Medical Records

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Registries for Evaluating Patient Outcomes

Author : Agency for Healthcare Research and Quality/AHRQ
Publisher : Government Printing Office
ISBN 13 : 1587634333
Total Pages : 396 pages
Book Rating : 4.5/5 (876 download)

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Book Synopsis Registries for Evaluating Patient Outcomes by : Agency for Healthcare Research and Quality/AHRQ

Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Medical Records and the Law

Author : William H. Roach
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780763725983
Total Pages : 370 pages
Book Rating : 4.7/5 (259 download)

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Book Synopsis Medical Records and the Law by : William H. Roach

Download or read book Medical Records and the Law written by William H. Roach and published by Jones & Bartlett Learning. This book was released on 2003 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Administration

Our Bodies, Our Data

Author : Adam Tanner
Publisher : Beacon Press
ISBN 13 : 0807033359
Total Pages : 248 pages
Book Rating : 4.8/5 (7 download)

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Book Synopsis Our Bodies, Our Data by : Adam Tanner

Download or read book Our Bodies, Our Data written by Adam Tanner and published by Beacon Press. This book was released on 2017-01-10 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: How the hidden trade in our sensitive medical information became a multibillion-dollar business, but has done little to improve our health-care outcomes Hidden to consumers, patient medical data has become a multibillion-dollar worldwide trade industry between our health-care providers, drug companies, and a complex web of middlemen. This great medical-data bazaar sells copies of the prescription you recently filled, your hospital records, insurance claims, blood-test results, and more, stripped of your name but possibly with identifiers such as year of birth, gender, and doctor. As computing grows ever more sophisticated, patient dossiers become increasingly vulnerable to reidentification and the possibility of being targeted by identity thieves or hackers. Paradoxically, comprehensive electronic files for patient treatment—the reason medical data exists in the first place—remain an elusive goal. Even today, patients or their doctors rarely have easy access to comprehensive records that could improve care. In the evolution of medical data, the instinct for profit has outstripped patient needs. This book tells the human, behind-the-scenes story of how such a system evolved internationally. It begins with New York advertising man Ludwig Wolfgang Frohlich, who founded IMS Health, the world’s dominant health-data miner, in the 1950s. IMS Health now gathers patient medical data from more than 45 billion transactions annually from 780,000 data feeds in more than 100 countries. Our Bodies, Our Data uncovers some of Frohlich’s hidden past and follows the story of what happened in the following decades. This is both a story about medicine and medical practice, and about big business and maximizing profits, and the places these meet, places most patients would like to believe are off-limits. Our Bodies, Our Data seeks to spark debate on how we can best balance the promise big data offers to advance medicine and improve lives while preserving the rights and interests of every patient. We, the public, deserve a say in this discussion. After all, it’s our data.

Medical Records

Author : GD Mogli
Publisher : Jaypee Brothers Medical Publishers
ISBN 13 : 9789385891823
Total Pages : 0 pages
Book Rating : 4.8/5 (918 download)

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Book Synopsis Medical Records by : GD Mogli

