Perspectives in health information management / AHIMA, American Health Information Management Association最新文献_第8页

Drowning in Data: Workflow Changes Improve the Collection of Clinically Relevant and Actionable Data. 淹没在数据中:工作流程的变化改善了临床相关和可操作数据的收集。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2019-10-01 eCollection Date: 2019-01-01

Susan Davish, Catherine Baker, Mary Fulks, Judi Godsey, Kerri Parker

{"title":"Drowning in Data: Workflow Changes Improve the Collection of Clinically Relevant and Actionable Data.","authors":"Susan Davish, Catherine Baker, Mary Fulks, Judi Godsey, Kerri Parker","doi":"","DOIUrl":"","url":null,"abstract":"Background: The implantable loop recorder (ILR) is valuable for recording and evaluating clinically relevant arrhythmias. Devices with wireless capabilities are programmed to automatically transmit data to a secure website for retrieval by cardiology staff. However, increased data review time, memory saturation, and overwriting of true arrhythmia episodes can result unless alerts are programmed to appropriately detect meaningful (or actionable) cardiac data. Patients are instructed to manually activate the ILR to initiate simultaneous recording of rhythms as part of routine, scheduled assessments or during symptomatic events. However, patients may feel overwhelmed or intimidated when attempting to generate their own cardiac data because of the large volume of new information and unfamiliar equipment instructions.Objective: To determine if workflow changes and enhanced patient education improve the collection of more meaningful data from the ILR.Methods: A retrospective chart review was conducted of rhythm data from patients with implantable Medtronic Reveal Linq cardiac monitors. Cardiac rhythm data were gathered three months before and after workflow changes to compare quality and quantity of remote transmissions.Results: Significant improvements were noted following workflow changes and enhanced patient education. Scheduled transmissions increased, unscheduled transmissions decreased, and missed transmissions decreased per patient each month.Conclusion: Workflow changes improved the quality of transmissions and decreased the quantity of transmissions. The capacity to provide high-quality care also improved, as evidenced by the ability to obtain more clinically relevant and actionable data.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"16 Fall","pages":"1d"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931045/pdf/phim0016-0001d.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37518242","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}

引用次数: 0

An Exploration of the Association between Inpatient Access to Tablets and Patient Satisfaction with Hospital Care. 住院患者获得片剂与患者对医院护理满意度的关系探讨。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2019-10-01 eCollection Date: 2019-01-01

Shonda Vink, Naleef Fareed, Sarah R MacEwan, Ann Scheck McAlearney

{"title":"An Exploration of the Association between Inpatient Access to Tablets and Patient Satisfaction with Hospital Care.","authors":"Shonda Vink, Naleef Fareed, Sarah R MacEwan, Ann Scheck McAlearney","doi":"","DOIUrl":"","url":null,"abstract":"Patient-centered care seeks to improve healthcare quality by engaging patients in their health management. Hospitals are employing strategies to enhance patient engagement to improve care quality, as measured by patient satisfaction through the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Tablets are one tool hospitals use to increase patient engagement during hospitalization, as tablets can provide patients with access to both entertainment options and personal health information through patient portals. To explore the association between tablet access and patient satisfaction, data on tablet provisioning were linked to patient HCAHPS scores. Patients who were provided a tablet had higher HCAHPS scores in a subset of satisfaction measures, as compared with patients who were not provided a tablet, suggesting that tablets could positively influence patients' satisfaction with their hospital stay. Future studies are warranted to understand the specific ways in which tablet use improves the patient experience during hospitalization.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"16 Fall","pages":"1i"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931050/pdf/phim0016-0001i.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37518616","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}

引用次数: 0

A Framework for Performance Comparison among Major Electronic Health Record Systems. 主要电子健康档案系统性能比较的框架。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2019-10-01 eCollection Date: 2019-01-01

