CMS Payment Policy, E&M Guideline Reform, and the Prospect of Electronic Health Record Optimization.
Author(s): Basch, Peter, Smith, Jeffery R L
DOI: 10.1055/s-0038-1676337
Author(s): Basch, Peter, Smith, Jeffery R L
DOI: 10.1055/s-0038-1676337
Diagnosis is complex, uncertain, and error-prone. Symptoms such as nonspecific abdominal pain are especially challenging. A diagnostic path consists of diagnostic steps taken from initial presentation until a diagnosis is obtained or the evaluation ends for other reasons. Analysis of diagnostic paths can reveal patterns associated with more timely and accurate diagnosis. Visual analytics can be used to enhance both analysis and comprehension of diagnostic paths.
Author(s): Rao, Goutham, Kirley, Katherine, Epner, Paul, Zhang, Yiye, Bauer, Victoria, Padman, Rema, Zhou, Ying, Solomonides, Anthony
DOI: 10.1055/s-0038-1676338
Appropriate management of attention-deficit/hyperactivity disorder (ADHD) involves parents, clinicians, and teachers. Fragmentation of interventions between different settings can lead to suboptimal care and outcomes. Electronic systems can bridge gaps across settings. Our institution developed an email-based software to collect ADHD information from parents and teachers, which delivered data directly to the clinician within the electronic health record (EHR).
Author(s): Michel, Jeremy J, Mayne, Stephanie, Grundmeier, Robert W, Guevara, James P, Blum, Nathan J, Power, Thomas J, Coffin, Emily, Miller, Jeffrey M, Fiks, Alexander G
DOI: 10.1055/s-0038-1676087
The Office of the National Coordinator for Health Information Technology has outlined the benefits of health information exchange in emergency medical services (EMSs) according to the SAFR model-search, alert, file, and reconcile-developed in collaboration with the California Emergency Medical Services Authority.
Author(s): Martin, Thomas J, Ranney, Megan L, Dorroh, James, Asselin, Nicholas, Sarkar, Indra Neil
DOI: 10.1055/s-0038-1676041
Patient portals are expanding as a means to engage patients and have evidence for benefit in the outpatient setting. However, few studies have evaluated their use in the inpatient setting, or with vulnerable patient populations.
Author(s): Stein, Jacob N, Klein, Jared W, Payne, Thomas H, Jackson, Sara L, Peacock, Sue, Oster, Natalia V, Carpenter, Trinell P, Elmore, Joann G
DOI: 10.1055/s-0038-1676333
Sepsis is a serious medical condition that can lead to organ dysfunction and death. Research shows that each hour delay in antibiotic administration increases mortality. The Surviving Sepsis Campaign Bundles created standards to assist in the timely treatment of patients with suspected sepsis to improve outcomes and reduce mortality.
Author(s): Fargo, Emily L, D'Amico, Frank, Pickering, Aaron, Fowler, Kathleen, Campbell, Ronald, Baumgartner, Megan
DOI: 10.1055/s-0038-1676040
Patient portals, and the secure messaging feature in particular, have been studied in the outpatient setting, but research in the inpatient setting is relatively less mature.
Author(s): Sieck, Cynthia J, Walker, Daniel M, Hefner, Jennifer L, Volney, Jaclyn, Huerta, Timothy R, McAlearney, Ann Scheck
DOI: 10.1055/s-0038-1675814
Author(s): Petersen, Carolyn, Lehmann, Christoph U
DOI: 10.1055/s-0038-1676332
Drug-drug interaction (DDI) alerts are often implemented in the hospital computerized provider order entry (CPOE) systems with limited evaluation. This increases the risk of prescribers experiencing too many irrelevant alerts, resulting in alert fatigue. In this study, we aimed to evaluate clinical relevance of alerts prior to implementation in CPOE using two common approaches: compendia and expert panel review.
Author(s): Meslin, S M M, Zheng, W Y, Day, R O, Tay, E M Y, Baysari, M T
DOI: 10.1055/s-0038-1676039
Through the Health Information Technology for Economic and Clinical Health Act of 2009, the federal government invested $26 billion in electronic health records (EHRs) to improve physician performance and patient safety; however, these systems have not met expectations. One of the cited issues with EHRs is the human-computer interaction, as exhibited by the excessive number of interactions with the interface, which reduces clinician efficiency. In contrast, real-time location systems (RTLS)-technologies [...]
Author(s): King, Kevin, Quarles, John, Ravi, Vaishnavi, Chowdhury, Tanvir Irfan, Friday, Donia, Sisson, Craig, Feng, Yusheng
DOI: 10.1055/s-0038-1675812