Open Access. Powered by Scholars. Published by Universities.®
Social and Behavioral Sciences Commons™
Open Access. Powered by Scholars. Published by Universities.®
- Discipline
Articles 1 - 15 of 15
Full-Text Articles in Social and Behavioral Sciences
Can Electronic Health Records Systems Support New Payment Methods For Health Centers?, Peter Shin, Feygele Jacobs, Jeffrey Barnes, James B. Welsh, Lisa Perry, Scott D. Morgan
Can Electronic Health Records Systems Support New Payment Methods For Health Centers?, Peter Shin, Feygele Jacobs, Jeffrey Barnes, James B. Welsh, Lisa Perry, Scott D. Morgan
Geiger Gibson/RCHN Community Health Foundation Research Collaborative
This study assessed the feasibility and usefulness of combining electronic health record (EHR) data with federal cost report data for the purposes of: 1) quantifying the provision of enabling services; and 2) for use as the basis of community health center payment rate-setting. The study used EHR data derived from the Center for Primary Care Informatics to isolate enabling services and perform the end-to-end analysis that might be required to develop or evaluate reimbursement rates. The study revealed that data extracted from federal cost reports combined with data from the EHR fall short of providing the information required to reasonably …
Health Information Privacy In The Correctional Environment, Melissa M. Goldstein
Health Information Privacy In The Correctional Environment, Melissa M. Goldstein
Health Policy and Management Faculty Publications
Information technology is considered a transformative element in health care because it facilitates the transparency and sharing of health information, which have always been central to the practice of medicine and the delivery of high-quality care. The widespread use of electronic health records (EHRs) and electronic health information exchange, among other technologies, is considered essential to improving the quality of care, reducing medical errors, reducing health disparities, and advancing the delivery of patient-centered medical care.
Results From The 2010-11 Readiness For Meaningful Use Of Hit And Patient Centered Medical Home Recognition Survey, Merle Cunningham, Anthony Lara, Peter Shin
Results From The 2010-11 Readiness For Meaningful Use Of Hit And Patient Centered Medical Home Recognition Survey, Merle Cunningham, Anthony Lara, Peter Shin
Geiger Gibson/RCHN Community Health Foundation Research Collaborative
This brief describes the status of health centers with respect to Electronic Health Record (EHR) adoption, readiness to meet the health information technology (HIT) meaningful use (MU) standards, and readiness to achieve Patient-Centered Medical Home (PCMH) recognition.
Promoting The Integration And Coordination Of Safety-Net Health Care Providers Under Health Reform: Key Issues, Leighton C. Ku, Peter Shin, Marsha Regenstein, Holly Mead
Promoting The Integration And Coordination Of Safety-Net Health Care Providers Under Health Reform: Key Issues, Leighton C. Ku, Peter Shin, Marsha Regenstein, Holly Mead
Health Policy and Management Faculty Publications
The Affordable Care Act includes several provisions designed to encourage greater coordination and integration among health care providers, including the promotion of accountable care organizations and health homes. While much discussion has focused on how these strategies might be adopted by Medicare and private insurers, little attention has focused on their application among safety-net health care providers. Such providers face particular challenges in coordinating care for their low-income and uninsured patients, and no single approach is likely to meet their diverse needs. Successful efforts will require federal, state, and local financial resources to sustain the safety net and make the …
Healthcare Reform And Medical Data Security And Privacy, Patricia Mactaggart, Stephanie Fiore
Healthcare Reform And Medical Data Security And Privacy, Patricia Mactaggart, Stephanie Fiore
Health Policy and Management Faculty Publications
U.S. health care delivery and administration have undergone transformations that create an expansive demand for health information technology. The concepts put forth in health care reform are reliant on an evolving health information technology infrastructure and the successes of both are dependent on consumer/patient "trust". Every action is interdependent. Each decision is a balance between ease of use, privacy and security concerns of consumers/patients, practicality, costs and political will. The goal is finding the best balance within an appropriate legal framework at the state and federal level so the pieces fit into one complete picture when implemented.