Tiankai Wang, David Gibbs

{"title":"A Framework for Performance Comparison among Major Electronic Health Record Systems.","authors":"Tiankai Wang, David Gibbs","doi":"","DOIUrl":"","url":null,"abstract":"While nearly all hospitals have adopted electronic health record (EHR) systems, some are dissatisfied and considering replacement systems to better address unique organizational needs and priorities. With more than 4,000 certified health information technology products available, comparing the vast number of EHR options is complex. This study tested the hypothesis that various EHR systems demonstrate different financial and quality performance and presented a framework for comparison. Using a subscribed database containing US hospitals' observations from 2011 to 2016, we estimated an ordinary least squares regression model with robust standard errors and clustered by year. We regressed the selected finance and quality measures as dependent variables with the vendors' indicators as independent variables, with control variables. This study demonstrated an approach for analyzing performance data to help hospitals distinguish EHR systems on the basis of several organizational outcomes: return on assets, bed utilization rate, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) summary star rating, and value-based purchasing Total Performance Score. This framework will help EHR acquisition teams make informed decisions.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"16 Fall","pages":"1h"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931047/pdf/phim0016-0001h.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37518615","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}

引用次数: 0

Use of Technology in the Management of Obesity: A Literature Review. 技术在肥胖管理中的应用:文献综述。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2019-10-01 eCollection Date: 2019-01-01

H Houser Shannon, Reena Joseph, Neeraj Puro, E Darrell

{"title":"Use of Technology in the Management of Obesity: A Literature Review.","authors":"H Houser Shannon, Reena Joseph, Neeraj Puro, E Darrell","doi":"","DOIUrl":"","url":null,"abstract":"Technology is intended to assist with diagnosing, treating, and monitoring patients remotely. Little is known of its impact on health outcomes or how it is used for obesity management. This study reviewed the literature to identify the different types of technologies used for obesity management and their outcomes. A literature search strategy using PubMed, CINAHL, Scopus, Embase, and ABI/Inform was developed and then was vetted by two pairs of researchers. Twenty-three studies from 2010 to 2017 were identified as relevant. Mobile health, eHealth, and telehealth/telemedicine are among the most popular technologies used. Study outcome measurements include association between technology use and weight loss, changes in body mass index, dietary habits, physical activities, self-efficacy, and engagement. All studies reported positive findings between technology use and weight loss; 60 percent of the studies found statistically significant relationships. Knowledge gaps persist regarding opportunities for technology use in obesity management. Future research needs to include patient-level outcomes, cost-effectiveness, and user engagement to fully evaluate the feasibility of continued and expanded use of technology in obesity management.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"16 Fall","pages":"1c"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931046/pdf/phim0016-0001c.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37518241","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}

引用次数: 0

Why Residency Programs Should Not Ignore the Electronic Heath Record after Adoption. 为什么住院医师项目不应该忽视收养后的电子健康记录。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2019-10-01 eCollection Date: 2019-01-01

Conrad Krawiec

引用次数: 0

Evidence-based Operations Management in Health Information Management: A Case Study. 卫生信息管理中的循证运营管理:案例研究。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2019-10-01 eCollection Date: 2019-01-01

Susan H Fenton, Diann H Smith

{"title":"Evidence-based Operations Management in Health Information Management: A Case Study.","authors":"Susan H Fenton, Diann H Smith","doi":"","DOIUrl":"","url":null,"abstract":"This is a case study of the evidence-based management practices of a centralized health information management (HIM) department in a large integrated healthcare delivery system. The case study used interviews and focus groups, as well as de-identified dashboards, to explore the impact of reporting on the organization. The dashboards and key performance indicators (KPIs) were initially developed in 2012 and have continued to evolve. The themes that resulted include the following: (1) evidence-based management is integral to the culture of the organization; (2) communicating regularly via dashboards and KPIs is key to transmitting the value of HIM to the entire organization; and (3) staff not only report the required measures for the dashboard but also take pride in it and often develop methods for tracking their individual performance. Most evidence supporting HIM operations management is related to coding and clinical documentation improvement, but even in those areas, national benchmarks are missing. It is important for the HIM profession to develop national and regional benchmarks to assist professionals in managing operations effectively and communicating their value to the healthcare industry.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"16 Fall","pages":"1f"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931044/pdf/phim0016-0001f.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37518613","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}

引用次数: 0

Developing and Implementing Health Information Management Document Imaging Productivity Standards: A Case Study from an Acute Care Community Hospital. 制定和实施卫生信息管理文档成像生产力标准:以某急症护理社区医院为例。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2019-10-01 eCollection Date: 2019-01-01

