A5040330662- Electronic Health Records Systems
- Pharmaceutical Practices and Patient Outcomes
- Biomedical Text Mining and Ontologies
- Healthcare Systems and Technology
- Primary Care and Health Outcomes
- Medication Adherence and Compliance
- Data-Driven Disease Surveillance
- Health Systems, Economic Evaluations, Quality of Life
- Health Sciences Research and Education
- Data Quality and Management
- Patient Safety and Medication Errors
- Medical Coding and Health Information
- Statistical Methods in Clinical Trials
- Ethics in Clinical Research
- Clinical practice guidelines implementation
- Healthcare Policy and Management
- Pharmacovigilance and Adverse Drug Reactions
- Semantic Web and Ontologies
- Advanced Causal Inference Techniques
- Pharmaceutical studies and practices
- Emergency and Acute Care Studies
- Chronic Disease Management Strategies
- Meta-analysis and systematic reviews
- Machine Learning in Healthcare
- Healthcare Technology and Patient Monitoring
Health Outcomes Solutions (United States)
2023
Applied Physical Electronics (United States)
2023
Cerner (United States)
2015-2020
Anthem (United States)
2020
Vanderbilt University Medical Center
2020
Foundation for the National Institutes of Health
2010-2014
Siemens (Germany)
2013-2014
Siemens Healthcare (United States)
2011-2014
Medical Solutions
2014
Indiana University School of Medicine
2002-2013
Recently there has been a remarkable upsurge in activity surrounding the adoption of personal health record (PHR) systems for patients and consumers. The biomedical literature does not yet adequately describe potential capabilities utility PHR systems. In addition, lack proven business case widespread deployment hinders adoption. 2005 working symposium, American Medical Informatics Association's College discussed issues developed recommendations PHR-promoting activities. Personal are more...
Increasing data suggest that error in medicine is frequent and results substantial harm. The recent Institute of Medicine report (LT Kohn, JM Corrigan, MS Donaldson, eds: To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press, 1999) described the magnitude problem, public interest this issue, which was already large, has grown.The goal white paper to describe how frequency consequences errors medical care can be reduced (although some instances they are...
In response to mounting evidence that use of electronic medical record systems may cause unintended consequences, and even patient harm, the AMIA Board Directors convened a Task Force on Usability examine from literature make recommendations. This task force was composed representatives both academic settings vendors health (EHR) systems. After careful review vendor experiences with EHR design implementation, developed 10 recommendations in four areas: (1) human factors information...
<h3>Objective.</h3> —To assess the effects on health care resource utilization of a network microcomputer workstations for writing all inpatient orders. <h3>Design.</h3> —Randomized controlled clinical trial. <h3>Setting.</h3> —Inpatient internal medicine service an urban public hospital. <h3>Subjects.</h3> —A total 5219 patients and 68 teams house officers, medical students, faculty internists who cared them. <h3>Intervention.</h3> —Microcomputer workstations, linked to comprehensive...
Although they are effective in outpatient settings, computerized reminders have not been proved to increase preventive care inpatient settings.
Systematic analysis of observational medical databases for active safety surveillance is hindered by the variation in data models and coding systems. Data analysts often find robust clinical difficult to understand ill suited support their analytic approaches. Further, some do not facilitate computations required systematic across many interventions outcomes large datasets. Translating from these idiosyncratic a common model (CDM) could both analysts' understanding suitability large-scale...
The threat of terrorism and high-profile disease outbreaks has drawn attention to public health surveillance systems for early detection outbreaks. State local departments are enhancing existing developing new better detect through surveillance. However, information is limited about the usefulness outbreak or best ways support this function. This report supplements previous guidelines evaluating systems. Use framework intended improve decision-making regarding implementation detection. a...
Despite enormous energies invested in authoring clinical practice guidelines, the quality of individual guidelines varies considerably. The Conference on Guideline Standardization (COGS) was convened April 2002 to define a standard for guideline reporting that would promote and facilitate implementation. Twenty-three people with expertise experience development, dissemination, implementation participated. A list candidate components assembled from Institute Medicine Provisional Instrument...
The U.S. Food and Drug Administration (FDA) Amendments Act of 2007 mandated that the FDA develop a system for using automated health care data to identify risks marketed drugs other medical products. Observational Medical Outcomes Partnership is public–private partnership among FDA, academia, owners, pharmaceutical industry responding need advance science active product safety surveillance by existing observational databases. Partnership's transparent, open innovation approach designed...
