It Is Time! Accelerating the Use of Child Health Information Systems to Improve Child Health
ABSTRACT Articles in this issue show clearly the enormous impact that the use of health information technology can have on the quality of health care for children. However, they also point out the challenges that need to be overcome to realize fully the potential of health information technology to improve the quality and efficiency of health care.
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ABSTRACT: While the importance of mHealth scale-up has been broadly emphasized in the mHealth community, it is necessary to guide scale up efforts and investment in ways to help achieve the mortality reduction targets set by global calls to action such as the Millennium Development Goals, not merely to expand programs. We used the Lives Saved Tool (LiST)-an evidence-based modeling software-to identify priority areas for maternal and neonatal health services, by formulating six individual and combined interventions scenarios for two countries, Bangladesh and Uganda. Our findings show that skilled birth attendance and increased facility delivery as targets for mHealth strategies are likely to provide the biggest mortality impact relative to other intervention scenarios. Although further validation of this model is desirable, tools such as LiST can help us leverage the benefit of mHealth by articulating the most appropriate delivery points in the continuum of care to save lives.PLoS ONE 07/2014; 9(7):e102224. DOI:10.1371/journal.pone.0102224 · 3.53 Impact Factor
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ABSTRACT: Immunizations are the most effective way to reduce incidence of vaccine-preventable diseases. Immunization information systems (IISs) are confidential, population-based, computerized databases that record all vaccination doses administered by participating providers to people residing within a given geopolitical area. They facilitate consolidation of vaccination histories for use by health care providers in determining appropriate client vaccinations. Immunization information systems also provide aggregate data on immunizations for use in monitoring coverage and program operations and to guide public health action.Journal of public health management and practice: JPHMP 06/2014; 21(3). DOI:10.1097/PHH.0000000000000069 · 1.47 Impact Factor
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ABSTRACT: OBJECTIVES:To assess electronic health record (EHR) adoption and meaningful use among US children's hospitals through 2011 and compare these outcomes with adult hospitals and among subgroups of children's hospitals. We hypothesized that children's hospitals would show progress since our initial evaluation of health information technology (HIT) implementation in 2008.METHODS:We identified children's hospitals using the membership directory of the Children's Hospital Association and analyzed their responses from 2008 to 2011 to the American Hospital Association's annual HIT survey. EHR adoption rates were determined by using previously specified definitions of the essential functionalities comprising an EHR. Achievement of meaningful use was evaluated based on hospitals' ability to fulfill 12 core meaningful use criteria. We compared these outcomes in 2011 between children's and adult hospitals and among subgroups of children's hospitals.RESULTS:Of 162 children's hospitals, 126 (78%) responded to the survey in 2011. The proportion of children's hospitals with an EHR increased from 21% (in 2008) to 59% (in 2011). In 2011, 29% of children's hospitals met the 12 core criteria in our meaningful use proxy measure. EHR adoption rates and meaningful use were significantly higher for children's hospitals than for adult hospitals as a whole but similar for children's and adult major teaching hospitals. Among children's hospitals, major teaching hospitals were significantly more likely to have an EHR.CONCLUSIONS:Children's hospitals have achieved substantial gains in HIT implementation although minor teaching and nonteaching institutions are not keeping pace.PEDIATRICS 04/2013; 131(5). DOI:10.1542/peds.2012-2904 · 5.30 Impact Factor