The Clinical Knowledge Management Infrastructure of Intermountain Healthcare

Clinical Decision Support

Volumn , Issue , 2007, Pages 469-502

  Rocha, Roberto A ^a   Bradshaw, Richard L ^a   Hulse, Nathan C ^b   Rocha, Beatriz H S C ^a  

^a Department of Medical Informatics   (United Kingdom)

^b Department of Medical Informatics ^*  (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84882307047     PISSN: None     EISSN: None     Source Type: Book    
DOI: 10.1016/B978-012369377-8/50023-4     Document Type: Chapter

References (63)

1. 3M Clinical Data Repository, 3M Health Information Systems [Online]. (2005). Available at Accessed November 5, 2005. http://www.3m.com/us/healthcare/his/products/records/data_reposi.
2. 3M Enterprise Master Patient Index, 3M Health Information Systems [Online]. (2005). Available at Accessed November 5, 2005. http://www.3m.com/us/healthcare/his/products/records/mast.
3. 3M Health Care Data Dictionary, 3M Health Information Systems [Online]. (2005). Available at Accessed November 5, 2005. http://www.3m.com/us/healthcare/his/products/records/data_dic.
4. Alavi M., Leidner D.E. Knowledge management and knowledge management systems: Conceptual foundations and research issues. MIS Quarterly 2001, 25(1):107-136.
5. The AGREE Collaboration [Online] Appraisal of guidelines for research & evaluation (AGREE) instrument 2005, Accessed November 5, 2005, Available at. http://www.agreecollaboration.org/.
6. Ash J.S., Stavri P.Z., Kuperman G.J. A consensus statement on considerations for a successful CPOE implementation. J Am Med Inform Assoc 2003, 10(3):229-234. May-June.
7. Authentic Browser Edition, Altova Inc. [Online]. (2005). Available at . Accessed November 5, 2005. http://www.altova.com/features_browser_a.html.
8. Clinical Knowledge Management: Opportunities and Challenges 2005, Idea Group Publishing. R.K. Bali (Ed.).
9. BEA WebLogic Platform, BEA Systems, Inc. [Online]. (2005). Available at . http://www.bea.com/framework.jsp?CNT=index.htm&FP=/content/products/ weblogic/pla.
10. Biomedical Libraries, EBSCO Publishing Inc. [Online]. (2005). Available at . Accessed November 5, 2005. http://www.epnet.com/biomedical/default.asp.
11. Cannon H.E. Assessing the need for a clinical COPD care program in a managed care organization. J Manag Care Pharm 2004, 10:S17-S21. (4 Suppl).
12. Cimino J.J., Elhanan G., Zeng Q. Supporting infobuttons with terminological knowledge. Proc AMIA Annu Fall Symp 1997, 528-532.
13. Clayton P.D., Narus S.P., Huff S.M., Pryor T.A., Haug P.J., Larkin T., et al. Building a comprehensive clinical information system from components. The approach at Intermountain Health Care. Meth Inf Med 2003, 42:1-7.
14. Clin-eguide, Wolters Kluwer Health Inc. [Online]. (2005). Available at . Accessed November. http://www.clineguide.com/products/what_is_clineguide/body.html.
15. Cowden D., Barbacioru C., Kahwash E., Saltz J. Order sets utilization in a clinical order entry system. AMIA Annu Symp Proc 2003, 819.
16. Currie L.M., Graham M., Allen M., Bakken S., Patel V., Cimino J.J. Clinical information needs in context: An observational study of clinicians while using a clinical information system. AMIA Annu Symp Proc 2003, 190-194.
17. Darmoni S.J., Thirion B., Leroy J.P., Douyere M. The use of Dublin Core metadata in a structured health resource guide on the internet. Bull Med Libr Assoc 2001, 89(3):297-301.
18. Del Fiol G., Rocha R.A., Bradshaw R.L., Hulse N.C., Roemer L.K. An XML model that enables the development of complex order sets by clinical experts. IEEE Trans Inf Technol Biomed 2005, 9(2):216-228.
