Clinical Documentation

Patient Satisfaction: Is It At Odds With Healthcare IT?

February 11, 2013     Joe Bormel
blog
Recently, I participated in medical grand rounds at several hospitals. The primary topics of all these grand rounds were focused on delivering better care. One of these sessions was presented on the topic of coaching, something I have blogged about in the past to help advance the acceptance and use of HIT. Case in point, a physician I spoke with contended that the net of HIT applications was negative for both patient and provider satisfaction. I contend this is why some non-IT related behaviors, like coaching, are now receiving new and overdue attention. But are we doing enough?

AHIMA Promotes Executives to Senior Posts

February 6, 2013     Mark Hagland
news
On Feb. 6, the Chicago-based American Health Information Management Association (AHIMA) announced that it had appointed Deborah Green as executive vice president, operations and chief operating officer, and had promoted Denise Froemming to the role of executive vice president and chief financial officer.

USHIK Makes Meaningful Use Measures Available Online

December 19, 2012     Rajiv Leventhal
news
The United States Healthcare Information Knowledgebase (USHIK) has added recently published information on meaningful use clinical quality measures and their associated value sets as well as the meaningful use core and menu objectives.

Coordinating Care under Accountable Care: A Complex Web of Strategic, Tactical, and IT Challenges

December 18, 2012     Mark Hagland
article
Earlier this month, Jane Metzger, principal researcher in the Waltham, Mass.-based Global Institute for Emerging Healthcare Practices within the Falls Church, Va.-based CSC, authored a new white paper, "Preparing for Accountable Care: Coordinated Care." With the healthcare delivery system facing unprecedented foundational challenges moving into the new environment of accountable, coordinated care, Metzger spoke recently with Mark Hagland about the reality of what providers face going forward.

Personalized Medicine, Part 2: Gaps Remaining in Translating Discoveries into Clinical Practice!

December 5, 2012     Michael Craige
blog
Rapid improvements in technology, semantic data structures, informatics professional collaboration and sequencing technologies are not necessarily the only gaps needed for the realization of personalized medicine (improving genomic and phenotypic data integration) but these must be taken into account on how best to exploit the opportunities to facilitate personalized medicine.

Light at the End of the Tunnel in the Free-Text-Structured Documentation Controversy?

November 14, 2012     Mark Hagland
blog
One thing seemed clear last week at the AMIA 2012 Conference: physician informaticists are helping to move the discussion—and the solutions—forward towards new solutions in the physician documentation arena

LIVE from the AMIA 2012 Symposium: Physician Documentation: Parsing the Narrative/Structured Documentation Tension

November 7, 2012     Mark Hagland
article
As self-created electronic physician documentation replaces transcribed clinical documentation, what are the implications of that shift for physician workflow, efficiency, and clinical effectiveness, and ultimately, for care quality? Those questions were explored by a panel of clinical informaticists, all of whom have engaged in recent research and study of some of these issues. That discussion took place during a Nov. 6 session at the AMIA 2012 Symposium, currently being held at the Chicago Hilton & Towers in downtown Chicago, and sponsored by the American Medical Informatics Association. Not surprisingly, one of the big topics of discussion was the oft-discussed tension between supporting a rich narrative within the patient record, and facilitating EHR-focused efficiency.

Voice Recognition in the ED

October 22, 2012     John DeGaspari
article
How does voice recognition technology affect patient care quality and efficiency? One proponent for its use is Bud Lawrence, M.D., emergency medicine physician director of risk management at the Henry Mayo Newhall Memorial Hospital, a 250-bed hospital and level-2 trauma center in Valencia, Calif. About three years ago the hospital made speech recognition part of its implementation of its electronic health record.

Dr. Mostashari's Dramatic CHIME Moment

October 17, 2012     Mark Hagland
blog
Perhaps the thought was inescapable in the context of the current presidential election campaign going on right now; after all, the second presidential debate, in which a very engaged pair of presidential candidates had sparred very intensely over a wide range of topics, had just taken place the night before. But I couldn't help thinking about Farzad Mostashari, M.D., as speaking like a political leader when he appeared at the CHIME Fall forum on Wednesday, Oct. 17-and I mean that in a good way.

Mostashari Makes Impassioned Plea to CHIME Fall Forum Attendees To Share in His Dream

October 17, 2012     Mark Hagland
article
The National Coordinator for Health IT uses the opportunity to speak to CHIME Fall Forum attendees to exhort his audience forward in the meaningful use process under the banner of reforming the healthcare system for the benefit of patients, families, communities, and the broader society.

LIVE from the CHIME Fall Forum: Interoperability-A New Multi-State Reality?

October 17, 2012     Mark Hagland
article
Health information exchange leaders from both coasts describe groundbreaking progress on numerous fronts, at the CHIME12 Fall CIO Forum in Palm Springs. Standards and the CCD are big areas of focus.

Answer to: A Major Glitch for Digitized Health-Care Records

September 19, 2012     Pete Rivera
blog
Based on a WSJ Opinion piece EMR software is “is generally clunky, frustrating, user-unfriendly and inefficient.” Although I will not disagree with this “generalization,” I do take exception with the articles naïve view that Health IT systems have not improved patient health.
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