According to Sittig & Singh (2010), informaticist’s have been limited in their ability to evaluate health informatics (HI) infrastructure due to a lack of models that are designed for this purpose. They further contend that existing models do not take into account the relationship between people and hardware. Actually, these socio-technical relationships involve much more than people and technology but also include the following elements: • Hardware such as personal computers, tablets, peripheral devices and networks that interconnect this hardware, • Software • Physical surrounding • Individuals, groups of people (sales staff), roles (sale manager) and agencies (Centers for Medicare and Medicaid. • Procedures both written and unwritten • Laws and regulations (like procedures by are codified by society) • Data & Data structures (what and how data is collected and stored) (“Why a Socio-Technical,” n.d.) Furthermore, the models that do exist for analyzing HI infrastructure are only applicable to a particular clinical setting and do not have the ability to collect and monitor metrics a...
If patients constantly have to wait an excessive amount of time they will either leave before they receive care or could end up becoming sicker as a result. Donabedian’s three-element model structure, process and outcome have become the gold standard for defining quality measurement (Varkey, 2010). Structure relates to the health care setting, which includes the hospital policies, procedures and design. Process evaluates if the right actions were taken for an intended outcome and how well the actions were executed to achieve the outcome. Outcome focuses on the patient, it measures the patient’s condition, behavior, and response to or satisfaction with care (Varkey, 2010). Although each of these measures focus on different areas, they indicate areas that need improvement. Also, the measurement from structure and process plays an important role in the patient’s outcome. If the hospital has the right staff, equipment and
Introduction “Health informatics is the science that underlies the academic investigation and practical application of computing and communications technology to healthcare, health education and biomedical research” (UofV, 2012). This broad area of inquiry incorporates the design and optimization of information systems that support clinical practice, public health and research; understanding and optimizing the way in which biomedical data and information systems are used for decision-making; and using communications and computing technology to better educate healthcare providers, researchers and consumers. Although there are many benefits of bringing in electronic health systems there are glaring issues that associate with these systems. The
a medical HCI context. Two scenarios are given for each system. First a question regarding how a researcher
Savel, R. H., & Munro, C. L. (2013, November). Promise and pitfalls of the electronic health
The Health Information Technology for Economic and Clinical Health Act (HITECH) was put into place as part of the American Recovery and Reinvestment Act of 2009, and was signed and made a part of law in February 2009. It sponsors the adoption and meaningful use of health information technology. (www.healthcareitnews.com). There was $22 billion and of this $19.2 billion was supposed to be used as a method to increase the use or the Electronic Health Records by the doctors and healthcare facilities. (www.hitechanswers.net).
The world of healthcare changes every day. Technology, as we know it evolves and changes the actual care that patients receive and even post care as well. It has been determined that most faults are caused by system failures. When a break in the system has occurred it must then be decided where the,” inefficiencies, ineffective care and preventable errors” to then influence changes within the broken system (Hughes, 2008). Improvements sometimes can begin with measurements and benchmarks which in turn will allow organizations to assess the trouble spots and broken areas within the system. Many times those broken areas within the system will be owned by the humans who operate within these systems. According to the Institute of Medicine (IOM)
Health informatics is best described as the point where information science, medicine, and healthcare all meet. It encompasses the resources, devices, and methods required to optimize the acquisition, storage, retrieval, and the use of information in health and biomedicine. Health informatics incorporates tools such as: computers (hardware and softwar...
Administrative Mandates, including the Health Information Technology for Economic and Clinical Health (HITECH) Act, ICD-10 and HIPAA 5010, are all part of administrative simplification and the need for systems optimiza...
The next driver of importance for world health is technology. The implementation of innovative medicine is a primary interest for the U.S., Japan, and Germany (Reid, 2008). Unlike these other countries, the United States has a greater commitment to technology than it does to health care expenditures (Barton, 2010). This regard has led to changes in clinical practices and the level of knowledge of consumers (Drivers of change). Patients gather information pertaining to disease or illnesses from reliable m...
... that do not communicate with each other will need to be addressed. The implications of the American Recovery and Reinvestment Act (ARRA) and Health Information Technology for Economic and Clinical Health (HITECH) Act will lead to an investment in the transformation of healthcare systems. Ultimately, healthcare systems will become transformed to exchange health information between systems in order to deliver equitable high quality care to everyone. According to Kadry, Sanderson, and Macario (2010) clinicians need to understand workflow and recognize barriers to meaningful use. Poor user interface can lead to negative clinical outcomes (Kadry et al., 2010). Without a clear vision, “institutions will convert paper-based systems into expensive digital chaos” (Kadry et al., 2010, p. 185). Without proper workflow analysis, potentially the same outcome could occur.
Burke, L. and Weill, B. (2005). The 'Secondary' of the 'Secondary'. Information Technology for the Health Professions.
Mostashari, F. (2013). Health IT policy committee: A public advisory body on health information technology to the national coordination for health IT. Retrieved February 18, 2014, from http://www.healthit.gov/sites/default/files/hitpc_transmittal_050313_pstt_recommendations.pdf
Journal Title: Impact of Health Information Technology on the Quality of Patient Care. Introduction: Our clinical knowledge is expanding. The researchers have first proposed the concept of electronic health records (EHR) to gather and analyze every clinical outcome. By the late 1990s, computer-based patient records (CPR) were replaced with the term EHR (Wager et al., 2009).
Nesvisky, M. (2013). Does Health Information Technology Reduce Costs? NBER Digest, 4-5. Retrieved December 10, 2013 from Pubmed database http://www.nber.org/digest/oct01/w8359.html
Information and Communications Technology (ICT) is reshaping the health care system in the United States at an accelerating rate. In earlier times US Healthcare system was more focused on intervention of diseases, but now it is moving more towards preventive approach and I see Health IT as the most important tool that can lead this change. I strongly believe that my professional goals, range and depth of my experience and knowledge is an asset and my enthusiasm for the field makes me an ideal candidate for the Master of Professional Studies in Technology Management (Health Information Technology) program at Georgetown University.