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Cost-effectiveness of informatics and health IT: impact on finances and quality of care

Cost-effectiveness of informatics and health IT: impact on finances and quality of care Highlights Cost-effectiveness of informatics and health IT: impact on finances and quality of care doi:10.1136/amiajnl-2012-000964 Lucila Ohno-Machado, Editor-in-Chief This issue of the journal focuses on an of CDSS embedded in EHR is not an easy boundaries between clinical informatics, important but often underpublished area task, but McCoy (see page 346) proposes bioinformatics, and consumer health of biomedical informatics: the cost-effec- a framework to study CDSS alerts and informatics will no longer matter, as these tiveness of informatics interventions in responses. A review by Yen (see page 413) skilled professionals will develop integra- healthcare. The adoption of electronic discusses some of the key methodologies tive approaches to create a seamless flow health records (EHR) across the USA has that are used to study the usability of of data to actionable knowledge. been accelerated in response to legislation, health information systems, and Lind- Training in biomedical informatics thus but there is still much uncertainty blom (see page 407) describes how the involves analyses of several types of regarding costs as well as short and long- usability of a CDSS is related to user information. Processing information term effects, given the many different characteristics such as computer anxiety. found in the biomedical literature, for ways in which systems are implemented Unertl (see page 392) discusses patterns example, continues to be an important and the high diversity of institutions of use and impact on workflows from area of research, and the combination of served. A systematic review by O’Reilly the viewpoint of health information skills from biomedical librarians and (see page 423) covers economic evalua- exchange, and Grossmann (see page 353) computer scientists helps the develop- quantifies the diversity of experiences of tions of medication management systems, ment of faster, targeted retrieval algo- and the author also describes the cost- physician practices and pharmacies in rithms. The papers by Van de Glind (see effectiveness of a clinical decision support transmitting and processing electronic page 468) and Petrova (see page 479) system (CDSS) for diabetes in another prescriptions. Also related to electronic describe filter strategies for article article (see page 341). Frisse (see page prescriptions and barriers, Thomas (see retrieval, and Goodwin (see page 473) 328) reports on the financial impact of page 375) describes prescribers’ expecta- reports on an approach to predict EHR in an emergency department, and tions for the electronic prescription of biomedical document access based on past Subramanian (see page 439) analyzes the controlled substances, Stenner (see page use. The need for informatics professionals financial impact of a CDSS for renal dose 368) describes a text message system is currently so high that, in addition to adjustments. designed to assist patients with medica- programmes for long-term research The financial aspects are not sufficient tion management, and Appari (see page training, such as those sponsored by the to assess the full impact of information 360) reports on a national study of US National Library of Medicine, new systems and informatics interventions. hospitals to determine associations modalities of short programmes are Several articles relate to the impact of between information technology and the constantly being proposed, creating a need systems in the quality of care. Connelly quality of medication administration. for continuous evaluation. Tian (see page (see page 334) describes how patients From all the work mentioned above, it 489) describes one method to evaluate with congestive heart failure benefit from is clear that informatics and health infor- web-based instructional modules using EHR when they visit emergency depart- mation technology are in different stages Markov chain models. ments. Kennebeck (see page 443) reports of development in different settings, and Disseminating informatics beyond our on how EHR impact workflows in a in different countries. Perspectives from community and bringing new talent to pediatric emergency department, Canadian experts and from the AMIA our field is certainly something we care and Lanham (see page 382) associates Policy Committee on the future of much about in JAMIA. Our editorial team communication patterns among health- health information systems in the USA has now completed reviews of more than care providers with EHR use in an ambu- are provided by Zimlichman (see page 1500 manuscripts since our start in January 2011, and our sample size is latory setting. Zandieh (see page 401) 453) and McGowan, (see page 460) almost large enough to enable the explo- describes the impact of transitions respectively. Bates and Edmonds (see page between EHR systems in the same setting, 495) describe what AMIA has been doing ration of new trends in the field. I already and Herwehe (see page 448) reports on to prepare for this future. To prepare for notice an increased effort on the part of the impact of an EHR system for public the present, and for a near future in which our authors to make their articles openly health information exchange in HIV/ we can realize the full potential of all the accessible to the world. I trust that this AIDS. biomedical data that are currently being effort is reflective of the authors’ desire to CDSS have the potential to improve the collected, we will need to train a new fulfil a societal responsibility as scientists quality of care via EHR. However, not all generation of informaticians who will and engineersdopenly share work that CDSS are created equal, and their utiliza- help push the limits of the present tech- has an immediate impact in the lives of tion is highly variable. Predicting the usage nology into uncharted territory. The others. J Am Med Inform Assoc May 2012 Vol 19 No 3 327 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the American Medical Informatics Association Oxford University Press

Cost-effectiveness of informatics and health IT: impact on finances and quality of care

