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1 How Technology has been used to improve healthcare delivery and information management within Public Health Author Affiliation Course Instructor Date of submission
2 How Technology has been used to improve healthcare delivery in Public Health Public health is a vast field in healthcare. Just like other healthcare fields, public health relies highly on Technology. Technological advancements have significantly transformed healthcare delivery in public health. They have revolutionized patient information management, access to healthcare services, and how care is coordinated. There are various ways that Technology has improved healthcare delivery in public health, that is, by the use of electronic health records (EHRs), telemedicine and remote care, and the use of health information exchange (HIE) and interoperability (Mohammed et al., 2016). These advancements in the public health sector have significantly led to improved access to patient information, increased healthcare service accessibility, enhanced care coordination, and facilitated comprehensive insights through data integration. Electronic health records, EHRs Electronic Health Records (EHRs) are digital copies of patient's medical records and health information. They contain detailed and longitudinal details on a person's medical history, diagnosis, treatments, drugs, allergies, laboratory findings, and other clinical data. These records are kept in a safe and standardized electronic format, and they are only available to approved healthcare practitioners and organizations. The use of electronic health records has impacted the field of public health in the following ways; they have been implemented in public health settings, there is improved access to patient information for the healthcare providers, and there is enhanced coordination and continuity of care for the patients. EHRs in public health have resulted in better record keeping because EHRs have replaced traditional paper-based records, enabling healthcare providers to access and handle patient data digitally. Implementing EHR systems in public health settings has expedited
3 documentation, decreasing errors and redundancy. EHR systems provide various advantages over traditional paper records (Gold et al., 2017). They increase the accuracy and completeness of patient information by decreasing human errors and illegible handwriting. EHRs also improve accessibility since authorized healthcare providers may securely access patient records from many locations, supporting better-informed decision-making and continuity of treatment. Furthermore, EHRs promote interoperability by allowing the interchange of patient information between different healthcare providers and systems, supporting seamless care coordination and collaboration. Furthermore, the usage of EHRs has considerably enhanced healthcare providers' access to patient information. EHRs have enabled healthcare providers to quickly and securely access extensive patient information. This accessibility means that medical providers have a complete picture of a patient's medical history, prescriptions, allergies, and previous treatments, allowing them to make better-informed decisions and provide more individualized care. Furthermore, using EHRs has played an essential role in improving individual coordination and continuity of treatment (Kim et al., 2019). EHRs improve care coordination and continuity by allowing multiple healthcare professionals to communicate patient information smoothly. This enhances the overall patient experience by preventing test duplication, lowering medical errors, and ensuring a more holistic approach to therapy. Telemedicine and Remote Care Telemedicine and Remote Care describe the application of Technology, primarily telecommunications and digital platforms, to deliver healthcare services remotely. Patients can receive medical consultations, diagnoses, treatments, and monitoring without visiting a healthcare center. Telemedicine and remote care benefit public health in a variety of ways. It is
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4 crucial in enhancing access to healthcare services since it bridges the gap between patients and healthcare practitioners, especially in underserved areas such as rural communities or regions with minimal healthcare facilities. It eliminates geographical barriers and the need for patients to travel large distances for medical care. This accessibility guarantees that people have timely access to healthcare, promoting early interventions and preventing health issues from worsening. Telemedicine and remote care are critical for remote consultations and diagnostics. Patients can consult with healthcare providers remotely via video calls, phone consultations, or secure messaging services. This reduces the need for non-emergency in-person appointments, lowering wait times and boosting patient convenience. Based on the information provided by the patient, healthcare practitioners can evaluate symptoms, provide medical advice, and make diagnoses, enabling the development of appropriate treatment plans. Remote monitoring and follow-up care are simple using telemedicine technology (Kronenfeld & Penedo, 2021). It allows for the remote monitoring of patients' health problems, such as vital signs, chronic diseases, and post-operative recovery. Patients can communicate data to healthcare practitioners in real time using connected gadgets and wearable technologies. This enables proactive interventions, early diagnosis of problems, and rapid treatment plan changes. Remote follow-up care can also be provided, ensuring that patients receive adequate guidance and support during their recovery and avoid unnecessary hospital visits. Telemedicine is also helpful in other areas of public health, such as public health surveillance and outbreak management, as well as health education and preventive care. Telemedicine is critical in public health surveillance and epidemic control. Remote consultations and monitoring enable healthcare providers to follow and report infectious diseases in real-time, notice patterns, and identify future outbreaks. This information can be shared with public health
