Teach one. project 1

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Systems information course by Dr. Alemi Teach One. Project One- 6.19.2012

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Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Cost of Medical Care; A Review:

Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Cost of Medical Care; A Review Narrated By Nabil Tahan Authors: Basit Chaudhry , MD; Jerome Wang; MD; Shinyi Wu, PhD, Margaret Maglione , MPP; Walter Mojica , MD; Elizabeth Roth, MA; Sally Morton, PhD; and Paul Shekelle , MD, PhD

Background:

Information technology is the fastest growing sector in healthcare, becoming one of the few trillion-dollar industries In the past, Health IT was limited, but recent trends have caught the healthcare industry off-guard Properly utilizing IT and Information systems has the potential of saving Millions (Eventually Billions) of dollars Background

Background:

Health information has been empirically shown to improve quality by increasing adherence to guidelines Strong evidence for decreasing meication errors and enhancing disease surveillance Questions in IT growth include the effect on efficiency and Cost Limited evidence on interoperability and consumer health information technology Background

Methods:

Qualitative literature based review Expert opinion Development of analytic frameworks that describe components of implementing Health IT Search Strategy Methods

Quality:

The effects on quality showed to be numerous and qualitative Adherence based guidance and protocol usage showed increases Medication error drop Clinical monitoring and aggregation of data Quality

Cost:

High initial system maintenance cost- $700,000 Study shows that cost is balanced out over-time and 8 out of 11 studies proved that cost is minimal Limited data Cost

Results and Data:

Flow Chart of total data framework Literature Selected- 257 articles finally selected 24% of all studies based were selected from benchmark sites (Brigham Women’s, VA and Intermountain Hospital) Results and Data

Data Selection:

867 articles, 141 rejections, and 124 with no Information Technology Data Reports addressed types of primary systems: Decision aimed at providers EHR CPOE Order entry and result management Data Selection

Limitations:

Literature generalizability Limited Data on Cost analysis and Cost Functions Summarizing effects on numerous types of IT Incomplete description of IT in different sites Limitations

Conclusion:

Monitoring activities and surveillance shows increase in efficiency Reduced medication errors Empirically measured cost data needed for further financial conclusions Delivery of care drastically improved Primary and Secondary care shows greatest improvement amid challenges Conclusion

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