Health IT

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

Infographic of the Day: Data, Data, Everywhere

May. 9, 2016

Publicly-funded datasets offer some of the most exciting growth opportunities for health services researchers interested in evaluating effectiveness, quality, and value in health care. However, data governance--the rules that protect the privacy of personal health information while allowing appropriate access by researchers--has lagged behind.

Change In Length of Stay and Readmissions Among Hospitalized Medical Patients after Inpatient Medicine Service Adoption of Mobile Secure Text Messaging

Apr. 13, 2016

Mitesh Patel, Neha Patel, Dylan Small, Roy Rosin, Jeffrey Rohbach, Nathaniel Stromberg, C. William Hanson, David Asch

In the Journal of General Internal Medicine, Mitesh Patel and colleagues, including Dylan Small, Roy Rosin, and David Asch, evaluate the association between an inpatient medicine service’s adoption of mobile secure text messaging and patient length of stay and readmissions. The authors observed the change in length of stay and 30-day readmissions between a control site and one that implemented text messaging. They find a significant decrease in length of stay for the intervention site during and after the rollout of inpatient text communication. There was no significant difference...

A Qualitative Evaluation of Patient-Perceived Benefits and Barriers to Participation in a Telephone Care Management Program

Jan. 29, 2016

Lindsay Jubelt, Kevin Volpp, Dana Gatto, Joelle Friedman, Judy Shea

In the American Journal of Health Promotion, Lindsay Jubelt and colleagues, including Kevin Volpp and Judy Shea, try to better understand the low participation rate of high-risk individuals in a targeted telephone care management program. Researchers interviewed patients who were recruited to participate in the care management program but had dropped out or never participated despite recruitment efforts. The most commonly cited barriers to participation were a lack of perceived need and a sense of distrust toward the program and its staff. These findings could help care management...

Are Patients With Cancer Less Willing to Share Their Health Information? Privacy, Sensitivity, and Social Purpose

Jan. 29, 2016

David Grande, David Asch, Fei Wan, Angela Bradbury, Reshma Jagsi, Nandita Mitra

In the Journal of Oncology Practice, David Grande and colleagues, including David Asch and Nandita Mitra, assess patient views on use of health information to build population cancer databases for research and care delivery. Participants with and without cancer were randomly assigned to rate scenarios based on their willingness to share their electronic health information in each scenario. The research finds that participants with and without cancer had a similar willingness to share health information. Both patient groups identified the purpose of information use as the most...

A Comparison of 2 Surgical Site Infection Monitoring Systems

Nov. 5, 2015

Mila Ju, Clifford  Ko, Bruce Hall, Charles Bosk, Karl Bilimoria, Elizabeth Wick

In JAMA Surgery, Mila Jiu and colleagues, including Charles Bosk, compare surgical site infection (SSI) monitoring systems, discrepancies in their implementation, and their relationship to infection rates. The researchers compared the National Health and Safety Network (NHSN), which is required by most states, and the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP), which is not. The study looks at how the NHSN or ACS NSQIP was implemented in 16 hospitals. It also observes rates of colon SSIs at these same hospitals. The data were collected...

Linking social media and medical record data: a study of adults presenting to an academic, urban emergency department

Oct. 15, 2015

Kevin A Padrez, Lyle Ungar, Hansen Schwartz, Robert J Smith, Shawndra Hill, Tadas Antanavicius, Dana Brown,  Patrick Crutchley, David AschRaina Merchant

In BMJ Quality and Safety, Kevin Padrez and colleagues, including David Asch and Raina Merchant, explore the acceptability to patients and potential utility to researchers of a database linking patients’ social media content with their electronic medical record (EMR) data. The authors approached adult Facebook/Twitter users who presented to an emergency department. Many patients were willing to share and link their social media data with EMR data. Patients that shared their social media data were younger, more likely to post at least once a day, and more likely to present to the...

The Elusive Digital Doctor

Sep. 17, 2015

Along with being Interim Chair of the Department of Medicine at the University of California and ranked by Modern Healthcare as the most influential physician-executive in the U.S., Robert Wachter, MD, is the author of 250 articles and 6 books, the latest of which has become a New York Times Best Seller. Entitled The Digital Doctor: Hope, Hype and Harm at the Dawn of Medicine's Computer Age, the book is being hailed across the country as the most compelling one yet written on its subject.

What do patients say about emergency departments in online reviews? A qualitative study

Sep. 14, 2015

Austin S. Kilaru, Zachary F. Meisel, Breah Paciotti, Yoonhee P. Ha, Robert J. Smith, Benjamin L. Ranard, Raina M. Merchant

In BMJ Quality and Safety, Austin Kilaru and colleagues, including Zachary Meisel and Raina Merchant, seek to better understand how patients’ use of web-based tools to reflect on their health care experiences compares with in-patient surveys. They analyzed online reviews for U.S. emergency departments (EDs) posted on the consumer ratings website Yelp. The authors collected reviews describing experiences of ED care for a random sample of 100 U.S. hospitals. They analyzed the content of the reviews against themes from the Hospital Consumer Assessment of Healthcare Providers and...

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