This research-in-progress investigates EHR adoption in small primary care practices. By surveying 19 small physician offices, the preliminary findings suggest that small practices who have adopted EHRs perceive substantial benefits in ensuring that patients benefit from the quality care. The findings also imply that more small practices need to be reached out and small practices physicians be a...

The North Shore-LIJ Health System is the third-largest nonsectarian health system in the country. Created in 1998, the health system’s laboratory model consists of a strategically located core lab that uses total laboratory automation and offers consolidated testing, a rapid response lab in each of the system’s 18 hospitals, a standardized LIS, and standardized laboratory instrumentation. The c...

Denmark is one of the world's leading countries in the use of health care technology. Virtually all primary care physicians have electronic medical records with full clinical functionality. Their systems are also connected to a national network, which allows them to electronically send and receive clinical data to and from consultant specialists, hospitals, pharmacies, and other health care pro...

The role of a quality improvement organization (QIO) is to assist healthcare providers in making successful and meaningful changes in the way care is delivered and in improving outcomes of that care. While traditional activities in this role addressed specific clinical indicators, the QIO role has evolved to include the promotion of Health Information Technology (HIT) and the use of Electronic ...

BACKGROUND Influenza poses concerns about epidemic respiratory infection. Interventions designed to prevent the spread of respiratory infection within family physician (FP) offices could potentially have a significant positive influence on the health of Canadians. The main purpose of this paper is to estimate the explicit costs of such an intervention. METHODS A cost analysis of a respiratory...

The U.S. Bureau of Labor Statistics forecasts demand for registered nurses (RNs) will result in 3.5 million nursing jobs by 2020, marking a 26% increase over 10 years. RN employment is expected to grow most rapidly in outpatient settings--particularly physician offices--and home health care. The Affordable Care Act will likely impact the places where RNs work, and the skills they need to be suc...

Beginning in 1984, the long-term trend of increasing utilization of inpatient hospital care by Medicare enrollees reversed. As Medicare patients increasingly received care in outpatient hospital facilities, ambulatory surgical centers, and physicians' offices, the structure of charges for physicians' services changed significantly. Medical services by physicians in inpatient hospitals declined ...

The accuracy of the Surecell Chlamydia Test Kit (Kodak Clinical Products, Rochester, N.Y.) in detecting neonatal conjunctival infection caused by Chlamydia trachomatis was determined by comparison of this enzyme immunoassay with the isolation of C. trachomatis in tissue culture. Kodak Surecell is a rapid monoclonal antibody-based membrane capture enzyme immunoassay which can be processed in the...

San Francisco Chicago New York Washington-Baltimore Detroit The U.S. health care system is broken. Overall life expectancy has improved, but the burden of chronic illness is increasing, and racial and socioeconomic disparities in mortality are widening.1,2 Almost 50 million Americans lack health insurance, and coverage for many others is inadequate.3 The safety and reliability of care in hospit...

A joint project between the University of Cambridge Computer Laboratory and the Rank Xerox Research Centre in Cambridge has been looking at ways of using digitised video from television cameras in user interfaces for computer systems. The DigitalDesk is built around an ordinary physical desk and can be used as such, but it has extra capabilities. A video camera is mounted above the desk, pointi...