electronic health record a systems analysis of the medications domain

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Electronic Health Record

Author : Alexander Scarlat, MD
ISBN : 9781466559226
Genre : Business & Economics
File Size : 63. 77 MB
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An accessible primer, Electronic Health Record: A Systems Analysis of the Medications Domain introduces the tools and methodology of Structured Systems Analysis as well as the nuances of the Medications domain. The first part of the book provides a top-down decomposition along two main paths: data in motion—workflows, processes, activities, and tasks in parallel to the analysis of data at rest—database structures, conceptual, logical models, and entities relationship diagrams. Structured systems analysis methodology and tools are applied to: electronic prescription, computerized physician order entry, drug dispensation, medication administration, and clinical decision support. Assuming no previous clinical and/or informatics knowledge, the book supplies a comprehensive view of the EHR/EMR with dedicated chapters on: user interface considerations, reporting requirements, and standards and vocabularies for meaningful use. Containing clear language and more than 170 figures and 100 review questions with answers—this book is a great companion for Healthcare IT professionals and an ideal resource for clinical informatics students. Praise for the book: ... a common sense guide to this new world of informatics ... should prove invaluable to the clinician making his/her way past the commercial hype into the realm of true understanding of the systems of medical informatics. ... strongly recommended ... . —William F. Bria MD, CMIO Shriners Hospitals for Children, President of the Board, Association of Medical Directors of Information Systems Finally, here’s a textbook that the market and the industry have been looking for. The author has captured the details of the information flows involved in the EHR while processing an order or prescription from inception to completion. —Joseph T. Finn, RPh, MBA ... a thoughtful and well-constructed manual to understanding and incorporating the complex and many-sided aspects of medication concepts ... a clear and accessible entry to this challenging topic. —Don Martin, Managing Consultant ... encompasses high-value, high-volume therapeutic transactions of indescribable complexity that touch nearly every licensed professional in a hospital ... I’m hoping the vendors of my own hospital’s systems take its recommendations to heart. —Mr. HIStalk, Healthcare IT Blogger .... a very useful guide ... provides the necessary detail that is often missing in many books... very useful in health informatics education at universities and courses within community colleges. —Jane M. Brokel, PhD, RN ... a welcome and valuable addition to the toolkit for IT professionals and clinicians participating in the design or implementation of EHR systems. —Christine Greifzu, RN-BC, MBA, MSIS

Capturing Social And Behavioral Domains In Electronic Health Records

Author : Institute of Medicine
ISBN : 9780309301138
Genre : Medical
File Size : 38. 67 MB
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Substantial empirical evidence of the contribution of social and behavioral factors to functional status and the onset and progression of disease has accumulated over the past few decades. Electronic health records (EHRs) provide crucial information to providers treating individual patients, to health systems, including public health officials, about the health of populations, and to researchers about the determinants of health and the effectiveness of treatment. Inclusion of social and behavioral health domains in EHRs is vital to all three uses. The Health Information Technology for Economic and Clinical Health Act and the Patient Protection and Affordable Care Act place new importance on the widespread adoption and meaningful use of EHRs. "Meaningful use" in a health information technology context refers to the use of EHRs and related technology within a health care organization to achieve specified objectives. Achieving meaningful use also helps determine whether an organization can receive payments from the Medicare EHR Incentive Program or the Medicaid EHR Incentive Program. Capturing Social and Behavioral Domains in Electronic Health Records is the first phase of a two-phase study to identify domains and measures that capture the social determinants of health to inform the development of recommendations for meaningful use of EHRs. This report identifies specific domains to be considered by the Office of the National Coordinator, specifies criteria that should be used in deciding which domains should be included, identifies core social and behavioral domains to be included in all EHRs, and identifies any domains that should be included for specific populations or settings defined by age, socioeconomic status, race/ethnicity, disease, or other characteristics.