5 organizations to help with timely responses such as focused testing, contact tracing, and public health education campaigns. Public health authorities can strengthen their capacity to respond to health emergencies and prevent disease transmission by harnessing telemedicine (Jnr, 2020). Telemedicine platforms can provide public health education and preventative care services. Remote consultations can advise on healthy lifestyle choices, preventive screenings, and immunization advice. By preventing the onset or progression of preventable diseases, this proactive approach to public health empowers individuals to make educated decisions about their health, lowering the strain on healthcare systems. Health Information Exchange (HIE) and Interoperability The electronic sharing of patient health information between various healthcare institutions, systems, and stakeholders is referred to as health information exchange (HIE). It entails the safe and smooth transfer of pertinent medical data, such as medical history, test findings, diagnoses, treatments, and prescriptions, to guarantee that authorized healthcare professionals can access complete and up-to-date patient information. Interoperability, on the other hand, refers to the ability of various healthcare information systems and technologies to share and use data successfully. HIE and interoperability play an essential role in improving health outcomes and boosting population health in the following ways: sharing and exchanging health information among healthcare practitioners, Continuous data flow for better care coordination and public health surveillance, Integration of public health data systems with clinical data for broader insights and better public health research. Health Information Exchange (HIE) allows healthcare professionals to share and exchange patient information securely. Interoperability enables more coordinated treatment by allowing physicians, specialists, and public health organizations to access pertinent data,
6 resulting in better-informed decisions and more efficient healthcare delivery. Furthermore, HIE allows for smooth data exchange between healthcare providers, allowing for better care coordination and public health surveillance. Access to patient information, such as test results, diagnoses, and treatment plans, will enable doctors to collaborate more effectively, respond to public health events, and execute focused treatments (Holmgren & Adler‐Milstein, 2017). HIE allows healthcare practitioners involved in a patient's care to obtain relevant and comprehensive health information. Because multiple physicians may communicate and make informed judgments based on the patient's complete medical history, this supports coordinated care delivery. This is especially crucial in public health when dealing with complex illnesses or managing the health of vulnerable populations, as it promotes continuity of care and avoids fragmentation. Integrating public health and clinical data systems provides complete insights into population health. Healthcare professionals and policymakers better understand health trends, disease prevalence, and the effectiveness of public health measures by merging public health surveillance data with individual patient data. This integration enables the implementation of proactive actions such as targeted vaccination campaigns or disease prevention activities. Finally, interoperability allows clinical data from multiple sources to be integrated into public health systems (Dixon et al., 2020). Researchers can use this integration to perform population health studies, analyze health outcomes, identify risk factors, and assess the effectiveness of public health interventions. This type of study helps to inform evidence-based policymaking, program planning, and the creation of effective public health solutions.
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7 How Technology has been used to improve information management in Public Health In public health, information management is systematically collecting, organizing, analyzing, and disseminating data and information relevant to public health activities and interventions. It entails the procedures and techniques for successfully gathering, storing, retrieving, evaluating, and utilizing health-related data to guide decision-making, policy creation, and program implementation in public health. Data collection, standardization, quality assurance, data analysis and interpretation, information dissemination, and privacy and confidentiality are essential components of public health information management. Technology is, therefore, critical in information management in the manner outlined below; Technology and information management in healthcare Technology is critical in public health information management. Technology makes data gathering more efficient, allowing public health institutions to collect extensive and reliable information on demographics, health indicators, and disease surveillance. This information forms the basis for evidence-based decision-making, allowing public health professionals to detect trends, patterns, and risk factors. Second, information management systems aid in organizing and analyzing acquired data, offering valuable insights for public health interventions and policy creation (Holmgren & Adler‐Milstein, 2017). Public health authorities can use data analysis to uncover health inequities, track disease outbreaks, and evaluate the effectiveness of interventions. Similarly, Technology facilitates information distribution, allowing public health groups to disseminate critical health information, research findings, and guidelines to healthcare practitioners, policymakers, and the general public. This raises awareness, gives people the tools to make educated health decisions, and encourages stakeholder collaboration.
