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Give Amazon.com Gift Certificates -- Support The Informatics Review Gift Certificates are always the perfect gift, redeemable for millions of items on the Amazon.com Web site. They can be sent
via
email, an e-card or on paper through snail mail.
The Connecting for Health Common Framework: Overview and Principles Many people are enthusiastic about the benefits of using information technology (IT) to manage health information. Prompt,
reliable
access to health information can improve the quality and efficiency of care. Most patients’ health information is scattered
across many
facilities—the offices of numerous current and former physicians, labs, pharmacies, and imaging centers. Whether for routine
care or in
an emergency far from home, patients and their formal and informal caregivers need access to this distributed web of information
in order to
make well-informed medical decisions. At the same time, the movement of personal health information through a vast electronic
network calls
for a profound new commitment to protecting each person’s privacy.
A National Web conference on the First Consulting Group Inpatient and Ambulatory CPOE Assessment Tool In 2007, The Leapfrog Group is planning to release self-assessment tools for hospitals and physician practices/medical groups
that
evaluate the clinical decision support (CDS) in implemented clinical systems (CPOE in the hospital and EMR in the ambulatory
setting). If you
are involved in implementing and maintaining a CPOE system and are seeking guidance on how to determine how effective your
system
implementation is, don’t miss this opportunity to learn about the First Consulting Group Inpatient and Ambulatory CPOE Assessment
Tool.
Saving Lives, Reducing Costs -- Computerized Physician Order Entry Lessons Learned in Community Hospitals A group of Chief Information Officers (CIOs) and CPOE project managers from Massachusetts hospitals that are implementing
CPOE or
are planning to implement CPOE in the near future gathered to identify support needs. This group identified six areas as its
top concerns
where managers could most benefit from assistance:
Physician incentives
Process redesign – focus areas, approaches/tools
Metrics – baseline and post-implementation
Physician training
Organization/governance of clinical decision support
Leadership commitment
Reducing surgical site infections through a multidisciplinary computerized process for preoperative prophylactic antibiotic
administration Responsibility for antibiotic administration was shifted from preoperative nursing staff to the anesthetist. Electronic quick
orders
were developed to encourage appropriate antibiotic selection and simplify order creation. Timely administration of preoperative
antibiotics
improved from 51% to 98% from February 2005 to February 2006. Appropriate antibiotic administered improved from 78% to 94%.
The clean wound
infection rate decreased from 2.7% to 1.4% over the same time period.
Evaluation of Spoken Dialogue Technology for Real-Time Health Data Collection A real-time assessment of patients’ experiences is an important methodology for studies in health care, quality of life,
behavioral sciences, and new drug and treatment development. The results of this feasibility study indicated that desired
accuracy of data
can be achieved with a high degree of automation (98% in the study) and that the users were indeed capable of utilizing the
flexible
interface, the sessions becoming more and more efficient as users’ experience increased, both in terms of session duration
and
avoidance of troublesome dialogue situations.
Use and Impact of an Automated Telephone Outreach System for Asthma in a Managed Care Setting Patients with persistent asthma were randomly assigned to telephone outreach (automated = 3389, live caller = 192) or usual
care (n
= 3367). Intervention participants received 3 outreach calls over a 10-month period. The intervention provided brief, supNo
warnings or errors were found.
portive information
and flagged individuals with poor asthma control for follow-up by a provider. This study did not find improved health outcomes
in the primary
analyses. The intervention was well accepted by providers, however, and the individuals who participated in the calls appeared
to have
benefited from them.
Kaiser Permanente will fund study of Program to track prescriptions in real time -- System would guard against narcotic abuse Kaiser Permanente recently agreed to pay for a study of a proposed computer program to give doctors, pharmacists and some
law
enforcement officials instant online access to medical records. The plan raises privacy concerns with some, but supporters
say it would
reduce "doctor-shopping" by drug abusers seeking multiple prescriptions.
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