The paper highlights the need for, and the benefits of using, simulation during the development and implementation of modern healthcare systems. Whilst healthcare establishments already utilise information systems in a wide variety of disciplines, the majority of systems are currently isolated, with patient records largely based upon manual methods. As such, it is envisaged that the establishme...

The continued growth of healthcare information systems (HCIS) promises to improve quality of care, lower costs, and streamline the entire healthcare system. But the resulting dependence on electronic medical records (EMRs) has also kindled patient concern about who has access to sensitive medical records. Healthcare organizations are obliged to protect patient records under HIPAA. The purpose o...

The introduction of a national electronic health record system to the National Health Service (NHS) has raised concerns about issues of data accuracy, security and confidentiality. The primary aim of this project was to identify the extent to which primary care patients will allow their local electronic record data to be shared on a national database. The secondary aim was to identify the exten...

of research findings. Therefore, governance committees (institutional review board) have tended to take a strict position regarding medical research involving human subjects, based on the declaration of Helsinki. There are a few limitations to using EMR data as one of the first steps in identifying individuals with a specific condition and proving simple and more complex research questions. Car...

Computer-held information is increasingly shared between general practice and hospitals and with the provisions of the Data Protection Act now in operation, the practical issues of disclosure to patients need to be reviewed. Patients attending diabetic clinics at University Hospital, Nottingham, are routinely issued with a copy of their computerheld record but a previous study showed a high lev...

CIGNA Healthcare of Arizona is using a computerized patient record system (EpicCare) for all medical care delivery at two primary care clinics. Use of this technology to improve quality of care for healthy populations and targeted groups of at-risk persons has led to population health management. This paper discusses strategies used in these endeavors.

'm committed to ensuring that all Wisconsin citizens receive quality health care. Since I took office, I have worked to lower the price of prescription drugs, help our farmers and small businesses through health care cooperatives, and preserve BadgerCare, Medical Assistance, and SeniorCare for our most vulnerable citizens despite tough budget times. However, about 30% of health care spending—up...

Chapter Overview Accessibility to a comprehensive variety of different types of structured patient data is critical to improvement in the health care process, yet most patient information is in the form of narrative text. Semantic methods are needed to interpret and map clinical information to a structured form so that the information will be accessible to other automated applications. This cha...