effort to eliminate them as a hinderance to EHR implementation. As of now, 98% of all hospitals use EHRs. Between 2009 and 2015, the government allocated money and resources for incentive programs to get EHRs into every healthcare providers' office. During this time period, over $800 million dollars facilitated EHR implementation. Using this as a tool EHRs negative perception can be revitalized and combated with the meaningful use program. This article will highlight the ethical implications of EHRs and suggest ways in which to avoid them to make EHRs available in every healthcare provider.
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Stead, W. W., J. C. Denny, D. Giuse, N. M. Lorenzi, S. H. Brown, K. B. Johnson et S. T. Rosenbloom. « Generating Clinical Notes for Electronic Health Record Systems ». Applied Clinical Informatics 01, no 03 (2010) : 232–43. http://dx.doi.org/10.4338/aci-2010-03-ra-0019.

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SummaryClinical notes summarize interactions that occur between patients and healthcare providers. With adoption of electronic health record (EHR) and computer-based documentation (CBD) systems, there is a growing emphasis on structuring clinical notes to support reusing data for subsequent tasks. However, clinical documentation remains one of the most challenging areas for EHR system development and adoption. The current manuscript describes the Vanderbilt experience with implementing clinical documentation with an EHR system. Based on their experience rolling out an EHR system that supports multiple methods for clinical documentation, the authors recommend that documentation method selection be made on the basis of clinical workflow, note content standards and usability considerations, rather than on a theoretical need for structured data.
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Katamanin, Olivia, et Alex M. Glazer MD. « Dermatologists' Perceptions and Use of Electronic Health Record Systems ». SKIN The Journal of Cutaneous Medicine 4, no 5 (29 août 2020) : 404–7. http://dx.doi.org/10.25251/skin.4.5.2.

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Introduction: Electronic Health Records (EHR) have been adopted and integrated into medical practices over the past 20 years. Many positive and negative implications have been described by physicians using EHR. This study aims to US dermatologists' perceptions and use of EHR within their clinical practice. Methods: A validated survey was administered to US dermatologists at a national educational conference to assess use and perceptions of EHR. Results Seventy-two percent (291/400) of those sampled completed greater than 90% survey and were included in outcome analysis. Eighty-six percent of the participants were currently using or had used EHR. Most dermatologists felt that EHR negatively impacted their workflow efficiency and face-to-face time with patients. A portion of dermatologists thought that EHR improved their documentation. Limitations: Selection bias may have led those with strong beliefs with EHR more likely to complete the entire survey. Conclusion: Despite widespread adoption, most dermatologists have a negative impression of EHR and felt that it interfered with their ability to effectively see patients. Interventions to improve EHR should focus on improving workflow efficiency and maximizing the amount of time dermatologists can spend with patients.
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Khedr, Dr Ayman E., et Fahad Kamal Alsheref. « A Proposed Electronic Health Record Content Structure Based on Clinical Organizations Survey ». INTERNATIONAL JOURNAL OF COMPUTERS & ; TECHNOLOGY 15, no 13 (22 octobre 2014) : 5233–46. http://dx.doi.org/10.24297/ijct.v15i13.5283.

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Computer systems and communication technologies made a strong and influential presence in the different fields of medicine. The cornerstone of a functional medical information system is the Electronic Health Records (EHR) management system. Several electronic health records systems were implemented in different states with different clinical data structures that prevent data exchange between systems even in the same state. This leads to the important barrier in implementing EHR system which is the lack of standards of EHR clinical data structure. In this paper we made a survey on several in international and Egyptian medical organization for implementing electronic health record systems for finding the best electronic health record clinical data structure that contains all patient’s medical data. We proposed an electronic health record system with a standard clinical data structure based on the international and Egyptian medical organization survey and with avoiding the limitations in the other electronic health record that exists in the survey.
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Flores Zuniga, Alejandro Enrique, Khin Than Win et Willy Susilo. « Functionalities of free and open electronic health record systems ». International Journal of Technology Assessment in Health Care 26, no 4 (octobre 2010) : 382–89. http://dx.doi.org/10.1017/s0266462310001121.

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Objectives: The aim of this study was to examine open-source electronic health record (EHR) software to determine their level of functionalities according to the International Organization for Standardization (ISO) standards.Methods: ISO standards were used as a guideline to determine and describe the reference architecture and functionalities of a standard electronic health record system as well the environmental context for which the software has been built. Twelve open-source EHR systems were selected and evaluated according to two-dimensional criteria based on ISO/TS 18308:2004 functional requirements and ISO/TR 20514:2005 context of the EHR system.Results: Open EHR software programs mostly fulfill structural, procedural, evolutional, and medicolegal requirements at the minimal and full functionality levels. Communication, privacy, and security requirements are accomplished in less than 23 percent of the cases, mainly at minimal functional level. Ethical, cultural, and consumer requirements still need to be fulfilled by free and open-source EHR applications.Conclusions: Most analyzed systems had several functional limitations. Nevertheless, especially for clinicians and decision makers in developing countries, open-source EHR systems are an option. The limited functionalities are likely to become requirements for further releases of open-source EHR systems.
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Thèses sur le sujet "Electronic Health Record (EHR) systems"

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Perumal, Palani. « Business model and strategy analysis for radiologists to use electronic health records (EHR) ». Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/76928.

