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Spring 2010 Introduction
Spring 2010 Introduction As the year progresses, the administration seems more committed to funding health information technology to improve access to care for minority and underserved populations. The Spring 2010 issue of Perspectives in Health Information Management will highlight the importance of creating a sustainable health information exchange and the innovative use of geographical information systems in helping to create access to care in rural areas.
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Research article A Patient Survey Assessing the Awareness and Acceptability of the Emergency Care Summary and its Consent Model
by Chris Johnstone, MBChB, and Gerry McCartney, MBChB Abstract
Background ---------- The Emergency Care Summary (ECS) was introduced in 2006 to allow aspects of the general practitioner (GP; family doctor, equivalent to primary care physician) medical record to be viewed in hospitals and out-of-hours centers in Scotland. Records were automatically uploaded unless patients actively opted out. This study investigated patient awareness and acceptance of this process.
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Rural Veteran Access to Healthcare Services: Investigating the Role of Information and Communication Technologies in Overcoming Spatial Barriers by Benjamin L. Schooley, MBA, PhD; Thomas A. Horan, PhD; Pamela W. Lee, PhD; and Priscilla A. West, MPH
Abstract This multimethod pilot study examined patient and practitioner perspectives on the influence of spatial barriers to healthcare access and the role of health information technology in overcoming these barriers. The study included a survey administered to patients attending a Department of Veterans Affairs (VA) health visit, and a focus group with VA care providers.
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Access to Cardiac Interventional Services in Alabama and Mississippi: A Geographical Information System Analysis by Barbara Ann Graves, PhD, RN ------------------------------
Abstract Objective ---------
The objective of this study was to determine the contribution of distance to hospitals with cardiac interventional services (CIS) to county age-adjusted myocardial infarction (MI) mortality rates (CAMR) in Alabama and Mississippi counties. Methods -------
The study used three data sources: U.S. Census data, Centers for Disease Control and Prevention (CDC) mortality data, and American Hospital Association data. Read More...
Commentary Hope for New Jersey’s City Hospitals: The Camden Initiative
by Steven R. Green, PhD; Veena Singh, MA, MCRP; and William O’Byrne Introduction
A tiny fraction of patients that consumes a disproportionately large share of medical resources in cities like Camden, NJ, threatens to overwhelm the state’s healthcare delivery system. Pursuant to federal law, hospitals and emergency departments (EDs) are required to provide life-sustaining medical care to anyone seeking treatment, regardless of the patient’s ability to pay. Read More...
Research article Electronic Medical Record Systems in Critical Access Hospitals: Leadership Perspectives on Anticipated and Realized Benefits
by Troy R. Mills, MS; Jared Vavroch; James A. Bahensky, MS; and Marcia M. Ward, PhD ---------------------------------------------------------------------- Abstract
The growth of electronic medical records (EMRs) is driven by the belief that EMRs will significantly improve healthcare providers’ performance and reduce healthcare costs. Evidence supporting these beliefs is limited, especially for small rural hospitals. A survey that focused on health information technology (HIT) capacity was administered to all hospitals in Iowa. Read More...
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Current Issue Spring 2010 Introduction
--------------------------------------------------------------------- A Patient Survey Assessing the Awareness and Acceptability of the Emergency Care Summary and its Consent Model
--------------------------------------------------------------------- Rural Veteran Access to Healthcare Services: Investigating the Role of Information and Communication Technologies in Overcoming Spatial Barriers
--------------------------------------------------------------------- Access to Cardiac Interventional Services in Alabama and Mississippi: A Geographical Information System Analysis
--------------------------------------------------------------------- Hope for New Jersey’s City Hospitals: The Camden Initiative
--------------------------------------------------------------------- Electronic Medical Record Systems in Critical Access Hospitals: Leadership Perspectives on Anticipated and Realized Benefits
--------------------------------------------------------------------- Industry Perspective
Hope for New Jersey’s City Hospitals: The Camden Initiative by Steven R. Green, PhD; Veena Singh, MA, MCRP; and William O’Byrne
Introduction A tiny fraction of patients that consumes a disproportionately large share of medical resources in cities like Camden, NJ...
Read More... Upcoming Issue
Summer 2010 Preview Look for the Summer 2010 issue of Perspectives entitled, “ 2009 the Year of Policy Changes—2010 the year of Implementation” in July. This issue will be edited by Patricia McTaggert, a renowned expert in health policy. With the passage of the Children's Health Insurance Program Reauthorization Act, the American Recovery and Reinvestment Act, the Health Information Technology for Economic and Clinical Health Act, and potential healthcare reform, there are significant policy implications for states, providers, and the federal government to initiate in 2010. All of these changes will have implications for health data collection and reporting, health information technology policy and applications, and the HIM workforce. The selection of articles will identify and address these areas of interest.
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