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Health Services and Information Management

Permanent URI for this collectionhttp://hdl.handle.net/10342/111

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    Discontinuation of Transmission Precautions for COVID-19 Patients: Polymerase Chain Reaction Diagnostics, Patient Delays, and Cycle Threshold Values
    (2021) Burch, Ashley E.; Jiwani, Rahim A.; Mao, Yuxuan; Pona, Adrian; Bradner, Evan; Hussain, Jaffer; Stalls, J. Stephen; Cook, Paul P.; Afriyie, Felix; Labbe, Jonathan; Younes, Ahmed; Badr, Mai; Lee, Elisabeth; Rope, Rachel L.
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    EHR and Cost: Is "Meaningful Use" Meaningfully Reducing Health Care Costs?
    (2015) Pridgen, Katie
    The United States of America is one of the top spenders on health care per capita in the world; in 2013, we spent twice as much as France, a country known for having quality health care for its citizens (OECD, 2013). As a result, the federal government has mandated the use of EHRs in order to curb health care costs and improve health care for the citizens of the United States by increasing efficiency and interoperability of different health care delivery systems. The Medicare and Medicaid EHR Incentive Programs provide financial incentives for the “meaningful use” of certified EHR technology. However, there is growing doubt whether this monetary incentive is sufficient to offset the substantial costs associated with implementing and maintaining EHR systems (Fleming, Culler, McCorkle, Becker, & Ballard, 2011). Additionally, during this same time period, the landscape of health care facilities has changed; solo practices and small group practices have been acquired by larger health care systems who are more able to purchase expensive EHR technology. This study aims to consider the benefits and drawbacks of implementing and meaningfully using the EHR as well as discuss the specific financial and nonfinancial costs of EHR implementation. This study further aims to contribute to existing research as well as to suggest further topics of related research.
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    Utilization of Information Technology in Eastern North Carolina Physician Practices: Determining the Existence of a Digital Divide
    (East Carolina University, 2008) Rosenthal, David A.; Layman, Elizabeth J.
    The United States Department of Health and Human Services (DHHS) has emphasized the importance of utilizing health information technologies, thus making the availability of electronic resources critical for physicians across the country. However, few empirical assessments exist regarding the current status of computerization and utilization of electronic resources in physician offices and physicians’ perceptions of the advantages and disadvantages of computerization. Through a survey of physicians’ utilization and perceptions of health information technology, this study found that a “digital divide” existed for eastern North Carolina physicians in smaller physician practices. The physicians in smaller practices were less likely to utilize or be interested in utilizing electronic health records, word processing applications, and the Internet. Originally published Perspectives in Health Information Management, Vol. 5, No. 3, Winter 2008
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    Research and Policy Model for Health Informatics and Information Management
    (East Carolina University, 2009) Layman, Elizabeth J.
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    Teaching Workflow Analysis and Lean Thinking via Simulation: A Formative Evaluation
    (East Carolina University, 2009-04) Campbell, Robert James; Gantt, Laura, 1957-; Congdon, Tamara
    This article presents the rationale for the design and development of a video simulation used to teach lean thinking and workflow analysis to health services and health information management students enrolled in a course on the management of health information. The discussion includes a description of the design process, a brief history of the use of simulation in healthcare, and an explanation of how video simulation can be used to generate experiential learning environments. Based on the results of a survey given to 75 students as part of a formative evaluation, the video simulation was judged effective because it allowed students to visualize a real-world process (concrete experience), contemplate the scenes depicted in the video along with the concepts presented in class in a risk-free environment (reflection), develop hypotheses about why problems occurred in the workflow process (abstract conceptualization), and develop solutions to redesign a selected process (active experimentation). Originally published Perspectives in Health Information Management, Vol. 6, No. 3, Spring 2009
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    Blogging in an Online Health Information Technology Class
    (East Carolina University, 2005-09) Zeng, Xiaoming; Harris, Susie T.