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Thesis (S.M. in Engineering and Management)--Massachusetts Institute of Technology, Engineering Systems Division, System Design and Management Program, 2012.
Cataloged from PDF version of thesis.
Includes bibliographical references (p. 90-94).
Radiology is a medical specialty that employs imaging to diagnose and treat disease. It has long been an advance user of technology to capture, store, share, and use images electronically. In 2009, President Obama signed into law a measure, the HITECH Act (part of the stimulus package), that incentivizes healthcare providers to use electronic health records (EHR) in care delivery to improve quality, efficiency, safety, and reduce cost. The meaningful use (MU) program's Stage 1 requirements (part of HITECH Act) did not include imaging requirements, leading to confusion among radiologists and other specialties with regard to what MU offers to and requires of them. This thesis attempts to clarify the contribution radiology can make to MU by understanding radiology as a system, including its surrounding issues and its drivers, using Stage 1 MU requirements, data from qualitative research, and results from analysis. It answers the following question: Should Radiologists be considered part of the care team, leveraging EHR for meaningful use and hence eligible for incentive payments? It does so via the following methods: a) Discussing in detail current issues surrounding radiology systems from quality, safety, efficiency, and cost perspectives; b) Discussing MU in the context of radiology and reviewing what is missing in it for radiologists; c) Providing deeper systems analysis of current behaviors and why they have this form at this time; and d) Explaining how MU objectives can help to overcome many current issues and ultimately help to improve health outcomes. Specific changes to MU criteria to achieve these benefits are recommended. This thesis employs systems concepts and tools including system architecture and system dynamics for research and analysis to understand the system and derive hypotheses. A system dynamics model is used to analyze current drivers in imaging and to clarify the impact MU can have on these drivers. Thesis conclusions are supported by the analysis performed using the model as well as information gathered through industry interviews, online articles, academic and industry journals, and blogs.
by Palani Perumal.
S.M.in Engineering and Management
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Adams, Sharon L. « Nurses Knowledge, Skills, and Attitude Toward Electronic Health Records (EHR) ». ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/875.

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Information technology (IT) has been rapidly integrated into the healthcare industry, including nursing, and has the ability to reduce errors, cut cost, and enhance patient care. However, approximately 45% of the current nurse workforce lacks adequate training in computer skills, which may hinder the adoption of health-related IT in the workplace. Characteristics of Rogers's diffusion of innovation (relative advantage, compatibility, complexity, trialability, and observability) guided this project. This project was conducted to address the problem of IT adoption on a local level and was designed to assess whether simulation training on a generic electronic health record (EHR) system would improve the knowledge, skill, and attitude of nurses with little or no experience with EHR. A convenience sample of nurses (n = 13) unfamiliar with EHR was obtained by posting flyers in long-term care or home health agencies. The nurses completed the P.A.T.C.H. assessment scale v. 3 (2011) before and after participating in the one-time simulation training on EHR. Scores on the P.A.T.C.H. were calculated according to the established scoring system and revealed a positive increase nurses' attitude and self-efficacy toward the EHR system. Posttest scores yielded an increase ranging from 0.5 to 5 points from pretest scores, with an average pretest score of 54.23 on a scale of 0-100. The results of this project are consistent with the literature and current research and illustrate the importance of addressing the need for interactive training. This project contributes to social change in practice by enhancing the awareness of EHR in nurses who are new users of IT and promoting the adoption of technology in healthcare.
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Ngunyu, Daniel Kanyi. « Strategies for Applying Electronic Health Records to Achieve Cost Saving Benefits ». ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5236.

