{"title":"Crack down. Proper HIPAA privacy controls and training could help prevent criminal liability for wrongful access and disclosure.","authors":"Henry Fader, Nirvana Harris, Sharon Klein","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 1","pages":"9-10"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27955863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sublicensing of EHR and related systems. Licensing and contractual considerations.","authors":"Robert Doe","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 1","pages":"17-8"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27955866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluating success. Strategies and challenges for understanding IT implementation in a rural hospital.","authors":"Joanne Spetz, Dennis Keane","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 2004, a small rural hospital in California received a grant for the implementation of an integrated IT system. As part of the grant, the hospital worked with a university team to evaluate the implementation. The evaluation plan emphasized quantitative analysis of medication errors, patient safety and hospital finances. As the implementation progressed, it became clear that the quantitative methods would be marginally useful; qualitative methods gained greater importance. The evaluation team added more interviews and several staff surveys to the evaluation. The results of the surveys helped the hospital team understand how well staff was prepared for the technology and how they were responding to implementation. The best practices emphasized in this paper include: work with independent evaluators who can provide anonymity and lend objectivity; focus on surveys and interviews to understand the difficulties faced by staff and how they might affect outcomes; and collect key outcomes data in advance of beginning the implementation.</p>","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 1","pages":"62-7"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27956356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Methodologies for sustaining barcode medication administration compliance. A multi-disciplinary approach.","authors":"Judy McNulty, Eileen Donnelly, Kris Iorio","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Numerous recent studies have looked at how nursing workarounds and technology failures can undermine the patient safety benefits of barcode medication administration (BCMA) systems. This article will discuss how Solaris Health System in Edison, NJ, methodically addressed these challenges to achieve and sustain 95 percent compliance with BCMA, one of two major initiatives of the non-profit Solaris Patient Safety Institute, which was established to research best practices that could be shared with other organizations. Through meetings and interviews with frontline nurses and their managers, a multidisciplinary team (pharmacy, IT, nursing) identified 12 educational, technological and process-oriented issues, then developed concrete action plans to address each one (e.g., one-on-one software and device training, additional wireless access points, a \"hard stop\" to require scanning the patient's wristband). Key success factors included demonstrating executive dedication, creating a culture of ownership by engaging frontline nurses in solution design and providing a strong support system.</p>","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 4","pages":"30-3"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28492345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparative effectiveness research; new demands on health IT.","authors":"Jeffrey C Bauer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 4","pages":"5-6"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28492442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Culture eats process for lunch. Initiating process change and managing cultural issues can be a challenge.","authors":"Barbara J Hoehn","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 4","pages":"12-4"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28492445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nursing terminology: documentation of quality outcomes.","authors":"LuAnn Whittenburg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recently, government and healthcare providers have recognized the tremendous value and importance of advancing the use of electronic healthcare information systems. Without question, the issue of quality has become a focus of concern for consumers, politicians and healthcare providers and a priority for healthcare organizations in the 21st century. The nursing profession through the American Nurses Association has long recognized the need for quantitative evidence to measure the relationship of documentation to the impact on patient care. The following article discusses the ability of electronic healthcare information systems to collect nursing data using nursing terminology for care quality and outcome management. The purpose is to inform informatics professionals of an immediate need to connect electronic healthcare information systems with a standard, concept-based, atomic-level, coded nursing terminology readily available in the public domain for the longitudinal analyses of the continuity of care and of the nurses' contribution to healthcare quality.</p>","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 3","pages":"51-5"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40018869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The pen is the tongue of the mind: developing a strategy for computerizing provider documentation.","authors":"Barbara J Hoehn","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 3","pages":"10-1"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40018978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Getting 'Lean': hardwiring process excellence into Northeast Health.","authors":"Tricia Brown, Robert Duthe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Many healthcare organizations are turning to the \"Lean\" Toyota Production System as a means to hardwire process excellence into their organizations. Northeast Health, an integrated delivery system in New York's capital region, introduced the Lean concept into its culture in 2004. After four years, the organization is beginning to see its staff hardwire Lean thinking into day-to-day behaviors. This paper focuses on the approach used by Northeast Health to introduce Lean concepts into its culture, challenges faced, lessons learned and the factors critical to success.</p>","PeriodicalId":80028,"journal":{"name":"Journal of healthcare information management : JHIM","volume":"23 1","pages":"34-8"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27956351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}