These replace traditional paper medical records by allowing individual records to be accessed from
many interoperable systems - EHRs: Electronic Health Records
The ability to share and access patient information by various users. - Interoperability
What are the 4 main components of EHR's? - 1. ...
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These replace traditional paper medical records by allowing individual records to be accessed from
many interoperable systems - ✔✔EHRs: Electronic Health Records
The ability to share and access patient information by various users. - ✔✔Interoperability
What are the 4 main components of EHR's? - ✔✔1. Collection and storage of health information on
individual patients
2. Access to individual and population level information by authorized users
3. Provision of knowledge and decision-support to enhance the quality, safety, and efficiency of patient
care (medical informatics)
4. Improve the efficiency of health care delivery
ALL forms of electronic health care delivered over the Internet, ranging from informational, educational,
and commercial 'products' to direct services offered by professionals, non professionals, businesses, or
consumers themselves - ✔✔E-Health
What is the self-help approach for obtaining Web-based information? - ✔✔E-Health
all _____ is ______, but not all _______ is _______. - ✔✔All telemedicine is telehealth, but not all
telehealth is telemedicine.
What form of health info technology?
,Educational, research, and administrative uses; can involve clinical professionals other than physicians -
✔✔Telehealth
Distant delivery of medical treatment (aka distant medicine) that employs telecommunications
technology for medical diagnosis and patient care; sometimes called telehealth - ✔✔Telemedicine
Professional therapeutic interactions online between qualified mental health professionals and their
clients. This is an alternative of face-to-face interactions for behavioral health support and counseling -
✔✔E-Therapy
The development and dissemination of technology; widespread use of technology - ✔✔Technology
diffusion
What are the 6 drives for diffusion? - ✔✔1. American cultural beliefs and values: (technological
imperative, capitalism)
2. Medical training: Emphasis on medical specialization (specialty > primary)
3. Insurance coverage: Financing and payment by insurance plans (more technology approved by
insurance co's)
4. Competition among providers: (duplication of services)
5. Expenditures on R&D
6. Government Policy (specialists have no waiting time for medical technology)
Americans want the most advanced services despite high costs - ✔✔technological imperative
What are the three conditions for diffusion to occur? - ✔✔1. Beneficial (efficacy)
, 2. Compatible (w/ resources the organization already has in place to provide that technology)
3. Reimbursable (willing to be paid for)
What are the influences of demand for hi-tech goods and services? - ✔✔Americans are always wanting
the newest tech for medical services.
(These come at a really high cost and increase medical spending)
Technological Imperative
Health Insurance Portability Accountability Act of .... - ✔✔1996 (HIPAA)
To alleviate concerns about the confidentiality of patient information, what restricted the legal use of
personal medical information for three main purposes:
1. health care delivery to the patient
2. operation of the health care organization
3. reimbursement - ✔✔Health Insurance Portability Accountability Act of 1996
What is the evaluation of medical technology to determine its efficacy, safety, and cost-effectiveness.
Also informs stakeholders about the ethical, legal, and social implications of medical technologies -
✔✔Health technology assessment
How is efficacy and safety evaluated in the health technology assessment? - ✔✔Through clinical trials,
or carefully designed research studies in which human subjects participate under controlled
observations
How is cost-effectiveness determined in the health technology assessment? - ✔✔By using economic
models that compare the benefits of a treatment to its costs (benefits must exceed costs)
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