Systems Practices For The Care Of Socially At Risk Populations

Author : National Academies of Sciences, Engineering, and Medicine
ISBN : 9780309392006
Genre : Medical
File Size : 85. 81 MB
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The Centers for Medicare & Medicaid Services (CMS) have been moving from volume-based, fee-for-service payment to value-based payment (VBP), which aims to improve health care quality, health outcomes, and patient care experiences, while also controlling costs. Since the passage of the Patient Protection and Affordable Care Act of 2010, CMS has implemented a variety of VBP strategies, including incentive programs and risk-based alternative payment models. Early evidence from these programs raised concerns about potential unintended consequences for health equity. Specifically, emerging evidence suggests that providers disproportionately serving patients with social risk factors for poor health outcomes (e.g., individuals with low socioeconomic position, racial and ethnic minorities, gender and sexual minorities, socially isolated persons, and individuals residing in disadvantaged neighborhoods) may be more likely to fare poorly on quality rankings and to receive financial penalties, and less likely to receive financial rewards. The drivers of these disparities are poorly understood, and differences in interpretation have led to divergent concerns about the potential effect of VBP on health equity. Some suggest that underlying differences in patient characteristics that are out of the control of providers lead to differences in health outcomes. At the same time, others are concerned that differences in outcomes between providers serving socially at-risk populations and providers serving the general population reflect disparities in the provision of health care. Systems Practices for the Care of Socially At-Risk Populations seeks to better distinguish the drivers of variations in performance among providers disproportionately serving socially at-risk populations and identifies methods to account for social risk factors in Medicare payment programs. This report identifies best practices of high-performing hospitals, health plans, and other providers that serve disproportionately higher shares of socioeconomically disadvantaged populations and compares those best practices of low-performing providers serving similar patient populations. It is the second in a series of five brief reports that aim to inform the Office of the Assistant Secretary of Planning and Evaluation (ASPE) analyses that account for social risk factors in Medicare payment programs mandated through the Improving Medicare Post-Acute Care Transformation (IMPACT) Act.

Capturing Social And Behavioral Domains And Measures In Electronic Health Records

Author : Institute of Medicine
ISBN : 9780309312455
Genre : Medical
File Size : 65. 50 MB
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Determinants of health - like physical activity levels and living conditions - have traditionally been the concern of public health and have not been linked closely to clinical practice. However, if standardized social and behavioral data can be incorporated into patient electronic health records (EHRs), those data can provide crucial information about factors that influence health and the effectiveness of treatment. Such information is useful for diagnosis, treatment choices, policy, health care system design, and innovations to improve health outcomes and reduce health care costs. Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 identifies domains and measures that capture the social determinants of health to inform the development of recommendations for the meaningful use of EHRs. This report is the second part of a two-part study. The Phase 1 report identified 17 domains for inclusion in EHRs. This report pinpoints 12 measures related to 11 of the initial domains and considers the implications of incorporating them into all EHRs. This book includes three chapters from the Phase 1 report in addition to the new Phase 2 material. Standardized use of EHRs that include social and behavioral domains could provide better patient care, improve population health, and enable more informative research. The recommendations of Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 will provide valuable information on which to base problem identification, clinical diagnoses, patient treatment, outcomes assessment, and population health measurement.

Issues In Information Science Informatics 2011 Edition

Author :
ISBN : 9781464966200
Genre : Computers
File Size : 81. 87 MB
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Issues in Information Science: Informatics / 2011 Edition is a ScholarlyEditions™ eBook that delivers timely, authoritative, and comprehensive information about Information Science—Informatics. The editors have built Issues in Information Science: Informatics: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Information Science—Informatics in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Information Science: Informatics / 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

Hypertension A Companion To Braunwald S Heart Disease E Book

Author : Henry R. Black
ISBN : 9781455737352
Genre : Medical
File Size : 84. 60 MB
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Effectively manage the chronic problems of your hypertensive patients with the practical clinical tools inside Hypertension, 2nd Edition: A Companion to Braunwald’s Heart Disease. This respected cardiology reference covers everything you need to know - from epidemiology and pathophysiology through diagnosis, risk stratification, treatment, outcome studies, concomitant diseases, special populations and special situations, and future treatments. Confidently meet the needs of special populations with chronic hypertensive disease, as well as hypertension and concomitant disease. Learn new methods of aggressive patient management and disease prevention to help ensure minimal risk of further cardiovascular problems. Benefit from the authors’ Clinical Pearls to reduce complications of hypertension. Use new combination drug therapies and other forms of treatment to their greatest advantage in the management of chronic complications of hypertension. Successfully employ behavior management as a vital part of the treatment plan for hypertensives and pre-hypertensives.

