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==[[:Category:Reviews| Reviews of Recent articles on Clinical Informatics]]== | ==[[:Category:Reviews| Reviews of Recent articles on Clinical Informatics]]== | ||
+ | Redesigning electronic health record systems to support public health. | ||
+ | |||
+ | Rita Kukafka , Jessica S Ancker , Connie Chan , John Chelico , Sharib Khan , Selasie Mortoti , Karthik Natarajan , Kempton Presley , Kayann Stephens | ||
+ | J Biomed Inform. 2007 Jul 9; | ||
+ | |||
+ | This article discusses the following question: Why current electronic health record systems need to be redesigned to better support public health goals and core functions (assessment, policy development, assurance). Current EHR systems are clinically oriented. Identification and discussion of design, implementation, and methodological issues.Current EHR systems focus on the individual patient care provided by clinicians. Recommendations are provided for changes to current EHR systems will benefit public health but also provide benefits to consumers and health care providers. The needs of public health are not met by the current clinically focused EHR systems. Changes in these EHR systems would benefit but also pose challenges to a number of stakeholders. Two broad suggestions are offered: reuse of clinical data for public health purposes and expansion of the clinical data model to collect and process public health data such as psychosocial, behavioral, and environmental variables. The article identifies a third issue as outside the scope of this discussion (privacy and security protections). The authors offer specific suggestions for expanding the current clinical model (to better reflect and address public health core functions) using informatics methods. | ||
+ | |||
+ | As discussed by Kukafka and colleagues, in order to serve public health needs current (and by implication) future electronic health record systems should be redesigned. The authors identify specific public health data collection and reporting requirements that are not routinely met by current EHR systems. If EHR systems are modified, public health might be able to reduce the amount of reportable data collection that is currently conducted via surveys and paper-based processes, thus reducing the amount of redundant or duplicate data reporting by clinicians. The authors’ suggestion that “data should be collected once and only once” seems sensible but idealistic given the current complex health system and the diversity of data user needs and specifications. However, the authors make a good case for relooking at the data that are currently collected and proposing that current standards and data modeling efforts be enhanced to better address the (increasing) needs of public health. The authors pose relevant arguments that benefits would accrue to clinicians and public health by incorporating 2 major changes to current EHR systems (more reuse of currently collected data and collection of new data). | ||
==Departments of Biomedical or Medical Informatics== | ==Departments of Biomedical or Medical Informatics== |
Revision as of 13:23, 19 October 2007
Contents
- 1 The Clinical Informatics Wiki -- Clinfowiki
- 1.1 Free and Open Source Software (FOSS) licensing in medicine
- 1.2 Electronic Medical Record (EMR) Systems
- 1.3 Computer-based Provider Order Entry -- CPOE
- 1.4 Clinical Decision Support -- CDS
- 1.5 Personal Health Records -- PHRs
- 1.6 Personal Health Applications -- PHAs
- 1.7 Informatics Students' Contributions
- 1.8 Blueprint for a Comprehensive HIT System
- 1.9 Biobanking -- a.k.a. Biorepositories or Tissue Banks
- 1.10 Organizational issues
- 1.11 Regional Health Information Organizations -- RHIOs
- 1.12 Evidence-Based Medicine -- EBM
- 1.13 Evaluation Methods in Informatics
- 1.14 Unintended Consequences of Health Information Technology
- 1.15 Quality & Quality Informatics
- 1.16 U.S. Federal Health Information Technology Initiatives
- 1.17 The E-Patient-Provider Relationship
- 1.18 Interface Terminology
- 1.19 New CIS-related Technologies
- 1.20 International views
- 1.21 Blogposium, April 2006
- 1.22 Reviews of Recent articles on Clinical Informatics
- 1.23 Departments of Biomedical or Medical Informatics
- 1.24 Endowed Professorships and Chairs in Health / Medical / Nursing / Biomedical Informatics
- 1.25 External Links
- 1.26 External Medical Reference Links
The Clinical Informatics Wiki -- Clinfowiki
The Clinical Informatics Wiki is an implementation of a wiki devoted to topics in clinical informatics. To begin a new article, or edit an existing article, you must first create an account and login to the ClinfoWiki.
Please see documentation on customizing the interface and the User's Guide for usage and configuration help.
You can test your edits as much as you want in the Sandbox.
We are currently working on 1,581 articles, and we need your help to complete this study of Clinical Informatics. See Special:Statistics for more complete information on the site.