Data Segmentation In Electronic Health Information Exchange: Policy Considerations And Analysis, Melissa M. Goldstein, Alison L. Rein, Melissa M. Heesters, Penelope P. Hughes, Benjamin Williams, Scott A. Weinstein
Data Segmentation In Electronic Health Information Exchange: Policy Considerations And Analysis, Melissa M. Goldstein, Alison L. Rein, Melissa M. Heesters, Penelope P. Hughes, Benjamin Williams, Scott A. Weinstein
Health Policy and Management Faculty Publications
The issue of whether and, if so, to what extent patients should have control over the sharing or withholding of their health information represents one of the foremost policy challenges related to electronic health information exchange. It is widely acknowledged that patients' health information should flow where and when it is needed to support the provision of appropriate and high-quality care. Equally significant, however, is the notion that patients want their needs and preferences to be considered in the determination of what information is shared with other parties, for what purposes, and under what conditions. Some patients may prefer to …
Using Primary Care To Bend The Cost Curve: The Potential Impact Of Health Center Expansion In Senate Reforms, Leighton C. Ku, Sara J. Rosenbaum, Peter Shin
Using Primary Care To Bend The Cost Curve: The Potential Impact Of Health Center Expansion In Senate Reforms, Leighton C. Ku, Sara J. Rosenbaum, Peter Shin
Geiger Gibson/RCHN Community Health Foundation Research Collaborative
This analysis of reforms being considered in the United States Senate reaches conclusions similar to those of our prior analyses of reforms being considered in the House of Representatives. The combination of expanded health insurance coverage and investments in the expansion of community health centers can produce substantial long-term savings both for the overall health care system and for the federal government. Our analysis of the Senate provisions from the HELP and Finance Committees estimates $369 billion in total medical savings, including $105 billion in federal Medicaid savings. The Senate provisions produce larger savings because they authorize larger funding increases …
Antitrust Aspects Of Health Information Sharing By Public And Private Health Insurers, Taylor Burke, Lara Cartwright-Smith, Erica Pereira, Sara J. Rosenbaum
Antitrust Aspects Of Health Information Sharing By Public And Private Health Insurers, Taylor Burke, Lara Cartwright-Smith, Erica Pereira, Sara J. Rosenbaum
Health Policy and Management Faculty Publications
This policy brief is the first of two to address antitrust considerations that arise in health system transformation aimed at producing greater clinical integration and greater levels of information about the quality and cost of care. The second policy brief will discuss the implications of several recent Federal Trade Commission rulings on physician joint contracting to achieve clinical integration and greater health information accountability. These rulings have significant implications for growing efforts, as part of health reform, to create entities known as accountable care organizations.
Children’S Health Care: Health Information Technology And Electronic Health Records, David M. Stevens
Children’S Health Care: Health Information Technology And Electronic Health Records, David M. Stevens
Health Policy and Management Faculty Publications
The panel addressed: Why pediatric electronic health records are different from adult EHRs; How HIT/EHRs can be helpful in the area of prevention with pediatric populations; How using HIT/EHRs can help improve quality and outcome measures for children and underserved communities; Barriers to getting HIT/EHRs into underserved communities and ways to overcome these challenges; Opportunities for stimulus funds to support HIT access for underserved pediatric populations; and Privacy and confidetiality concerns regarding pediatric EHRs.
An Overview Of Major Health Information Technology, Public Health, Medicaid, And Cobra Provisions Of The American Recovery And Reinvestment Act Of 2009, Sara J. Rosenbaum, Melissa M. Goldstein, Taylor Burke, Phyllis Borzi, Lara Cartwright-Smith
An Overview Of Major Health Information Technology, Public Health, Medicaid, And Cobra Provisions Of The American Recovery And Reinvestment Act Of 2009, Sara J. Rosenbaum, Melissa M. Goldstein, Taylor Burke, Phyllis Borzi, Lara Cartwright-Smith
Health Policy and Management Faculty Publications
A detailed side-by-side analysis of the individual components of the American Recovery and Reinvestment Act of 2009 (ARRA), signed into law on February 17, 2009. One of the most sweeping pieces of economic legislation ever enacted, ARRA not only provides hundreds of billions of dollars in new health and health care spending but also makes comprehensive reforms in health law and policy, particularly in the area of health information law, including health information technology (HIT) adoption and health information privacy.
