Robert S. Rudin

Overview

Commentary

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  How Smartphone Apps Could Help Keep Health Records Accurate

  Electronic health records have helped streamline record keeping but providers aren't always able to reliably pull together records for the same patient from different hospitals, clinics, and doctor's offices. The growing use of smartphones offers a promising opportunity to improve record matching.

  Oct 4, 2018 TechCrunch

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  The Little Exchange That Could...Transform the U.S. Health Care System

  As Congress continues to think about whether and how to support the development of Health Information Exchanges, it should consider the commitment required to bring a mature statewide or national network of HIEs into practice. It should prioritize the evaluation of government-funded HIEs, so that research can help inform and foster return on investment for scarce taxpayer dollars.

  Jan 28, 2015 The Health Care Blog

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  How Electronic Health Records Can Lead to Care Coordination

  Inadequate care coordination is a major problem in health care delivery, but information technology is emerging as an important tool for enhancing coordination and, ultimately, improving the delivery of care, writes Robert Rudin.

  Aug 13, 2013 The RAND Blog

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  Unraveling the IT Productivity Paradox—Lessons for Health Care

  Although health care organizations have favorable characteristics that can maximize IT's benefits, the reengineering of health care delivery is only beginning, write Spencer Jones, Paul Heaton, Robert Rudin, and Eric Schneider.

  Jun 14, 2012 New England Journal of Medicine

Publications

• Journal Article

  Journal Article

  Digital Health Technologies: Opportunities and Challenges in Rheumatology

  Digital health technology offers enormous potential to improve rheumatology care but this potential has so far been largely unrealized.

  Sep 24, 2020

• Journal Article

  Journal Article

  Trends in the Use of Computerized Physician Order Entry by Health-System Affiliated Ambulatory Clinics in the United States, 2014–2016

  Small practice size or not being part of a multi-hospital system are associated with lower use of computerized physician order entry. between 2014 and 2016. Less than optimal use in these environments may be harming patient outcomes.

  Sep 11, 2020

• Journal Article

  Journal Article

  Level of Agreement on Health Information Technology Adoption and Use in Survey Data: A Mixed-Methods Analysis of Ambulatory Clinics in 1 US State

  Analyses of HIT survey findings should take into consideration the validity of the data used to develop estimates of prevalence and use.

  Mar 22, 2019

• Journal Article

  Journal Article

  A Clinically Integrated Mhealth App and Practice Model for Collecting Patient-Reported Outcomes Between Visits for Asthma Patients: Implementation and Feasibility

  Implementation of a clinically integrated mHealth app and practice model can achieve high patient retention and adherence to guideline-recommended asthma symptom monitoring, while minimally burdening clinicians.

  2019

• Journal Article

  Journal Article

  Common Laboratory Results Frequently Misunderstood by a Sample of Mechanical Turk Users

  Use of Mechanical Turk to determine how well patients understand common laboratory test results.

  2019

• Journal Article

  Journal Article

  Trends in the Use of Clinical Decision Support by Health System–Affiliated Ambulatory Clinics in the United States, 2014–2016

  Use of clinical decision support (CDS) in ambulatory clinics is increasing but remains modest. The CDS function with the greatest use is basic medication screening, which increased from 52% of clinics nationally in 2014 to 61% in 2016.

  2019

• Journal Article

  Journal Article

  Advancing a Nationwide Patient Matching Strategy

  A nationwide strategy for improved patient matching would enable hospitals, technology developers, and the broader health care ecosystem to better link patients to their records to improve care coordination and reduce costs.

  Aug 22, 2018

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  Report

  Defining and Evaluating Patient-Empowered Approaches to Improving Record Matching

  This study reviews possible patient-empowered approaches to medical record matching and recommends for further development and pilot testing a three-stage solution that uses mobile phones and app-based functionality.

  Aug 22, 2018

• Journal Article

  Journal Article

  Core Components for a Clinically Integrated mHealth App for Asthma Symptom Monitoring

  Smartphone-based health apps - using patient reported outcomes - can help asthma patients monitor symptoms between doctor visits.

