Health Information Technology Considerations of Medical and Dental Data Integration
Electronic integration of dental and medical care can be accomplished by determining: (1) clinical, epidemiological, and financial needs; (2) interlocking components and other available technologies; (3) potential adaptations and/or barriers that can play a role in integration; and, (4) establishing and implementing a plan that leads to integrated activities. We review the conditions that can benefit from integrated approaches, the technologies currently being used in clinical care, and also supportive factors to integration.
KeywordsCommunication Decision support Health information technology Patient matching Oral medicine Privacy Security User-centered design
The views presented in this chapter are solely of the authors and do not necessarily represent the views of the US Government, Department of Health and Human Services and/or the Centers for Disease Control and Prevention.
Physicians’ Dental Data Needs and Oral Healthcare Providers’ Medical Data Needs: The Clinical Rationale
Standardized/Structured Messages Facilitate Efficient Information Sharing and Benefit Patient Care
- ACC/AHA. Performance measures for adults with ST-elevation and non-ST-elevation myocardial infarction. A report of the American College of Cardiology/American Heart Association task force on performance measures (writing committee to develop performance measures for ST-elevation and non-ST-elevation myocardial infarction). Circulation. 2008;118:2596–648.CrossRefGoogle Scholar
- Baddour Larry M, Epstein Andrew E, Erickson Christopher C, et al. Update on cardiovascular implantable electronic device infections and their management a scientific statement from the American Heart Association 2010, endorsed by the Heart Rhythm Society. Circulation. 2010;121:458–77.CrossRefGoogle Scholar
- Bonow RO, Carabello BA, Kanu C, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association task force on practice guidelines (writing committee to revise the 1998 guidelines for the management of patients with valvular heart disease): developed in collaboration with the society of cardiovascular anesthesiologists: endorsed by the society for cardiovascular angiography and interventions and the society of thoracic surgeons. Circulation. 2006;114(5):e84–231.CrossRefGoogle Scholar
- Field MJ, Lohr KN, editors. Clinical practice guidelines: directions for a new program, institute of medicine. Washington, DC: National Academy Press; 1990. p. 38.Google Scholar
- Fleisher LA, Beckman JA, Brown KA, et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: a report of the American College of Cardiology/American Heart Association task force on practice guidelines (writing committee to revise the 2002 guidelines on perioperative cardiovascular evaluation for noncardiac surgery) developed in collaboration with the American society of echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, and Society for Vascular Surgery. J Am Coll Cardiol. 2007a;50(17):e159–241.CrossRefGoogle Scholar
- Grines CL, Bonow RO, Casey DE Jr, et al. Prevention of premature discontinuation of dual antiplatelet therapy in patients with coronary artery stents: a science advisory from the American Heart Association, American College of Cardiology, Society for cardiovascular angiography and interventions, American College of Surgeons, and American Dental Association, with representation from the American College of Physicians. Circulation. 2007;115(6):813–8.CrossRefGoogle Scholar
- Kidney Disease Outcome Quality Initiative. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Am J Kidney Dis. 2002;39:S1–246.Google Scholar
- National Cancer Institute. Oral complications of chemotherapy and head/neck radiation PDQ. Bethesda: National Institutes of Health; 2010. Available at: http://www.cancer.gov/cancertopics/pdq/supportivecare/oralcomplications/HealthProfessional. Accessed 10 June 2018Google Scholar
- National Cancer Institute. PDQ® oral complications of chemotherapy and head/neck radiation. Bethesda: National Cancer Institute; 2011. http://cancer.gov/cancertopics/pdq/supportivecare/oralcomplications/HealthProfessional. Accessed 8 May 2011Google Scholar
- Wann LS, Curtis AB, Ellenbogen KA, et al. ACCF/AHA/HRS focused update on the management of patients with atrial fibrillation (update on dabigatran): a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines. J Am Coll Cardiol. 2011;57(11):1330–7. Epub 2011 Feb 14CrossRefGoogle Scholar
Designing and Implementing Efficient Structured Communication Among a Patient’s Medical and Dental Providers
- Fleisher LA, Beckman JA, Brown KA, et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: a report of the American College of Cardiology/American Heart Association task force on practice guidelines (writing committee to revise the 2002 guidelines on perioperative cardiovascular evaluation for noncardiac surgery) developed in collaboration with the American society of echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, and Society for Vascular Surgery. J Am Coll Cardiol. 2007b;50(17):e159–241.CrossRefGoogle Scholar
- Stoves J, Connolly J, Cheung CK, et al. Electronic consultation as an alternative to hospital referral for patients with chronic kidney disease: a novel application for networked electronic health records to improve the accessibility and efficiency of healthcare. Qual Saf Health Care. 2010;19(5):e54.PubMedGoogle Scholar
Towards an Integrated Electronic Health (EHR) System: Compliance, Security and Privacy Concerns
- Austin A, Smith B, Williams L. Towards improved security criteria for certification of electronic health record systems. In Proceedings of SEHC’10, Cape Town; 3–4 May 2010.
- Benaloh J, Chase M, Horvitz E, Lauter K. Patient controlled encryption: ensuring privacy of electronic medical records. CCSW’09. Chicago, 13 Nov 2009.Google Scholar
- Brown B. Improving the privacy and security of personal health records. J Health Care Compliance. 2009;11(2):39–40. 68Google Scholar
- Groen P, Powell VJH. Electronic dental records (EDR): ‘open source’ and commercial-off-the shelf (COTS) solutions. Virtual Medical Worlds. 2010. http://www.hoise.com/vmw/10/articles/vmw/LV-VM-08-10-5.html. 23 Aug 2010.
- Huston T. Security issues for implementation of e-medical records. Commun ACM. 2001;44(9) https://doi.org/10.1145/383694.383712.
- Kurtz G. EMR confidentiality and information security. J Health Inf Manag. 2003;17(3):41–8.Google Scholar
- Liu V, May L, Caelli W, Croll P. A sustainable approach to security and privacy in health information systems. In Proceedings of 18th Australasian conference on information systems security & privacy in health IS, Toowoomba, 5–7 Dec 2007.
- Mishra S, Chin AG. Assessing the impact of governmental regulations on the IT industry: a neoinstitutional theory perspective. In Subramanian R, editor. Computer security privacy politics. 2008:36–53.Google Scholar
- Office of the National Coordinator for Health Information Technology. Health IT dashboard. 2018. https://dashboard.healthit.gov/quickstats/quickstats.php. Accessed 16 June 2018.
- U.S. Department of Health and Human Services. Nationwide privacy and security framework for electronic exchange of individually identified health information 2008. 2011. www.hhs.gov/healthit/documents/NationwidePS_Framework.pdf. Accessed 23 Feb 2011.
- U.S. Department of Health and Human Services. HITECH Act enforcement interim final rule. 2009. http://www.hhs.gov/ocr/privacy/hipaa/administrative/enforcementrule/hitechenforcementifr.html. Accessed 23 Feb 2011.
Matching Patients to Achieve Unique Patient Identification
Improved Electronic Healthcare Technologies (EHT) Through the Harmonization of Application Design and Clinician Needs
Electronic Decision Support in Medicine and Dentistry
- Oosterkamp BC, Wafae A, Schols JG, et al. Effectiveness of a clinical guideline to improve dental health among orthodontically treated patients: study protocol for a cluster randomized controlled trial. Trials. 2016;17(1):201. https://doi.org/10.1186/s13063-016-1325-1.CrossRefPubMedPubMedCentralGoogle Scholar
- Sox HC. Medical decision making. Boston: Butterworths; 1988. p. 406.Google Scholar