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| epic ehr cost for small practice: Health Informatics: Practical Guide for Healthcare and Information Technology Professionals (Fifth Edition) Robert E Hoyt, Nora Bailey, Ann Yoshihashi, 2012 Health Informatics (HI) focuses on the application of information technology (IT) to the field of medicine to improve individual and population healthcare delivery, education and research. This extensively updated fifth edition reflects the current knowledge in Health Informatics and provides learning objectives, key points, case studies and references. Topics include: HI Overview; Healthcare Data, Information, and Knowledge; Electronic Health Records, Practice Management Systems; Health Information Exchange; Data Standards; Architectures of Information Systems;Health Information Privacy and Security; HI Ethics; Consumer HI; Mobile Technology; Online Medical Resources; Search Engines; Evidence-Based Medicine and Clinical Practice Guidelines; Disease Management and Registries; Quality Improvement Strategies; Patient Safety; Electronic Prescribing; Telemedicine; Picture Archiving and Communication Systems; Bioinformatics; Public HI; E-Research. Available as a printed copy and E-book. |
| epic ehr cost for small practice: Registries for Evaluating Patient Outcomes Agency for Healthcare Research and Quality/AHRQ, 2014-04-01 This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, 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 one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews. |
| epic ehr cost for small practice: Geek Doctor John D. Halamka, 2014-02-07 In his highly regarded blog, Life as a Healthcare CIO, John Halamka records his experiences with health IT leadership, infrastructure, applications, policies, management, governance, and standardization of data. But he also muses on topics such as reducing our carbon footprint, sustainable farming, mountain climbing, being a husband, father and son |
| epic ehr cost for small practice: Virtual and Mobile Healthcare: Breakthroughs in Research and Practice Management Association, Information Resources, 2019-09-06 One of the primary topics at the center of discussion, and very often debate, between industry professionals, government officials, and the general public is the current healthcare system and the potential for an overhaul of its processes and services. Many organizations concerned for the long-term care of patients wish to see new strategies, practices, and organizational tools developed to optimize healthcare systems all over the world. One of the central engines of the current shift toward reorientation of healthcare services is virtual and mobile healthcare. Virtual and Mobile Healthcare: Breakthroughs in Research and Practice explores the trends, challenges, and issues related to the emergence of mobile and virtual healthcare. The book also examines how mobile technologies can best be used for the benefit of both doctors and their patients. Highlighting a range of topics such as smart healthcare, electronic health records, and m-health, this publication is an ideal reference source for medical professionals, healthcare administrators, doctors, nurses, practitioners, and researchers in all areas of the medical field. |
| epic ehr cost for small practice: Understanding Health Information Systems for the Health Professions Jean A Balgrosky, 2019-03-19 Covering the principles of HIS planning, cost effectiveness, waste reduction, efficiency,population health management, patient engagement, and prevention, this text is designed for those who will be responsible for managing systems and information in health systems and provider organizations. |
| epic ehr cost for small practice: Before Disrupting Healthcare , |
| epic ehr cost for small practice: The Computer-Based Patient Record Committee on Improving the Patient Record, Institute of Medicine, 1997-10-28 Most industries have plunged into data automation, but health care organizations have lagged in moving patients' medical records from paper to computers. In its first edition, this book presented a blueprint for introducing the computer-based patient record (CPR). The revised edition adds new information to the original book. One section describes recent developments, including the creation of a computer-based patient record institute. An international chapter highlights what is new in this still-emerging technology. An expert committee explores the potential of machine-readable CPRs to improve diagnostic and care decisions, provide a database for policymaking, and much more, addressing these key questions: Who uses patient records? What technology is available and what further research is necessary to meet users' needs? What should government, medical organizations, and others do to make the transition to CPRs? The volume also explores such issues as privacy and confidentiality, costs, the need for training, legal barriers to CPRs, and other key topics. |
| epic ehr cost for small practice: Man's 4th Best Hospital Samuel Shem, 2019 The sequel to the highly acclaimed The House of God. Years later, the Fat Man has been given leadership over a new Future of Medicine Clinic at what is now only Man's 4th Best Hospital, and has persuaded Dr. Roy Basch and some of his intern cohorts to join him to teach a new generation of interns and residents. |
