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Author: Agency for Healthcare Research and Quality/AHRQ Publisher: Government Printing Office ISBN: 1587634333 Category : Medical Languages : en Pages : 385
Book Description
This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Author: C!TL (Center for Information Technology Leadership, Partners Healthcare System). Publisher: ISBN: Category : Medical Languages : en Pages : 176
Author: Agency for Healthcare Research and Quality/AHRQ Publisher: Government Printing Office ISBN: 1587634333 Category : Medical Languages : en Pages : 385
Book Description
This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Author: Olga Strachna Publisher: ISBN: Category : Languages : en Pages : 124
Book Description
The ability to exchange patient health information electronically among many providers holds an enormous promise to vastly improve care coordination and help curb the high costs of healthcare in the Unites States. Current evidence of Health Information Exchange (HIE) system usage and usability is limited in scope due to the low adoption and usage rates among clinical provider users. In this mixed-methods health services research study of clinical users of HIE systems, I strive to understand the socio-behavioral-technical factors that facilitate and hinder healthcare user adoption of HIE technologies. Focus group methodology was used to gather clinical users' perceptions about conditions that are favoring and against successful adoption and usage of HIE in their normal practice by applying the FITT analytical framework to elucidate the fit between technology and individuals. Overall, the clinical users of HIE voiced a wide variety of benefits to HIE usage as it pertains to providing better care, resulting in favorable health outcomes for their patients. At the same time, they expressed a deep concern over maintenance costs and overall sustainability of current HIE models. Many ideas for improvement were suggested especially as it pertains to policy development, business sustainability and governance strategies. Given that the HIE landscape is constantly evolving, so long as there are improved interoperability standards set by governing agencies, more studies will need to be done to continue evaluating gaps in clinical users' expectations versus deliverables by HIE entities.In addition to clinical user perspectives, a quantified scoping review of all HIE efforts in the United States is presented, with a proposed argument for defining HIE efforts based on geographic coverage service areas. This is a novel way of understanding HIE efforts across the country and would prove to be a valuable quantification tool for public health stakeholders at the state and federal level when planning healthcare services evaluation projects in the future. From a clinical perspective, HIE exchange service areas could be used by providers to make the best decisions on which HIE to participate in. In turn, allowing physicians to leverage HIE to participate in care coordination incentive programs such as ACOs or PCMH models in an attempt to provide higher quality, safer, efficient and possibly cost effective care. Overall, the exchange service areas would allow for better HIE analysis and evaluation,
Author: Brian Dixon Publisher: Academic Press ISBN: 0323908039 Category : Health & Fitness Languages : en Pages : 733
Book Description
Health Information Exchange: Navigating and Managing a Network of Health Information Systems, Second Edition, now fully updated, is a practical guide on how to understand, manage and make use of a health information exchange infrastructure, which moves patient-centered information within the health care system. The book informs and guides the development of new infrastructures as well as the management of existing and expanding infrastructures across the globe. Sections explore the reasons for the health information exchange (HIE) infrastructures, how to manage them, examines the key drivers of HIE, and barriers to their widespread use. In addition, the book explains the underlying technologies and methods for conducting HIE across communities as well as nations. Finally, the book explains the principles of governing an organization that chiefly moves protected health information around. The text unravels the complexities of HIE and provides guidance for those who need to access HIE data and support operations. Encompasses comprehensive knowledge on the technology and governance of health information exchanges (HIEs) Presents business school style case studies that explore why a given HIE has or hasn't been successful Discusses the kinds of data and practical examples of the infrastructure required to exchange clinical data to support modern medicine in a world of disparate EHR systems
Author: Tim Benson Publisher: Springer ISBN: 3319303708 Category : Medical Languages : en Pages : 461
Book Description
This book provides an introduction to health interoperability and the main standards used. Health interoperability delivers health information where and when it is needed. Everybody stands to gain from safer more soundly based decisions and less duplication, delays, waste and errors. The third edition of Principles of Health Interoperability includes a new part on FHIR (Fast Health Interoperability Resources), the most important new health interoperability standard for a generation. FHIR combines the best features of HL7’s v2, v3 and CDA while leveraging the latest web standards and a tight focus on implementability. FHIR can be implemented at a fraction of the price of existing alternatives and is well suited for use in mobile phone apps, cloud communications and EHRs. The book is organised into four parts. The first part covers the principles of health interoperability, why it matters, why it is hard and why models are an important part of the solution. The second part covers clinical terminology and SNOMED CT. The third part covers the main HL7 standards: v2, v3, CDA and IHE XDS. The new fourth part covers FHIR and has been contributed by Grahame Grieve, the original FHIR chief.
