The ICMCC Event 2010 Call for Papers
Deadline extended: February 14.
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ICMCC 2010 Call for Papers
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Latest Blog
Observations 3 February 2010: Questions
Lodewijk Bos
Lodewijk Bos
I come across hundreds of news items a day when selecting the ones that should be posted on the ICMCC Newspage. And sometimes these articles raise questions.
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ICMCC Event
ICMCC Event 2010 – Personal Health – Intelligent solutions to serve empowered patients
8-11 June 2010
at Regent Street Campus, University of Westminster, London.
Call for Papers has been extended: 14 February 2010.
The International Council on Medical and Care Compunetics (ICMCC) intents to combine in this event ontology-driven health information system design for advanced interoperability with the paradigm change towards pervasive person-centric care including prevention, home care and wellness, together forming adaptive distributed health information systems solutions.
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News
Last 2 Days
2020: What was all the fuss about?
Source: Patty Enrado, EHRWatch
“Imagine it is 2020. You had a test done the day before, a test that was ordered because your physician was alerted via your EHR to a gap in care. The following morning, both you and your physician receive the results via e-mail, you via your PHR and she via her EHR system.
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Pfizer and Keas Partner to Help Consumers Take a More Active Role in Their Health and Wellness
Source: eHealthServer
“Pfizer and Keas announced today they have entered into an alliance to collaborate on the Keas platform to enable Health and Wellness experts to author, sell and distribute personalized online Care Plans directly to patients. Pfizer and Keas will collaborate to develop care plans and related capabilities that seek to provide consumers, patients and their providers an intuitive, engaging, easy-to-use, and low-cost way to manage their health & wellness, prevention and care delivery.
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La madre de la innovación
Source: Juan del Llano, Diario Médico
“Parafraseando el dicho de que la paciencia es la madre de la ciencia, el autor señala a la necesidad como progenitora de la innovación.
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In Haiti, Practicing Medicine From Afar
Source: Milt Freundenheim, The New York Times
“In the desperate days soon after the earthquake in Haiti last month, foreign medical volunteers relied on improvised, low-tech devices for consultations and coordination. But American doctors are switching to more sophisticated technology to help improve public health in Haiti, one of the world’s poorest nations.
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Docs using scribes to ease EHR transition
Source: Joseph Conn, Modern Healthcare
“Scribes.
The word might conjure up images of ancient, white-bearded men, bent over papyrus scrolls, scratching away with quill pens.
And the profession has to be older than Methuselah, since what we know of Noah’s 969-year-old grandfather was written down by succeeding generations of scribes.
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Beyond Interoperability: A Solution That Builds Bridges Between Incompatible Systems
Source: Jeff Cunningham, Health News Digest
“Interoperability means the transparent and secure sharing of patient information among all stakeholders involved in ensuring that an individual receives the most efficient and effective care possible.
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One in Five Physicians Likely To Purchase an iPad, More than 60 Percent Intrigued By New Device According to Epocrates Survey
Source: Brian Dolan, mobihealthnews
“Epocrates, Inc., today announced its top-ranked clinical reference application for the iPhone® and iPod® touch devices will be customized for the new iPad™ computer tablet.
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Provider-Sponsored PHRs Fail To Drive Patient-Centric Health Care
Source: Protima Advani, iHealthbeat
“Industry experts believe that empowering patients in their own care — by providing them with access to their medical information, along with appropriate resources to manage their health — can significantly improve outcomes and even reduce health care costs.
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Hoe Nederlandse ziekenhuizen zich op EPD storten
Source: Bart Kiers, ICTzorg
“Ziekenhuizen oriënteren zich en masse op het elektronische patiëntendossier (EPD). Invoering zet de hele organisatie op zijn kop en is een kostbare operatie. Een verkeerde keuze kan rampzalige gevolgen hebben.
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Elektronische Gesundheitskarte startet Ende 2010 in Nordhessen
Source: NH24
“Wie der Vorstand der BKK B. Braun Melsungen AG heute mitteilt, ist für Ende 2010 der schon lang angekündigte Start der elektronischen Gesundheitskarte in Nordhessen zu erwarten.
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Electronic Medical Records More Prevalent Now
Source: EMR, EMR Software, Electronicmedicalrecord's
“The medical industry has changed significantly over the past decade. One of the major changes is that many medical offices are moving from paper to electronic medical records. There are also a number of practice management software packages available to medical practitioners.
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Three Tips to Help Ensure Effective EHR Implementation
Source: Andrea Kraynak, HealthLeaders Media
“Just getting started with your transition to an EHR?
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EMR Documentation by Exception or Veracity
Source: John, EMR and HIPAA
“If you’ve been reading me for a while, you know that I have a few hundred draft posts (basically ideas) for future posts. However, the news about meaningful use is coming out so quickly that it’s not that often that I have to go back and use those draft posts. I probably should do it more. 
