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role of information technology in health services

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7. The leadership must lead, establish a vision, communicate, manage the trust, plan the change, implement the change, and iterate as the organization experience the change. Casey JA, Schwartz BS, Stewart WF, et al. Researchers must overcome mistrust from populations/communities historically exposed to research misconduct (eg, Tuskegee4). It is important to develop IT interventions and tools that can collect meaningful data without disrupting patients’ daily lives. 2018. Implementing successful IT solutions in clinics serving communities with health disparities has met with design challenges,18 including variability by population in the use of IT. Behav Inform Technol. The workshop was a collaboration between the National Science Foundation and the National Health IT Collaborative for the Underserved. Proc SIGCHI Conf Hum Factor Comput Syst. 2020 Nov 11;44:e143. 2003;22:1–16. One promising area is the use of technologies, such as cell phones or other mobile devices, to collect self-reported health data (eg, the Food and Drug Administration’s MyStudies App). Norman D, Spencer E. Community-based, human-centered design. Demographics of internet and home broadband usage in the United States. Ethical implications of the electronic health record: in the service of the patient. Am J Manag Care. Health information technology (HIT) can support care delivery by providing various degrees of coordination. Technology’s role in healthcare has expanded exponentially over the last 20 years and figures to increase in conjunction with our societal technological advancements. Innovative technologies that capture new data streams will be most effective if data collection methods are standardized.2 The literature recommends which SDH data should be collected, but says little about the form such data should take, or on the data capture technologies and/or data protection methods needed to obtain such data in a way that can be used to address health disparities. Role of Information Technology in Human Health: Information technology is playing a major role in bioinformatics, genome sequencing, biotechnology, gene engineering, online medical transcription and in maintaining DTA databases for a better human health. You may search for similar articles that contain these same keywords or you may Clinicians with experience in informatics can help build trust with skeptical users, leading to more participant engagement, which might then translate into more successful IT projects.22 More research is needed to determine whether and how such approaches work in diverse clinical settings.23. 1993;36:18–1. 2016;37:61–81. health information technology; health disparity; Health Care. Research is needed to assess which patient-level versus community-level data are most useful to providers to decrease health disparities, understand community resiliency, and improve health outcomes. Community engagement, trust building, and partnership are the foundations of successful health IT interventions to reduce disparities. 38. 2000;19:255–265. Kushniruk A, Nohr C. Participatory design, user involvement and health IT evaluation. The inclusion of community voices in the development of new technologies is vital to ensure adoption. Recent advances in health information technology (IT) hold great promise for improving health outcomes. Institute of Medicine. 21. 2015;3:85–95. The positive impact of technology in healthcare is clear. 4. Finally, to advance health IT and promote health equity, it will be necessary to record and capture health disparity data using standardized terminology, and to continuously identify system-level deficiencies and biases. Participants noted the need for more research on how health IT can be used to evaluate and address the social determinants of health. Data should be collected in a way that is not disruptive, and researchers should provide results and feedback that are useful to patients. While the EHR is potentially a major source of actionable data, many practical concerns need to be addressed to ensure its use in this way, such as aligning the needs of health care providers and IT engineers; promoting trust in the EHR as a reliable source of data; and making EHRs more user-friendly to clinicians, patients, and researchers. The workshop examined patient, clinician, and system perspectives on the potential role of health IT in addressing health disparities. Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in The Role of Healthcare IT Support At its core, healthcare information technology is all about communication — communication between devices, between team members, between patients and their medical providers, between separate medical facilities. A smart, ubiquitous electronic … Can disability accommodation needs stored in electronic health records help providers prepare for patient visits? Expanding public-private partnerships was emphasized, as was the importance of clinicians and IT developers partnering and using novel methods to learn how to improve health care decision-making. EHRs in primary care practices: benefits, challenges, and successful strategies. 6. 