Evaluation of Secure Messaging Applications for a Health Care System: A Case Study.

Abstract:

OBJECTIVE:The use of text messaging in clinical care has become ubiquitous. Due to security and privacy concerns, many hospital systems are evaluating secure text messaging applications. This paper highlights our evaluation process, and offers an overview of secure messaging functionalities, as well as a framework for how to evaluate such applications. METHODS:Application functionalities were gathered through literature review, Web sites, speaking with representatives, demonstrations, and use cases. Based on similar levels of functionalities, vendors were grouped into three tiers. Essential and secondary functionalities for our health system were defined to help narrow our vendor choices. RESULTS:We stratified 19 secure messaging vendors into three tiers: basic secure communication, secure communication within an existing clinical application, and dedicated communication and collaboration systems. Our essential requirements revolved around functionalities to enhance security and communication, while advanced functionalities were mostly considered secondary. We then narrowed our list of 19 vendors to four, then created clinical use cases to rank the final vendors. DISCUSSION:When evaluating a secure messaging application, numerous factors must be considered in parallel. These include: what clinical processes to improve, archiving text messages, mobile device management, bring your own device policy, and Wi-Fi architecture. CONCLUSION:Secure messaging applications provide a Health Insurance Portability and Accountability Act (HIPAA) compliant communication platform, and also include functionality to improve clinical collaboration and workflow. We hope that our evaluation framework can be used by other health systems to find a secure messaging application that meets their needs.

journal_name

Appl Clin Inform

authors

Liu X,Sutton PR,McKenna R,Sinanan MN,Fellner BJ,Leu MG,Ewell C

doi

10.1055/s-0039-1678607

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

140-150

issue

1

issn

1869-0327

journal_volume

10

pub_type

杂志文章
  • A Picture is Worth 1,000 Words. The Use of Clinical Images in Electronic Medical Records.

    abstract:OBJECTIVE:To understand how clinicians utilize image uploading tools in a home grown electronic health records (EHR) system. METHODS:A content analysis of patient notes containing non-radiological images from the EHR was conducted. Images from 4,000 random notes from July 1, 2009 - June 30, 2010 were reviewed and manu...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2016-10-RA-0180

    authors: Ai AC,Maloney FL,Hickman TT,Wilcox AR,Ramelson H,Wright A

    更新日期:2017-07-12 00:00:00

  • An electronic alert for HIV screening in the emergency department increases screening but not the diagnosis of HIV.

    abstract:OBJECTIVE:Based on US. Centers for Disease Control and Prevention recommendations, New York State enacted legislation in 2010 requiring healthcare providers to offer non-targeted human immunodeficiency virus (HIV) testing to all patients aged 13-64. Three New York City adult emergency departments implemented an electro...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2013-09-RA-0075

    authors: Schnall R,Liu N,Sperling J,Green R,Clark S,Vawdrey D

    更新日期:2014-03-26 00:00:00

  • Social Media in Health Care: Time for Transparent Privacy Policies and Consent for Data Use and Disclosure.

    abstract:: ...

    journal_title:Applied clinical informatics

    pub_type: 社论

    doi:10.1055/s-0038-1676332

    authors: Petersen C,Lehmann CU

    更新日期:2018-10-01 00:00:00

  • Evaluation of an Electronic Module for Reconciling Medications in Home Health Plans of Care.

    abstract:OBJECTIVES:Transitions in patient care pose an increased risk to patient safety. One way to reduce this risk is to ensure accurate medication reconciliation during the transition. Here we present an evaluation of an electronic medication reconciliation module we developed to reduce the transition risk in patients refer...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2015-11-RA-0154

    authors: Kramer HS,Gibson B,Livnat Y,Thraen I,Brody AA,Rupper R

    更新日期:2016-05-25 00:00:00

  • Feasibility and Reliability Testing of Manual Electronic Health Record Reviews as a Tool for Timely Identification of Diagnostic Error in Patients at Risk.

    abstract:BACKGROUND:Although diagnostic error (DE) is a significant problem, it remains challenging for clinicians to identify it reliably and to recognize its contribution to the clinical trajectory of their patients. The purpose of this work was to evaluate the reliability of real-time electronic health record (EHR) reviews u...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0040-1713750

    authors: Soleimani J,Pinevich Y,Barwise AK,Huang C,Dong Y,Herasevich V,Gajic O,Pickering BW

    更新日期:2020-05-01 00:00:00

  • Measuring Practicing Clinicians' Information Literacy. An Exploratory Analysis in the Context of Panel Management.

    abstract:BACKGROUND:As healthcare moves towards technology-driven population health management, clinicians must adopt complex digital platforms to access health information and document care. OBJECTIVES:This study explored information literacy, a set of skills required to effectively navigate population health information syst...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2016-06-RA-0083

    authors: Dixon BE,Barboza K,Jensen AE,Bennett KJ,Sherman SE,Schwartz MD

    更新日期:2017-02-15 00:00:00

  • Impact of homecare electronic health record on timeliness of clinical documentation, reimbursement, and patient outcomes.

