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27
January, 2012
Friday

Articles

Development of a draft pan-canadian primary health care electronic medical record content standard

Sullivan-Taylor P et al, International Perspectives in Health Informatics, 2011

In collaboration with a broad range of stakeholders, the Canadian Institute for Health Information (CIHI) led the development of the draft pan-Canadian primary health care (PHC) electronic medical record (EMR) content standard to be used in EMR applications across the country to support PHC data capture and information use and improved health system management. To achieve this goal, CIHI initiated the following activities: stakeholder engagement, information requirements gathering and adoption and implementation promotion of the common content standard for wide-spread use. The resulting pan-Canadian standardized data set will allow consistent data capture that will improve understanding and ability to report on PHC utilization and access, chronic disease prevention and management, health promotion, medication usage, patient safety, quality of care including patient safety and outcomes.
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25 February 2011 | No Comments »
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No privacy of health information in Canada’s Armed Forces

Hébert PC et al, CMAJ, 183(3)

Privacy abuses at Veterans Affairs Canada raise concerns about whether the Canadian Armed Forces offer sufficient protection of personal health information. In the absence of adequate safeguards, health professionals, including civilian and military physicians, may be forced to choose between obeying orders and upholding the values of their profession.
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25 February 2011 | No Comments »
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European countries on their journey towards national eHealth infrastructures

eHealth Strategies

“Europe‟s countries are making substantial progress towards modern eHealth infrastruc-tures and implementations, thereby leading the rest of the world. By now virtually all Member States of the European Union either have already started with or will undertake the implementation of national systems to make basic patient data available to all health-care professionals whenever and wherever needed.
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25 February 2011 | No Comments »
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EHRs, health IT will play expanding role in national vaccine plan

Kathryn Foxhall, Government Health IT

“Electronic health records and other health information technology will play a growing and significant role in vaccine safety surveillance and reporting to registries as part of the recently released National Vaccine Plan, according to senior Health and Human Services Department officials.
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25 February 2011 | No Comments »
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La receta electrónica en Baleares ha permitido en su primer año reducir un 10% la demanda de cita en Atención Primaria

EuropePress.es

“El conseller de Salud y Consumo, Vicens Thomàs, ha detallado este jueves que el primer año de implantación de la receta electrónica en Baleares permitió reducir un 10% de la demanda de cita a los médicos de atención primaria, aunque también se produjo un aumento del 2% en el gasto farmacéutico.
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25 February 2011 | No Comments »
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This Issue Is A Real Sleeper as We Move More Into E-Health. How To Preserve Important Health Information over the Long Term?

David More, Australian Health Information Technology

“When you consider that there are already General Practice Systems in Australia that have well over a decade’s worth of information stored already every year that goes by makes these records more valuable and potentially more useful.
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25 February 2011 | No Comments »
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Facebook for Health: Could Social Media Lead to Functional Personal Health Records?

Ano Lobb, Justmeans

“This month’s issue of Health Affairs discusses a representative survey of physicians reporting that 64% had never used personal health records, but 42% were willing to try them. Male docs were more interested than females (46% vs. 34%), and rural practitioners more than urban ones.
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25 February 2011 | No Comments »
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VA and Defense will consider several options for single electronic health record

Bob Brewin, NextGov

“The Defense and Veterans Affairs Departments should consider a number of options before they develop a single electronic health record, VA Chief Information Officer Roger Baker said at a media briefing Thursday.
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25 February 2011 | No Comments »
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Patient Engagement Key to EMR Success

John Commins, HealthLeaders Media

“Hospitals are spending billions of dollars to achieve meaningful use of electronic medical records, but if patients don’t use the new technology, hospitals may not reap the federal stimulus payments that await.
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25 February 2011 | No Comments »
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HIMSS survey: Give it up for the CNIO

Don Fluckinger, Health IT Pulse

“The chief nursing information officer (CNIO) position is often overlooked among health IT leaders. But just try to implement a new tech initiative in your hospital without a nurse informaticist to help determine the best devices and software to fit your workflow, and to evangelize and train the nurses on the floor who will have to use the system. It can be done, but the health care IT leaders we interview say that nursing informaticists are the linchpin to successful tech rollouts.
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25 February 2011 | No Comments »
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EMR Innovation and the Future of EMR – #HIMSS11

