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September/October 2011 Annals of Family Medicine Tip Sheet
Date:9/12/2011

aders of the kind of major adaptation and transformation necessary in practices in order for practices and patients to fully reap the benefits of technology. He notes EHRs are designed for documentation and billing purposes, not clinical operations and ongoing illness care. He calls for stakeholders to bring together technical expertise and clinical relevance, while opening to the major changes HIT will engender. An editorial by Sittig and Ash analyzes the two studies through the lens of an 8-point model for the use of health information technology. Offering a systems-level view, the model posits that all of the eight interconnected dimensions must be adequately addressed if an organization is to achieve safe and effective electronic record use.

Successful Health Information Technology Implementation Requires Practice and Health Care System Transformation
By Carlos Roberto Jan, M. D., Ph. D., F. A. A. F. P.
University of Texas Health Science Center at San Antonio, Texas

On the Importance of Using a Multidimensional Sociotechnical Model to Study Health Information Technology
By Dean F. Sittig, Ph. D., and Joan S. Ash, Ph. D.
University of Texas Health Sciences Center, Houston and Oregon Health & Science University, Portland


Study Finds Only Limited Physical Activity Counseling in Primary Care

Researchers report on a newly developed 5As strategy for physical activity counseling that encourages clinicians to ask about current behavior, advise a change, assess readiness to change, assist with goal setting, and arrange follow-up. Evaluating the degree to which patients and physicians accomplished the 5As in discussions about physical activity during 361 recorded office visits, researchers found the overall frequency of any 5As talk about physical activity was 38 percent (139 visits). They found physicians infrequently assessed patients' readiness to change (23 percent), though it was commonly revealed
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Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

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