Perspectives in health information management / AHIMA, American Health Information Management Association最新文献

{"title":"Perspectives on Big Data and Big Data Analytics in Healthcare.","authors":"Egondu R Onyejekwe, Dasantila Sherifi, Hung Ching","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Big data (BD) is of high interest for research and practice purposes because it has the potential to provide insights into the population served and healthcare practices. Much progress has been made in collecting BD and creating tools for big data analytics (BDA). However, healthcare organizations continue to experience challenges associated with BD characteristics and BDA tools. Utilization of BD impacts current decision-making, planning, and future use of artificial intelligence (AI) tools, which are trained on BD. This qualitative study focused on better understanding the reality of BD and BDA management and usage by healthcare organizations. Six structured interviews were conducted with individuals who work with healthcare BD and BDA. Findings confirmed the known challenges associated with BD/BDA and added rich insights into the structural, operational and utilization aspects, as well as future directions. Such perspectives are valuable for education and improvements in BD/BDA management and development.</p>","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"21 1","pages":"1f"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11102055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Process of User-Centered Design to Create a Social Determinants of Health Data Platform.","authors":"Danequa Forrest, Jeremy Pyne, Laura McKieran, Cristina E Martinez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bexar Data Dive, an online data platform, was created to increase accessibility and use of health and social determinants of health data, such as education, economic barriers to healthcare, and hospitalization rates, to decrease racial/ethnic health disparities throughout Bexar County. A model of user-centered design helped us incorporate community input into the platform. We conducted four interviews and five focus groups to gather information on how people use data - specifically beginner and intermediate-level data users from various educational, governmental, and nonprofit organizations. Then, we launched a community survey to assess specific data needs. Lastly, once the alpha version of Bexar Data Dive was ready, we conducted user testing sessions to measure usability, identify bugs, and gather final feedback before launch. Our findings included many recommendations for incorporating user-centered design in health data management. Participants wanted a health data tool that was easy to use, had the indicators they commonly need, and would provide visualizations for presentations, grants, and other projects.</p>","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"21 1","pages":"1g"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11102063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Availability of Sex, Gender Identity, and Sexual Orientation Data: An Electronic Medical Record Review of a Catholic Healthcare System from 2012-2023.","authors":"Whitney Linsenmeyer, Katie Heiden-Rootes, Michelle R Dalton, Timothy Chrusciel","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>The study purpose was to describe the availability of sex, gender identity, and sexual orientation (SOGI) data in a large, Catholic health system.</p><p><strong>Methods: </strong>A retrospective chart review on the Sisters of St. Mary (SSM) Health database was conducted from January 1, 2012, to March 27, 2024. The availability of SOGI data and number of sexual and gender minority patients was reported.</p><p><strong>Results: </strong>Among the 5,759,869 records, data on sex was available for the majority of the population (99.9 percent); data on gender identity and sexual orientation were reported for smaller proportions (7.4 percent and 4.5 percent, respectively). Sex and gender were reported among 7.4 percent of the population. A total of 4,567 gender minority and 14,644 sexual minority patients were seen.</p><p><strong>Conclusion: </strong>Though SOGI data were largely unavailable in the SSM Health database, the system has the capacity to separately record sex, gender, and sexual orientation, with a range of response options to capture gender and sexual orientation diversity.</p>","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"21 1","pages":"1b"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11102061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leveraging an Innovation Model to Facilitate ICD-11 Implementation.","authors":"Kathy L Giannangelo, Michael B Pine, Christopher P Tompkins","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The 11th Revision of the International Classification of Diseases (ICD-11) with its informatics-based infrastructure has transformed an antiquated classification system into a suite of 21st century computer applications. This manuscript proposes an innovation model to facilitate the implementation of ICD-11 by the US. The model introduces ICD-11 Comprehensive Clinical Linearization, Evolution and Response, or C-CLEAR, a fully coded comprehensive clinical linearization and syntactical rules for combining these codes. These enhancements can be incorporated into electronic coding tools that enable clinical reporters to transmit complex clinical concepts expressed in detailed natural clinical language by means of standardized clusters of ICD-11 stem and extension codes. The model can support rich clinical data captures such as condition acuity and severity, as well as pharmacological treatments. This approach shows promise to accelerate ICD-11 implementation with minimal disruption and maximal net benefits but will require vetting, testing and input from expert stakeholders.