Healthcare Information Management Research Articles

보건의료정보관리 전공 대학생의 좋은 죽음에 대한 인식이 사전연명의료의향서에 대한 태도에 미치는 영향

Objective: The purpose of this study is to identify how the knowledge of Advance Medical Directives (AMD) and awareness of good death on attitude towards AMD. Research subjects were university students majoring in healthcare information management who would be collecting, maintaining, and managing healthcare information in medical institutions upon graduation.<BR><BR>Background: Life-sustaining treatment that is meaningless and has no patient"s intention infringes the decision-making rights on good death and increases economic burdens due to excessive medical costs at the same time. And Social interest towards meaningless life-sustaining treatment has been increasing since the implementation of Life-Sustaining Treatment Decision-Making Act in 2018. Healthcare workers should be able to help patients and their families make the best choice on life-sustaining treatment. This emphasizes the importance proper knowledge and positive attitude for AMD by healthcare workers.<BR><BR>Method: This research collected data using a structured survey questionnaire to 300 students of the healthcare information management major at 3 universities located in B. The study used a total of 283 surveys were used for final analysis, and conducted a t-test, ANOVA, correlation analysis, and multiple regression analysis using SPSS statistical program.<BR><BR>Results: The better a self-rated health status was, the awareness of good death increased (F =2.624, p =0.035), and people cognizant of the Life-Sustaining Treatment Decision-Making Act had higher knowledge of AMD than people who were not cognizant (t =-4.860, p <0.000). Also, people practicing health promotion had more positive attitude towards AMD than people who did not (t =-2.007, p =0.046). This study demonstrated that the awareness of good death (β=0.283, p <0.001) and knowledge of AMD (β=0.254, p <0.001) positively (+) affected the attitude towards AMD.<BR><BR>Conclusion: To improve the positive attitude towards AMD, biomedical ethics education must be included in the curriculum to establish respect and values towards the dignity of good death and provide appropriate knowledge of AMD.<BR><BR>Application: This study can be used as a basic material to increase the knowledge of healthcare information management major students in AMD and improve their positive attitude towards AMD.

Information Management in Healthcare and Environment: Towards an Automatic System for Fake News Detection.

Comments and information appearing on the internet and on different social media sway opinion concerning potential remedies for diagnosing and curing diseases. In many cases, this has an impact on citizens’ health and affects medical professionals, who find themselves having to defend their diagnoses as well as the treatments they propose against ill-informed patients. The propagation of these opinions follows the same pattern as the dissemination of fake news about other important topics, such as the environment, via social media networks, which we use as a testing ground for checking our procedure. In this article, we present an algorithm to analyse the behaviour of users of Twitter, the most important social network with respect to this issue, as well as a dynamic knowledge graph construction method based on information gathered from Twitter and other open data sources such as web pages. To show our methodology, we present a concrete example of how the associated graph structure of the tweets related to World Environment Day 2019 is used to develop a heuristic analysis of the validity of the information. The proposed analytical scheme is based on the interaction between the computer tool—a database implemented with Neo4j—and the analyst, who must ask the right questions to the tool, allowing to follow the line of any doubtful data. We also show how this method can be used. We also present some methodological guidelines on how our system could allow, in the future, an automation of the procedures for the construction of an autonomous algorithm for the detection of false news on the internet related to health.

Use of Institutional Social Media for Information Management and Communication in Healthcare in a National Health System.

Social media has a growing presence in the eHealth research agenda. This research aims to characterize the use of social media in the Cuban National Health System for health information management and communication in healthcare. We specifically examine the strategy developed by Infomed and its main results.

Health Information Management: Implications of Artificial Intelligence on Healthcare Data and Information Management.

Summary Objective: This paper explores the implications of artificial intelligence (AI) on the management of healthcare data and information and how AI technologies will affect the responsibilities and work of health information management (HIM) professionals. Methods: A literature review was conducted of both peer-reviewed literature and published opinions on current and future use of AI technology to collect, store, and use healthcare data. The authors also sought insights from key HIM leaders via semi-structured interviews conducted both on the phone and by email. Results: The following HIM practices are impacted by AI technologies: 1) Automated medical coding and capturing AI-based information; 2) Healthcare data management and data governance; 3) Fbtient privacy and confidentiality; and 4) HIM workforce training and education. Discussion: HIM professionals must focus on improving the quality of coded data that is being used to develop AI applications. HIM professional’s ability to identify data patterns will be an important skill as automation advances, though additional skills in data analysis tools and techniques are needed. In addition, HIM professionals should consider how current patient privacy practices apply to AI application, development, and use. Conclusions: AI technology will continue to evolve as will the role of HIM professionals who are in a unique position to take on emerging roles with their depth of knowledge on the sources and origins of healthcare data. The challenge for HIM professionals is to identify leading practices for the management of healthcare data and information in an AI-enabled world.

