The impact of health information technology on the quality of medical and health care: a systematic review.
Authors: Jamal A, McKenzie K, Clark M Abstract The aim of this study was to systematically review the published evidence of the impact of health information technology (HIT) or health information systems (HIS) on the quality of healthcare, focusing on clinicians's; adherence to evidence-based guidelines and the corresponding impact this had on patient clinical outcomes. The review covered the use of health information technologies and systems in both medical care (i.e. clinical and surgical) and other areas such as allied health and preventive services. Studies were included in the review if they examined ...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

A response to Bugeja, Clapperton, Killian, Stephan and Ozanne-Smith.
Authors: Pearse J, Daking L PMID: 21905330 [PubMed - indexed for MEDLINE] (Source: Health Information Management Journal)
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Geographical information systems: an effective planning and decision-making platform for community health coalitions in Australia.
Authors: Baum S, Kendall E, Muenchberger H, Gudes O, Yigitcanlar T Abstract The development of locally-based healthcare initiatives, such as community health coalitions that focus on capacity building programs and multi-faceted responses to long-term health problems, have become an increasingly important part of the public health landscape. As a result of their complexity and the level of investment, it has become necessary to develop innovative ways to help manage these new healthcare approaches. Geographical Information Systems (GIS) have been suggested as one of the innovative approaches that will allow...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

What information do general practitioners need to care for patients with lung cancer? A survey of general practitioners perceptions.
This study illustrates the desire by GPs to receive information from all members of the hospital-based lung cancer team if it is relevant to the ongoing care of their patient. Technology-enabled solutions, such as an electronic multidisciplinary discharge summary, the electronic health record and the person-controlled electronic health record, offer strategies to improve both timeliness and access to information. PMID: 20335645 [PubMed - indexed for MEDLINE] (Source: Health Information Management Journal)
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

ICT applications as e-health solutions in rural healthcare in the Eastern Cape Province of South Africa.
This study focused on factors perceived to influence the uptake and use of ICTs as e-health solutions in selected rural Eastern Cape healthcare centres, and on structural variables relating to these facilities and processes. Attention was also given to two psychological variables that may underlie an individual&s acceptance and use of ICTs: usefulness and ease of use. Recommendations are made with regard to how ICTs can be used more effectively to improve health systems at fi ve rural healthcare centres where questionnaire and interview data were collected: St. Lucy&s Hospital, Nessie Knight Hospital, the Tsilitwa ...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

