The Electronic Health Record as a Quality Improvement Tool

Carr, Leah; Christ, Lori; Ferro, Daria F.

doi:10.1016/j.clp.2023.01.008

Cited by 4 publications

(1 citation statement)

References 27 publications

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“…These are discussed in the next section. Carr, Christ and Ferro (2023) state that the intersection of appropriately implemented technology and human participation within digital health systems results in outcomes which exceed that of isolated human involvement. Tully et al (2013) argue that the Data-Information-Knowledge-Wisdom pyramid is an appropriate apparatus to use when investigating digital health system components.…”

Section: Literature Reviewmentioning

confidence: 99%

Live Healthcare Console: Evaluating digital health design models, a South African perspective

Moonsamy,

Singh

2024

S. Afr. j. inf. manag.

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Background: The Department of Health has implemented eHealth systems, yet Gauteng (South Africa) continues to experience healthcare burdens such as prioritising scarce resources. The healthcare technology landscape continues to grow in complexity, yet the availability of real-time information for decision making is limited. A Live Healthcare Console has been proposed to keep key stakeholders informed using real-time information by connecting existing healthcare resources.Objectives: The objective of the research was to identify and evaluate five eHealth design models to determine whether they can be used to design a Live Healthcare Console. The evaluation of the models considered the Batho Pele Principles, which was created by the South African government to promote service delivery.Method: A literature review was conducted to identify relevant eHealth models. The models were evaluated and scored using a custom evaluation framework. The models were also scored against the eHealth model aims (combine, communicate, collaborate and connect) identified in this research.Results: The average score of the five models was 70%, with none fully satisfying the unique South African contexts such as the Batho Pele Principles.Conclusion: A new design model needs to be created as the foundation for the Live Healthcare Console, as no model which caters to the South African context exists.Contribution: A custom evaluation framework for eHealth models considering the unique South African contexts was created. Five models were also evaluated and scored against the new framework.

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Section: Literature Reviewmentioning

confidence: 99%

Live Healthcare Console: Evaluating digital health design models, a South African perspective

Moonsamy,

Singh

2024

S. Afr. j. inf. manag.

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Assessment of diaper dermatitis using a novel electronic health record-embedded scale

Visscher,

Taleghani,

Nurre

et al. 2023

J Perinatol

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Improving electronic health record documentation and use to promote evidence-based pediatric care

Till,

Leis,

McCombs-Thornton

et al. 2024

Journal of Pediatric Psychology

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Objective Electronic health records (EHRs) often lack the necessary functionalities to support the full implementation of national clinical guidelines for pediatric care outlined in the American Academy of Pediatrics Bright Futures Guidelines. Using HealthySteps (HS), an evidence-based pediatric primary care program, as an exemplar, this study aimed to enhance pediatric EHRs, identify facilitators and barriers to EHR enhancements, and improve data quality for delivering clinical care as part of HS implementation and evidence building. Methods Three HS sites—each differing in location, setting, number of children served, and mix of child insurance coverage—participated in the study. Sites received technical assistance to support data collection and EHR updates. A comprehensive evaluation, including a process evaluation and outcomes monitoring, was conducted to gauge progress toward implementing study data requirements over time. Data sources included administrative records, surveys, and interviews. Results All sites enhanced their EHRs yet relied on supplemental data systems to track care coordination. Sites improved documentation of required data, demonstrating reductions in missing data and increases in extractable data between baseline and follow-up assessments. For example, the percentage of missing social-emotional screening results ranged from 0% to 8.0% at study conclusion. Facilitators and barriers to EHR enhancements included organizational supports, leadership, and capacity building. Conclusions With significant investment of time and resources, practices modified their EHRs to better capture services aligned with HS and Bright Futures. However, more scalable digital solutions are necessary to support EHR updates to help drive improvements in clinical care and outcomes for children and families.

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The Electronic Health Record as a Quality Improvement Tool

Cited by 4 publications

References 27 publications

Live Healthcare Console: Evaluating digital health design models, a South African perspective

Live Healthcare Console: Evaluating digital health design models, a South African perspective

Assessment of diaper dermatitis using a novel electronic health record-embedded scale

Improving electronic health record documentation and use to promote evidence-based pediatric care

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