Well, when I was working on my soon to be released e-Book on EMR selection, I ran across this comment about two different ways of documenting in an EMR. It’s written by Matt Chase from Medtuity and likely was originally posted on EMRUpdate (sadly, I don’t have the original link).”
Article
John, EMR and HIPAA, 8 February 2010
mHealth?
Source: Nicolel, EHR Scope Blog
“There’s a new buzz word in Health Information Technology: mHealth. mHealth is the term used to describe mobile health, which differs from eHealth. eHealth focuses on technologies to change healthcare, while mHealth focuses on consumers’ behavioral and structural changes to foster participatory healthcare.
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Status of Mobile Health
Source: Carolyn Bloch, Federal Telemedicine News
“Over 300 people attending the first mHealth Networking Conference on February 3-4, 2010 in Washington D.C. were eager to hear the latest on the mHealth revolution. The top thought leaders in the field Claudia Tessier President mHealth Initiative and Vice President C. Peter Waegemann presented their vision for mHealth.
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SharEHR is a cloud-based EHR that uses your current records
Source: Dana Blankenhorn, ZDNet Healthcare
“Instead of turning doctors into clerks, why not send whatever they have into the Amazon cloud, turn it into a searchable PDF, then invite those who need access to see the record?
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UCI’s new telemedicine training facility opens
Source: Molly Merrill, Healthcare IT News
“Physicians at the University of California, Irvine School of Medicine will begin moving into a new $40.5 million medical education building this week. The new building includes a telemedicine training center, which officials say will help prepare their doctors for healthcare in the digital age.
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How Much Information Should Patients See? All of it
Source: Keith W. Boone, Healthcare Standards
“One of the provisions of the HITECH Act and the regulations that have been either created or proposed as a result of it is that patients should be given copies of their health information, including problems, medications and allergies, but also discharge summaries, instructions and procedures.
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Health information: How much should patients see?
Source: Jeff Rowe, Healthcare IT News - Priming the Pump
“Since the passage of the HITECH provisions of the ARRA, most of the attention surrounding EHRs has been on the federal policy deliberations concerning “meaningful use” guidelines and other aspects of federal efforts to move healthcare providers forward on health IT.
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Tas govt to integrate e-health systems
Source: ZDNet Australia
“Tasmania’s Department of Health and Human Services (DHHS) has released a request for tender for the implementation and support of a system to pull together data from various legacy systems into one electronic health record.
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Tasmania to roll out electronic health record system
Source: Tim Lohman, Computerworld
“The Tasmanian Department of Health and Human Services (DHHS) is to deploy a shared electronic health record system.
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Electronic Medical Records: A Look at the Past with a View Into the Future
Source: Paul Yungst, Article-Searchengine.com
“Electronic Medical Records (EMR), are computer-based systems used for recording, delivering and managing patients’ personal medical data. Computer-based patient records (CPR) include any information taken at doctor visits, including medical history, physicals, lab tests, prescriptions, referrals and procedures performed in the office, hospital or clinic. Lab information including biopsies, imaging, specimen tests and diagnostic testing procedures are also listed in the record.
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U.S. Doctors to Connect with Haitian Patients Via Telemedicine
Source: Nikki Roberti, Kansas City infoZine
“Thanks to a new technology about the size as a 35 mm camera, Haitians injured in last month’s earthquake will be able to see medical experts from all over the United States and Europe.
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Health dept to publicize smart cards
Source: Simran Virk, the Times of India
“District health department is focusing on publicity aspect of smart cards so that the scheme could kick off in the right earnest.
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The SharEHR revolution turns medical records inside-out
Source: Dana Blankenhorn, SmartPlanet
“Paul Eckert says we have going about medical automation backwards.
“We’re turning doctors into clerks,” he says, when it’s just not necessary.
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Better medicine – with bar codes
Source: Kelly Karsley, The News Tribune
‘As nurse Jeremy Copeland chats up patient Wilhelmine Erickson on a recent afternoon at Tacoma’s Allenmore Hospital, he also quickly waves a bar-code reader over her wristband then scans the medication he is giving her.
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Mobile technology should enhance work of human providers
Source: Jake Linkowski, Cataract Outsourcing
“Modern life is a blur of motion and activity, with people constantly communicating on the run. Traditionally slow to change its ways, healthcare is far from the cutting edge of mobile technology, but it’s making strides to close the gap.
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Previous News Posts
EHR Redux
Source: David C. Kibbe, The Health Care Blog
eHealth Policy – The Benefits of Foresight
Source: Alan Brookstone, Canadian EMR
What’s the point?
Source: Matthew Holt, The Health 2.0 Blog
EHR: Why the rush?
