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Electronic Medical Records

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Increasingly, collections of medical records are stored and shared digitally by multiple medical service providers. RAND research has explored the costs of implementing electronic medical record systems; the benefits accrued, including the improved quality of care; the rate of technology adoption; individual privacy concerns; and the role of government in the use and growth of electronic recordkeeping.

Blog

How Electronic Health Records Can Lead to Care Coordination

Aug 13, 2013

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.
Report

Quality of Patient Care Drives Physician Satisfaction; Doctors Have Concerns About Electronic Health Records

Oct 9, 2013

Being able to provide high-quality health care is a primary driver of job satisfaction among physicians, and obstacles to quality patient care are a source of stress for them. For example, the systems for electronic health records in use today are cumbersome to operate and contribute to their dissatisfaction.

Explore Electronic Medical Records

Journal Article

Journal Article

Electronic Health Record "Super-Users" and "Under-Users" in Ambulatory Care Practices

To achieve the broader benefits of electronic health records, health systems and policy makers need to identify and address barriers to full use of health IT functionalities.

May 18, 2018
Journal Article

Journal Article

Collaborative Targeted Learning Using Regression Shrinkage

While the underlying theory of collaborative targeted minimum loss-based estimation is quite general, current implementations involve greedy stepwise selection of covariates into the exposure model.

Dec 15, 2017
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

Accounting for Misclassification in Electronic Health Records-derived Exposures Using Generalized Linear Finite Mixture Models

Exposures derived from EHRs may be misclassified, leading to biased estimates of their association with outcomes of interest: finite mixture models can correct biases with no loss of efficiency.

Dec 7, 2017
Journal Article

Journal Article

Using the Electronic Health Record to Understand and Minimize Overuse

Electronic health records represent a key opportunity to address overuse and the high costs of care and to realize benefit from one of the country's major health care investments.

Jul 19, 2017
Journal Article

Journal Article

Using Beta-Version Mhealth Technology for Team-Based Care Management to Support Stroke Prevention: An Assessment of Utility and Challenges

Care management technology can support collaborative, team-based models of care - e.g., helping care managers and community health workers to collect data, develop a care plan, and track risk factors, among other benefits.

Jul 12, 2017
Journal Article

Journal Article

Cohort Restriction Based on Prior Enrollment: Examining Potential Biases in Estimating Cancer and Mortality Risk

This paper investigates the potential for selection bias, to assess whether restricting cohort studies based on prior enrollment created a cohort with a different risk of cancer or death than the full enrollee population.

Jun 28, 2017
Commentary

A 'Learning System' in Behavioral Health Can Help in Sharing Best Practices, Innovations

Leveraging technological advances to make better use of the best available data could help rein in healthcare costs and improve both quality and safety. This makes sense whether the health care being delivered is physical or behavioral.

May 30, 2017
Journal Article

Journal Article

Beyond Medication Reconciliation: The Correct Medication List

Creating and maintaining a correct medication list for every patient could potentially improve outcomes more than other quality improvement activities.

May 30, 2017
Journal Article

Journal Article

Lessons Learned from an Integrated MTM Program

A community health center in western Massachusetts offers a model of integrated care, in which pharmacists play key roles in decision making and charting.

May 11, 2017
Journal Article

Journal Article

Using Electronic Record Data to Encourage Better Care: Where We Are and Where We Could Be

Smart algorithms built on electronic record data and documented outcomes may make it possible to anticipate a patient's future health care needs.

Apr 28, 2017
Blog

The Price of Personalized Health Care

Medical care in the United States is entering an era where technology can give patients more control over their care and let them take control of their health data.

Nov 13, 2016
Journal Article

Journal Article

Patients Learning to Read Their Doctors' Notes: The Importance of Reminders

As patients gain access to clinicians' notes, explicit email invitations to review notes may foster patient engagement.

Sep 13, 2016
Research Brief

Engineering a Roadmap for Health Information Technology in Chile

Describes a roadmap with five objectives for the Chilean government to expand its health information technology (IT) capabilities over the next ten years.

Aug 25, 2016
Report

A Roadmap for the Development of Health Information Technology in Chile

This report describes a roadmap for fostering development of health information technology in Chile's public health system and presents some recommendations for the ministry to consider when implementing the roadmap.

May 20, 2016
Commentary

Privacy Preferences for Healthcare Records and Information Across Europe

The general public has a more nuanced preference for the privacy of electronic health records than previously thought. Survey respondents said that they would not be averse to individuals involved in the health and rescue professions having access to their basic health information.

May 11, 2016
Commentary

Ransomware Hackers Are Coming for Your Health Records

Cyber criminals may be preying on hospitals because cyber protection measures likely have not kept pace with electronic data collection and because hospitals typically do not have backup systems and databases in place, even though such attacks can strain health care systems and potentially put patients' lives at risk.

Apr 11, 2016
Commentary

Electronic Health Records: Yesterday's Ebola and Today's Zika

Electronic health records in U.S. hospitals are not yet prompting for screening questions related to Zika virus. Why? The existing system is too slow to respond and when it does, it finds itself chasing the past.

Feb 18, 2016
Report

Developing a Strategic Program for Chilean Health Information Technology: Environmental Scan and Key Informant Interviews

This report assesses the current state of health information technology adoption and implementation in Chile, as well as the challenges and opportunities facing the sector in the coming years.

Feb 11, 2016
Commentary

A Unique Identifier Could Protect Patient Privacy

The policy debate about unique patient identifier numbers should determine the best approach for reconciling two goals: optimizing the privacy and security of health information and making record matching as close to perfect as is practical.

Feb 3, 2016

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RAND Topic:
Electronic Medical Records

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