Healthcare Information Exchange in Advancing Shared Care Regionally

2010 ◽  
Vol 2 (1) ◽  
pp. 43-58
Author(s):  
Kari Harno
Keyword(s):  
Information Exchange ◽  
Success Factors ◽  
Service Providers ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Lessons Learned ◽  
Public Healthcare ◽  
Healthcare Information ◽  
Hospital District ◽  
Point To Point

Healthcare information exchange (HIE) has been refined from point-to-point messaging to wide-area networks, integrating multiple service providers and transforming the practice and structure of healthcare delivery. The scale and complexity of these information and communication technology (ICT) systems have induced technical, administrative and security challenges that require the roles, relationships and processes in healthcare to be revised in order for the expected change and productivity to be delivered. This article introduces how a federated regional information system was successfully deployed in a Finnish Hospital District and evaluates regional HIE between public healthcare providers. Understanding these principles and critical success factors, that is, the role of stakeholders, governance and financing, is essential for guidance to implement viable cross-organizational information exchange. In this context, ICT not only fulfills the objective of cost containment, but also creates positive impacts on patient care and service quality. The roadmap to a national eHealth network is paved on the premises of these experiences and lessons learned are conceptualized to plans when migrating to a national eHealth network.

Shared Healthcare in a Regional E-Health Network

2011 ◽  
pp. 383-397
Author(s):  
Kari Harno
Keyword(s):  
Information Exchange ◽  
Success Factors ◽  
Healthcare Delivery ◽  
Building Blocks ◽  
Lessons Learned ◽  
Public Healthcare ◽  
Hospital District ◽  
Health Network ◽  
Critical Success ◽  
Knowledge Intensive

Healthcare information exchange is transforming the practice and structure of healthcare delivery. This chapter introduces the building of a regional e-health network between public healthcare providers as well as the necessary legal foundation and governance for this successful deployment in a Finnish Hospital District. An overview is presented of prerequisite building blocks, such as policies supporting the knowledge-intensive e-health services and the creation of a partnership between shareholders enabling regional e-health delivery. The roadmap to a national e-health network is paved on the premises of these experiences and lessons learned are transferred to described concepts when migrating to a national e-health network. Understanding these principles and critical success factors (i.e., the role of stakeholders, governance, and financing) is essential for guidance to implement viable cross-organizational information exchange. In this context ICT not only fulfills the objective of cost containment, but also creates positive impacts on patient care and service quality.

Shared Healthcare in a Regional E-Health Network

2011 ◽  
pp. 554-568 ◽  
Author(s):  
Kari Harno
Keyword(s):  
Information Exchange ◽  
Success Factors ◽  
Healthcare Delivery ◽  
Building Blocks ◽  
Lessons Learned ◽  
Public Healthcare ◽  
Hospital District ◽  
Health Network ◽  
Critical Success ◽  
Knowledge Intensive

Healthcare information exchange is transforming the practice and structure of healthcare delivery. This chapter introduces the building of a regional e-health network between public healthcare providers as well as the necessary legal foundation and governance for this successful deployment in a Finnish Hospital District. An overview is presented of prerequisite building blocks, such as policies supporting the knowledge-intensive e-health services and the creation of a partnership between shareholders enabling regional e-health delivery. The roadmap to a national e-health network is paved on the premises of these experiences and lessons learned are transferred to described concepts when migrating to a national e-health network. Understanding these principles and critical success factors (i.e., the role of stakeholders, governance, and financing) is essential for guidance to implement viable cross-organizational information exchange. In this context ICT not only fulfills the objective of cost containment, but also creates positive impacts on patient care and service quality.

