PURPOSE The Utah Improving Care through Connectivity and Collaboration (IC3) Beacon community (2010-2013) was spearheaded by HealthInsight, a nonprofit, community-based organization. One of the main objectives of IC(3) was to improve health care provided to patients with diabetes in three Utah counties, collaborating with 21 independent smaller clinics and two large health care enterprises. Thi...

The use of electronic health records has skyrocketed following the 2009 HITECH Act, which provides financial incentives to health care providers for the "meaningful use" of electronic medical record systems. An important component of the "Meaningful Use" legislation is the integration of Clinical Decision Support Systems (CDSS) into the computerized record, providing up-to-date medical knowledg...

BACKGROUND In a previous study, we reported on a successful clinical decision support (CDS) intervention designed to improve electronic problem list accuracy, but did not study variability of provider response to the intervention or provider attitudes towards it. The alert system accurately predicted missing problem list items based on health data captured in a patient's electronic medical reco...

Child Health Improvement through Computer Automation (CHICA) is a computer decision support system (CDSS) that interfaces with existing electronic medical record systems (EMRS) and delivers "just-in-time" patient-relevant guidelines to physicians during the clinical encounter and accurately captures structured data from all who interact with the system. "Delivering Geospatial Intelligence to He...

Physicians in the 21st century will increasingly interact in diverse ways with information systems, requiring competence in many aspects of clinical informatics. In recent years, many medical school curricula have added content in information retrieval (search) and basic use of the electronic health record. However, this omits the growing number of other ways that physicians are interacting wit...

Students in a health informatics program benefit from hands-on experience with an electronic health record (EHR). This case study reviews and explains a process of bringing the EHR and relevant patient records to students in a classroom or instructional setting at a university. We analyze and evaluate multiple options for EHR systems in an instructional setting. Following the unsuccessful imple...

An important barrier to the widespread dissemination of clinical decision support (CDS) is the heterogeneity of information models and terminologies used across healthcare institutions, health information systems, and CDS resources such as knowledge bases. To address this problem, the Health Level 7 (HL7) Virtual Medical Record project (an open, international standards development effort) is de...

OBJECTIVE a) To document the presence and use of clinical department systems (CDS) in a university hospital that implemented a hospital-wide electronic health record (EHR) in 1999 and b) To compare clinical use of the CDS with that of the EHR. METHOD Identification of CDSs in use by contacting leaders and senior physicians at clinical departments at the hospital. Identification of key propert...

Health Informatics has been defined as ‘the knowledge, skills and tools which enable information to be collected, managed, used and shared to support the delivery of health care and promote health’. However, the profession of ‘health informatician’ is a new, diverse and as yet unorganised entity. Does it have any relevance in primary care? This broad church includes many people working in healt...

introduction: electronic medical records has of practically paved the way to centralize information without being worried about physical space. although iran, from technological point of view, is able to compete with developed countries, it has fallen because of medical records technology. in this study, hospital information systems in educational hospitals in tehran province were compared with...