the international council on medical & care compunetics


December, 2014

reminder systems

Seasonal Influenza Vaccination Reminders for Children with High-Risk Conditions

Dombkowski KJ et al, American Journal of Preventive Medicine, 42(1)

Children with chronic conditions have an increased risk of complications from influenza and have low influenza vaccination rates.

To assess the feasibility and effectiveness of using a statewide immunization information system (IIS) for seasonal influenza vaccine reminders from local health departments (LHDs) targeting children with high-risk conditions.
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8 February 2012 | No Comments »
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Caring for individual patients and beyond: Enhancing care through secondary use of data in a general practice setting

Tolar M, Balka E. International Journal of Medical Informatics, 2012

It is argued that with the introduction of electronic medical record (EMR) systems into the primary care sector, data collected can be used for secondary purposes which extend beyond individual patient care (e.g., for chronic disease management, prevention and clinical performance evaluation). However, EMR systems are primarily designed to support clinical tasks, and data entry practices of clinicians focus on the treatment of individual patients. Hence data collected through EMRs is not always useful in meeting these ends.
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6 February 2012 | No Comments »
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Effects of a short text message reminder system on emergency department length of stay

Kim MJ et al, International Journal of Medical Informatics, 2012

Specialty consultations and waiting for admission to a hospital bed are major contributors to increased length of stay and overcrowding in the emergency department. We implemented a computerized short messaging service to inform care providers of patient delay in order to reduce length of stay. The purpose of this study was to evaluate the effects of this strategy on length of stay in the emergency department.
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1 February 2012 | No Comments »
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Electronic reminders to improve medication adherence–are they acceptable to the patient?

Sahm L et al, Pharmacy World & Science, 31(6)

Low levels of adherence to medication are commonly reported in chronic medical conditions. Empirical evidence suggests that patients are willing to accept pharmacist interventions to improve adherence. This study aimed to assess the levels of self-reported adherence to antidepressant medication in the community and to investigate the acceptability of text message reminders to self-reported unintentional non-adherers.
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17 July 2011 | No Comments »
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Impact of health portal enrollment with email reminders on adherence to clinic appointments: a pilot study

Horvath M et al, J Med Internet Res, 13(2)

Internet portal technologies that provide access to portions of electronic health records have the potential to revolutionize patients’ involvement in their care. However, relatively few descriptions of the demographic characteristics of portal enrollees or of the effects of portal technology on quality outcomes exist. This study examined data from patients who attended one of seven Duke Medicine clinics and who were offered the option of enrolling in and using the Duke Medicine HealthView portal (HVP). The HVP allows patients to manage details of their appointment scheduling and provides automated email appointment reminders in addition to the telephone and mail reminders that all patients receive.
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29 May 2011 | No Comments »
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Content of text messaging immunization reminders: What low-income parents want to know

Ahlers-Schmidt CR et al, Patient Education and Counseling, 2010

The purpose of this project was to gather preliminary data on preferred content for text reminders sent to low-income parents.

A brief, IRB-approved survey was administered to 200 consecutive English-speaking parents of children under 6 years old at a Pediatric Residency clinic. Because text messages can hold only limited content, parents were given three example texts ranging from very basic to very specific information and asked to select the information they would wish to receive.
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25 May 2011 | No Comments »
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The use of text messaging to improve attendance in primary care: a randomized controlled trial

Leong KC et al, Family Practice, 23(6)

Non-attendance is common in primary care and previous studies have reported that reminders were useful in reducing broken appointments.

To determine the effectiveness of a text messaging reminder in improving attendance in primary care. DESIGN Multicentre three-arm randomized controlled trial.
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25 May 2011 | No Comments »
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Concept and implementation of a computer-based reminder system to increase completeness in clinical documentation

Herzberg S et al, International Journal of Medical Informatics, 2011

Medical documentation is often incomplete. Missing information may impede or bias analysis of study data and can cause delays. In a single source information system, clinical routine documentation and electronic data capture (EDC) systems are connected in the hospital information system (HIS). In this setting, both clinical routine and research would benefit from a higher rate of complete documentation.
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20 March 2011 | No Comments »
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Actionable reminders did not improve performance over passive reminders for overdue tests in the primary care setting

El-Kareh RE et al, J Am Med Inform Assoc, 18(2)

Actionable reminders (electronic reminders linked to computerized order entry) might improve care by facilitating direct ordering of recommended tests. The authors implemented four enhanced actionable reminders targeting performance of annual mammography, one-time bone-density screening, and diabetic testing. There was no difference in rates of appropriate testing between the four intervention and four matched, control primary care clinics for screening mammography (OR 0.81, 95% CI 0.64 to 1.02), bone-density exams (OR 1.29, 95% CI 0.82 to 2.02), HbA1c monitoring (OR 0.91, 95% CI 0.58 to 1.42) and LDL cholesterol monitoring (OR 1.40, 95% CI 0.76 to 2.59).
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13 March 2011 | No Comments »
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Development, implementation and evaluation of an electronic medical record prompt for bone density testing

Rolnick SJ et al, Health Informatics Journal, 15(4)

The purpose of this study was to assess whether an electronic prompt promoting BMD testing affected the proportion of patients who received BMD and/or bone health medication. Rheumatology providers of patients 40+, on prednisone, with no record of BMD testing in the past 2 years, were targeted with the message: This patient is at risk for osteoporosis due to prednisone use. We have no record of a recent Dexa scan.’ We also surveyed providers on the prompt’s value.
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10 December 2009 | No Comments »
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Data Makes a Difference

Anderson, Howard J., Health Data Management, 17(1)

“Delivering the right data to the right doctor at the right time can have a big impact on the quality of care.
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12 January 2009 | No Comments »
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Automated telephone reminder messages can assist electronic diabetes care

Mollon, Brent et al, J Telemed Telecare, 14(1)

Telephone reminder systems have been used to assist in the treatment of many chronic diseases. However, it is unclear if these systems can increase medication and appointment adherence in patients with diabetes without direct patient-provider telephone contact. We tested the feasibility of using an automated telephone reminder system (ATRS) to deliver reminder messages to 253 adults with diabetes enrolled in a randomized controlled trial.
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7 April 2008 | No Comments »
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