How Does Computerized Provider Order Entry Implementation Impact Clinical Care Quality, Cycle Time, and Physician Job Demand Over Time?

Hospitals are complex organizations where inefficiencies and medical errors are unfortunately all too common. In order to increase both the efficiency and quality of care delivery, hospitals have turned to healthcare information technology (HIT) in general, and computerized provider order entry (CPOE) in particular. CPOE can impact clinical care process in a number of different ways, however, two things that it brings are process standardization and improvements in documentation quality. Our study traces physicians\u27 response to a CPOE implementation at a large urban Southeastern hospital. Our results reveal an interesting progression over time in how process standardization and documentation quality impact physician perceptions of job demands and process benefits. The progression surfaces the mechanisms through which physicians develop benefit perceptions for turnaround time and medical error reduction quality and how they experience job demands during a CPOE implementation

Achieving a New Standard in Primary Care for Low-Income Populations -- Case Studies of Redesign and Change Through a Learning Collaborative

Describes four case studies that focus on improving patient care delivery systems through learning collaboratives that were undertaken by New York City's nonprofit Primary Care Development Corporation

Strategies to Mitigate Information Technology Discrepancies in Health Care Organizations

Medication errors increased 64.4% from 2015 to 2018 in the United States due to the use of computerized physician order entry (CPOE) systems and the inability to exchange information among health care facilities. Healthcare information exchange (HIE) and subsequent discrepancies resulted in significant medical errors due to the lack of exchangeable health care information using technology software. The purpose of this qualitative multiple case study was to explore the strategies health care business managers used to manage computerized physician order entry systems within health care facilities to reduce medication errors and increase profitability. The population of the study was 8 clinical business managers in 2 successful small health care clinics located in the mid-Atlantic region of the United States. Data were collected from semistructured interviews with health care leaders and documents from the health care organization as a resource. Inductive analysis was guided by the Donabedian theory and sociotechnical system theory, and trustworthiness of interpretations was confirmed through member checking. Three themes emerged: standardizing data formats reduced medication errors and increased profits, adopting user-friendly HIE reduced medication errors and increase profits, and efficient communication reduced medication errors and increased profits. The findings of this study contribute to positive change through improved health care delivery to patients resulting in healthier communities

Healthcare information technology (HIT) in Saudi Arabia health care systems: an overview

In the last decade, healthcare in Saudi Arabia has been significantly improving. This has been accompanied by advancements within the field of Information and Communications Technology (ICT), more specifically Health Information Technology (HIT), whose applications in health have been a necessity for hospitals to achieve objectives such as enhancing of healthcare and reducing the time and the cost of healthcare delivery. This paper focuses on a number of research questions. These are: • What is the current status of healthcare in Saudi organizations? • What is the current status of ICT and HIT in Saudi healthcare organizations? • What are the critical factors influencing the adoption process of HIT in Saudi healthcare organizations? • What are the factors that influence organizational (technology) of HIT

Transactions of the First International Conference on Health Information Technology Advancement vol. 1, no. 1

Full proceedings of The First International Conference on Health Information Technology Advancement held at Western Michigan University in Kalamazoo, Michigan on October 28, 2011. Conference Co-Chairs: Dr. Bernard Han, Director of the Center for HIT Advancement (CHITA) at Western Michigan University Dr. Sharie Falan, Associate Director of the Center for HIT Advancement (CHITA) at Western Michigan University Transactions Editor: Dr. Huei Lee, Professor in the Department of Computer Information Systems at Eastern Michigan Universit

A Fit between Clinical Workflow and Health Care Information Systems: Not waiting for Godot but making the journey

Health care has long suffered from inefficiencies due to the fragmentation of patient care information and the lack of coordination between health professionals [1]. Health care information systems (HISs) have been lauded as tools to remedy such inefficiencies [2, 3]. The primary idea behind the support of their implementation in health care is that these systems support clinical workflow and thereby decrease medical errors [2]. However, their introduction to health care settings have been accompanied by a transformation of the way their primary users, care providers, carry out clinical tasks and establish or maintain work relationships [4]. Studies have shown that these transformations have not always been productive [5, 6]

Adviser\u27s guide to health care: Volume 1, An Era of Reform

https://egrove.olemiss.edu/aicpa_guides/1800/thumbnail.jp

Adviser\u27s Guide to Health Care, Volume 1: An Era of Reform—The Four Pillars

https://egrove.olemiss.edu/aicpa_guides/2720/thumbnail.jp