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Annotated Bibliography
Liberty University
BUSI 646
Statement of Topic-The Future of HIT/EHRs/EMRs
The Health Information Technology for Economic and Clinical Health (HITECH) Act
helped to encourage physicians and hospitals to invest in EMRs and HIT. EMR tracks people's
health, illnesses, and health trends. This information by being placed in a repository will allow
us to help people by storing their data and helping trend their health to improve it. Enough
sanitized data from people will allow specialized treatments and drugs to be developed to cure
them. The EMR is essential now and in the future.
Evans, R. S; (2016). Electronic Health Records: Then, Now, and in the Future. Yearbook
of Medical Informatics. DOI: 10.15265/IYS-2016-s006. Retrieved from:
https://liberty.alma.exlibrisgroup.com/discovery/openurl?
institution=01LIBU_INST&vid=01LIBU_INST:Services&%3Fctx_ver=Z39.88-
2004&ctx_enc=info:ofi%2Fenc:UTF-8&rfr_id=info:sid
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%20R.%20S&rft.date=2016-08-01&rft.issn=0943-4747&rft.eissn=2364-
0502&rft.volume=25&rft.issue=S
%2001&rft.spage=S48&rft.epage=S61&rft_id=info:doi%2F10.15265%2FIYS-2016-
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R.S. Evans (2016) describes the state of Electronic Health Records (EHRs) in 1992 and their
evolution and where EHRs are expected to be by 2040. This study discusses that the current use
of EHR and how the initiation of new technologies would have been hard to predict. New EHR
technology will help to deliver new standards for interoperable apps that use health, behavioral,
economic, social, and environmental data to foster new medical breakthroughs and improve
health system learning.
Haun JN; Chavez M; Nazi K; Antinori N; Melillo C; Cotner BA; Hathaway W; Cook A;
Wilck N; Noonan A. (2017). Veterans' Preferences for Exchanging Information
Using Veterans Affairs Health Information Technologies: Focus Group Results and
Modeling Simulations. Journal of Medical Internet Research, ISSN: 1438-8871, 2017
Oct 23; Vol. 19 (10), pp. e359; Publisher: JMIR Publications; PMID: 29061553.
Retrieved from: https://web-a-ebscohost-com.ezproxy.liberty.edu/ehost/results?
vid=0&sid=acd39137-4b67-4710-8461-21eb8173055d
%40sessionmgr4007&bquery=PM
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GFyZCZzaXRlPWVob3N0LWxpdmUmc2NvcGU9c2l0ZQ%3d%3d
The Department of Veterans Affairs (VA) has several health information technology (HIT)
systems to help veterans support their healthcare. These include Kiosks, a patient portal,
telehealth services, and mobile apps.
J.N. Haun, et al. (2017) studied veteran’s needs to describe veterans' experiences using the
current VA HIT and identify their vision for the future of an integrated VA HIT system to meet
the veteran patient population needs and preferences. The conclusions found include
opportunities to redesign current processes to create a human-centered design. The study found
veterans preferred and valued virtual health care choices and favor integrated and standardized
user-friendly designs.
Kruse, Clemens Scott; Beane, Amanda. (2018). Health Information Technology Continues
to Show Positive Effect on Medical Outcomes: Systematic Review. Journal of
Medical Internet Research, 02/2018, Volume 20, Issue 2. Retrieved from:
https://web-b-ebscohost-com.ezproxy.liberty.edu/ehost/results?vid=0&sid=29e4e8b2-0a6b-
48dd-a059-b4cbc05dac8d%40sessionmgr101&bquery=PM
%2B29402759&bdata=JmRiPW1uaCZ0eXBlPTEmc2VhcmNoTW9kZT1TdGFuZGFyZCZzaXRlPWV
ob3N0LWxpdmUmc2NvcGU9c2l0ZQ%3d%3d
This article provides a study of Healthcare Information Technology (HIT) and medical outcomes.
