1,076,164 research outputs found

    An HIT solution for clinical care and disaster planning: How one health center in Joplin, MO survived a tornado and avoided a health information center

    Get PDF
    Since taking office, President Obama has made substantial investments in promoting the diffusion of health information technology. The objective of the national health IT program is, generally, to enable health care providers to better manage patient care through secure use and sharing of health information. Through the use of technologies including electronic health records, providers can better maintain patient care information and facilitate communication, often improving care outcomes. The recent tornado in Joplin, MO highlights the importance of health information technology in the health center context, and illustrates the importance of secure electronic health information systems as a crucial element of disaster and business continuity planning. This article examines the experience of a community health center in the aftermath of the major tornado that swept through the American midwest in the spring of 2011, and provides insight into the planning for disaster survival and recovery as it relates to patient records and health center data

    Educating Advanced Practice Nurses in Using Social Media in Rural Health Care

    Get PDF
    Health care in the United States is facing a crisis in providing access to quality care for those in underserved and rural regions. Advanced practice nurses are at the forefront of addressing such issues, through modalities such as health care technology. Many nursing education programs are seeking strategies for better educating students on technology utilization. Health care technology includes electronic health records, telemedicine, and clinical decision support systems. However, little focus has been placed on the role of social media in health care. This paper describes an educational workshop using standardized patients and hands-on experiences to introduce advanced practice nurses in a Doctor of Nursing Practice program to the role of social media in addressing issues inherent in the delivery of rural health care. The students explore innovative approaches for utilizing social media for patient and caregiver support as well as identify online resources that assist providers in a rural setting

    Educating Advanced Practice Nurses in Using Social Media in Rural Health Care

    Get PDF
    Health care in the United States is facing a crisis in providing access to quality care for those in underserved and rural regions. Advanced practice nurses are at the forefront of addressing such issues, through modalities such as health care technology. Many nursing education programs are seeking strategies for better educating students on technology utilization. Health care technology includes electronic health records, telemedicine, and clinical decision support systems. However, little focus has been placed on the role of social media in health care. This paper describes an educational workshop using standardized patients and hands-on experiences to introduce advanced practice nurses in a Doctor of Nursing Practice program to the role of social media in addressing issues inherent in the delivery of rural health care. The students explore innovative approaches for utilizing social media for patient and caregiver support as well as identify online resources that assist providers in a rural setting

    A Narrative Study of Nurses' Interactions When Using Health Information Technology

    Get PDF
    abstract: Nurses are using health information technology during patient care activities in acute care at an unprecedented rate. Previous literature has presented nurses' response to technology obstacles as a work-around, a negative behavior. Using a narrative inquiry in one hospital unit, this dissertation examines nurses' interactions when they encounter technology obstacles from a complexity science perspective. In this alternative view, outcomes are understood to emerge from tensions in the environment through nonlinear and self-organizing interactions. Innovation is a process of changing interaction patterns to bring about transformation in practices or products that have the potential to contribute to social wellbeing, such as better care. Innovation was found when nurses responded to health information technology obstacles with self-organizing interactions, sensitivity to initial conditions, multidirectionality, and their actions were influenced by a plethora of sets of rules. Nurses self-organized with co-workers to find a better way to deliver care to patients when using technology. Nurses rarely told others outside their work-group of the obstacles that occurred in their everyday interactions, including hospital-wide process improvement committees. Managers were infrequently consulted when nurses encountered technology obstacles, and often nurses did not find solutions to their obstacles when they contacted the Help Desk. Opportunities exist to facilitate interactions among nurses and other members of the organization to realize better use of health information technology that improves quality and safety while decreasing cost in the patient experience.Dissertation/ThesisPh.D. Nursing and Healthcare Innovation 201

    Information management in healthcare organizations

    Get PDF
    The health care industry is currently experiencing numerous fundamental changes. Healthcare organizations (HCOs) are increasingly challenged to look at their operations and find new opportunities to reorganize their processes, in order to improve the efficiency and effectiveness of their services, reduce costs, be more competitive, and also provide high quality and more personalized patient care. This new business strategy requires HCOs to implement new Information and Communication Technologies, such as Internet applications, enterprise information systems, and mobile technologies, in order to achieve their desired business changes and results, mainly through better information management methods and techniques. Based on these perspectives, this article aims to initially define and discuss the key challenges and opportunities for promoting high quality and cost effective care in HCOs. It describes the fundamental and important aspects of information management, as well as the technology drivers that aim to improve the generation and flow of health information within HCOs.information technologies, management, healthcare organizations

    THE ARCHITECTURE OF ENABLING TECHNOLOGY IN THE CRITICAL CARE SETTING: THE ROLE OF ARCHITECTURE IN ADDRESSING THE HEALTH CARE - TECHNOLOGY PARADOX