Author: J.A. Magnuson Publisher: Springer Science & Business Media ISBN: 1447142373 Category : Medical Languages : en Pages : 665
Book Description
This revised edition covers all aspects of public health informatics and discusses the creation and management of an information technology infrastructure that is essential in linking state and local organizations in their efforts to gather data for the surveillance and prevention. Public health officials will have to understand basic principles of information resource management in order to make the appropriate technology choices that will guide the future of their organizations. Public health continues to be at the forefront of modern medicine, given the importance of implementing a population-based health approach and to addressing chronic health conditions. This book provides informatics principles and examples of practice in a public health context. In doing so, it clarifies the ways in which newer information technologies will improve individual and community health status. This book's primary purpose is to consolidate key information and promote a strategic approach to information systems and development, making it a resource for use by faculty and students of public health, as well as the practicing public health professional. Chapter highlights include: The Governmental and Legislative Context of Informatics; Assessing the Value of Information Systems; Ethics, Information Technology, and Public Health; and Privacy, Confidentiality, and Security. Review questions are featured at the end of every chapter. Aside from its use for public health professionals, the book will be used by schools of public health, clinical and public health nurses and students, schools of social work, allied health, and environmental sciences.
Author: Brian Dixon Publisher: Academic Press ISBN: 0128031506 Category : Health & Fitness Languages : en Pages : 377
Book Description
Health Information Exchange (HIE): Navigating and Managing a Network of Health Information Systems allows health professionals to appropriately access, and securely share, patients' vital medical information electronically, thus improving the speed, quality, safety, and cost of patient care. The book presents foundational knowledge on HIE, covering the broad areas of technology, governance, and policy, providing a concise, yet in-depth, look at HIE that can be used as a teaching tool for universities, healthcare organizations with a training component, certification institutions, and as a tool for self-study for independent learners who want to know more about HIE when studying for certification exams. In addition, it not only provides coverage of the technical, policy, and organizational aspects of HIE, but also touches on HIE as a growing profession. In Part One, the book defines HIE, describing it as an emerging profession within HIT/Informatics. In Part Two, the book provides key information on the policy and governance of HIE, including stakeholder engagement, strategic planning, sustainability, etc. Part Three focuses on the technology behind HIE, defining and describing master person indexes, information infrastructure, interfacing, and messaging, etc. In Part Four, the authors discuss the value of HIE, and how to create and measure it. Finally, in Part Five, the book provides perspectives on the future of HIE, including emerging trends, unresolved challenges, etc. - Offers foundational knowledge on Health Information Exchange (HIE), covering the broad areas of technology, governance, and policy - Focuses on explaining HIE and its complexities in the context of U.S. health reform, as well as emerging health IT activities in foreign nations - Provides a number of in-depth case studies to connect learners to real-world application of the content and lessons from the field - Offers didactic content organization and an increasing complexity through five parts
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309144337 Category : Medical Languages : en Pages : 852
Book Description
The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.
Author: Agency for Healthcare Research and Quality/AHRQ
Author: Center for Information Technology Leadership
Author: C!TL (Center for Information Technology Leadership, Partners Healthcare System).
Author: Agency for Healthcare Research and Quality/AHRQ
Author: Olga Strachna
Author: Brian Dixon
Author: Laura Kolkman, RN, MS, FHIMSS
Author: Tim Benson
Author: J.A. Magnuson
Author: Brian Dixon
Author: Institute of Medicine