19. Del Fiol G., Rocha R.A., Cimino J.J. HL7 Infobutton Standard API Proposal [Online] 2005, Accessed November 5, 2005, Available at. http://www.hl7.org/Library/Committees/dss/HL7-Infobutton.
20. Del Fiol G., Rocha R.A., Washburn J., Rhodes J., Hulse N., Bradshaw R., Roemer L.K. On-demand" access to a multi-purpose collection of best practice standards. Proc of the 26th Annual International Conference of the IEEE ECMS 2004, 3342-3345.
21. Dublin core metadata initiative Dublin core metadata element set [Online] 2005, Accessed November 5, 2005, Available at. http://www.dublincore.org/documents/dces/.
22. Fischer G., Ostwald J. Knowledge management: Problems, promises, realities, and challenges. IEEE Intell Syst 2001, 60-72.
23. GE Healthcare & IHC establish new research center to develop electronic health record technologies, Intermountain Healthcare [Online]. (2006). Available at.
24. GE Healthcare & Intermountain Healthcare to provide wide-reaching IT system, GE Healthcare [Online]. (2006). Available at . http://www.gehealthcare.com/co.
25. Guptill J. Knowledge management in health care. J Health Care Finance 2005, 31(3):10-14.
26. Hanna T.P., Del Fiol G., Bradshaw R., Roemer L.K., Hulse N., Rocha R.A. Customized document validation to support a flexible XML-based knowledge management framework. AMIA Annu Symp Proc 2005, 291-295.
27. Haug P.J., Rocha B.H., Evans R.S. Decision support in medicine: Lessons from the HELP System. Int J Med Inf 2003, 69:273-284.
28. Health Level Seven (HL7) [Online]. (2005). Available at . Accessed November 5, 2005. http://www.hl7.org/about/.
29. HL7 Arden Syntax Special Interest Group & Clinical Decision Support Technical Committee Arden Syntax for Medical Logic Systems 2002, version 2.1. Health Level Seven.
30. Hougaard J. Developing evidence-based interdisciplinary care standards and implications for improving patient safety. Int J Med Inf 2004, 73(7-8):615-624.
31. Hulse N.C., Rocha R.A., Del Fiol G., Bradshaw R.L., Hanna T.P., Roemer L.K. KAT: A flexible XML-based knowledge authoring environment. J Am Med Inform Assoc 2005, 12(4):418-430.
32. Hulse N.C. Development and evaluation of an authoring environment for a centralized knowledge repository. Ph.D. Dissertation 2005, Department of Medical Informatics, University of Utah.
33. IHC Annual Report [Online]. (2004). Available at documents/corp/annualreport.pdf. Accessed April 9, 2006. http://intermountainhealthcare.org/xp/public/.
34. Intermountain Clinical Programs, Intermountain Healthcare [Online]. (2006). Available at Accessed April 9, 2006. http://intermountainhealthcare.org/xp/public/physician/clinicalpr.
35. IHC honored for high tech systems, Intermountain Healthcare [Online]. (2006). Available at Accessed April 9, 2006. http://intermountainhealthcare.org/xp/public/aboutihc/news/arti.
36. IHCnamed nation's top health system, IntermountainHealthcare [Online]. (2006).Available at Accessed April 9, 2006. http://intermountainhealthcare.org/xp/public/aboutihc/news/arti.
37. Jadhav A., Sailors M. Structuring healthcare knowledge bases: An analysis of explicit and implicit structures in Arden Syntax and an XML schema representation of Arden Syntax. AMIA Annu Symp Proc 2003, 875.
38. James B.C., Hammond M.E. The challenge of variation in medical practice. Arch Pathol Lab Med 2000, 124(7):1001-1003.
39. James B.C. Make it easy to do it right (editorial). N Engl J Med 2001, 345(13):991-992.
40. Johnson P.D., Tu S.W., Musen M.A., Purves I. A virtual medical record for guidelinebased decision support. Proc AMIA Symp 2001, 294-298.