| epic ehr cost for small practice: Nursing Informatics for the Advanced Practice Nurse, Third Edition Susan McBride, PhD, RN-BC, CPHIMS, FAAN, Mari Tietze, PhD, RN, FHIMSS, FAAN, 2022-02-01 Winner of two first place AJN Book of the Year Awards! This award-winning resource uniquely integrates national goals with nursing practice to achieve safe, efficient quality of care through technology management. The heavily revised third edition emphasizes the importance of federal policy in digitally transforming the U.S. healthcare delivery system, addressing its evolution and current policy initiatives to engage consumers and promote interoperability of the IT infrastructure nationwide. It focuses on ways to optimize the massive U.S. investment in HIT infrastructure and examines usability, innovative methods of workflow redesign, and challenges with electronic clinical quality measures (eCQMs). Additionally, the text stresses documentation challenges that relate to usability issues with EHRs and sub-par adoption and implementation. The third edition also explores data science, secondary data analysis, and advanced analytic methods in greater depth, along with new information on robotics, artificial intelligence, and ethical considerations. Contributors include a broad array of notable health professionals, which reinforces the book's focus on interprofessionalism. Woven throughout are the themes of point-of-care applications, data management, and analytics, with an emphasis on the interprofessional team. Additionally, the text fosters an understanding of compensation regulations and factors. New to the Third Edition: Examines current policy initiatives to engage consumers and promote nationwide interoperability of the IT infrastructure Emphasizes usability, workflow redesign, and challenges with electronic clinical quality measures Covers emerging challenge proposed by CMS to incorporate social determinants of health Focuses on data science, secondary data analysis, citizen science, and advanced analytic methods Revised chapter on robotics with up-to-date content relating to the impact on nursing practice New information on artificial intelligence and ethical considerations New case studies and exercises to reinforce learning and specifics for managing public health during and after a pandemic COVID-19 pandemic-related lessons learned from data availability, data quality, and data use when trying to predict its impact on the health of communities Analytics that focus on health inequity and how to address it Expanded and more advanced coverage of interprofessional practice and education (IPE) Enhanced instructor package Key Features: Presents national standards and healthcare initiatives as a guiding structure throughout Advanced analytics is reflected in several chapters such as cybersecurity, genomics, robotics, and specifically exemplify how artificial intelligence (AI) and machine learning (ML) support related professional practice Addresses the new re-envisioned AACN essentials Includes chapter objectives, case studies, end-of-chapter exercises, and questions to reinforce understanding Aligned with QSEN graduate-level competencies and the expanded TIGER (Technology Informatics Guiding Education Reform) competencies. |
| epic ehr cost for small practice: Theories to Inform Superior Health Informatics Research and Practice Nilmini Wickramasinghe, Jonathan L. Schaffer, 2018-04-20 This unifying volume offers a clear theoretical framework for the research shaping the emerging direction of informatics in health care. Contributors ground the reader in the basics of informatics methodology and design, including creating salient research questions, and explore the human dimensions of informatics in studies detailing how patients perceive, respond to, and use health data. Real-world examples bridge the theoretical and the practical as knowledge management-based solutions are applied to pervasive issues in information technologies and service delivery. Together, these articles illustrate the scope of health possibilities for informatics, from patient care management to hospital administration, from improving patient satisfaction to expanding the parameters of practice. Highlights of the coverage: · Design science research opportunities in health care · IS/IT governance in health care: an integrative model · Persuasive technologies and behavior modification through technology: design of a mobile application for behavior change · The development of a hospital secure messaging and communication platform: a conceptualization · The development of intelligent patient-centric systems for health care · An investigation on integrating Eastern and Western medicine with informatics Interest in Theories to Inform Superior Health Informatics Research and Practice cuts across academia and the healthcare industry. Its audience includes healthcare professionals, physicians and other clinicians, practicing informaticians, hospital administrators, IT departments, managers, and management consultants, as well as scholars, researchers, and students in health informatics and public health. |
| epic ehr cost for small practice: Health Informatics: Practical Guide for Healthcare and Information Technology Professionals (Sixth Edition) Robert E. Hoyt, Ann K. Yoshihashi, 2014 Health Informatics (HI) focuses on the application of Information Technology (IT) to the field of medicine to improve individual and population healthcare delivery, education and research. This extensively updated fifth edition reflects the current knowledge in Health Informatics and provides learning objectives, key points, case studies and references. |
| epic ehr cost for small practice: Cybersecurity Leadership Dr. Mansur Hasib, 2022-08-02 This book enables newcomers, business professionals as well as seasoned cybersecurity practitioners and marketers to understand and to explain the discipline to anyone. This book is not about technology and no technical knowledge or prior background is required to understand this book. The book is also highly recommended as a general management and leadership book. Cybersecurity involves people, policy, and technology. Yet most books and academic programs cover only technology. Hence the implementation of cybersecurity as a people powered perpetual innovation and productivity engine is not done. People think they can buy cybersecurity as a product when in fact the discipline is the modern practice of digital business strategy. People also equate cybersecurity with information security or security alone. However, security is a state, while cybersecurity is a process. Too many people equate cybersecurity with computer science even though cybersecurity is a business discipline. Written by Dr. Mansur Hasib a globally acclaimed scholar, practitioner, and author with a Doctor of Science in cybersecurity and over ten years experience designing and running award-winning cybersecurity education programs on a global scale. The author also served as Chief Information Officer