Articles
Bas M et al, Telemedicine and e-Health, 16(9)
Despite some clinical, economic, and other qualitative advantages associated with remote cardiac device monitoring systems, one of the main challenges concerns the management of the out-of-hospital data. Manual updating of hospital databases with the data stored in the manufacturers’ servers increases time requirements and may introduce mistakes in the entries. The use of communication standards such as Health Level 7 for data interchange could provide a safe and easy way to access patient and device information. The present study of 38 patients was carried out with the Carelink® remote monitoring technology. A formal process for remote cardiac device monitoring was established, including some features in the Arrhythmias Information System: mobile phone and e-mail were included for communication between patients and hospital, with a new gateway for automatic message sending.
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27 March 2011 | No Comments »
Categories: Science | Country: Spain | Tags: Cardiology, Communication, health-information-system, SMS, Telemedicine, Telemonitoring
Everett W, et al, N Engl J Med, 364(11)
The study by Chaudhry and colleagues showing that telemonitoring did not improve outcomes among patients hospitalized for heart failure has several shortcomings. In other major studies, well-designed home telemonitoring programs that used more advanced forms of technology to support patient education and health care for patients with congestive heart failure have been shown to be successful in reducing unnecessary hospitalizations.
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27 March 2011 | No Comments »
Categories: Science | Country: United States | Tags: Chronic Heart Failure, Telemedicine, Telemonitoring
Inglis SC et al, N Engl J Med, 364(11)
Chaudhry et al. suggest that enhanced support in the use of a telephone-based interactive voice-response system for patients recently discharged after worsening heart failure does not improve outcomes. This finding is broadly consistent with previous systematic reviews of telephone support1 and contrasts with the substantial effect observed with home telemonitoring of vital signs in similar populations.
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27 March 2011 | No Comments »
Categories: Science | Country: United States | Tags: Chronic Heart Failure, Telemedicine, Telemonitoring
Swedberg K et al, N Engl J Med, 364(11)
In their article on the Telemonitoring to Improve Heart Failure Outcomes (Tele-HF) trial (ClinicalTrials.gov number, NCT00303212), Chaudhry et al. (Dec. 9 issue) report neutral effectiveness of remote telemonitoring in patients with heart failure, in contrast to the results of a previous meta-analysis.
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27 March 2011 | No Comments »
Categories: Science | Country: United States | Tags: Chronic Heart Failure, selfcare, Telemedicine, Telemonitoring
Stewart SF, Switzer JA. Drugs of Today, 47(2)
Stroke is the number three cause of death and the most common cause of adult disability in the United States. Few patients receive the only established effective therapy, intravenous tissue plasminogen activator. Failure to treat may occur due to several reasons, a crucial one being the lack of acute neurologic coverage, particularly in rural settings. In this article we review the difficulties encountered by patients needing immediate care to access stroke specialists. To overcome this delay in patient care, telemedicine technology for acute stroke care is recommended.
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27 March 2011 | No Comments »
Categories: Science | Country: United States | Tags: Neurology, Stroke, Telemedicine
Holzer K, Gall W. Methods of Information in Medicine, 50(3)
Objectives:
Due to the increasing adoption of Electronic Health Records (EHRs) for primary use, the number of electronic documents stored in such systems will soar in the near future. In order to benefit from this development in secondary fields such as medical research, it is important to define requirements for the secondary use of EHR data. Furthermore, analyses of the extent to which an IHE (Integrating the Healthcare Enterprise)-based architecture would fulfill these requirements could provide further information on upcoming obstacles for the secondary use of EHRs.
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27 March 2011 | No Comments »
Categories: Science | EHR: EHR
Sujata Srinivasan, Hartford Business Journal
“Picking the right software is like selecting a mate. First, you look out. Next, you check out. Then, you make the move. Sometimes, you live together happily ever after.
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27 March 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: Provider
Keith W. Boone, Healthcare Standards
“At HIMSS, Dr. Charles Friedman, Chief Scientist at ONC announced that Usability would be included in Stage 2 of Meaningful Use. This became the tweet heard ’round the floor of the show. As if the challenges of Meaningful Use Stage 2 timing were not already enough, this seemed to be yet another late-breaking hurdle.
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27 March 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: Meaningful Use, Usability
Shahid N. Shah, The Healthcare IT Guy
“The statement above comes from WSJ’s article “At Google, Page Aims to Clear Red Tape” in which the reporter, Amir Efrati, lays out the case that Larry Page (the CEO that will take over April 4) is looking to streamline Google to act a bit more like a startup than the 24,000 person behemoth that it is.