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The American Recovery and Reinvestment Act (ARRA) of 2009 authorized the distribution of about $30 billion incentive funds to accelerate electronic health record (EHR) applications to improve the quality of care, safety, privacy, care coordination, and patients' involvement in healthcare. EHR use has the potential of saving $731 in costs for hospitals per patient admission; however, most hospitals are not applying EHR to reach the level at which cost savings are possible. The purpose of this single case study was to explore strategies that IT leaders in hospitals can use to apply EHR to achieve the cost saving benefits. The participants were IT leaders and EHR super users at a large hospital in Texas with successful experience in applying EHR. Information systems success model formed the conceptual framework for the study. I conducted face-to-face interviews and analyzed organizational documents. I used qualitative textual data analysis method to identify themes. Five themes emerged from this study, which are ensuring information quality, ensuring system quality, assuring service quality, promoting usability, and maximizing net benefits of the EHR system. The findings of this study included four strategies to apply EHR; these strategies include engaging training staff, documenting accurately and in a timely manner, protecting patient data, and enforcing organizational best practice policies to maximize reimbursement and cost savings. The findings of this study could contribute to positive social change for the communities because EHR successful application includes lower cost for hospitals that may lead to the provision of affordable care to more low-income patients.
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Najaftorkaman, Mohammadreza. « Facilitators and Barriers to User Adoption of Electronic Health Record Systems ». Thesis, Griffith University, 2016. http://hdl.handle.net/10072/368008.

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Information Technology (IT) applications have brought massive changes in healthcare and health providers have shifted from paper-based systems to computerized ones. The electronic medical record (EMR) and personal health record (PHR) are good examples of the application of IT in healthcare settings. Despite the enormous benefits of the available applications in healthcare, the adoption of EMR in primary care has been identified at 38.4 percent in the U.S., in Denmark, almost 62 percent of doctors use EMR, while only 55 percent of Australian physicians apply EMR systems (Sicotte et al. 2016; Venkatesh et al. 2011). Furthermore, with regard to the PHR system, the Australian government’s development of a national PHR system (personally controlled electronic health record (PCEHR) system) in 2010 was a part of their national e-health strategy to overcome common challenges such as medication errors, fragmented sources of health information, repetition of tests, an increase in chronic illness, workforce resource constraints, and individuals’ changing expectations of technology. The Australian government expected that 500,000 users would register at the first release of the national PHR system; however, only 400,000 users have signed up to this system and of those, many registered but their records remain empty.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of information and Communication Technology
Science, Environment, Engineering and Technology
Full Text
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Nanouris, Elizabeth. « The ethical and legal complications surrounding the implementation of a pan-Canadian electronic health record (EHR) system ». Thesis, McGill University, 2011. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=104728.

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Canada lags behind other countries in the development of electronic health records. If Canada develops a pan-Canadian electronic health record (EHR) system, the quality of patient care can improve. A review of the literature lists potential benefits of EHRs such as improvements in medical research, a reduction in emergency room and diagnostic test wait times. Such a system will make medical records readily available to health care providers which will help them make informed critical decisions. Regardless of the benefits of such a system, there are legal and ethical implications hindering its development and implementation. The federal and provincial governments are at odds as to who is in charge of health care. Canadians need to be consulted on its implementation, and their concerns regarding privacy legislation addressed. Canada Health Infoway has undergone initiatives to create an interoperable EHR system in Canada with audit trails, smart card technology, etc. The benefits of such a system are seen in an analysis of Alberta that has created its own provincial EHR system. Case studies of both Alberta and the United Kingdom's EHR systems should be used as a foundation to begin developing Canada's national system. If Canada addresses the concerns surrounding the implementation of a national EHR system through policies with sanctions to deal with the ethical implications of such a system (informed consent, unlawful access, etc), then studies have shown that Canadians will support a pan-Canadian EHR system initiative. Before addressing ethical dilemmas, the governments must assume responsibility of who will develop and maintain this system.
Le Canada accuse un retard important par rapport à d'autres pays dans le développement de dossiers de santé électroniques. Si le Canada développe un système de dossier de santé électronique pancanadien (DSE), la qualité des soins patients peut s'améliorer. Une revue de la littérature décrit les avantages potentiels des DSEs tels que des améliorations de la recherche médicale, une réduction au niveau des temps d'attente en salle d'urgence et des tests diagnostiques. Un tel système facilitera la disponibilité des dossiers médicaux pour les fournisseurs de soins médicaux et les aideront à prendre des décisions critiques éclairées. Indépendamment des avantages d'un tel système, des implications sur le point de vue légal et éthique empêchent son développement et sa mise en œuvre. Les gouvernements fédéraux et provinciaux sont en désaccord quant à qui la responsabilité des soins médicaux incombe. Les Canadiens doivent être consultés sur la mise en œuvre de ce système et leurs préoccupations quant à la législation sur la vie privée doivent être adressées. Inforoute Santé du Canada a entrepris des démarches afin de créer un système de DSEs interopérable au Canada avec des protocoles d'audit, la technologie de carte à puce, etc. Une analyse de l'Alberta, qui a créé son propre système de DSE provincial, a permis de voir les bénéfices d'un tel système. Les études de cas portant sur les systèmes de DSEs de l'Alberta et du Royaume-Uni devraient être utilisées comme fondement afin de débuter le développement d'un système national au Canada. Les études ont démontré que les Canadiens supporteront l'initiative d'un système de DSE pancanadien si le Canada adresse les préoccupations entourant la mise en œuvre de ce système national par des mesures avec sanction afin de répondre aux implications éthiques que ce dernier pose (le consentement éclairé, l'accès illégal, etc.). Avant d'adresser les dilemmes éthiques que pose ce système, les gouvernements doivent assumer la responsabilité de décider qui développera et maintiendra ce système.
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Davids, Kaashiefah. « The role of electronic healthcare systems (EHS) for patient recordkeeping in the Western Cape ». University of Western Cape, 2019. http://hdl.handle.net/11394/7829.