Free and Open Source Software (FOSS) licensing in medicine
see FOSSM
Electronic Medical Record (EMR) Systems
see EMR
Computer-based Provider Order Entry -- CPOE
see CPOE
Clinical Decision Support -- CDS
see CDS
Personal Health Records -- PHRs
see PHR
Personal Health Applications -- PHAs
see PHA
Informatics Students' Contributions
Blueprint for a Comprehensive HIT System
- Introducing new categories of HIT tools, which compliment the ones above
- Blueprint for an Integrated HIT system
Biobanking -- a.k.a. Biorepositories or Tissue Banks
see BioBanking
Organizational issues
Regional Health Information Organizations -- RHIOs
see RHIO
Evidence-Based Medicine -- EBM
see EBM
Evaluation Methods in Informatics
An overview of qualitative and quantitative design methodologies used in informatics. See Evaluation
Unintended Consequences of Health Information Technology
see Unintended Consequences of HIT
Quality & Quality Informatics
see Quality & Quality Informatics
U.S. Federal Health Information Technology Initiatives
- Assistant Secretary for Planning & Evaluation
- Office of the National Coordinator for Health Information Technology (ONC)
- Council on the Application of Health Information Technology (CAHIT)
- Agency for Healthcare Research and Quality (AHRQ)
- Centers for Medicare and Medicaid Services (CMS)
- U.S. Food and Drug Administration (FDA)
- National Institutes of Health (NIH)
- Indian Health Service (IHS)
- Health Services and Resource Administration (HRSA)
- Centers for Disease Control and Prevention (CDC)
- U.S. Department of Commerce
- Combined U.S. Department of Defense / Veterans Affairs Initiatives
- U.S. Department of Defense (DoD) Initiatives
- Department of Veterans Affairs Initiatives
- U.S. Department of Homeland Security
The E-Patient-Provider Relationship
Interface Terminology
International views
Blogposium, April 2006
The Blogposium, held from April 18-20, was an innovation in collaborative blogging and wiki building.
The effort marshalled the expertise and energy of several dozen health bloggers and volunteers to expand and refine this Clinical Informatics Wiki. Bloggers posted their first drafts of entries as posts or links to this wiki and invited readers to provide comments and edit suggestions.
While many bloggers and readers contributed to this Web 2.0 innovation in collaborative work, key participants included the follow blogs. Please visit them and thank them for their contributions:
- Considerations on Regional Health Information Organizations
- Conmergence on Telehealth
- Drugwonks on FDA Critical Path Initiative
- eHealth on Integration of Personal Health Records and Electronic Medical Records
- EMR and HIPAA on Electronic Medical Records and Biometric Integration
- Envisioning 2.0 on The E-Patient-Provider Relationship
- healthnex.org HealthNex (two other topics: Biobanking and Genetic Privacy Issues
- HITsmit on e-MAR Systems
- HIT Transition on RHIO Startup Funding and Finance
- Informaticopia on International Perspectives on Clinical Informatics
- Marketplace.MD on the Consumer-Driven Health Care Movement
- Medical Connectivity on Integrating Medical Devices into EMRs
- medmusings on Mobile Access to EMR/EHR/PHR for Providers and Patients
- Usemed on Ongoing and Completed EHR, CPOE and CDS Implementation Projects
- WellnessWiki an ever-evolving virtual encyclopedia of the healthcare crisis and potential remedies
Reviews of Recent articles on Clinical Informatics
Redesigning electronic health record systems to support public health.
Rita Kukafka , Jessica S Ancker , Connie Chan , John Chelico , Sharib Khan , Selasie Mortoti , Karthik Natarajan , Kempton Presley , Kayann Stephens J Biomed Inform. 2007 Jul 9;
This article discusses the following question: Why current electronic health record systems need to be redesigned to better support public health goals and core functions (assessment, policy development, assurance). Current EHR systems are clinically oriented. Identification and discussion of design, implementation, and methodological issues.Current EHR systems focus on the individual patient care provided by clinicians. Recommendations are provided for changes to current EHR systems will benefit public health but also provide benefits to consumers and health care providers. The needs of public health are not met by the current clinically focused EHR systems. Changes in these EHR systems would benefit but also pose challenges to a number of stakeholders. Two broad suggestions are offered: reuse of clinical data for public health purposes and expansion of the clinical data model to collect and process public health data such as psychosocial, behavioral, and environmental variables. The article identifies a third issue as outside the scope of this discussion (privacy and security protections). The authors offer specific suggestions for expanding the current clinical model (to better reflect and address public health core functions) using informatics methods.
As discussed by Kukafka and colleagues, in order to serve public health needs current (and by implication) future electronic health record systems should be redesigned. The authors identify specific public health data collection and reporting requirements that are not routinely met by current EHR systems. If EHR systems are modified, public health might be able to reduce the amount of reportable data collection that is currently conducted via surveys and paper-based processes, thus reducing the amount of redundant or duplicate data reporting by clinicians. The authors’ suggestion that “data should be collected once and only once” seems sensible but idealistic given the current complex health system and the diversity of data user needs and specifications. However, the authors make a good case for relooking at the data that are currently collected and proposing that current standards and data modeling efforts be enhanced to better address the (increasing) needs of public health. The authors pose relevant arguments that benefits would accrue to clinicians and public health by incorporating 2 major changes to current EHR systems (more reuse of currently collected data and collection of new data).
Departments of Biomedical or Medical Informatics
See List of Informatics Departments
Endowed Professorships and Chairs in Health / Medical / Nursing / Biomedical Informatics
External Links
- Website of the Provider Order Entry Team from Oregon Health
- Links to online tools for HIT/RHIO development
- Health Information Technology Dashboard
- Wellness Wiki: Use Evolving Health Information Technology Tools
External Medical Reference Links
- eMedicine Physician contributed medical articles and CME
- KMLE Medical Dictionary Medical dictionary and medical related links
- NLM (US National Library of Medicine, contains resources for patients and health care professionals)
- WebMD General comprehensive online health information