Valeria Simonetti, Alice Noblin

{"title":"Developing and Implementing Health Information Management Document Imaging Productivity Standards: A Case Study from an Acute Care Community Hospital.","authors":"Valeria Simonetti, Alice Noblin","doi":"","DOIUrl":"","url":null,"abstract":"As health information management (HIM) shifts from paper-based medical records to electronic medical documentation, HIM professionals must appropriately manage their resources to produce higher results for their organization's operational and financial indicators. This case study highlights the experience of the HIM department in a small Florida community hospital in analyzing existing productivity standards and developing new standards with the purpose of improving the document imaging process. The research produced new productivity standards that more accurately represent the time HIM technicians spend performing their everyday tasks. The data collected during this period indicate that the average HIM technician was prepping 844 images an hour, scanning 601 images an hour, and indexing 482 images an hour. While a trend in productivity cannot be identified because different types of data were collected, the department's standards are now based on more consistently measurable output. The data collected during this study were used to manage the continuously changing workflow processes; improve the staff's knowledge, skills, and abilities; and identify potential areas of process improvement.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"16 Fall","pages":"1g"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931049/pdf/phim0016-0001g.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37518614","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}

引用次数: 0

Moving from Quality Measurement to Quality Improvement: Applying Meaningful Use Lessons to the Quality Payment Program. 从质量测量到质量改进:将有意义的使用经验应用于质量支付计划。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2019-10-01 eCollection Date: 2019-01-01

L Hersey Catherine, Tant Elizabeth, K G Berzin Olivia, G Trisolini Michael, L West Suzanne

引用次数: 0

Strategies to Reduce Hospital Readmission Rates in a Non-Medicaid-Expansion State. 非医疗补助扩展州降低医院重新分配率的策略。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2019-07-01 eCollection Date: 2019-01-01

Steven J Warchol, Judith P Monestime, Roger W Mayer, Wen-Wen Chien

{"title":"Strategies to Reduce Hospital Readmission Rates in a Non-Medicaid-Expansion State.","authors":"Steven J Warchol, Judith P Monestime, Roger W Mayer, Wen-Wen Chien","doi":"","DOIUrl":"","url":null,"abstract":"On October 1, 2012, as part of the Affordable Care Act, the Centers for Medicare and Medicaid Services began to reduce payments to hospitals with excessive rehospitalization rates through the Hospital Readmissions Reduction Program. These financial penalties have intensified hospital leaders' efforts to implement strategies to reduce readmission rates. The purpose of this multiple case study was to explore organizational strategies that leaders use to reduce readmission rates in hospitals located in a non-Medicaid-expansion state. The data collection included semistructured interviews with 15 hospital leaders located in five metropolitan and rural hospitals in southwest Missouri. Consistent with prior research, the use of predictive analytics stratified by patient population was acknowledged as a key strategy to help reduce avoidable rehospitalization. Study findings suggest that leveraging data from the electronic health records to identify at-risk patients provides comprehensive health information to reduce readmissions. Hospital leaders also revealed the need to understand and address the health needs of their local population, including social determinants such as lack of access to transportation as well as food and housing.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"16 Summer","pages":"1a"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6669363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71434745","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}

引用次数: 0

Cyber-Analytics: Identifying Discriminants of Data Breaches. 网络分析：识别数据泄露的歧视因素。

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2019-07-01 eCollection Date: 2019-01-01

Diane Dolezel, Alexander McLeod

{"title":"Cyber-Analytics: Identifying Discriminants of Data Breaches.","authors":"Diane Dolezel, Alexander McLeod","doi":"","DOIUrl":"","url":null,"abstract":"In this study, the relationship between data breach characteristics and the number of individuals affected by these violations was considered. Data were acquired from the Department of Health and Human Services breach reporting database and analyzed using SPSS. Regression analyses revealed that the hacking/IT incident breach type and network server breach location were the most significant predictors of the number of individuals affected; however, they were not predictive when combined. Moreover, network server location and unauthorized access/disclosure breach type were predictive when combined. Additional analyses of variance revealed that covered entity type and business associate presence were significant predictors, while the geographic region of a breach occurrence was insignificant. The results of this study revealed several associations between healthcare breach characteristics and the number of individuals affected, suggesting that more individuals are affected in hacking/IT incidents and network server breaches independently and that network server breach location and unauthorized access/disclosure breach type were predictive in combination.","PeriodicalId":40052,"journal":{"name":"Perspectives in health information management / AHIMA, American Health Information Management Association","volume":"16 Summer","pages":"1a"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6669366/pdf/phim0016-0001e.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215351","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}

引用次数: 0