Download or read book Medical Records written by GD Mogli and published by Jaypee Brothers Medical Publishers. This book was released on 2017-02-27 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part 1: Traditional Medical Records Organization and Management Procedures Chapter 1: History of Medical Records Administration Chapter 2: Role of Medical Records in Health Care Delivery Chapter 3: General Medical Records Standards and Policies Chapter 4: Legal Aspects of Medical Records and Electronic Health Records (EHRs) Chapter 5: Medical Audit Chapter 6: ICD-10 Revision, ICD-10CM and ICD-10 PCS Revision Chapter 7: Hospital Information System Chapter 8: How to Economize Health Service Expenditure Chapter 9: Organization and Management of the Medical Record Department Chapter 10: Medical Record Procedures Part 2: Design and Development of Hospital Information System (HIS) for Software Production Chapter 11: Computerization of the Medical Records Chapter 12: Challenges of the Health Care Delivery in 21st Century Chapter 13: Domain for Designing the Hospital Information System (HIS) Software Chapter 14: Designing the Hospital Ward Nursing Administrative Activities Chapter 15: Blood Transfusion Service Chapter 16: Pediatric Center Chapter 17: Diabetic Center Chapter 18: Dialysis Center Chapter 19: Dental Clinic Chapter 20: IVF (In Vitro Fertilization) Clinic Chapter 21: Occupational Health and Safety Chapter 22: Biomedical Equipment Maintenance Part 3: Development and Implementation of Electronic Health Records (EHR) Chapter 23: Perspective of Information Technology (IT) in Hospital Information System Chapter 24: Challenges in Hospital IT and Networking Design Chapter 25: Tips for Evaluation of Electronic Health Record Software Chapter 26: Roadmap for Successful Implementaion of EHR Chapter 27: Amalgamation of Manual Record (MR) with Electronic Health Records (EHRs) Chapter 28: Health Record Manager (HRM) Revolves around Patient as a Good Leader Chapter 29: Modern Trends and Issues of Developing Countries in Maintaining Medical Records Chapter 30: Health Information Management (HIM) Professionals Endurance in 21st Century Chapter 31: Implementation of Personal Health Record (PHR) Bibliography Appendix

The Computer-Based Patient Record

Author : Committee on Improving the Patient Record
Publisher : National Academies Press
ISBN 13 : 030957885X
Total Pages : 257 pages
Book Rating : 4.3/5 (95 download)

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Book Synopsis The Computer-Based Patient Record by : Committee on Improving the Patient Record

Download or read book The Computer-Based Patient Record written by Committee on Improving the Patient Record and published by National Academies Press. This book was released on 1997-10-28 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most industries have plunged into data automation, but health care organizations have lagged in moving patients' medical records from paper to computers. In its first edition, this book presented a blueprint for introducing the computer-based patient record (CPR). The revised edition adds new information to the original book. One section describes recent developments, including the creation of a computer-based patient record institute. An international chapter highlights what is new in this still-emerging technology. An expert committee explores the potential of machine-readable CPRs to improve diagnostic and care decisions, provide a database for policymaking, and much more, addressing these key questions: Who uses patient records? What technology is available and what further research is necessary to meet users' needs? What should government, medical organizations, and others do to make the transition to CPRs? The volume also explores such issues as privacy and confidentiality, costs, the need for training, legal barriers to CPRs, and other key topics.

Electronic Medical Records

Author : Neil S. Skolnik
Publisher : Springer Science & Business Media
ISBN 13 : 1607616068
Total Pages : 161 pages
Book Rating : 4.6/5 (76 download)

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Book Synopsis Electronic Medical Records by : Neil S. Skolnik

Download or read book Electronic Medical Records written by Neil S. Skolnik and published by Springer Science & Business Media. This book was released on 2010-10-20 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physician adoption of electronic medical records (EMRs) has become a national priority. It is said that EMRs have the potential to greatly improve patient care, to provide the data needed for more effective population management and quality assurance of both an individual practice’s patients and well as patients of large health care systems, and the potential to create efficiencies that allow physicians to provide this improved care at a far lower cost than at present. There is currently a strong U.S. government push for physicians to adopt EMR technology, with the Obama administration emphasizing the use of EMRs as an important part of the future of health care and urging widespread adoption of this technology by 2014. This timely book for the primary care community offers a concise and easy to read guide for implementing an EMR system. Organized in six sections, this invaluable title details the general state of the EMR landscape, covering the government’s incentive program, promises and pitfalls of EMR technology, issues related to standardization and the range of EMR vendors from which a provider can choose. Importantly, chapter two provides a detailed and highly instructional account of the experiences that a range of primary care providers have had in implementing EMR systems. Chapter three discusses how to effectively choose an EMR system, while chapters four and five cover all of the vital pre-implementation and implementation issues in establishing an EMR system in the primary care environment. Finally, chapter six discusses how to optimize and maintain a new EMR system to achieve the full cost savings desired. Concise, direct, but above all honest in recognizing the challenges in choosing and implementing an electronic health record in primary care, Electronic Medical Records: A Practical Guide for Primary Care has been written with the busy primary care physician in mind.

