Health Services Research Commons^™

How Barriers To Using The Electronic Health Record Effects Behavioral Healthcare, Jennifer Woodard

Applied Research Projects

The healthcare scene is rapidly changing due to the introduction of the electronic health record (EHR) and advances in technology. This means more patient data is readily available for use and gives physicians and patients’ faster access to that data. With the passing of recent legislature such as the Health Information Technology for Economic and Clinical Health Act and the American Recovery and Reinvestment Act of 2009, resulting in the rapid adoption of electronic health records due to incentive payment programs. With this comes the push for use of the electronic health record to prepare for Meaningful Use and improved …

Is Cloud Computing In Healthcare Providing A Safe Environment For Storing Protected Health Information? A Systematic Review And Meta-Analysis, Ashley N. Hayes

Applied Research Projects

Over the past several years, cloud computing has become increasingly more popular for the use of storing, accessing, and maintaining electronic health records (EHRs). In comparison to conventional EHR management tools, such as installed software, cloud computing offers more capabilities for medical facilities and their patients. Experts claim that in addition to changing the face of health information technology, it will also advance healthcare services, and benefit medical research. As the use of cloud computing has increased, so has the amount of healthcare data breaches. This study is proposing that there is a correlation between the increase in cloud computing …

Adoption Rate Of A Certified Ehr At Medical Practices With Five Or Fewer Physicians, Nelda Onwualiaobu

Applied Research Projects

The adoption rate of a certified electronic health record (EHR) for small medical practices have been the subject of discussion because prior research shows that larger medical practices have a higher rate of adoption than small medical practices. The major reason for this disparity has been the cost of adoption and implementation as many small practices are not financially equipped to shoulder this burden. The purpose of this research was to determine the adoption rate of a certified EHR for medical practices with five or fewer physicians. Through a google search and filtering the results of the search, the office …

Are Bay County Florida Healthcare Facilities Ready For Pama Imaging Cds Mandate?, Kelly Johnson

Applied Research Projects

The Electronic Health Record (EHR) has been a major player on the healthcare scene in recent years. Its use has ushered in a new phase of focus on quality healthcare combined with and aided by technological integration. Within this technological integration have come adjutant tools including Clinical Decision Support (CDS) tools. Among these applications are those focused on appropriate imaging by use of CDS designed according to Appropriate Use Criteria (AUC). The imaging CDS tools are available to aid the provider in selecting the appropriate imaging study for the clinical indications present. The Protecting Access to Medicare Act (PAMA) passed …

Rencana Pengembangan Cssd (Central Sterile And Supplies Department) Berdasarkan Kebutuhan Di Rs Meilia Tahun 2015, Lintang Kusuma Delia

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

To meet the requirements of Peraturan Menteri Kesehatan RI number 56 2014 and JKN in 2015, RS Meilia need the planning of CSSD development that refers to the literature, regulations, guidelines and standards of the Ministry of Health of Indonesia and also refers to the analysis of internal and external factors in the RS Meilia CSSD to reach an ideal CSSD. The analytical results are RS Meilia has been preparing since the beginning of the construction of the hospital to hold a separate CSSD unit. In addition, there is a problem about the distribution flow of dirty goods and sterile …

Analisis Kepuasan Pasien Tni Sebelum Dan Sesudah Penerapan Jkn Di Ruang Rawat Inap Kelas Ii Rs Dik Pusdikkes Kodiklat Tni Ad, Ernawati Ernawati

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Patient satisfaction is one of indicator of health care quality measurement and can be used as a benchmark for the hospital. The purpose of this study was to describe the characteristic of TNI patients who are JKN’s based on age, sex, education and rank, determine the performance of member RS DIK PUSDIKKES Kodiklat TNI AD for TNI patients with Servqual method as well as knowing the difference of services before and after impletation of JKN. This is a quantitative study with cross sectional approach using descriptive analysis and cartesian diagram. The study was conducted for 3 months on 100 patients …

Analisis Perbedaan Tarif Rumah Sakit Dan Tarif Ina-Cbg’S Pelayanan Rawat Jalan Di Rsud Budhi Asih Jakarta Tahun 2015, Hotma Dumaris

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

There is a fundamental change of hospital’s payment system in Indonesia since the Indonesian National Health Insurance was implemented (January 2014). The former retrospective payment system was changed into prospective payment system with Indonesia Case Base Groups (INA-CBG) as expense base. This change forced hospital to propose a new efforts to adjust the rate difference between the previous hospital based-tariff system and the latter INA-CBG-based-tariff system in order to assure the health service quality. This study aims to find out hospital’s efforts to adjust the tariff difference between the hospital-based- tariff system and INA-CBG-based-tariff-system.This is a quantitative as well as …

Analisis Biaya Layanan Diabetes Melitus Dengan Komplikasi Dan Faktor Penentu Inefisiensi Penanganan Diabetes Melitus Di Rawat Inap Rsud Banyuasin Tahun 2015, Fahrul Rahman