Source: Paul Roemer, Healthcare IT Strategy
Evaluating EMR Usability – Often Ignored but Critical for Success
Source: Alan Brookstone, Canadian EMR
Visitors
Source: Lodewijk Bos
Wireless VoIP benefits being frustrated in healthcare: study
Source: John Cox, Networld World
Mobile Health Text Messaging Service Begins
Source: Antone Gonsalves, InformationWeek
Norwegian University Develops Self Help System To Monitor Diabetes Patients
Source: eGov Monitor
Aspen hospital taps stroke specialists via new telemedicine hookup
Source: Janet Urquhart, The Aspen Times
Has Your Organization Had a Patient Safety Issue Directly Resulting From an Electronic System?
Source: iHealthBeat
Many Small Practice Physicians Putting off Meaningful Use Guidelines
Source: Cheryl Clark, HealthLeaders Media
Blumenthal: EHRs will become ‘an absolute requisite’ for docs
Source: Diana Manos, Healthcare IT News
Fractal Electronic Health Records?
Source: Heather Leslie, Archetypical
KNMG: ‘Achterhaalde feiten in onderzoek EPD-privacy’
Source: Hein Bosman, ICTzorg
FCC to promote mobile health apps in broadband plan
Source: Mary Mosquera, Government Health IT
Make-or-buy balance still unclear in 2011 Defense and Veteran budgets
Source: Dana Blankenhorn, ZDNet Healthcare
Meaningful use and certified electronic health record technology rules unveiled
Source: Ober Kaler, Christi J. Braun and Christopher P. Dean, Lexology
EHRs should be designed with clinicians in mind
Source: David Hager, ModernHealthcare
Bosworth sheds some light on a grand experiment
Source: Neil Versel, FierceEMR
Science
Last 7 Days
Personal digital assistant with a barcode reader-A medical decision support system for nurses in home care
Source: Johansson, Pauline E. et al, International Journal of Medical Informatics, 2010
Introduction
Inappropriate medication among elderly people increases the risk of adverse drug–drug interactions, drug-related falls and hospital admissions. In order to prevent these effects it is necessary to obtain a profile of the patients’ medication. A personal digital assistant (PDA) can be used as a medical decision support system (MDSS) to obtain a profile of the patients’ medication and to check for inappropriate drugs and drug combinations, and to reduce medication errors.
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Canadian physicians playing “catch-up” in adopting electronic medical records
Source: Silversides, Ann, CMAJ, 182(2)
Canadian doctors lag behind their counterparts in many other developed nations in adopting basic electronic medical records largely because the emphasis in Canada has been on “the big building blocks” of electronic health records, says Bill Pascal, chief technology officer for the Canadian Medical Association.
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[Using information technology to improve drug safety in primary care.]
Source: López-Picazo, J. J. et al, Revista De Calidad Asistencial, 25(1)
Purpose
To help family doctors to detect and prevent problems related to drug-drug interactions in order to attain a higher quality prescription and an improvement in patient safety.
Methods
Uncontrolled study of an intervention based on quality evaluation and improvement methods.
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[Webliography of health for adolescents and young people.]
Source: Jiménez Pernett, Jaime et al, Revista De Calidad Asistencial, 25(1)
Aims
To identify health Websites in Spanish on adolescence and youth and to assess the adequacy of their codes of conduct.
Methods
Cross sectional study of the adequacy of codes of conduct, identified in the same way as young people tend to look on the Internet (search engines). Websites have been independently assessed using a questionnaire by 3 evaluators. Dimensions: 1) accountability, 2) transparency and honesty, 3) author, 4) editorial policy, 5) protection of personal data, 6) updating of information and accessibility. A descriptive analysis was performed and the kappa coefficient was estimated to assess the correlation between evaluators.
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Sex Differences in the Use of the Internet as a Source of Health Information Among Adolescents
Source: Jiménez-Pernett, Jaime et al, Telemedicine and e-Health, 2010
Background:
The Internet is a fundamental part of the day-to-day lives of adolescents. Faced with the difficulties of accessing conventional health services, adolescents use the Internet as a confidential and safe means of accessing information about health issues.
Objectives:
To describe sex differences in the way in which adolescents search for health information on the Internet.
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Computer and internet use in vascular outpatients–ready for interactive applications?
Source: Richter, J. G. et al, VASA, 38(4)
Background:
Exploring patients’ computer and internet use, their expectations and attitudes is mandatory for successful introduction of interactive online health-care applications in Angiology.
Patients and methods:
We included 165 outpatients suffering from peripheral arterial disease (PAD; n = 62) and chronic venous and / or lymphatic disease (CVLD; n = 103) in a cross-sectional-study. Patients answered a paper-based questionnaire.
