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Examining Success In Health Information Technology Implementation Research, Madison Ngafeeson 2014 Northern Michigan University

Examining Success In Health Information Technology Implementation Research, Madison Ngafeeson

Conference Presentations

The implementation of health information systems (IS) is rapidly increasing. In the United States, $70 billion will be invested by the government to facilitate the adoption of the electronic health record over a ten-year period. However, IS acceptance is not success. We use content analysis to investigate the success component.


An Exploratory Study Of User Resistance In Healthcare It, Madison Ngafeeson, Vishal Midha 2014 Northern Michigan University

An Exploratory Study Of User Resistance In Healthcare It, Madison Ngafeeson, Vishal Midha

Journal Articles

The US healthcare system is clearly experiencing a major transition. By 2015, the healthcare sector is expected to have migrated from a paper record system to a completely electronic health record (EHR) system. The adoption and use of these systems are expected to increase legibility, reduce costs, limit medical errors and improve the overall quality of healthcare. Hence, the US government is investing $70 billion over a 10-year period to facilitate the transition to an electronic system. However, early reports show that physicians and nurses among other health professionals continue to resist the full use of the system. This paper ...


Enhancing A Geriatric Emergency Department Care Coordination Intervention Using Automated Health Information Exchange-Based Clinical Event Notifications, David L. Gutteridge MD, MPH, Nicholas Genes MD, PhD, Ula Hwang MD, MPH, Benjamin Kaplan, The GEDI WISE Investigators, Jason Shapiro MD, MA 2014 EDM Forum

Enhancing A Geriatric Emergency Department Care Coordination Intervention Using Automated Health Information Exchange-Based Clinical Event Notifications, David L. Gutteridge Md, Mph, Nicholas Genes Md, Phd, Ula Hwang Md, Mph, Benjamin Kaplan, The Gedi Wise Investigators, Jason Shapiro Md, Ma

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Purpose: In a health care system where patients often have numerous providers and multiple chronic medical conditions, interoperability of health information technology (HIT) is of paramount importance. Regional health information organizations (RHIO) often provide a health information exchange (HIE) as a solution, which gives stakeholders access to clinical data that they otherwise would not otherwise have. A secondary use of preexisting HIE infrastructure is clinical event notification (CEN) services, which send automated notifications to stakeholders. This paper describes the development and implementation of a CEN service enabled by a RHIO in the New York metropolitan area to improve care coordination ...


The Utah Beacon Experience: Integrating Quality Improvement, Health Information Technology, And Practice Facilitation To Improve Diabetes Outcomes In Small Healthcare Facilities, Janet Tennison, Deepthi Rajeev, Sarah Woolsey, Jeff Black, Steven J. Oostema, Christie North 2014 EDM Forum

The Utah Beacon Experience: Integrating Quality Improvement, Health Information Technology, And Practice Facilitation To Improve Diabetes Outcomes In Small Healthcare Facilities, Janet Tennison, Deepthi Rajeev, Sarah Woolsey, Jeff Black, Steven J. Oostema, Christie North

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Purpose: The Utah Improving Care through Connectivity and Collaboration (IC3) Beacon community (2010–2013) was spearheaded by HealthInsight, a nonprofit, community-based organization. One of the main objectives of IC3 was to improve health care provided to patients with diabetes in three Utah counties, collaborating with 21 independent smaller clinics and two large health care enterprises. This paper will focus on the use of health information technology (HIT) and practice facilitation to develop and implement new care processes to improve clinic workflow and ultimately improve patients’ diabetes outcomes at 21 participating smaller, independent clinics.

Innovation: Early in the project ...


State Synergies And Disease Surveillance: Creating An Electronic Health Data Communication Model For Cancer Reporting And Comparative Effectiveness Research In Kentucky, Christopher Reams, Mallory Powell, Rob Edwards 2014 EDM Forum

State Synergies And Disease Surveillance: Creating An Electronic Health Data Communication Model For Cancer Reporting And Comparative Effectiveness Research In Kentucky, Christopher Reams, Mallory Powell, Rob Edwards

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Purpose: This case study describes the collaboration between a state public health department, a major research university, and a health extension service funded as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act to establish an interoperable health information system for disease surveillance through electronic reporting of systemic therapy data from numerous oncology practices in Kentucky. The experience of the Kentucky cancer surveillance system can help local and state entities achieve greater effectiveness in designing communication efforts to increase usage of electronic health records (EHRs) and health information exchanges (HIEs), help eligible clinicians meet these new ...