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Magister Commercii - MCom
Information and communication technologies (ICT) have changed the way healthcare processes are being documented. This results in better quality and ethical vigilance to ensure a more accurate form of data recordkeeping (Stevenson, Nilsson, Petersson & Johansson, 2010). Health care in South Africa, is facing major issues relating to patient care, such as delays in patients receiving medical care. According to the national Department of Health, the improvement of public healthcare facilities is crucial (McIntyre & Ataguba, 2017). Information and communication technology (ICT) has the ability to significantly alter the status of healthcare services in the Western Cape, which can be achieved through the role of an electronic healthcare record (EHR).
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Huang, Jiawei. « The Road to a Nationwide Electronic Health Record System : Data Interoperability and Regulatory Landscape ». Scholarship @ Claremont, 2019. https://scholarship.claremont.edu/cmc_theses/2224.

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This paper seeks to break down how a large scale Electronic Health Records system could improve quality of care and reduce monetary waste in the healthcare system. The paper further explores issues regarding regulations to data exchange and data interoperability. Due to the massive size of healthcare data, the exponential increase in the speed of data generation through innovative technologies, and the complexity of healthcare data types, the widespread of a large-scale EHR system has hit barriers. Much of the data available is unstructured or contained within a singular healthcare provider’s systems. To fully utilize all the data available, methods for making data interoperable and regulations for data exchange to protect and support patients must be made. Through angles addressing data exchange and interoperability, we seek to break down the constraints and issues that EHR systems still face and gain an understanding of the regulatory landscape.
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Bozan, Karoly. « Essays on Electronic Health Records (EHR) Process Framework and Design-Theoretic Model in a Multi-Stakeholder Context ». Kent State University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=kent1416865146.

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Tyler, Lamonte Bryant. « Exploring the Implementation of Cloud Security to Minimize Electronic Health Records Cyberattacks ». ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5281.

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Health care leaders lack the strategies to implement cloud security for electronic medical records to prevent a breach of patient data. The purpose of this qualitative case study was to explore strategies senior information technology leaders in the healthcare industry use to implement cloud security to minimize electronic health record cyberattacks. The theory supporting this study was routine activities theory. Routine activities theory is a theory of criminal events that can be applied to technology. The study's population consisted of senior information technology leaders from a medical facility in a large northeastern city. Data collection included semistructured interviews, phone interviews, and analysis of organizational documents. The use of member checking and methodological triangulation increased the validity of this study's findings among all participants. There were 5 major themes that emerged from the study (a) requirement of coordination with the electronic health record vendor and the private cloud vendor, (b) protection of the organization, (c) requirements based on government and organizational regulations, (d) access management, (e) a focus on continuous improvement. The results of this study may create awareness of the necessity to secure electronic health records in the cloud to minimize cyberattacks. Cloud security is essential because of its social impact on the ability to protect confidential data and information. The results of this study will further serve as a foundation for positive social change by increasing awareness in support of the implementation of electronic health record cloud security.
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Hopes, Scott L. « Healthcare IT in Skilled Nursing and Post-Acute Care Facilities : Reducing Hospital Admissions and Re-Admissions, Improving Reimbursement and Improving Clinical Operations ». Scholar Commons, 2017. https://scholarcommons.usf.edu/etd/7409.

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Health information technology (HIT), which includes electronic health record (EHR) systems and clinical data analytics, has become a major component of all health care delivery and care management. The adoption of HIT by physicians, hospitals, post-acute care organizations, pharmacies and other health care providers has been accepted as a necessary (and recently, a government required) step toward improved quality, care coordination and reduced costs: “Better coordination of care provides a path to improving communication, improving quality of care, and reducing unnecessary emergency room use and hospital readmissions. LTPAC providers play a critical role in achieving these goals” (HealthIT.gov, 2013). Though some of the impacts of evolving HIT and EHRs have been studied in acute care hospitals and physician office settings, a dearth of information exists about the deployment and effectiveness of HIT and EHRs in long-term and post-acute care facilities, places where they are becoming more essential. This dissertation examines how and to what extent health information technology and electronic health record implementation and use affects certain measurable outcomes in long term and post-acute care facilities. Monthly data were obtained for the period beginning January 1, 2016 through June 30, 2017, a total of 18 months. The level of EHR adoption was found to positively impact hospital readmission rates, employee engagement, complaint deficiencies, failed revisit surveys, staff overtime (partial EHR), staff turnover rate (full EHR) and United States Centers for Medicare and Medicaid Services (CMS) Five Star Quality score. The level of EHR adoption was found to negatively impact CMS Five Star Total score, staff retention rate (full EHR) and staff overtime (full EHR group higher than partial EHR).
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Livres sur le sujet "Electronic Health Record (EHR) systems"

