Today's healthcare environment is characterized by a multitude of changes: acquisitions and mergers, streamlining of operations, restructuring and leadership shifts, new regulatory requirements with the 10th revision of the International Statistical Classification of Diseases and Related Health Problems, implementation and meaningful use, and advances in technology driven by the employment of e...

the interactive effects of adjacent buildings on their seismic performance are not frequently considered in seismic design. the adjacent buildings, however, are interrelated through the soil during seismic ground motions. the seismic energy is redistributed in the neighboring buildings through multiple structure-soil-structure interactions (sssi). for example, in an area congested with many nea...

The article identifies the explosion of clinical data that are available and how difficult it is for clinicians to find answers to clinical questions. Electronic healthcare records (EHRs) are increasingly used to assist clinicians in this process; however, resistance to the implementation of technology-assisted care is not uncommon. The article reviews the diffusion of innovation research and p...

Imagine you're on a family vacation on the other side of the world. Your daughter becomes suddenly ill and must be hospitalized. Immediately, her physician queries the Internet, entering her universal health identification number and, within seconds, accesses her complete medical history. Appropriate treatment is provided, and, within hours, she is on her way to a speedy recovery. Important? Yo...

Over the past year, several payers, employers, and commercial vendors have announced personal health record projects. Few of these are widely deployed and few are fully integrated into ambulatory or hospital-based electronic record systems. The earliest adopters of personal health records have many lessons learned that can inform these new initiatives. We present three case studies--MyChart at ...

Determining the accuracy of the electronic medical record (EMR) is vital to the progress of practice-based research. The aim of this study was to determine the agreement between the EMR and other sources of signalment data. Data were gathered during direct observation of small animal consultations in eight veterinary practices. Breed, age, sex and neuter status were recorded, where available, f...