PURPOSE System use is a key criterion of success in an electronic medical record (EMR) implementation, and there is little research on long-term use of systems following implementation. The aim of the paper was to describe the development, implementation and use of iSanté, Haiti's national HIV care and treatment EMR. METHODS To build a picture of the history of iSanté, we interviewed 11 staff...

We evaluate whether hospital adoption of electronic medical records (EMRs) leads to increases in billing where financial gains are large or where hassle costs of complete coding are low. The 2007 Medicare payment reform varied both financial incentives and hassle costs of coding. We find no significant impact of financial incentives on billing levels, inconsistent with bill inflation. However, ...

Public Healthcare issues have been the main focus of any governing body for last decade. Each day a large amount data is generated by individual and Medical Organizations. This information considered highly sensitive private, which needed to be securely stored protected against unauthorized access. In traditional system, all in centralized system comes with lots drawbacks. where blockchain tech...

Medical errors remain a significant problem in healthcare. This paper investigates a data-driven outlier-based monitoring and alerting framework that uses data in the Electronic Medical Records (EMRs) repositories of past patient cases to identify any unusual clinical actions in the EMR of a current patient. Our conjecture is that these unusual clinical actions correspond to medical errors ofte...

OBJECTIVE To determine the rate of adoption of electronic medical records (EMRs) by physicians across Canada, provincial incentives, and perceived benefits of and barriers to EMR adoption. DATA SOURCES Data on EMR adoption in Canada were collected from CINAHL, MEDLINE, PubMed, EMBASE, the Cochrane Library, the Health Council of Canada, Canada Health Infoway, government websites, regional EMR ...

OBJECTIVES This report presents 2006 information on adoption of electronic medical records (EMRs) in five ambulatory care settings. Use of EMR systems within these settings is presented by selected provider characteristics. METHODS Nationally representative estimates are from 2006 provider-based surveys, including the National Ambulatory Medical Care Survey (NAMCS), the National Hospital Ambu...

PURPOSE To evaluate the effect of patient cost-sharing on oral diabetes medication adherence and glycemic control. DESIGN Retrospective observational study. METHODOLOGY Medical and pharmacy claims from a managed care plan and electronic medical records (EMR) from a large physician organization in Oregon were used to identify a cohort with diabetes. Medication adherence and mean patient cost...

Theoretical and practical knowledge of the important role of social influence tactics as a managerial tool used by system implementers to persuade individuals to make use of an information system (IS) is very limited. I integrate elements from the theory of interpersonal influence and leadership with the theory of attitude change and innovation implementation to investigate the role of various ...

INTRODUCTION Starting in June 2010 the Infectious Diseases Institute (IDI) clinic (a large urban HIV out-patient facility) switched to provider-based Electronic Medical Records (EMR) from paper EMR entered in the database by data-entry clerks. Standardized clinics forms were eliminated but providers still fill free text clinical notes in physical patients' files. The objective of this study was...

Stability in clinical prediction models is crucial for transferability between studies, yet has received little attention. The problem is paramount in highdimensional data which invites sparse models with feature selection capability. We introduce an effective method to stabilize sparse Cox model of time-to-events using clinical structures inherent in Electronic Medical Records (EMR). Model est...