Hepatitis C screening in commercially insured U.S. birth-cohort patients: Factors associated with testing and effect of an EMR-based screening alert

Yeboah‐Korang, Amoah; Beig, Mohammad; Khan, Mohammad Qasim; Goldstein, Jay L.; Macapinlac, Don M.; Maurer, Darryck; Sonnenberg, Amnon; Fimmel, Claus J.

doi:10.2478/jtim-2018-0012

Cited by 27 publications

(24 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Accessing the EHR tool facilitates the health care delivery,19,24 made more accurate decisions,22 and contributes to the health care quality improvement and research output47,48 at reduced cost 49,50. The tool also ensures the safe transfer of health care data that meets the patient’s expectation,51 supports the continuity of patient care,11 and maintains the compliance with medication adherence 52,53. Moreover, the tool helps diabetes goal achievement, while the service delivery process is assisted from non-physician workers 54…”

Section: Discussionmentioning

confidence: 99%

<p>The role of medical data in efficient patient care delivery: a review</p>

Adane¹,

Gizachew²,

Kendie³

2019

RMHP

View full text Add to dashboard Cite

Background Implementing accurate data management systems ensure safe and efficient transfer of confidential health care data. However, health care professionals overlooked their important tasks of medical data processing. Hence, using high-quality electronic health record (EHR) applications in health care is important to minimize medical errors. Therefore, this review tries to indicate the roles of EHR in advancing quality health care service provisions. Methods The keywords identified were EHR, EMR, medical data processing, medical data retention, medical data destruction, health care, and patient care, and a few related terms with different combinations. PubMed (National Library of Medicine), Google Scholar, and Google search engine were used to search for articles from those databases. Searching was done using boolean words “AND”, “OR”, and “NOT” using all [All fields] and [MeSH Terms] searching strategies. Results Articles were screened using the title, checked by their abstract, and the remaining related full-text materials were included or excluded by two individuals deciding its eligibility. Finally, 73 materials issued from 2013–2018 were used for qualitatively synthesizing and reconciling the idea to produce this review article. Conclusion Poor medical data processing systems are the key reasons for medical errors. Employing standardized data management systems reduce errors and associated sufferings. Therefore, using electronic tools in the health care institution ensures safe and efficient data management. Therefore, it is important to establish appropriate medical data management systems for efficient health care delivery.

show abstract

Section: Discussionmentioning

confidence: 99%

<p>The role of medical data in efficient patient care delivery: a review</p>

Adane¹,

Gizachew²,

Kendie³

2019

RMHP

View full text Add to dashboard Cite

show abstract

“…We read with interest the recent publication by Yeboah-Korang et al . titled “Hepatitis C screening in commercially insured US birth-cohort patients: Factors associated with testing and effect of an EMR-based screening alert.”[1] We were pleased to read efforts of Yeboah-Korang et al to improve HCV testing for the 1945–1965 birth cohort in accordance with national HCV screening recommendations. Although the authors found that a physician-facing electronic medical record (EMR) best-practice alert (BPA) increased HCV testing a significant amount, the rate of testing after implementation remained low at 10%.…”

mentioning

confidence: 99%

“…Physician-based EMR prompts, such as the one implemented by Yeboah-Korang et al , have shown mixed results. [1, 2, 3, 4, 5] We are optimistic that complementing physician-based BPAs with patient education and engagement would further improve HCV testing in healthcare settings.…”

mentioning

confidence: 99%

Complementing EMR-based Interventions to Improve Hepatitis C Screening

Fisk

Kumar

Murphy

et al. 2018

Journal of Translational Internal Medicine

View full text Add to dashboard Cite

“…A variety of interventions have been proposed to increase screening and uptake rates across the United States, with mixed results. We recently reported an improvement of HCV screening rates from less than 1% to over 10% at our institution within a few months after implementation of a systemwide, electronic medical record (EMR)-based best practice alert (BPA) ( 10 ). The aim of this study was to evaluate the longer-term impact of the HCV BPA on HCV birth-cohort screening rates and to study the test implementation rates of individual primary care physicians (PCPs).…”

Section: Introductionmentioning

confidence: 99%

Effect of a Best Practice Alert on Birth-Cohort Screening for Hepatitis C Virus

Khan

Belopolsky

Gampa

et al. 2021

Clin Transl Gastroenterol

Self Cite

View full text Add to dashboard Cite

INTRODUCTION: We assessed the influence of a best practice alert (BPA) embedded within the electronic medical record on improving hepatitis C virus (HCV) birth-cohort screening by primary care physicians (PCPs). METHODS: Screening by 155 PCPs was monitored during 2 consecutive 9-month periods before and after implementation of the BPA. All tests were reviewed to differentiate true screening from other testing indications. RESULTS: Of 155 PCPs, 131 placed screening orders before and after BPA. Twenty-two PCPs started testing after BPA (P = 0.02). The number of tests placed and screening rates per PCP increased from 16 to 84 and from 3.3% to 13.2%, respectively (P < 0.0001). Before BPA, most PCPs rarely ordered screening HCV tests, whereas a small group of physicians generated most tests, indicative of an underlying power-law distribution. After the BPA, a new group of high-performing PCPs emerged, whose screening patterns were again characterized by a power-law distribution. However, pre-BPA test rates of individual PCPs were not predictive of their post-BPA rates. Overall, the introduction of the BPA narrowed the gap between low- and high-performing testers, indicating that modest increases in testing by a large number of low-performing PCPs could drive substantial improvement in program implementation. DISCUSSION: HCV birth-cohort screening by PCPs was shaped by an underlying power-law distribution. This distribution was preserved after the implementation of a BPA, although pre-BPA test rates were not predictive of post-BPA rates. Increases in test rates by high- and low-performing PCPs both contributed to the overall success of the BPA.

show abstract

Hepatitis C screening in commercially insured U.S. birth-cohort patients: Factors associated with testing and effect of an EMR-based screening alert

Cited by 27 publications

References 29 publications

<p>The role of medical data in efficient patient care delivery: a review</p>

<p>The role of medical data in efficient patient care delivery: a review</p>

Complementing EMR-based Interventions to Improve Hepatitis C Screening

Effect of a Best Practice Alert on Birth-Cohort Screening for Hepatitis C Virus

Contact Info

Product

Resources

About