Essays on Health Information Technology, Social Media, and Care Quality

Essays on Health Information Technology, Social Media, and Care Quality
Author: Danish Hasnain Saifee
Publisher:
Total Pages:
Release: 2018
Genre: Econometrics
ISBN:

This dissertation consists of five chapters. Chapter 1 provides introduction to the research framework and questions examined in Chapters 2, 3 and 4. In Chapter 5, I conclude by summarizing the key findings and implications. The main focus of this dissertation is technology, such as health information technology (IT) and social media, and their relationship with care quality and provider performance. In Chapter 2, I examine the association between care quality (outcomes), health IT usage, and Medicare reimbursements for congestive heart failure cases. This examination was done using a three-year hospital-level panel dataset. The main finding is that hospitals with a higher level of technology usage tend to experience higher reimbursements. Although this finding supports the idea that technology improves efficiency, I do not observe any effectiveness gains, that is, there is no reason to believe that improvements are happening because of improvements in clinical outcomes. This is one of the first studies to look at reimbursements and how technology impacts them in comprehensive way. In Chapter 3, I study whether online reviews of physicians can provide reliable signals for the actual clinical outcomes experienced by their patients. To study this question, I leveraged a granular patient-admission-discharge dataset alongside physician reviews scraped from a public website, Vitals.com. Contrary to findings in recent research, my study finds that there is no clear relationship between online reviews of physicians and their patients’ clinical outcomes, such as the readmission or the ER visit rate. Hence, online reviews may not be as helpful in the context of healthcare services ridden with credence qualities as they usually are for experience goods such as books, movies, or hotels. So, patients, providers, and policy makers should be careful when inferring physician performance from online physician reviews. In Chapter 4, I empirically investigate whether online reviews truly capture a physician’s adherence to clinical guidelines. In addition, I examine whether the reviews indeed reflect the benefits expected from using an electronic health records (EHR) system. The findings from this investigation suggest that there is no significant relationship between adherence to clinical guidelines by physicians and their online reviews, but there exists a positive relationship between EHR usage and some dimensions of online reviews. The implication of these findings is that, although the credence nature of healthcare services might obscure the quality of care delivery and make online reviews somewhat unreliable, efficiency improvements from increased use of health IT translates into positive patient perceptions, providing a natural motivation for a greater adoption. The above-mentioned findings have important implications for several stakeholders including healthcare providers, patients, and policymakers. In Chapter 5, I summarize them alongside conclusions that can be drawn from Chapters 2, 3 and 4.

Health Care Comes Home

Health Care Comes Home
Author: National Research Council
Publisher: National Academies Press
Total Pages: 202
Release: 2011-06-22
Genre: Medical
ISBN: 0309212405

In the United States, health care devices, technologies, and practices are rapidly moving into the home. The factors driving this migration include the costs of health care, the growing numbers of older adults, the increasing prevalence of chronic conditions and diseases and improved survival rates for people with those conditions and diseases, and a wide range of technological innovations. The health care that results varies considerably in its safety, effectiveness, and efficiency, as well as in its quality and cost. Health Care Comes Home reviews the state of current knowledge and practice about many aspects of health care in residential settings and explores the short- and long-term effects of emerging trends and technologies. By evaluating existing systems, the book identifies design problems and imbalances between technological system demands and the capabilities of users. Health Care Comes Home recommends critical steps to improve health care in the home. The book's recommendations cover the regulation of health care technologies, proper training and preparation for people who provide in-home care, and how existing housing can be modified and new accessible housing can be better designed for residential health care. The book also identifies knowledge gaps in the field and how these can be addressed through research and development initiatives. Health Care Comes Home lays the foundation for the integration of human health factors with the design and implementation of home health care devices, technologies, and practices. The book describes ways in which the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), and federal housing agencies can collaborate to improve the quality of health care at home. It is also a valuable resource for residential health care providers and caregivers.

Artificial Intelligence in Healthcare

Artificial Intelligence in Healthcare
Author: Adam Bohr
Publisher: Academic Press
Total Pages: 385
Release: 2020-06-21
Genre: Computers
ISBN: 0128184396

Artificial Intelligence (AI) in Healthcare is more than a comprehensive introduction to artificial intelligence as a tool in the generation and analysis of healthcare data. The book is split into two sections where the first section describes the current healthcare challenges and the rise of AI in this arena. The ten following chapters are written by specialists in each area, covering the whole healthcare ecosystem. First, the AI applications in drug design and drug development are presented followed by its applications in the field of cancer diagnostics, treatment and medical imaging. Subsequently, the application of AI in medical devices and surgery are covered as well as remote patient monitoring. Finally, the book dives into the topics of security, privacy, information sharing, health insurances and legal aspects of AI in healthcare. - Highlights different data techniques in healthcare data analysis, including machine learning and data mining - Illustrates different applications and challenges across the design, implementation and management of intelligent systems and healthcare data networks - Includes applications and case studies across all areas of AI in healthcare data

Health Professions Education

Health Professions Education
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 191
Release: 2003-07-01
Genre: Medical
ISBN: 030913319X

The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

Engage!