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D, Gelzer Reed, et Bowers Donna, dir. How to evaluate electronic health record (EHR) systems. Chicago, Ill : American Health Information Management Association, 2008.

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Virginia. Department of Health. Report of the Department of Health : Progress report on a pilot project connecting public health providers to Carilion Health System's Electronic Health Record (EHR), to the Governor and the General Assembly of Virginia. Richmond, Va : Commonwealth of Virginia, 2006.

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Cynthia, Davis. A guide to EHR adoption : Implementation through organizational transformation. Chicago, IL : HIMSS (Healthcare Information and Management Systems Society), 2012.

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SAFER electronic health records : Safety assurance factors for EHR resilience. Oakville, ON : Apple Academic Press, 2015.

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Keys to EMR/EHR success : Selecting and implementing an electronic medical record. 2e éd. Phoenix, MD : Greenbranch Pub., 2010.

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Association, American Medical, dir. Practical EHR : Electronic record solutions for compliance and quality care. Chicago : American Medical Association, 2008.

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Strategies for electronic document and health record management. Chicago, Illinois : AHIMA , American Health Information Management Association, 2014.

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Electronic health record : A systems analysis of the medications domain. Boca Raton : Taylor & Francis, 2012.

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The electronic health record for the physician's office with Medtrak systems. St. Louis, Mo : Elsevier/ Saunders, 2012.

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Eichenwald, Shirley. Using the electronic health record in the health care provider practice. Clifton Park, NY : Thomson Delmar Learning, 2008.

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Chapitres de livres sur le sujet "Electronic Health Record (EHR) systems"

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Clarke, Martina A., Jeffery L. Belden et Min S. Kim. « Identifying Persistent Usability Issues When Using an Electronic Health Record to Inform EHR Instructional Redesign ». Dans Advances in Intelligent Systems and Computing, 274–81. Cham : Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-50838-8_38.

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Alfaidi, Arij, et Edward Chow. « Saving Electronic Health Record (EHR) in private and secure mHealth system with blockchain Smart contracts ». Dans Advanced Information Networking and Applications, 159–64. Cham : Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-75078-7_17.

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Galli, Brian J. « Ethics of Electronic Health Record Systems ». Dans Data Analytics in Medicine, 1467–84. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-1204-3.ch073.

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This article describes how healthcare and IT are combatting the ethical implications of electronic health records (EHRs) in order to make them adopted by over 90% of small practices. There is a lack of trust in EHRs and uneasiness about what they will accomplish. Furthermore, security concerns have become more prevalent as a result of increased hacker activity. The objective of this article is to analyze these ethical issues in an effort to eliminate them as a hinderance to EHR implementation. As of now, 98% of all hospitals use EHRs. Between 2009 and 2015, the government allocated money and resources for incentive programs to get EHRs into every healthcare providers' office. During this time period, over $800 million dollars facilitated EHR implementation. Using this as a tool EHRs negative perception can be revitalized and combated with the meaningful use program. This article will highlight the ethical implications of EHRs and suggest ways in which to avoid them to make EHRs available in every healthcare provider.
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Kasemsap, Kijpokin. « Mastering Electronic Health Record in Global Health Care ». Dans Healthcare Ethics and Training, 1091–111. IGI Global, 2017. http://dx.doi.org/10.4018/978-1-5225-2237-9.ch052.

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This chapter describes the overview of electronic health record (EHR); the trends and issues with EHR; EHR and clinical decision support system (CDSS); the trust and privacy concerns of EHR systems; and the significance of EHR in global health care. EHR systems are very important in health care settings and have the potential to transform the health care system from a mostly paper-based industry to the one that utilizes the clinical data and other pieces of information to assist health care providers in delivering the higher quality of care to their patients. EHRs and their ability to electronically exchange health information can help health care providers effectively provide higher quality and safer care for patients while creating tangible enhancements in global health care.
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Kasemsap, Kijpokin. « Mastering Electronic Health Record in Global Health Care ». Dans Handbook of Research on Healthcare Administration and Management, 222–42. IGI Global, 2017. http://dx.doi.org/10.4018/978-1-5225-0920-2.ch014.