  Dec 15, 2017

• Journal Article

  Journal Article

  The Clinical Pharmacy Specialist: Part of the Solution

  Efforts to create high-functioning primary care teams should take advantage of the knowledge and skills of clinical pharmacy specialists

  Apr 19, 2017

• Journal Article

  Journal Article

  Leveraging Telehealth to Bring Volunteer Physicians Into Underserved Communities

  Organizations that use telehealth to address safety net clinic needs by recruiting retired or semi-retired doctor volunteers can help improve access to physicians in underserved areas while enriching the professional lives of clinicians.

  Mar 16, 2017

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  Report

  Lessons Learned from the MAVEN Project Pilot: Using Physician Volunteers to Increase Access to Care via Telehealth

  The Medical Alumni Volunteer Expert Network (MAVEN) Project created a corps of experienced volunteer physicians to provide telehealth consults to providers in safety-net clinics. This evaluation of the program can inform quality-improvement efforts.

  Dec 9, 2016

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  Report

  Identifying and Coordinating Care for Complex Patients: Findings from the Leading Edge of Analytics and Health Information Technology

  Analytics and HIT are currently being used in innovative ways to coordinate care for complex patients, but evidence of their effectiveness is lacking and important foundational work is still needed.

  Sep 19, 2016

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  Journal Article

  Accelerating Innovation in Health IT

  Efforts to accelerate the innovation of health information technology (IT) products need long-term collaboration between developers and users, transformation of care processes in tandem with IT tools, and development of new funding models.

  Sep 19, 2016

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  Report

  National Patient-Centered Clinical Research Network (PCORnet) Phase I: Final Evaluation Report

  PCORnet, the National Patient-Centered Clinical Research Network, seeks to conduct clinical trials and observational research quickly and at low cost. This report contains the results of a formative evaluation of PCORnet's implementation phase.

  Dec 31, 2015

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  Report

  Resources and Capabilities of the Department of Veterans Affairs to Provide Timely and Accessible Care to Veterans

  The Department of Veterans Affairs health care system, with broad resources and capabilities, provides timely and high-quality care to most, but not all, patients. Meeting veterans' needs over the next five years will require additional capacity.

  Dec 31, 2015

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  Report

  Harnessing Private-Sector Innovation to Improve Health Insurance Exchanges

  In this paper, analysts consider privately facilitated health insurance exchanges to address some challenges and deepen the impact of health care reform. In this model, the private sector assumes responsibility for peripheral exchange functions.

  Nov 6, 2015

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  Report

  Improving Hospital Efficiency Through Data-Driven Management: A Case Study of Health First, Florida

  This report presents a case study of how one health system addressed resource challenges by using Lean thinking (focusing on process improvement, affecting both structural components and operational processes) enabled by information technology.

  Oct 22, 2015

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  Journal Article

  Paying for Telemedicine

  Telemedicine offers the potential for better care, lower costs, and increased convenience. Expanding existing fee-for-service payment models to include telemedicine may lead to its overuse.

  Dec 23, 2014

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  Journal Article

  Usage and Effect of Health Information Exchange: A Systematic Review

  Health information exchange (HIE) is increasing in the United States, and it is incentivized by government policies. The authors systematically review and evaluate evidence of the use and effect of HIE on clinical care.

  Dec 3, 2014

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  Report

  Patient Safety in the Commonwealth of Massachusetts: Current Status and Opportunities for Improvement

  In a RAND study about the landscape of patient safety in Massachusetts, researchers interviewed expert observers (patients, health care leaders, and others) about progress to date and future opportunities to produce safer patient care.

  Dec 2, 2014

• Research Brief

  Research Brief

  Continuity of Care and the Cost of Treating Chronic Disease

  Modest improvements in continuity of care correlate with sizable reductions in service use, complications, and costs for Medicare patients with congestive heart failure, chronic obstructive pulmonary disease, and type 2 diabetes mellitus.

  Jul 16, 2014

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  Report

  Promoting Patient Safety Through Effective Health Information Technology Risk Management

  The research team worked with 11 hospitals and ambulatory practices to evaluate a process improvement strategy and tools developed to help health care organizations diagnose, monitor, and mitigate health information technology-related safety risks.