Electronic Health Records

Electronic health records (EHRs) pose unique concerns for administrators and information technology professionals with regard to cybersecurity. Due to the sensitive nature and increasing value of personal health information, cyber risks and information protection should be a high priority. A literature review was conducted to identify potential threat categories and best practices in protecting EHR information. Potential threats were identified and categorized into five areas; physical, portable devices, insider use, technical, and administrative. Government policies have created administrative, physical, and technical safeguards to keep EHR information safe. Despite these efforts, EHRs are being targeted by cyber-criminals due to flaws in personal and organizational management of protected healthcare information. This paper aims to educate, inform, and advocate for the proper handling of EHRs to alleviate the burden caused by compromised electronic documents.

English

English

Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report.

Although electronic health record systems have been implemented in many health settings globally, how organizations can best implement these systems to improve medication safety in mental health contexts is not well documented in the literature. The purpose of this case report is to describe how a mental health hospital in Toronto, Canada, leveraged the process of obtaining Healthcare Information Management Systems Society (HIMSS) Stage 7 on the Electronic Medical Record Adoption Model to improve clinical care specific to medication safety in its inpatient settings. Examples of how the organization met several of these HIMSS criteria are described as they relate to utilizing data from the system to support clinician practice and/or decision-making for medication safety.

Characteristics of the healthcare information technology workforce in the HITECH era: underestimated in size, still growing, and adapting to advanced uses.

ObjectiveThere is little readily available data about the size and characteristics of the healthcare information technology workforce. We sought to update a previous description of the size, growth, and characteristics of this workforce based on the Healthcare Information Management Systems Society (HIMSS) Analytics® Database, a resource that includes hospital size, number of beds, amount of staffing, and an eight-stage model of electronic health record adoption (Electronic Medical Record Adoption Model, EMRAM℠).Materials and MethodsWe updated an analysis done using a 2007 snapshot of the HIMSS Analytics Database with a comparable snapshot from 2014 in order to estimate the size of the current workforce and project future needs. For the 2014 data, we applied the same weighted average analysis used in 2007 to obtain a ratio of information technology (IT) hospital full-time equivalent (FTE) to staffed beds, extrapolate the results to all US hospitals, and project the workforce needs as hospitals achieve higher EMRAM stages.ResultsOur estimated size of the healthcare information technology workforce in the US in 2014 was 161 160, which was 8.0% larger than the estimate based on the 2007 data. Based on the new data, we project a potential need for an additional 19 852 and 153 114 FTE, if all hospitals were to achieve EMRAM Stages 6 and 7, respectively. The distribution of FTE across job function category varies by EMRAM stage.Discussion and ConclusionsAlthough these data are limited, especially for EMRAM Stage 7, there is likely need for substantial workforce growth as hospitals increase their adoption of advanced healthcare information technology. Further research with data better focused on workforce characteristics will provide a better picture of staffing requirements.

Tiedonhallinnan prosessimallin hyödyntäminen sosiaali- ja terveydenhuollon tiedonhallintaa koskevissa tutkimuksissa

