Report of the AMIA EHR-2020 Task Force on the status and future direction of EHRs

Payne, Thomas H.; Corley, Sarah; Cullen, Theresa; Gandhi, Tejal K.; Harrington, Linda; Kuperman, Gilad J.; Mattison, John E.; McCallie, David P.; McDonald, Clement J.; Tang, Paul C.; Tierney, William M.; Weaver, Charlotte A.; Weir, Charlene R.; Zaroukian, Michael H.

doi:10.1093/jamia/ocv066

Cited by 165 publications

(127 citation statements)

References 59 publications

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“…Essentially, this would also facilitate cooperation between geographically separate medical operators, as they would have the possibility to create medical patient reports remotely [79] and to store the data only once within the central system and to enable future access to the patient's medical history. However, to get this system up and running efficiently, it is necessary to define standardized communication protocols that reduce the risk of obtaining fragmented and futile data that would instead result from errors in achieving high levels of integration between multidimensional networks.…”

Section: It In Healthcare: Network Infrastructure Benefits Interrelamentioning

confidence: 99%

Information Technology in Healthcare: HHC-MOTES, a Novel Set of Metrics to Analyse IT Sustainability in Different Areas

Remondino

2018

Sustainability

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Sustainability, as a science, is the guideline of the present work. It aims to analyse, by means of a literature review, various areas of healthcare in which information technology (IT) has been-or could be-used, leading to several sources of sustainability, for example, cost savings, better teamwork, higher quality and efficiency of medical care. After a brief introduction analysing the strategic contexts in which innovation in general, and IT in particular, can be a source of general improvements in efficiency, cost savings and service quality, the research focuses on the healthcare system by discussing the different nature of private and public organizations in terms of adopting innovations and changes and discussing the issue of consumer health costs and consumer choices. The following part focuses on the qualitative benefits of IT in healthcare and discusses the importance of metrics for measuring performance, costs and efficiency in this area. The work then qualitatively introduces a new set of Key Performance Indicators (KPI), partly based on literature from different topics and existing and validated sets of metrics, analysing, under the point of view of sustainability, the implementation of IT in healthcare, namely in management, organization, technology, environment and social fields (HHC-MOTES framework). The model, inspired by and to sustainability, can be used as a decision support at the strategic management level as well as for the analysis and investigation of the effects of IT systems in the healthcare sector from various perspectives.

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Section: It In Healthcare: Network Infrastructure Benefits Interrelamentioning

confidence: 99%

Information Technology in Healthcare: HHC-MOTES, a Novel Set of Metrics to Analyse IT Sustainability in Different Areas

Remondino

2018

Sustainability

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“…31,32 The outcomes of such advancements have enhanced communications and transparency of information, including "greater interaction between providers and their patients" based on new patient health management models that will routinely include "app-generated data into the treatment record and subsequent care plan." 33 As noted, the mHealth market is rapidly evolving, with the potential to make a dramatic impact on HLM. As such, there is still more research needed to investigate the impact of these (3) A majority of the studies tested…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Consumer Health Informatics: Empowering Healthy-Living-Seekers Through mHealth

Faiola

Holden

2017

Progress in Cardiovascular Diseases

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People are at risk from noncommunicable diseases (NCD) and poor health habits, with interventions like medications and surgery carrying further risk of adverse effects. This paper addresses ways people are increasingly moving to healthy living medicine (HLM) to mitigate such health threats. HLM-seekers increasingly leverage mobile technologies that enable control of personal health information, collaboration with clinicians/other agents to establish healthy living practices. For example, outcomes from consumer health informatics research includes empowering users to take charge of their health through active participation in decision -making about healthcare delivery. Because the success of health technology depends on its alignment/integration with a person's sociotechnical system, we introduce SEIPS 2.0 as a useful conceptual model and analytic tool. SEIPS 2.0 approaches human work (i.e., life's effortful activities) within the complexity of the design and implementation of mHealth technologies and their potential to emerge as consumer-facing NLM products that support NCDs like diabetes.

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“…For example, documentation has become less focused on direct patient care as it is increasingly diluted to meet administrative and medicolegal needs. 6 Along the way, the amount of documentation has increased, while the value of the documentation for clinical care has fallen.…”

Section: Current Statusmentioning

confidence: 99%

The Promise of Information and Communication Technology in Healthcare: Extracting Value From the Chaos

Mamlin

Tierney

2016

The American Journal of the Medical Sciences

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Health care is an information business with expanding use of information and communication technologies (ICTs). Current ICT tools are immature, but a brighter future looms in many areas. We examine six areas of ICT in health care: electronic health records (EHRs), health information exchange (HIE), patient portals, telemedicine, social media, and mobile devices and wearable sensors and monitors. In each of these areas, we examine the current status and future promise, highlighting how each might reach its promise.Steps to better EHRs include a universal programming interface, universal patient identifiers, improved documentation, and improved data analysis. HIEs will require federal subsidies for sustainability and support from EHR vendors, targeting seamless sharing of EHR data. Patient portals must bring patients into the EHR with better design and training, greater provider engagement, and leveraging HIEs. Telemedicine needs sustainable payment models, clear rules of engagement, and quality measures and monitoring. Social media needs consensus on rules of engagement for providers, better data mining tools, and approaches to counter disinformation. Mobile and wearable devices will benefit from a universal programming interface, improved infrastructure, more rigorous research, and integration with EHRs and HIEs.ICT tools are are evolving quickly in health care and require a rational and well-funded national agenda for development, use, and assessment.-3-

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Report of the AMIA EHR-2020 Task Force on the status and future direction of EHRs

Cited by 165 publications

References 59 publications

Information Technology in Healthcare: HHC-MOTES, a Novel Set of Metrics to Analyse IT Sustainability in Different Areas

Information Technology in Healthcare: HHC-MOTES, a Novel Set of Metrics to Analyse IT Sustainability in Different Areas

Consumer Health Informatics: Empowering Healthy-Living-Seekers Through mHealth

The Promise of Information and Communication Technology in Healthcare: Extracting Value From the Chaos

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