An Overview Of Major Health Provisions Contained In The American Recovery And Reinvestment Act Of 2009, Sara J. Rosenbaum, Lara Cartwright-Smith, Taylor Burke, Phyllis Borzi, Melissa M. Goldstein
An Overview Of Major Health Provisions Contained In The American Recovery And Reinvestment Act Of 2009, Sara J. Rosenbaum, Lara Cartwright-Smith, Taylor Burke, Phyllis Borzi, Melissa M. Goldstein
Health Policy and Management Issue Briefs
On February 17, 2009, President Barack Obama signed the American Recovery and Reinvestment Act of 2009 (ARRA) into law. One of the most sweeping pieces of economic legislation ever enacted, ARRA not only provides hundreds of billions of dollars in new health and health care spending but also makes comprehensive reforms in health law and policy, particularly in the area of health information law, including health information technology (HIT) adoption and health information privacy.
Building A High-Quality Language Services Program Toolkit, Jennifer Trott, Catherine West, Priti Shah, Marsha Regenstein
Building A High-Quality Language Services Program Toolkit, Jennifer Trott, Catherine West, Priti Shah, Marsha Regenstein
Health Policy and Management Faculty Publications
Ten hospitals with racially and ethnically diverse patient populations participated in the Robert Wood Johnson Foundation's "Speaking Together: National Language Services Network," a program aimed at improving the quality and availability of health care language services for patients with limited English proficiency (LEP). This toolkit provides advice to hospitals on improving quality and accessibility of language services.
Health Information Privacy, Patient Safety, And Health Care Quality: Issues And Challenges In The Context Of Treatment For Mental Health And Substance Use, J. Zoe Beckerman, Joy Pritts, Eric Goplerud, Jacqueline C. Leifer, Phyllis Borzi, Sara J. Rosenbaum
Health Information Privacy, Patient Safety, And Health Care Quality: Issues And Challenges In The Context Of Treatment For Mental Health And Substance Use, J. Zoe Beckerman, Joy Pritts, Eric Goplerud, Jacqueline C. Leifer, Phyllis Borzi, Sara J. Rosenbaum
Health Policy and Management Faculty Publications
No abstract provided.
Medicaid And Health Information: Current And Emerging Legal Issues, Sara J. Rosenbaum, Patricia Mactaggart, Phyllis Borzi
Medicaid And Health Information: Current And Emerging Legal Issues, Sara J. Rosenbaum, Patricia Mactaggart, Phyllis Borzi
Health Policy and Management Faculty Publications
Legal questions are an inevitable byproduct of significant technology change in health care such as that underway as a result of health information technology (HIT). This article examines several important existing and emerging legal questions in a Medicaid context. First, do the Centers for Medicare & Medicaid Services (CMS) and State Medicaid agencies, have a fiduciary obligation to adopt and fully use health information technology given its potential to improve health care quality while reducing racial, ethnic, and socioeconomic disparities in health and health care? Second, how can Medicaid privacy standards be reconciled with the Health Insurance Portability and Accountability …
Monitoring The Health Care Safety Net: Developing Data-Driven Capabilities To Support Policymaking, Robin M. Weinick, Peter Shin
Monitoring The Health Care Safety Net: Developing Data-Driven Capabilities To Support Policymaking, Robin M. Weinick, Peter Shin
Health Policy and Management Faculty Publications
Health care organizations are now emphasizing evidence-based medicine, which involves using research findings on the effectiveness of various practices to help make treatment decisions for patients. A parallel practice that is receiving increased attention is using data and the findings from data analysis to inform the policymaking process. The data-driven policy framework presented here involves an explicit statement of priorities and policy questions to be answered by new and existing data and provides general guidance for using data to support the process of developing policy options for the health care safety net.