Web-Enabled Integration of Patient Data and Clinical Guidelines for Coordinated Care

Web-Enabled Integration of Patient Data and Clinical Guidelines for Coordinated Care

James R. Warren (University of South Australia, Australia) and Joseph T. Noone (University of South Australia, Australia)
DOI: 10.4018/978-1-878289-65-0.ch011
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Abstract

A variety of forces are encouraging change in the healthcare systems of developed countries. Chief among these is perception of high (and rising) cost. The arsenal of tests, medications and procedures at the hands of Western medicine is ever-increasing. This, in concert with an aging population, has brought the health expenditures in the U.S., EU, Japan and Australia edging to just under 10% of GNP. Furthermore, there is concern about waste of resources, principally through lack of coordination between healthcare facilities resulting in redundant investigations. A more subtle force comes from the rise of evidence-based medicine (EBM), as illustrated, for instance, by the extensive consolidated clinical reviews of the Cochrane Collaboration. EBM highlights that typical medical practice is not necessarily efficient or effective in all cases as compared to well-established findings of randomized controlled trials (e.g., Sydney GPs have been observed to over-prescribe antibiotics, which is both a waste and a community health hazard [Bolton et al., 1996]). Happily, as motivations for change rise, we see the emergence of technologies with great promise for implementing solutions. The most obvious of these is of course Web technology. Cimino et al. (1995) illustrated (at a time that can now be considered early in the brief history of the Web) that intranet-based Web technology could provide a breakthrough in ease of integration of legacy information systems within a hospital environment, and thus be the basis for innovative clinical workstations within the hospital walls. More recently Cimino et al. (1998) have illustrated technical solutions to control the security and confidentiality risks associated with external access to the hospital intranet data. Moreover, as one uses an intranet for integration of patient data, they can simultaneously access internal (intranet) and/or external (Internet) decision support resources (such as access to Medline illustrated by Cimino et al., 1995).

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Table of Contents
Preface
Lauren B. Eder
Chapter 1
David W. Forslund, David G. Kilman
With the arrival of the “World Wide Web,” we have witnessed a transition toward a truly global perspective with respect to electronic health... Sample PDF
The Impact of the Global, Extensible Electronic Health Record
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Chapter 2
Ray Hackney, Neil McBride
The UK Information Management Strategy (NHS, 1998) for the period to 2005 envisages the implementation of a Nationwide private network which will... Sample PDF
UK Primary Healthcare Groups: Stakeholders, Technology and Benefits
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Chapter 3
Grace Johnson, Anand Kumar, Arkalgud Ramaprasad, Madhusudhan Reddy
The past few years have seen Web-based technology diffusing into a wide cross-section of industries, cutting across various barriers, and changing... Sample PDF
Technology-Based Marketing in the Healthcare Industry: Implications for Relationships Between Players in the Industry
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Chapter 4
Stefan Kirn, Christian Heine
In most countries of the world, public health is an important indicator for the prosperity of a society. However, due to increasing deficits in... Sample PDF
Teleradiology: IT-Based Co-operation and Networking in Public Health
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Chapter 5
Jeanine W. Turner
Telemedicine is redefining the boundaries of the doctor and patient encounter. No longer do the doctor and patient need to be in the same room. No... Sample PDF
Telemedicine: Generating the Virtual Office Visit
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Chapter 6
Hans Lehmann, Terence Wee
The rationale for using a single case study approach is set out and put into context of current case research literature and thinking. The validity... Sample PDF
Automating Patients Admission: Proactive Leadership on a Shoestring
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Chapter 7
Mikko Korpela, Juha Mykkänen, Mika Räsänen, Hellevi Ruonamaa, Marko Sormunen
A migration strategy can turn legacy systems into a valuable heritage. In Finland, most hospital information systems are based on the U.S.... Sample PDF
Transforming Legacy Systems into a Valuable Heritage: The Case of the FixIT Migration Tools in Finland
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Chapter 8
Rajiv Kohli, David Ziege
Changes in the healthcare business resulting from capitation and declining reimbursement have led to cost-cutting measures in all areas of... Sample PDF
Disseminating Cost Information Through a Corporate Intranet: A Case Study and Lessons Learned
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Chapter 9
Rolf Grütter, Katerina Stanoevska-Slabeva, Walter Fierz
The healthcare industry is essentially knowledge based. The quality and efficiency of work performed in healthcare institutions depends on their... Sample PDF
Enhancing Knowledge Management in a Multi-Center Clinical Trial by a Web-Based Knowledge Medium
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Chapter 10
Guisseppi A. Gorgionne, Aryya Gangopadhyah, Monica Adya
Geographical variations in cancer rates have been observed for decades. Described spatial patterns and trends have provided clues for generating... Sample PDF
A Decision Technology System to Advance the Diagnosis and Treatment of Breast Cancer
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Chapter 11
James R. Warren, Joseph T. Noone
A variety of forces are encouraging change in the healthcare systems of developed countries. Chief among these is perception of high (and rising)... Sample PDF
Web-Enabled Integration of Patient Data and Clinical Guidelines for Coordinated Care
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Chapter 12
James G. Anderson, Linda L Casebeer, Robert E. Kristofco, Angela S. Carillo
The rapid expansion of scientific knowledge brings increased physician uncertainty in clinical decisionmaking. Clinical practice guidelines have... Sample PDF
Using Web-Enabled Technology to Promote the Adoption of Practice Guidelines
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Chapter 13
Jerry B. Weinberg, Steven P. Klein, Robert Klepper, Bernard Waxman, Xudong Yu, Daniel K. Anderson
Effective physicians must listen to their patient’s concerns, take accurate and complete medical histories, and earn patient trust and confidence.... Sample PDF
Patient-Doctor Interconnectivity: Improving Health Care Management and Patient Compliance with Web Technology
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Chapter 14
Riitta Söderlund, Pekka Reijonen, Malin Brännback
In most Western countries, healthcare systems are in economic crisis. It is not possible to increase available resources, but at the same time... Sample PDF
A Web-Based Solution for Enhancing Diabetic Well-Being
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Chapter 15
The Web-Enabled Patient  (pages 222-238)
Michele Lemaire
The past decade has witnessed major changes in the concepts of health and disease and in the respective role and responsibility of doctors and... Sample PDF
The Web-Enabled Patient
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Chapter 16
Catherine E. Bridge, Simeon J. Simoff
Identifying and removing architectural barriers to access for people with disabilities follows community recognition that people with disabilities... Sample PDF
Disability Access to the Built Environment: Web-Based On-Line Evaluation and Informatio Dissemination
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About the Authors