Supporting Primary Care Practices In Building Capacity To Use Health Information Data, Douglas Fernald, Robyn Wearner, W. Perry Dickinson 2014 EDM Forum

Supporting Primary Care Practices In Building Capacity To Use Health Information Data, Douglas Fernald, Robyn Wearner, W. Perry Dickinson

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: Our objective was to describe essential support resources and strategies in order to advance the pace and scope of the use of health information technology (HIT) data.

Background and Context: Primary data were collected between January 2011 and October 2012. The primary study population comprised 51 primary care practices enrolled in the Colorado Beacon Consortium in western Colorado.

Methods: We used qualitative methods embedded in a mixed-method evaluation: monthly narrative reports from practices; interviews with providers and staff; and focused, group discussions with quality improvement (QI) advisors and staff from the Health Information Technology Regional Extension Center.

Findings: Practices ...


How A Beacon Community Program In New Orleans Helped Create A Better Health Care System By Building Relationships Before Technology, Anjum Khurshid, Lisanne Brown 2014 EDM Forum

How A Beacon Community Program In New Orleans Helped Create A Better Health Care System By Building Relationships Before Technology, Anjum Khurshid, Lisanne Brown

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: In the aftermath of Hurricane Katrina, much of New Orleans’ healthcare infrastructure was destroyed. Initial federal funding after the storm expanded primary care services and helped set up medical homes for New Orleans’ large uninsured and underinsured population. Following that, the Beacon Community in New Orleans, charged with improving health care through the use of technology, decided the best way to accomplish those goals was to build community partnerships and introduce technology improvements based on their input and on their terms. The purpose of this paper is to describe how those partnerships were wrought, including the innovative use of ...


Achieving And Sustaining Automated Health Data Linkages For Learning Systems: Barriers And Solutions, Erik G. Van Eaton, Allison B. Devlin, Emily Beth Devine, David R. Flum, Peter Tarczy-Hornoch 2014 EDM Forum

Achieving And Sustaining Automated Health Data Linkages For Learning Systems: Barriers And Solutions, Erik G. Van Eaton, Allison B. Devlin, Emily Beth Devine, David R. Flum, Peter Tarczy-Hornoch

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: Delivering more appropriate, safer, and highly effective health care is the goal of a learning health care system. The Agency for Healthcare Research and Quality (AHRQ) funded enhanced registry projects: (1) to create and analyze valid data for comparative effectiveness research (CER); and (2) to enhance the ability to monitor and advance clinical quality improvement (QI). This case report describes barriers and solutions from one state-wide enhanced registry project.

Methods: The Comparative Effectiveness Research and Translation Network (CERTAIN) deployed the commercially available Amalga Unified Intelligence System™ (Amalga) as a central data repository to enhance an existing QI registry (the ...


Sustainability Through Technology Licensing And Commercialization: Lessons Learned From The Triad Project, Philip R.O. Payne 2014 EDM Forum

Sustainability Through Technology Licensing And Commercialization: Lessons Learned From The Triad Project, Philip R.O. Payne

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Ongoing transformation relative to the funding climate for healthcare research programs housed in academic and non-profit research organizations has led to a new (or renewed) emphasis on the pursuit of non-traditional sustainability models. This need is often particularly acute in the context of data management and sharing infrastructure that is developed under the auspices of such research initiatives. One option for achieving sustainability of such data management and sharing infrastructure is the pursuit of technology licensing and commercialization, in an effort to establish public-private or equivalent partnerships that sustain and even expand upon the development and dissemination of research-oriented data ...


Availability Of Structured And Unstructured Clinical Data For Comparative Effectiveness Research And Quality Improvement: A Multi-Site Assessment., Daniel Capurro MD, PhD, Meliha Yetisgen PhD, Erik van Eaton MD, Robert Black, Peter Tarczy-Hornoch MD 2014 EDM Forum

Availability Of Structured And Unstructured Clinical Data For Comparative Effectiveness Research And Quality Improvement: A Multi-Site Assessment., Daniel Capurro Md, Phd, Meliha Yetisgen Phd, Erik Van Eaton Md, Robert Black, Peter Tarczy-Hornoch Md

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: A key attribute of a learning health care system is the ability to collect and analyze routinely collected clinical data in order to quickly generate new clinical evidence, and to monitor the quality of the care provided. To achieve this vision, clinical data must be easy to extract and stored in computer readable formats. We conducted this study across multiple organizations to assess the availability of such data specifically for comparative effectiveness research (CER) and quality improvement (QI) on surgical procedures.