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Telemedicine for anger management therapy in a rural population of combat veterans with posttraumatic stress disorder: a randomized noninferiority trial
Source: Morland, Leslie A. et al, The Journal of Clinical Psychiatry, 2010
Objective:
To demonstrate the noninferiority of a telemedicine modality, videoteleconferencing, compared to traditional in-person service delivery of a group psychotherapy intervention for rural combat veterans with posttraumatic stress disorder (PTSD).
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Getting in Step: Electronic Health Records and their Role in Care Coordination
Source: Bates, David W., Journal of General Internal Medicine, 2010
The U.S. is making a historic investment in federal support for health information technology, which will likely approach $50 billion. Most of this investment will go out in the form of incentives to providers who adopt electronic health records (EHRs) both outside the hospital and inside it. The rationale for this policy change is the belief that EHR use will reduce the costs of care, and improve quality and safety.
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Value of Electronic Health Records
Source: HIMSS Vantage Point
A number of recent articles have addressed the challenges that exist with implementing electronic medical records (EMRs). This research suggests about half of survey respondents identify either the installation process or the complexities of the EMR technology as the top challenge. Presently about one-quarter of respondent noted that their EMR implementation has exceeded or vastly exceeded expectations.
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Families’ and professional caregivers’ views of using advanced technology to track people with dementia
Source: Landau, Ruth et al, Qualitative Health Research, 20(3)
in this study we examined the ethical aspects of the use of the Global Positioning Systems (GPS) to track people with dementia. The findings are based on qualitative data gathered from focus groups of family and professional caregivers. The most important theme was the need to balance patients’ need for safety with the need to preserve their autonomy and privacy. The main potential benefit of the use of GPS was related to the peace of mind of the caregivers themselves.
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Relationship Between Use of Electronic Health Record Features and Health Care Quality: Results of a Statewide Survey
Source: Poon, Eric G. et al, Medical Care, 2010
Background:
Electronic health records (EHRs) are widely viewed as useful tools for supporting the provision of high quality healthcare. However, evidence regarding their effectiveness for this purpose is mixed, and existing studies have generally considered EHR usage a binary factor and have not considered the availability and use of specific EHR features.
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How information systems should support the information needs of general dentists in clinical settings: suggestions from a qualitative study
Source: Song, Mei et al, BMC Medical Informatics and Decision Making, 10(1)
Background
A major challenge in designing useful clinical information systems in dentistry is to incorporate clinical evidence based on dentists’ information needs and then integrate the system seamlessly into the complex clinical workflow. However, little is known about the actual information needs of dentists during treatment sessions. The purpose of this study is to identify general dentists’ information needs and the information sources they use to meet those needs in clinical settings so as to inform the design of dental information systems.
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IT adoption of clinical information systems in Austrian and German hospitals: results of a comparative survey with a focus on nursing
Source: Hubner, Ursula et al, BMC Medical Informatics and Decision Making, 10(1)
Background
IT adoption is a process that is influenced by different external and internal factors. This study aimed 1. to identify similarities and differences in the prevalence of medical and nursing IT systems in Austrian and German hospitals, and 2. to match these findings with characteristics of the two countries, in particular their healthcare system, and with features of the hospitals.
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Developing next-generation telehealth tools and technologies: patients, systems, and data perspectives
Source: Ackerman, Michael J. et al, Telemedicine and e-Health, 16(1)
The major goals of telemedicine today are to develop next-generation telehealth tools and technologies to enhance healthcare delivery to medically underserved populations using telecommunication technology, to increase access to medical specialty services while decreasing healthcare costs, and to provide training of healthcare providers, clinical trainees, and students in health-related fields. Key drivers for these tools and technologies are the need and interest to collaborate among telehealth stakeholders, including patients, patient communities, research funders, researchers, healthcare services providers, professional societies, industry, healthcare management/economists, and healthcare policy makers. In the development, marketing, adoption, and implementation of these tools and technologies, communication, training, cultural sensitivity, and end-user customization are critical pieces to the process.
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Telehealth on advanced networks
Source: Wilson, Laurence S. et al, Telemedicine and e-Health, 16(1)
We address advanced Internet for complex telehealth applications by reviewing four hospital-based broadband telehealth projects and identifying common threads. These projects were conducted in Australia under a 6-year research project on broadband Internet applications. Each project addressed specific clinical needs and its development was guided by the clinicians involved. Each project was trialed in the field and evaluated against the initial requirements. The four projects covered remote management of a resuscitation team in a district hospital, remote guidance and interpretation of echocardiography, virtual-reality-based instructor-student surgical training, and postoperative outpatient consultations following pediatric surgery. Each was characterized by a high level of interpersonal communication, a high level of clinical expertise, and multiple participants. Each made use of multiple high-quality video and audio links and shared real-time access to clinical data. Four common threads were observed.
