Bernie Monegain, Healthcare IT News
“Medical practices that have implemented an electronic health record system report better financial performance than those that have not, according to the Medical Group Management Association’s newly released “Electronic Health Records Impacts on Revenue, Costs, and Staffing: 2010 Report Based on 2009 Data.”
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Hristidis V et al, BMC Medical Informatics and Decision Making, 10(1)
Background
As the use of electronic health records (EHRs) becomes more widespread, so does the need to search and provide effective information discovery within them. Querying by keyword has emerged as one of the most effective paradigms for searching. Most work in this area is based on traditional Information Retrieval (IR) techniques, where each document is compared individually against the query. We compare the effectiveness of two fundamentally different techniques for keyword search of EHRs.
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Fil actus Santé
“Le Dr Jacques Lucas, vice-président du Conseil de l’Ordre des médecins, affirme que « la télémédecine est une réponse aux problèmes démographiques, pour apporter l’expertise médicale là où elle n’est pas.
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George MacGinnis, Henry Rivera and Michael Dillon, InPharm
“Current models of healthcare are becoming unsustainable all over the world, due to people living longer with chronic diseases, and new costly technologies being developed. The number of people needing care is set to quadruple by 2050, placing extreme demands in terms of costs and provision of care workers.
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Patty Enrado, EHRWatch
“I read an editorial by a veteran physician assistant based in Pickens, N.C., who is a long-term user of EMRs. He has recognized the clinical and financial benefits of health IT and is definitely a physician champion.
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Zorgvisie
“Over fundamentele vragen in het debat over het landelijk EPD bestaat geen overeenstemming. Dat is een conclusie uit het rapport “Het landelijk EPD als blackbox” van de Wetenschappelijke Raad voor het Regeringsbeleid (WRR).
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Margalit Gur-Arie, On Healthcare Technology
“If you read this, you are probably familiar with the e-Patient concept. If you read this, you are most likely well educated, have an interest in health care and probably strong opinions regarding health insurance reform, and are very aware of the recent Government push for Health Information Technology adoption.
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Bettine Pluut WRR
“Er is niet zoiets als hét Elektronisch Patiënt Dossier. Een EPD kan gezien worden als een algemeen concept en verwijst naar een verzameling elektronisch opgeslagen en elektronisch toegankelijke informatie over het zorgproces.
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Jaan Sidorov, Disease Management Care Blog
“As a physician running a smallish 5-provider practice, I just spent four painful days looking at EHR applications at a national conference—including several programs that have just received formal government approval as having satisfied the meaningful use guidelines.
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Phillips K et al, Journal of Hospital Marketing & Public Relations, 20(3)
Long-term care (LTC) facilities possess unique characteristics in terms of implementation and utilization of electronic medical records (EMRs). The focus of LTC is on a population requiring care encompassing all aspects associated with quality of life rather than simply acute treatment. Because this focus is of a larger scale than traditional medical facilities, the priorities in the implementation and utilization of EMRs are higher in accessing patient history information.
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Diamond E et al, Chest, 138(3)
This article describes the initial and ongoing efforts of our pulmonary medicine practice to deploy an electronic medical records (EMR) system. Key factors in the vendor selection and implementation process included (1) identification and commitment to long-term goals for EMR; (2) dedicated resources, including both physician and nonphysician champions to lead the design and implementation teams; and (3) ample patience and time allotted to achieve the desired results: a fully functional system that enhances quality, improves operational efficiency, and reduces costs.
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Purvis S, Brenny-Fitzpatrick M. Clinical Nurse Specialist, 24(6)
Purpose:
The purpose of the study was to demonstrate how clinical nurse specialists (CNSs) can use information pulled from the electronic health record (EHR) in innovative ways to improve nursing care of vulnerable older adults.
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Karsh B et al, J Am Med Inform Assoc, 17(6)
Current research suggests that the rate of adoption of health information technology (HIT) is low, and that HIT may not have the touted beneficial effects on quality of care or costs. The twin issues of the failure of HIT adoption and of HIT efficacy stem primarily from a series of fallacies about HIT.
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Roberts LL et al, American Journal of Health-System Pharmacy, 67(21)
Purpose
The impact of implementing commercially available health care information technologies at hospitals in a large health system on the identification of potential adverse drug events (ADEs) at the medication ordering stage was studied.
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Lau F et al, J Am Med Inform Assoc, 17(6)
The purpose of this review is to consolidate existing evidence from published systematic reviews on health information system (HIS) evaluation studies to inform HIS practice and research. Fifty reviews published during 1994-2008 were selected for meta-level synthesis. These reviews covered five areas: medication management, preventive care, health conditions, data quality, and care process/outcome. After reconciliation for duplicates, 1276 HIS studies were arrived at as the non-overlapping corpus. On the basis of a subset of 287 controlled HIS studies, there is some evidence for improved quality of care, but in varying degrees across topic areas. For instance, 31/43 (72%) controlled HIS studies had positive results using preventive care reminders, mostly through guideline adherence such as immunization and health screening. Key factors that influence HIS success included having in-house systems, developers as users, integrated decision support and benchmark practices, and addressing such contextual issues as provider knowledge and perception, incentives, and legislation/policy.
3G Doctor Blog
“John Lynn’s review of last weeks Mobile Healthcare Expo in Las Vegas over at the EMR & HIPAA Forum offers an interesting quote from Scott Ellis, Business Development Manager of Telemedicine for T-Mobile:
“most mHealth applications work perfectly fine on 2G and don’t actually need the higher 3G and 4G speeds“
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Cross M. BMJ, 341:c5913
Patients in England will be able to inspect and correct their NHS and social care records online from 2015 if the coalition government’s vision for the use of IT in the NHS becomes reality.
A strategy paper published on 18 October for consultation says that giving patients control of their records “opens up exciting new possibilities for online health and care services.” However, it is likely to generate new concerns about confidentiality, security, and consent.
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Zayas-Cabán T, Dixon BE. Quality and Safety in Health Care, 19(Suppl 3)
Introduction
Consumer health IT applications have the potential to improve quality, safety and efficiency of consumers’ interactions with the healthcare system. Yet little attention has been paid to human factors and ergonomics in the design of consumer health IT, potentially limiting the ability of health IT to achieve these goals. This paper presents the results of an analysis of human factors and ergonomics issues encountered by five projects during the design and implementation of home-based consumer health IT applications.
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David More, Australian Health Information Technology
The following appeared a day or so ago.
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Pablo Pazos Gutierrez, Informática Médica y Estándares
“El objetivo de esta serie es presentar distintos estándares desde un punto de vista práctico y muy crítico, ya que muchas veces nos llega mucho ruido de quienes promueven sus propios estándares
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