Navigation Links
Electronic health records help fight vaccine-preventable diseases, Columbia Nursing study finds
Date:7/18/2013

Using an Electronic Health Record (EHR) system to automate the immunization data shared between health providers and public health agencies enables physicians to assist individual patients faster and more effectively, while also providing more immediate, cohesive community data to the agencies tasked with promoting public health.

Those are the findings of a new study conducted by researchers from Columbia University School of Nursing and partner institutions. The researchers also found that automated reporting reduced the lag time historically associated with data submitted on vaccinations and, in some cases, reduced the paperwork and staff time traditionally devoted to managing these required submissions. In short, a robust records automation program increased knowledge about both individuals and communities, allowing medical and public health officials at all levels to make more informed decisions.

"The efficiency offered by automation has significant implications for managing public health, whether it is by informing a local physician on the health of an individual or informing policymakers on health trends within a whole community," said lead researcher and CU Nursing professor Jacqueline Merrill, RN, MPH, DNSc. "For example, EHRs greatly enhance our ability to help at-risk populations for whom up-to-date immunizations are critical, such as children, immunosuppressed individuals, or the chronically ill. Before automated registries, reporting was less structured and data submittal was less consistent."

Currently, health officials in the U.S. recommend that the public be immunized against 17 vaccine-preventable diseases. However, tracking vaccinations is difficult, especially among underserved populations whose care is often managed by multiple providers. Various state and local health agencies set up immunization registries to consolidate scattered patient records and thus reduce unnecessary vaccinations; however, registries frequently report slow and incomplete data submission by health providers, who in many areas still submit information via paper files. Automated reports via EHRs provide readily available immunization histories and thus can help officials and providers determine which patients have been adequately immunized. Registries also track and provide the basis for decisions on vaccine formulations, vaccine supplies and delivery schedules.

The study analyzed 1.7 million records submitted by 217 primary care practices to the NY Citywide Immunizations Registry between January 2007 and June 2011 both before and after the launch of automated reporting via an EHR. The study examined differences in records submitted by day, by lag time, and by documentation of eligibility for subsidized vaccines.

Among the findings: although mean submissions per day did not change, the patterns of submission changed significantly. Automated submissions of new and historical records increased by 18% and 98%, respectively. The number of submissions within 14 days (as required in NYC) also increased, as did the number of submissions within 2 days. Median lag time was reduced from 13 to 10 days.

These findings give an idea of the benefits of health information technology. The launch of automated reporting via an EHR prompted significant improvements in use of the registry and in the efficiency of reporting from the field.

"Automating the process appears very successful," said Merrill. "In fact, it's so successful that we believe it would be beneficial to retrofit data from the past so it can also be included in the EHR."

The process of setting up healthcare data so it can be exchanged electronically is well underway in NYC and in NYS. It is, in fact, integral to the technology transformation occurring within health reform activities intended to make healthcare more efficient for patients and providers and to help the overall system create better conditions for keeping people healthy.

Merrill's current research focuses on understanding the processes of public health organizations, and this is one of the first (if not the first) studies of registry efficiency and EHR-based reporting. The article, which appears as a "Case Report" in the journal Applied Clinical Informatics, documents the efficiencies provided by automated reporting to a registry that tracks immunizations for the NYC Department of Health and Mental Hygiene. The study was conducted by researchers from Columbia University, MGH Institute of Health Professions, and Weill Cornell Medical College.
'/>"/>

Contact: Rachel Zuckerman
rz2274@columbia.edu
212-305-4092
Columbia University Medical Center
Source:Eurekalert

Related medicine news :

1. New twist on ancient math problem could improve medicine, microelectronics
2. New American Chemical Society video: Behind the scenes tour of an electronic nose lab
3. Through The Use Of Twitter, EverSmoke, A Popular Electronic Cigarettes Company, Is Encouraging Fans to Finish the Hashtag #iPlanToBe With What They Plan to Be
4. Study examines use of a natural language processing tool for electronic health records in assessing colonoscopy quality
5. A Safe Cigarette? Yes, Electronic Cigarettes Are Carcinogen-Free
6. Electronic Cigarettes Proven as One of the Most Effective Ways to Quit Smoking
7. Electronic data methods research seeks to build a learning health care system
8. New Electronic Cigarette Free Trial Kit Adds More Years to Smokers Life by Making it Easy to Quit Smoking
9. Unique program bringing electronic medical record data to ambulances lauded
10. New Electronic Cigarette Cartridges From V2Cigs For The Summer
11. Electronic Cigarette Hub Offering Electronic Cigarette Kit with Risk Free Trial
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... As health professionals work to improve their approach ... patient is doing more than filling out a survey; in many cases health professionals ... emphasis in health care and research on the importance of active engagement with patients ...
(Date:10/13/2017)... EDWARDSVILLE, Ill. (PRWEB) , ... ... ... University Edwardsville School of Pharmacy (SOP) alumni Hannah Randall, PharmD ‘17, and ... educated healthcare professionals on guideline updates for the primary prevention of cardiovascular ...
(Date:10/13/2017)... , ... October 13, 2017 , ... Ellevate Network, the ... business to advocate for action towards gender equality at their inaugural Summit in New ... the globe, and reached a social audience of over 3 million. To watch the ...
(Date:10/13/2017)... ... ... “The Journey: From the Mountains to the Mission Field”: the story of ... Philippines. “The Journey: From the Mountains to the Mission Field” is the creation of ... taught all ages and currently teaches a class of ladies at her church, which ...
(Date:10/12/2017)... ... October 12, 2017 , ... The company has developed ... consumer and regulatory authorities worldwide. From Children’s to Adults 50+, every formula has ... highest standard. , These products are also: Gluten Free, Non-GMO, Vegan, Soy ...
Breaking Medicine News(10 mins):
(Date:9/22/2017)... -- AVACEN Medical (AVACEN) announced that its CE-Marked AVACEN ... with the widespread pain associated with fibromyalgia in the ... Essex, England commented, "I had difficulty ... sleep at all, tremendous pain, with every movement sending ... AVACEN 100] enough, how this has and is helping ...
(Date:9/18/2017)... Sept. 18, 2017 EpiVax, Inc. ... bioinformatics and immune engineering, today announced a ... A (H7N9) vaccine. ... seasonal influenza and presents a challenge for ... exposure to be effective. Using state-of-the-art bioinformatics and ...
(Date:9/12/2017)... 12, 2017  ValGenesis Inc., the global leader ... pleased to announce the appointment of Dr. ... Board of Directors and Chairman of Advisory Board ... science companies to manage their entire validation lifecycle ... in this process. Furthermore, ValGenesis VLMS enables rigorous ...
Breaking Medicine Technology: