by Philip Resnik, PhD; Michael Niv, PhD; Michael Nossal, MA; Andrew Kapit; and Richard Toren Abstract We report on a study comparing unrestricted physician dictations with structured input in electronic health records. The results suggest a need for attention to the contrast between physicians’ naturally occurring language and the information permitted by structured data entry. […]
An efficient, integrated health services delivery enterprise requires the ability to coordinate service delivery across the provider network and avoid duplication of services. It must be able to associate relevant clinical information with patients regardless of which facility delivered the services. There are significant challenges in collecting, organizing, and extracting value from data collected in the course of providing healthcare.