Knowledge and Communication of the National Core Standards Tool

2018 ◽  
Vol 20 (2) ◽  
Author(s):  
Winnie Thembisile Maphumulo ◽  
Busisiwe Bhengu
Keyword(s):  
Pearson Correlation ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Sampling Technique ◽  
Quality Of Healthcare ◽  
Survey Study ◽  
Public Healthcare ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Professional Nurses

The National Department of Health in South Africa has introduced the National Core Standards (NCS) tool to improve the quality of healthcare delivery in all public healthcare institutions. Knowledge of the NCS tool is essential among healthcare providers. This study investigated the level of knowledge on NCS and how the NCS tool was communicated among professional nurses. This was a cross-sectional survey study. Purposive sampling technique was used to select hospitals that only offered tertiary services in KwaZulu-Natal. Six strata of departments were selected using simple stratified sampling. The population of professional nurses in the selected hospitals was 3 050. Systematic random sampling was used to recruit 543 participants. The collected data were analysed using SPSS version 25. The study showed that only 16 (3.7%) respondents had knowledge about NCS, using McDonald’s standard of learning outcome measured criteria regarding the NCS tool. The Pearson correlation coefficient between the communication and knowledge was r = 0.055. The results revealed that although the communication scores for the respondents were high their knowledge scores remained low. This study concluded that there is a lack of knowledge regarding the NCS tool and therefore healthcare institutions need to commit themselves to the training of professional nurses regarding the NCS tool. The findings suggest that healthcare institutions implement the allocation of incentives for nurses that attend the workshops for NCS.

Adopting and Implementing Telehealth in Canada

2011 ◽  
pp. 1222-1231
Author(s):  
Penny A. Jennett ◽  
Eldon R. Smith ◽  
Mamoru Watanabe ◽  
Sharlene Stayberg
Keyword(s):  
Health Information ◽  
Best Practice ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Skills Training ◽  
Healthcare Services ◽  
Lessons Learned ◽  
Cultural Barriers ◽  
Statistics Canada ◽  
Government Of Canada

Canada spans 9,976,140 square kilometers and has an approximate population of 32 million people (Statistics Canada, 2001). More than 90% of Canada’s geography is considered rural or remote (Government of Canada, 2001). Despite the highly dispersed population, and, indeed, because of it, Canada is committed to the idea that a networked telehealth system could provide better access and equity of care to Canadians. Growing evidence of the feasibility and affordability of telehealth applications substantiates Canada’s responsibility to promote and to develop telehealth. Telehealth is the use of advanced telecommunication technologies to exchange health information and provide healthcare services across geographic, time, social, and cultural barriers (Reid, 1996). According to a systematic review of telehealth projects in different countries (Jennett et al., 2003a, 2003b), specific telehealth applications have shown significant socioeconomic benefits to patients and families, healthcare providers, and the healthcare system. Implementing telehealth can impact the delivery of health services by increasing access, improving quality of care, and enhancing social support (Bashshur, Reardon, & Shannon, 2001; Jennett et al., 2003a). It also has the potential to impact skills training of the health workforce by increasing educational opportunities (Jennett et al., 2003a; Watanabe, Jennett, & Watson, 1999). Therefore, telehealth has a strong potential to influence improved health outcomes in the population (Jennett et al., 2003a, 2003b). Fourteen health jurisdictions—one federal, 10 provincial, and three territorial—are responsible for the policies and infrastructure associated with healthcare delivery in Canada. This article presents a telehealth case study in one of Canada’s health jurisdictions—the province of Alberta. The rollout of telehealth in Alberta serves as an example of best practice. Significant milestones and lessons learned are presented. Progress toward the integration of the telehealth network into a wider province-wide health information network also is highlighted.

Sustainability Planning for Healthcare Information Exchanges with Supplier Rebate Program

2020 ◽  
Vol 68 (3) ◽  
pp. 793-817
Author(s):  
Tharanga Rajapakshe ◽  
Subodha Kumar ◽  
Arun Sen ◽  
Chelliah Sriskandarajah
Keyword(s):  
Information Sharing ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Service Model ◽  
Term Survival ◽  
Healthcare Information ◽  
Sustainability Planning ◽  
Long Run ◽  
Revenue Streams