The development and design of an electronic patient record using open source web-based technology.
Authors: Syed-Mohamad SM, Ali SH, Mat-Husin MN Abstract This paper describes the method used to develop the One Stop Crisis Centre (OSCC) Portal, an open source web-based electronic patient record system (EPR) for the One Stop Crisis Center, Hospital Universiti Sains Malaysia (HUSM) in Kelantan, Malaysia. Features and functionalities of the system are presented to demonstrate the workflow. Use of the OSCC Portal improved data integration and data communication and contributed to improvements in care management. With implementation of the OSCC portal, improved coordination between disciplines and standardis...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Translating knowledge into practice and policy: the role of knowledge networks in primary health care.
Authors: Armstrong K, Kendall E Abstract The translation of information into practice is a well-recognised challenge for the health sector. In the primary healthcare sector, the last decade has seen an explosion of information generated by health systems, universities and a range of other sources. Without a system for translating that knowledge into practice and sharing it in a comprehensible form, it will remain meaningless to most practitioners. We propose the establishment of Knowledge Networks as a promising method for supporting the rapid adoption and generation of health information within the primar...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Rethinking health planning: a framework for organising information to underpin collaborative health planning.
Authors: Gudes O, Kendall E, Yigitcanlar T, Pathak V, Baum S Abstract The field of collaborative health planning faces significant challenges created by the narrow focus of the available information, the absence of a framework to organise that information and the lack of systems to make information accessible and guide decision-making. These challenges have been magnified by the rise of the 'healthy communities movement', resulting in more frequent calls for localised, collaborative and evidence-driven health related decision-making. This paper discusses the role of decision support systems as a mechanism ...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Professional practice and innovation: Chronic disease, geographic location and socioeconomic disadvantage as obstacles to equitable access to e-health.
Authors: Han JH, Sunderland N, Kendall E, Gudes O, Henniker G Abstract Despite recent public attention to e-health as a solution to rising healthcare costs and an ageing population, there have been relatively few studies examining the geographical pattern of e-health usage. This paper argues for an equitable approach to e-health and attention to the way in which e-health initiatives can produce locational health inequalities, particularly in socioeconomically disadvantaged areas. In this paper, we use a case study to demonstrate geographical variation in Internet accessibility, Internet status and prevalen...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Matched comparison of GP and consultant rating of electronic discharge summaries.
Authors: Stainkey L, Pain T, McNichol M, Hack J, Roberts L Abstract Queensland Health is implementing a state-wide system to electronically generate and distribute discharge summaries. Previously, general practitioners (GPs) have indicated that the quality of the discharge summary does not support clinical handover. While the electronic system will address some issues (e.g. legibility and timeliness), the quality of the discharge summary content is predominantly independent of method of generation. As discharge summaries are usually generated by interns, we proposed that improvement in the quality of the s...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Reliability of ICD-10 external cause of death codes in the National Coroners Information System.
This study quantified the completeness of external cause ICD-10 codes in the NCIS for Victorian deaths (as assigned by the Australian Bureau of Statistics (ABS) in the yearly Cause of Death data). It also examined the concordance between external cause ICD-10 codes contained in the NCIS and a re-code of the same deaths conducted by an independent coder. Of 7,400 NCIS external cause deaths included in this study, 961 (13.0%) did not contain an ABS assigned ICD-10 code and 225 (3.0%) contained only a natural cause code. Where an ABS assigned external cause ICD-10 code was present (n=6,214), 4,397 (70.8%) matched exactly with...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Who owns the information in the medical record? Copyright issues.
Authors: Mair J Abstract As part of every private healthcare practice and healthcare facility, documentation of patients' healthcare, diagnoses and treatment are an ongoing requirement with legal connotations. The question that may arise is whether copyright can subsist in patient medical records, and if so, what benefit may arise from ownership of such copyright. PMID: 22451997 [PubMed - indexed for MEDLINE] (Source: Health Information Management Journal)
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Do AR-DRGs adequately describe the trauma patient episode in New South Wales, Australia?
This study aimed to determine whether Australian Refined Diagnosis Related Groups (AR-DRGs) adequately describe the trauma patient episode and to identify AR-DRG groupings where reimbursement was not commensurate with actual cost. The AR-DRG allocated costs and actual costs of a sample of 206 trauma patient episodes were reviewed during a three-month period. Of the AR-DRG groups identified in the patient episodes, 62.8% were not commensurate with actual cost incurred, equating to an overall loss of $113,921 from under-funded acute trauma patient episodes over a three-month period. Assault-related penetrating trauma, traffi...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

The coding masterpiece: a framework for the formal processes and pathways of health classification.
This article empirically defines the formal pathways and processes that enable and frame hospital clinical classification in an activity-based funding environment. These structured actions include: learning and training; abstracting; clinical knowledge locating and confirming; coder-doctor communication; coder-coder communication; the complicated sub-set of code searching and decision-making processes that constitute practical clinical 'coding'; allocation to diagnosis-related groups; confirmation of financial reimbursement; auditing; and quality management practices to ensure the integrity of the multiple outputs and outc...
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research

Level of agreement between coding sources of percentage total body surface area burnt (%TBSA).
This study evaluated the level of agreement between four sources of %TBSA using 120 cases identified through the Victorian State Trauma Registry. Expert clinician, ICD-10-AM, Abbreviated Injury Scale, and burns registry coding were compared using measures of agreement. There was near-perfect agreement (weighted Kappa statistic 0.81-1) between all sources of data, suggesting that ICD-10-AM is a valid source of %TBSA and use of ICD-10-AM codes could reduce the resource used by trauma and burns registries capturing this information. PMID: 21430305 [PubMed - indexed for MEDLINE] (Source: Health Information Management Journal)
Source: Health Information Management Journal - November 19, 2015 Category: Health Management Tags: HIM J Source Type: research