and implemented profitable digital transformations and cybersecurity strategy in healthcare, biotechnology, education, and energy for more than 30 years. This book is widely acclaimed by practitioners and scholars alike as the definitive book on cybersecurity leadership and governance. Dr. Hasib is a sought after speaker and has won multiple global awards such as: 2020 Cybersecurity Champion of the Year; 2020 People's Choice Award in Cybersecurity; 2019 Best Cybersecurity Higher Education Program in the USA; 2019 Outstanding Global Cybersecurity Leadership; 2018 Best Cybersecurity Higher Education Program in the USA; 2018 Hall of Fame; 2017 People's Choice Award in Cybersecurity; 2017 Information Governance Expert of the Year; 2017 (ISC)2 Americas ISLA Award. Dr. Hasib enjoys table tennis, comedy, and travel and has been to all 50 states of the USA. Twitter @mhasib Subscribe free to YouTube Channel with 200+ videos: https://www.youtube.com/@DrMansurHasib Contact for speaking invites and author-signed books: https://www.cybersecurityleadership.com |
| epic ehr cost for small practice: Better EHR Jiajie Zhang (Professor of biomedical informatics), Muhammad Walji, 2014-10-01 Electronic Health Records (EHR) offer great potential to increase healthcare efficiency, improve patient safety, and reduce health costs. The adoption of EHRs among office-based physicians in the US has increased from 20% ten years ago to over 80% in 2014. Among acute care hospitals in US, the adoption rate today is approaching 100%. Finding relevant patient information in electronic health records' (EHRs) large datasets is difficult, especially when organized only by data type and time. Automated clinical summarization creates condition-specific displays, promising improved clinician efficiency. However, automated summarization requires new kinds of clinical knowledge (e.g., problem-medication relationships). |
| epic ehr cost for small practice: Costs and Benefits of Health Information Technology Paul G. Shekelle, Caroline Lubick Goldzweig, 2009 This report aims to gather the lessons learnt on the effects of HIT to costs and benefits that might be of use to organisations looking to develop and implement HIT programmes. This is a difficult exercise considering the multiple factors affecting implementation of an HIT programme. Factors include organisational characteristics, the kinds of changes being put in place and how they are managed, and the type of HIT system. The report finds that barriers to HIT implementation are still substantial but that some progress has been made on reporting the organisational factors crucial for the adoption of HIT. However, there is a challenge to adapt the studies and publications from HIT leaders (early implementers and people using HIT to best effect) to offer lessons beyond their local circumstances. The report also finds limited data on the cost-effectiveness of HIT. |
| epic ehr cost for small practice: Computerworld , 2005-01-31 For more than 40 years, Computerworld has been the leading source of technology news and information for IT influencers worldwide. Computerworld's award-winning Web site (Computerworld.com), twice-monthly publication, focused conference series and custom research form the hub of the world's largest global IT media network. |
| epic ehr cost for small practice: Artificial Intelligence in Healthcare Adam Bohr, Kaveh Memarzadeh, 2020-06-21 Artificial Intelligence (AI) in Healthcare is more than a comprehensive introduction to artificial intelligence as a tool in the generation and analysis of healthcare data. The book is split into two sections where the first section describes the current healthcare challenges and the rise of AI in this arena. The ten following chapters are written by specialists in each area, covering the whole healthcare ecosystem. First, the AI applications in drug design and drug development are presented followed by its applications in the field of cancer diagnostics, treatment and medical imaging. Subsequently, the application of AI in medical devices and surgery are covered as well as remote patient monitoring. Finally, the book dives into the topics of security, privacy, information sharing, health insurances and legal aspects of AI in healthcare. - Highlights different data techniques in healthcare data analysis, including machine learning and data mining - Illustrates different applications and challenges across the design, implementation and management of intelligent systems and healthcare data networks - Includes applications and case studies across all areas of AI in healthcare data |
| epic ehr cost for small practice: Redirecting Innovation in U.S. Health Care Steven Garber, 2014-03-31 New medical technologies are a leading driver of U.S. health care spending. This report identifies promising policy options to change which medical technologies are created, with two related policy goals: (1) Reduce total health care spending with the smallest possible loss of health benefits, and (2) ensure that new medical products that increase spending are accompanied by health benefits that are worth the spending increases. |
| epic ehr cost for small practice: Implementing Strategies to Enhance Public Health Surveillance of Physical Activity in the United States National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Food and Nutrition Board, Committee on Strategies for Implementing Physical Activity Surveillance, 2019-07-19 Physical activity has far-reaching benefits for physical, mental, emotional, and social health and well-being for all segments of the population. Despite these documented health benefits and previous efforts to promote physical activity in the U.S. population, most Americans do not meet current public health guidelines for physical activity. Surveillance in public health is the ongoing systematic collection, analysis, and interpretation of outcome-specific data, which can then be used for planning, implementation and evaluation of public health practice. Surveillance of physical activity is a core public health function that is necessary for monitoring population engagement in physical activity, including participation in physical activity initiatives. Surveillance activities are guided by standard protocols and are used to establish baseline data and to track implementation and evaluation of interventions, programs, and policies that aim to increase physical activity. However, physical activity is challenging to assess because it is a complex and multidimensional behavior that varies by type, intensity, setting, motives, and environmental and social influences. The lack of surveillance systems to assess both physical activity behaviors (including walking) and physical activity environments (such as the walkability of communities) is a critical gap. Implementing Strategies to Enhance Public Health Surveillance of Physical Activity in the United States develops strategies that support the implementation of recommended actions to improve national physical activity surveillance. This report also examines and builds upon existing recommended actions. |