Setting: This study was conducted in the context of the data needed for the already established Surgical Care ...


Women's Stories Of Breast Cancer: Sharing Information Through Youtube Video Blogs, Jenna Kressler 2014 Western University

Women's Stories Of Breast Cancer: Sharing Information Through Youtube Video Blogs, Jenna Kressler

University of Western Ontario - Electronic Thesis and Dissertation Repository

Breast cancer is one of the most prevalent chronic diseases among North American women. Individuals need accessible and reliable health information for self-care and self-health promotion. Increasingly, individuals are contributing to and accessing information about cancer, using interactive online resources such as YouTube. The purpose of this research was to investigate the personal YouTube video blogs of women with breast cancer and their portrayed messages. This study used a narrative inquiry to examine the video blogs of four women with breast cancer. The women talked about having cancer as a transformative experience. Information about breast cancer from healthcare providers was ...


Libraries Respond To Mobile Ubiquity: Research And Assessment Of Mobile Device Usage Trends For Academic And Medical Libraries, Megan M. Hurst, Eleanor I. Cook, J. Michael Lindsay, Martha F. Earl 2014 Purdue University

Libraries Respond To Mobile Ubiquity: Research And Assessment Of Mobile Device Usage Trends For Academic And Medical Libraries, Megan M. Hurst, Eleanor I. Cook, J. Michael Lindsay, Martha F. Earl

Charleston Library Conference

The authors consider trends in mobile device usage for the Internet as a whole, for EBSCO Discovery Service across all client libraries, and at two specific libraries: Preston Medical Library, serving the University of Tennessee (UT) Graduate School of Medicine and UT Medical Center, and the Joyner Library at East Carolina University, serving students and faculty on the main campus. Librarians at Preston Medical Library conducted a survey to determine which mobile devices, platforms, and apps were used by their patrons in 2012. East Carolina University piloted an iPad and e-reader lending program in 2010–2011. The results of each ...


Data Analytics In Population Health, Harm Scherpbier MD, MS 2014 Thomas Jefferson University

Data Analytics In Population Health, Harm Scherpbier Md, Ms

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Health Care Information Technology: Securing The Electronic Health Record With Biometric Technology, Alyssa Iacona 2014 St. John Fisher College

Health Care Information Technology: Securing The Electronic Health Record With Biometric Technology, Alyssa Iacona

Undergraduate Review: a Journal of Undergraduate Student Research

The principal focus of this paper is to examine the integration of biometric technology into healthcare’s information technology systems. Biometric technology, a rapidly evolving mechanism, analyzes specific anatomical and physiological features of an individual for identity verification (Perrin, 2002). Moreover, as the federal government has mandated all health records to be electronic in 2014, the implementation of biometrics has become a prevalent means of security. In an effort to adhere to the patient privacy laws authorized by the Health Insurance Portability and Accountability Act (HIPAA), biometric recognition is currently used to restrict access to verified health care providers and ...


Learning From Health Information Exchange Technical Architecture And Implementation In Seven Beacon Communities, Douglas B. McCarthy, Karen Propp, Alexander Cohen, Raj Sabharwal, Abigail A. Schachter, Alison L. Rein 2014 EDM Forum

Learning From Health Information Exchange Technical Architecture And Implementation In Seven Beacon Communities, Douglas B. Mccarthy, Karen Propp, Alexander Cohen, Raj Sabharwal, Abigail A. Schachter, Alison L. Rein

eGEMs (Generating Evidence & Methods to improve patient outcomes)

As health care providers adopt and make “meaningful use” of health information technology (health IT), communities and delivery systems must set up the infrastructure to facilitate health information exchange (HIE) between providers and numerous other stakeholders who have a role in supporting health and care. By facilitating better communication and coordination between providers, HIE has the potential to improve clinical decision-making and continuity of care, while reducing unnecessary use of services. When implemented as part of a broader strategy for health care delivery system and payment reform, HIE capability also can enable the use of analytic tools needed for population ...