8 Efficient information management is critical in public health because it allows for accurate and timely data collection, analysis, and distribution. It enables public health organizations to track and monitor disease outbreaks, identify risk factors, assess interventions, and make educated decisions. Efficient information management encourages evidence-based practices, improves coordination among healthcare professionals, facilitates effective policy creation, and allows for a speedy response to public health emergencies (Donahue et al., 2018). By assuring data quality, privacy, and security, efficient information management enables public health practitioners to meet population health issues effectively, allocate resources efficiently, and ultimately promote community health and well-being. Health Information Systems in public health and their benefits In healthcare, various methods are utilized to provide efficient data management for public health. Health Information Exchange (HIE), Clinical Decision Support Systems (CDSS), and Population Health Management Systems are all used in these techniques. HIE allows for the safe sharing and exchange of patient health information among various healthcare organizations and stakeholders. Real-time access to comprehensive patient records fosters seamless data flow, aids in care coordination, and improves public health surveillance. To aid healthcare providers in making educated clinical decisions, CDSS employs algorithms, guidelines, and evidence-based knowledge (Yaraghi, 2015). CDSS incorporated into health information systems can give point- of-care warnings, reminders, and suggestions, enhancing diagnostic accuracy, therapy selection, and patient safety. In addition, population health management systems. These systems collect and analyze data from multiple sources to monitor and enhance population health. They give risk stratification, care coordination, and preventive intervention tools to public health professionals,
9 assisting them in identifying high-risk patients, planning targeted interventions, and evaluating population health outcomes. Benefits and Implications of Health Information Systems in public health There are many benefits of using health information systems in public health. Healthcare information systems directly contribute to improved healthcare planning and resource allocation, equally contribute to enhanced Clinical Decision-Making and Patient Outcomes, and equally play a part in providing a potential for research and data-driven insights. Health information systems offer detailed, real-time information on population health, disease burden, and healthcare utilization patterns. This enables public health officials to identify health priorities, organize interventions, and efficiently allocate resources to address population health needs (He et al., 2021). Clinical data, patient history, and evidence-based guidelines are all integrated into health information systems, allowing healthcare clinicians to make more accurate diagnoses and treatment decisions. This improves patient outcomes by promoting customized care, and reducing medical and medical errors. Health information systems make it easier to collect and analyze vast amounts of health data for research purposes. They allow for population-level investigations, trend detection, intervention evaluation, and the provision of data-driven insights to support policy formulation, quality improvement initiatives, and public health policies.
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10 References Dixon, B. E., Rahurkar, S., & Apathy, N. C. (2020). Interoperability and health information exchange for public health. Public Health Informatics and Information Systems , 307–324. https://link.springer.com/chapter/10.1007/978-3-030-41215-9_18 Donahue, M., Bouhaddou, O., Hsing, N., Turner, T., Crandall, G., Nelson, J., & Nebeker, J. (2018). Veterans health information exchange: successes and challenges of nationwide interoperability. AMIA Annual Symposium Proceedings , 2018 , 385. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371252/ Gold, R., Cottrell, E., Bunce, A., Middendorf, M., Hollombe, C., Cowburn, S., Mahr, P., & Melgar, G. (2017). Developing electronic health record (EHR) strategies related to health center patients' social determinants of health. The Journal of the American Board of Family Medicine , 30 (4), 428–447. https://www.jabfm.org/content/30/4/428.short He, W., Zhang, Z. J., & Li, W. (2021). Information technology solutions, challenges, and suggestions for tackling the COVID-19 pandemic. International Journal of Information Management , 57 , 102287. https://www.sciencedirect.com/science/article/pii/S0268401220314869 Holmgren, A. J., & Adler‐Milstein, J. (2017). Health information exchange in US hospitals: the current landscape and a path to improved information sharing. Journal of Hospital Medicine , 12 (3), 193–198. https://shmpublications.onlinelibrary.wiley.com/doi/abs/10.12788/jhm.2704 Jnr, B. A. (2020). Use of telemedicine and virtual care for remote treatment in response to COVID-19 pandemic. Journal of Medical Systems , 44 (7), 132.
11 https://link.springer.com/article/10.1007/s10916-020-01596-5 Kim, E., Rubinstein, S. M., Nead, K. T., Wojcieszynski, A. P., Gabriel, P. E., & Warner, J. L. (2019). The evolving use of electronic health records (EHR) for research. Seminars in Radiation Oncology , 29 (4), 354–361. https://www.sciencedirect.com/science/article/abs/pii/S1053429619300426 Kronenfeld, J. P., & Penedo, F. J. (2021). Novel coronavirus (COVID-19): telemedicine and remote care delivery in a time of medical crisis, implementation, and challenges. Translational Behavioral Medicine , 11 (2), 659–663. https://academic.oup.com/tbm/article/11/2/659/5938027 Mohammed, K., Nolan, M. B., Rajjo, T., Shah, N. D., Prokop, L. J., Varkey, P., & Murad, M. H. (2016). Creating a patient-centered health care delivery system: a systematic review of health care quality from the patient perspective. American Journal of Medical Quality , 31 (1), 12–21. https://journals.sagepub.com/doi/abs/10.1177/1062860614545124? journalCode=ajmb Yaraghi, N. (2015). A Sustainable Business Model for Health Information Exchange Platforms: The Solution to Interoperability in Healthcare IT1. The Brookings Institution . https://www.brookings.edu/wp-content/uploads/2016/06/HIE.pdf