Secondary Analysis of Electronic Health Records

Author : MIT Critical Data
Publisher : Springer
ISBN 13 : 3319437429
Total Pages : 427 pages
Book Rating : 4.3/5 (194 download)

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Book Synopsis Secondary Analysis of Electronic Health Records by : MIT Critical Data

Download or read book Secondary Analysis of Electronic Health Records written by MIT Critical Data and published by Springer. This book was released on 2016-09-09 with total page 427 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book trains the next generation of scientists representing different disciplines to leverage the data generated during routine patient care. It formulates a more complete lexicon of evidence-based recommendations and support shared, ethical decision making by doctors with their patients. Diagnostic and therapeutic technologies continue to evolve rapidly, and both individual practitioners and clinical teams face increasingly complex ethical decisions. Unfortunately, the current state of medical knowledge does not provide the guidance to make the majority of clinical decisions on the basis of evidence. The present research infrastructure is inefficient and frequently produces unreliable results that cannot be replicated. Even randomized controlled trials (RCTs), the traditional gold standards of the research reliability hierarchy, are not without limitations. They can be costly, labor intensive, and slow, and can return results that are seldom generalizable to every patient population. Furthermore, many pertinent but unresolved clinical and medical systems issues do not seem to have attracted the interest of the research enterprise, which has come to focus instead on cellular and molecular investigations and single-agent (e.g., a drug or device) effects. For clinicians, the end result is a bit of a “data desert” when it comes to making decisions. The new research infrastructure proposed in this book will help the medical profession to make ethically sound and well informed decisions for their patients.

Information Discovery on Electronic Health Records

Author : Vagelis Hristidis
Publisher : CRC Press
ISBN 13 : 9781420090413
Total Pages : 331 pages
Book Rating : 4.0/5 (94 download)

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Book Synopsis Information Discovery on Electronic Health Records by : Vagelis Hristidis

Download or read book Information Discovery on Electronic Health Records written by Vagelis Hristidis and published by CRC Press. This book was released on 2009-12-10 with total page 331 pages. Available in PDF, EPUB and Kindle. Book excerpt: Exploiting the rich information found in electronic health records (EHRs) can facilitate better medical research and improve the quality of medical practice. Until now, a trivial amount of research has been published on the challenges of leveraging this information. Addressing these challenges, Information Discovery on Electronic Health Records explores the technology to unleash the data stored in EHRs. Assembling a truly interdisciplinary team of experts, the book tackles medical privacy concerns, the lack of standardization for the representation of EHRs, missing or incorrect values, and the availability of multiple rich health ontologies. It looks at how to search the EHR collection given a user query and return relevant fragments from the EHRs. It also explains how to mine the EHR collection to extract interesting patterns, group entities to various classes, or decide whether an EHR satisfies a given property. Most of the book focuses on textual or numeric data of EHRs, where more searching and mining progress has occurred. A chapter on the processing of medical images is also included. Maintaining a uniform style across chapters and minimizing technical jargon, this book presents the various ways to extract useful knowledge from EHRs. It skillfully discusses how EHR data can be effectively searched and mined.

Electronic Health Records

Author : Richard Gartee
Publisher : Prentice Hall
ISBN 13 : 9780134257501
Total Pages : 0 pages
Book Rating : 4.2/5 (575 download)

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Book Synopsis Electronic Health Records by : Richard Gartee

Download or read book Electronic Health Records written by Richard Gartee and published by Prentice Hall. This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Resource added for the Health Information Technology program 105301.

