Health Information Technology and Accountable Care Organizations: A Systematic
            Review and Future Directions

Balio, Casey P.; Apathy, Nate C.; Danek, Robin

doi:10.5334/egems.261

Cited by 9 publications

(4 citation statements)

References 46 publications

(88 reference statements)

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“…Clinicians and patients increasingly demand safe exchange of clinical data to optimize clinical care [ 29 ]. This can be leveraged in secondary data collection for research to safeguard future population health [ 30 ]. The interoperability of health systems, and in particular, moving data between systems, has been discussed extensively but has not been realized to date [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Introduction of Systematized Nomenclature of Medicine–Clinical Terms Coding Into an Electronic Health Record and Evaluation of its Impact: Qualitative and Quantitative Study

et al. 2021

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Background This study describes the conversion within an existing electronic health record (EHR) from the International Classification of Diseases, Tenth Revision coding system to the SNOMED-CT (Systematized Nomenclature of Medicine–Clinical Terms) for the collection of patient histories and diagnoses. The setting is a large acute hospital that is designing and building its own EHR. Well-designed EHRs create opportunities for continuous data collection, which can be used in clinical decision support rules to drive patient safety. Collected data can be exchanged across health care systems to support patients in all health care settings. Data can be used for research to prevent diseases and protect future populations. Objective The aim of this study was to migrate a current EHR, with all relevant patient data, to the SNOMED-CT coding system to optimize clinical use and clinical decision support, facilitate data sharing across organizational boundaries for national programs, and enable remodeling of medical pathways. Methods The study used qualitative and quantitative data to understand the successes and gaps in the project, clinician attitudes toward the new tool, and the future use of the tool. Results The new coding system (tool) was well received and immediately widely used in all specialties. This resulted in increased, accurate, and clinically relevant data collection. Clinicians appreciated the increased depth and detail of the new coding, welcomed the potential for both data sharing and research, and provided extensive feedback for further development. Conclusions Successful implementation of the new system aligned the University Hospitals Birmingham NHS Foundation Trust with national strategy and can be used as a blueprint for similar projects in other health care settings.

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Section: Discussionmentioning

confidence: 99%

Introduction of Systematized Nomenclature of Medicine–Clinical Terms Coding Into an Electronic Health Record and Evaluation of its Impact: Qualitative and Quantitative Study

et al. 2021

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“…35,36 Perhaps, the variables used in the survey to capture these characteristics of LHDs did not adequately differentiate among a variety of informatics skills, some of which directly relate to surveillance effectiveness while others do not. Based on the existing body of literature from health care delivery systems' performance and its links to interoperability and staff skills, 37 this area of research warrants further investigation, better focused on investigating the reasons for our negatives findings concerning interoperability and information technology skills of LHD staff.…”

Section: Discussionmentioning

confidence: 99%

Local Health Departments' Engagement in Activities to Address Opioid Use and Abuse: The Influence of Surveillance Systems' Use

Nguyen

Shah

Khurshid

et al. 2020

Journal of Public Health Management and Practice

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Aims: To examine the extent to which local health departments (LHDs) conduct activities to address opioid use and abuse. To test the hypothesis that (i) LHDs' access to data from an electronic syndromic surveillance system is associated with conducting activities to address opioid use and abuse, and (ii) among those LHDs with access to syndromic surveillance data, the use of syndromic and other surveillance data on opioid-related events is associated with LHDs' report of conducting activities to address opioid use and abuse. Methods: Logistic regression was used to analyze data from the 2018 Forces of Change Survey of a statistically representative sample of 966 LHDs, of which 591 participated in the survey. Results: The LHDs' access to a syndromic surveillance system was significantly associated with their report of conducting activities to address opioid use and abuse. Compared with LHDs that had no surveillance systems, odds of participating in activities to address the opioid use or abuse were higher for LHDs that managed their own surveillance systems (adjusted odds ratio, AOR = 3.022, P = .03) and those who had but did not manage their own surveillance systems (AOR = 1.920, P < .01). The LHDs' use of syndromic surveillance systems (AOR = 2.98, P = .01) or other surveillance systems (AOR = 2.21, P = .03) was also associated with higher odds to participate in activities to address the opioid use or abuse (vs no such use). Conclusion:The LHDs are strategically well positioned to play their role in addressing this multifaceted epidemic. Access to data or information from electronic syndromic surveillance systems that use hospital emergency department data might significantly improve LHDs' engagement in conducting activities to address opioid use and abuse within their communities while building their capacity to face the next epidemic.

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“…This is essential for delivering coordinated care that achieves positive patient health outcomes. HIS enables healthcare providers to access patient information quickly and easily, which is essential for making informed decisions about patient care (Balio et al, 2019).…”

Section: The Priorities That An Aco Should Concentrate Onmentioning

confidence: 99%

Assessment of Accountable Care Organization Strategies: A Qualitative Approach

Aljelban,

Alerwi,

Alenazi

et al. 2024

OJBM

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Accountable care organizations (ACOs) are becoming increasingly popular in healthcare in order to improve quality, reduce costs, and enhance patient outcomes. ACOs are an association of hospitals, healthcare providers and insurers who assume financial and medical responsibility for a patient population. In Saudi Arabia, the Ministry of Health (MOH) has been tasked with delivering this strategy as part of "Vision 2030" for the Kingdom of Saudi Arabia. Implementing ACO strategies is a complex process that requires careful planning, collaboration, and effective communication among stakeholders. Healthcare organizations need to establish a comprehensive framework that includes the identification of relevant metrics, the development of care management processes, the integration of technology, and the alignment of incentives. One of the critical challenges in the implementation of ACO strategies is ensuring that all stakeholders are aligned and committed to the goals and objectives of the organization. Effective communication and collaboration are essential to building trust and ensuring everyone works together to achieve the same outcomes. Healthcare organizations need a robust technology infrastructure and skilled data analysts and IT professionals to identify trends and patterns in the data. The research was conducted with a sample of eight senior strategic managers operating in Cluster One's Riyadh region. The study's primary aim was to identify the ACO strategies that could potentially enhance the delivery of healthcare services. The identified themes were classified into five categories: 1) The greatest challenges facing healthcare transformation; 2) The priorities that an ACO should concentrate on; 3) The changes in healthcare systems that would yield the greatest benefits for ACOs; 4) How the ACOs contribute to enhancing the cost-effectiveness and quality of healthcare services, as well as addressing the gaps in service quality that ex-How to cite this paper: Aljelban, A.

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Health Information Technology and Accountable Care Organizations: A Systematic Review and Future Directions

Cited by 9 publications

References 46 publications

Introduction of Systematized Nomenclature of Medicine–Clinical Terms Coding Into an Electronic Health Record and Evaluation of its Impact: Qualitative and Quantitative Study

Introduction of Systematized Nomenclature of Medicine–Clinical Terms Coding Into an Electronic Health Record and Evaluation of its Impact: Qualitative and Quantitative Study

Local Health Departments' Engagement in Activities to Address Opioid Use and Abuse: The Influence of Surveillance Systems' Use

Assessment of Accountable Care Organization Strategies: A Qualitative Approach

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