Improving communication in risk management of health information technology systems by means of medical text simplification

Health Information Technology Systems (HITS) are increasingly used to improve the quality of patient care while reducing costs. These systems have been developed in response to the changing models of care to an ongoing relationship between patient and care team, supported by the use of technology due to the increased instance of chronic disease. However, the use of HITS may increase the risk to patient safety and security. While standards can be used to address and manage these risks, significant communication problems exist between experts working in different departments. These departments operate in silos often leading to communication breakdowns. For example, risk management stakeholders who are not clinicians may struggle to understand, define and manage risks associated with these systems when talking to medical professionals as they do not understand medical terminology or the associated care processes. In order to overcome this communication problem, we propose the use of the “Three Amigos” approach together with the use of the SIMPLE tool that has been developed to assist patients in understanding medical terms. This paper examines how the “Three Amigos” approach and the SIMPLE tool can be used to improve estimation of severity of risk by non-clinical risk management stakeholders and provides a practical example of their use in a ten step risk management process

Paving the Way to Simpler: Experiencing from Maximizing Enrollment States in Streamlining Eligibility and Enrollment

Since 2009, the eight states (Alabama, Illinois, Louisiana, Massachusetts, New York, Utah, Virginia, and Wisconsin) participating in the Robert Wood Johnson Foundation's Maximizing Enrollment program have worked to streamline and simplify enrollment systems, policies, and processes for children and those eligible for health coverage in 2014. The participating states aimed to reduce enrollment barriers for consumers and administrative burdens in processing applications and renewals for staff by making improvements and simplifications at every step of the enrollment process. Although the states began their work before the enactment of the Affordable Care Act (ACA), their efforts positioned them well for implementation in 2014, and offer experiences and lessons that other states may find useful in their efforts to improve efficiency, lower costs, and promote responsible stewardship of limited public resources

Information systems and healthcare XXIV: Factors affecting the EAI adoption in the healthcare sector

Recent developments in the field of integration technologies like Enterprise Application Integration (EAI) have emerged to support organizations towards improving the quality of services and reducing integration costs. Despite the importance of EAI, there is limited empirical research reported on its adoption in the healthcare sector. Khoumbati et al. [2006] developed a model for the evaluation of EAI in healthcare organizations. In doing so, the causal interrelationship of EAI adoption factors was identified by using fuzzy cognitive mapping. This paper is a progression of previous work in the area and seeks to contribute by validating the model through a different case environment. Thus, this paper contributes by deriving and proposing the MAESTRO model for EAI adoption. MAESTRO identifies a set of factors that influence EAI adoption and it is evaluated through a real-life case study. It provides an understanding of the EAI adoption process through its grounding on empirical data. In doing so, the MAESTRO model supports the management of healthcare organizations during the decision-making process for EAI adoption

Maximizing Enrollment for Kids: Results From a Diagnostic Assessment of Enrollment and Retention in Eight States

Examines strengths, challenges, and areas for improvement in Medicaid and Children's Health Insurance Plan enrollment and retention systems, policies, and procedures for children in eight grantee states. Outlines best practices in simplifying processes

Designing for Understanding: Helping Older Adults Understand Over-the-Counter Medication Information

This research is motivated by some of the challenges faced by the healthcare community in communicating health information to the public and the potential for user-centered technology design to address some of these limitations. Each year, thousands die or are injured due to adverse-drug events due to both prescription and over-the-counter medications. The integration of technology has improved the incidence rate for adverse-drug events due to prescription medications. Similarly, personal health records and other consumer-based health applications have been shown to be beneficial for helping individuals manage their health. Despite this growing body of research, little to no research has been conducted to gauge the possible effectiveness of technology created through a user-centered design process to assist consumers in understanding similar events due to over-the-counter medications. This research explores the implications for the design of interactive technology to help older adults understand the possible risk of an adverse drug events resulting from taking over-the-counter (OTC) medications. A user-centered design process was employed, leveraging various techniques to design technology to assist older adults with over-the-counter medication information. The three studies conducted for this research are part of an Exploratory Mixed-Methods Study, designed to identify current practices and challenges, identify opportunities for technology integration, and to examine the usability and effectiveness of the resultant technological artifacts for assisting older adults with over-the-counter medication information. Data collection included semi-structure interviews, surveys, questionnaires, and observations. Results from each study suggest that the technologies evaluated are useful for assisting older adults with over-the-counter medication information. Design recommendations identified throughout each phase are presented to provide insight on the technology features found useful and not so useful by older adults throughout the process of this research

Maximizing Kids' Enrollment in Medicaid and SCHIP

Reviews the 2006 report "Seven Steps Toward State Success in Covering Children Continuously" and recommends the most effective state strategies for increasing enrollment and retention of children in Medicaid and State Children's Health Insurance Programs

Simplification of Health and Social Services Enrollment and Eligibility: Lessons for California From Interviews in Four States

Explores state officials' and advocates' views on issues involved in streamlining enrollment and eligibility processes, including the importance of staff buy-in, community partners' outreach efforts, and technological challenges and lessons learned