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This chapter describes the overview of electronic health record (EHR); the trends and issues with EHR; EHR and clinical decision support system (CDSS); the trust and privacy concerns of EHR systems; and the significance of EHR in global health care. EHR systems are very important in health care settings and have the potential to transform the health care system from a mostly paper-based industry to the one that utilizes the clinical data and other pieces of information to assist health care providers in delivering the higher quality of care to their patients. EHRs and their ability to electronically exchange health information can help health care providers effectively provide higher quality and safer care for patients while creating tangible enhancements in global health care.
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Kasemsap, Kijpokin. « Mobile Health Systems and Electronic Health Record ». Dans Next-Generation Mobile and Pervasive Healthcare Solutions, 67–85. IGI Global, 2018. http://dx.doi.org/10.4018/978-1-5225-2851-7.ch005.

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This chapter reveals the overview of mobile health systems; the adoption of mobile health systems; mobile health systems and patient monitoring; the overview of mobile health technology; the advanced issues of Electronic Health Record (EHR); and the challenges of EHR in global health care. Mobile health helps deliver the health care services with quality care, improved workflow, and increased patient interaction while minimizing complexity and cost to achieve the desired goals in health care settings. EHR systems are the real-time and patient-centered records that make information available instantly and securely to authorized users. The chapter argues that applying mobile health systems and EHR has the potential to improve health care efficiency and gain sustainable competitive advantage in global health care.
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Kasemsap, Kijpokin. « Mobile Health Systems and Electronic Health Record ». Dans Consumer-Driven Technologies in Healthcare, 15–33. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-6198-9.ch002.

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This chapter reveals the overview of mobile health systems; the adoption of mobile health systems; mobile health systems and patient monitoring; the overview of mobile health technology; the advanced issues of Electronic Health Record (EHR); and the challenges of EHR in global health care. Mobile health helps deliver the health care services with quality care, improved workflow, and increased patient interaction while minimizing complexity and cost to achieve the desired goals in health care settings. EHR systems are the real-time and patient-centered records that make information available instantly and securely to authorized users. The chapter argues that applying mobile health systems and EHR has the potential to improve health care efficiency and gain sustainable competitive advantage in global health care.
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« Hong Kong's eHR Sharing System ». Dans Electronic Health Record, 229–37. Hoboken, NJ, USA : John Wiley & Sons, Inc., 2012. http://dx.doi.org/10.1002/9781118479612.ch24.

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Kuehler, Mary, Nakeisha Schimke et John Hale. « Privacy Considerations for Electronic Health Records ». Dans Privacy Protection Measures and Technologies in Business Organizations, 210–26. IGI Global, 2012. http://dx.doi.org/10.4018/978-1-61350-501-4.ch008.

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Electronic Health Record (EHR) systems are a powerful tool for healthcare providers and patients. Both groups benefit from unified, easily accessible record management; however, EHR systems also bring new threats to patient privacy. The reach of electronic patient data extends far beyond the healthcare realm. Patients are managing their own health records through personal health record (PHR) service providers, and businesses outside of the healthcare industry are finding themselves increasingly linked to medical data. The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule and other regulatory measures establish baseline standards for protecting patient privacy, but the inclusion of medical images in patient records presents unique challenges. Medical images often require specialized management tools, and some medical images may reveal a patient’s identity or medical condition through re-linkage or inherent identifiability. After exploring EHR systems in-depth and reviewing health information policy, the chapter explores how privacy challenges associated with EHR systems and medical images can be mitigated through the combined efforts of technology, policy, and legislation designed to reduce the risk of re-identification.
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Vamsi, Desam, et Pradeep Reddy. « Electronic Health Record Security in Cloud ». Dans Advances in Healthcare Information Systems and Administration, 22–47. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-0261-7.ch002.

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Security is the primary issue nowadays because cybercrimes are increasing. The organizations can store and maintain their data on their own, but it is not cost effective, so for convenience they are choosing cloud. Due to its popularity, the healthcare organizations are storing their sensitive data to cloud-based storage systems, that is, electronic health records (EHR). One of the most feasible methods for maintaining privacy is homomorphism encryption (HE). HE can combine different services without losing security or displaying sensitive data. HE is nothing but computations performed on encrypted data. According to the type of operations and limited number of operations performed on encrypted data, it is categorized into three types: partially homomorphic encryption (PHE), somewhat homomorphic encryption (SWHE), fully homomorphic encryption (FHE). HE method is very suitable for the EHR, which requires data privacy and security.
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Actes de conférences sur le sujet "Electronic Health Record (EHR) systems"

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Kadhim, Dua Abdulrazak, Sarfraz Iqbal et Päivi Jokela. « Electronic Health Records : Non-Swedish Speaking Refugee’s Perspective ». Dans The 18th international symposium on health information management research. Linnaeus University Press, 2022. http://dx.doi.org/10.15626/ishimr.2020.16.