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Since JKN was offiacially administered in general hospital on January 1st, 2014, there has been changing in hospital administration payment from the restrospective system (free for services) to the prospective system (INA-CBG’s). It is planned in 2019 that all the people in Indonesia is registered in BPJS (Universal Heath Coverage) as one of the facilities for public healt services provided by Banyuasin general hospital (RSUD Banyuasin) which ains to provide qualified services, yet still considering effiencies due to the lach of the government subsidies. This study aimed to analyze the cost and identify determinant factor in handling Diabetes Melitus with …

Analisis Perencanaan Dan Pengendalian Persediaan Obat Antibiotik Di Rsud Cicalengka Tahun 2014, Gita Gilang Kencana

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Poor planning and controlling of drug in RSUD Cicalengka has resulted excess inventory and potential Hospital losses. This operational research was using ABC Critical Index Analysis Method, Safety Stock, Economic Order Quantity (EOQ) and Reorder Point (ROP). Stock evaluation using Inventory Turnover Ratio (ITOR) was also conducted. The result of ABC Critical Index Analysis showed that were seven antibiotics need to be prioritized. The estimation of antibiotic drug in group A for year 2015 was done using Single Exponential Smoothing Method. Safety stock for Cefadroxil Kaps 500 mg (5x10) as much as 344, EOQ as much as 1476 and ROP …

Hubungan Faktor Risiko Ergonomi Dan Keluhan Cumulative Trauma Disorders Pada Dokter Gigi Di Pt. X Tahun 2014, Hany Winihastuti

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Dentist’s works have kind of risks related with Cumulative Trauma Disorders (CTDs). This research’s aim is to explain ergonomic factors and CTDs that happens to dentist. Cross sectional method is used in this research along with 44 dentis in hospitals and cliniques X as samples. The usage of RULA and MB Ruler in this research is supported the researcher to assess the work’s postures on the upper arm, forearm, wrist, neck, torso and leg.The study found that dentists who complained of CTDs as much as 72.7%. Bivariate analysis showed a relationship between the duration and the incidence of complaints CTDs …

Pengendalian Persediaan Obat Kemoterapi Melalui Pendekatan Analisis Abc Indeks Kritis Di Ruang Pencampuran Instalasi Farmasi Rsup Dr. Mohammad Hoesin Palembang Tahun 2015, Layla Izzatul Khuriyati

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

One of the featured services at RSMH is integrated chemotherapy services. One of the resources in support of these services is a pharmaceutical supplies including the Chemotherapy drugs are relatively expensive. In conducting the inventory control Dr. Mohammad Hoesin Hospital not classify drugs based on user value, investment value and criticality of drugs through certain methods. So in this study aims to conduct chemotherapy drug control approach ABC Analysis Critical Index in the Cytostatica Handling Room of Pharmacy Instalation RSUP Dr. Mohammad Hoesin Palembang. This study design using operational research with quantitative and qualitative descriptive analysis. The results showed that …

Chemical Reactions: Marijuana, Opioids, And Our Families, Denise A. Hines Ph.D, Staci Gruber Ph.D, John F. Kelly Ph.D, Kathleen M. Palm Reed, Hilary Smith Connery M.D., Ph.D.

Mosakowski Institute for Public Enterprise

Chemical Reactions: Marijuana, Opioids, and Our Families is the seventh Massachusetts Family Impact Seminar. This seminar was designed to emphasize a family perspective in policymaking on issues related to the legalization of marijuana and managing the opioid abuse crisis in the Commonwealth. In general, Family Impact Seminars analyze the consequences an issue, policy, or program may have for families.

Access To Health Care Services For Adults In Maine [Report], Erika C. Ziller Phd

Access / Insurance

On October 17, 2016, the Maine Health Access Foundation (MeHAF) released a new research brief developed with the University of Southern Maine that found significant inequality in the ability of people in Maine to access quality health care. The authors, Barbara Leonard from MeHAF and Erika Ziller from the USM Muskie School, found that income, age and education are all closely associated with Maine people’s ability to receive appropriate and timely health care. Specifically, they found that among Maine adults 18 and older, those with family incomes less than $25,000 a year, young adults, racial and ethnic minorities, and people …

Recruiting And Retaining Individuals With Serious Mental Illness And Diabetes In Clinical Research: Lessons Learned From A Randomized, Controlled Trial., Stephanie W. Kanuch M.Ed., Kristin A. Cassidy Ma, Neal Dawson Md, Melanie Athey Ms, Edna Fuentes-Casiano Mssw, Martha Sajatovic Md

