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Registries for Evaluating Patient Outcomes

Registries for Evaluating Patient Outcomes
Author: Agency for Healthcare Research and Quality/AHRQ
Publisher: Government Printing Office
Total Pages: 396
Release: 2014-04-01
Genre: Medical
ISBN: 1587634333

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This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.


Key Capabilities of an Electronic Health Record System

Key Capabilities of an Electronic Health Record System
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 36
Release: 2003-07-31
Genre: Medical
ISBN: 0309185432

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Commissioned by the Department of Health and Human Services, Key Capabilities of an Electronic Health Record System provides guidance on the most significant care delivery-related capabilities of electronic health record (EHR) systems. There is a great deal of interest in both the public and private sectors in encouraging all health care providers to migrate from paper-based health records to a system that stores health information electronically and employs computer-aided decision support systems. In part, this interest is due to a growing recognition that a stronger information technology infrastructure is integral to addressing national concerns such as the need to improve the safety and the quality of health care, rising health care costs, and matters of homeland security related to the health sector. Key Capabilities of an Electronic Health Record System provides a set of basic functionalities that an EHR system must employ to promote patient safety, including detailed patient data (e.g., diagnoses, allergies, laboratory results), as well as decision-support capabilities (e.g., the ability to alert providers to potential drug-drug interactions). The book examines care delivery functions, such as database management and the use of health care data standards to better advance the safety, quality, and efficiency of health care in the United States.


Improving Quality and Reducing Cost with Electronic Health Records

Improving Quality and Reducing Cost with Electronic Health Records
Author: Himss
Publisher: Himss
Total Pages: 192
Release: 2007-01-01
Genre: Medical records
ISBN: 9780977790319

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The HIMSS Nicholas E. Davies Award Program provides the nation's largest collection of first-hand accounts of the vision, leadership, technology and management required to achieve successful electronic health record (EHR) implementation in large healthcare organizations and ambulatory practices. This book is a remarkable collection of 32 case studies from both the organizational and ambulatory tracts of the Davies Program from the time period of 1995 through 2005. In addition, five of the case studies are presented with follow-up profiles, showcasing what these award-winning institutions accomplished in the years following successful EHR implementation. The introduction of the book highlights the lessons learned from these pioneering organizations with regard to leadership, implementation, and value and return on investment.


Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy

Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy
Author: Mark W. Friedberg
Publisher: Rand Corporation
Total Pages: 149
Release: 2013-10-09
Genre: Medical
ISBN: 0833082205

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This report presents the results of a series of surveys and semistructured interviews intended to identify and characterize determinants of physician professional satisfaction.


Electronic Health Records

Electronic Health Records
Author: WHO Regional Office for the Western Pacific
Publisher: WHO
Total Pages: 80
Release: 2006
Genre: Medical
ISBN:

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This manual has been designed as a basic reference for use when exploring the development and implementation of electronic health record (EHR) systems. It provides a general overview, some basic definitions and examples of EHR practices. Also covered are points for consideration when moving towards the introduction of an EHR, some issues and challenges which may need to be addressed and some possible strategies, along with steps and activities to implementation. There is a particular focus on setting goals, revising policies, developing an action plan and outlining implementation procedures.


The Computer-Based Patient Record

The Computer-Based Patient Record
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 257
Release: 1997-10-14
Genre: Medical
ISBN: 0309175348

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Most industries have plunged into data automation, but health care organizations have lagged in moving patients' medical records from paper to computers. In its first edition, this book presented a blueprint for introducing the computer-based patient record (CPR). The revised edition adds new information to the original book. One section describes recent developments, including the creation of a computer-based patient record institute. An international chapter highlights what is new in this still-emerging technology. An expert committee explores the potential of machine-readable CPRs to improve diagnostic and care decisions, provide a database for policymaking, and much more, addressing these key questions: Who uses patient records? What technology is available and what further research is necessary to meet users' needs? What should government, medical organizations, and others do to make the transition to CPRs? The volume also explores such issues as privacy and confidentiality, costs, the need for training, legal barriers to CPRs, and other key topics.


Best Care at Lower Cost

Best Care at Lower Cost
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 437
Release: 2013-05-10
Genre: Medical
ISBN: 0309282810

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America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.


Taking Action Against Clinician Burnout

Taking Action Against Clinician Burnout
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 335
Release: 2020-01-02
Genre: Medical
ISBN: 0309495474

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Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.


Medical Informatics 20/20: Quality and Electronic Health Records through Collaboration, Open Solutions, and Innovation

Medical Informatics 20/20: Quality and Electronic Health Records through Collaboration, Open Solutions, and Innovation
Author: Douglas Goldstein
Publisher: Jones & Bartlett Publishers
Total Pages: 621
Release: 2007-01-04
Genre: Business & Economics
ISBN: 1449664008

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Despite pressure from the private sector to market their own custom solutions, the healthcare industry is coming around to the idea of applying the strategies of collaboration, open solutions, and innovation to meet the ever-changing demands for healthcare information to support quality and safety. This book provides a roadmap for improving quality of care using Electronic Health Records (EHR) and interoperable, consumer-centric health information solutions. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.


Improving Usability, Safety and Patient Outcomes with Health Information Technology

Improving Usability, Safety and Patient Outcomes with Health Information Technology
Author: F. Lau
Publisher: IOS Press
Total Pages: 570
Release: 2019-03-26
Genre: Medical
ISBN: 1614999511

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Information technology is revolutionizing healthcare, and the uptake of health information technologies is rising, but scientific research and industrial and governmental support will be needed if these technologies are to be implemented effectively to build capacity at regional, national and global levels. This book, "Improving Usability, Safety and Patient Outcomes with Health Information Technology", presents papers from the Information Technology and Communications in Health conference, ITCH 2019, held in Victoria, Canada from 14 to 17 February 2019. The conference takes a multi-perspective view of what is needed to move technology forward to sustained and widespread use by transitioning research findings and approaches into practice. Topics range from improvements in usability and training and the need for new and improved designs for information systems, user interfaces and interoperable solutions, to governmental policy, mandates, initiatives and the need for regulation. The knowledge and insights gained from the ITCH 2019 conference will surely stimulate fruitful discussions and collaboration to bridge research and practice and improve usability, safety and patient outcomes, and the book will be of interest to all those associated with the development, implementation and delivery of health IT solutions.