Health IT

Advances in information technology, including electronic health records, that improve on the way that health care is delivered and coordinated.

Innovative Tools to Support Family Caregivers of Persons with Cancer: The Role of Information Technology

Connie M. Ulrich, PhD, RN, FAAN
Jun. 19, 2019

George Demiris, Karla Washington, Connie M. Ulrich, Mihail Popescu, Debra Parker Oliver

Abstract [from journal]

Objectives: To describe the current evidence of studies examining the use of information technology for family caregivers of persons with cancer. We highlight emerging technologies and trends and discuss ethical and practical implications.

Data Sources: Review scientific studies and systematic reviews of technology use to support caregivers of persons with cancer.

Conclusion: The evidence base is growing; however, more studies are needed to test the effectiveness of technology.

...

The Effect of Predictive Analytics-Driven Interventions on Healthcare Utilization

Research Brief
Apr. 3, 2019

Among high-risk Medicare Advantage members with congestive heart failure, a proactive outreach program driven by a claims-based predictive algorithm reduced the likelihood of an emergency department (ED) or specialist visit in one year by 20% and 21%, respectively. The average number of visits dropped as well, with a 40% reduction in the volume of ED visits and a 27% reduction in the volume of cardiology visits after the first year.

Rise of the Machines in Health Care?

Feb. 22, 2019

Artificial intelligence (AI) is moving fast and breaking things everywhere. It is built into multinational supply chains, web-based services, cars, and, slowly, health care. Although the adoption of AI in health care has been bumpy, it continues unabated. Last year, the U.S.

Online Ratings of the Patient Experience: Emergency Departments Versus Urgent Care Centers

Nov. 12, 2018

Anish K. Agarwal, Kevin Mahoney, Amy L. Lanza, Elissa V. Klinger,...

ABSTRACT [FROM JOURNAL]

Study Objective: Individuals increasingly use online rating platforms to rate and review hospitals. We seek to describe and compare publicly available online review content and ratings of emergency departments (EDs) and urgent care centers.

Methods: We analyzed Yelp reviews of EDs and urgent care centers to

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Comparison of Pharmacy Claims and Electronic Pill Bottles for Measurement of Medication Adherence Among Myocardial Infarction Patients

Aug. 2, 2018

Shivan J. MehtaDavid A. Asch, Andrea B. Troxel, Raymond Lim, Jennifer Lewey, Wenli Wang, Jingsan Zhu, Laurie Norton, Noora Marcus, ...

ABSTRACT [FROM JOURNAL]

Background: Medication adherence after myocardial infarction remains low. Pharmacy claims have typically been used to measure medication adherence, but electronic pill bottles may offer additional information.

Objective: The main objectives of this study were to compare the association of adherence measured by prescription claims and remote monitoring technologies with cardiovascular events.

Research Design: This study was a secondary analysis of a remote monitoring intervention to increase...

A Randomized Controlled Trial of Opt-in Versus Opt-Out Colorectal Cancer Screening Outreach

Jul. 9, 2018

Shivan J. Mehta, Tanya Khan, Carmen Guerra, Catherine Reitz, Timothy McAuliffe, ...

ABSTRACT [FROM JOURNAL]

Objectives: Colorectal cancer (CRC) screening uptake is suboptimal, despite national efforts to increase screening rates. Behavioral economic approaches such as changing defaults may increase participation. We compare response rates to opt-in or opt-out messaging in mailed fecal immunochemical test (FIT) outreach.

Methods: This is a two-arm randomized controlled trial among 314 patients aged 50–74 years who had at least two primary care visits in the 2...

Advances in Alzheimer's Imaging are Changing the Experience of Alzheimer's Disease

Jun. 20, 2018

Shana D. Stites, Richard Milne, and Jason Karlawish

ABSTRACT [FROM JOURNAL]

Neuroimaging is advancing a new definition of Alzheimer's disease (AD). Using imaging biomarkers, clinicians may begin to diagnose the disease by identifying pathology and neurodegeneration in either cognitively impaired or unimpaired adults. This “biomarker-based” diagnosis may allow clinicians novel opportunities to use interventions that either delay the onset or slow the progression of cognitive decline, but it will also bring novel challenges. How will changing the definition of AD from a clinical to a biomarker construct change the experience of...

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