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Tertiary teledermatology: a systematic review
Source: van der Heijden, Job P. et al, Telemedicine and e-Health, 16(1)
Telemedicine is becoming widely used in healthcare. Dermatology, because of its visual character, is especially suitable for telemedicine applications. Most common is teledermatology between general practitioners and dermatologists (secondary teledermatology). Another form of the teledermatology process is communication among dermatologists (tertiary teledermatology). The objective of this systematic review is to give an overview of studies on tertiary teledermatology with emphasis on the categories of use. A systematic literature search on tertiary teledermatology studies used all databases of the Cochrane Library, MEDLINE (1966-November 2007) and EMBASE (1980-November 2007). Categories of use were identified for all included articles and the modalities of tertiary teledermatology were extracted, together with technology, the setting the outcome measures, and their results. The search resulted in 1,377 publications, of which 11 were included.
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Telemedicine for recently discharged older patients
Source: Cardozo, Lavoisier
Congestive heart failure, chronic obstructive pulmonary disease, diabetes, and hypertension are common causes of hospitalization in the elderly. Short-term postdischarge clinical outcomes regarding compliance, symptom control, readmission, functional status, and mortality rates are in need of improvement. This observational study documents the results of a home-based case-managed telemedicine (CMTM) program delivered over a 2-month period postdischarge. A population of 851, predominantly elderly (over age 60), recently discharged patients were enrolled in the program. They received a nurse visit up to 3 times/week and home telemedicine monitoring (weight, blood pressure, pulse rate, blood glucose, and oximeter recordings) on a daily basis. Patient education was provided by the nurse and reinforced through telemedicine.
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An Empirical Study of Adopting Mobile Healthcare Service: The Family’s Perspective on the Healthcare Needs of Their Elderly Members
Source: Jen, Wen-Yuan, and Ming-Chien Hung, Telemedicine and e-Health, 16(1)
In an aging society, the issue of increased medical costs troubles both government agencies and families with aging parents. Many elderly people require long-term care, and the medical and financial problems associated with long-term care worry their entire family. Mobile healthcare service (MHS) has been widely applied by medical practitioners and researchers for years. Unfortunately, the elderly often fear both the technology and the cost its use incurs; hence, they seldom actively adopt MHS without the prompting and support of other family members. This study highlights this issue of long-term healthcare for the elderly and extracts the factors affecting their family’s intentions in adopting MHS.
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Benefits of a telepsychiatry consultation service for rural nursing home residents
Source: Rabinowitz, Terry et al, Telemedicine and e-Health, 16(1)
Psychiatric care for nursing home residents is difficult to obtain, especially in rural areas, and this deficiency may lead to significant morbidity or death. Providing this service by videoconference may be a helpful, cost-effective, and acceptable alternative to face-to-face treatment. We analyzed data for 278 telepsychiatry encounters for 106 nursing home residents to estimate potential cost and time savings associated with this modality compared to in-person care. A total of 843.5 hours (105.4 8-hour work days) of travel time was saved compared to in-person consultation for each of the 278 encounters if they had occurred separately. If four resident visits were possible for each trip, the time saved would decrease to 26.4 workdays. Travel distance saved was 43,000 miles; 10,750 miles if four visits per trip occurred.
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The use of the internet to remotely monitor patients with heart failure
Source: Maric, Biljana et al, Telemedicine and e-Health, 16(1)
Heart failure (HF) results in high hospitalization rates and healthcare costs. Telemonitoring of HF has been shown to result in improved outcomes but usually involves the use of expensive equipment. A more feasible alternative may be the use of a Web site. The purpose of this study is to investigate the use of a Web site designed for HF telemonitoring. Patients newly referred to a heart function clinic were screened for eligibility. Twenty participants were recruited and entered their weight and symptoms onto the Web site for 6 months. A nurse monitored the Web site for changes in participant health status and telephoned the participants as necessary. Self-care, quality of life, 6-minute walk test, and N-terminal prohormone brain natriuretic peptide (NT-proBNP) were assessed.
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A Smart-Phone Application and a Companion Website for the Improvement of the Communication Skills of Children with Autism: Clinical Rationale, Technical Development and Preliminary Results
Source: Leo, Gianluca et al, Journal of Medical Systems, 2010
Autism is a complex neurobiological disorder that is part of a group of disorders known as autism spectrum disorders (ASD). Today, one in 150 individuals is diagnosed with autism. Lack of social interaction and problems with communication are the main characteristics displayed by children with ASD. The Picture Exchange Communication System (PECS) is a communication system where children exchange visual symbols as a form of communication. The visual symbols are laminated pictures stored in a binder.
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Experiences Sharing of Implementing Template-Based Electronic Medical Record System (TEMRS) in a Hong Kong Medical Organization
Source: Ting, S. L. et al, Journal of Medical Systems, 2010
This paper aims to investigate the efficacy and feasibility of Template-based Electronic Medical Record System (TEMRS) and factors for its successful implementation. A TEMRS was designed and implemented in one core clinic of a Hong Kong professional multi-disciplinary medical services provider with four core clinics located in different parts of Hong Kong. Eight doctors participated in the study. Surveys and interviews were conducted to acquire the users’ feedback and satisfaction level. The design, development, and the factors related to the success of the implementation of TEMRS were analyzed.
