Keith W. Boone, Healthcare Standards
“Just about every standards organization starts from a core or reference information model these days. From this model all things exchanged are eventually derived. The models themselves are most often expressed in a collection of one page UML diagrams.
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Yamada M et al, Age and Ageing, 40(4)
Sir—Falls are relatively common among older people; ∼30% of 65-year-old community-dwelling adults experience at least one fall per year. Of these falls, 6% result in fractures. Falls typically occur during locomotion; therefore, previous studies have focused on identifying the changes in locomotor performance which occur with increasing age.
In every-day life, locomotion typically occurs under complicated circumstances with cognitive attention focused on other tasks. Lundin-Olsson et al. reported a novel method for predicting falls based on the dual-task (DT) performance of subjects. In recent years, numerous studies have evaluated DT walking in elderly people. However, Beauchet et al. reported that reliable conclusions cannot be drawn from the prediction of falls based on DT results due to the lack of standardisation in DT paradigms. We considered that the two main limitations of the previous research using DT protocols were: (i) insufficient evaluation of the performance of the secondary task and (ii) the lack of standardisation of the DT protocols.
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Archer N et al, J Am Med Inform Assoc, 18(4)
Electronic personal health record systems (PHRs) support patient centered healthcare by making medical records and other relevant information accessible to patients, thus assisting patients in health self-management. We reviewed the literature on PHRs including design, functionality, implementation, applications, outcomes, and benefits. We found that, because primary care physicians play a key role in patient health, PHRs are likely to be linked to physician electronic medical record systems, so PHR adoption is dependent on growth in electronic medical record adoption.
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Mary Mosquera and Tom Sullivan, Government Health IT
“Electronic health records are only a beginning of sorts. Although a top priority for providers, the meaningful use of EHRs is not the end goal – rather, the health data that EHRs make more accessible stands to unleash a wave of applications, products and services that ultimately catalyze improvements in health care, delivery and outcomes for both individual and population health.
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Fiona Barr, e-Health Insider
“NHS Wales has announced that the first GP practices have gone live with its My Health Online service, which enables patients to book appointments and request repeat prescriptions over the internet.
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Jennifer Dennard, Healthcare IT News
“My musings in a recent blog about my pie-in-the sky dream of an effective pediatric personal health record (PHR) for parents were turned on their head recently when I came across news about a California-based company creating just such a product. (I should know by now that I’ll always be at least three steps behind the development gurus of healthcare IT.)
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CMIO
“Collecting data and linking them to quality measures are vital for targeting efforts at reducing racial and ethnic disparities in care, according to a June 16 perspective in the New England Journal of Medicine.
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Tom Lewis, iMedicalApps
“According to iTunes: “Award winning Pocket Body features a fully anatomically accurate human character with nine layers of musculoskeletal and neurovascular content…plus over 30,000 words of learning material.”
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John Halamka, Life as a Healthcare CIO
“BIDMC has been offering Personal Health Records since 1999 and we’ve learned that patient information must be organized appropriately and wrapped in patient education materials so that the data is transformed into knowledge, and is actionable.
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Claire Rogers, Stuff.co.nz
“Auckland health software company Netsoft has developed an application that lets caregivers update patient records while on the go using their tablets and smartphones.
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Elnahal SM et al, The American Journal of Managed Care, 17(4)
OBJECTIVE
To determine whether patterns of electronic health record (EHR) adoption and “meaningful use” vary between high-, intermediate-, and low-quality US hospitals.
STUDY DESIGN
We used data from the Hospital Quality Alliance program to designate hospitals as high quality (performance in the top decile nationally), low quality (bottom decile), and intermediate quality (all others). We examined EHR adoption and meaningful use using national survey data.
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Jim Beame, Anarchiel.com
“Het idee van een ‘centrale database’ is achterhaald. Dit ouderwetse idee stamt uit de tijd van papieren dossiers. Standaardisering en koppeling zijn de toverwoorden. Door de koppelbaarheid en uitwisselingsmogelijkheden van EPD’s met het persoonscontrolenummer (BSN) dat wereldwijd als toegangssleutel wordt gebruikt, is centralisering niet noodzakelijk omdat alle databases tezamen een metadatabase vormen en in de praktijk al als centrale database fungeren.
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Barbara Duck, The Medical Quack
“This article just blow me away as I quite writing about 5-6 years ago when I created a simple medical records program and I had audit trails back then and even created screens that were “read only” to where they could be searched to see who, what and when changes were made, along with the original content being stored.
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Katherine Rourke, EMR and EHR
“Right now, HHS is considering a new rule which would demand that hospitals, medical practices and health plans provide anyone who asks with a list of who has accessed their electronic medical records.
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Robert Rowley, KevinMD
“An EHR system built to be an ambulatory solution won’t work well for an inpatient setting. Similarly, an inpatient EHR pushed out onto ambulatory practices won’t work well either. The issues, workflows, and certification criteria are different.
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Swapnil Rawal, Indian Express
“The next time you feel unwell and want to see your family doctor, pick up your cellphone and dial a doctor who will guide you on the call, prescribe drugs and tests if required. Seems far-fetched? Not any more.
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Lodewijk Bos, ICMCC
Mansfield SJ et al, The Medical Journal of Australia, 194(12)
Woodward C. CMAJ, 183(6)
Hippocrates’ ancient oath to keep secrets sacred between physician and patient is having a rough time of it in the modern age as drug companies, governments and insurers dip into databases rich with personal medical information.
Just how accessible these records should be is a question coming before the United States Supreme Court.
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Baker DW et al, J Am Med Inform Assoc, 2011
Objective
We have reported that implementation of an electronic health record (EHR) based quality improvement system that included point-of-care electronic reminders accelerated improvement in performance for multiple measures of chronic disease care and preventive care during a 1-year period. This study examined whether providing pre-visit paper quality reminders could further improve performance, especially for physicians whose performance had not improved much during the first year.
Design
Time-series analysis at a large internal medicine practice using a commercial EHR. All patients eligible for each measure were included (range approximately 100-7500).
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