    abstract:BACKGROUND:Homecare is an important and effective way of managing chronic illnesses using skilled nursing care in the home. Unlike hospitals and ambulatory settings, clinicians visit patients at home at different times, independent of each other. Twenty-nine percent of 10,000 homecare agencies in the United States have...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2013-12-RA-0106

    authors: Sockolow PS,Bowles KH,Adelsberger MC,Chittams JL,Liao C

    更新日期:2014-04-30 00:00:00

  • Workarounds and Test Results Follow-up in Electronic Health Record-Based Primary Care.

    abstract:BACKGROUND:Electronic health records (EHRs) have potential to facilitate reliable communication and follow-up of test results. However, limitations in EHR functionality remain, leading practitioners to use workarounds while managing test results. Workarounds can lead to patient safety concerns and signify indications a...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2015-10-RA-0135

    authors: Menon S,Murphy DR,Singh H,Meyer AN,Sittig DF

    更新日期:2016-06-22 00:00:00

  • Developing Mobile Clinical Decision Support for Nursing Home Staff Assessment of Urinary Tract Infection using Goal-Directed Design.

    abstract:BACKGROUND:Unique characteristics of nursing homes (NHs) contribute to high rates of inappropriate antibiotic use for asymptomatic bacteriuria (ASB), a benign condition. A mobile clinical decision support system (CDSS) may support NH staff in differentiating urinary tract infections (UTI) from ASB and reducing antibiot...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2016-12-RA-0209

    authors: Jones W,Drake C,Mack D,Reeder B,Trautner B,Wald H

    更新日期:2017-06-20 00:00:00

  • Nutrigenomic Information in the openEHR Data Set.

    abstract:BACKGROUND:The traditional concept of personalized nutrition is based on adapting diets according to individual needs and preferences. Discussions about personalized nutrition have been on since the Human Genome Project, which has sequenced the human genome. Thenceforth, topics such as nutrigenomics have been assessed ...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0038-1635115

    authors: Maranhão PA,Bacelar-Silva GM,Ferreira DNG,Calhau C,Vieira-Marques P,Cruz-Correia RJ

    更新日期:2018-01-01 00:00:00

  • Health information technology knowledge and skills needed by HIT employers.

    abstract:OBJECTIVE:To evaluate the health information technology (HIT) workforce knowledge and skills needed by HIT employers. METHODS:Statewide face-to-face and online focus groups of identified HIT employer groups in Austin, Brownsville, College Station, Dallas, El Paso, Houston, Lubbock, San Antonio, and webinars for rural ...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2012-09-RA-0035

    authors: Fenton SH,Gongora-Ferraez MJ,Joost E

    更新日期:2012-12-05 00:00:00

  • Registers for Networked Medical Research in Germany: Situation and prospects.

    abstract:BACKGROUND:Several disease specific registers are operated by members of the 'TMF - Technology, Methods, and Infrastructure for Networked Medical Research', an umbrella organization of research networks in Germany. OBJECTIVE:To describe the coverage and the current state as well as financial and organizational issues ...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2010-04-RA-0024

    authors: Stausberg J,Altmann U,Antony G,Drepper J,Sax U,Schütt A

    更新日期:2010-11-24 00:00:00

  • Rapid Implementation of an Inpatient Telehealth Program during the COVID-19 Pandemic.

    abstract:BACKGROUND: Relaxation of laws and regulations around privacy and billing during the COVID-19 pandemic provide expanded opportunities to use telehealth to provide patient care at a distance. Many health systems have transitioned to providing outpatient care via telehealth; however, there is an opportunity to utilize te...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0040-1713635

    authors: Hron JD,Parsons CR,Williams LA,Harper MB,Bourgeois FC

    更新日期:2020-05-01 00:00:00

  • The effects of natural language processing on cross-institutional portability of influenza case detection for disease surveillance.

    abstract:OBJECTIVES:This study evaluates the accuracy and portability of a natural language processing (NLP) tool for extracting clinical findings of influenza from clinical notes across two large healthcare systems. Effectiveness is evaluated on how well NLP supports downstream influenza case-detection for disease surveillance...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2016-12-RA-0211

    authors: Ferraro JP,Ye Y,Gesteland PH,Haug PJ,Tsui FR,Cooper GF,Van Bree R,Ginter T,Nowalk AJ,Wagner M

    更新日期:2017-05-31 00:00:00

  • Consensus Statement: Feature and Function Recommendations to Optimize Clinician Usability of Direct Interoperability to Enhance Patient Care.

    abstract:BACKGROUND:Secure clinical messaging and document exchange utilizing the Direct Protocol (Direct interoperability) has been widely implemented in health information technology (HIT) applications including electronic health records (EHRs) and by health care providers and organizations in the United States. While Direct ...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0038-1637007

    authors: Lane SR,Miller H,Ames E,Garber L,Kibbe DC,Schneider JH,Lehmann CU,DirectTrust Clinicians' Steering Group.