Engage!
Author: Jan Oldenburg
Publisher: CRC Press
Total Pages: 285
Release: 2020-10-31
Genre: Business & Economics
ISBN: 1000285286

This book explores the benefits of digital patient engagement, from the perspectives of physicians, providers, and others in the healthcare system, and discusses what is working well in this new, digitally-empowered collaborative environment. Chapters present the changing landscape of patient engagement, starting with the impact of new payment models and Meaningful Use requirements, and the effects of patient engagement on patient safety, quality and outcomes, effective communications, and self-service transactions. The book explores social media and mobile as tools, presents guidance on privacy and security challenges, and provides helpful advice on how providers can get started. Vignettes and 23 case studies showcase the impact of patient engagement from a wide variety of settings, from large providers to small practices, and traditional medical clinics to eTherapy practices.

Health and the Media

Health and the Media
Author: Valentina Marinescu
Publisher: McFarland
Total Pages: 261
Release: 2016-06-09
Genre: Language Arts & Disciplines
ISBN: 1476663025

Analyzing the relationship between medicine and the media from different perspectives, these new essays fill a gap in this emerging field, providing new information on approaches to health communication and important reevaluations of health literacy theories. The contributors discuss ideas and methodologies across a range of topics, including multifaceted health communication, media coverage of maternal health, the rhetoric of diagnosis in autoimmune illness, media representation of the sick in data-driven healthcare, and health news coverage in print media.

Registries for Evaluating Patient Outcomes

Registries for Evaluating Patient Outcomes
Author: Agency for Healthcare Research and Quality/AHRQ
Publisher: Government Printing Office
Total Pages: 385
Release: 2014-04-01
Genre: Medical
ISBN: 1587634333

This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Digital Health Entrepreneurship

Digital Health Entrepreneurship
Author: Sharon Wulfovich
Publisher: Springer
Total Pages: 228
Release: 2019-06-20
Genre: Medical
ISBN: 3030127192

This book presents a hands on approach to the digital health innovation and entrepreneurship roadmap for digital health entrepreneurs and medical professionals who are dissatisfied with the existing literature on or are contemplating getting involved in digital health entrepreneurship. Topics covered include regulatory affairs featuring detailed guidance on the legal environment, protecting digital health intellectual property in software, hardware and business processes, financing a digital health start up, cybersecurity best practice, and digital health business model testing for desirability, feasibility, and viability. Digital Health Entrepreneurship is directed to clinicians and other digital health entrepreneurs and stresses an interdisciplinary approach to product development, deployment, dissemination and implementation. It therefore provides an ideal resource for medical professionals across a broad range of disciplines seeking a greater understanding of digital health innovation and entrepreneurship.

Health and the New Media

Health and the New Media
Author: Linda M. Harris
Publisher: Routledge
Total Pages: 279
Release: 2013-11-05
Genre: Language Arts & Disciplines
ISBN: 1136687831

This book presents an evaluation framework for assessing the impact of the new media on the health care system by juxtaposing characteristics of emerging information and communication technologies (interactive, seamlessly connected, and user-driven) and health care objectives (to increase access, improve quality, and manage costs). Each chapter provides a unique set of tools and perspectives on how to harness these new media to improve individual health and the health care delivery system. This innovative volume has also stimulated the creation of a "Forum on Health and the New Media" on the World Wide Web (http://Health.Dartmouth.edu/NewMedia/). The forum offers highlights of the book as well as links to the authors and related web sites. The volume is divided into six sections as follows: *The "Overview" juxtaposes characteristics of the new media (interactive, connected, and user-driven) with the three criteria for health care improvement: increased access, improved quality, and cost management. It offers a New Media and Health Care matrix of criteria for building and evaluating emerging health care systems. *The "Delivery" -- how new media can enhance the delivery of health care -- includes chapters on: managed care, demand management and self-care, telemedicine for rural residents, and how the Internet can be used to facilitate collaboration among health researchers and providers. *Health Information -- the life blood of health care -- addresses the potential for: extending the traditional flow of health information (from researchers to providers) to reach patients who want to share in decisions about their care; and the federal government's role in providing health information to the public. *Health Education discusses: integrating multimedia health programming for public schools; using networked multimedia and simulation technologies and new learning theories that promise to transform public health education; and educating health providers and patients through interactive media and drama. *Potholes Along the Highway provides a sobering balance to otherwise rather optimistic assumptions that a national information infrastructure will be forthcoming. *The New Media: Annotated Glossary provides computing and networking technology tools for readers who are not fluent in cyberlanguage.