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Electronic health record (EHR) is a ubiquitous e-health tool that includes both Electronic Medical Record (EMR) and personal health record (PHR). EHR is aimed to be a versatile digital tool that can benefit both caregivers and patients through Quick and easy access to medical information at any time from hospitals or primary care. However, the fact that the bulk of core records, including self-service data for patients, is only available in Swedish may limit the scope, availability and feasibility of self service through EHRs access for refugee patients who are non-Swedish speakers. Research results suggest that the EHRs should be meaningful, modified, and improved based on patient’s needs, by actively involving patients in their healthcare. The issues such as EHRs an information sharing communication System, lack of Information about using EHR, language barrier a hinderance in using EHR, EHRs as medical recommendation system, better instructions about EHRs, presenting medical information in diagnosis part in EHRs in other languages and presenting medical information in diagnosis part in EHRs by sound are very important to address non-Swedish speaking refugee patients’ needs to use EHRs.
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Sakib, Md Nazmus, Mohamed Jaladeen et Mohamed Razi. « Electronic Health Record System (EHR) Adoption : From Bangaladesh Medical Students' Perspective ». Dans 2015 4th International Conference on Advanced Computer Science Applications and Technologies (ACSAT). IEEE, 2015. http://dx.doi.org/10.1109/acsat.2015.44.

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Bozan, Karoly, et Pratim Datta. « User Satisfaction and the Availability of Health Information ». Dans InSITE 2015 : Informing Science + IT Education Conferences : USA. Informing Science Institute, 2015. http://dx.doi.org/10.28945/2234.

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Electronic health records (EHR) are the digitized longitudinal health records of an individual that is shared across agencies and providers. The low use rate of EHR system is partially attributed to the lack of interconnectedness with other data sources and limited patient health information availability. A survey of health professionals was conducted to investigate the relationships between availability of health information, its portability and user satisfaction with health record systems. The study found through structural equation modeling that there is a positive relationship between these variables. It was also found that different stakeholders must be able to see their own version of each of the variables for satisfaction.
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Alfaidi, Arij, et Edward Chow. « Health Record Chain (HRC) : Implementation of Mobile Healthcare system using Blockchain to enhance Privacy of Electronic Health Record EHR ». Dans 2020 International Conference on Computational Science and Computational Intelligence (CSCI). IEEE, 2020. http://dx.doi.org/10.1109/csci51800.2020.00161.

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Yang, Guang, et Chunlei Li. « A Design of Blockchain-Based Architecture for the Security of Electronic Health Record (EHR) Systems ». Dans 2018 IEEE International Conference on Cloud Computing Technology and Science (CloudCom). IEEE, 2018. http://dx.doi.org/10.1109/cloudcom2018.2018.00058.

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Vuppalapati, Jaya Shankar, Santosh Kedari, Anitha Ilapakurti, Sharat Kedari, Mahesh Gudivada et Chandrasekar Vuppalapati. « The role of Voice Service technologies in creating the next generation outpatient data driven Electronic Health Record (EHR) ». Dans 2017 Intelligent Systems Conference (IntelliSys). IEEE, 2017. http://dx.doi.org/10.1109/intellisys.2017.8324289.

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Chaim, Ricardo Matos, Edgard Costa Oliveira et Aleteia Patricia F. Araujo. « Technical specifications of a service-oriented architecture for semantic interoperability of EHR — electronic health records ». Dans 2017 12th Iberian Conference on Information Systems and Technologies (CISTI). IEEE, 2017. http://dx.doi.org/10.23919/cisti.2017.7975923.

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Romeo, Luca, Giuseppe Armentano, Antonio Nicolucci, Marco Vespasiani, Giacomo Vespasiani et Emanuele Frontoni. « A Novel Spatio-Temporal Multi-Task Approach for the Prediction of Diabetes-Related Complication : a Cardiopathy Case of Study ». Dans Twenty-Ninth International Joint Conference on Artificial Intelligence and Seventeenth Pacific Rim International Conference on Artificial Intelligence {IJCAI-PRICAI-20}. California : International Joint Conferences on Artificial Intelligence Organization, 2020. http://dx.doi.org/10.24963/ijcai.2020/593.

