• Winter 2017 Introduction

    The Winter 2017 issue of Perspectives in Health Information Management features the latest research on topics such as mobile device security, development of a web-based diabetes registry, and the use of secure clinical texting to issue patient care orders.  

Winter 2017 Issue

  • Working with an Electronic Medical Record in Ambulatory Care: A Study of Patient Perceptions of Intrusiveness

    The objective of this paper is to assess patient perceptions of electronic medical record (EMR) intrusiveness during ambulatory visits to clinics associated with a large academic medical center. We conducted a survey of patients seen at any of 98 academic medical center clinics. The survey assessed demographics, visit satisfaction, computer use, and perceived intrusiveness of the computer.  

  • The Odds of Success: Predicting Registered Health Information Administrator Exam Success

    The purpose of this study was to craft a predictive model to examine the relationship between grades in specific academic courses, overall grade point average (GPA), on-campus versus online course delivery, and success in passing the Registered Health Information Administrator (RHIA) exam on the first attempt. Because student success in passing the exam on the first attempt is assessed as part of the accreditation process, this study is important to health information management (HIM) programs.  

  • Future Research in Health Information Technology: A Review

    Currently, information technology is considered an important tool to improve healthcare services. To adopt the right technologies, policy makers should have adequate information about present and future advances. This study aimed to review and compare studies with a focus on the future of health information technology.  

  • Mobile Device Security: Perspectives of Future Healthcare Workers

    Healthcare data breaches on mobile devices continue to increase, yet the healthcare industry has not adopted mobile device security standards. This increase is disturbing because individuals are often accessing patients’ protected health information on personal mobile devices, which could lead to a data breach. This deficiency led the researchers to explore the perceptions of future healthcare workers regarding mobile device security.  

  • Development of a Web-Based Registry to Support Diabetes Care in Free Medical Clinics

    The United States has more than 1,000 free medical clinics. Because these clinics do not bill Medicare or Medicaid, they are not eligible for federal reimbursement for electronic health record (EHR) adoption. As a result, most do not have EHRs or electronic disease registries. A web-based diabetes registry was created with all open-source components for use in an urban free clinic to manage patients with type 2 diabetes and comorbidities.  

  • Secure Clinical Texting: Patient Risk in High-Acuity Care

    The Joint Commission recently authorized use of secure clinical texting to issue patient care orders and subsequently postponed final recommendations until late 2016. Potential sole or exclusive use of clinical texts to transmit care orders/information that could be delayed because of carrier-dependent transmission latency raises concern. Although texting in routine patient care may deliver high value to clinicians, the risk of latency and delayed receipt of clinically urgent or time-sensitive texted patient orders/information in high-acuity care settings can harm patients. We completed a review of 19 secure clinical text vendor websites, finding that 16 of 19 (84 percent) market their products for use specifically in high-acuity and critical patient care.