Journal of Health Disparities Research and Practice

Abstract: Recruitment and retention of individuals with serious mental illness (SMI) and comorbid diabetes mellitus (DM) in research studies can be challenging with major impediments being difficulties reaching participants via telephone contact, logistic difficulties due to lack of transportation, ongoing psychiatric symptoms, and significant medical complications. Research staff directly involved in recruitment and retention processes of this study reviewed their experiences. The largest barriers at the macro, mediator, and micro levels identified in this study were inclement weather, transportation difficulties, and intermittent and inaccessible telephone contact. Barrier work-around practices included using the health system’s EHR to obtain current phone numbers, …

Using Electronic Health Record Data To Improve Community Health Assessment, Brian E. Dixon, Jian "Frank" Zou, Karen F. Comer, Marc Rosenman, Jennifer L. Craig, P Gibson

Frontiers in Public Health Services and Systems Research

Background: Community health assessments assist health departments in identifying health needs as well as disparities, and they enable linking of needs with available interventions. Electronic health record (EHR) systems possess growing volumes of clinical and administrative data, making them a valuable source of data for ongoing community health assessment.

Purpose: To produce population health indicators using data from EHR systems that could be combined and visually displayed alongside social determinants data, and to provide data sets at geographic levels smaller than a county.

Methods: Data from multiple EHR systems used by major health systems covering >90% of the population in …

Health Insurance Co-Ops: Product Availability And Premiums In Rural Counties, Erika C. Ziller Phd, Zachariah T. Croll Ba, Andrew F. Coburn Phd

Access / Insurance

Created by the Affordable Care Act (ACA), Consumer Operated and Oriented Plans (CO-OPs) are private, non-profit health insurers that were designed to increase insurance plan choice and lower premiums in the Health Insurance Marketplaces. Early analyses of the ACA suggested that CO-OPs may be particularly beneficial for rural communities, where fewer individual and small group health insurance options have traditionally been available.

This Research and Policy Brief, authored by research staff at the Maine Rural Health Research Center, explores the early availability and role of CO-OPs in rural and urban counties. We describe the regional distribution and market prevalence of …

A Test Of The Behavioral Model Of Health Services Use On Non-Emergent Emergency Department Use, Moira Crosby Mcmanus

Health Services Research Dissertations

Even though emergency departments (EDs) were created to treat trauma and emergent cases, there has been an increase in emergency department (ED) utilization for non-emergent reasons over the past half of a century. As non-emergent utilization grows as a result of the ED becoming a prevalent substitute for primary care, overcrowding of the ED and increased wait times will continue. Additionally, unnecessary cost to both the ED and the patient will be incurred. Previous research has examined and determined various reasons and risk factors driving non-emergent ED use, among them the influence of living location and the number of non-emergent …

School Policy, Food And Physical Activity Environment, And Childhood Obesity, Ruicui Liu

Health Services Research Dissertations

The purpose of this study is to examine the effect of school food and physical activity environments on energy balance-related behaviors and Body Mass Index (BMI) and to simulate the effect of school-based nutrition and physical activity policies on childhood obesity prevention. Four models based on the Social Ecological Framework of childhood obesity were developed. Parameters of these models were calibrated and validated with empirical data derived from the Early Childhood Longitudinal Study – Kindergarten Class of 1998-99 and the 2003-2004 National Health and Nutrition Examination Study. The correlation between observed and simulated BMI was 0.85 for 5th grade children …

Financial Hardship From Purchasing Medications For Senior Citizens Before And After The Medicare Modernization Act Of 2003 And The Patient Protection And Affordable Care Act Of 2010: Findings From 1998, 2001, And 2015, Anthony W. Olson, Jon C. Schommer, David A. Mott, Lawrence M. Brown

Pharmacy Faculty Articles and Research

BACKGROUND: The Medicare Modernization Act of 2003 (Medicare Part D) added prescription drug coverage for senior citizens aged 65 years and older and applied managed care approaches to contain costs. The Patient Protection and Affordable Care Act of 2010 (ACA) had the goals of expanding health care insurance coverage and slowing growth in health care expenditures.

OBJECTIVES: To (a) describe the proportion of senior citizens who had prescription drug insurance coverage and the proportion who experienced financial hardship from purchasing medications in 2015, and (b) compare the findings with those collected in 1998 and 2001.

METHODS: Data were obtained in …

The Effects Of Job Characteristics On Home Care Workers’ Well-Being And Job Performance: Understanding The Psychosocial Effects Of Relational Care, Emily C. Franzosa

Dissertations, Theses, and Capstone Projects

Home care workers are the lowest-paid and most precarious segment of the health care industry. Although these workers provide critical, non-medical support that allows elderly and disabled individuals to remain in their homes, the workforce is highly unstable, due to low wages, a lack of supportive benefits like health coverage, paid leave and retirement support, poor working conditions and a physically and emotionally demanding workload. But a lack of consensus around the nature and value of home care has made “quality”, in terms of both jobs and care provision, difficult to define, measure or improve. While home care is a …