The Indiana Network For Patient Care: A Working Local Health Information Infrastructure

McDonald, Clement J.; Overhage, J. Marc; Barnes, Michael; Schadow, Gunther; Blevins, Lonnie; Dexter, Paul; Mamlin, Burke W.

doi:10.1377/hlthaff.24.5.1214

Cited by 249 publications

(110 citation statements)

References 6 publications

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“…The sharing of MRSA/VRE lists between institutions can reveal this reservoir of MRSA/VRE and eliminate their contribution to the overall MRSA/VRE rate. To identify the patient population traveling between institutions within our community, we are expanding our electronic patient registry throughout our regional health information organization [19] to enable comprehensive community-wide tracking of infectious patients.…”

Section: Discussionmentioning

confidence: 99%

An effective computerized reminder for contact isolation of patients colonized or infected with resistant organisms

Kho¹,

Dexter²,

Warvel³

et al. 2008

International Journal of Medical Informatics

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Purpose-To improve contact isolation rates among patients admitted to the hospital with a known history of infection with Methicillin-resistant Staphylococcus aureus (MRSA) and Vancomycinresistant Enterococci (VRE).Methods-A before and after interventional study implementing computerized reminders for contact isolation between February 25th of 2005 and February 28th of 2006. We measured rates of appropriate contact isolation, and time to isolation for the four month pre-intervention period, and the 12 month intervention period. We conducted a survey of ordering physicians at the midpoint of the intervention period.Results-Implementing a computerized reminder increased the rate of patients appropriately isolated from 33% to fully 89% (P < 0.0001). The median time to writing contact isolation orders decreased from 16.6 hours to 0.0 hours (P < 0.0001). Physicians accepted the order 80% of the time on the first or second presentation. 95% of physicians felt the reminder had no impact on workflow, or saved them time.Conclusion-A human reviewed computerized reminder can achieve high rates of compliance with infection control recommendations for contact isolation, and dramatically reduce the time to orders being written upon admission.

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Section: Discussionmentioning

confidence: 99%

An effective computerized reminder for contact isolation of patients colonized or infected with resistant organisms

Kho¹,

Dexter²,

Warvel³

et al. 2008

International Journal of Medical Informatics

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“…Electronic death records were extracted from the Regenstrief Medical Record System (RMRS). 20,21 Youth criminal records were linked to death records using, first, a probabilistic matching algorithm, 22 which paired records based on identifying information: first, middle, and last name; gender; month and year of birth; and Social Security Number. The research team reviewed three sets of such outputs to identify the threshold (in each three blocking schemes) above which it was estimated that a true match occurred.…”

Section: Methodsmentioning

confidence: 99%

Mortality of Youth Offenders Along a Continuum of Justice System Involvement

Aalsma

Lau

Perkins

et al. 2016

American Journal of Preventive Medicine

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“…5 Moreover, there have been several well-publicized RHIO failures. 6 In a national study of 145 RHIOs, one in four had closed within one year of follow-up.…”

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confidence: 99%

HEAL NY: Promoting Interoperable Health Information Technology In New York State

Kern¹,

Barrón²,

Abramson³

et al. 2009

Health Affairs

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Through a novel, ambitious program called HEAL NY, New York State plans to invest $250 million in health information technology (IT) that can be linked electronically to other health IT systems. In contrast to high rates of closure by other organizations attempting health information exchange (HIE), 100 percent of HEAL NY Phase 1 grantees still existed two years after awards were announced, 85 percent were still pursuing HIE, and 35 percent had actual users. The number of grantees meeting basic criteria for regional health information organizations (RHIOs) increased. Although it is early, lessons learned can inform state-based initiatives nationwide. [Health Affairs 28, no. 2 (2009) 1 Health information exchange is defined as "the electronic movement of health-related information among organizations." 2 Regional health information organizations (RHIOs) have been proposed as a model for changing health care delivery at local and regional levels through HIE. 3RHIOs bring together multiple stakeholders, including physician practices, hospitals, pharmacies, and laboratories, for the purpose of exchanging clinical information electronically. By doing so, RHIOs have the potential to integrate otherwise fragmented health care, improve quality, and decrease costs.

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The Indiana Network For Patient Care: A Working Local Health Information Infrastructure

Cited by 249 publications

References 6 publications

An effective computerized reminder for contact isolation of patients colonized or infected with resistant organisms

An effective computerized reminder for contact isolation of patients colonized or infected with resistant organisms

Mortality of Youth Offenders Along a Continuum of Justice System Involvement

HEAL NY: Promoting Interoperable Health Information Technology In New York State

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