It Is Time! Accelerating the Use of Child Health Information Systems to Improve Child Health

Child Policy Research Center, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, MLC 7014, Cincinnati, OH 45229-3039, USA.
PEDIATRICS (Impact Factor: 5.47). 02/2009; 123 Suppl 2(Supplement):S61-3. DOI: 10.1542/peds.2008-1755B
Source: PubMed


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: Few would deny that if a system were to be designed de novo to meet children's basic health needs, it would be radically different from the confusing and fragmented patchwork of programs in place today. While Medicaid and the Children's Health Insurance Program (CHIP), have improved access to care, increased use of health care services, and reduced unmet health needs for low-income children, the impact of these programs on the quality of health care, and on children's health outcomes is less certain. At the same time, the prevalence of childhood chronic illness is increasing, there is an “epidemic” of obesity, and sizeable increases in reported developmental and behavioral problems and mental health issues. Our existing system of care appears ill-equipped to respond to this changing epidemiology. Unmet needs for care in childhood represent “time-bombs,” likely to result in an explosion of chronic illness in mid-life. We propose a new approach to child health policy, based on the life course health development model in which health in childhood is regarded as a foundation for lifelong well-being. A new tapestry of comprehensive children's services, integrated across sectors, which fully address children's health needs and promote positive health, could set children on optimal health trajectories for life. This system could be a major component of the transformative change the nation is seeking to reduce health care costs and improve quality of life across the lifespan.
    No preview · Article · Sep 2010 · Children and Youth Services Review
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    ABSTRACT: With developing information technology, hospital information systems such as computerized provider order entry system (CPOE) and picture archiving and communication system (PACS) are being increasingly used by many hospitals. The hospital information systems improve the efficiency of hospital management and patient care. Currently, electronic medical records (EMR) are not used as much as CPOE and PACS. However, EMR will soon be the cornerstone of hospital patient care systems. Because EMR for the neonatal intensive care unit (NICU) is different from that for adult care unit, neonatologists should have a basic knowledge of EMR and should play an important role in implementing EMR system in NICU.
    Preview · Article · Jan 2012
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    ABSTRACT: Unlabelled: 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.
    No preview · Article · Apr 2013 · PEDIATRICS
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