the international council on medical & care compunetics


December, 2014


Physician Impressions of Using Text Message Technology to Increase Vaccination Compliance

Hart T et al, Telemedicine and e-Health, 17(6)

Immunization schedules are complicated and difficult for parents to remember. Parents are willing to receive text message reminders. However, it is unknown whether physicians are willing to implement such a system. The purpose of this study was to evaluate the feasibility of a text messaging reminder system from the physician’s perspective.

Materials and Methods:
Surveys were distributed in the winter of 2009–2010 by e-mail, facsimile, and telephone interview to 149 family physicians and pediatricians who provide immunizations in Sedgwick County, Kansas.
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19 July 2011 | No Comments »
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Electronic Health Records, the PINNACLE Registry, and Quality Care

Oetgen WJ et al, Arch Intern Med, 171(10)

Romano and Stafford present an innovative analysis of the most current National Ambulatory Medical Care Survey and National Hospital Ambulatory Survey data. They found that (1) the use of EHRs was not associated with higher compliance with quality indicators and (2) the use of CDS systems within the EHR visits was likewise not associated with higher compliance with quality indicators.
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24 May 2011 | No Comments »
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Use of ontologies for monitoring electronic health records for compliance with clinical practice guidelines

White P, Roudsari A. Studies in Health Technology and Informatics, 2011

Ontologies can assist with translating information from an electronic health record to a clinical practice guideline and reformatting it into a compliance report. A 2009 literature search reviews publications on the use of ontologies to support automated reporting of compliance with clinical practice guidelines via electronic health records. Research stage, data-pulling capabilities, ontologies used, and issues raised are some of the comparative data pulled from 13 articles from the literature review results. Suggestions for further research are given.
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25 February 2011 | No Comments »
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Electronic patient self-assessment and management (SAM): a novel framework for cancer survivorship

Vickers AJ et al, BMC Medical Informatics and Decision Making, 10(1)

We propose a novel framework for management of cancer survivorship: electronic patient Self-Assessment and Management (SAM). SAM is a framework for transfer of information to and from patients in such a way as to increase both the patient’s and the health care provider’s understanding of the patient’s progress, and to help ensure that patient care follows best practice.
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18 June 2010 | No Comments »
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Patient use and compliance with medical advice delivered by a web-based triage system in primary care

Nijland N et al, J Telemed Telecare, 16(1)

We studied a web-based triage system which was accessible to the general public in the Netherlands. In a retrospective analysis we investigated the type of complaints that were submitted and the kind of advice provided. Over a period of 15 months, 13,133 different people began using the web-based triage system and 3812 patients went right through the triage process to the end. The most frequent complaints were common cold symptoms, such as cough and a sore throat (22%), itch problems (13%), urinary complaints (12%), diarrhoea (10%), headache (8%) and lower back pain (8%).
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31 May 2010 | No Comments »
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Still Seeking the Legal EHR: The Push for Electronic Records Increases, the Record Management Questions Remain

Dougherty, Michelle, and Lydia Washington, Journal of AHIMA, 81(2)

In 2003 AHIMA launched a workgroup to provide practice guidance on an emerging topic—the “legal electronic health record.” At that time, HIM professionals working at facilities that were early adopters of EHR systems were struggling with basic HIM principles: determining the official record of care within an EHR that was made up of many different applications; disclosing information from multiple EHR systems that had limited report functionality; and establishing trustworthy records in systems that did not incorporate basic record-keeping principles.
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2 February 2010 | No Comments »
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Cell-Phone Medicine Brings Care To Patients In Developing Nations

Feder, J. Lester, Health Affairs, 29(2)

At ten o’clock in the morning, a clinic in Mexico City’s Condesa neighborhood is buzzing with activity. It serves some 7,000 patients and is operated by the Mexico City government, making it one of the largest facilities in Latin America devoted to treating patients with HIV/AIDS.
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2 February 2010 | No Comments »
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Managing asthma with mobile phones: a feasibility study

Holtz, Bree, and Pamela Whitten, Telemedicine and e-Health, 15(9)

Asthma is a chronic disease and a growing health problem worldwide. The objective of this pilot study was to test the feasibility and utilization of tracking asthma symptoms through an innovative mobile phone application. The subjects for this research project consisted of 4 individuals who are currently receiving treatment for asthma from a primary care physician in Ingham County, Michigan. Participants took their peak flow reading each day and used the short message service (SMS) function on their phone and sent it to a Web server. If they did not send it by 11 AM, they received a reminder via an automated SMS to their phone.
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12 January 2010 | No Comments »
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Improved Adherence and Outcomes for Pediatric Liver Transplant Recipients by Using Text Messaging

Miloh, Tamir et al, Pediatrics, 124(5)

The goal was to improve immunosuppressant adherence for pediatric patients with orthotopic liver transplants by using text messaging (TM).

A prospective study of sending TM reminders to the primary medication administrator (patient or caregiver) for pediatric transplant recipients was performed. Patient records were reviewed, comparing the year before and the year of the study. The SD of serum tacrolimus levels was used as an indicator of adherence.
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6 November 2009 | No Comments »
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The gap between actual and mandated use of an electronic medication record three years after deployment

Granlien, Maren Fich, eHealth Beyond the Horizon - Get IT There, 2008

Three years after the hospitals in one of Denmark’s five healthcare regions deployed an electronic medication record (EMR) four of eight main system facilities are used consistently by only 3%-37% of the hospital wards. Furthermore, four of eight mandated work procedures involving the EMR are followed consistently by only 13%-28% of wards. No system facility or work procedure is consistently adopted by more than 67%, respectively 48%, of wards.
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19 April 2009 | No Comments »
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Outcomes of a home telehealth intervention for patients with heart failure

Wakefield, Bonnie J. et al, J Telemed Telecare, 15(1)

We evaluated the efficacy of two telehealth applications, delivered by telephone and videophone, for improving outcomes of patients following hospital discharge for an acute exacerbation of heart failure. The outcomes measured were patient self-efficacy, satisfaction with care and knowledge of and compliance with prescribed medications.
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13 January 2009 | No Comments »
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Supporting the Patient’s Role in Guideline Compliance: A Controlled Study

Rosenberg, Stephen N. et al, Am J Manag Care, 14(11)

Objective: Clinical messages alerting physicians to gaps in the care of specific patients have been shown to increase compliance with evidence-based guidelines. This study sought to measure any additional impact on compliance when alerting messages also were sent to patients.
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10 November 2008 | No Comments »
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Employing the electronic health record to improve diabetes care: a multifaceted intervention in an integrated delivery system

Weber, Valerie et al, Journal of General Internal Medicine, 23(4)

Type 2 diabetes is one of the nation’s most prevalent chronic diseases. Although well-known practice guidelines exist, real-life clinical performance often falls short of benchmarks. AIM: Employ an electronic registry derived from a fully integrated electronic health record (EHR) as the cornerstone of an intervention to improve compliance with recommended diabetes performance measures in an integrated practice network.
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10 April 2008 | No Comments »
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