John, EMR and HIPAA

“Turns out that my previous post about lack of EMR innovation at HIMSS was a little more controversial than I expected it to be. Plus, I’m not sure that I communicated the entire message about EMR innovation and the future of EMR software in healthcare (I’m blaming the late nights and lack of sleep).
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25 February 2011 | No Comments »
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HIMSS Recap

Neil Versel, The Health Care Blog

““We just need to do it.” That’s the comment I heard from a hospital CMIO on a HIMSS shuttle bus Thursday morning. He, of course, was talking about “meaningful use,” the standard by which providers will qualify for federal Electronic Health Record (EHR) subsidies. This year’s edition is the first HIMSS conference since the incentive program started in October (for hospitals) and January (for individual providers).
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25 February 2011 | No Comments »
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Direct Project: Revisiting the Innovative Power of Push

Vince Kuraitis, e-CareManagement

“Last May Fred Trotter wrote a brilliant blog post entitled The Power of Push. His essay described the latent power of the Direct Project (known then as NHIN-Direct).
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25 February 2011 | No Comments »
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The Connected Patient: Charting the Vital Signs of Remote Health Monitoring

Jane Sarasohn-Kahn, THINK-Health

“Remote health monitoring technologies — devices that gather a patient’s health data and relay it to a care provider — have been the subject of much study in recent years. Proponents have lauded their potential to reduce health care costs and improve patients’ quality of life, while skeptics pointed to the lack of persuasive clinical evidence supporting such claims. Meanwhile, technology vendors have begun testing the waters, launching both pilot projects and products into what they hope will prove to be a robust market.
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25 February 2011 | No Comments »
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More doctors make house calls online

Suzanne Hoholik, The Columbus Dispatch

“Unlike banks and utility companies, health-care providers have been slow to give up paper and phone calls for electronic health records and e-mail.
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25 February 2011 | No Comments »
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e-Health Promises and Challenges: Some Ethical Considerations

Kluge EW. International Perspectives in Health Informatics, 2011

eHealth is a cost-effective and efficient way of providing health care to patients who would otherwise be excluded or underserviced. However, eHealth also presents a series of ethical and legal challenges which, if not met before its implementation, can undermine its success. Among other things, privacy, consent and liability are implicated, as are changes in the health care professional-patient relationship and in the role of health informatics professionals. Legacy systems and interoperability present further challenges, and outsourcing may pose special problems. This paper highlights some of these issues and outlines their implications.
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24 February 2011 | No Comments »
Categories: Science | Tags: , , , ,

Telemedicine Using Free Voice over Internet Protocol (VoIP) Technology

Miller DJ et al, Medicine Meets Virtual Reality 18 - NextMed, 2011

Though dedicated videoteleconference (VTC) systems deliver high quality, low-latency audio and video for telemedical applications, they require expensive hardware and extensive infrastructure. The purpose of this study was to investigate free commercially available Voice over Internet Protocol (VoIP) software as a low cost alternative for telemedicine.
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24 February 2011 | No Comments »
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Using a computerized provider order entry system to meet the unique prescribing needs of children: description of an advanced dosing model

Ferranti JM et al, BMC Medical Informatics and Decision Making, 11(1)

BACKGROUND:
It is well known that the information requirements necessary to safely treat children with therapeutic medications cannot be met with the same approaches used in adults. Over a 1-year period, Duke University Hospital engaged in the challenging task of enhancing an established computerized provider order entry (CPOE) system to address the unique medication dosing needs of pediatric patients.
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24 February 2011 | No Comments »
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The Case for Regulating EMRs

Gee T. Patient Safety And Quality Healthcare, January/February 2011

Papers reporting serious adverse events (Nebeker, 2005; Yong, 2005) relating to the use of commercial healthcare IT (HIT) applications received significant publicity in 2005. Many of the reports at that time focused on the configuration of decision support systems used in computerized physician order entry (CPOE) systems.
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24 February 2011 | No Comments »
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12 mobile health stories from HIMSS

Brian Dolan, mobihealthnews

“A number of longtime HIMSS attendees, including my colleague Neil Versel, pointed out that this year’s event in Orlando, Fla. had renewed energy. The past two years’ events were more staid on account of the down economy. The magicians at vendor booths had less flourish, anyway.
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24 February 2011 | No Comments »
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