Payers are known to influence the adoption of health information technology (HIT) among hospitals. However, previous studies examining the relationship between payer mix and HIT have not focused specifically on electronic health record systems (EHRs). Using data from the Nationwide Inpatient Sample and the American Hospital Association Annual Survey, we examine how Medicare, Medicaid, commercia...

OBJECTIVE The slow adoption of electronic health record (EHR) systems has been linked to physician resistance to change and the expense of EHR adoption. This qualitative study was conducted to evaluate benefits, and clarify limitations of two mature, robust, comprehensive EHR Systems by tech-savvy physicians where resistance and expense are not at issue. METHODS Two EHR systems were examined ...

The effectiveness of electronic health record (EHR)-based clinical decision support is limited when clinicians do not interact with the EHR during patient visits. To assess EHR use during ambulatory visits and determine barriers to such use, we performed a cross-sectional survey of 501 primary care clinicians. Of 225 respondents, 53 (24%) never or only sometimes used any EHR functionality durin...

OBJECTIVES This article discusses current planning activities in Austria after legislation has been passed to introduce the electronic health record (EHR). METHODS After describing similar activities in several other countries, the authors explore the current situation of healthcare telematics and imminent steps toward the implementation of a lifelong EHR. RESULTS Substantial efforts have b...

Electronic health records (EHRs) have become an integrated part of medical practice in most clinical settings around the world. Appropriate use of EHR potentially improves patient care while poorly designed EHR can cause harm. In recent years, EHR has been used as a platform to identify patients who have or may develop acute kidney injury (AKI). The benefit of using EHR for a rule-based classif...

Process mining of event log data from electronic health records (EHRs) promises new methods to systematically improve EHR-mediated patient care processes and workflow usability. Process mining is part of a larger front of process-aware business process management (BPM) technology diffusing into the healthcare information technology (HIT) industry. Process mining can discover evidence-based proc...

Health organizations are implementing health information technologies such as electronic health records (EHR), information systems (IS), and health information exchange (HIE) networks to improve decision-making. However, over the years, the healthcare environment has demonstrated numerous unsuccessful implementations of such technologies. One of the reasons is that physicians tend not to make u...

BACKGROUND Developing a clinically relevant set of quality measures that can be effectively used by an electronic health record (EHR) is difficult. Whether it is achieving internal consensus on relevant priority quality measures, communicating to EHR vendors' whose programmers generally lack clinical contextual knowledge, or encouraging implementation of EHR that meaningfully impacts health out...

Nowadays, many healthcares are generating and collecting a huge amount of medical data. Due to the difficulty of analyzing this massive volume of data using traditional methods, medical data mining on Electronic Health Record (EHR) has been a major concern in medical research. Therefore, it is necessary to assess EHR architectures based on the capabilities of extracting useful medical knowledge...

BACKGROUND Studies of the effects of electronic health records (EHRs) have had mixed findings, which may be attributable to unmeasured confounders such as individual variability in use of EHR features. OBJECTIVE To capture physician-level variations in use of EHR features, associations with other predictors, and usage intensity over time. METHODS Retrospective cohort study of primary care p...