Articles

Moving from Quality Measurement to Quality Improvement: Applying Meaningful Use Lessons to the Quality Payment Program

2019 Fall
Although the federal electronic health record (EHR) incentive program has ended, the need to effectively implement and use EHRs has not. The advent of the federal Quality Payment Program has made effective use of EHRs more critical than ever, especially for clinical quality measurement and improvement. However, practices continue to face challenges in successfully implementing and using EHRs to achieve these aims. We used a multiple case study approach to understand how physician practices were using EHR data to measure and improve quality.
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Compliance & Regulations

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2019 Fall

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Why Residency Programs Should Not Ignore the Electronic Heath Record after Adoption

2019 Fall
During residency training, one of the tools residents learn to use is the electronic health record (EHR). The EHR contains up-to-date medical data that are crucial to the care of the patient; thus the provider must know what is pertinent, where to locate it, and how to efficiently document the data for ongoing communication of patient care. Because institutions may have different EHR vendors, EHR workflow study data are often obtained in single institutions, with a limited number of participants and specialties.
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Electronic Records

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2019 Fall

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Use of Technology in the Management of Obesity: A Literature Review

2019 Fall
Technology is intended to assist with diagnosing, treating, and monitoring patients remotely. Little is known of its impact on health outcomes or how it is used for obesity management. This study reviewed the literature to identify the different types of technologies used for obesity management and their outcomes.
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Information Technology

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2019 Fall

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Evidence-based Operations Management in Health Information Management: A Case Study

2019 Fall
This is a case study of the evidence-based management practices of a centralized health information management department in a large integrated healthcare delivery system. The case study used interviews and focus groups, as well as de-identified dashboards, to explore the impact of reporting on the organization.
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HIM Operations

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2019 Fall

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Drowning in Data: Workflow Changes Improve the Collection of Clinically Relevant and Actionable Data

2019 Fall
The implantable loop recorder is valuable for recording and evaluating clinically relevant arrhythmias. Devices with wireless capabilities are programmed to automatically transmit data to a secure website for retrieval by cardiology staff. However, increased data review time, memory saturation, and overwriting of true arrhythmia episodes can result unless alerts are programmed to appropriately detect meaningful (or actionable) cardiac data.
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Information Technology

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2019 Fall

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Developing and Implementing Health Information Management Document Imaging Productivity Standards: A Case Study from an Acute Care Community Hospital

2019 Fall
As health information management (HIM) shifts from paper-based medical records to electronic medical documentation, HIM professionals must appropriately manage their resources to produce higher results for their organization’s operational and financial indicators. This case study highlights the experience of the HIM department in a small Florida community hospital in analyzing existing productivity standards and developing new standards with the purpose of improving the document imaging process.
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HIM Operations

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2019 Fall

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An Exploration of the Association between Inpatient Access to Tablets and Patient Satisfaction with Hospital Care

2019 Fall
Patient-centered care seeks to improve healthcare quality by engaging patients in their health management. Hospitals are employing strategies to enhance patient engagement to improve care quality, as measured by patient satisfaction through the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Tablets are one tool hospitals use to increase patient engagement during hospitalization, as tablets can provide patients with access to both entertainment options and personal health information through patient portals.
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Information Technology

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2019 Fall

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A Framework for Performance Comparison among Major Electronic Health Record Systems

2019 Fall
While nearly all hospitals have adopted electronic health record (EHR) systems, some are dissatisfied and considering replacement systems to better address unique organizational needs and priorities. With more than 4,000 certified health information technology products available, comparing the vast number of EHR options is complex. This study tested the hypothesis that various EHR systems demonstrate different financial and quality performance and presented a framework for comparison.
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Information Technology

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2019 Fall

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Developing and Evaluating Parents’ Satisfaction with a Website to Manage Pediatric Asthma

2019 Summer
Asthma is one of the most common chronic diseases of childhood. Despite advances in its treatment, without proper treatment pediatric asthma may progress to adult asthma. One of the factors that can lead to a delay in the diagnosis of childhood asthma or lack of appropriate treatment is lack of understanding of the signs and symptoms of the disease and the ways to prevent and control it. Therefore, education of patients and their parents is essential to prevent and treat asthma in childhood.
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Information Technology

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2019 Summer

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Strategies to Reduce Hospital Readmission Rates in a Non-Medicaid-Expansion State

2019 Summer
On October 1, 2012, as part of the Affordable Care Act, the Centers for Medicare and Medicaid Services began to reduce payments to hospitals with excessive rehospitalization rates through the Hospital Readmissions Reduction Program. These financial penalties have intensified hospital leaders’ efforts to implement strategies to reduce readmission rates. The purpose of this multiple case study was to explore organizational strategies that leaders use to reduce readmission rates in hospitals located in a non-Medicaid-expansion state.
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Compliance & Regulations

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2019 Summer

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An Exploratory Study Demonstrating the Health Information Management Profession as a STEM Discipline

2019 Summer
It is time to make the case for health information management (HIM) to be included in science, technology, engineering, and math (STEM) education. A careful review of the HIM competencies approved by the American Health Information Management Association illustrates the role of HIM professionals in informatics, data analytics, and data use.
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Education & Careers

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2019 Summer

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Cyber-Analytics: Identifying Discriminants of Data Breaches

2019 Summer
Healthcare data breaches continue to occur at extraordinary rates, leaving analysts challenged to identify the factors associated with data breach occurrences. Between 2009 and 2017, 2,457 healthcare data breaches were reported to the Department of Health and Human Services. Breached facilities face heavy fines and litigation.
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Privacy and Security

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2019 Summer

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Articles

Moving from Quality Measurement to Quality Improvement: Applying Meaningful Use Lessons to the Quality Payment Program

Why Residency Programs Should Not Ignore the Electronic Heath Record after Adoption

Use of Technology in the Management of Obesity: A Literature Review

Evidence-based Operations Management in Health Information Management: A Case Study

Drowning in Data: Workflow Changes Improve the Collection of Clinically Relevant and Actionable Data

Developing and Implementing Health Information Management Document Imaging Productivity Standards: A Case Study from an Acute Care Community Hospital

An Exploration of the Association between Inpatient Access to Tablets and Patient Satisfaction with Hospital Care

A Framework for Performance Comparison among Major Electronic Health Record Systems

Developing and Evaluating Parents’ Satisfaction with a Website to Manage Pediatric Asthma

Strategies to Reduce Hospital Readmission Rates in a Non-Medicaid-Expansion State

An Exploratory Study Demonstrating the Health Information Management Profession as a STEM Discipline

Cyber-Analytics: Identifying Discriminants of Data Breaches

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