    更新日期:2018-01-01 00:00:00

  • Pan-European Data Harmonization for Biobanks in ADOPT BBMRI-ERIC.

    abstract:BACKGROUND:High-quality clinical data and biological specimens are key for medical research and personalized medicine. The Biobanking and Biomolecular Resources Research Infrastructure-European Research Infrastructure Consortium (BBMRI-ERIC) aims to facilitate access to such biological resources. The accompanying ADOPT...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0039-1695793

    authors: Mate S,Kampf M,Rödle W,Kraus S,Proynova R,Silander K,Ebert L,Lablans M,Schüttler C,Knell C,Eklund N,Hummel M,Holub P,Prokosch HU

    更新日期:2019-08-01 00:00:00

  • Use, Perceived Usability, and Barriers to Implementation of a Patient Safety Dashboard Integrated within a Vendor EHR.

    abstract:BACKGROUND:Preventable adverse events continue to be a threat to hospitalized patients. Clinical decision support in the form of dashboards may improve compliance with evidence-based safety practices. However, limited research describes providers' experiences with dashboards integrated into vendor electronic health rec...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0039-3402756

    authors: Bersani K,Fuller TE,Garabedian P,Espares J,Mlaver E,Businger A,Chang F,Boxer RB,Schnock KO,Rozenblum R,Dykes PC,Dalal AK,Benneyan JC,Lehmann LS,Gershanik EF,Bates DW,Schnipper JL

    更新日期:2020-01-01 00:00:00

  • Physician specialty and variations in adoption of electronic health records.

    abstract:OBJECTIVE:Efforts to promote adoption of electronic health records (EHRs) have focused on primary care physicians, who are now expected to exchange data electronically with other providers, including specialists. However, the variation of EHR adoption among specialists is underexplored. METHODS:We conducted a retrospe...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2013-02-RA-0015

    authors: Grinspan ZM,Banerjee S,Kaushal R,Kern LM

    更新日期:2013-05-22 00:00:00

  • Quality Initiative Using Theory of Change and Visual Analytics to Improve Controlled Substance Documentation Discrepancies in the Operating Room.

    abstract:BACKGROUND:Discrepancies in controlled substance documentation are common and can lead to legal and regulatory repercussions. We introduced a visual analytics dashboard to assist in a quality improvement project to reduce the discrepancies in controlled substance documentation in the operating room (OR) of our free-sta...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0039-1693688

    authors: Dolan JE,Lonsdale H,Ahumada LM,Patel A,Samuel J,Jalali A,Peck J,DeRosa JC,Rehman M,Varughese AM,Fernandez AM

    更新日期:2019-05-01 00:00:00

  • Comparing predictions made by a prediction model, clinical score, and physicians: pediatric asthma exacerbations in the emergency department.

    abstract:BACKGROUND:Asthma exacerbations are one of the most common medical reasons for children to be brought to the hospital emergency department (ED). Various prediction models have been proposed to support diagnosis of exacerbations and evaluation of their severity. OBJECTIVES:First, to evaluate prediction models construct...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2013-04-RA-0029

    authors: Farion KJ,Wilk S,Michalowski W,O'Sullivan D,Sayyad-Shirabad J

    更新日期:2013-08-07 00:00:00

  • The Pediatric Emergency Care Applied Research Network Registry: A Multicenter Electronic Health Record Registry of Pediatric Emergency Care.

    abstract:BACKGROUND:Electronic health record (EHR)-based registries allow for robust data to be derived directly from the patient clinical record and can provide important information about processes of care delivery and patient health outcomes. METHODS:A data dictionary, and subsequent data model, were developed describing EH...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0038-1651496

    authors: Deakyne Davies SJ,Grundmeier RW,Campos DA,Hayes KL,Bell J,Alessandrini EA,Bajaj L,Chamberlain JM,Gorelick MH,Enriquez R,Casper TC,Scheid B,Kittick M,Dean JM,Alpern ER,Pediatric Emergency Care Applied Research Network.

