Diffusion of Information Technology Supporting the Institute of Medicineʼs Quality Chasm Care Aims

Burke, Darrell; Menachemi, Nir; Brooks, Robert G.

doi:10.1111/j.1945-1474.2005.tb00542.x

Cited by 20 publications

(14 citation statements)

References 50 publications

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“…1 During this time, researchers have linked increased HIT use to improved outcomes and to certain characteristics among acute-care hospitals. For example, larger hospitals, [29][30][31] those that are not for profit, 32,33 and those in an urban location 25 seem to adopt HIT more readily than their counterparts. Moreover, membership in a multihospital system has correlated with increased HIT adoption among some acute-care hospitals.…”

Section: Discussionmentioning

confidence: 99%

Use of Health Information Technology by Children's Hospitals in the United States

Menachemi¹,

Brooks²,

Schwalenstocker³

et al. 2009

Pediatrics

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OBJECTIVE. The purpose of this study was to examine the adoption of health information technology by children's hospitals and to document barriers and priorities as they relate to health information technology adoption.METHODS. Primary data of interest were obtained through the use of a survey instrument distributed to the chief information officers of 199 children's hospitals in the United States. Data were collected on current and future use of a variety of clinical health information technology and telemedicine applications, organizational priorities, barriers to use of health information technology, and hospital and chief information officer characteristics.RESULTS. Among the 109 responding hospitals (55%), common clinical applications included clinical scheduling (86.2%), transcription (85.3%), and pharmacy (81.9%) and laboratory (80.7%) information. Electronic health records (48.6%), computerized order entry (40.4%), and clinical decision support systems (35.8%) were less common. The most common barriers to health information technology adoption were vendors' inability to deliver products or services to satisfaction (85.4%), lack of staffing resources (82.3%), and difficulty in achieving end-user acceptance (80.2%). The most frequent priority for hospitals was to implement technology to reduce medical errors or to promote safety (72.5%).CONCLUSION. This first national look at health information technology use by children's hospitals demonstrates the progress in health information technology adoption, current barriers, and priorities for these institutions. In addition, the findings can serve as important benchmarks for future study in this area. Pediatrics 2009;123: S80-S84 T HE USE OF health information technology (HIT) by hospitals has increased significantly over the past decade. 1 The increase in use has corresponded to mounting evidence 2-4 suggesting the diverse benefits that can be realized when hospitals implement information systems. These benefits include improved clinical, 5,6 operational, 7 and financial 8,9 performance. Studies have highlighted the specific benefits, 10-12 as well as the risks, 13 of HIT for pediatric patients, who are more susceptible to potential harm from medical errors. 14 For example, the use of electronic order entry by physicians in a pediatric critical care unit was associated with almost-complete elimination of medication prescribing errors. 15 The use of electronic tools was associated with error reduction in pediatric chemotherapy. 16 Given the frequency with which patient safety events, 17 including adverse drug events 12 and medication errors, 18,19 affect pediatric care, many experts have advocated the increased use of HIT by pediatric providers. 18-21 However, some researchers have identified adverse outcomes related to the implementation of HIT. 13 Most children who require hospital care are seen at either acute-care community facilities or specially designated children's hospitals (CHs). CHs, which are devoted exclusively to the care of children, inclu...

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Section: Discussionmentioning

confidence: 99%

Use of Health Information Technology by Children's Hospitals in the United States

Menachemi¹,

Brooks²,

Schwalenstocker³

et al. 2009

Pediatrics

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“…Medical records, a vital source of health data, are fragmented and often lack vital information about health behaviors, treatment adherence and side effects [1,2]. When comprised of aggregated data from medical records, public health data share these weaknesses [3].…”

Section: Introductionmentioning

confidence: 99%

Willingness to share personal health record data for care improvement and public health: a survey of experienced personal health record users

Weitzman

Kelemen

Kaci

et al. 2012

BMC Med Inform Decis Mak

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BackgroundData stored in personally controlled health records (PCHRs) may hold value for clinicians and public health entities, if patients and their families will share them. We sought to characterize consumer willingness and unwillingness (reticence) to share PCHR data across health topics, and with different stakeholders, to advance understanding of this issue.MethodsCross-sectional 2009 Web survey of repeat PCHR users who were patients over 18 years old or parents of patients, to assess willingness to share their PCHR data with an-out-of-hospital provider to support care, and the state/local public health authority to support monitoring; the odds of reticence to share PCHR information about ten exemplary health topics were estimated using a repeated measures approach.ResultsOf 261 respondents (56% response rate), more reported they would share all information with the state/local public health authority (63.3%) than with an out-of-hospital provider (54.1%) (OR 1.5, 95% CI 1.1, 1.9; p = .005); few would not share any information with these parties (respectively, 7.9% and 5.2%). For public health sharing, reticence was higher for most topics compared to contagious illness (ORs 4.9 to 1.4, all p-values < .05), and reflected concern about anonymity (47.2%), government insensitivity (41.5%), discrimination (24%). For provider sharing, reticence was higher for all topics compared to contagious illness (ORs 6.3 to 1.5, all p-values < .05), and reflected concern for relevance (52%), disclosure to insurance (47.6%) and/or family (20.5%).ConclusionsPediatric patients and their families are often willing to share electronic health information to support health improvement, but remain cautious. Robust trust models for PCHR sharing are needed.

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“…Similarly, the health care world adopted and measured conformity with the six patient care aims by using tools (that is, a framework or matrix) that aided implementation of these characteristics into quality management systems. [20][21][22][23][24][25][26] Hence, after defining public health quality, the Public Health Quality Forum next sought to identify aims for the improvement of quality in public health. A first step was to determine the characteristics of the fundamental tactics necessary to fulfill the mission of public health services.…”

Section: Aims For Improvement Of Qualitymentioning

confidence: 99%

Creating A Framework For Getting Quality Into The Public Health System

et al. 2011

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The US health care system has undertaken concerted efforts to improve the quality of care that Americans receive, using well-documented strategies and new incentives found in the Affordable Care Act of 2010. Applying quality concepts to public health has lagged these efforts, however. This article describes two reports from the Department of Health and Human Services: Consensus Statement on Quality in the Public Health System and Priority Areas for Improvement of Quality in Public Health. These reports define what is meant by public health quality, establish quality aims, and highlight priority areas needing improvement. We describe how these developments relate to the Affordable Care Act and serve as a call to action for ensuring a better future for population health. We present real-world examples of how a framework of quality concepts can be applied in the National Vaccine Safety Program and in a state office of minority health.

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Diffusion of Information Technology Supporting the Institute of Medicineʼs Quality Chasm Care Aims

Cited by 20 publications

References 50 publications

Use of Health Information Technology by Children's Hospitals in the United States

Use of Health Information Technology by Children's Hospitals in the United States

Willingness to share personal health record data for care improvement and public health: a survey of experienced personal health record users

Creating A Framework For Getting Quality Into The Public Health System

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