Health information technology (HIT) was introduced into health care in the 1960s. This review
analyzes the literature available for the impact of HIT and its positive effects. HIT can include
interventions and the impact on medical outcomes in terms of efficiency or effectiveness. A
substantial majority of the literature reviewed shows positive results of HIT on the effectiveness
of medical outcomes, which positively supports efforts and future outcomes.
Ronquillo, Jeremiah Geronimo. (2012). How the Electronic Health Record Will Change
the Future of Health Care. The Yale Journal of Biology and Medicine. Volume 85,
Issue 3. Retrieved from: https://liberty-alma-exlibrisgroup-
com.ezproxy.liberty.edu/discovery/openurl?
institution=01LIBU_INST&vid=01LIBU_INST%3AServices&%3Fctx_ver=Z39.88-
2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid
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%3Ajournal&rft.genre=article&rft.atitle=How+the+electronic+health+record+will
+change+the+future+of+health+care&rft.jtitle=The+Yale+journal+of+biology+and
+medicine&rft.au=Ronquillo
%2C+Jeremiah+Geronimo&rft.date=2012&rft.eissn=1551-
4056&rft.volume=85&rft.issue=3&rft.spage=379&rft.epage=386&rft.externalDBID
=n%2Fa&rft.externalDocID=366380197&paramdict=en-US
Ronquillo (2012) discusses that genetic testing is likely to play an essential role in patient care in
the future. Genomic research advances have the possibility of impacting medicine in direct and
tangible ways, from carrier screening to disease diagnosis and targeted treatments. Ronquillo
(2012) EHRs are increasingly becoming vital to administering the plethora of current clinical
information that now includes genetic information obtained from the patient genome. The future
EHR is able to change health care in the future by changing the ways medical personnel use
genomic information in health care delivery.
Yen, Po-Yin; McAlearney, Ann Scheck; Sieck, Cynthia J; Hefner, Jennifer L. (2017).
Health Information Technology (HIT) Adaptation: Refocusing on the Journey to
Successful HIT Implementation JMIR Medical Informatics. JMIR Med Inform
2017;5(3):e28 doi:10.2196/medinform.7476. Retrireved from:
https://liberty.alma.exlibrisgroup.com/discovery/openurl?
institution=01LIBU_INST&vid=01LIBU_INST:Services&%3Fctx_ver=Z39.88-
2004&ctx_enc=info:ofi%2Fenc:UTF-8&rfr_id=info:sid
%2Fsummon.serialssolutions.com&rft_val_fmt=info:ofi
%2Ffmt:kev:mtx:journal&rft.genre=article&rft.atitle=Health%20Information
%20Technology%20(HIT)%20Adaptation:%20Refocusing%20on%20the
%20Journey%20to%20Successful%20HIT%20Implementation&rft.jtitle=JMIR
%20Medical%20Informatics&rft.au=Yen,%20Po-Yin&rft.au=McAlearney,
%20Ann%20Scheck&rft.au=Sieck,%20Cynthia%20J&rft.au=Hefner,%20Jennifer
%20L&rft.date=2017-09-07&rft.issn=2291-9694&rft.eissn=2291-
9694&rft.volume=5&rft.issue=3&rft.spage=e28&rft_id=info:doi
%2F10.2196%2Fmedinform.7476&rft.externalDBID=n
%2Fa&rft.externalDocID=10_2196_medinform_7476&paramdict=en-US
In years past, government regulations required hospitals to implement certified health records
(EHRs) to receive financial incentives. These incentives allowed hospitals and providers to
implement these solutions. As EHR systems mature, the systems are allowing for more
knowledge transfer and adoption. Four directions that can drive future HIT adaptation research:
1) Develop Appropriate Process Measures, 2) Consider the Culture and Context in Which Health
Information Technology Is Implemented, 3) Standardize the Definition and Methods for
Sociotechnical Studies, 4) Study Adaptation Longitudinally and Multidimensionally(para 16).
This article provides a good overview of the future direction possibilities of the EHR.
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