Can adopting multiple revenue streams secure long-term sustainability of HIEs? Healthcare information exchanges (HIEs) facilitate information sharing among participating healthcare practices. Despite HIEs’ pivotal role in improving healthcare delivery, many struggle to be financially sustainable in the long run. As a practical and implementable solution for this issue, this article proposes a multiperiod two-service model that improves the profitability of HIEs while retaining a sizable member pool. This study provides the guidelines for HIEs in adopting a two-service model. It also sheds light on how policymakers could intervene successfully to improve participation of healthcare providers and operations of the HIEs to guarantee long-term survival.

scholarly journals Search Functionality Within the Electronic Health Record and Health Information Exchange Databases

2020 ◽  
Vol 3 ◽  
Author(s):  
Brandon Gregory ◽  
Jordan Hill ◽  
Titus Schleyer
Keyword(s):  
Electronic Health Record ◽  
Health Information ◽  
Patient Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Health Record ◽  
Search Function ◽  
Electronic Health

Background and Hypothesis:  In the US today, over 95% of healthcare institutions operate using the electronic health record (EHR). While proven to be a substantial improvement to medical practice, the substantial amount of retained information within those records has made searching the EHR for relevant material difficult and too time consuming. We hypothesize that by providing a search function within the EHR with added capability of collaborative filtration, physicians will be better able to retrieve important patient information and thus provide more efficient care.     Project Methods:   Emergency Department physicians of Sidney & Lois Eskenazi Hospital and Indiana University Health Hospital were recruited to partake in this study based on their use and familiarity of the EHR Cerner and/or Health Information Exchange (HIE) CareWeb Search function. Participants filled out a pre-interview, Likert-scale questionnaire to determine their general impressions of search functions and the frequency with which they were used. Additional insight was obtained during an interview focusing on participants’ previous experiences searching within the EHR/HIE. Participants were then shown a mock-up of potential collaborative filtering integration into CareWeb in order to collect opinions regarding the feature’s usability/practicality, display/format, and a number of suggested terms.    Results:   From the pilot study, current challenges that limit clinician search function use include limited time in clinician workflow, information overload, and inaccurate results. Clinicians are more likely to conduct searches when treating patients who have limited medical history, complex histories, known recent visitations, and/or who have been seen at other institutions. Participants demonstrated interest in a collaborative filtration search feature; they expressed a preference to have the feature recommend five related search terms.    Potential Impact:   The data from this study aims to refine the way healthcare providers search within the EHR/HIE. This will allow healthcare providers to more efficiently extract relevant patient information for improved healthcare delivery and proficient clinician workflow. 

Optimizing the Use and Adoption of Healthcare Information Systems

2017 ◽  
pp. 49-61
Author(s):  
Wilfred Bonney
Keyword(s):  
Information Systems ◽  
Translational Research ◽  
Medical Records ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Clinical Information ◽  
Healthcare Information ◽  
Health Records ◽  
Healthcare Information Systems ◽  
Information And Communication

Advancements in Information and Communication Technology (ICT) have led to the development of various forms of electronic records to support general practitioners and healthcare providers in capturing, storing, and retrieving routinely collected medical records and/or clinical information for optimal primary care and translational research. These advancements have resulted in the emergence of interoperable Healthcare Information Systems (HIS) such as Electronic Health Records (EHRs), Electronic Medical Records (EMRs) and Personal Health Records (PHRs). However, even as these systems continue to evolve, the research community is interested in understanding how the use and adoption of HIS can be optimized to support effective and efficient healthcare delivery and translational research. In this chapter, a systematic literature review methodology was used not only to explore the key benefits and technical challenges of HIS, but also to discuss the optimization approaches to maximizing the use and adoption of HIS in healthcare delivery.

scholarly journals Online Healthcare Practices and Associated Stakeholders: Review of Literature for Future Research Agenda

2021 ◽  
Vol 46 (2) ◽  
pp. 71-85
Author(s):  
Amaresh Panda ◽  
Sanjay Mohapatra
Keyword(s):  
Life Cycle ◽  
Information Exchange ◽  
Service Providers ◽  
Health Information Exchange ◽  
Healthcare Delivery ◽  
Future Research ◽  
Future Research Agenda ◽  
Life Cycle Stages ◽  
Set Up ◽  
Key Aspects