| epic ehr cost for small practice: The Kingdom of Thailand Health System Review Who Regional Office for the Western Pacific, 2015-09-28 The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of reform and policy initiatives in progress or under development in a specific country. Each profile is produced by country experts in collaboration with an international editor. In order to facilitate comparisons between countries, the profiles are based on a common template used by the Asia Pacific and European Observatories on Health Systems and Policies. The template provides detailed guidelines and specific questions, definitions and examples needed to compile a profile. |
| epic ehr cost for small practice: Digital Health Care Phillip Olla, Joseph Tan, 2022-05-18 Binding: NVA-- |
| epic ehr cost for small practice: Secondary Analysis of Electronic Health Records MIT Critical Data, 2016-09-09 This book trains the next generation of scientists representing different disciplines to leverage the data generated during routine patient care. It formulates a more complete lexicon of evidence-based recommendations and support shared, ethical decision making by doctors with their patients. Diagnostic and therapeutic technologies continue to evolve rapidly, and both individual practitioners and clinical teams face increasingly complex ethical decisions. Unfortunately, the current state of medical knowledge does not provide the guidance to make the majority of clinical decisions on the basis of evidence. The present research infrastructure is inefficient and frequently produces unreliable results that cannot be replicated. Even randomized controlled trials (RCTs), the traditional gold standards of the research reliability hierarchy, are not without limitations. They can be costly, labor intensive, and slow, and can return results that are seldom generalizable to every patient population. Furthermore, many pertinent but unresolved clinical and medical systems issues do not seem to have attracted the interest of the research enterprise, which has come to focus instead on cellular and molecular investigations and single-agent (e.g., a drug or device) effects. For clinicians, the end result is a bit of a “data desert” when it comes to making decisions. The new research infrastructure proposed in this book will help the medical profession to make ethically sound and well informed decisions for their patients. |
| epic ehr cost for small practice: Healthcare Digital Transformation Edward W. Marx, Paddy Padmanabhan, 2020-08-02 This book is a reference guide for healthcare executives and technology providers involved in the ongoing digital transformation of the healthcare sector. The book focuses specifically on the challenges and opportunities for health systems in their journey toward a digital future. It draws from proprietary research and public information, along with interviews with over one hundred and fifty executives in leading health systems such as Cleveland Clinic, Partners, Mayo, Kaiser, and Intermountain as well as numerous technology and retail providers. The authors explore the important role of technology and that of EHR systems, digital health innovators, and big tech firms in the ongoing digital transformation of healthcare. Importantly, the book draws on the accelerated learnings of the healthcare sector during the COVID-19 pandemic in their digital transformation efforts to adopt telehealth and virtual care models. Features of this book: Provides an understanding of the current state of digital transformation and the factors influencing the ongoing transformation of the healthcare sector. Includes interviews with executives from leading health systems. Describes the important role of emerging technologies; EHR systems, digital health innovators, and more. Includes case studies from innovative health organizations. Provides a set of templates and frameworks for developing and implementing a digital roadmap. Based on best practices from real-life examples, the book is a guidebook that provides a set of templates and frameworks for digital transformation practitioners in healthcare. |
| epic ehr cost for small practice: Advances in Pediatrics 2012 Michael S. Kappy, 2014-11-13 Each year, Advances in Pediatrics brings you the best current thinking from the preeminent practitioners in your field. A distinguished editorial board identifies current areas of major progress and controversy and invites specialists to contribute original articles on these topics. These insightful overviews bring concepts to a clinical level and explore their everyday impact on patient care. Among the topics included in this year's edition are Neuroblastoma, Cochlear Implants, Pediatric Epilepsy, Pediatric Intestinal Failure, Immunization Update, and Nurtional Recommendations, to name a few. Each edition has a tradition of honoring those who contributed greatly to pediatrics in the Foundations of Pediatrics segment; this edition features Waldo Nelson, MD, a giant in the field, as the annual honoree. |