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The Quality and Characteristics of Leading General Hospitals’ Websites in China
Source: Liu, Xiaolei et al, Journal of Medical Systems, 2010
This paper focuses on the evaluation of quality of hospital websites in China. Leading general hospitals’ websites in China are increasingly used by the public, but research on the quality of these websites in China is few and far between. In this article, we conducted a cross-sectional descriptive infodemiology study to assess the quality and to describe the characteristics of these websites. Using a pre-defined objective criterion based on content, function, design, and management & usage, two well-trained reviewers independently reviewed and analyzed websites of 23 nationally prominent leading general hospitals of China from April to June 2009.
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Safe Electronic Health Record Use Requires a Comprehensive Monitoring and Evaluation Framework
Source: Sittig, Dean F., and David C. Classen, JAMA, 303(5)
Recent passage of the American Reinvestment and Recovery Act (ARRA) increases pressure on health care practitioners and organizations to implement currently available electronic health records (EHRs). Research and experience gained to date show that such implementation efforts are difficult, costly, time-consuming, and fraught with many unintended consequences.
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Electronic Health Records in the Age of Social Networks and Global Telecommunications
Source: Shachak, Aviv, and Alejandro R. Jadad, JAMA, 303(5)
On August 20, 2009, the US government announced $1.2 billion in new grants as part of the American Recovery and Reinvestment Act to promote “meaningful use” of electronic health records (EHRs) by all individuals in 2011,1 and to support the development of mechanisms for information sharing through EHRs in the United States.
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Telemedizin in der Schlaganfall-Akutversorgung – eine gesundheitsökonomische Bestandsaufnahme
Source: Günzel, F. et al, Deutsche Medizinische Wochenschrift, 135(3)
Specialized stroke units offer optimal treatment of patients with an acute stroke. Unfortunately, their installation is limited by an acute lack of experienced neurologists and the small number of stroke patients in sparsely populated rural areas. This problem is increasingly being solved by the use of telemedicine, so that neurological expertise is made available to basic and regular care. It has been demonstrated by national and international pilot studies that solidly based and rapid decisions can be made by telemedicine regrading the use of thrombolysis, as the most important acute treatment, but also of other interventions. So far studies have only evaluated improvement in the quality of care achieved by networking, but not of any lasting effect on any economic benefit. Complementary to a medical evaluation, the qualitative economic assessment presented here of German and American concepts of telemetric care indicate no difference in efficacy between various ways of networking.
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Still Seeking the Legal EHR: The Push for Electronic Records Increases, the Record Management Questions Remain
Source: Dougherty, Michelle, and Lydia Washington, Journal of AHIMA, 81(2)
In 2003 AHIMA launched a workgroup to provide practice guidance on an emerging topic—the “legal electronic health record.” At that time, HIM professionals working at facilities that were early adopters of EHR systems were struggling with basic HIM principles: determining the official record of care within an EHR that was made up of many different applications; disclosing information from multiple EHR systems that had limited report functionality; and establishing trustworthy records in systems that did not incorporate basic record-keeping principles.
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Need For Open-Source Electronic Health Records
Source: Wilder, Bruce, Health Affairs, 29(2)
Kudos to Robert Wachter for his thoughtful and important documentation of patient safety efforts over the past ten years (Web Exclusive, 1 December 2009). I would, however, like to take issue with the statement that “federal involvement” in the form of a $19 billion cash infusion to support health information technology (IT) implementation is “the most hopeful development.”
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An Agenda For Action On Global E-Health
Source: Gerber, Ticia et al, Health Affairs, 29(2)
Use of e-health, or electronic information technologies, has spread to cities and remote villages worldwide. Countries such as Rwanda are activating nationwide e-health networks. The Rockefeller Foundation’s month-long 2008 conference Making the eHealth Connection: Global Partners, Local Solutions accelerated this process.
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Global E-Health Policy: A Work In Progress
Source: Mars, Maurice, and Richard E. Scott, Health Affairs, 29(2)
E-health (information and communication technology that facilitates health and health care) is expanding in developed, developing, and least-developed countries. E-health’s ability to transcend sociopolitical boundaries holds the potential to create a borderless world for health systems and health care delivery. But the policy needed to guide e-health development is limited and just now emerging in developed countries.
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E-Health Technologies Show Promise In Developing Countries
Source: Blaya, Joaquin A. et al, Health Affairs, 29(2)
Is there any evidence that e-health–using information technology to manage patient care–can have a positive impact in developing countries? Our systematic review of evaluations of e-health implementations in developing countries found that systems that improve communication between institutions, assist in ordering and managing medications, and help monitor and detect patients who might abandon care show promise.
