Aspects of implementing and harmonizing healthcare communication standards

Dudeck, Joachim

doi:10.1016/s1386-5056(97)00122-6

Cited by 22 publications

(12 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The developments in information technology, especially world‐wide interconnectivity (intra‐ and internet), standards for electronic data exchange (Dudeck 1997; Dudeck 1998), and facilities to store and manage large amounts of data (Holzer et al 1999), offer the opportunity to analyse health‐relevant information in order to make the delivery of healthcare services more transparent for consumers and providers.…”

Section: Discussionmentioning

confidence: 99%

Towards case‐based performance measures: uncovering deficiencies in applied medical care

Hoelzer

Waechter

Stewart

et al. 2001

Evaluation Clinical Practice

Self Cite

View full text Add to dashboard Cite

Measures are designed to evaluate the processes and outcomes of care associated with the delivery of clinical (and non-clinical) services. They allow for intra- and interorganizational comparison to be used continuously to improve patient health outcomes. The use of performance measures always means to abstract the complex reality (medical scenarios and procedures) in order to provide an understandable and comparable output. Measures can focus on global performance. The more detailed data are available the more specific judgements with respect to the appropriateness of clinical decision-making and implementation of evidence are feasible. Externally reported measures are intended both to inform and lead to action. By providing this information, deficiencies in patient care and unnecessary variations in the care process can be uncovered. Such variations have contributed to disparities in morbidity and mortality. The developments in information technology, especially world-wide interconnectivity, standards for electronic data exchange and facilities to store and manage large amounts of data, offer the opportunity to analyse health-relevant information in order to make the delivery of healthcare services more transparent for consumers and providers. Global performance measures, such as the overall life expectancy (mortality) in a country, can give a rough orientation of how well health systems perform but they do not offer general solutions nor specific insights into care processes that have to be improved. In contrast to population-based measures, case-based performance measures use a defined group of patients depending on specific patient characteristics and features of disease. By means of these measures we are able to compare the number of patients that receive a necessary medical procedure against those patients who do not. The use of case-based measures is a bottom-up approach to improve the overall performance in the long run. They are not only a tool for global orientation but can offer a straightforward link to the areas of deficient care and the underlying procedures. Performance measures are relevant to providers as well as consumers, from their own individual perspective. Cased-based measures focus on the management of individual patient. This approach to performance measurement can inform physicians in a meaningful and constructive way by monitoring their individual performance and by pointing out possible areas of improvement.

show abstract

Section: Discussionmentioning

confidence: 99%

Towards case‐based performance measures: uncovering deficiencies in applied medical care

Hoelzer

Waechter

Stewart

et al. 2001

Evaluation Clinical Practice

Self Cite

View full text Add to dashboard Cite

show abstract

“…• allow standard messages customisation (for example defining new fields or declaring mandatory/optional existing ones); • implement standard messages based on structured language standards (like extensible Markup Language, XML) [14]. 5.…”

Section: Communication Needsmentioning

confidence: 99%

From Monolithic Socialist Healthcare Systems to EU Standards: Can IT Adoption Speed Bridging the Gap?

Bengulescu

2005

Der Donauraum

View full text Add to dashboard Cite

The paper analyses the current problems faced by the ex-socialist Healthcare Systems (HCS) and presents the perspective of IT adoption as a key factor for long-term competitiveness on the local markets and in the EU framework ( the last EU integration being only one year apart). The present and future trends of IT involvement in the success of HCS in US, Japan and EU is presented as reference for long-term performance improvement but also the particularities of the ex-socialist HCS in terms of available resources for IT adoption are underlined. Even though a detailed description of the required technical approaches is out of scope and difficult, taking into account the broad spectrum of users this paper intends to address to, some practical solutions for HCS informatization at decisionmaking level are offered. 65Brought to you by | University of Toronto-Ocul Authenticated Download Date | 7/18/15 11:18 PM

show abstract

“…Information is gathered over time from various sources that use different formats and standards (which also change over time), making the record difficult to follow 4. In addition, medical terminology and diagnostic techniques change over time, so that the record becomes an aggregation of loosely related documents.…”

Section: What Is Relevant In the Record?mentioning

confidence: 99%

Internet based repository of medical records that retains patient confidentiality

Schoenberg

2000

BMJ

View full text Add to dashboard Cite

A patient's medical record has always been a dispersed entity. Literally defined, it is the accumulation of medical information concerning the patient. Ideally, this information is bundled in a single folder with the patient's identification data on the cover. In real life, this information is scattered between several archives (computerised and paper based) in various locations, often under different identifier numbers. Much of the information in the records is obsolete, redundant, duplicated, or indecipherable to the extent that it does not benefit the patient at the point of care. 1Ownership of the data is also a limiting issue. Many hospitals consider the records in their systems to be their property, whereas many patients argue that their medical information is their own.2 3 Consequently, a distinction is made between ownership of the physical record and the right to access (or duplicate) data that are stored in it. Policies on this issue differ substantially between delivery networks, states, and countries. That said, it is typically agreed that patients have the right to be informed of the general content of their medical record and that patients' care providers must be allowed access to any information that is relevant to a patient's treatment. This approach endorses locking sensitive information (such as psychiatric evaluation or various serological findings) from some care providers but promoting access to what is "needed to know" for the provision of appropriate care. It is thus reasonable to assume that, between the patient and his or her primary healthcare coordinator (such as the family doctor), most of the "critical information" is within reach. For the purpose of our argument, we will assume that patients have rights of access to their medical information and are entitled to decide which parts of their record can be exposed or electronically published.In this article we describe a patient controlled, "granularly secured," cross sectional medical record that is accessible via the world wide web. Unlike existing information systems, the patient initiates the service. The patient's primary healthcare coordinator suggests which clinical content is worth "risking" for the benefit of making it available when needed. The patient secures his or her identity and each data element in the medical record by specifying which identifying data anyone requesting the information must supply in order to gain access. What is relevant in the record?The content of the medical record is extremely heterogeneous. Information is gathered over time from various sources that use different formats and standards (which also change over time), making the record difficult to follow. 4 In addition, medical terminology and diagnostic techniques change over time, so that the record becomes an aggregation of loosely related documents.It can be argued that most of the information relevant to a patient at the point of care is in the most recent entries of the record or, if one is produced, its abbreviated summary. Thus, it is a pati...

show abstract

Aspects of implementing and harmonizing healthcare communication standards

Cited by 22 publications

References 0 publications

Towards case‐based performance measures: uncovering deficiencies in applied medical care

Towards case‐based performance measures: uncovering deficiencies in applied medical care

From Monolithic Socialist Healthcare Systems to EU Standards: Can IT Adoption Speed Bridging the Gap?

Internet based repository of medical records that retains patient confidentiality

Contact Info

Product

Resources

About