| epic ehr cost for small practice: Casino Healthcare Dan Munro, 2016-03-25 Author Michael Lewis was recently interviewed by Steve Kroft on 60 Minutes and a quote from that interview was the inspiration and influence for Casino Healthcare.If it wasn't complicated, it wouldn't be allowed to happen. The complexity disguises what's happening. If it's so complicated that you can't understand it - then you can't question it. What he was referencing, of course, was high-speed trading on Wall Street, but the quote could just as easily be applied to healthcare. In fact, it's tailor-made.The statistics prove just how much of a casino the U.S. healthcare system has become.* As a country, we now spend over $10,000 per year - for each person - just on healthcare.* Measured as an economic unit, U.S. Healthcare is now the size of Germany. * Preventable medical errors are now the 3rd leading cause of death in the U.S. (behind cancer and heart disease). * Medical debt is the leading cause of personal bankruptcies in the U.S.* Hospital pricing is determined by a cabal - in secret - and beyond legal challenge.* The Pharmaceutical industry - with profit margins that often eclipse tech giants like Apple and Google - paid out a whopping $15 billion in fines over the last six years - just for off-label drug marketing.* American healthcare was recently ranked dead last when compared to 10 other countries.The system has become so complex and opaque that most Americans have simply given up on understanding how it works. Whole families are crushed in this casino trying to pay for unanticipated medical expenses, many of which are immediate, unavoidable and life threatening. The huge expense might be defensible if the system delivered exceptional quality, but it doesn't. When the World Health Organization last ranked health systems, the U.S. came in at #37 - just ahead of #38 (Slovenia) and behind #36 (Costa Rica).Casino Healthcare is not a theoretical policy book for the elite, but a book that penetrates the blanket of fog surrounding a major - and growing - household expense. With the research and style of an investigative journalist, the book is easy to understand and accessible by every American. The U.S. healthcare system was never designed from whole cloth with a strategic vision or intent, but instead it has evolved through the decades with a host of legislative patches and temporary fixes. The reason for this is simple. When a casino is generating profits of this magnitude it's critical to keep the casino humming and almost impossible to close it. Rick Scott - now the Governor of Florida - captured the enormous scale of this challenge with this simple two-sentence quote:How many businesses do you know that want to cut their revenue in half? That's why the healthcare system won't change the healthcare system. Americans have a right to be angry with how the U.S. healthcare system has been hijacked for revenue and profits. One analyst recently categorized it as legalized extortion on a national scale. In the same way that Michael Lewis exposed the complexity of high-speed trading on Wall Street, Casino Healthcare will expose the U.S. healthcare system for what it really is - a giant casino of epic proportions where the risks are both personal and nothing less than the health of an entire nation. |
| epic ehr cost for small practice: Pharmacoeconomics Renee J. G. Arnold, 2016-04-19 The pharmaceutical industry is almost boundless in its ability to supply new drug therapies, but how does one decide which are the best medicines to use within restricted budgets? With particular emphasis on modeling, methodologies, data sources, and application to real-world dilemmas, Pharmacoeconomics: From Theory to Practice provides an introduc |
| epic ehr cost for small practice: Establishing Effective Patient Navigation Programs in Oncology National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Care Services, National Cancer Policy Forum, 2018-08-13 Delivering high-quality cancer care to all patients presents numerous challenges, including difficulties with care coordination and access. Patient navigation is a community-based service delivery intervention designed to promote access to timely diagnosis and treatment of cancer and other chronic diseases by eliminating barriers to care, and has often been proposed and implemented to address these challenges. However, unresolved questions include where patient navigation programs should be deployed, and which patients should be prioritized to receive navigation services when resources are limited. To address these issues and facilitate discussion on how to improve navigation services for patients with cancer, the National Cancer Policy Forum of the National Academies of Sciences, Engineering, and Medicine held a workshop on November 13 and 14, 2017. At this workshop, a broad range of experts and stakeholders, including clinicians, navigators, researchers, and patients, explored which patients need navigation and who should serve as navigators, and the benefits of navigation and current gaps in the evidence base. |
| epic ehr cost for small practice: Healthcare Information Management Systems Marion J. Ball, Charlotte Weaver, Joan Kiel, Donald W. Simborg, Judith V. Douglas, James W. Albright, 2013-04-17 Aimed at health care professionals, this book looks beyond traditional information systems and shows how hospitals and other health care providers can attain a competitive edge. Speaking practitioner to practitioner, the authors explain how they use information technology to manage their health care institutions and to support the delivery of clinical care. This second edition incorporates the far-reaching advances of the last few years, which have moved the field of health informatics from the realm of theory into that of practice. Major new themes, such as a national information infrastructure and community networks, guidelines for case management, and community education and resource centres are added, while such topics as clinical and blood banking have been thoroughly updated. |