</p>","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"21 1","pages":"1d"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11102059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants Affecting the Health Information Sharing Management and Practice for Patient Referral in Thailand: The Perceptions of Patients and Healthcare Professionals.","authors":"Veerawan Aumpanseang,&nbsp;Kamonchanok Suthiwartnarueput,&nbsp;Pongsa Pornchaiwiseskul","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite the cooperative sharing of health information exchange (HIE), various distinct limitations and barriers are found (i.e., substantial time and resources are being used to achieve health information). This paper investigates the limits of healthcare information sharing policy implementation for patient referral systems in Thailand. Mixed-methods research methodology, both quantitative and qualitative mechanisms, are conducted. The study results present the correlation between the current HIE among the hospitals in patient referral systems and the limitations of implementing the HIE policy, composed of technical, economic, political, and legal barriers. The statistical test reveals that these four main barriers could limit information sharing or impede Thailand's standard healthcare information-sharing policy and practice development. Predominantly, it is further found that there is no standard for data collection and data archiving systems; unclear guidelines, practices, and procedures; and a lack of standard practice due to fragmented administration. Foremost of all, the data ownership of any competent authorities or related regulators could cause any constraints in information sharing (e.g., complexity and processing time). This paper's findings will be beneficial to stakeholders, such as policymakers interested in achieving meaningful use, facilitating the adoption and implementation of HIE at a national level to ensure patients' safety and enhance healthcare quality.</p>","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"19 4","pages":"1b"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9635045/pdf/phim0019-0001b.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40452214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Natural History of CDI Programs: A Metric-Based Model.","authors":"Howard Rodenberg,&nbsp;James D Campbell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The success or failure of a clinical documentation integrity (CDI) program is often evaluated using a designated set of metrics. However, these metrics change over time, and an understanding of these changes is critical to properly judge the efficacy of the CDI effort. The authors propose a model of the natural history of a CDI program based on commonly used CDI metrics. The authors believe that this model can assist CDI leaders in anticipating and understanding the course of CDI performance over time.</p>","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"19 4","pages":"1d"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9635047/pdf/phim0019-0001d.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40452218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resident and Family Physician Perspectives on Billing: An Exploratory Study.","authors":"Serena Chin,&nbsp;Anthony Li,&nbsp;Maximilien Boulet,&nbsp;Kelly Howse,&nbsp;Akshay Rajaram","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Within revenue cycle management, billing is an important activity for physicians with financial implications across remuneration models. We assessed the self-reported billing confidence of residents and attending physicians practicing at an academic family health team in a single payer setting.</p><p><strong>Methods: </strong>All residents and attending physicians working or who had worked at the team were invited to complete a 20-question electronic survey on their exposure to billing education and their self-reported confidence with various billing activities.</p><p><strong>Results: </strong>Twenty-five percent (n=40) of eligible physicians completed the survey. There were statistically significant differences between attending and resident physicians' billing experience (median 117.5 vs. 7.5 months). Analysis of free text comments revealed the positive impact of early billing exposure and opportunities for longitudinal feedback.</p><p><strong>Conclusion: </strong>Despite the small sample size, findings suggest that early exposure of family medicine residents to billing with standardized training contributes to a more positive experience during residency.</p>","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"19 4","pages":"1g"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9635049/pdf/phim0019-0001g.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40452215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supporting HIM Professional Practice Experience Through Interprofessional Collaboration on Preceptor Orientation and Training.","authors":"Darla Branda,&nbsp;Elizabeth Christman,&nbsp;Kimberly Cuetara Gibbons,&nbsp;Lyndsay Goss,&nbsp;Hanna Royce","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"19 4","pages":"1e"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9635046/pdf/phim0019-0001e.