A5037301544- Electronic Health Records Systems
- Healthcare Systems and Technology
- Medical Coding and Health Information
- Healthcare Operations and Scheduling Optimization
- Telemedicine and Telehealth Implementation
- Biomedical Text Mining and Ontologies
- Healthcare Policy and Management
- Mobile Health and mHealth Applications
- Health Sciences Research and Education
- Primary Care and Health Outcomes
- Clinical practice guidelines implementation
- Healthcare Technology and Patient Monitoring
- Digital Imaging in Medicine
- Pharmaceutical industry and healthcare
- Clinical Laboratory Practices and Quality Control
- Data Quality and Management
- Surgical Simulation and Training
- Machine Learning in Healthcare
- Disaster Response and Management
- Trauma and Emergency Care Studies
- Blood donation and transfusion practices
- Traffic and Road Safety
- Simulation-Based Education in Healthcare
- Global Health and Surgery
- Data-Driven Disease Surveillance
Virginia Commonwealth University
2019
Oregon Health & Science University
2003-2017
Institute for Medical Informatics and Biostatistics
2003-2015
American College of Physicians
2015
MedStar Health
2015
National Committee for Quality Assurance
2015
University of Massachusetts Amherst
2015
Clinical documentation was developed to track a patient's condition and communicate the author's actions thoughts other members of care team. Over time, stakeholders have placed additional requirements on clinical process for purposes than direct patient. More recently, new information technologies, such as electronic health record (EHR) systems, led further changes in process. Although computers EHRs can facilitate even improve documentation, their use also add complexities; challenges;...
Objective: Computerized physician documentation (CPD) has been implemented throughout the nation's Veterans Affairs Medical Centers (VAMCs) and is likely to increasingly replace handwritten in other institutions. The use of this technology may affect educational clinical activities, yet little reported regard. authors conducted a qualitative study determine perceived impacts CPD among faculty housestaff VAMC. Design: A cross-sectional was using semistructured interviews with (n = 10) group...
Electronic health record (EHR) systems have transformed the practice of medicine. However, physicians raised concerns that EHR time requirements negatively affected their productivity. Meanwhile, evolving approaches toward physician reimbursement will require additional documentation to measure quality and cost care. To date, little quantitative analysis has rigorously studied these topics.To examine ophthalmologist for use.A single-center cohort study was conducted between September 1,...
Although electronic health record (EHR) systems have potential benefits, such as improved safety and quality of care, most ophthalmology practices in the United States not adopted these systems. Concerns persist regarding negative impacts on clinical workflow. In particular, impact EHR operating room (OR) management efficiency ophthalmic surgery setting is unknown.To determine an OR system intraoperative nursing documentation time, surgical volume, staffing requirements.For time circulating...
Abstract Since the launch of clinical informatics subspecialty for physicians in 2013, over 1100 have used practice and education pathways to become board-certified informatics. Starting 2018, only who completed a 2-year fellowship program accredited by Accreditation Council on Graduate Medical Education will be eligible take board exam. The purpose this viewpoint piece is describe collective experience first four programs share lessons learned developing new novel medical subspecialty.
Test result management is an integral aspect of quality clinical care and a crucial part the ambulatory medicine workflow. Correct timely communication results to provider necessary first step in has been identified as weakness many paper-based systems. While electronic health records (EHRs) hold promise for improving reliability management, complexities involved make this challenging task. Experience with test reported, four new categories errors are outlined, solutions developed during...
Summary Objectives: Determine if clinical decision support (CDS) malfunctions occur in a commercial electronic health record (EHR) system, characterize their pathways and describe methods of detection. Methods: We retrospectively examined the firing rate for 226 alert type CDS rules detection anomalies using both expert visualization statistical process control (SPC) over five year period. Candidate were investigated validated. Results: Twenty-one candidate identified from 8,300...
Little is known about how existing electronic health records (EHRs) influence the practice of pediatric medicine. A total 808 pediatricians participated in a survey workflows using EHR. The EHR was most commonly used source initial patient information. Seventy-two percent reported requiring between 2 and 10 minutes to complete an review Several moderately severe information barriers were regarding display Pediatricians acquire new patients from EHRs more often than any other source. play...
The U.S. health care system is undergoing a major transformation. Clinical delivery systems are now being paid according to the value of they provide, in accordance with Triple Aim, which incorporates improving quality and cost patient experience. Increasingly, financial risk transferred from insurers clinical that become responsible for both episode-based longitudinal patients. Thus, these need develop strategies manage populations. Academic medical centers (AMCs) serve unique role many...
In 2017, the authors published an article describing experiences of Oregon Health & Science University (OHSU) as it adapted to new challenges changing payment models, imperative manage health populations, and desire compete for statewide contracts. The described Propel Health, a multi-institution partnership created in 2013 deliver tools, methods, support necessary population management. ensuing two years there were considerable changes structure mission ultimately resulting its dissolution...
Electronic Health Records (EHRs) have been shown to markedly alter clinical workflows and are associated with lower professional satisfaction scores among providers post-implementation. In light of these issues, questions exist regarding what barriers currently in EHRs adequately meet the workflow needs providers. The objective this study was describe physicians perceive be current information gathering overall when using electronic health records evaluate new patients. A web-based national...