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The prediction of the risk profile related to the cardiopathy complication is a core research task that could support clinical decision making. However, the design and implementation of a clinical decision support system based on Electronic Health Record (EHR) temporal data comprise of several challenges. Several single task learning approaches consider the prediction of the risk profile related to a specific diabetes complication (i.e., cardiopathy) independent from other complications. Accordingly, the state-of-the-art multi-task learning (MTL) model encapsulates only the temporal relatedness among the EHR data. However, this assumption might be restricted in the clinical scenario where both spatio-temporal constraints should be taken into account. The aim of this study is the proposal of two different MTL procedures, called spatio-temporal lasso (STL-MTL) and spatio-temporal group lasso (STGL-MTL), which encode the spatio-temporal relatedness using a regularization term and a graph-based approach (i.e., encoding the task relatedness using the structure matrix). Experimental results on a real-world EHR dataset demonstrate the robust performance and the interpretability of the proposed approach.
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Macedo, N. A. Mamani, N. A. Garcia Hilares, J. P. Pariona Quispe et R. Alarcon Matutti. « Electronic Health Record : Comparative analysis of HL7 and open EHR approaches ». Dans 2010 Pan American Health Care Exchanges (PAHCE 2010). IEEE, 2010. http://dx.doi.org/10.1109/pahce.2010.5474589.

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Mosaly, Prithima Reddy, Lukasz Mazur et Lawrence B. Marks. « Usability Evaluation of Electronic Health Record System (EHRs) using Subjective and Objective Measures ». Dans CHIIR '16 : Conference on Human Information Interaction and Retrieval. New York, NY, USA : ACM, 2016. http://dx.doi.org/10.1145/2854946.2854985.

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Rapports d'organisations sur le sujet "Electronic Health Record (EHR) systems"

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Schnabel, Filipina, et Danielle Aldridge. Effectiveness of EHR-Depression Screening Among Adult Diabetics in an Urban Primary Care Clinic. University of Tennessee Health Science Center, avril 2021. http://dx.doi.org/10.21007/con.dnp.2021.0003.

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Background Diabetes mellitus (DM) and depression are important comorbid conditions that can lead to more serious health outcomes. The American Diabetes Association (ADA) supports routine screening for depression as part of standard diabetes management. The PHQ2 and PHQ9 questionnaires are good diagnostic screening tools used for major depressive disorders in Type 2 diabetes mellitus (DM2). This quality improvement study aims to compare the rate of depression screening, treatment, and referral to behavioral health in adult patients with DM2 pre and post-integration of depression screening tools into the electronic health record (EHR). Methods We conducted a retrospective chart review on patients aged 18 years and above with a diagnosis of DM2 and no initial diagnosis of depression or other mental illnesses. Chart reviews included those from 2018 or prior for before integration data and 2020 to present for after integration. Sixty subjects were randomly selected from a pool of 33,695 patients in the clinic with DM2 from the year 2013-2021. Thirty of the patients were prior to the integration of depression screening tools PHQ2 and PHQ9 into the EHR, while the other half were post-integration. The study population ranged from 18-83 years old. Results All subjects (100%) were screened using PHQ2 before integration and after integration. Twenty percent of patients screened had a positive PHQ2 among subjects before integration, while 10% had a positive PHQ2 after integration. Twenty percent of patients were screened with a PHQ9 pre-integration which accounted for 100% of those subjects with a positive PHQ2. However, of the 10% of patients with a positive PHQ2 post-integration, only 6.7 % of subjects were screened, which means not all patients with a positive PHQ2 were adequately screened post-integration. Interestingly, 10% of patients were treated with antidepressants before integration, while none were treated with medications in the post-integration group. There were no referrals made to the behavior team in either group. Conclusion There is no difference between the prevalence of depression screening before or after integration of depression screening tools in the EHR. The study noted that there is a decrease in the treatment using antidepressants after integration. However, other undetermined conditions could have influenced this. Furthermore, not all patients with positive PHQ2 in the after-integration group were screened with PHQ9. The authors are unsure if the integration of the depression screens influenced this change. In both groups, there is no difference between referrals to the behavior team. Implications to Nursing Practice This quality improvement study shows that providers are good at screening their DM2 patients for depression whether the screening tools were incorporated in the EHR or not. However, future studies regarding providers, support staff, and patient convenience relating to accessibility and availability of the tool should be made. Additional issues to consider are documentation reliability, hours of work to scan documents in the chart, risk of documentation getting lost, and the use of paper that requires shredding to comply with privacy.
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Barclay, Colleen, Meera Viswanathan, Shana Ratner, Julia Tompkins et Daniel E. Jonas. Implementing Evidence-Based Screening and Counseling for Unhealthy Alcohol Use With Epic-Based Electronic Health Record Tools. A Guide for Clinics and Health Systems, Developed as Part of a Pilot Dissemination Project. Agency for Healthcare Research and Quality (AHRQ), septembre 2018. http://dx.doi.org/10.23970/ahrqepcmethengagealcoholguide.

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