| epic ehr cost for small practice: Capturing Social and Behavioral Domains and Measures in Electronic Health Records Institute of Medicine, Board on Population Health and Public Health Practice, Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records, 2015-01-08 Determinants of health - like physical activity levels and living conditions - have traditionally been the concern of public health and have not been linked closely to clinical practice. However, if standardized social and behavioral data can be incorporated into patient electronic health records (EHRs), those data can provide crucial information about factors that influence health and the effectiveness of treatment. Such information is useful for diagnosis, treatment choices, policy, health care system design, and innovations to improve health outcomes and reduce health care costs. Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 identifies domains and measures that capture the social determinants of health to inform the development of recommendations for the meaningful use of EHRs. This report is the second part of a two-part study. The Phase 1 report identified 17 domains for inclusion in EHRs. This report pinpoints 12 measures related to 11 of the initial domains and considers the implications of incorporating them into all EHRs. This book includes three chapters from the Phase 1 report in addition to the new Phase 2 material. Standardized use of EHRs that include social and behavioral domains could provide better patient care, improve population health, and enable more informative research. The recommendations of Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 will provide valuable information on which to base problem identification, clinical diagnoses, patient treatment, outcomes assessment, and population health measurement. |
| epic ehr cost for small practice: Healthcare Data Analytics Chandan K. Reddy, Charu C. Aggarwal, 2015-06-23 At the intersection of computer science and healthcare, data analytics has emerged as a promising tool for solving problems across many healthcare-related disciplines. Supplying a comprehensive overview of recent healthcare analytics research, Healthcare Data Analytics provides a clear understanding of the analytical techniques currently available |
| epic ehr cost for small practice: Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Sciences Policy, Board on Health Care Services, Forum on Mental Health and Substance Use Disorders, 2021-01-30 Behavioral health conditions, which include mental health and substance use disorders, affect approximately 20 percent of Americans. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. As many as 80 percent of patients with behavioral health conditions seek treatment in emergency rooms and primary care clinics, and between 60 and 70 percent of them are discharged without receiving behavioral health care services. More than two-thirds of primary care providers report that they are unable to connect patients with behavioral health providers because of a shortage of mental health providers and health insurance barriers. Part of the explanation for the lack of access to care lies in a historical legacy of discrimination and stigma that makes people reluctant to seek help and also led to segregated and inhumane services for those facing mental health and substance use disorders. In an effort to understanding the challenges and opportunities of providing essential components of care for people with mental health and substance use disorders in primary care settings, the National Academies of Sciences, Engineering, and Medicine's Forum on Mental Health and Substance Use Disorders convened three webinars held on June 3, July 29, and August 26, 2020. The webinars addressed efforts to define essential components of care for people with mental health and substance use disorders in the primary care setting for depression, alcohol use disorders, and opioid use disorders; opportunities to build the health care workforce and delivery models that incorporate those essential components of care; and financial incentives and payment structures to support the implementation of those care models, including value-based payment strategies and practice-level incentives. This publication summarizes the presentations and discussion of the webinars. |
| epic ehr cost for small practice: Implementing an Electronic Health Record System James M. Walker, Eric J. Bieber, Frank Richards, Sandra Buckley, 2006-08-07 - Practical in its scope and coverage, the authors have provided a tool-kit for the medical professional in the often complex field of medical informatics - All editors are from the Geisinger Health System, which has one of the largest Electron Health systmes in the USA, and is high in the list of the AMIA 100 Most Wire healthcare systems - Describes the latest successes and pitfalls |
| epic ehr cost for small practice: Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy Mark W. Friedberg, 2013-10-09 This report presents the results of a series of surveys and semistructured interviews intended to identify and characterize determinants of physician professional satisfaction. |
| epic ehr cost for small practice: Biomedical Informatics Edward H. Shortliffe, James J. Cimino, 2013-12-02 The practice of modern medicine and biomedical research requires sophisticated information technologies with which to manage patient information, plan diagnostic procedures, interpret laboratory results, and carry out investigations. Biomedical Informatics provides both a conceptual framework and a practical inspiration for this swiftly emerging scientific discipline at the intersection of computer science, decision science, information science, cognitive science, and biomedicine. Now revised and in its third edition, this text meets the growing demand by practitioners, researchers, and students for a comprehensive introduction to key topics in the field. Authored by leaders in medical informatics and extensively tested in their courses, the chapters in this volume constitute an effective textbook for students of medical informatics and its areas of application. The book is also a useful reference work for individual readers needing to understand the role that computers can play in the provision of clinical services and the pursuit of biological questions. The volume is organized so as first to explain basic concepts and then to illustrate them with specific systems and technologies. |