  Jul 15, 2014

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  Journal Article

  Continuity and the Costs of Care for Chronic Disease

  Modest differences in care continuity for Medicare beneficiaries are associated with sizable differences in costs, use, and complications.

  Mar 17, 2014

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  Journal Article

  Health Information Technology: An Updated Systematic Review with a Focus on Meaningful Use

  Incentives offered by the U.S. government have spurred marked increases in use of health information technology (IT).

  2014

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  Journal Article

  Let the Left Hand Know What the Right Is Doing: A Vision for Care Coordination and Electronic Health Records

  Using a simple framework, we describe a vision of information technology capabilities that could substantially improve four care coordination activities: identifying collaborators, contacting collaborators, collaborating, and monitoring.

  2014

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  Journal Article

  The Value of Health Information Technology: Filling the Knowledge Gap

  Despite rapid growth in the rate of adoption of health information technology, and in the volume of evaluation studies, the existing knowledge base for the value of health IT is not advancing at a similar rate.

  2014

• Journal Article

  Journal Article

  Health Information Technology Adoption Measurement Framework: Overall Guidance for HCIA Awardees

  The Centers for Medicare & Medicaid Services (CMS)/Center for Medicare and Medicaid Innovation (CMMI) requested that RAND assist their HCIA Awardees in developing health information technology (HIT) adoption measures.

  2013

• Journal Article

  Journal Article

  Measuring Care Continuity: A Comparison of Claims-Based Methods

  Assessing care continuity is important in evaluating the impact of health care reform and changes to health care delivery.

  2013

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  Journal Article

  Unraveling the IT Productivity Paradox -- Lessons for Health Care

  Productivity gains that can be achieved by widely adopting health information technology are likely to come from the reengineering of health care and may require new measurement tools to accurately gauge their impact.

  Jun 14, 2012

• Journal Article

  Journal Article

  Simulation Suggests That Medical Group Mergers Won't Undermine the Potential Utility of Health Information Exchanges

  Federal and state agencies are investing substantial resources in the creation of community health information exchanges, which are consortia that enable independent health care organizations to exchange clinical data.

  Mar 1, 2012

• Journal Article

  Journal Article

  Care Transitions as Opportunities for Clinicians to Use Data Exchange Service: How Often Do They Occur?

  The electronic exchange of health information among healthcare providers has the potential to produce enormous clinical benefits and financial savings, although realizing that potential will be challenging.

  Nov 1, 2011

• Journal Article

  Journal Article

  Why Clinicians Use or Don't Use Health Information Exchange

  The ED is one important place where an HIE may have an impact on patient care because many emergency patients are unfamiliar to ED facilities and important clinical information is often missing.

  Jul 1, 2011

• Journal Article

  Journal Article

  What Affects Clinicians' Usage of Health Information Exchange?

  Clinicians, EHR and HIE product vendors and trainers should work toward integrating HIE into clinical workflows.

  2011

• Journal Article

  Journal Article

  The Litmus Test for Health Information Exchange Success: Will Small Practices Participate?

  The movement to establish widespread health information exchange (HIE) in the United States has thus far shown mixed results.

  Apr 1, 2010

• Journal Article

  Journal Article

  Assessing the Value of Laboratory Electronic Data Interchange in the Department of Veterans Affairs

  We modeled the adoption, costs and monetezied benefits of the Department of Veterans Affairs' (VA's) internally developed Laboratory Electronic Data Interchange (LEDI) application from 2001-2007.

  2010

• Journal Article

  Journal Article

  Liability Coverage for Regional Health Information Organizations: Lessons from the AHRQ-funded State Regional Demonstration Projects in Health Information Technology and Other Community Efforts

  This report will share findings from the field on how eight regional health information organizations (RHIOs) have navigated various issues and challenges associated with liability insurance for health information exchange (HIE).

  Jun 1, 2009

• Journal Article

  Journal Article

  Understanding the Decisions and Values of Stakeholders in Health Information Exchanges: Experiences from Massachusetts

  The authors studied how health information exchange systems are established by examining the decisions of key stakeholders participating in a health information exchange pilot project in 3 Massachusetts communities.

  May 1, 2009