The article identifies the explosion of clinical data that are available and how difficult it is for clinicians to find answers to clinical questions. Electronic healthcare records (EHRs) are increasingly used to assist clinicians in this process; however, resistance to the implementation of technology-assisted care is not uncommon. The article reviews the diffusion of innovation research and p...

Imagine you're on a family vacation on the other side of the world. Your daughter becomes suddenly ill and must be hospitalized. Immediately, her physician queries the Internet, entering her universal health identification number and, within seconds, accesses her complete medical history. Appropriate treatment is provided, and, within hours, she is on her way to a speedy recovery. Important? Yo...

Over the past year, several payers, employers, and commercial vendors have announced personal health record projects. Few of these are widely deployed and few are fully integrated into ambulatory or hospital-based electronic record systems. The earliest adopters of personal health records have many lessons learned that can inform these new initiatives. We present three case studies--MyChart at ...

OBJECTIVE: Clinical summarization, the process by which relevant patient information is electronically summarized and presented at the point of care, is of increasing importance given the increasing volume of clinical data in electronic health record systems (EHRs). There is a paucity of research on electronic clinical summarization, including the capabilities of currently available EHR systems...

Despite a consensus that the use of health information technology should lead to more efficient, safer, and higher-quality care, there are no reliable estimates of the prevalence of adoption and physician usage of electronic health records (EHRs). Data from the American Hospital Association was examined for the presence of specific electronic-recorded functionalities. We also examined the diffe...

J Adv Pract Oncol 2012;3:330–332 The dreaded memo came on a Friday afternoon (as dreaded memos often seem to do). It read: “You must sign up for training for the change from Cerner to the Epic System.” Insert any vendor’s name in place of either of these two electronic health record (EHR) systems,1 and the feeling of dread it brings on is the same. My first question was “Why?” The current syste...

THE INNOVATION The electronic health record (EHR) brings tremendous advantages, but it also poses sizeable challenges for the medical profession. Its demands can overburden physicians, and increasingly complex patient care requires a new approach. Acknowledging this and preparing for the impending change to value-based care, Bellin Health has embarked on a systemwide transformation to advanced ...