Objective: Errors of omission are a common cause systems failures. Physicians often fail to order tests or treatments needed monitor/ameliorate the effects other treatments. The authors hypothesized that automated, guideline-based reminders physicians, provided as they wrote orders, could reduce these omissions.
To evaluate an online disease management system supporting patients with uncontrolled type 2 diabetes.Engaging and Motivating Patients Online With Enhanced Resources for Diabetes was a 12-month parallel randomized controlled trial of 415 diabetes baseline glycosylated hemoglobin (A1C) values ≥7.5% from primary care sites sharing electronic health record. The intervention included: (1) wirelessly uploaded home glucometer readings graphical feedback; (2) comprehensive patient-specific summary...
Background: The amount of time that providers spend using electronic health records (EHRs) to support the care delivery process is a concern for U.S. system. Given potential effect on patient and high costs related this time, particularly medical specialists whose work largely cognitive, these findings warrant more precise documentation physicians invest in clinically focused EHR functions. Objective: To describe how much ambulatory subspecialists primary across several systems various...
Many individuals experience ongoing symptoms following the onset of COVID-19, characterized as postacute sequelae SARS-CoV-2 or post-COVID-19 condition (PCC). Less is known about long-term outcomes for these individuals.To quantify 1-year among meeting a PCC definition compared with control group without COVID-19.This case-control study propensity score-matched included members commercial health plans and used national insurance claims data enhanced laboratory results mortality from Social...
Medical Writings: Book Notes20 November 2001Sorting Things Out: Classification and Its ConsequencesJ. Marc Overhage, MD, PhD Jeffery G. Suico, MDJ. PhDRegenstrief Institute for Health Care, Indiana University School of Medicine, Indianapolis, IN.Search more papers by this author MDRegenstrief authorAuthor, Article, Disclosure Informationhttps://doi.org/10.7326/0003-4819-135-10-200111200-00030 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions...
The Indiana Network for Patient Care (INPC) is a local health information infrastructure (LHII) that includes from the five major hospital systems (fifteen separate hospitals), county and state public departments, Medicaid RxHub carries 660 million results. It provides cross-institutional access to physicians in emergency rooms hospitals based on patient-physician proximity or credentialing. network delivers laboratory, radiology, dictation, other documents majority of Indianapolis office...
Objective: Direct physician order entry (POE) offers many potential benefits, but evidence suggests that POE requires substantially more time than traditional paper-based ordering methods. The Medical Gopher is a well-accepted system for direct has been in use 15 years. authors hypothesized physicians using the would not spend any writing orders Design: A randomized controlled trial of 11 primary care internal medicine practices. Measurements: collected detailed data motion studies and...
Increasing amounts of medical knowledge, clinical data, and patient expectations have created a fertile environment for developing using practice guidelines. Electronic records provided an opportunity to invoke guidelines during the everyday medicine improve health care quality control costs. In this paper, efforts incorporate complex [those heart failure from Agency Health Care Policy Research (AHCPR)] into network physicians' interactive microcomputer workstations are reported. The task...
The Core Content for Clinical Informatics defines the boundaries of discipline and informs Program Requirements Fellowship Education in Informatics. includes four major categories: fundamentals, clinical decision making care process improvement, health information systems, leadership management change. AMIA Board Directors approved November 2008.
We examined whether automated electronic laboratory reporting of notifiable-diseases results in information being delivered to public health departments more completely and quickly than is the case with spontaneous, paper-based reporting.We used data from a local department, hospital infection control departments, community-wide exchange identify all potential cases notifiable conditions that occurred Marion County, Ind, during first quarter 2001. compared traditional spontaneous department...
Background: Expanded availability of observational healthcare data (both administrative claims and electronic health records) has prompted the development statistical methods for identifying adverse events associated with medical products, but operating characteristics these when applied to real‐world are unknown. Methods: We studied performance eight analytic estimating strength association‐relative risk (RR) standard error 53 drug–adverse event outcome pairs, both positive negative...
Clinical studies that use observational databases to evaluate the effects of medical products have become commonplace. Such begin by selecting a particular database, decision published papers invariably report but do not discuss. Studies same issue in different databases, however, can and generate results, sometimes with strikingly clinical implications. In this paper, we systematically study heterogeneity among holding other methods constant, exploring relative risk estimates for 53...
We provide an overview of the recent trends toward digitalization and large-scale data analytics in healthcare. It is expected that these are instrumental dramatic changes way healthcare will be organized future. discuss political initiatives designed to shift care delivery processes from paper electronic, with goals more effective treatments better outcomes; cost pressure a major driver innovation. describe newly developed networks providers, research organizations, commercial vendors...