Susan Fenton

Susan Fenton
University of Texas Health Science Center at Houston · School of Biomedical Informatics

About

69
Publications
12,300
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
531
Citations

Publications

Publications (69)
Article
Background: The field of health information management (HIM) focuses on the protection and management of health information from a variety of sources. The American Health Information Management Association (AHIMA) Council for Excellence in Education (CEE) determines the needed skills and competencies for this field. AHIMA's HIM Curricula Competenc...
Article
In this Special Issue Harvey and Jones state “It is time for women academics to accept the challenge – to rightfully claim their leadership”. We recognise the many women who have challenged the system, and those whose efforts have been thwarted. We encourage women and men to work together to break down the barriers of gender, race, culture, and rel...
Chapter
Digital health technologies play a critical role in the safe, effective delivery of care across health systems. The benefits for patients can be significant; however, evidence suggests that poorly designed and implemented technologies can have unintended consequences, with downstream impacts on patient safety and the quality of care provided. Key t...
Chapter
Full-text available
If you ask people within the HIDDIN workforce how electronic health records support safe care delivery or how telehealth has shaped service delivery during the time of COVID, there is little dissension. Yet if you ask them what is the umbrella term for the various specialists whose functions relate to managing and governing health data, information...
Article
Objective This study investigated how well-suited the International Classification of Diseases, 11th Revision, for Mortality and Morbidity Statistics, (ICD-11 MMS) is for 2 morbidity use cases, patient safety and quality, examining the level of detail captured, and evaluating the necessity for the development of a US clinical modification (CM). Ma...
Article
Full-text available
To identify studies conductedusing the direct, electronic extraction of electronic health record (EHR) datato electronic data capture (EDC) systems, also known as eSource, and toidentify any gaps or limitations present for promoting standardized healthinformation exchange in clinical research.Materials and Methods:Articleswere included only if the...
Article
Background The lack of machine-interpretable representations of consent permissions precludes development of tools that act upon permissions across information ecosystems, at scale. Objectives To report the process, results, and lessons learned while annotating permissions in clinical consent forms. Methods We conducted a retrospective analysis of...
Article
Full-text available
Introduction External cause of injury matrices is used to classify mechanisms/causes of injuries for surveillance and research. Little is known about the performance of the Centers for Disease Control and Prevention’s new external cause of injury matrix for Clinical Modification of the 10th Revision of the International Classification of Diseases (...
Article
Full-text available
The direct use of EHR data in research, often referred to as 'eSource', has long-been a goal for researchers because of anticipated increases in data quality and reductions in site burden. eSource solutions should rely on data exchange standards for consistency, quality, and efficiency. The utility of any data standard can be evaluated by its abili...
Chapter
Today, most biomedical disciplines have significant computational components. Many depend on collection, management and analysis of data from genes and gene products. There is a continuum of educational needs in bioinformatics from exposure to bioinformatics concepts, to skills development toward using bioinformatics tools, to the ability to undert...
Article
This is a case study of the evidence-based management practices of a centralized health information management (HIM) department in a large integrated healthcare delivery system. The case study used interviews and focus groups, as well as de-identified dashboards, to explore the impact of reporting on the organization. The dashboards and key perform...
Article
Full-text available
In a data driven environment, healthcare has seen ongoing digital transformation to meet both clinical and business needs. But, have the educational and functional requirements of the health informatics and information management (HIIM) workforce also adapted? This study examined the current employment opportunities in HIIM globally. Using 11 keywo...
Article
Despite the widespread adoption of electronic health records (EHRs) in the U.S. over the past decade, significant improvements, especially in patient safety, have yet to be realized. This finding, along with health informatics workforce data and an identified gap in the offerings of an educational program, led to a proposed professional doctorate i...
Article
Full-text available
It is time to make the case for health information management (HIM) to be included in science, technology, engineering, and math (STEM) education. A careful review of the HIM competencies approved by the American Health Information Management Association (AHIMA) illustrates the role of HIM professionals in informatics, data analytics, and data use....
Article
Objective: With the evolution of patient medical records from paper to electronic media and the changes to the way data is sourced, used, and managed, there is an opportunity for health information management (HIM) to learn and facilitate the increasing expanse of available patient data. Methods: This paper discusses the emerging trends and lessons...
Article
Full-text available
Objective: With the evolution of patient medical records from paper to electronic media and the changes to the way data is sourced, used, and managed, there is an opportunity for health information management (HIM) to learn and facilitate the increasing expanse of available patient data. Methods: This paper discusses the emerging trends and lessons...
Article
In the United States about 100,000 people die annually from healthcare-associated infections (HAIs). Catheter-associated urinary tract infections (CAUTI) are the second most common type of HAI in the US, accounting for about 15% of HAIs. CAUTIs pose a significant treat to patients, which consequences could be as minor as an extra day in the hospita...
Article
Full-text available
Current methods for addressing catheter-associated urinary tract infections (CAUTIs) are mostly focused on the biological causes, emphasizing the adherence to prevention guidelines, collecting data and disseminating the results, as well as identifying emerging threats from infectious organisms. However, there is a need for tools that can help organ...
Article
Full-text available
The health informatics field continues to evolve and grow. The adoption of electronic health records has increased dramatically. Integrated medical devices, telemedicine, consumer-directed apps, and precision medicine are mainstream. There are continued developments in genomics data mining and pattern recognition. The reimbursement models are rapid...
Article
