Successfully reporting meaningful use of electronic health records to the Centers for Medicare and Medicaid Services can be a challenging process, particularly for healthcare organizations with large numbers of eligible professionals. This case report describes a successful meaningful use attestation process undertaken at a major academic medical center. It identifies best practices in the area...

The passage of federal healthcare reform legislation, in combination with other factors, makes it likely that the next few years will be a major period of consolidation for healthcare organizations. This article examines the seven key forces reshaping healthcare delivery--from insurance industry consolidation to cost inflation to the increasing gap between financially strong and struggling prov...

In some organizational applications, the principle of allocation (PoA) and scale advantage (SA) oppose each other. While PoA implies that organizations with wide niches get punished, SA holds that large organizations gain an advantage because of scale efficiencies. The opposition occurs because many large organizations also possess wide niches. However, analyzing these theoretical mechanisms im...

BACKGROUND The Centers for Medicare and Medicaid Services Innovation Center introduced the Bundled Payments for Care Improvement (BPCI) initiative in 2011 as 1 strategy to encourage healthcare organizations and clinicians to improve healthcare delivery for patients, both when they are in the hospital and after they are discharged. Mercy Health Saint Mary's, a large urban academic medical center...

BACKGROUND Electronic health records (EHRs) are widely used in mental health services. Case registers using EHRs from secondary mental healthcare have the potential to deliver large-scale projects evaluating mental health outcomes in real-world clinical populations. METHODS We describe the Camden and Islington NHS Foundation Trust (C&I) Research Database which uses the Clinical Record Interac...

Healthcare organizations continue to make large investments in health information technology to improve quality of care and lower costs. Therefore, there is an evergrowing need to have an ever-clearer understanding of how IT investments impact these organizations. In this paper, we present an extensive review of literature on the impact of health information technology on quality. We identify a...

Organizations implement information systems (IS) to enable the capture, storage, and analysis of large datasets and inform decision-making. In the United States, government agencies are deploying IS-centric plans to remedy cost and quality issues in healthcare by aggregating and analyzing data on worker performance, patient outcomes, and administrative processes. Federal agencies hope that data...

Many healtcare organizations face the challenge of scaling up effective health care delivery. There is a growing agreement that a better understanding of the structure of the healthcare system is needed to achieve that goal. Networks analysis provides the formal framework of thought to understand such systems. Given the definition of health care system as as a network of actors who aim to provi...

Typical healthcare organizations operate as adhocracies with multiple specialized departments. Therefore, effective healthcare decision-making relies on integrating knowledge from these multiple specialties. This study shows how knowledge integration practices can synthesize expertise in healthcare information systems models. Such models embedded in reports and dashboards can support medical de...

Widespread implementation and use of electronic health record (EHR) systems has been recognized by healthcare leaders as a cornerstone strategy for systematically reducing medical errors and improving clinical quality. However, EHR adoption requires a significant capital investment for healthcare providers, and cost is often cited as a barrier. Despite the capital requirements, a true business ...