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Publisher
Oxford University Press
Copyright
© 2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
ISSN
1067-5027
eISSN
1527-974X
DOI
10.1136/amiajnl-2012-000964
Publisher site
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Abstract

Highlights Cost-effectiveness of informatics and health IT: impact on finances and quality of care doi:10.1136/amiajnl-2012-000964 Lucila Ohno-Machado, Editor-in-Chief This issue of the journal focuses on an of CDSS embedded in EHR is not an easy boundaries between clinical informatics, important but often underpublished area task, but McCoy (see page 346) proposes bioinformatics, and consumer health of biomedical informatics: the cost-effec- a framework to study CDSS alerts and informatics will no longer matter, as these tiveness of informatics interventions in responses. A review by Yen (see page 413) skilled professionals will develop integra- healthcare. The adoption of electronic discusses some of the key methodologies tive approaches to create a seamless flow health records (EHR) across the USA has that are used to study the usability of of data to actionable knowledge. been accelerated in response to legislation, health information systems, and Lind- Training in biomedical informatics thus but there is still much uncertainty blom (see page 407) describes how the involves analyses of several types of regarding costs as well as short and long- usability of a CDSS is related to user information. Processing information term effects, given the many different characteristics such as computer anxiety. found in the biomedical literature, for ways in which systems are implemented Unertl (see page 392) discusses patterns example, continues to be an important and the high diversity of institutions of use and impact on workflows from area of research, and the combination of served. A systematic review by O’Reilly the viewpoint of health information skills from biomedical librarians and (see page 423) covers economic evalua- exchange, and Grossmann (see page 353) computer scientists helps the develop- quantifies the diversity of experiences of tions of medication management systems, ment of faster, targeted retrieval algo- and the author also describes the cost- physician practices and pharmacies in rithms. The papers by Van de Glind (see effectiveness of a clinical decision support transmitting and processing electronic page 468) and Petrova (see page 479) system (CDSS) for diabetes in another prescriptions. Also related to electronic describe filter strategies for article article (see page 341). Frisse (see page prescriptions and barriers, Thomas (see retrieval, and Goodwin (see page 473) 328) reports on the financial impact of page 375) describes prescribers’ expecta- reports on an approach to predict EHR in an emergency department, and tions for the electronic prescription of biomedical document access based on past Subramanian (see page 439) analyzes the controlled substances, Stenner (see page use. The need for informatics professionals financial impact of a CDSS for renal dose 368) describes a text message system is currently so high that, in addition to adjustments. designed to assist patients with medica- programmes for long-term research The financial aspects are not sufficient tion management, and Appari (see page training, such as those sponsored by the to assess the full impact of information 360) reports on a national study of US National Library of Medicine, new systems and informatics interventions. hospitals to determine associations modalities of short programmes are Several articles relate to the impact of between information technology and the constantly being proposed, creating a need systems in the quality of care. Connelly quality of medication administration. for continuous evaluation. Tian (see page (see page 334) describes how patients From all the work mentioned above, it 489) describes one method to evaluate with congestive heart failure benefit from is clear that informatics and health infor- web-based instructional modules using EHR when they visit emergency depart- mation technology are in different stages Markov chain models. ments. Kennebeck (see page 443) reports of development in different settings, and Disseminating informatics beyond our on how EHR impact workflows in a in different countries. Perspectives from community and bringing new talent to pediatric emergency department, Canadian experts and from the AMIA our field is certainly something we care and Lanham (see page 382) associates Policy Committee on the future of much about in JAMIA. Our editorial team communication patterns among health- health information systems in the USA has now completed reviews of more than care providers with EHR use in an ambu- are provided by Zimlichman (see page 1500 manuscripts since our start in January 2011, and our sample size is latory setting. Zandieh (see page 401) 453) and McGowan, (see page 460) almost large enough to enable the explo- describes the impact of transitions respectively. Bates and Edmonds (see page between EHR systems in the same setting, 495) describe what AMIA has been doing ration of new trends in the field. I already and Herwehe (see page 448) reports on to prepare for this future. To prepare for notice an increased effort on the part of the impact of an EHR system for public the present, and for a near future in which our authors to make their articles openly health information exchange in HIV/ we can realize the full potential of all the accessible to the world. I trust that this AIDS. biomedical data that are currently being effort is reflective of the authors’ desire to CDSS have the potential to improve the collected, we will need to train a new fulfil a societal responsibility as scientists quality of care via EHR. However, not all generation of informaticians who will and engineersdopenly share work that CDSS are created equal, and their utiliza- help push the limits of the present tech- has an immediate impact in the lives of tion is highly variable. Predicting the usage nology into uncharted territory. The others. J Am Med Inform Assoc May 2012 Vol 19 No 3 327

Journal

Journal of the American Medical Informatics AssociationOxford University Press

Published: May 1, 2012

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