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Clinical Problem Lists in the Electronic Health Record

Clinical Problem Lists in the Electronic Health Record PDF Author: Adam Wright
Publisher: CRC Press
ISBN: 1771880910
Category : Business & Economics
Languages : en
Pages : 350

Book Description
Edited by a professor at Harvard Medical School who has extensive experience in this field, this important and timely book presents a variety of perspectives on the organization of patient medical records around patient problems, presenting a more effective problem-oriented approach rather than the traditional data-oriented approach. It is comprehensive, covering the history and importance of the electronic health record, the attitudes toward and use of problem lists, strategies to improve the problem list, and applications in practice of the problem list.

Clinical Problem Lists in the Electronic Health Record

Clinical Problem Lists in the Electronic Health Record PDF Author: Adam Wright
Publisher: CRC Press
ISBN: 1771880910
Category : Business & Economics
Languages : en
Pages : 350

Book Description
Edited by a professor at Harvard Medical School who has extensive experience in this field, this important and timely book presents a variety of perspectives on the organization of patient medical records around patient problems, presenting a more effective problem-oriented approach rather than the traditional data-oriented approach. It is comprehensive, covering the history and importance of the electronic health record, the attitudes toward and use of problem lists, strategies to improve the problem list, and applications in practice of the problem list.

Registries for Evaluating Patient Outcomes

Registries for Evaluating Patient Outcomes PDF Author: Agency for Healthcare Research and Quality/AHRQ
Publisher: Government Printing Office
ISBN: 1587634333
Category : Medical
Languages : en
Pages : 396

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.

Clinical Decision Support

Clinical Decision Support PDF Author: Robert Greenes
Publisher: Academic Press
ISBN: 0128005424
Category : Computers
Languages : en
Pages : 929

Book Description
With at least 40% new or updated content since the last edition, Clinical Decision Support, 2nd Edition explores the crucial new motivating factors poised to accelerate Clinical Decision Support (CDS) adoption. This book is mostly focused on the US perspective because of initiatives driving EHR adoption, the articulation of 'meaningful use', and new policy attention in process including the Office of the National Coordinator for Health Information Technology (ONC) and the Center for Medicare and Medicaid Services (CMS). A few chapters focus on the broader international perspective. Clinical Decision Support, 2nd Edition explores the technology, sources of knowledge, evolution of successful forms of CDS, and organizational and policy perspectives surrounding CDS. Exploring a roadmap for CDS, with all its efficacy benefits including reduced errors, improved quality, and cost savings, as well as the still substantial roadblocks needed to be overcome by policy-makers, clinicians, and clinical informatics experts, the field is poised anew on the brink of broad adoption. Clinical Decision Support, 2nd Edition provides an updated and pragmatic view of the methodological processes and implementation considerations. This book also considers advanced technologies and architectures, standards, and cooperative activities needed on a societal basis for truly large-scale adoption. At least 40% updated, and seven new chapters since the previous edition, with the new and revised content focused on new opportunities and challenges for clinical decision support at point of care, given changes in science, technology, regulatory policy, and healthcare finance Informs healthcare leaders and planners, health IT system developers, healthcare IT organization leaders and staff, clinical informatics professionals and researchers, and clinicians with an interest in the role of technology in shaping healthcare of the future

The Computer-Based Patient Record

The Computer-Based Patient Record PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309175348
Category : Medical
Languages : en
Pages : 257

Book Description
Most industries have plunged into data automation, but health care organizations have lagged in moving patients' medical records from paper to computers. In its first edition, this book presented a blueprint for introducing the computer-based patient record (CPR). The revised edition adds new information to the original book. One section describes recent developments, including the creation of a computer-based patient record institute. An international chapter highlights what is new in this still-emerging technology. An expert committee explores the potential of machine-readable CPRs to improve diagnostic and care decisions, provide a database for policymaking, and much more, addressing these key questions: Who uses patient records? What technology is available and what further research is necessary to meet users' needs? What should government, medical organizations, and others do to make the transition to CPRs? The volume also explores such issues as privacy and confidentiality, costs, the need for training, legal barriers to CPRs, and other key topics.