New Perspectives in Medical Records

Author : Giovanni Rinaldi
Publisher : Springer
ISBN 13 : 3319286617
Total Pages : 224 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis New Perspectives in Medical Records by : Giovanni Rinaldi

Download or read book New Perspectives in Medical Records written by Giovanni Rinaldi and published by Springer. This book was released on 2017-03-18 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides innovative practical suggestions regarding the production and management of medical records that are designed to address the inconsistencies and errors that have been highlighted especially in relation to national eHealth programs. Challenges and lessons that have emerged from the use of clinical information and the design of medical records are discussed, and principles underpinning the implementation of health IT are critically examined. New trends in the use of clinical data are explored in depth, with analysis of issues relating to integration and sharing of patient information, data visualization, big data analytics, and the requirements of modern electronic health records. The spirit pervading the book is one of co-production, in which the needs of practitioners are taken into account from the outset. Readers will learn the basic concepts of how clinical information emanating from the doctor–patient relationship can be effectively integrated with genetic and environmental data and analyzed by complex algorithms with the goal of improving medical decision making and patient care. The book, written by European experts and researchers, will be of interest to all stakeholders in the field, including doctors, technicians, and policy makers.

Electronic Health Records For Dummies

Author : Trenor Williams
Publisher : John Wiley & Sons
ISBN 13 : 1118023935
Total Pages : 340 pages
Book Rating : 4.1/5 (18 download)

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Book Synopsis Electronic Health Records For Dummies by : Trenor Williams

Download or read book Electronic Health Records For Dummies written by Trenor Williams and published by John Wiley & Sons. This book was released on 2010-12-03 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: The straight scoop on choosing and implementing an electronic health records (EHR) system Doctors, nurses, and hospital and clinic administrators are interested in learning the best ways to implement and use an electronic health records system so that they can be shared across different health care settings via a network-connected information system. This helpful, plain-English guide provides need-to-know information on how to choose the right system, assure patients of the security of their records, and implement an EHR in such a way that it causes minimal disruption to the daily demands of a hospital or clinic. Offers a plain-English guide to the many electronic health records (EHR) systems from which to choose Authors are a duo of EHR experts who provide clear, easy-to-understand information on how to choose the right EHR system an implement it effectively Addresses the benefits of implementing an EHR system so that critical information (such as medication, allergies, medical history, lab results, radiology images, etc.) can be shared across different health care settings Discusses ways to talk to patients about the security of their electronic health records Electronic Health Records For Dummies walks you through all the necessary steps to successfully choose the right EHR system, keep it current, and use it effectively.

For the Record

Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309056977
Total Pages : 287 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis For the Record by : National Research Council

Download or read book For the Record written by National Research Council and published by National Academies Press. This book was released on 1997-07-09 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt: When you visit the doctor, information about you may be recorded in an office computer. Your tests may be sent to a laboratory or consulting physician. Relevant information may be transmitted to your health insurer or pharmacy. Your data may be collected by the state government or by an organization that accredits health care or studies medical costs. By making information more readily available to those who need it, greater use of computerized health information can help improve the quality of health care and reduce its costs. Yet health care organizations must find ways to ensure that electronic health information is not improperly divulged. Patient privacy has been an issue since the oath of Hippocrates first called on physicians to "keep silence" on patient matters, and with highly sensitive dataâ€"genetic information, HIV test results, psychiatric recordsâ€"entering patient records, concerns over privacy and security are growing. For the Record responds to the health care industry's need for greater guidance in protecting health information that increasingly flows through the national information infrastructureâ€"from patient to provider, payer, analyst, employer, government agency, medical product manufacturer, and beyond. This book makes practical detailed recommendations for technical and organizational solutions and national-level initiatives. For the Record describes two major types of privacy and security concerns that stem from the availability of health information in electronic form: the increased potential for inappropriate release of information held by individual organizations (whether by those with access to computerized records or those who break into them) and systemic concerns derived from open and widespread sharing of data among various parties. The committee reports on the technological and organizational aspects of security management, including basic principles of security; the effectiveness of technologies for user authentication, access control, and encryption; obstacles and incentives in the adoption of new technologies; and mechanisms for training, monitoring, and enforcement. For the Record reviews the growing interest in electronic medical records; the increasing value of health information to providers, payers, researchers, and administrators; and the current legal and regulatory environment for protecting health data. This information is of immediate interest to policymakers, health policy researchers, patient advocates, professionals in health data management, and other stakeholders.