    Get PDF
    Health care architecture, particularly tertiary care settings, which have the sickest people, and most advanced medical care, should accommodate and employ technology in ways that are both therapeutic and enabling. Although technology in the tertiary care setting is generally considered beneficial, it can sometimes have negative impacts, cause stress and result in poor health outcomes. Norman Cousins said in his book Anatomy of an Illness, \u27Many doctors are increasingly aware of the circular paradox [of the intensive care unit]. It provides better electronic aids than ever before for dealing with emergencies that are often intensified because they communicate a sense of imminent disaster to the patient.\u27 These negative side effects are typically the result of disabling technology, which above all restricts a patients\u27 ability to have and to sense comfort and control. This health care - technology paradox is often activated through medical equipment, medical practices and medical settings. When medical practices and medical equipment are disabling and do not sufficiently enabling comfort and control, then the medical setting can play a role in helping to temper the paradox and hence the total impact technologies have on the patient

    EVALUATING TELEMEDICINE TECHNOLOGIES IN RURAL SETTINGS

    Get PDF
    Changes in health care policies, demographics, and technology have presented new opportunities for the delivery of medical care services and information to rural communities. Telemedicinethe use of electronic information and communications technologies to provide and support health care when distance separates the participantshas significantly impacted the delivery of rural health care services. This paper presents an overview of the telemedicine technologies, government involvement in support of telemedicine, and issues that need to be addressed in designing an economic framework to evaluate the net benefits of telemedicine to rural communities and consumers. Federal and state governments have invested millions of support dollars in the form of equipment, infrastructure, and incentives for consumers and providers to expand the use of telecommunications in medical care. Since disbursement of these funds is already underway, it only makes sense to develop a method to determine both where and whether an additional dollar of funding for telemedicine development would be of the greatest benefit to society. If telemedicine can prove itself as a useful method for improving the likelihood of survival of rural hospitals, then, in the interest of rural development, it may be a technology worth investing in; i.e., the social benefits, measured as the sum of the private and public benefits, may outweigh the costs. According to its supporters, telemedicine systems have the potential to simultaneously address several problems characteristic of health care in rural areas, including access to care, cost containment, and quality assurance. Access can be improved by linking providers in remote areas with specialists in metropolitan centers or peers in rural areas. Telemedicine not only enables a wider range of services to be offered in the local community but may have the added effect of improving physician retention in isolated areas, one of the primary challenges in maintaining access for frontier medical centers. Telemedicine can promote cost containment through the substitution of lower-cost rural providers and facilities. Ideally, improved quality will be achieved by the ready availability of consultations and referrals. These are the potential benefits of telemedicine implementation, but they have not yet been verified by research in a field setting. An evaluation framework for telemedicine needs to be capable of modeling changes in the behavior of health care consumers (i.e., altered visitation patterns), recognizing differences in quality of service, and finally, quantifying the value of these changes. This is no small task, and obtaining the required data will likely require the cooperation of many parties, including health care providers, patients, hospital and program administrators, and policymakers. These are the same groups that could benefit greatly from a better understanding of how telemedicine technologies affect health care delivery, but a meaningful framework for analysis needs to capture the many aspects of telemedicine implementation.rural health care, telemedicine, averted costs, economic benefits, telecommunications technology, R0, Community/Rural/Urban Development, Health Economics and Policy, Research and Development/Tech Change/Emerging Technologies, I1,

    Persuasive technology as an intervention programs for Health care in Malaysia: a review

    Get PDF
    The statistics regarding health problem in Malaysia shows more than 50% of Malaysian adults have at least one of Non-Communicable Disease. Thus, effort to create awareness as well as promoting mind-set change with regards to health habit is paramount. Researches prove that ICT played significant role in influencing the way of thinking, behaviour and decision making. Intervention programs through computer application should be used to persuade and support health awareness, treatment and prevention. This paper investigate and review studies using persuasive technology in health intervention program in Malaysia. It presents the main objective, the technology persuasive principles and final findings of each study. In conclusion, the application of persuasive technology brings positive impact to awareness creation, aiding prevention and support to change as well as influencing people for a better healthy living.Keywords: persuasive technology; health intervention programs; health care; Malaysia

    The European Institute for Innovation through Health Data

    Get PDF
    The European Institute for Innovation through Health Data (i~HD, www.i-hd.eu) has been formed as one of the key sustainable entities arising from the Electronic Health Records for Clinical Research (IMI-JU-115189) and SemanticHealthNet (FP7-288408) projects, in collaboration with several other European projects and initiatives supported by the European Commission. i~HD is a European not-for-profit body, registered in Belgium through Royal Assent. i~HD has been established to tackle areas of challenge in the successful scaling up of innovations that critically rely on high-quality and interoperable health data. It will specifically address obstacles and opportunities to using health data by collating, developing, and promoting best practices in information governance and in semantic interoperability. It will help to sustain and propagate the results of health information and communication technology (ICT) research that enables better use of health data, assessing and optimizing their novel value wherever possible. i~HD has been formed after wide consultation and engagement of many stakeholders to develop methods, solutions, and services that can help to maximize the value obtained by all stakeholders from health data. It will support innovations in health maintenance, health care delivery, and knowledge discovery while ensuring compliance with all legal prerequisites, especially regarding the insurance of patient's privacy protection. It is bringing multiple stakeholder groups together so as to ensure that future solutions serve their collective needs and can be readily adopted affordably and at scale
    • …
    corecore