Interoperable Electronic Health Care Record: A Case for Adoption of a National Standard to Stem the Ongoing Health Care Crisis

Sao, Deth; Gupta, Amar; Gantz, David A.

doi:10.1080/01947648.2013.768153

Cited by 6 publications

(4 citation statements)

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“…Instead, EHR software is often geared towards meeting the needs of the healthcare system for administrative tasks, not for the needs of the clinician for documentation (Gillum, 2013). Consequently, agencies aiming to integrate are usually faced with interoperability and interface issues (Hudgins et al, 2014;Paggetti et al, 2014), and the inability to accommodate diagnosis and billing codes from the partnering agency (Sao et al, 2013). It is therefore no surprise that some agencies come up with laborintensive workarounds (e.g.…”

Section: Integrated Care Using Ehrs In the Public Mental Health Systemmentioning

confidence: 98%

Using electronic health records to improve the physical healthcare of people with serious mental illnesses: A view from the front lines

Esenwein¹,

Druss²

2014

International Review of Psychiatry

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Individuals with serious mental illnesses (SMI) treated in the public mental health sector die decades younger than the general population. Poor quality and fragmentation of care are risk factors underlying the poor health of this population. Integrated electronic health records (EHR) can play a vital role in efforts to improve quality and outcomes of care in patients with SMI. The objective of this paper is to describe the current state of efforts to integrate and improve the mental and physical care of individuals with SMI in the public sector, with an emphasis on the use of electronic health records (EHR). While a range of encouraging initiatives exists throughout the country, technological and medico-legal challenges are providing significant barriers for the successful integration of care and EHRs for many partnering organizations. Furthermore, there is a lack of rigorous research studying the effectiveness and sustainability of these programmes. Recommendations are made for the alleviation of policy barriers and future areas of inquiry.

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Section: Integrated Care Using Ehrs In the Public Mental Health Systemmentioning

confidence: 98%

Using electronic health records to improve the physical healthcare of people with serious mental illnesses: A view from the front lines

Esenwein¹,

Druss²

2014

International Review of Psychiatry

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“…Interstate practice of telemedicine also raises issues related to Health Insurance Portability and Accountability Act of 1996 (HIPAA) and patient privacy. Concerns include confidentiality regulations that lack standards and clarity regarding patient consent, ownership of data, as well as the patients' role in determining how their data can be utilized, and the potential creation of a nationwide standard for electronic record (66)(67)(68). When the US federal government announced the temporary lifting of restrictions related to telemedicine, the media highlighted that doctors could treat patients located anywhere in the country, and that medical records could be freely transferred, as violations of HIPAA would not be prosecuted.…”

Section: Licensing Of Physicians and Privacy Of Patient Recordsmentioning

confidence: 99%

Medicare Telehealth Pre and Post-COVID-19

Albanese

Gupta

Shah³

et al. 2021

TMT

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ABSTRACT The COVID-19 pandemic led to temporary relaxations for telehealth with respect to physician licensure, geographic location, and eligible sites for reimbursement. Earlier policies had impacted the rate of adoption of telehealth and retarded the ability to derive full benefits related to cost, access to care, and quality of care. This aspect is analyzed using 2018 Medicare fee-for-service codes and rates for 10 telemedicine services. Based on the analysis of these data, additional research, and literature review, this report describes how interstate practices can be better leveraged to achieve maximum potential for direct and indirect savings that can accrue through such pragmatic approaches for certain services. The interstate collaborations proposed in this report provide examples of broader telehealth policies that could foster increasing access to quality health care for Medicare beneficiaries and can potentially be used as insight to assist federal and state agencies as they review the continuation, cessation, or modifications of relaxations granted due to the COVID-19 pandemic.

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“…An analysis of the articles compiled for the literature review provided a conclusion that the implementation of a viable EHR interoperability solution would involve significant factors of data standardization and translation which would allow for the exploration of: (a) the current healthcare based standards of EHR interoperability [22], [24], [37], [1], [5]; (b) technical infrastructure which focused on the back-end infrastructure [2], [23]; and (c) how existing EHR interoperability solutions were implemented [27], [33], [34].…”

Section: Review Of the Literaturementioning

confidence: 99%

Towards a Conceptual Framework for Persistent Use: A Technical Plan to Achieve Semantic Interoperability within Electronic Health Record Systems

Blackman-Lees¹

2018

Proceedings of the 51st Hawaii International Conference on System Sciences

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Interoperable Electronic Health Care Record: A Case for Adoption of a National Standard to Stem the Ongoing Health Care Crisis

Cited by 6 publications

References 0 publications

Using electronic health records to improve the physical healthcare of people with serious mental illnesses: A view from the front lines

Using electronic health records to improve the physical healthcare of people with serious mental illnesses: A view from the front lines

Medicare Telehealth Pre and Post-COVID-19

Towards a Conceptual Framework for Persistent Use: A Technical Plan to Achieve Semantic Interoperability within Electronic Health Record Systems

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