    In this article we introduce blogs, including their brief history, their current status, and motivations for blogging. We describe how we created a course blog in one online Health information management (HIM) baccalaureate course. We describe three pedagogical purposes (online discussion, digital drop box, and class project management tool) of the course blog. We report the results of our after-class survey on using the blog as a learning tool. Survey results illustrated that 55 percent of the students agree that the blog can be a tool for facilitating learning, 50 percent agree it can be used as a tool for student activities, 60 percent agree it can serve as a medium for reflective thinking and writing, and 60 percent want to see its application in other courses. Originally published Perspectives in Health Information Management, Vol. 2, No. 6, Sep 2005
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    Redefining the Roles of Health Information Management Professionals in Health Information Technology
    (East Carolina University, 2009-09) Zeng, Xiaoming; Reynolds, Rebecca; Sharp, Marcia
    Health information technology (HIT) is being sought as one of the key elements to streamline the process of providing healthcare to improve quality and harness cost. It is hoped that HIT will lead to a more cost-efficient healthcare system than the current one. Surprisingly, there is no agreed definition of HIT in academic literature or government documentation. The Health Information Technology for Economic and Clinical Health (HITECH) Act (a provision of the American Recovery and Reinvestment Act of 2009 (ARRA) defines health information technology as "hardware, software, integrated technologies or related licenses, intellectual property, upgrades, or packaged solutions sold as services that are designed for or support the use by health care entities or patients for the electronic creation, maintenance, access, or exchange of health information." It could refer to a broad base of information technologies used in healthcare from robotics surgery to chronic disease home monitoring devices. However, there is a consensus on the purpose of HIT as the use of devices for the management of information in order to ensure that it is available to the right person at the right time and place. HIT is the basis for a more patient-centered and evidence-based medicine with the real-time availability of high-quality information. Despite the various interpretations of the scope of HIT, all healthcare stakeholders agree that it is the premise on which a 21st-century healthcare system in the United States must be based. HIT experts concur that the U.S healthcare system must widely adopt interoperable electronic health records (EHRs) with important components such as computerized physician/provider order entry (CPOE) and e-prescriptions to build a cost-efficient healthcare system. Originally published Perspectives in Health Information Management, Vol. 6, No. 1f, Sep 2009
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    Using Wiki in an Online Record Documentation Systems Course
    (East Carolina University, 2008-01-30) Harris, Susie T.; Zeng, Xiaoming
    We report a case study using a wiki tool, Confluence, including a brief history, current status, and motivations for using Confluence. We describe how we created two spaces on Confluence for two consecutive classes, 2006 and 2007, in a health information management baccalaureate online course, Record Documentation Systems. The 2006 class contained 12 groups consisting of 52 students. The 2007 class contained six groups consisting of 30 students. We describe how two collaborative pages for each of the groups are created and used by the groups for the group project. Survey results illustrated that 44 percent of the students in 2006 and 50 percent in 2007 agree Confluence is a tool for facilitating learning; 58 percent in 2006 and 50 percent in 2007 agree it is a tool for student activities; 52 percent in 2006 and 36 percent in 2007 agree it is a medium for reflective group interaction; and 38 percent in 2006 and 36 percent in 2007 want to see its application in other courses. Originally published in Perspectives in Health Information Management, 2008 Vol.5, No. 1.
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    Can Factors Related to Self-regulated Learning and Epistemological Beliefs Predict Learning Achievement in Undergraduate Asynchronous Web-based Courses?
    (East Carolina University, 2006-08-30) Bell, Paul D.
    This study examined the effects of self-regulated learning (SRL) and epistemological beliefs (EB) on individual learner levels of academic achievement in Web-based learning environments while holding constant the effect of computer self-efficacy, reason for taking an online course, and prior college academic achievement. The study constituents included 201 undergraduate students enrolled in a variety of asynchronous Web-based courses at a university in the southeastern United States. Data was collected via a Web-based questionnaire and subjected to the following analyses: separate exploratory factor analyses of the self-regulated learning and the epistemological beliefs question items, correlations between the independent variables and the dependent variable, and linear regression of final course grades with all the variables in the model. Analysis of the data revealed that three independent variables (GPA, Expectancy, and GPA_Exp) were significant predictors in the model of learning achievement in asynchronous online courses. Discussion of the study’s predictive model follows. Originally published in Perspectives in Health Information Management 2006 Vol. 3, No. 7.