E Health Care Information Systems

Author : Joseph Tan
ISBN : 0787977411
Genre : Medical
File Size : 38. 38 MB
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E-Health Care Information Systems is a comprehensive collection written by leading experts from a range of disciplines including medicine, health sciences, engineering, business information systems, general science, and computing technology. This easily followed text provides a theoretical framework with sound methodological approaches and is filled with numerous case examples. Topics include e-health records, e-public information systems, e-network and surveys, general and specific applications of e-health such as e-rehabilitation, e-medicine, e-homecare, e-diagnosis support systems, and e-health intelligence. E-Health Care Information Systems also covers strategies in e-health care technology management, e-security issues, and the impacts of e-technologies. In addition, this book reviews new and emerging technologies such as mobile health, virtual reality and nanotechnology, and harnessing the power of e-technologies for real-world applications.

Handbook Of Research On Developments In E Health And Telemedicine Technological And Social Perspectives

Author : Cruz-Cunha, Maria Manuela
ISBN : 9781615206711
Genre : Computers
File Size : 43. 43 MB
Format : PDF
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"This book provide a comprehensive coverage of the latest and most relevant knowledge, developments, solutions, and practical applications, related to e-Health, this new field of knowledge able to transform the way we live and deliver services, both from the technological and social perspectives"--Provided by publisher.

Cognitive Systems Engineering In Health Care

Author : Ann M. Bisantz
ISBN : 9781466587960
Genre : Business & Economics
File Size : 42. 35 MB
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Cognitive systems engineering has been widely and successfully applied in the design of safety critical systems such as nuclear power, aviation, and military command-and-control. More recently, these methods are being applied to the design of health and medical systems in order to improve health care quality, reduce errors and adverse events, and improve efficiencies. Cognitive Systems Engineering in Health Care provides an overview of cognitive systems engineering principles in the context of health care. It contains state-of-the-art examples of cognitive systems applications that can be adapted by health care practitioners interested in systematic engineering approaches to systems improvement. The book highlights current cognitive engineering-oriented research, analyses, and applications in settings such as cardiac surgery, obstetrics, and emergency medicine. It focuses on the impact cognitive engineering analyses can have in supporting communication and coordination with health care teams. The text then demonstrates the use of cognitive engineering methods to inform the design of information technology. It then details the systematic adaptation and application of specific cognitive engineering methods in the medical domain. The book concludes with examples of how in-depth cognitive engineering analyses can lead to demonstrated improvements in health care environments. Through a series of sample studies, the book gives you a deeper understanding of how cognitive engineering approaches might be applied in the health care domain. You’ll see common themes that underline the complexity of the health care domain and this insight can build a deep respect for the expertise of the practitioners who work in it. By identifying the abstractions that hold constant in this domain, you can build solutions for that will evolve to handle new applications, challenges, and approaches.

Brocklehurst S Textbook Of Geriatric Medicine And Gerontology E Book

Author : Howard M. Fillit
ISBN : 9781437720754
Genre : Medical
File Size : 87. 64 MB
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Popular with generations of practitioners, Brocklehurst's Textbook of Geriatric Medicine and Gerontology has been the definitive reference of choice in the field of geriatric care. The new 7th Edition, by Howard M. Fillit, MD, Kenneth Rockwood, MD, and Kenneth Woodhouse, carries on this tradition with an increased clinical focus and updated coverage to help you meet the unique challenges posed by this growing patient population. Consistent discussions of clinical manifestations, diagnosis, prevention, treatment, and more make reference quick and easy, while over 255 illustrations compliment the text to help you find what you need on a given condition. Examples of the latest imaging studies depict the effects of aging on the brain, and new algorithms further streamline decision making. Emphasizes the clinical relevance of the latest scientific findings to help you easily apply the material to everyday practice. Features consistent discussions of clinical manifestations, diagnosis, prevention, treatment, and more that make reference quick and easy. Includes over 255 illustrations—including algorithms, photographs, and tables—that compliment the text to help you find what you need on a given condition. Provides summary boxes at the end of each chapter that highlight important points. Features the work of an expert author team, now led by Dr. Howard M. Fillit who provides an American perspective to complement the book’s traditional wealth of British expertise. Includes an expanded use of algorithms to streamline decision making. Presents more color images in the section on aging skin, offering a real-life perspective of conditions for enhanced diagnostic accuracy. Includes examples of the latest imaging studies to help you detect and classify changes to the brain during aging. Offers Grade A evidence-based references keyed to the relevant text.

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