Medicine in Denial

Medicine in Denial PDF Author: Lawrence L. Weed
Publisher:
ISBN: 9781456417062
Category : Health care reform
Languages : en
Pages : 280

Book Description
Deep disorder pervades medical practice. Disguised in euphemisms like "clinical judgment" and "evidence-based medicine," disorder exists because medical practice lacks a true system of care. The missing system has two core elements: standards of care for managing clinical information, and electronic information tools designed to implement those standards. Electronic information tools are now widely discussed, but the necessary standards of care are still widely ignored. Because these two elements are external to the physician's mind, they address a root cause of disorder: dependence on the internal capacities of autonomous physicians-their personal knowledge, intellect, habits and judgment. In this dependence on the limited, idiosyncratic capacities of individuals, medical practice lags centuries behind the domains of science and commerce. Breaking that dependence is the subject of this book.Going back 400 years to the philosophy of Francis Bacon, and examining parallel ideas from 20th Century thinkers, this book illuminates the origin of medicine's disorder. The analysis is more than theoretical. It grew out of decades of development and clinical experience in finding a new approach to medical practice. Designed to create order and transparency, this new approach involves not only standards and tools but also institutional changes essential to building a true system of care. In the current non-system, physicians bear impossible burdens of performance, other practitioners are barred from sharing those burdens, patients do not participate effectively in their own care, the U.S. spends $2.5 trillion annually without clinical accounting standards, third parties manipulate the situation for their own advantage, and none of the stakeholders are accountable for their own behaviors.This book offers a clear blueprint for building a better system of care, a system that patients, practitioners and third parties could trust. A better system could make health care a source of hope for our economic future, rather than its greatest threat.

Progress with Electronic Health Record Adoption Among Emergency and Outpatient Departments

Progress with Electronic Health Record Adoption Among Emergency and Outpatient Departments PDF Author: Eric Jamoom
Publisher:
ISBN:
Category : Communication in emergency medicine
Languages : en
Pages : 12

Book Description


Electronic Health Records

Electronic Health Records PDF Author: Richard Gartee
Publisher: Pearson Higher Ed
ISBN: 0133073351
Category : Medical
Languages : en
Pages : 577

Book Description
ELECTRONIC HEALTH RECORDS: UNDERSTANDING AND USING COMPUTERIZED MEDICAL RECORDS, 2/e is the complete “learn by doing” text for everyone who must use an electronic health records system, including doctors, nurses, medical assistants, physician assistants, and other medical office staff. It provides a thorough understanding of EHR tasks and functional benefits that is continuously reinforced by actual EHR experiences. Updated to reflect the latest EHR rules, regulations, and innovations, this new edition also contains 50% more hands-on guided and critical thinking exercises utilizing real EHR software. Improvements also include a full chapter on electronic orders and results; new workflow examples; shorter chapters that more easily accommodate 12-week courses; and a revised, clarified discussion of E&M billing codes. Visit this demo link to learn more about this product and how to use it: http://www.pearsonhighered.com/garteedemo/

Taking Action Against Clinician Burnout

Taking Action Against Clinician Burnout PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309495474
Category : Medical
Languages : en
Pages : 335

Book Description
Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.

Healthcare Data Analytics

Healthcare Data Analytics PDF Author: Chandan K. Reddy
Publisher: CRC Press
ISBN: 148223212X
Category : Business & Economics
Languages : en
Pages : 756

Book Description
At the intersection of computer science and healthcare, data analytics has emerged as a promising tool for solving problems across many healthcare-related disciplines. Supplying a comprehensive overview of recent healthcare analytics research, Healthcare Data Analytics provides a clear understanding of the analytical techniques currently available

Evaluating Institutional Electronic Health Record Problem List Guidance, Education, and Use

Evaluating Institutional Electronic Health Record Problem List Guidance, Education, and Use PDF Author: Tara Suzan Sharifzadeh
Publisher:
ISBN: 9780355450910
Category :
Languages : en
Pages :

Book Description
Changing healthcare regulations and rapid technological advancements have made the transition to electronic health records (EHRs) intensively challenging for healthcare institutions. As healthcare providers acclimate to the pressures of advanced EHRs, it is imperative to construct well-established documentation guidance and education that can assist health professionals in caring for their patients. Vast research indicates the problem list, a component of the EHR, is poorly maintained and lacks a standardized approach. The inconsistent use of the EHR problem list supports the need to characterize the existence of institutional EHR problem list guidance and education. These establishments can help supply a clear understanding of documentation requirements and the perception of its intended use. The purpose of this research study is to evaluate EHR problem list guidance, education, and general use across multiple institutions. This study uses a mixed-method approach of structured interviews and open-ended discussion with informatics leaders of healthcare institutions. Results reveal that institutions share a common approach to EHR problem list guidance and education; however, informatics leaders present some barriers which hinder their overall use in clinical practice, including complexities beyond their existence and enforcement.