When you visit the doctor, information about you may be recorded in an office computer. Your tests may be sent to a laboratory or consulting physician. Relevant information may be transmitted to your health insurer or pharmacy. Your data may be collected by the state government or by an organization that accredits health care or studies medical costs. By making information more readily available to those who need it, greater use of computerized health information can help improve the quality of health care and reduce its costs. Yet health care organizations must find ways to ensure that electronic health information is not improperly divulged. Patient privacy has been an issue since the oath of Hippocrates first called on physicians to "keep silence" on patient matters, and with highly sensitive dataâ€"genetic information, HIV test results, psychiatric recordsâ€"entering patient records, concerns over privacy and security are growing. For the Record responds to the health care industry's need for greater guidance in protecting health information that increasingly flows through the national information infrastructureâ€"from patient to provider, payer, analyst, employer, government agency, medical product manufacturer, and beyond. This book makes practical detailed recommendations for technical and organizational solutions and national-level initiatives. For the Record describes two major types of privacy and security concerns that stem from the availability of health information in electronic form: the increased potential for inappropriate release of information held by individual organizations (whether by those with access to computerized records or those who break into them) and systemic concerns derived from open and widespread sharing of data among various parties. The committee reports on the technological and organizational aspects of security management, including basic principles of security; the effectiveness of technologies for user authentication, access control, and encryption; obstacles and incentives in the adoption of new technologies; and mechanisms for training, monitoring, and enforcement. For the Record reviews the growing interest in electronic medical records; the increasing value of health information to providers, payers, researchers, and administrators; and the current legal and regulatory environment for protecting health data. This information is of immediate interest to policymakers, health policy researchers, patient advocates, professionals in health data management, and other stakeholders.

This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

This book details how electronic health records (EHRs) and medical records (EMRs) can be optimized to enable meaningful interactions between provider and patient to enhance quality of care in this new era of mHealth. As the technologies evolve to provide greater opportunities for mHealth applications, so do the challenges. This book addresses the issues of interoperability limitations, data processing errors and patient data privacy while providing instruction on how blockchain-like processes can potentially ensure the integrity of an externally maintained EHR. Portable Health Records in a Mobile Society identifies important issues and promising solutions to create a truly portable EHRs. It is a valuable resource for all informaticians and healthcare providers seeking an up-to-date resource on how to improve the availability, reliability, integrity and sustainability of these revolutionary developments in healthcare management.

Data integrity is a critical aspect to the design, implementation, and usage of any system which stores, processes, or retrieves data. The overall intent of any data integrity technique is the same: ensure data is recorded exactly as intended and, upon later retrieval, ensure the data is the same as it was when originally recorded. Any alternation to the data is then traced to the person who made the modification. The integrity of data in a patient’s electronic health record is critical to ensuring the safety of the patient. This book is relevant to production systems and quality control systems associated with the manufacture of pharmaceuticals and medical device products and updates the practical information to enable better understanding of the controls applicable to e-records. The book highlights the e-records suitability implementation and associated risk-assessed controls, and e-records handling. The book also provides updated regulatory standards from global regulatory organizations such as MHRA, Medicines and Healthcare Products Regulatory Agency (UK); FDA, Food and Drug Administration (US); National Medical Products Association (China); TGA, Therapeutic Goods Administration (Australia); SIMGP, Russia State Institute of Medicines and Good Practices; and the World Health Organization, to name a few.

In the realm of healthcare, the persistent challenges of data breaches, centralized systems, and fraudulent claims have posed significant hurdles in ensuring the integrity and security of patient information. The traditional approaches to managing Electronic Health Records (EHR) often fall short, leaving room for exploitation and compromising the confidentiality of sensitive medical data. Enter the transformative solution presented in Blockchain and IoT Approaches for Secure Electronic Health Records (EHR). This groundbreaking book navigates the intricate landscape of healthcare technology, addressing the vulnerabilities in the current systems. By leveraging the power of Blockchain technology, it pioneers a secure peer-to-peer communication system that not only ensures the tamper-proof nature of health records but also revolutionizes the entire healthcare industry. The book is a comprehensive exploration of Blockchain's relevance in healthcare, covering the architecture, scope, and applications that promise to redefine how patient data is managed and protected.

Resource added for the Health Information Technology program 105301.

"This book discusses the elements of EHR implementation in a clear, chronological format from planning to execution. Along the way, readers receive a solid background in EHR history, trends, and common pitfalls and gain the skills they will need for a successful implementation."