HealthCanal
“Text messaging and adolescents don’t always mix well, but researchers at National Jewish Health hope text messages can spur teenagers to take their asthma medications more reliably.
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Mohan V, Hersh WR. Arch Intern Med, 171(10)
Romano and Stafford use somewhat old data, collected for a different use and not aligned with their direct hypothesis, to conclude that electronic health records (EHRs) with clinical decision support (CDS) do not result in improved quality of care in ambulatory settings.
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Aged Care Insite
“The Federal Government has released a draft concept of operations document regarding the use of personally controlled electronic health records (PCEHR) in Australia, which are being touted as a cornerstone of national e-health programs that could revolutionise the way aged care is provided.
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Romano M, Stafford R. Arch Intern Med, 171(10)
In our recently published study, using nationally representative outpatient visit data, we found no association between clinical decision support-enabled EHR use and quality of care. We acknowledge several of the limitations that Mohan and Hersh point out. Specifically, we agree that having more complete and recent information on clinical practices, patient outcomes, and EHRs would be valuable.
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Oetgen WJ et al, Arch Intern Med, 171(10)
Romano and Stafford present an innovative analysis of the most current National Ambulatory Medical Care Survey and National Hospital Ambulatory Survey data. They found that (1) the use of EHRs was not associated with higher compliance with quality indicators and (2) the use of CDS systems within the EHR visits was likewise not associated with higher compliance with quality indicators.
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Tom Sullivan, Government Health IT
“Among the top agencies listed in Federal Chief Technology Officer Vivek Kundra’s cloud-first policy are the Departmment of Defense, Health and Human Services and the Veterans Administration.
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“Cancer patients who are given full access to their medical records feel a greater sense of satisfaction about their treatment, a new study finds.
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Gravis G et al, Cancer, 2011
BACKGROUND:
Information is crucial for increasing the patients’ empowerment and autonomy in relevant decision‐making processes, especially in malignant diseases. However, the extent to which information should be delivered is debated. The objective of this study was to assess the impact of providing systematic full access (SFA) to the medical record on anxiety, quality of life, and satisfaction.
METHODS:
Patients with newly diagnosed breast cancer, colon cancer, or lymphoma who had received adjuvant chemotherapy in an outpatient setting were included in a randomized controlled trial comparing those who requested access (RA) and those who provided SFA to the medical record. Anxiety was assessed using the Spielberger State‐Trait Anxiety Inventory before, during, and at the end of treatment. Quality of life was evaluated using the European Organization for Research and Cancer quality‐of‐life questionnaire (EORTC QLQ‐C30) before and at the end of treatment. Patients’ satisfaction and perception of the organized medical record (OMR) were evaluated using a specifically designed questionnaire at the end of treatment.
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Healthcare IT News
“For decades, researchers have used de-identified claims and prescription data from the Thomson Reuters MarketScan Research Databases to conduct studies that evaluate medical treatments — commonly called “outcomes research” or “comparative effectiveness research.”
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Pamela Lewis Dolan, amednews
“When physicians at Albany (N.Y.) Medical Center started adopting smartphones a few years ago, they almost immediately looked for ways to use them in their clinical lives.
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Nictiz
“De NPCF en Nictiz maakten samen een overzicht van bestaande patiëntportalen die nu al toegang geven tot eigen medische gegevens.
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Diane M. Burge, MDNews
“Given the recent occurrence of earthquakes and other horrific world events, it may be time to pause and consider what would happen if a disaster occurred that caused the closure of your office.
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Ted Eytan, MD
“Take a look, slide 19 in the deck below. I am interested in this because I think it’s possible that the integration of social media into health care will be about bringing trusted experts in with “people like yourself.”
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e-Patient Dave, e-patients.net
“Those are the questions examined by this project, produced by an Emory University team headed by Benjamin Druss, MD, MPH and funded by a grant from AHRQ (Agency for Healthcare Research and Quality). They studied a population of safety net patients with at least one mental illness diagnosis and one or more additional conditions (co-morbidities).
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Tenforde M et al, Family Medicine, 43(5)
BACKGROUND AND OBJECTIVES
Electronic personal health records (PHRs) allow patients access to their medical records, self-management tools, and new avenues of communication with their health care providers. They will likely become a valuable component of the primary care Patient-centered Medical Home model. Primary care physicians, who manage the majority of chronic disease, will use PHRs to help patients manage their diabetes and other chronic diseases requiring continuity of care and enhanced information flow between patient and physician. In this brief report, we explore the evidence for the value of PHRs in chronic disease management.
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Kathie Dickerson, Coshocton Tribune
“An emotional chord was struck this week when Dr. Charles Celestina realized he’d be able to offer life-saving treatment to patients at Coshocton Hospital that wasn’t available for his father in 1996.
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Katherine Rourke, EMR and EHR
“For several years, I’ve been citing dismal statistics on the growth of health information exchange networks. Perhaps, back then, I was too hard on them. After all, fledgling, starry-eyed HIE groups were facing tough odds, given how few physicians and hospitals were even wired enough to support their efforts.
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EurekAlert!
“Two trials presented at the Heart Failure Congress 2011, organized by the Heart Failure Association of the European Society of Cardiology (HFA of the ESC), will help to define the precise populations of patients with chronic heart failure (CHF) in whom telemedical management delivers benefits. Both the TIM-HF and TEHAF studies – presented in Late Breaking Session 1 – revealed that telemonitoring showed significant benefits in defined subgroups of patients. The results, which will be used to help in the design of future trials, come after the overall results from both trials demonstrated no statistical benefit for telemonitoring.
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Lodewijk Bos, ICMCC
Carolyn Bloch, Federal Telemedicine News
“According to Aneesh Chopra, U.S. Chief Technology Officer, Assistant to the President, and Associate Director for Technology within OSTP, the federal government needs to invest in innovation, healthcare workforce, and infrastructure including digital, while at the same time, emphasizing entrepreneurship.
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