the international council on medical & care compunetics


December, 2014


Access to the Medical Record for Patients and Involved Providers: Transparency Through Electronic Tools

Feeley TW et al, Annals of Internal Medicine, 155(12)

Physicians’ notes are one of the oldest tools in medicine and have evolved into today’s electronic medical record. As we move toward greater transparency in health care, one emerging concept is that sharing information among patients, caregivers, and involved clinicians can improve efficiency, decrease redundancy, and decrease cost. The concept of improving health care delivery by sharing the medical record with the patient is not new.
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20 December 2011 | No Comments »
Categories: Bibliography, Journal Article, RA Research, Record Access | Keyword(s): , , , , , , ,

Electronic Health Records: Eliciting Behavioral Health Providers’ Beliefs

Shank N et al, Community Mental Health Journal, 2011

Interviews with 32 community behavioral health providers elicited perceived benefits and barriers of using electronic health records. Themes identified were (a) quality of care, (b) privacy and security, and (c) delivery of services. Benefits to quality of care were mentioned by 100% of the providers, and barriers by 59% of providers.
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19 May 2011 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , , , ,

A secure protocol for protecting the identity of providers when disclosing data for disease surveillance

El Emam K et al, J Am Med Inform Assoc, 18(3)

Providers have been reluctant to disclose patient data for public-health purposes. Even if patient privacy is ensured, the desire to protect provider confidentiality has been an important driver of this reluctance.

Six requirements for a surveillance protocol were defined that satisfy the confidentiality needs of providers and ensure utility to public health. The authors developed a secure multi-party computation protocol using the Paillier cryptosystem to allow the disclosure of stratified case counts and denominators to meet these requirements. The authors evaluated the protocol in a simulated environment on its computation performance and ability to detect disease outbreak clusters.
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6 May 2011 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , ,

E-health and the Web 2.0

Karkalis GI, Koutsouris DD. Proceedings of ITAB 2006

As the application of information technology in healthcare is increasing and the volume of available health related information is rapidly growing, the importance of effective health information management is more and more recognized by healthcare professionals and providers. There also seems to be an evolvement towards a patient-centered model of healthcare provision which is reflected on the increasing demand for personalized applications facilitating communication between patients and healthcare professionals and for the establishment of community based health networks.
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29 August 2010 | No Comments »
Categories: Book Article | Keyword(s): , , , , , , , , , , , , , ,

Practical Health Information Exchange using a Personally Controlled Health Record

Adida B et al, 2010

We suggest that doctors can most effectively share data with one another via a patient’s personally controlled health record.
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27 August 2010 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , , , ,

The business end of health information technology. Can a fully integrated electronic health record increase provider productivity in a large community practice?

De Leon S et al. The Journal of Medical Practice Management, 25(6)

Electronic health records (EHRs) are expected to transform and improve the way medicine is practiced. However, providers perceive many barriers toward implementing new health information technology. Specifically, they are most concerned about the potentially negative impact on their practice finances and productivity. This study compares the productivity of 75 providers at a large urban primary care practice from January 2005 to February 2009, before and after implementing an EHR system, using longitudinal mixed model analyses.
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15 August 2010 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , , , ,

E-Health Hazards: Provider Liability and Electronic Health Record Systems

Hoffman S, Podgurski A. Berkeley Technology Law Journal, 24(7)

In the foreseeable future, electronic health record (EHR) systems are likely to become a fixture in medical settings. The potential benefits of computerization could be substantial, but EHR systems also give rise to new liability risks for health care providers that have received little attention in the legal literature. This Article features a first of its kind, comprehensive analysis of the liability risks associated with use of this complex and important technology. In addition, it develops recommendations to address these liability concerns.
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22 June 2010 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , , , , , , , ,

The value of provider-to-provider telehealth

Pan E et al, Telemedicine and e-Health, 14(5)

Telehealth has great potential to improve access to care, but its adoption in routine healthcare has been slow. The lack of clarity about the value of telehealth implementations has been one reason cited for this slow adoption. The Center for Information Technology Leadership has examined the value of telehealth encounters in which there is a provider both with the patient and at a distance from the patient. We considered three models of telehealth: store-and-forward, real-time video, and hybrid systems. Evidence from the literature was extrapolated using a computer simulation, which found that the hybrid model was the most cost effective.
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14 May 2010 | No Comments »
Categories: Journal Article | Keyword(s): , , , , ,

A qualitative study of the experiences and satisfaction of direct telemedicine providers in diabetes case management

Sandberg, Jonathan et al, Telemedicine and e-Health, 15(8)

Telehealth interventions are feasible and efficacious. While patients are the focus of both quantitative and qualitative studies that assess their response to telehealth, little is known about the view of providers of telehealth services. The purpose of this study was to better understand the experiences of providers and the factors that they perceive to contribute to the success of telehealth interventions as well as to their own satisfaction. Face-to-face or telephone interviews were conducted with 10 diabetes educators (nurses and dietitians) who served as providers of a telemedicine case management intervention for older adults who have diabetes.
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16 October 2009 | No Comments »
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Access to electronic health records by care setting and provider type: perceptions of cancer care providers in Ontario, Canada

Orchard M et al, BMC Medical Informatics and Decision Making, 9(1)

The use of electronic health records (EHRs) to support the organization and delivery of healthcare is evolving rapidly. However, little is known regarding potential variation in access to EHRs by provider type or care setting. This paper reports on observed variation in the perceptions of access to EHRs by a wide range of cancer care providers covering diverse cancer care settings in Ontario, Canada.
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10 August 2009 | No Comments »
Categories: Journal Article | Keyword(s): , , , , , ,

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