    更新日期:2018-04-01 00:00:00

  • Responding to COVID-19: The UW Medicine Information Technology Services Experience.

    abstract:BACKGROUND:UW Medicine was one of the first health systems to encounter and treat COVID-19 patients in the United States, starting in late February 2020. OBJECTIVE:Here we describe the rapid rollout of capabilities by UW Medicine Information Technology Services (ITS) to support our clinical response to the COVID-19 pa...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0040-1709715

    authors: Grange ES,Neil EJ,Stoffel M,Singh AP,Tseng E,Resco-Summers K,Fellner BJ,Lynch JB,Mathias PC,Mauritz-Miller K,Sutton PR,Leu MG

    更新日期:2020-03-01 00:00:00

  • A Brief Survey on Six Basic and Reduced eHealth Indicators in Seven Countries in 2017.

    abstract:BACKGROUND:Holistic, ubiquitous support of patient-centered health care (eHealth) at all health care institutions and in patients' homes through information processing is increasingly supplementing institution-centered care. While eHealth indicators may measure the transition from institution-centered (e.g., hospital-c...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0038-1669458

    authors: Haux R,Ammenwerth E,Koch S,Lehmann CU,Park HA,Saranto K,Wong CP

    更新日期:2018-07-01 00:00:00

  • A Review of Predictive Analytics Solutions for Sepsis Patients.

    abstract:BACKGROUND:Early detection and efficient management of sepsis are important for improving health care quality, effectiveness, and costs. Due to its high cost and prevalence, sepsis is a major focus area across institutions and many studies have emerged over the past years with different models or novel machine learning...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0040-1710525

    authors: Teng AK,Wilcox AB

    更新日期:2020-05-01 00:00:00

  • Clinical Decision Support for Worker Health: A Five-Site Qualitative Needs Assessment in Primary Care Settings.

    abstract:BACKGROUND:Although patients who work and have related health issues are usually first seen in primary care, providers in these settings do not routinely ask questions about work. Guidelines to help manage such patients are rarely used in primary care. Electronic health record (EHR) systems with worker health clinical ...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0040-1715895

    authors: Ash JS,Chase D,Baron S,Filios MS,Shiffman RN,Marovich S,Wiesen J,Luensman GB

    更新日期:2020-08-01 00:00:00

  • Towards Implementation of OMOP in a German University Hospital Consortium.

    abstract:BACKGROUND:In 2015, the German Federal Ministry of Education and Research initiated a large data integration and data sharing research initiative to improve the reuse of data from patient care and translational research. The Observational Medical Outcomes Partnership (OMOP) common data model and the Observational Healt...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0037-1617452

    authors: Maier C,Lang L,Storf H,Vormstein P,Bieber R,Bernarding J,Herrmann T,Haverkamp C,Horki P,Laufer J,Berger F,Höning G,Fritsch HW,Schüttler J,Ganslandt T,Prokosch HU,Sedlmayr M

    更新日期:2018-01-01 00:00:00

  • A Statewide Medication Management System: Health Information Exchange to Support Drug Therapy Optimization by Pharmacists across the Continuum of Care.

    abstract:BACKGROUND:While evidence generally supports the use of medication management technology, systems are typically implemented and evaluated piecemeal rather than as part of a comprehensive model for medication management. Systems to support drug therapy optimization, increasingly a key role of pharmacists in our healthca...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.1055/s-0037-1620262

    authors: Pellegrin K,Chan F,Pagoria N,Jolson-Oakes S,Uyeno R,Levin A

    更新日期:2018-01-01 00:00:00

  • Usability of selected databases for low-resource clinical decision support.

    abstract:BACKGROUND:Smartphones are increasingly important for clinical decision support, but smartphone and Internet use are limited by cost or coverage in many settings. txt2MEDLINE provides access to published medical evidence by text messaging. Previous studies have evaluated this approach, but we found no comparisons with ...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2012-06-RA-0024

    authors: Sheets L,Callaghan F,Gavino A,Liu F,Fontelo P

    更新日期:2012-09-06 00:00:00

  • Natural Language Processing for Cohort Discovery in a Discharge Prediction Model for the Neonatal ICU.

    abstract:OBJECTIVES:Discharging patients from the Neonatal Intensive Care Unit (NICU) can be delayed for non-medical reasons including the procurement of home medical equipment, parental education, and the need for children's services. We previously created a model to identify patients that will be medically ready for discharge...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2015-09-RA-0114

    authors: Temple MW,Lehmann CU,Fabbri D

    更新日期:2016-02-24 00:00:00

  • Reduction in Clinical Variance Using Targeted Design Changes in Computerized Provider Order Entry (CPOE) Order Sets: Impact on Hospitalized Children with Acute Asthma Exacerbation.

    abstract:OBJECTIVES:Unwarranted variance in healthcare has been associated with prolonged length of stay, diminished health and increased cost. Practice variance in the management of asthma can be significant and few investigators have evaluated strategies to reduce this variance. We hypothesized that selective redesign of orde...

    journal_title:Applied clinical informatics

    pub_type: 杂志文章

    doi:10.4338/ACI-2011-01-RA-0002

    authors: Jacobs BR,Hart KW,Rucker DW

    更新日期:2012-02-08 00:00:00