| epic ehr cost for small practice: The Doctor and Mr. Dylan Rick Novak, 2017-10-06 This is the second edition of the 2014 bestselling medical-legal novel. Dr. Nico Antone, an anesthesiologist at Stanford University, is married to Alexandra, a high-powered real estate agent obsessed with money. Their son, Johnny, an 11th-grader with immense potential, struggles to get the grades he'll need to attend an Ivy League college. After a screaming match with Alexandra, Nico moves himself and Johnny from Palo Alto, California, to his frozen childhood home of Hibbing, Minnesota. The move helps Johnny improve his grades and thus seem more attractive to universities, but Nico loves the freedom from his wife. Hibbing also happens to be the hometown of music icon Bob Dylan. Joining the hospital staff, Nico runs afoul of a psychotic nurse anesthetist who calls himself Bobby Dylan, who plays Dylan songs twice a week in a bar called Heaven's Door, and who believes he is the real Bob Dylan. As Nico and Johnny settle in at Hibbing, their lives turn around, until the soulless Alexandra dies, which accelerates the downfall of Dr. Antone, who is accused of her murder. The medical realism and subsequent courtroom realism and big university atmosphere versus small Minnesota town make this novel ring true. The author's medical expertise is central to the plot, and the author's career as a medical expert witness brings sizzling energy to the concluding courtroom scenes. |
| epic ehr cost for small practice: The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine’s Computer Age Robert Wachter, 2015-04-10 The New York Times Science Bestseller from Robert Wachter, Modern Healthcare’s #1 Most Influential Physician-Executive in the US While modern medicine produces miracles, it also delivers care that is too often unsafe, unreliable, unsatisfying, and impossibly expensive. For the past few decades, technology has been touted as the cure for all of healthcare’s ills. But medicine stubbornly resisted computerization – until now. Over the past five years, thanks largely to billions of dollars in federal incentives, healthcare has finally gone digital. Yet once clinicians started using computers to actually deliver care, it dawned on them that something was deeply wrong. Why were doctors no longer making eye contact with their patients? How could one of America’s leading hospitals give a teenager a 39-fold overdose of a common antibiotic, despite a state-of-the-art computerized prescribing system? How could a recruiting ad for physicians tout the absence of an electronic medical record as a major selling point? Logically enough, we’ve pinned the problems on clunky software, flawed implementations, absurd regulations, and bad karma. It was all of those things, but it was also something far more complicated. And far more interesting . . . Written with a rare combination of compelling stories and hard-hitting analysis by one of the nation’s most thoughtful physicians, The Digital Doctor examines healthcare at the dawn of its computer age. It tackles the hard questions, from how technology is changing care at the bedside to whether government intervention has been useful or destructive. And it does so with clarity, insight, humor, and compassion. Ultimately, it is a hopeful story. We need to recognize that computers in healthcare don’t simply replace my doctor’s scrawl with Helvetica 12, writes the author Dr. Robert Wachter. Instead, they transform the work, the people who do it, and their relationships with each other and with patients. . . . Sure, we should have thought of this sooner. But it’s not too late to get it right. This riveting book offers the prescription for getting it right, making it essential reading for everyone – patient and provider alike – who cares about our healthcare system. |
| epic ehr cost for small practice: Key Capabilities of an Electronic Health Record System Institute of Medicine, Board on Health Care Services, Committee on Data Standards for Patient Safety, 2003-07-31 Commissioned by the Department of Health and Human Services, Key Capabilities of an Electronic Health Record System provides guidance on the most significant care delivery-related capabilities of electronic health record (EHR) systems. There is a great deal of interest in both the public and private sectors in encouraging all health care providers to migrate from paper-based health records to a system that stores health information electronically and employs computer-aided decision support systems. In part, this interest is due to a growing recognition that a stronger information technology infrastructure is integral to addressing national concerns such as the need to improve the safety and the quality of health care, rising health care costs, and matters of homeland security related to the health sector. Key Capabilities of an Electronic Health Record System provides a set of basic functionalities that an EHR system must employ to promote patient safety, including detailed patient data (e.g., diagnoses, allergies, laboratory results), as well as decision-support capabilities (e.g., the ability to alert providers to potential drug-drug interactions). The book examines care delivery functions, such as database management and the use of health care data standards to better advance the safety, quality, and efficiency of health care in the United States. |
