Gonder University Institute of Public Health PuHi7022 eHealth and Telemedicine Dr. Mengistu Kifle


Patient Safety & Quality Outcomes



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eHealth and Telemedcine Lecture 1

Patient Safety & Quality Outcomes

  • Healthcare information systems should be instilled with optimized safety and quality improvement tools and are an integral part of regular operations for all healthcare organizations, clinicians, patients and community members.
  • To achieve this requires targets, measurement, evaluation, and monitoring

Privacy and Security

  • All entities that use, send, or store health information should meet requirements for confidentiality, integrity, availability and accountability based on sound risk management practices, using recognized standards and protocols
    • Privacy
    • Security
    • Legislation – Personal Health Information Protection Act (PHIPA) in Ontario; Federal Government’s Personal Information Protection and Electronic Documents Act (PIPEDA)
    • Patient consent

Clinical Decision Support and Knowledge Management

  • Clinical Decision Support (CDS)
    • Providing clinicians or patients with clinical knowledge and patient-related information, intelligently filtered or presented at appropriate times, to enhance patient care.
  • E.g.
    • Simple facts and relationships to best practices for managing patients with specific disease states
    • New medical knowledge from clinical research and other types of information
    • Analysis of data collected from large sets of patients to monitor and improve the state of community health

References 1/2

  • Alvarez, R. C. (2005). PHIPA presentation: Taking the HI road to privacy. Retrieved December 28, 2005, from http://www.governmentevents.ca/phipa2005/presentations/P2c.ppt
  • Anonymous. (2005). User acceptance strategy (Page 19). Retrieved December 28, 2005, from http://www.infoway-inforoute.ca/Admin/Upload/Dev/Document/EndUserAcceptance_CSAv10_2005MAY05.pdf
  • Bodenheimer, T., & Grumbach, K. (2003). Electronic technology: A spark to revitalize primary care? Journal of the American Medical Association, 290(2), 259-264.
  • CMA. (2002). Shaping a pan-Canadian e-health environment for physicians and patients. Retrieved December 28, 2005, from http://www.cma.ca/multimedia/staticcontent/html/n0/l2/hit/pdf/e-health-discussion-paper.pdf
  • Eysenbach, G. (2001). What is e-health? Journal of Medical Internet Research, 3(2), e20.

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