• Fall 2018 Introduction

    The Fall 2018 issue of Perspectives in Health Information Management features a first-person account of the need for formal mechanisms in place to deliver clinically relevant information to clinicians as well as a study developing and testing a health insurance literacy model.  

Fall 2018 Issue

  • Selection of an Electronic Health Record System for a Community-based Integrative Oncology Center

    This case report describes an integrative oncology center’s selection of an electronic health record system. The goal is to provide a process framework for community integrative cancer care centers engaging in the selection of an oncology-focused system. A core team of experts from the practice assessed needs, held formative meetings, identified a set of candidate vendors to present, and held summative assessment meetings to select the product.  

  • Using Health Information Exchange to Support Community-based Innovations

    Health information exchange (HIE) involves sharing information across organizations. Effective HIE gives providers across organizations a comprehensive view of the patient that can improve the accuracy of health information to support clinical care. We sought to understand how grantees funded by the Centers for Medicare and Medicaid Services Health Care Innovation Awards used HIE for community resource planning.  

  • Computable Phenotypes: Standardized Ways to Classify People Using Electronic Health Record Data

    Computable phenotypes (CPs) are an increasingly important structured and reproducible method of using electronic health record data to classify people. CPs have the potential to provide important benefits to health information management (HIM) professionals in their everyday work. A CP is a precise algorithm, including inclusion and exclusion criteria, that can be used to identify a cohort of patients with a specific set of observable and measurable traits. With the use of CPs, a series of technical steps can be taken to automatically identify people with specific traits, such as people with a particular disease or condition.  

  • Patient-generated Data: A Double-edged Sword

    My father died in the critical care unit as a result of blood clots in his lungs after residents reintubated him when he had a panic attack in the middle of the night. The information that he had a low platelet count as a side effect of a cancer drug he was taking as part of a clinical trial had fallen through the cracks every time new clinicians came into his room. Although I had reminded them of this information daily to ensure that he received regular infusions as prescribed by his oncologist, the clinicians on the night shift did not consider this information.  

  • Telepharmacy and Access to Pharmaceutical Services in Rural Areas

    Access to pharmaceutical services in rural areas has been affected by a national shortage of pharmacists. Telepharmacy, a subspecialty of telemedicine, has involved the utilization of telecommunications to deliver pharmaceutical services to consumers located at a distance. The number of telepharmacy programs in the United States and worldwide has been progressively increasing. The purpose of this research project was to examine the effect of the utilization of telepharmacy on rural hospitals’ access to pharmaceutical services.