Characterization of Public Health Alerts and Their Suitability for Alerting in Electronic Health Record Systems

Garrett, Nedra; Mishra, Ninad; Nichols, Barbara; Staes, Catherine J.; Akin, Chuck; Safran, Charles

doi:10.1097/phh.0b013e3181ddcbc0

Cited by 13 publications

(10 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the future, the increasing use of electronic health records may enable the distribution of public health alerts directly within the clinician workflow. (30)…”

Section: Discussionmentioning

confidence: 99%

Public Health Communication with Frontline Clinicians During the First Wave of the 2009 Influenza Pandemic

Staes

Wuthrich

Gesteland

et al. 2011

Journal of Public Health Management and Practice

Self Cite

View full text Add to dashboard Cite

Context-During public health emergencies, office-based frontline clinicians are critical partners in the detection, treatment, and control of disease. Communication between public health authorities and frontline clinicians is critical, yet public health agencies, medical societies, and healthcare delivery organizations have all called for improvements.Objectives-Describe communication processes between public health and frontline clinicians during the first wave of the 2009 novel influenza A (H1N1) pandemic; assess clinicians' use of and knowledge about public health guidance; and assess clinicians' perceptions and preferences about communication during a public health emergency.Design and Methods-During the first wave of the pandemic, we performed a process analysis and surveyed 509 office-based primary care providers in Utah.Setting and Participants-Public health and healthcare leaders from major agencies involved in emergency response in Utah and office-based primary care providers located throughout Utah.Main Outcome Measure(s)-Communication process and information flow, distribution of emails, proportion of clinicians that accessed key websites at least weekly, clinicians' knowledge about recent guidance and perception about email load, primary information sources, and qualitative findings from clinician feedback.Results-The process analysis revealed redundant activities and messaging. The 141 survey respondents (28%) received information from a variety of sources: 68% received information from state public health; almost 100% received information from healthcare organizations. Only 1/3 visited a state public health or institutional website frequently enough (at least weekly) to obtain updated guidance. Clinicians were knowledgeable about guidance that did not change during the first wave; however, correct knowledge was lower after guidance changed. Clinicians felt overwhelmed by email volume, preferred a single institutional email for clinical guidance, and suggested new information be concise and clearly identified.Conclusion-Communication between public health, healthcare organizations, and clinicians was redundant, overwhelming, and can be enhanced considering clinician preferences and institutional communication channels. MESH termsinterdisciplinary communication; disease outbreaks; influenza; public health practice

show abstract

“…In the future, the increasing use of electronic health records may enable the distribution of public health alerts directly within the clinician workflow. (30)…”

Section: Discussionmentioning

confidence: 99%

Public Health Communication with Frontline Clinicians During the First Wave of the 2009 Influenza Pandemic

Staes

Wuthrich

Gesteland

et al. 2011

Journal of Public Health Management and Practice

Self Cite

View full text Add to dashboard Cite

show abstract

“…For example, in the setting of fully implemented EHRs with a disease registry, cholesterol management of patients with diabetes was significantly improved [29]. Moreover, public health alerts in EHRs systems can be useful in reporting, recommending specific tests, as well as suggesting secondary prevention [30]. Lastly, well designed patient registries allow for improved aggregation of patient data for quality improvement to the facilitation of clinical research [31, 32, 33, 34, 35].…”

Section: Structure and Function Of Ehrsmentioning

confidence: 99%

Electronic health records: a new tool to combat chronic kidney disease?

Navaneethan

Jolly²,

Sharp

et al. 2013

View full text Add to dashboard Cite

Electronic health records (EHRs) were first developed in the 1960s as clinical information systems for document storage and retrieval. Adoption of EHRs has increased in the developed world and is increasing in developing countries. Studies have shown that quality of patient care is improved among health centers with EHRs. In this article, we review the structure and function of EHRs along with an examination of its potential application in CKD care and research. Well-designed patient registries using EHRs data allow for improved aggregation of patient data for quality improvement and to facilitate clinical research. Preliminary data from the United States and other countries have demonstrated that CKD care might improve with use of EHRs-based programs. We recently developed a CKD registry derived from EHRs data at our institution and complimented the registry with other patient details from the United States Renal Data System and the Social Security Death Index. This registry allows us to conduct a EHRs-based clinical trial that examines whether empowering patients with a personal health record or patient navigators improves CKD care, along with identifying participants for other clinical trials and conducting health services research. EHRs use have shown promising results in some settings, but not in others, perhaps attributed to the differences in EHRs adoption rates and varying functionality. Thus, future studies should explore the optimal methods of using EHRs to improve CKD care and research at the individual patient level, health system and population levels.

show abstract

“…The positive effect of CDS alerts on testing may be related to their ability to deliver information in a contextually relevant manner at the point of care, compared with traditional public health messaging that is typically integrated by providers outside of clinical workflow. 2,15 The order sets associated with the CDS alerts reported here enable providers to quickly order diagnostic tests, and this may also have impacted the positive effects reported here. To our knowledge, no additional cases related to the outbreaks were identified through the testing associated with CDS alerting.…”

Section: • Discussionmentioning

confidence: 78%

Impact of Integrating Public Health Clinical Decision Support Alerts Into Electronic Health Records on Testing for Gastrointestinal Illness

Hripcsak

Lurio

et al. 2012

Journal of Public Health Management and Practice

View full text Add to dashboard Cite

Laboratory testing by clinicians is essential to outbreak investigations. Electronic health records may increase testing through clinical decision support that alerts providers about existing outbreaks and facilitates laboratory ordering. The impact on laboratory testing was evaluated for foodborne disease outbreaks between 2006 and 2009. After controlling for standard public health messaging and season, decision support resulted in a significant increase in laboratory testing and may be useful in enhancing public health messaging and provider action.

show abstract

Characterization of Public Health Alerts and Their Suitability for Alerting in Electronic Health Record Systems

Cited by 13 publications

References 5 publications

Public Health Communication with Frontline Clinicians During the First Wave of the 2009 Influenza Pandemic

Public Health Communication with Frontline Clinicians During the First Wave of the 2009 Influenza Pandemic

Electronic health records: a new tool to combat chronic kidney disease?

Impact of Integrating Public Health Clinical Decision Support Alerts Into Electronic Health Records on Testing for Gastrointestinal Illness

Contact Info

Product

Resources

About