2. Researchers may achieve more useful results employing mixed-methods that develop both qualitative and quantitative data.19,20 Qualitative methods can provide an in-depth exploration of the underlying causes of inequities in IT adoption and impact. Collecting and standardizing data is complex process.32 One recent report outlines 3 system-level steps (count electronically, equity lens, and intervene to decrease disparities) needed to decrease racial/ethnic disparities via EHRs and health IT.33 Routine collection of accurate, detailed, and complete data on SDH, industry/occupation and environment, and demographic and socioeconomic status per national guidelines is needed.32,34 The broad adoption of EHRs provides an opportunity to incorporate information on demographic and SDH on a large scale, but the terminology and messaging standardization are necessary to enable this.35 Accordingly, the Institute of Medicine identified SDH domains and measures to inform recommendations for the meaningful use of EHRs.36 However, there are differences between EHR systems in large, well-resourced clinical practices and those in less well-resourced sites, such as their relative abilities to support population health management and track, document, and address disparities across settings.37 National Institute on Minority Health and Health Disparities is now working with other NIH institutes and centers to identify common health equity data elements in EHRs and other data sources to make it possible to translate data into actions to improve health outcomes for disparity populations. Wolters Kluwer Health Int J MCH AIDS. Search for Similar Articles Moreover, effective Health IT evaluations require implementation science methods. Mendelson, a vice-president with The Lewin Group, is an expert on state health policy with a strong background in strategic and regulatory issues surrounding health information technology. 2016;222:139–151. Research should reflect the needs, priorities, interests, and cultural context of the target population as it relates to the delivery of health interventions. 2005;97:951–956. Over the last decade, health information technology (IT) has dramatically transformed medical practice in the United States. The item(s) has been successfully added to ", This article has been saved into your User Account, in the Favorites area, under the new folder. Identify practices, procedures, and programs that promote respect, trust, and equity in the design and implementation of data systems. J Gen Intern Med. The findings and conclusions in this paper are those of the authors and do not necessarily represent the official position of the National Institutes of Health. Technology in Healthcare Today, the technology is changing the landscape of the world and leading us towards a sophisticated technical world. Pew Research Center. 2017. Harris DA, Pensa MA, Redlich CA, Pisani MA, Rosenthal MS. Ann Am Thorac Soc. Our ability to store, share and analyze health information is directly tied to improved technology. Attendees were asked to identify and discuss various health IT challenges that confront underserved communities and propose innovative strategies to address them, and to involve these communities in this process. Ann Epidemiol. Adopt rapid-cycle, continuous evaluation, and implementation of new developments in health IT to address the social determinants of health (SDH). The committee on professional development of AHIMA states that health information management (HIM) professionals are responsible for improving “the quality of healthcare by insuring that the best information is available for making any healthcare decision” by managing healthcare data and information resources.12 The professionals can be in charge of the services in “planning, collecting, aggregating, analyzing, and disseminating individual patient and aggregate clinical data.”13In summary, HIM profess… 2009;16:291–299. 24. 28. The role of information technology in pharmacy practice is dynamic and not likely to lose relevance in the coming years. The potential uses of EHR data will only be realized with the accrual of data from diverse populations using standardized categories. 800-638-3030 (within USA), 301-223-2300 (international). RFID (radio-frequency identification) technology also helps enhance patient care by providing information about the patient’s vital signs, and temperature. These approaches are not clear-cut categories, and approaches in one might apply to others. Health IT researchers and health care systems should build on lessons learned. Schillinger D, McNamara D, Crossley S, et al. Widespread use of health IT within the health care industry will improve the quality of health care, prevent medical errors, reduce health care costs, increase administrative efficiencies, decrease paperwork, and expand access to affordable health care. 2016;6:e009342. Your message has been successfully sent to your colleague.  |  5. Community engagement, cultural competency, and patient-centered care were highlighted as key to improving health equity, as well as to promoting scalable, sustainable, and effective health IT interventions. 2019 Jun;57 Suppl 6 Suppl 2(Suppl 6 2):S115-S120. A qualitative study. Pew Research Center. 23. Available at: 14. Encouraging the participation of affected communities by inviting community members’ ideas and solutions is highly recommended. HHS NIH Clinician user involvement in the real world: Designing an electronic tool to improve interprofessional communication and collaboration in a hospital setting. The role of technology and physical aids in service delivery system are summarized below: 1. 2016 Aug;13(8):1231-8. doi: 10.1513/AnnalsATS.201601-054PS. 2015 Feb;135(2):354-61. doi: 10.1542/peds.2014-2982. 25. Data is temporarily unavailable. Health Aff (Millwood). The objectives in this topic area describe man… 35. Participatory approaches to system development that engage physicians in designing new clinical IT tools21 have proven effective. N Engl J Med. Ethn Dis. The role and function of the Municipal Health Services . Pediatrics. The authors are grateful to all the speakers, discussants, and attendees of the workshop. For information on cookies and how you can disable them visit our Privacy and Cookie Policy. Public health seeks to ensure that the benefits of medical advances are available to all, regardless of race/ethnicity or socioeconomic status. Tang T, Lim ME, Mansfield E, et al. 2016 Nov-Dec;82(6):972-980. doi: 10.1016/j.aogh.2016.11.006. