ELECTRONIC LABORATORY REPORTING (ELR) OF REPORTABLE CONDITIONS AND DISEASES: A LITERATURE REVIEW ON ELR IMPLEMENTATION AND THE USE OF DATA STANDARDS Public

Muchunku, Makena (2014)

Permanent URL: https://etd.library.emory.edu/concern/etds/5x21tf89m?locale=fr
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Abstract

Electronic records have been in use for a long time in various business settings apart from healthcare. Capturing information electronically affords digital formats of data, capable of being shared across various organizations. Amidst technology innovations that have occurred in the last decade, healthcare has leveraged the use of digital technology for electronic data exchange by facilitating the adoption of Electronic Health Records (EHR) and Electronic Laboratory Reporting (ELR) among other technology innovations. EHR and ELR adoption is an effort led in part by the American Reinvestment & Recovery Act (ARRA) Meaningful Use objective and financial incentives. However, despite ARRA incentive efforts, ELR adoption has not kept pace with other electronic data exchanges among healthcare entities.

Electronic Laboratory Reporting, the automated transmission of laboratory related reportable disease data from various laboratories to State Public Health Departments utilizes Laboratory Information Management Systems (LIMS) and is presumed to alleviate problems related to data timeliness and accuracy that are associated with conventional reporting methods. While electronic exchange of health information is critical to timely implementation of disease prevention and control measures, it is imperative that claims about the timeliness and accuracy of ELR data are evaluated. This research therefore seeks to examine various literatures on ELR:

  • To analyze empirical evidence related to "claims" that ELR implementation increases the timeliness and accuracy of available data,
  • To describe ELR adoption trends among healthcare entities,
  • To identify barriers associated with ELR adoption, and
  • To highlight gaps in ELR literature, as well as offer insight on future topics for study.

Table of Contents

Table of Contents

List of Abbreviations ………………………………………………………………………………8

Chapter 1:

INTRODUCTION………………………………………………………………………………………10

EXAMINATION OF CONTENT AND BACKGROUND ………………………………… 10

History……………………………………………………………………………………….…...…..11

Electronic Laboratory Reporting ……………………………………………………….. 12

ARRA/HITECT HITECH ……..………………………………………………………………...14

Assumptions about Benefits of ELR in ARRA ……………………………………..15

Other Barriers to ELR Adoption……………………………………………………….…. 16

Questions Remain about the Usefulness of ELR……………………………….….17

Chapter 2:

PROBLEM STATEMENT AND PURPOSE…………………………………………………….19

RESEARCH QUESTIONS………………………………………………………………………….20

Chapter 3:

METHODOLOGY ……………………………………………………………………………………..…21

Literature Overview ………………………………………………………………………………….22

Chapter 4:

LITERATURE REVIEW RESULTS/ANALYSIS ……………………………………………..25

Chapter 5

DISCUSSION, CONCLUSION AND RECOMMENDATIONS……..………………….41

REFERENCES …………………………………………………………………………………………….46

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