Abstract：
:In this paper, we describe the planning, development, and overall impact of Electronic Medical Records (EMRs) on Dryden Family Medicine (DFM), a rural family practice in Dryden, New York. The EMR system was installed in July, 2003, and the full conversion to the new system was accomplished in three phases. Significant efficiency gains were achieved in billing, prescription ordering, and other routine processes. Protocols were developed to enhance quality management, preventive medicine, and disease management. Job responsibilities changed and expanded for all members of the practice and coding issues became paramount. Practice revenue increased by about 20 percent and average "case-mix" increased by 10 percent in the second year following the implementation of EMRs due to improved billing documentation. We focus on the implementation process, the lessons learned, the obstacles encountered, and the successes achieved by one rural family practice.
journal_name
J Med Systjournal_title
Journal of medical systemsauthors
O'Neill L,Klepack Wdoi
10.1007/s10916-006-9040-1subject
Has Abstractpub_date
2007-02-01 00:00:00pages
25-33issue
1eissn
0148-5598issn
1573-689Xjournal_volume
31pub_type
杂志文章abstract：:Radio frequency identification (RFID) is a form of wireless communication that is used to identify assets and people. RFID has significant benefits to the medical environment. However, serious security threats are present in RFID systems that must be addressed in a medical environment. Of particular interest are threa...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-011-9792-0
更新日期：2012-12-01 00:00:00
abstract：:Genome sequencing projects generate vast amounts of data of a wide variety of types and complexities, and at a growing pace. Traditionally, the annotation of such sequences was difficult to share with other researchers. Despite the fact that this has improved with the development and application of biological ontologi...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-012-9890-7
更新日期：2012-11-01 00:00:00
abstract：:The application of multivariate statistical technics to laboratory data analysis is a recent development in clinical pathology. The proliferation in number and type of diagnostic tests requires a simple method to extract predictors of clinical states from data generated by existing laboratory procedures, as well as a ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF02222466
更新日期：1980-01-01 00:00:00
abstract：:Retinal vessel segmentation is a key step towards the accurate visualization, diagnosis, early treatment and surgery planning of ocular diseases. For the last two decades, a tremendous amount of research has been dedicated in developing automated methods for segmentation of blood vessels from retinal fundus images. De...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-017-0719-2
更新日期：2017-04-01 00:00:00
abstract：:Three-dimensional (3D) reconstructed images have been increasingly applied for medical education. Although many studies have described the benefits of such applications, the best time to introduce 3D technology into surgical training has not been determined. Therefore, we conducted a randomized study to determine a su...
journal_title：Journal of medical systems
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10916-019-1157-0
更新日期：2019-02-09 00:00:00
abstract：:As massive collections of digital health data are becoming available, the opportunities for large-scale automated analysis increase. In particular, the widespread collection of detailed health information is expected to help realize a vision of evidence-based public health and patient-centric health care. Within such ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-011-9685-2
更新日期：2011-10-01 00:00:00
abstract：:An increase in the prevalence of chronic disease has led to a rise in the demand for primary healthcare services in many developed countries. Healthcare technology tools may provide the leverage to alleviate the shortage of primary care providers. Here we describe the development and usage of an automated healthcare k...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-016-0529-y
更新日期：2016-07-01 00:00:00
abstract：:In recent years, human activity recognition from body sensor data or wearable sensor data has become a considerable research attention from academia and health industry. This research can be useful for various e-health applications such as monitoring elderly and physical impaired people at Smart home to improve their ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-018-0948-z
更新日期：2018-04-16 00:00:00
abstract：:Three-dimensional post-processing operations on the volume data generated by a series of CT or MR images had important significance on image reading and diagnosis. As a part of the DIOCM standard, WADO service defined how to access DICOM objects on the Web, but it didn't involve three-dimensional post-processing opera...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-015-0196-4
更新日期：2015-02-01 00:00:00
abstract：:In modern health-care, for evidence-based diagnosis, there is a requirement for an efficient image retrieval approach to retrieve the cases of interest that have similar characteristics from the large image databases. This paper presents a feature extraction approach that aims at extracting texture features present in...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-017-0799-z
更新日期：2017-08-31 00:00:00
abstract：:The current research aimed to analyze psychophysiological, body composition, biomechanical and autonomic modifications in an ultraendurance mountain race. We analyzed 11 finisher voluntary athletes that participated in a 51.2 km ultraendurance mountain race. We measured before and after the mountain ultraendurance eve...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-017-0889-y
更新日期：2018-01-05 00:00:00
abstract：:Breast cancer (BC) is the leading cause of death among women worldwide. It affects in general women older than 40 years old. Medical images analysis is one of the most promising research areas since it provides facilities for diagnosis and decision-making of several diseases such as BC. This paper conducts a Structure...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-020-01689-1
更新日期：2021-01-04 00:00:00
abstract：:With the development of theories and technologies in medical imaging, most of the tumors can be detected in the early stage. However, the nature of ovarian cysts lacks accurate judgement, leading to that many patients with benign nodules still need Fine Needle Aspiration (FNA) biopsies or surgeries, increasing the phy...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-019-1356-8
更新日期：2019-06-28 00:00:00
abstract：:This paper will address the complex issues of effective cost management and declining inpatient volume. Utilizing a microcomputer-based physician incentive compensation program, it will show how a hospital developed a plan to increase inpatient hospital utilization and improve cost management. It will discuss the Inte...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00994012
更新日期：1987-08-01 00:00:00
abstract：:As health care providers seek ways to reduce the cost of health care services, hospital operating rooms (ORs) have been identified as potential areas for cost reduction efforts. Cost containment efforts which have shifted significant portions of the inpatient population to ambulatory areas have resulted in an inpatien...