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Information Technology in Health Care: The Next Consumer Revolution Over the past 20 years, our nation has undergone a major transformation due to information technology (IT). The role of the radiologist should be redefined as that of the manager and service provider that is making optimal use of information technology to align his or her operations and workflow to a modifying environment in which radiology is more actively involved in the process of … Standardize data collection in EHRs and develop innovative technologies to capture new data on health disparities populations. “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health. PD-atricians: leveraging physicians and participatory design to develop novel clinical information tools. A cluster-randomized trial of blood-pressure reduction in black barbershops. Clinical decision support systems for improving diagnostic accuracy and achieving precision medicine. The leadership of health care organizations plays an essential role in managing the change that invariably accompanies the implementation of an IT application. It facilitates real-time tracking of location, communication, and identification. Health technology in Australia. Stewart M, Makwarimba E, Barnfather A, et al. Open and continuous communication and shared decision-making between clinicians and patients through a health IT system is desirable. 2016;23:407–412. Muller MJ, Kuhn S. Aspects of participatory design—response. Expanding public-private partnerships was emphasized, as was the importance of clinicians and IT developers partnering and using novel methods to learn how to improve health care decision-making. Designers, researchers, and clinicians should keep in mind that technology-based, health-promoting approaches need to function in real-life settings and appreciate the social context and physical environment in which IT is used. Washington, DC: The National Academies Press; 2014. Finally, to advance health IT and promote health equity, it will be necessary to record and capture health disparity data using standardized terminology, and to continuously identify system-level deficiencies and biases. 26. eCollection 2019. Andermann A. Clinicians are increasingly challenged by the need to keep up with the latest disease prevention, management, and treatment recommendations. Available at: 12. Researching reducing health disparities: mixed-methods approaches. The electronic health record and health it to decrease racial/ethnic disparities in care. Several challenges within and across individual health systems and networks must be addressed if EHRs and other IT are to contribute to reductions in health disparities.2 Research is needed on strategies for addressing these challenges. Promote health IT research that addresses the scalability and sustainability of interventions to improve health equity. 2008;335:271–274. Socio-ecological model as a framework for overcoming barriers and challenges in randomized control trials in minority and underserved communities. For example, the certification process provided by the Office of the National Coordinator (ONC) for health IT (http://www.healthit.gov/) increased IT adoption and meaningful use among rural providers. Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2. The authors declare no conflict of interest. Workshop discussions focused on increasing patient-level, clinician-level (ie, health care team), and system-level approaches to using health IT to prevent and reduce health disparities. 9. J Am Med Inform Assn. Bazemore AW, Cottrell EK, Gold R, et al. Brodie M, Flournoy RE, Altman DE, et al. Research must address this knowledge gap. For example, clinical decision support (CDS) systems can join information about evidence-based practices with digitized data on the patient’s history, values, and preferences to guide and support personalized patient care.17 EHR-integrated CDS can reduce errors due to bias, as well as reduce misuse and overuse of medical services. These processes make up the ways and the context in which professionals and the public search for, understand, and use health information, significantly impacting their health decisions and actions. IT interfaces should provide feedback to users in ways that are useful to these users. Data on income, education level, country of origin, and SDH may then be linked to predict health care needs and outcomes. 2014;9:e107828. Over the last decade, health information technology (IT) has dramatically transformed medical practice in the United States. 2014. Health IT innovations can give care providers more detailed information about their patients, enabling more precise, targeted treatment regimens. Rumball-Smith J, Bates DW. Keyword Highlighting 20. Venkatapuram S, Bell R, Marmot M. The right to sutures: social epidemiology, human rights, and social justice. Reprints: Xinzhi Zhang, MD, PhD, Division of Clinical Innovation, National Center for Advancing Translational Sciences, 6701 Democracy Boulevard, Room 915, Bethesda, MD 20892-4874. Pew Research Center. 33. ADVERTISEMENTS: Role of Information Technology in Environment and Human Health! 2018;39:19. Impact of a population health management intervention on disparities in cardiovascular disease control. 