| epic ehr cost for small practice: Redesigning the Clinical Effectiveness Research Paradigm Institute of Medicine, Roundtable on Value and Science-Driven Health Care, 2010-10-20 Recent scientific and technological advances have accelerated our understanding of the causes of disease development and progression, and resulted in innovative treatments and therapies. Ongoing work to elucidate the effects of individual genetic variation on patient outcomes suggests the rapid pace of discovery in the biomedical sciences will only accelerate. However, these advances belie an important and increasing shortfall between the expansion in therapy and treatment options and knowledge about how these interventions might be applied appropriately to individual patients. The impressive gains made in Americans' health over the past decades provide only a preview of what might be possible when data on treatment effects and patient outcomes are systematically captured and used to evaluate their effectiveness. Needed for progress are advances as dramatic as those experienced in biomedicine in our approach to assessing clinical effectiveness. In the emerging era of tailored treatments and rapidly evolving practice, ensuring the translation of scientific discovery into improved health outcomes requires a new approach to clinical evaluation. A paradigm that supports a continual learning process about what works best for individual patients will not only take advantage of the rigor of trials, but also incorporate other methods that might bring insights relevant to clinical care and endeavor to match the right method to the question at hand. The Institute of Medicine Roundtable on Value & Science-Driven Health Care's vision for a learning healthcare system, in which evidence is applied and generated as a natural course of care, is premised on the development of a research capacity that is structured to provide timely and accurate evidence relevant to the clinical decisions faced by patients and providers. As part of the Roundtable's Learning Healthcare System series of workshops, clinical researchers, academics, and policy makers gathered for the workshop Redesigning the Clinical Effectiveness Research Paradigm: Innovation and Practice-Based Approaches. Participants explored cutting-edge research designs and methods and discussed strategies for development of a research paradigm to better accommodate the diverse array of emerging data resources, study designs, tools, and techniques. Presentations and discussions are summarized in this volume. |
| epic ehr cost for small practice: Improving Outcomes with Clinical Decision Support Jerome A. Osheroff, MD, FACP, FACMI, Jonathan M. T, 2012 |
| epic ehr cost for small practice: Procuring Interoperability National Academy of Medicine, The Learning Health System Series, 2023-09-03 Realizing the promise of digital technology will depend on the ability to share information across time and space from multiple devices, sources, systems, and organizations. The major barrier to progress is not technical; rather, it is in the failure of organizational demand and purchasing requirements. In contrast to many other industries, the purchasers of health care technologies have not marshaled their purchasing power to drive interoperability as a key requirement. Better procurement practices, supported by compatible interoperability platforms and architecture, will allow for better, safer patient care; reduced administrative workload for clinicians; protection from cybersecurity attacks; and significant financial savings across multiple markets. With funding support from the Gordon and Betty Moore Foundation, this National Academy of Medicine Special Publication represents a multi-stakeholder exploration of the path toward achieving large-scale interoperability through strategic acquisition of health information technology solutions and devices. In this publication, data exchanges over three environments are identified as critical to achieving interoperability: facility-to-facility (macro-tier); intra-facility (meso-tier); and at point-of-care (micro-tier). The publication further identifies the key characteristics of information exchange involved in health and health care, the nature of the requirements for functional interoperability in care processes, the mapping of those requirements into prevailing contracting practices, the specification of the steps necessary to achieve system-wide interoperability, and the proposal of a roadmap for using procurement specifications to engage those steps. The publication concludes with a series of checklists to be used by health care organizations and other stakeholders to accelerate progress in achieving system-wide interoperability. |
| epic ehr cost for small practice: Mistreated Robert Pearl, 2017-05-02 The biggest problem in American health care is us Do you know how to tell good health care from bad health care? Guess again. As patients, we wrongly assume the best care is dependent mainly on the newest medications, the most complex treatments, and the smartest doctors. But Americans look for health-care solutions in the wrong places. For example, hundreds of thousands of lives could be saved each year if doctors reduced common errors and maximized preventive medicine. For Dr. Robert Pearl, these kinds of mistakes are a matter of professional importance, but also personal significance: he lost his own father due in part to poor communication and treatment planning by doctors. And consumers make costly mistakes too: we demand modern information technology from our banks, airlines, and retailers, but we passively accept last century's technology in our health care. Solving the challenges of health care starts with understanding these problems. Mistreated explains why subconscious misperceptions are so common in medicine, and shows how modifying the structure, technology, financing, and leadership of American health care could radically improve quality outcomes. This important book proves we can overcome our fears and faulty assumptions, and provides a roadmap for a better, healthier future. |
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Dec 19, 2024 · This is for keeps just like Epic's Thursday giveaways all year-long. But keeping with recent tradition the store will be giving away a new free game every day, so you only have …
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THQ Nordic today announced that Disney Epic Mickey: Rebrushed, a faithful remake of the beloved classic adventure, is being developed by Purple Lamp in collaboration with Disney …
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Aug 27, 2024 · Step into the fantastical world of Disney Epic Mickey: Rebrushed! Try the Free Demo now and get a glimpse of Mickey Mouse’s exciting adventure in this stunningly …
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Mar 27, 2025 · The Epic Games Spring Sale is underway, offering discounts on an epic number of games between now and April 9th. To help manage the flood, a buyer’s guide is here to point …
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