Wirelesseeg: Data Aquisition + Handheld Device, Michael Dylan Snowden, Madeline Threatt, Brent McFerrin, David Platillero, Karsten Solies, Lindsey Hopf 2014 University of Tennessee, Knoxville

Wirelesseeg: Data Aquisition + Handheld Device, Michael Dylan Snowden, Madeline Threatt, Brent Mcferrin, David Platillero, Karsten Solies, Lindsey Hopf

University of Tennessee Honors Thesis Projects

No abstract provided.


Electronic Health Records: Cure-All Or Chronic Condition?, Chris Kimble 2014 SelectedWorks

Electronic Health Records: Cure-All Or Chronic Condition?, Chris Kimble

Chris Kimble

Computer-based information systems feature in almost every aspect of our lives, and yet most of us receive handwritten prescriptions when we visit our doctors and rely on paper-based medical records in our healthcare. Although electronic health record (EHR) systems have long been promoted as a cost-effective and efficient alternative to this situation, clear-cut evidence of their success has not been forthcoming. An examination of some of the underlying problems that prevent EHR systems from delivering the benefits that their proponents tout identifies four broad objectives - reducing cost, reducing errors, improving coordination and improving adherence to standards - and shows that they ...


Data Governance And Data Sharing Agreements For Community-Wide Health Information Exchange: Lessons From The Beacon Communities, Claudia Allen, Terrisca R. Des Jardins, Arvela Heider, Kristin A. Lyman, Lee McWilliams, Alison L. Rein, Abigail A. Schachter, Ranjit Singh, Barbara Sorondo, Joan Topper, Scott A. Turske 2014 EDM Forum

Data Governance And Data Sharing Agreements For Community-Wide Health Information Exchange: Lessons From The Beacon Communities, Claudia Allen, Terrisca R. Des Jardins, Arvela Heider, Kristin A. Lyman, Lee Mcwilliams, Alison L. Rein, Abigail A. Schachter, Ranjit Singh, Barbara Sorondo, Joan Topper, Scott A. Turske

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Purpose: Unprecedented efforts are underway across the United States to electronically capture and exchange health information to improve health care and population health, and reduce costs. This increased collection and sharing of electronic patient data raises several governance issues, including privacy, security, liability, and market competition. Those engaged in such efforts have had to develop data sharing agreements (DSAs) among entities involved in information exchange, many of whom are “nontraditional” health care entities and/or new partners. This paper shares lessons learned based on the experiences of six federally funded communities participating in the Beacon Community Cooperative Agreement Program, and ...


Telehealth System To Improve Medication Management Of Autism Spectrum Disorder Remotely, Tiffany Worthington 2014 Boise State University

Telehealth System To Improve Medication Management Of Autism Spectrum Disorder Remotely, Tiffany Worthington

College of Health Sciences Presentations

Approximately 1 in 88 children in the United States are being diagnosed with the Autism Spectrum Disorder (ASD). Autism is a neurodevelopmental disorder that carries with it lifelong physical, emotional, and behavioral consequences. Early diagnosis and treatment can help reduce the severity of the symptoms. To assist healthcare providers in the management of the autism symptoms, a new smartphone application was developed that allows physicians to observe patient behaviors between office visits, and to manage the patient’s medication based on the information observed. An evaluation was conducted to determine ease of use of the smartphone application by two physicians ...


Peru Telemedicine Website Development Project, Jose Garcia, Tanveer Morshed, Sean Wakeley, Christopher Llyod 2014 Boise State University

Peru Telemedicine Website Development Project, Jose Garcia, Tanveer Morshed, Sean Wakeley, Christopher Llyod

College of Business and Economics Presentations

Physicians working in rural communities of Peru find themselves removed from many of the resources commonly available to physicians in urban environments. The rural physicians are often limited in their ability to communicate with colleagues and other healthcare providers regarding professional matters. To improve patient care, a new user-friendly, Internet-based communication platform is needed to allow these doctors to better communicate with other rural physicians and with specialists located in urban medical centers. Our project focused on the design, development, testing of a website that will allow rural doctors in Peru to post diagnostic questions and related information on a ...


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