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‘Mobile’ Health Needs And Opportunities In Developing Countries
Source: Kahn, James G. et al, Health Affairs, 29(2)
Developing countries face steady growth in the prevalence of chronic diseases, along with a continued burden from communicable diseases. “Mobile” health, or m-health–the use of mobile technologies such as cellular phones to support public health and clinical care–offers promise in responding to both types of disease burdens. Mobile technologies are widely available and can play an important role in health care at the regional, community, and individual levels.
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Cell-Phone Medicine Brings Care To Patients In Developing Nations
Source: Feder, J. Lester, Health Affairs, 29(2)
At ten o’clock in the morning, a clinic in Mexico City’s Condesa neighborhood is buzzing with activity. It serves some 7,000 patients and is operated by the Mexico City government, making it one of the largest facilities in Latin America devoted to treating patients with HIV/AIDS.
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Enhancing ‘M-Health’ With South-To-South Collaborations
Source: Curioso, Walter H., and Patricia N. Mechael, Health Affairs, 29(2)
Partnerships among health care and information technology researchers and designers worldwide are creating mobile health tools tailored to local community needs and resources. Much of the hardware and infrastructure comes from developed countries of the so-called global North.
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A Toolkit For E-Health Partnerships In Low-Income Nations
Source: Tierney, William et al, Health Affairs, 29(2)
Collecting, managing, and communicating information is a critical part of delivering high-quality, efficient health care. Low-income countries often lack the information technology that is taking root in developed countries to manage health data and work toward evidence-based practice and culture. Partnerships between academic and government institutions in high- and low-income countries can help establish health informatics programs.
[ More ]
Building A Health Informatics Workforce In Developing Countries
Source: Hersh, William R. et al, Health Affairs, 29(2)
Information and communication technology can be used to improve the quality and safety of health care and to lower costs. But in both developed and developing countries, there is an inadequate supply of skilled individuals who have the technical skills to use this technology to improve health care. Some studies project workforce needs of tens of thousands in English-speaking developed countries, but it is not known what size workforce will be required in the developing world.
[ More ]
Connecting Information To Improve Health
Source: Hammond, W. Ed et al, Health Affairs, 29(2)
Effective health information systems require timely access to all health data from all sources, including sites of direct care. In most parts of the world today, these data most likely come from many different and unconnected systems–but must be organized into a composite whole. We use the word interoperability to capture what is required to accomplish this goal.
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Previous Science Articles
Aspect-oriented design and implementation of adaptable access control for Electronic Medical Records
Source: Chen, Kung et al, International Journal of Medical Informatics, 2010
Use of the internet as a source of health information by Spanish adolescents
Source: Jimenez-Pernett, Jaime et al, BMC Medical Informatics and Decision Making, 10(1)
Getting Personal
Source: Anderson, Howard J., Health Data Management, 18(2)
Review: use of electronic medical records for health outcomes research: a literature review
Source: Dean, Bonnie B. et al, Medical Care Research and Review, 66(6)
Strategies from a Nationwide Health Information Technology Implementation: The VA CART STORY
Source: Box, Tamára L. et al, Journal of General Internal Medicine, 25(s1)
Effect of a weight-based prescribing method within an electronic health record on prescribing errors
Source: Ginzburg, Regina et al, American Journal of Health-System Pharmacy, 66(22)
Is email an effective method for hospital discharge communication? A randomized controlled trial to examine delivery of computer-generated discharge summaries by email, fax, post and patient hand delivery
Source: Chen, Yufei et al, International Journal of Medical Informatics, 2010
Diagnostic efficacy of handheld devices for emergency radiologic consultation
Source: Toomey, Rachel J. et al, AJR 194(2)
Reconstructing the Whole: Present and Future of Personal Health Systems
Source: Cristiano Codagnone, PHS2020
Getting Patients to Meaningful Use Using the HL7 “Infobutton” Standard for Information Prescriptions
Source: Don Kemper et al, Healthwise
Electronic health records: an asset or a whole lot of hype?
Source: Webster, Paul Christopher, CMAJ, 2010
Primary care physicians’ experiences with electronic medical records: implementation experience in community, urban, hospital, and academic family medicine
Source: Ludwick, Dave A. et al, Canadian Family Physician, 56(1)
Effects of the Internet on patient consultations
Source: Lussier, Marie-Thérèse, and Claude Richard, Canadian Family Physician, 56(1)
Knowing we practise good medicine: implementing the electronic medical record in family practice
Source: Dawes, Martin, and David Chan, Canadian Family Physician, 56(1)
Does computer use in patient-physician encounters influence patient satisfaction?