Reading Medical Records

Author : James Stanley McQuade
Publisher :
ISBN 13 : 9781611631098
Total Pages : 0 pages
Book Rating : 4.6/5 (31 download)

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Book Synopsis Reading Medical Records by : James Stanley McQuade

Download or read book Reading Medical Records written by James Stanley McQuade and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is designed to help legal professionals work with, and understand, medical records. It is the fruit of more than 20 years working with lawyers, paralegals, and other compensation professionals in seminars and classrooms and has been found to be very readable and effective. No prior knowledge of medicine or medical practice is required.

Medical Record Management

Author : Edna K. Huffman
Publisher :
ISBN 13 :
Total Pages : 788 pages
Book Rating : 4.:/5 (636 download)

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Book Synopsis Medical Record Management by : Edna K. Huffman

Download or read book Medical Record Management written by Edna K. Huffman and published by . This book was released on 1990 with total page 788 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Electronic Medical Records

Author : Jerome H. Carter
Publisher : ACP Press
ISBN 13 : 9781930513013
Total Pages : 478 pages
Book Rating : 4.5/5 (13 download)

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Book Synopsis Electronic Medical Records by : Jerome H. Carter

Download or read book Electronic Medical Records written by Jerome H. Carter and published by ACP Press. This book was released on 2001 with total page 478 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Infomation Systems are increasingly important in Medical Practice. This work is a two-part book detailing the importance, selection and implementation of information systems in the health care setting. Volume One discusses the technical, organizational, clinical and administrative issues pertaining to EMR implementation. Highlighted topics include: infrastructure of the electronic patient records for administrators and clinicians, understanding processes and outcomes, and preparing for an EMR. The second workbook is filled with sample charts and questions, guiding the reader through the actual EMR implementation process.

My Child's Health Record

Author : Inc Peter Pauper Press
Publisher : Peter Pauper Press
ISBN 13 : 9781441313843
Total Pages : 0 pages
Book Rating : 4.3/5 (138 download)

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Book Synopsis My Child's Health Record by : Inc Peter Pauper Press

Download or read book My Child's Health Record written by Inc Peter Pauper Press and published by Peter Pauper Press. This book was released on 2013-08 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: From babys well visits through the first 18 years, record your childs immunizations, measurements & percentiles, illnesses, instructions from the doctor (& questions to remember to ask), and more in this simple, attractive, and sturdy health journal. With tips and reminders, this little tracker provides the perfect place to record clear and concise medical history necessary for school, camp, college, insurance, a change of doctors, and personal reference. Small and thin enough to fit in a purse and a file, with archival paper to last a lifetime. Measures 5-1/2" wide x 8" high. 56 pages. Hardcover with elastic band closure. Inside back cover pocket.

Key Capabilities of an Electronic Health Record System

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309185432
Total Pages : 36 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Key Capabilities of an Electronic Health Record System by : Institute of Medicine

Download or read book Key Capabilities of an Electronic Health Record System written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-31 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: Commissioned by the Department of Health and Human Services, Key Capabilities of an Electronic Health Record System provides guidance on the most significant care delivery-related capabilities of electronic health record (EHR) systems. There is a great deal of interest in both the public and private sectors in encouraging all health care providers to migrate from paper-based health records to a system that stores health information electronically and employs computer-aided decision support systems. In part, this interest is due to a growing recognition that a stronger information technology infrastructure is integral to addressing national concerns such as the need to improve the safety and the quality of health care, rising health care costs, and matters of homeland security related to the health sector. Key Capabilities of an Electronic Health Record System provides a set of basic functionalities that an EHR system must employ to promote patient safety, including detailed patient data (e.g., diagnoses, allergies, laboratory results), as well as decision-support capabilities (e.g., the ability to alert providers to potential drug-drug interactions). The book examines care delivery functions, such as database management and the use of health care data standards to better advance the safety, quality, and efficiency of health care in the United States.