Tieteellisessä tutkimuksessa tietoa tarkastellaan valitun teorian tai teorian muodostamisen apuvälineenä toimivan teoreettisen mallin näkökulmasta. Sosiaali- ja terveydenhuoltoon kohdistuvassa tutkimuksessa on hyödynnetty tiedonhallinnan prosessimallia, mutta koottu tieto mallin hyödynnettävyydestä tai sovellettavuudesta alalla tehtävään tutkimukseen on puuttunut. Tämän tutkimuksen tarkoituksena on paikata tätä olemassa olevaa tietovajetta. Menetelmänä tässä tutkimuksessa käytettiin kuvailevaa kirjallisuuskatsausta ja tutkimukseen valittiin yhteensä 16 sosiaali- ja terveydenhuoltoon kohdistuvaa tutkimusta. Nämä olivat sosiaali- ja terveydenhuoltoon kohdistuvia väitöskirjoja ja pro gradututkielmia, joissa tutkittavaa kohdetta on lähestytty tiedonhallinnan prosessimallin kautta. Tutkimuksissa tiedonhallinnan prosessimallia oli hyödynnetty teoreettisena viitekehyksenä sekä uusien mallien luomisessa. Suurin osa tutkimuksista oli menetelmiltään laadullisia ja tiedonantajat koostuivat pääosin sosiaali- ja terveydenhuollon ammattihenkilöistä. Tietovarannoissa olevaa tietoa oli hyödynnetty kolmessa tutkimuksessa. Tutkimusten tuloksia oli tarkasteltu tiedonhallinnan prosessimallin mukaisesti. Tarkastelua tiedon hyödyntämisen osalta oli tehty lähinnä sellaisissa tutkimuksissa, joissa tuloksia oli tarkasteltu kokonaisuudessaan mallin mukaisesti tai joissa tarkastelun kohteena olivat tiedon hyödyntämisen lisäksi tiedontarpeet ja/tai tiedon hankinta. Tutkimustulosten perusteella tiedonhallinnan prosessimalli soveltuu hyvin eri aiheisiin sosiaali- ja terveydenhuollon tiedonhallintaan kohdistuviin tutkimuksiin. Lisäksi havaittiin se, että sosiaali- ja terveydenhuollon tiedonhallinnan tutkimusta tulee kohdistaa enemmän tiedon hyödyntämisen ja toiminnan mukauttamisen vaiheisiin sekä lisätä laadullisen tutkimuksen rinnalle määrällistä ja rekisteritutkimusta.

Talking the Talk: Financial Skills for Nurse Leaders

The importance of effective execution of financial management may be more arguably more relevant today than when first established by the Healthcare Leadership Alliance (HLA) over a decade ago. Since the 6 key health care agencies (American College Healthcare Executives [ACHE], American College of Physician Executives [ACPE], American Organization of Nurse Executives [AONE], Healthcare Finance Management Association [HFMA], Healthcare Information Management Systems Society [HIMSS], and Medical Group Management Association [MGMA]) convened and identified 5 core competencies shared by all health care leaders. The key imperatives included communication and relationship management, professionalism, knowledge of the health care environment, leadership, and business acumen. 1 Although the health care landscape has continued to evolve, these essential skills remain relevant today. Administrators must lead through ever-changing reimbursement models, work to continually improve patient satisfaction indicators, affect hospital quality metrics, and close the labor shortage gap during a time of political unknowns of health care reform. The demand for care, coupled with comorbidities of an aging population, and a diminishing supply as Baby Boomer nurses retire, has led to stress on health care systems across the nation. As the general population ages, so, too, does the nursing workforce. The average age of the registered nurse is 50 years or greater. 2 The Bureau of Labor Statistics estimates a nurse vacancy rate of 1.09 million by 2024. 3

Preserving patients’ privacy in health scenarios through a multicontext-aware system

The Big Data age is characterized by the explosive increase of data managed by electronic systems. Healthcare Information Management systems are aware of this situation having to adapt services and procedures. This, along with the fact that the proliferation of mobile devices and communications has also promoted the use of context-aware services ubiquitously accessible, means that protecting the privacy of the patients’ information is an even greater challenge. To address this issue, a mechanism that allows patients to manage and control their private information is required. We propose the preservation of patients’ privacy in a health scenario through a multicontext-aware system called h-MAS (health-related multicontext-aware system). h-MAS is a privacy-preserving and context-aware solution for health scenarios with the aim of managing the privacy of the users’ information in both intra- and inter-context scenarios. In a health scenario, h-MAS suggests a pool of privacy policies to users, who are aware of the health context in which they are located. Users can update the policies according to their interests. These policies protect the privacy of the users’ health records, locations, as well as context-aware information being accessed by third parties without their consent. The information on patients and the health context is managed through semantic web techniques, which provide a common infrastructure that makes it possible to represent, process, and share information between independent systems more easily.

Information management in health care. A model for connecting information culture and patient safety

Information management in health care. A model for connecting information culture and patient safety

Aspectos da regulação em saúde na visão de equipes de saúde da família de um município de pequeno porte

Objetivos: Identificar a visão de equipes da Estratégia Saúde da Família acerca do processo de regulação em saúde e caracterizar seus instrumentos quanto ao conteúdo informacional e sua utilização pela equipe. Métodos: Estudo de caráter descritivo, quantitativo e apoiado em fontes primária e secundária de dados, realizado em um município de pequeno porte. Foi aplicado um questionário aos profissionais de equipes de saúde da família, em 2012, com conteúdo referente ao processo de regulação em saúde e analisadas características de completude e legibilidade de informações registradas nas guias de referência às especialidades médicas. Resultados: Os profissionais da saúde da família relataram incertezas sobre a proposta conceitual e operativa do sistema de regulação em saúde. Apenas 50% dos participantes conheciam todos os serviços especializados de referência da rede de saúde. Cerca de 70% informaram a existência de protocolos na rede e/ou nas unidades de saúde. Houve prejuízo na completude e na legibilidade de informações das guias de referência. Conclusão: Os achados da pesquisa ratificaram a estreita relação entre o processo regulatório assistencial e a gestão da informação, bem como a importância da participação do profissional da saúde da família no mecanismo de regulação em saúde.