Source: Lelievre, Sarah, and Karen Schultz, Canadian Family Physician, 56(1)
Learning in a Virtual World: Experience With Using Second Life for Medical Education
Source: Wiecha, John et al, J Med Internet Res, 12(1)
Family Physician Perceptions of Personal Health Records
Source: Witry, Matthew J. et al, Perspectives in Health Information Management, Winter 2010
Nephrologists Using Social Media Connect with Far-Flung Colleagues, Health Care Consumers
Source: Victorian, Brande, Nephrology Times, 3(1)
Accelerating the Use of Electronic Health Records in Physician Practices
Source: Shea, Steven, and George Hripcsak, N Engl J Med, 362(3)
Information management to enable personalized medicine: stakeholder roles in building clinical decision support
Source: Downing, Gregory J. et al, BMC Medical Informatics and Decision Making, 9
Latest
- Apple Hand-held Technology Strengthens Care
BlueApoc, HealthTechnica
3 February 2010
- Physician Uses Cell Phones for Health Care of Poor
HealthTechnicaAuthor, HealthTechnica
25 January 2010
- Cisco’s vision of the future
CNNMoney
16 January 2010
Value of Electronic Health Records
HIMSS Vantage Point, 6 February 2010
A number of recent articles have addressed the challenges that exist with implementing electronic medical records (EMRs). This research suggests about half of survey respondents identify either the installation process or the complexities of the EMR technology as the top challenge. Presently about one-quarter of respondent noted that their EMR implementation has exceeded or vastly exceeded expectations.
[ More ]
Reconstructing the Whole: Present and Future of Personal Health Systems
Cristiano Codagnone, PHS2020, 26 January 2010
“The book envisages the research themes needed to be funded and pursued in the future in order to infuse PHS with bio-medical knowledge, produce more intelligent data processing in support of decision making and actuation
[ More ]
Getting Patients to Meaningful Use Using the HL7 “Infobutton” Standard for Information Prescriptions
Don Kemper et al, Healthwise, 26 January 2010
Imagine—anytime you have a health care question, face a treatment decision, or need to learn a new self-management skill, all of the tools you need are presented before you in a tailored, personalized, and easy-to-use way.
[ More ]
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Events
Events till 16 February 2010
Winter Health IT Summit (USA)
9 February 2010 - 10 February 2010 (Conference)
Continua/WLSA Symposium 2010 (USA)
9 February 2010 (Conference)
Inforsalud 2010 (Spain)
9 February 2010 - 11 February 2010 (Conference)
eTELEMED 2010 - The Second International Conference on eHealth, Telemedicine, and Social Medicine (Netherlands Antilles)
10 February 2010 - 15 February 2010 (Conference)
Comments
Lodewijk: Thank you Lucien for the link. Especially the discussion is very interesting. I much appreciated the remark that the tal
Lucien Engelen: Lodewijk, for some little mashup on information on the iPad for healthcare : http://lucienengelen.posterous.com/will-app
Lodewijk: Paul, I don’t understand what you mean with that phrase, because you refer to a definition which I can not find in your
paul Roemer: I'd be happy to attempt to speak to whatever I wrote that may have left things in disarray on me piece about Health 2.0
Lodewijk: Lucien, You know you can count on me as we both share the same view. Both your events are included in our events overvi
Blog
Observations 3 February 2010: Questions
I come across hundreds of news items a day when selecting the ones that should be posted on the ICMCC Newspage. And sometimes these articles raise questions.
[ More ]
Guest: If Air Travel Worked Like Health Care
Back in September, Jonathan Rauch of the National Journal wrote a terrific (fact-based!) send-up of our archaic, arcane, not-customer-centric healthcare system, titled “If Air Travel Worked Like Health Care.” I wish I’d known about it then, but I only learned of it recently, because a couple called “The New Altons” have made a great home-brew video of it, and posted it in YouTube.
[ More ]
Observations 15 January 2010: Numbers; again
I hate it when I have to repeat myself, it brings memories of those classic vinyl records and the needle hanging in the same groove. Nevertheless, it seems necessary.
What inspired me to come back to something I have written about before is the title of an article in today’s e-Health Europe, Half of European doctors use web video. I know, Mr. Hoeksma wants to attract readers and has the decency to be a bit more realistic inside the article.
[ More ]
ICMCC
The ICMCC Event 2010 Call for Papers
Deadline extended: February 14.
You have 6 days left.
You can now also subscribe to the ICMCC News Page by e-mail.
Click here for all the ways to follow us.
ICMCC News Page Update 27 October
I was released from hospital last night so I will be slowly getting the daily updates back on track as well as trying to fill the gaps of the last 10 days and wade through the 1000+ emails.
I sincerely thank all the visitors of the ICMCC Website for their loyalty. Despite the missing daily updates we still had over 2500 visitors a day!!
Lodewijk Bos
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