The rise of online platforms for health information exchange is changing the traditional healthcare delivery practices. With Internet technologies, online healthcare practices are continuously growing through their diversified delivery functionalities with better and faster reachability. Participants use such forums for various purposes, for instance, to gather information, seek medical assistance, connect with other users, and purchase healthcare products or services. The need for a consolidated study, considering all key aspects of virtual healthcare, is crucial. We aim to examine the existing literature to study stakeholders of online healthcare and their behaviour dynamics, available functionalities and service delivery approaches during different phases. We have identified five key stakeholders who are vital for online healthcare deliveries and explored their contributions across life-cycle stages of online healthcare community (OHC) in India. The PRISMA reporting approach was used to select suitable literature for this study. About 78 articles were identified, which were shortlisted to 67 articles, keeping in mind the objectives of this study. Key findings from all these articles are segregated according to identified themes and systematically presented to enlarge the visibilities of associated functionalities. This study is one of the initial studies on India’s OHC that has defined associated stakeholders, functionalities and association dynamics during different life-cycle phases. People are proactively emerging towards OHC to acquire knowledge, share experience and decide their healthcare drives. Being operated virtually, information technology (IT) is the driving factor of OHC, and we have addressed the diversified IT aspects applicable in an OHC set-up. We also have accumulated all key attributes of OHC and produced a theoretical framework through this study, which academic researchers can use to understand the present approaches better and derive futuristic studies. Similarly, service providers can use the findings to evaluate their services, identify the present loopholes in the operational approaches and effectively manage the deliverables to meet end-user needs.

Optimizing the Use and Adoption of Healthcare Information Systems

2016 ◽  
pp. 136-152 ◽  
Author(s):  
Wilfred Bonney
Keyword(s):  
Information Systems ◽  
Translational Research ◽  
Medical Records ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Clinical Information ◽  
Healthcare Information ◽  
Health Records ◽  
Healthcare Information Systems ◽  
Information And Communication

Advancements in Information and Communication Technology (ICT) have led to the development of various forms of electronic records to support general practitioners and healthcare providers in capturing, storing, and retrieving routinely collected medical records and/or clinical information for optimal primary care and translational research. These advancements have resulted in the emergence of interoperable Healthcare Information Systems (HIS) such as Electronic Health Records (EHRs), Electronic Medical Records (EMRs) and Personal Health Records (PHRs). However, even as these systems continue to evolve, the research community is interested in understanding how the use and adoption of HIS can be optimized to support effective and efficient healthcare delivery and translational research. In this chapter, a systematic literature review methodology was used not only to explore the key benefits and technical challenges of HIS, but also to discuss the optimization approaches to maximizing the use and adoption of HIS in healthcare delivery.

Lessons learned from plunging into Web 2.0 tools

2011 ◽  
Vol 10 (1) ◽  
pp. 5-10
Author(s):  
Jo Ann Coco-Ripp, PhD, LRT/CTRS
Keyword(s):  
Service Providers ◽  
Healthcare Providers ◽  
Therapeutic Recreation ◽  
Lessons Learned ◽  
Recreation Therapy ◽  
Self Reflection ◽  
Curriculum Review ◽  
Training Techniques ◽  
Human Service Providers ◽  
Self Confidence

Technological influences will bring change to the practice of recreation therapy as well as the way courses are taught. In the present-day focus on the infusion of technology in many aspects of daily life, health and human service providers are incorporating a variety of technology tools into many facets of service provision and training for college students as well as practicing healthcare providers. Training techniques used by instructors in various healthcare fields suggest that improving an individual’s self-confidence in the practice of targeted techniques and increasing self-reflection or self-analysis skills in a classroom can impact actual practice in the healthcare field. As a result of a curriculum review at one university, revisions were made to one course in the therapeutic recreation major, “Procedures in Therapeutic Recreation.” Lessons learned from implementation of these revisions will be shared.

Sign in / Sign up

Export Citation Format

Share Document