The Informatics Review
e-journal of the Association of Medical Directors of Information Systems and The Improve-IT Institute

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Home > Archive > Nov 1, 2007 : Vol.10 No.21
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White papers on CCHIT Certified EHRs
As adoption of CCHIT Certified EHRs continues to grow, more details about the benefits of CCHIT Certified products come to light. We work to highlight these benefits in our white papers and case studies. The following white papers are currently available:

  • CCHIT Certified Electronic Health Records Reduce Malpractice Risk
  • CCHIT Certified Electronic Health Records and other Safety Enhancing Technologies
  • Failure, de-installation of EHRs abound: study
    Nearly 19% of respondents to the survey this year indicated they either have in the past experienced the de-installation of an EMR system (12%) or are now going through a de-installation (7%).

    Registries for Evaluating Patient Outcomes: A User's Guide
    The purpose of this document is to serve as a guide to the design, implementation, analysis, interpretation, and evaluation of the quality of a registry for understanding patient outcomes. A patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves a predetermined scientific, clinical, or policy purpose(s).

    Health IT standards panel publishes security and privacy standards
    The Healthcare Information Technology Standards Panel has issued a set of standards for keeping patients’ e-health records private and secure. The constructs are as follows:

  • Manage document sharing and preserve document integrity
  • Collect and communicate security audit trail
  • Maintain consistent time, by synchronizing system clocks among the systems on a network
  • Secured communication channel
  • Entity identity assertion, to validate the identity of people or applications
  • Access control
  • Nonrepudiation of information origin
  • Manage and communicate consent directives from a patient
  • Impact of Electronic Alerts on Isolation Precautions for Patients With Multidrug-Resistant Bacteria
    In a 750-bed, acute care university hospital with a patient information system covering the entire hospital, a database that included all patients with MRB was created and was merged daily with the admission-discharge-transfer application. An electronic alert was generated for all new cases of MRB and for all transfers between wards and all readmissions of patients with MRB. Two successive interventions were implemented based on this alert system. First, alerts were dispatched to medical and staff members in charge of infection control in each ward with requests to order isolation precautions for the patients. Second, alerts were dispatched to the infection control team, who directly ordered implementation of isolation precautions in electronic nursing records. Awareness of the MRB status for the nurses in charge of the patients statistically significantly increased from 24.0% at baseline to 59.4% at 1 year after the first intervention. This proportion improved to 93.1% at 1 year after the second intervention. Similarly, the implementation of isolation precautions statistically significantly increased from 15.0% at baseline to 50.5% at 1 year after the first intervention and then to 90.2% at 1 year after the second intervention.

    Conference materials from: Information Security Compliance and Risk Management Institute: Public Policies and Enterprise Risks
    The mission of the Institute is to bring together IT and information security professionals, attorneys and auditors together with concerned academics and public officials for two days of discussion and advanced learning about the arts, sciences and laws of electronic information and IT use and protection.





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