Difference between revisions of "Main Page"

From Clinfowiki
Jump to: navigation, search
Line 112: Line 112:
 
* [http://wellness.wikispaces.com/ WellnessWiki] an ever-evolving virtual encyclopedia of the healthcare crisis and potential remedies
 
* [http://wellness.wikispaces.com/ WellnessWiki] an ever-evolving virtual encyclopedia of the healthcare crisis and potential remedies
  
==[[:Category:Reviews| Reviews of Recent articles on Clinical Informatics]]==
 
Redesigning electronic health record systems to support public health. 
 
  
Rita Kukafka , Jessica S Ancker , Connie Chan , John Chelico , Sharib Khan , Selasie Mortoti , Karthik Natarajan , Kempton Presley , Kayann Stephens 
 
J Biomed Inform. 2007 Jul 9;   
 
 
This article discusses the following question: Why current electronic health record systems need to be redesigned to better support public health goals and core functions (assessment, policy development, assurance). Current EHR systems are clinically oriented. Identification and discussion of design, implementation, and methodological issues.Current EHR systems focus on the individual patient care provided by clinicians. Recommendations are provided for changes to current EHR systems will benefit public health but also provide benefits to consumers and health care providers.  The needs of public health are not met by the current clinically focused EHR systems.  Changes in these EHR systems would benefit but also pose challenges to a number of stakeholders. Two broad suggestions are offered: reuse of clinical data for public health purposes and expansion of the clinical data model to collect and process public health data such as psychosocial, behavioral, and environmental variables. The article identifies a third issue as outside the scope of this discussion (privacy and security protections). The authors offer specific suggestions for expanding the current clinical model (to better reflect and address public health core functions) using informatics methods.
 
 
As discussed by Kukafka and colleagues, in order to serve public health needs current (and by implication) future electronic health record systems should be redesigned. The authors identify specific public health data collection and reporting requirements that are not routinely met by current EHR systems.  If EHR systems are modified, public health might be able to reduce the amount of reportable data collection that is currently conducted via surveys and paper-based processes, thus reducing the amount of redundant or duplicate data reporting by clinicians. The authors’ suggestion that “data should be collected once and only once” seems sensible but idealistic given the current complex health system and the diversity of data user needs and specifications.  However, the authors make a good case for relooking at the data that are currently collected and proposing that current standards and data modeling efforts be enhanced to better address the (increasing) needs of public health. The authors pose relevant arguments that benefits would accrue to clinicians and public health by incorporating 2 major changes to current EHR systems (more reuse of currently collected data and collection of new data).
 
  
 
==Departments of Biomedical or Medical Informatics==
 
==Departments of Biomedical or Medical Informatics==

Revision as of 13:26, 19 October 2007

The Clinical Informatics Wiki -- Clinfowiki

The Clinical Informatics Wiki is an implementation of a wiki devoted to topics in clinical informatics. To begin a new article, or edit an existing article, you must first create an account and login to the ClinfoWiki.

Please see documentation on customizing the interface and the User's Guide for usage and configuration help.

You can test your edits as much as you want in the Sandbox.

We are currently working on 1,583 articles, and we need your help to complete this study of Clinical Informatics. See Special:Statistics for more complete information on the site.

Free and Open Source Software (FOSS) licensing in medicine

see FOSSM

Electronic Medical Record (EMR) Systems

see EMR

Computer-based Provider Order Entry -- CPOE

see CPOE

Clinical Decision Support -- CDS

see CDS

Personal Health Records -- PHRs

see PHR

Personal Health Applications -- PHAs

see PHA

Informatics Students' Contributions

seeContributions

Blueprint for a Comprehensive HIT System

Biobanking -- a.k.a. Biorepositories or Tissue Banks

see BioBanking

Organizational issues

The Role of the CMIO

Regional Health Information Organizations -- RHIOs

see RHIO

Evidence-Based Medicine -- EBM

see EBM

Evaluation Methods in Informatics

An overview of qualitative and quantitative design methodologies used in informatics. See Evaluation

Unintended Consequences of Health Information Technology

see Unintended Consequences of HIT

Quality & Quality Informatics

see Quality & Quality Informatics

U.S. Federal Health Information Technology Initiatives

The E-Patient-Provider Relationship

Interface Terminology

New CIS-related Technologies

International views

Blogposium, April 2006

The Blogposium, held from April 18-20, was an innovation in collaborative blogging and wiki building.

The effort marshalled the expertise and energy of several dozen health bloggers and volunteers to expand and refine this Clinical Informatics Wiki. Bloggers posted their first drafts of entries as posts or links to this wiki and invited readers to provide comments and edit suggestions.

While many bloggers and readers contributed to this Web 2.0 innovation in collaborative work, key participants included the follow blogs. Please visit them and thank them for their contributions:


Departments of Biomedical or Medical Informatics

See List of Informatics Departments

Endowed Professorships and Chairs in Health / Medical / Nursing / Biomedical Informatics

see Endowed Professorships

External Links

External Medical Reference Links

  • eMedicine Physician contributed medical articles and CME
  • KMLE Medical Dictionary Medical dictionary and medical related links
  • NLM (US National Library of Medicine, contains resources for patients and health care professionals)
  • WebMD General comprehensive online health information