2015;372:698–701. Too often, underserved communities are seen as consumers of health care rather than as potential producers of tools to improve health. More research is needed to better understand the utilization of qualitative methods versus quantitative methods. Background: To be successful, accountable care organizations (ACOs) must effectively manage patient care. PloS One. As a result, increasing health IT training for clinicians, especially in primary care settings, is of critical importance. Key recommendations are summarized in this paper (Table 1). Patients in context—EHR capture of social and behavioral determinants of health. Miller WL, Crabtree BF, Harrison MI, et al. The legacy of Tuskegee and trust in medical care: is Tuskegee responsible for race differences in mistrust of medical care? Ideally, the IT designer and health care team will develop such products together.12 Participatory, human-centered design allows clinicians and patients alike to take an active role in the development process.12,13 User involvement in health IT development yields higher clinician acceptance of applications.12,14,15 There are, however, challenges to achieving this in practice: lack of time, disagreement between clinician users, inability to reach consensus, and clinicians’ lack of necessary technical skill.12,14 These challenges must be considered and addressed. N Engl J Med. Statista. USA.gov. Partnerships with public, private, and philanthropic agencies could help leverage government efforts and widen the audience for information about the prevention and reduction of health disparities. Available at: 42. Hosp Top. Health Hum Rights. For immediate assistance, contact Customer Service: Z99 TR999999/ImNIH/Intramural NIH HHS/United States. Adler NE, Stead WW. Social determinants such as food insecurity, social isolation, and financial stress significantly impact health. Recent advances in health information technology (IT) hold great promise for improving health outcomes. Attendees were asked to identify and discuss various health IT challenges that confront underserved communities and propose innovative strategies to address them, and to involve these communities in this process. This site needs JavaScript to work properly. 30. (These definitions are in line with the definitions of the World Health Organization.) Ann Fam Med. Funding of Hispanic/Latino Health-Related Research by the National Institutes of Health: An Analysis of the Portfolio of Research Program Grants on Six Health Topic Areas. All registration fields are required. Linking with nonhealth social determinants will require strong interoperability across systems, including health care, mental health/substance use, foster care, housing, nutrition, etc. Brandon DT, Isaac LA, LaVeist TA. 11. 2018. Health IT innovations can give care providers more detailed information about their patients, enabling more precise, targeted treatment regimens. Kaplan B, Harris-Salamone KD. Community-level data might provide insights into these determinants. Networks such as the Electronic Medical Records and Genomics (eMERGE) network have begun addressing these challenges, and their approaches may prove useful in the context of addressing disparities.31. Arrieta M, White HL, Crook ED. Please enable scripts and reload this page. 2017;27:95–106. Health information technology (HIT) is the application of information processing involving both computer hardware and software that deals with the storage, retrieval, sharing, and use of health care information, data, and knowledge for communication and decision making. Gallego-Pérez DF, Abdala CVM, Amado DM, Carvalho de Sousa IM, Aldana-Martínez NS, Ghelman R. Rev Panam Salud Publica. E-mail: [email protected]. Front Public Health. 2007;85:17–25. Wolters Kluwer Health, Inc. All rights reserved. Today, we have at our fingertips access to a variety of information and services to help us manage our relationships with the organizations that are part of our lives: banks, utilities, government offices — … 1. Schinasi LH, Auchincloss AH, Forrest CB, et al. Hernandez-Aguado I, Zaragoza GA. Support of public-private partnerships in health promotion and conflicts of interest. Improving communication with non-English speakers is another way that IT may be used to address health disparities.11 Computerized translation products might increase health literacy, safety, and patient engagement among non-English speakers. Outreach to diverse populations to collect novel data—such as on sleep, stress, and physical activity—using mHealth technologies should adhere to emerging data standards (eg, Open mHealth) that are compatible with EHR data standards. By continuing to use this website you are giving consent to cookies being used. For 24% of rural Americans, high-speed internet is a major problem. Yin Z, Errisuriz VL, Evans M, Inupakutika D, Kaghyan S, Li S, Esparza L, Akopian D, Parra-Medina D. JMIR Form Res. Scholl I, Zill JM, Härter M, et al. Get new journal Tables of Contents sent right to your email inbox, June 2019 - Volume 57 - Issue - p S115-S120, https://www.hindawi.com/journals/jdr/2017/1348242/, https://jnd.org/community-based-human-centered-design/, www.statista.com/statistics/739398/us-wearable-penetration-by-age/, www.pewresearch.org/fact-tank/2017/03/22/digital-divide-persists-even-as-lower-income-americans-make-gains-in-tech-adoption/, www.pewresearch.org/fact-tank/2018/09/10/about-a-quarter-of-rural-americans-say-access-to-high-speed-internet-is-a-major-problem/, www.pewinternet.org/fact-sheet/internet-broadband/, www.pewresearch.org/fact-tank/2017/04/07/disabled-americans-are-less-likely-to-use-technology/, www.comscore.com/Insights/Infographics/iPhone-Users-Earn-Higher-Income-Engage-More-on-Apps-than-Android-Users, MLR_2019_02_02_ZHANG_MDC-D-19-00079_SDC2.docx; [Word] (29 KB), Role of Health Information Technology in Addressing Health Disparities: Patient, Clinician, and System Perspectives, Articles in PubMed by Xinzhi Zhang, MD, PhD, Articles in Google Scholar by Xinzhi Zhang, MD, PhD, Other articles in this journal by Xinzhi Zhang, MD, PhD, Equity in the Age of Health Care Information Technology and Innovation: Addressing the Digital Divide, Leveraging Advances in Technology to Promote Health Equity, Implementing an EHR-based Screening and Referral System to Address Social Determinants of Health in Primary Care, Measuring Exposure to Incarceration Using the Electronic Health Record. 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