A clinical management system for patient participatory health care support

Ishikawa, Kiyomu; Konishi, Naomi; Tsukuma, Hidehiko; Tsuru, Satoko; Kawamura, Akie; Iwata, Norikazu; Tanaka, Takeshi

doi:10.1016/j.ijmedinf.2003.11.021

Cited by 5 publications

(2 citation statements)

References 2 publications

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“…Health care organizations are also realizing the need for patient accessible health records (PAEHRs) on a number of different levels including improving the patient experience, supporting patients with chronic conditions, improving transparency, increasing referral rates, and ensuring the continuity of care beyond the hospital walls. In addition, there is the growing global trend of adopting legislation to ensure that patients are able to access, review, and amend their medical record [7-18]. The coupling of these social and professional trends with new technologies that provide ubiquitous access to health information offers tremendous opportunity to transform the delivery of care.…”

Section: Introductionmentioning

confidence: 99%

Patient Accessible Electronic Health Records: Exploring Recommendations for Successful Implementation Strategies

2008

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Background Providing patients with access to their electronic health records offers great promise to improve patient health and satisfaction with their care, as well to improve professional and organizational approaches to health care. Although many benefits have been identified, there are many questions about best practices for the implementation of patient accessible Electronic Health Records (EHRs).Objectives To develop recommendations to assist health care organizations in providing patients with access to EHRs in a meaningful, responsible, and responsive manner.Methods A Patient Accessible Electronic Health Record (PAEHR) Workshop was held with nationally and internationally renowned experts to explore issues related to providing patient access to the EHR and managing institutional change.Results The PAEHR Workshop was attended by 45 participants who discussed recommendations for the implementation of patient accessible EHRs. Recommendations were discussed under four subject domains: (1) providing patient access to the EHR, (2) maintaining privacy and confidentiality related to the PAEHR, (3) patient education and navigation of the PAEHR, and (4) strategies for managing institutional change. The discussion focused on the need for national infrastructure, clear definitions for privacy, security and confidentiality, flexible, interoperable solutions, and patient and professional education. In addition, there was a strong call for research into all domains of patient accessible EHRs to ensure the adoption of evidence-based practices.Conclusions Patient access to personal health information is a fundamental issue for patient engagement and empowerment. Health care professionals and organizations should consider the potential benefits and risks of patient access when developing EHR strategies. Flexible, standardized, and interoperable solutions must be integrated with outcomes-based research to activate effectively patients as partners in their health care.

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Section: Introductionmentioning

confidence: 99%

Patient Accessible Electronic Health Records: Exploring Recommendations for Successful Implementation Strategies

2008

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“…(A model of the HNS, which is the core of the EHR in the Hiroshima University Hospital, may serve as a practical example of the implementation of HNS in the service of safety management. [2]) EHR data are recorded not only by physicians, but also by all co-workers. This may be the basis for team communication and a reliable way of treating in such a way that the evidence of conducted practices is traced.…”

Section: (3) Discharge Summarymentioning

confidence: 99%

The guideline of the personal health data structure to secure safety healthcare

Ishikawa

Ohmichi

Umesato

et al. 2007

International Journal of Medical Informatics

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Critical Factors for the Creation of Learning Healthcare Organizations

Wickramasinghe

Clinical Technologies

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The need to transform the U.S. healthcare system became clear during the aftermath of Hurricane Katrina. Katrina was not an unexpected disaster nor was it an exceptionally large event. And yet in the wake of Katrina the loss of life was tragic and emergency health care following the storm was severely hampered by the lack of paper health records that had been washed away or ruined. What is required is a transformation of the current health system to an intelligent health system that maximizes technology and utilizes valuable knowledge assets. To effect such a change healthcare organizations must become learning organizations. The objective of this chapter is to provide a link between principles of organizational learning and knowledge management in order to build the learning healthcare organization. The major thrust of this approach is that the human side of the organization must lead knowledge management technology and not the other way around. The chapter distinguishes between organizational learning as a structure laying the foundation for learning, and the learning organization as a process for maintaining and perpetuating continuous improvement in the organization supported by incorporating a process-centric view of knowledge management (KM) realized through the establishment of a KM infrastructure. Moreover, it emphasizes that since health care is a knowledge intensive industry knowledge management is an integral component in building the learning healthcare organization.

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A clinical management system for patient participatory health care support

Cited by 5 publications

References 2 publications

Patient Accessible Electronic Health Records: Exploring Recommendations for Successful Implementation Strategies

Patient Accessible Electronic Health Records: Exploring Recommendations for Successful Implementation Strategies

The guideline of the personal health data structure to secure safety healthcare

Critical Factors for the Creation of Learning Healthcare Organizations

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