Difference between revisions of "Health information technology in oncology practice: a literature review"

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To be continued...!

Revision as of 07:43, 21 October 2015

Introduction

Increasing adoption and implementation of health information technology (HIT), which focuses on the meaningful use, and quality and safety improvement, are becoming a main stream of healthcare reform in the U.S. Currently, an electronic health record (EHR) integrated with a computerized physician order entry (CPOE), clinical decision support systems (CDSSs), and Result Reporting Information Systems (RRISs) seems a major strategy and means to achieve aforementioned outcomes. The following article displays a narrative review focusing on the current use of CPOE and CDSSs in oncology practice. Through information retrieved through included literature, the authors provided insightful observations and constructive suggestions as to how oncologists overcome main obstacles in order to take advantage of HIT in cancer treatment. Furthermore, the authors also envisioned what future HIT is going to be in the field [1].

Results

Current Role of Health Information Technology in the Healthcare System

  • EHR is the core of HIT applications.
  • To achieve the meaningful use and quality improvement, appropriate integration of CPOE, CDSSs, and RRISs is essential.
  • Standards are needed for health information exchange and improvement of interoperability among different systems.
  • Relevant research and study of HIT in oncology:
  • 1. Health information systems and their application, evaluation, and organization.
  • 2. Collection and use of medical knowledge such as clinical guidelines, ontologies, databases, and natural language.
  • 3. Data analysis for imaging, signal, and other relevant information, including classification techniques, statistical modeling, and microarrays.

Anatomy and Physiology of HIT in Oncology

Oncology-specified EHRs

  • 1. EHR+CPOE+CDSSs+RRISs.
  • 2. Tumor staging.
  • 3. Multidisciplinary and data-intensive workflow
  • 4. Chemotherapy dosing and administration Toxicity assessment and management.
  • 5. Clinical trial and protocol management
  • 6. Drug inventory management.
  • 7. Survivorship care.
  • 8. Chemotherapy/Drug Management.
  • 9. Oncology-specific Billing Charge.
  • 10. Calendar/Scheduler.
  • 11. Clinical Trials and Research.
  • 12. Compliance Safeguards.


References

  1. Fasola, G., Macerelli, M., Follador, A., Rihawi, K., Aprile, G., & Della Mea, V. (2014). Health information technology in oncology practice: a literature review. Cancer Informatics, 13, 131–139. http://doi.org/10.4137/CIN.S12417

To be continued...!