Clinical and Business Intelligence: Why It's Important to Your Pharmacy.

According to the Healthcare Information Management and Systems Society, "Clinical & Business Intelligence (C&BI) is the use and analysis of data captured in the healthcare setting to directly inform decision-making" (http://www.himss.org/library/clinical-business-intelligence). Some say that it is the right information given to the right person at the right time in the right way. No matter how you define it, the fact remains that timely access, synthesis, and visualization of clinical data have become key to how health professionals make patient care decisions and improve care delivery.

General practice based psychosocial interventions for supporting carers of people with dementia or stroke: a systematic review.

BackgroundParticularly with ageing populations, dementia and stroke and their resultant disability are worldwide concerns. Much of the support for people with these conditions comes from unpaid carers or caregivers. The carers’ role is often challenging and carers themselves may need support. General practice is often the first point of contact for people with these conditions and their carers, making it potentially an important source of support.This systematic review therefore synthesised the available evidence for the impact of supportive interventions for carers provided in general practice.MethodsPRISMA guidelines were adopted and the following databases were searched: MEDLINE; EMBASE; the Cochrane Library; PsycINFO; CINAHL Plus; Applied Social Sciences Index and s and Healthcare Management Information Consortium.ResultsTwo thousand four hundred eighty nine results were identified. Four studies, involving 447 carers, fitted the inclusion criteria. Three of these came from the United States of America. None investigated supportive interventions for carers of people with stroke. Primarily by the provision of information and educational materials, the interventions focussed on improving carer mental health, dementia knowledge, caregiving competence and reducing burden, difficulties and frustrations. Overall the evidence suggests that these interventions may improve carer well-being and emotional health but the impact on physical health and social variables was less clear. However, the diversity of the carer outcomes and the measures used means that the findings must be viewed with caution.ConclusionsUnpaid carers pay an essential role in caring for people with stroke and dementia and the dearth of literature investigating the impact of supportive interventions for these carers of is surprising. The available evidence suggests that it may be possible to offer support for these carers in general practice but future research should consider focussing on the same outcome measures in order to allow comparisons across interventions.Electronic supplementary materialThe online version of this article (doi:10.1186/s12875-015-0399-2) contains supplementary material, which is available to authorized users.

Pathologists as stewards of laboratory information.

Just as electronic health records are transforming the practice of medicine and health care information management, practicing in the era of the electronic health record offers opportunities, if not imperatives, for pathologists to take on new and "transformative" professional and leadership roles for the organizations they serve. Experience indicates that clinicians will perceive pathologists and laboratories as responsible for all aspects of laboratory testing and information management, including order entry and results reporting, even though such functions may fall beyond the control of the laboratory. As described and expanded upon in the previous 4 articles of this series, the use of electronic health records dictates changes in how clinicians interact with laboratory information. In this environment, pathologists are uniquely positioned to act as the stewards for laboratory information in electronic health records and throughout health care organizations.

Biomedical Signal Processing and Modeling Complexity of Living Systems 2014

Biomedical Signal Processing and Modeling Complexity of Living Systems 2014

Deployment of a posteriori access control using IHE ATNA

In healthcare information management, privacy and confidentiality are two major concerns usually satisfied by access control means. Traditional access control mechanisms prevent illegal access by c...

CMS Revises ‘Meaningful Use’ Criteria for Electronic Records

CMS Revises ‘Meaningful Use’ Criteria for Electronic Records

The Application of Multimedia Technology in Medical Information Management

The development of science and technology has entered the information age. Information rapidly grow which need be accessed by the advanced technology, the development of computer multimedia transmission provides the most intuitive the most powerful support for today's information processing. Combining health care information management and computer multimedia technology, multimedia information system design is introduced in this paper, emphatically from the technical methods to discuss the requirements of the system hardware and software environment, and put forward some design methods from the universal database to tackle multimedia database and its data model. In system design, according to the characteristics of multimedia database, much data, unstructured information, information not fixed, sensitive characteristics of voice, video, and the timeline, the corresponding solutions are put forward.