41. Kuperman G.J., Gardner R.M., Pryor T.A. HELP: A dynamic hospital information system 1991, Springer-Verlag, New York.
42. Larsen D.L., Cannon W., Towner S. Longitudinal assessment of a diabetes care management system in an integrated health network. J Managed Care Pharm 2003, 9(6):552-558.
43. Marriott S., Palmer C., Lelliott P. Disseminating healthcare information: Getting the message across. Qual Health Care 2000, 9(1):58-62.
44. MD Consult, Elsevier Inc. [Online]. (2005). Available at . Accessed November 5, 2005. http://www.mdconsult.com/offers/AboutMDC.html/standard.html.
45. MEDLINE/PubMed, National Library of Medicine [Online]. (2005). Available at . Accessed November 5,. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed.
46. Micromedex, Thomson Healthcare, Inc. [Online]. (2005). Available at . Accessed November 5, 2005. http://www.micromedex.com/index.html.
47. Oracle Database, Oracle, Inc. [Online]. (2005). Available at . Accessed November 5, 2005. http://www.oracle.com/database/index.html.
48. Payne T.H., Hoey P.J., Nichol P., Lovis C. Preparation and use of preconstructed orders, order sets, and order menus in a computerized provider order entry system. J Am Med Inform Assoc 2003, 10(4):322-329.
49. Reichert J.C., Glasgow M., Narus S.P., Clayton P.D. UsingLOINC to link anEMR to the pertinent paragraph in a structured reference knowledge base. Proc AMIA Symp 2002, 652-656.
50. RuleML Homepage [Online]. (2005). Available at . Accessed November 5, 2005. http://www.ruleml.org.
51. Shiffman R.N., Karras B.T., Agrawal A., Chen R., Marenco L., Nath S. GEM: A proposal for a more comprehensive guideline document model using XML. J Am Med Inform Assoc 2000, 7:488-498.
52. Sordo M., Ogunyemi O., Boxwala A.A., Greenes R.A. Software specifications forGELLO: An object-oriented query and expression language for clinical decision support [Online]. Technical Report DSG-TR-2003-02 2003, Accessed November 5, 2005, Decision Systems Group, Brigham & Women's Hospital, Harvard Medical School, Boston, MA, Available at. http://www.hl7.org/Library/Committees/dss/GELLOspecsJan041%2EPDF.
53. Stefanelli M. Knowledge and process management in health care organizations. Methods Inf Med 2004, 43(5):525-535.
54. Steiner D.J., Coyle J.F., Rocha B.H., Haug P., Huff S.M. Medical data abstractionism: Fitting an EMR to radically evolving medical information systems. Medinfo 2004, 11:550-554. (Pt 1).
55. Tiwana A., Ramesh B. Integrating knowledge on the Web. IEEE Internet Comput 2001, 5(3):32-39.
56. UpToDate [Online]. (2005). Available at . Accessed November 5, 2005. http://www.uptodate.com/about/index.asp.
57. Wilkinson S. Knowledge repository online: An electronic knowledge development and maintenance process. Master's thesis 2003, Department of Medical Informatics, University of Utah.
58. Wyatt J.C. Clinical questions and information needs. J R Soc Med 2000, 93(4):168-171.
59. XML Schema, World Wide Web Consortium (W3C) [Online]. (2005). Available at . Accessed November 5, 2005. http://www.w3c.org/XML/Schema.
60. XML Suite, Altova Inc. [Online]. (2005). Available at . Accessed November 5, 2005. http://www.altova.com/suite.html.
61. XSL Transformations, World Wide Web Consortium (W3C) (XSLT) [Online]. (2005). Available at . Accessed November 5, 2005. http://www.w3.org/TR/xslt.
62. Xu X., Del Fiol G., Rocha R.A. Towards a flexible Web-based framework to navigate clinical reference documents. Medinfo 2004, 1915.
63. Xu X., Rocha R.A., Bigelow S.M., Wallace C.J., Hanna T., Roemer L.K. Understanding nurses' information needs and searching behavior in acute care settings. AMIA Annu Symp Proc 2005, 839-843.