AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
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AMIA Annu Symp Proc · Jan 2008
A regional health information exchange: architecture and implementation.
The MidSouth eHealth Alliances health information exchange in Memphis, Tennessee provides access to data on almost 1 million individuals. The effort is the product of a comprehensive, integrated approach to technology and policy that emphasizes patient-centered use, low-cost, flexibility, and rigorous privacy and confidentiality policies and practices It is used in emergency departments and other major clinical settings. This paper provides a high-level overview of the system and its use. The early anecdotal success of this effort and preliminary formal clinical and financial evaluation suggest that health information exchanges can improve care at relatively low cost.
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AMIA Annu Symp Proc · Jan 2008
A web-based biosignal data management system for U-health data integration.
In the ubiquitous healthcare environment, the biosignal data should be easily accessed and properly maintained. This paper describes a web-based data management system. It consists of a device interface, a data upload control, a central repository, and a web server. For the user-specific web services, a MFER Upload ActiveX Control was developed.
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AMIA Annu Symp Proc · Jan 2008
Knowledge translation of SAGE-based guidelines for executing with knowledge engine.
SAGE is very powerful knowledge representation for guideline modeling and well-defined knowledge framework to integrate with terminology standard and EMR databases. Therefore, SAGE can be powerful tool for knowledge authoring for clinicians but guideline execution engine is not available yet. ⋯ In this paper, we suggest knowledge translator to convert SAGE-based guidelines into knowledge which commercial engine can execute. With this translation, we can take both advantages in modeling power of SAGE and interpretation capability of engines.
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This study evaluates the association between health information technology (HIT) implementation and hospital quality of care using nationally representative datasets from HIMSS Analytics and CMS. The results show that the availability of HIT is associated with higher hospital quality of care when adjusted for hospital characteristics and geographic location. The effects varied by specific HIT application and across hospital quality measures.
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AMIA Annu Symp Proc · Oct 2007
Supporting multidisciplinary staff meetings for guideline-based breast cancer management: a study with OncoDoc2.
In order to reduce practice variations and offer cancer patients the best treatments according to reference guidelines, therapeutic decisions have to be taken, in France, by "multidisciplinary staff meetings'' (MSMs) as patient-specific care plans which are then implemented by cancer specialists. OncoDoc2 is a CDSS implementing CancerEst guidelines, a "local reference guideline'', on breast cancer management. The system has been assessed in a pragmatic before/after study. ⋯ The MSM decision compliance rate with the reference guideline was significantly higher in the after period, increasing from 79% to 93%. MSM decision analysis showed that missing steps in treatment plans were the main cause of noncompliance during the before period. This cause was drastically reduced in the after period.