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Electronic Records

Rural Access and Usage of Patient Portals: A 2019 Health Information National Trends Survey Analysis

By Grishma P. Bhavsar, PhD, MPH; Ashley S. Robertson, PhD, JD; and Dalton Pena, MSHA

To examine differences in rural and urban respondents’ use of and access to patient portals in the United States, this study used the 2019 National Cancer Institute’s Health Information National Trends Survey (HINTS) 5, Cycle 3. A cross-sectional secondary data analysis utilizing...
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Human Factors in Electronic Health Records Cybersecurity Breach: An Exploratory Analysis

By Liu Hua Yeo, MS, and James Banfield, PhD

The healthcare sector continues to be the industry suffering one of the highest costs of a data security breach. Healthcare lags behind other industries in cybersecurity preparedness despite advances in cybersecurity technologies. Technical safeguards to protect electronic health records must be...
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A Local Perspective into Electronic Health Record Design, Integration, and Implementation of Screening and Referral for Social Determinants of Health

By Christopher K. Rogers, PhD, MPH; Manisha Parulekar, MD, FACP, AGSF, CMD; Fareeha Malik, MPH; and Ciara A Torres, PhD

The use of the electronic health record (EHR) system to identify and address social determinants of health (SDOH) in vulnerable patients is still lacking, and examples for customizing the EHR to meet the workflows of clinical and administrative professionals are missing. We custom designed and...
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Are You Using the Right Electronic Health Record?

By Maria D. Joyce, MBA, CPA; Carl Buising, MD; Juergen A. Klenk, PhD; Michelle Lardner, DNP, RN; Rachael Schacherer, MPP; Jonathan Wachtel, MBA; Rayneisha Watson; and Jon W. McKeeby, DSc, MBA, CPHIMS, CPHI

The National Institutes of Health (NIH) Clinical Center (CC) implemented its EHR in 2004 and, recognizing all of the new participants, technologies, and the advancement of clinical research needs since then, made the decision to embark on a comprehensive business case analysis to evaluate the...
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Observing Provider Utilization of Electronic Health Records to Improve Clinical Quality Metrics

By Kevin Brooks, PhD; Molly Polverento, MSEd, CPH; Laura Houdeshell-Putt, DPH; Erin Sarzynski, MD; and Sabrina Ford, PhD

This study compared changes of healthcare quality in a Michigan Medicaid population before and after physician adoption of electronic health records (EHRs) via the Meaningful Use (MU) program for selected Healthcare Effectiveness Data and Information Set (HEDIS) quality of care...
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Evaluation of Physicians’ Electronic Health Records Experience Using Actual and Perceived Measures

By Saif Khairat, PhD; Cameron Coleman, MD; Paige Ottmar, MHA, MSIS; Thomas Bice, MD, MSc; and Shannon S. Carson, MD

Inadequate electronic health record (EHR) interface design hinders the physician-EHR experience, which may lead to increase physician frustration and fatigue levels. The objective of this study was to examine the physician EHR experience by evaluating the congruency between actual and...
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