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40452219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Design and Evaluation of an Electronic Information Exchange System Connecting Laboratories and Physicians' Offices.","authors":"Hamid Moghaddasi,&nbsp;Farkhondeh Asadi,&nbsp;Negisa Seyyedi,&nbsp;Mohsen Hamidpour","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Laboratory services are a crucial part of medical care and contribute to physicians' treatment-related decision-making. However, paper-based information exchanges between physicians' offices and laboratories waste physicians' time and prevent them from using outpatient test results in a timely and effective manner. To solve this problem, improve the safety and quality of patient care, and save patients' time and energy, the present study developed a web-based system for electronic information exchange between laboratories and offices in Microsoft Visual Studio with the ASP.net technology and the Microsoft SQL Server database. The developed web-based software met the needs of the users and stakeholders (physicians, laboratory personnel, and patients) in the laboratory service cycle. To evaluate the software, user satisfaction was assessed in terms of user interface, operational functionality, and system performance, indicating the acceptability of all the criteria from the viewpoint of the stakeholders. The developed web-based software enables electronic communication between offices and laboratories (two important healthcare bases), establishes information exchange (sending requests and receiving laboratory results) between these two bases, and also notifies the patients. The software gained the overall satisfaction of the users, and this highlights the need for electronic communications in the healthcare domain.</p>","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"19 3","pages":"1h"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9335164/pdf/phim0019-0001h.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33444455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Precepting HIM Students: A Multi-Case Study Exploring the Challenges of HIM Hospital-Based Professional Practice Experience.","authors":"Darla Branda","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Experiential learning supervised by a qualified preceptor has been an enduring requirement for accredited allied health academic programs.&lt;sup&gt;1&lt;/sup&gt; Data show that students benefit from participating in experiential learning activities, such as an internship.&lt;sup&gt;2&lt;/sup&gt; Further, studies show organizations are eager to hire new graduates who took part in some type of external hands-on experience.&lt;sup&gt;3&lt;/sup&gt;Health information management (HIM) programs accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) require students to complete a supervised professional practice experience (PPE) before graduation to show proficiency of the curriculum requirements.&lt;sup&gt;4&lt;/sup&gt;This study explored the challenges and barriers of professional practice experience for placing local and online baccalaureate students in hospital-based HIM departments from the preceptors' viewpoint. This study focused on the hospital setting for several reasons: gaining site approval is complicated, the centralized HIM department poses unique problems for hosting students, and to narrow the research focus to a setting commonly used among HIM academic programs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Literature review: &lt;/strong&gt;The PPE problems with placing and precepting students have been a long-standing concern in HIM education;&lt;sup&gt;5&lt;/sup&gt; however, there was limited literature available directly related to this problem of practice. An extensive literature search was conducted that yielded only a few research-based articles that provided limited information about the problem. Therefore, the literature review included related works from other allied health disciplines with similar issues with experiential learning.The overarching findings for allied health academic programs centered on issues at the healthcare organizational level, including legal concerns, cost, time, and productivity.&lt;sup&gt;6&lt;/sup&gt; Geographic location was yet another issue that prevented student placement. Additional concerns focused on lack of student or preceptor preparation for the experience.&lt;sup&gt;7&lt;/sup&gt;.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This was a qualitative multi-case study conducted in 2021. A total of six cases, or participants, took part in this study. Participants completed a pre-interview survey to obtain demographic information before conducting semi-structured interviews online with health information management preceptors. The survey data were compiled and analyzed to inform the interviews.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The study results indicate that HIM preceptors are challenged with placing and precepting students at their hospitals. Lack of support from senior leadership is a contributing factor. Additional issues center on planning and preparation. Keeping students engaged with the learning experience was another key finding. Lastly, this research uncovered an anecdotal finding about the lack of preceptor training provided to ","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"19 3","pages":"1e"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9335162/pdf/phim0019-0001e.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33444453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}