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27 March 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: Google-Health
Nicole Lewis, InformationWeek Healthcare
“According to a Capstrat-Public Policy Polling survey, 84% of respondents said they would not use social media or instant messaging channels for medical communication if their doctors offered it. Instead, respondents said they prefer to turn to traditional electronic lines of communication, such as email and website interactions, when they need specific health consultations from their own doctor.
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27 March 2011 | No Comments »
Categories: News | Country: United States | Tags: Patient-clinician communication, Social Media
PRNewswire
“Guangzhou General Hospital of Peoples Liberation Army (PLA) made a landmark announcement that the first Chinese regional military and civilian coordinated Chest Pain Rescue Network using IVT mobile health (mHealth) system is now in full operation.
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27 March 2011 | No Comments »
Categories: News | Country: China | Tags: mHealth
Tara Kaprowy, Richmond Register
“Just two years ago, the acronym EHR didn’t mean much to many people. But since Congress passed the health-care reform law last year, physicians and hospitals have become intimately acquainted with it — and patients may follow suit.
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26 March 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: Health Information Exchange
Howard Anderson, HealthcareInfoSecurity.com
“The HITECH Act’s electronic health record incentive program, which could provide as much as $27 billion in payments to hospitals and clinics that “meaningfully use” EHRs, could go a long way toward making EHRs ubiquitous. And the rules for earning the Medicare and Medicaid incentives also could go a long way toward ensuring the privacy and security of digitized patient information.
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26 March 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: Incentives, Meaningful Use, Privacy, Security
Mike Popovich, STC
“Interoperability, as defined by www.Webster-dictionary.org is “the ability to exchange and use information…” Interoperability as applied to immunization record exchange between electronic health record (EHR) systems and statewide immunization information systems (IIS) means the ability to share patient immunization records electronically through HL7 standard communication protocols.
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26 March 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: Health Information Exchange, HL7, Immunization, Interoperability
Christian Perry, Processor.com
“Technology’s incessant drive toward flexibility and ease of use occasionally brings with it a catch-22. Perhaps nowhere is this more evident than in the medical field, where the continuing implementation of electronic medical records is simultaneously improving patient data management and creating potential security leaks. Although medical records systems are inherently secure for the most part, facilities nonetheless face the constant threat of theft from insiders.
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26 March 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: Personal Health Information, Privacy, Security
Brian Ahier, Ahier.net
“Despite evidence of the benefits of the use of health IT, today only 25-percent of physician offices and 15-percent of hospitals take advantage of electronic health records (EHRs).
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26 March 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: Health Information Technology, Meaningful Use
Mehdi Rais, Medicine and Technology
“With thoughts and prayers headed towards our friends in Japan, I thought it would be a good time to focus on their contributions towards work flow and process analysis, the cornerstones of health care consulting and EHR implementation.
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26 March 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: Implementation
Katherine Dedyna, Postmedia
“It’s your health, but a personal record – never mind a family’s – can get long, complicated and confusing to recall on the spot, especially in an emergency. Moreover, thousands of Canadian residents don’t have general practitioners keeping records for them.
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26 March 2011 | No Comments »
Categories: News | Country: Canada | EHR: EHR, EHR Canada | Tags: Medical History, phr
Mark Frisse, Health Affairs Blog
“Dr. David Blumenthal’s tenure at the Office for the National Coordinator for Health Information Technology (ONC) is without precedent. Never in American history has the public experienced such an aggressive and deliberate effort to introduce health information technology (HIT) into clinical settings with such a deliberate goal of producing a safer, more efficient, more reliable, and more effective health care delivery system.
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26 March 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tags: Adoption, Disruptive, Health Information Exchange, Health Information Technology, Meaningful Use
Kenneth Robertson, Virtual Mentor
“EHR, EMR, HIT, HIE. The letters themselves evoke emotion. The young find their pulses quickening with excitement about the new world order. Members of the older generation of doctors are more likely to experience tachycardia when they read these letters, due to the dread they evoke. One thing is certain: the digital age is invading health care and not about to retreat.
Now that my hair is thinning and turning to a white-gray mix (probably prematurely as a result of my interface with the “digitization” of health care), I get to share some of my thoughts on the many new and interesting ethical issues for physicians as we “go digital.”
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26 March 2011 | No Comments »
Categories: News | Country: United States | Tags: Decision Support, emr, Ethics, Health Information Technology, Liability, tablet PC