journal_title：Journal of medical systems
pub_type： 杂志文章,评审
doi：10.1007/BF00996639
更新日期：1988-06-01 00:00:00
abstract：:Cardiovascular disease is the first cause of death and disease and one of the leading causes of disability in developed countries. The prevalence of this disease is expected to increase in coming years although the death rate may be lower due to better treatment. To present the design and development of a technology s...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-017-0840-2
更新日期：2017-10-26 00:00:00
abstract：:Due to insufficient samples, the generalization performance of deep network is insufficient. In order to solve this problem, an improved U-net based image automatic segmentation and diagnosis algorithm was proposed, in which the max-pooling operation in original U-net model was replaced by the convolution operation to...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-019-1432-0
更新日期：2019-08-12 00:00:00
abstract：OBJECTIVE:To test the hypothesis that advanced electronic medical record (EMR) capabilities are associated with better quality and safety of hospital care. METHODS AND FINDINGS:We used data from the HIMSS Analytics EMR Adoption Model (EMRAM(SM)) to measure the adoption and use of information technology in Dutch hospit...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-015-0274-7
更新日期：2015-09-01 00:00:00
abstract：:Belgium is in a transition phase from paper-based prescriptions to electronic prescriptions (ePrescriptions) during which both the paper and electronic format are valid. Since patients still get a paper proof of the ePrescription, sometimes pharmacists use the ePrescription as paper-based prescription. When the govern...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-019-1456-5
更新日期：2019-10-23 00:00:00
abstract：:Given the ongoing concerns about the quality of care in nursing homes, a theoretical framework to guide a systems approach to quality is important. Existing frameworks either do not model causality, or do so in a linear fashion in which the actual linkages between components of quality may not be well specified. Throu...
journal_title：Journal of medical systems
pub_type： 杂志文章,评审
doi：10.1023/b:joms.0000023302.80118.74
更新日期：2004-04-01 00:00:00
abstract：:The use of teams in health care has generally relied on the notion that teams must physically meet and function in person in the same location, on a regular, scheduled basis, in order to maximize the value of the interdisciplinary process. This article examines the concept of creating a different kind of team in prima...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1023/a:1021013313813
更新日期：2003-02-01 00:00:00
abstract：:To evaluate risk and vulnerability in the chemotherapy process using a proactive risk analysis method. Healthcare failure mode and effect analysis (HFMEA) was adopted to identify potential chemotherapy process failures. A multidisciplinary team is formed to identify, evaluate, and prioritize potential failure modes ba...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-010-9616-7
更新日期：2012-06-01 00:00:00
abstract：:Turkey has experienced significant development in the private health insurance market since 1991. Improvements in private health services, increased public awareness, and insufficient service delivery by the social security organizations have encouraged more people to buy private health insurance. The number of people...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1023/a:1010749320021
更新日期：2001-08-01 00:00:00
abstract：:The aim of the study is to assess the feasibility of Drugs Rational Usage Guideline System (DRUGS)-supported clinical pathway (CP) for breast carcinoma, cataract, inguinal hernia and 2-diabetes mellitus whether the application of such a system could improve work efficiency, medical safety, and decrease hospital cost. ...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-015-0400-6
更新日期：2016-03-01 00:00:00
abstract：:The Department of Defense has been engaged in the Defense Modeling and Simulation Initiative (DMSI) to provide advanced distributed simulation warfighters in geographically distributed localities. Lessons learned from the Defense Simulation Internet (DSI) concerning architecture, standards, protocols, interoperability...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF02257175
更新日期：1995-06-01 00:00:00
abstract：:The main obstacles in mass adoption of cloud computing for database operations in healthcare organization are the data security and privacy issues. In this paper, it is shown that IT services particularly in hardware performance evaluation in virtual machine can be accomplished effectively without IT personnel gaining...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-013-9950-7
更新日期：2013-08-01 00:00:00
abstract：:With the rapid development of the Internet, digitization and electronic orientation are required in various applications of our daily life. For e-medicine, establishing Electronic patient records (EPRs) for all the patients has become the top issue during the last decade. Simultaneously, constructing an integrated EPR...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-010-9527-7
更新日期：2012-04-01 00:00:00
abstract：:Medical Markup Language (MML) is a standard for the exchange of medical data among different medical institutions. It was developed in Japan in 1995. Since version 2.21, MML has used eXtensible Markup Language (XML) as a meta-language. The latest version, 3.0, conforms to HL7 Clinical Document Architecture (CDA) and c...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-005-6111-7
更新日期：2005-10-01 00:00:00
abstract：:With the advances in wearable computing and various wireless technologies, there is an increasing trend to outsource body signals from wireless body area network (WBAN) to outside world including cyber space, healthcare big data clouds, etc. Since the environmental and physiological data collected by multimodal sensor...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-015-0336-x
更新日期：2015-12-01 00:00:00
abstract：:The concept of Total Quality Management (TQM) has come to be applied in healthcare over the last few years. The process management category in the Baldrige Health Care Criteria for Performance Excellence model is designed to evaluate the quality of medical services. However, a systematic approach for implementation su...
journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-009-9376-4
更新日期：2011-06-01 00:00:00