The Veterans Health Administration (VHA) of the US Department of Veterans Affairs has been preparing for the October 1, 2015, conversion to the International Classification of Diseases, Tenth Revision, Clinical Modification and Procedural Coding System (ICD-10-CM/PCS) for more than four years. The VHA's Office of Informatics and Analytics ICD-10 Pr...
Article
Background: Despite efforts to provide standard definitions of terms such as "medical record", "computer-based patient record", "electronic medical record" and "electronic health record", the terms are still used interchangeably. Initiatives like data and information governance, research biorepositories, and learning health systems require availab...
Article
Full-text available
Coding productivity is expected to drop significantly during the lead-up to and in the initial stages of ICD-10-CM/PCS implementation, now expected to be delayed until October 1, 2015. This study examined the differences in coding productivity between ICD-9-CM and ICD-10-CM/PCS for hospital inpatient cases matched for complexity and severity. Addit...
Article
The transition from ICD-9-CM to ICD-10-CM/PCS is expected to result in longitudinal data discontinuities, as occurred with cause-of-death in 1999. The General Equivalence Maps (GEMs), while useful for suggesting potential maps do not provide guidance regarding the frequency of any matches. Longitudinal data comparisons can only be reliable if they...
Article
PurposeThis study assessed electronic health record (EHR) and health information technology (HIT) workforce resources needed by rural primary care practices, and their workforce-related barriers to implementing and using EHRs and HIT.Methods Rural primary care practices (1,772) in 13 states (34.2% response) were surveyed in 2012 using mailed and We...
Article
To evaluate the health information technology (HIT) workforce knowledge and skills needed by HIT employers. 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 health and nursing informatics. HIT employers rep...
Article
On October 1, 2013, the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) will be mandated for use in the United States in place of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). This new classification system will used throughout the nation's healthcare syst...
Article
Full-text available
Clinical coding and classification processes transform natural language descriptions in clinical text into data that can subsequently be used for clinical care, research, and other purposes. This systematic literature review examined studies that evaluated all types of automated coding and classification systems to determine the performance of such...
Article
Full-text available
Without administrative terminologies there is no revenue to manage. The use of healthcare IT to capture the codes for administrative and financial support functions will impact the revenue cycle and the management of it. This is presumed to occur because clinical data coded at the point of care becomes the source for claims data. Thus, as electroni...
Article
Full-text available
A descriptive study of health information technology (HIT) vendors was conducted to identify which EMR/EHR vendors currently work or anticipate working with SNOMED CT, determine the prevalence of SNOMED CT integration in electronic medical record (EMR) and electronic health record (EHR) products, identify the available and potential future applicat...
Article
As a major employer of health information professionals, the VA faces significant recruitment and retention challenges. The authors evaluated mentoring as a retention tool through a review of existing literature and the retrospective review of a VA health information management mentoring program. The literature review showed a link between employer...
Article
The study sought to determine if two major resources for primary care questions have significant differences in information content and whether the number of documents found differs by disease category, patient age, or patient gender. Seven hundred fifty-two questions were randomly selected from the Clinical Questions Collection of the National Lib...
Article
A survey of physician practices finds that most use multiple documentation and coding methods, few of them involving new technologies.
Article
Full-text available
This study determines the relative effect of financial incentives, practice characteristics, and regulatory guidelines on the utilization of documentation and coding technology among physician practices employing HIM professionals. A total of 442 HIM professionals, 9.78 percent of the surveyed population, completed a Web-based survey regarding thei...
Article
Facilities with successful EHR systems are more likely to be those where HIM professionals played a role, according to newly released research.
Article
Exchanging health data electronically requires some cartography. HIM professionals not involved with data mapping now will be soon.
Article
Full-text available
The International Classification of Functioning, Disability and Health (ICF) is a component essential to ensuring the collection of accurate and complete healthcare data that correctly reflect the care provided to individuals. In fact, many countries outside of the United States have found uses for ICF. While research continues in the United States...
Article
This study searched two different online knowledge sources in order to evaluate their content coverage. UpToDate was selected as the subscription resource and the National Guidelines Clearinghouse was selected as the publicly available resource. Using the Clinical Questions Collection, it was determined that UpToDate covered 10.4% more content alth...
Article
As standardized clinical vocabularies and terminologies are being developed, Health Information Management (HIM) practitioners must increase their knowledge of nomenclature and coding systems beyond the traditional ICD-9-CM and CPT. The limited scope of these classifications prevents them from serving as the standard vocabulary for the computer-bas...
Article
Full-text available
A brief review of the rich heritage of classifications and terminologies is the background for a description of the Mayo Clinic's clinical terminology development. Vender specific system constraints prompted the scope and style of an interim problem list vocabulary. We describe the sources and review process which led to a working terminology for u...
Article
Like the rest of the healthcare industry, the Veterans Health Administration (VHA), also known as simply VA, has moved or is in the process of moving the majority of care delivery from inpatient to ambulatory settings. As evidenced by the fact that scheduling and registration were among the first modules in the Decentralized Hospital Computer Progr...
Article
The Veterans Health Administration faces some strong shifts in the demographics of its healthcare patients. This article sets out the VHA's plan to provide the comprehensive care that the veterans will need. Healthcare networks underlie the national plan.
Article
Final project (M.A.)--College of St. Scholastica, Duluth, Minnesota, 2001. Includes bibliographical references (leaves 77-83).

Network

Cited By

Projects

Projects (4)
Project
To explore how technology has impacted work in the past, and how it is projected to impact the way everyone across the globe works in the future.
Project
Identifying growth areas for Health Informatics and Health Information Management workforce.