Katherine Rourke, EMR and EHR
“Here’s some interesting and potentially important news. According to some recent news items, it seems that Mayo Clinic investigators are putting the finishing touches on a suite of tools which can identify and sort medical data contained in any electronic medical record.
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Margalit Gur-Arie, On Healthcare Technology
“So the New York Times is throwing its hat into the Electronic Health Records (EHR) usability debate, mixing up terminology to reach a predetermined conclusion, as is customary in modern media coverage. The story starts with a blazing inferno in 1904 Baltimore and ends with a categorical statement from a highly credentialed source naming usability the “single greatest impediment to physician acceptance”.
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Wes Rishel, Gartner
“Another interpretation might be that IHTSDO would map any given version of SNOMED to a specific version of ICD-11 and distribute ICD-11 along with SNOMED. Careful attention to the exact version of ICD-11 that was in use could permit using the SNOMED ontologies to manipulate data expressed in ICD-11.
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Wes Rishel, Gartner
“There is not yet enough science to determine the one right way to do user interfaces. I doubt that there is enough science to objectively conclude trade-offs between, for example, being able to see everything at once that is on a printed cover sheet vs. using smaller or less costly devices.
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Laurie Orlov, Aging In Place Technology Watch
“Evolving technology for an aging population – is evolving. Most who are in and around the tech and aging market would agree that this market is s-l-o-w-l-y emerging, offering up fairly complex tech, equally complex sales channel structures, and a pricing model that begs for (but doesn’t get) insurance reimbursement. Research centers (like Stanford’s or the MIT AgeLab) and consortia like LeadingAge contemplate the tech futures of helpful robotics, smart homes, devices to shore up memory loss, and cars that could take the worry out of whether we can see, hear, or hold a wheel well enough to drive, never mind remember where we are going.
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Lodewijk Bos, ICMCC
With the introduction of electronic medical record (EMR) systems into the primary care sector the collected data become available for purposes beyond individual patient care, i.e. chronic disease management, prevention and clinical performance evaluation. However EMR systems are primarily designed to support clinical tasks, and physicians focus on the treatment of individual patients.
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Petrie KJ et al, British Journal of Health Psychology, 2011
Objective.
While effective preventative medication is readily available for asthma, adherence is a major problem due to patients’ beliefs about their illness and medication. We investigated whether a text message programme targeted at changing patients’ illness and medication beliefs would improve adherence in young adult asthma patients.
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Sahm L et al, Pharmacy World & Science, 31(6)
OBJECTIVE
Low levels of adherence to medication are commonly reported in chronic medical conditions. Empirical evidence suggests that patients are willing to accept pharmacist interventions to improve adherence. This study aimed to assess the levels of self-reported adherence to antidepressant medication in the community and to investigate the acceptability of text message reminders to self-reported unintentional non-adherers.
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Hahn KA et al, American Journal of Medical Quality, 26(4)
The adoption of electronic medical records (EMRs) in ambulatory settings has been widely recommended. It is hoped that EMRs will improve care; however, little is known about the effect of EMR use on care quality in this setting. This study compares EMR versus paper medical record documentation of basic health history and preventive service indicators in 47 community-based practices. Differences in practice-level documentation rates between practices that did and did not use an EMR were examined using the Kruskal-Wallis nonparametric test and robust regression, adjusting for practice-level covariates.
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Oleg Bess, Hospital Review
“The window of opportunity is shortening quickly for hospitals and physicians to comply with meaningful requirements of certified electronic health records. Traditional EHRs typically require 12 to 18 months to implement. This gives hospitals about a year and medical practices 15 months to deploy and learn to use an EHR before their 90-day Stage 1 reporting period begins in early July 2012 and Oct. 2012, respectively.
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David Hill, Singularity Hub
“The British have a long history of bravely venturing off into the unknown, and with cloud computing as their new frontier, they are forging ahead yet again. A hospital in the UK is testing a pilot program that has the capacity to host all electronic health records for patients on a cloud platform, placing control over medical information into the hands of its patients.
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David More, Australian Health Information Technology
“I find this a useful summary of just what NEHTA is thinking and to possibly get a handle on what is coming down the pike.”
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Steve Lohr, The New York Times
“Technical standards may seem arcane, but they are often powerful tools of economic development and social welfare. They can be essential building blocks for innovation and new industries. The basic software standards for the Web are striking proof.
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John DeGaspari, Healthcare Informatics
“At the Healthcare Financial Management Association’s ANI conference in Orlando last month, I had an opportunity to listen to a presentation by Daniel Marino, president of Heath Directions, an Oakbrook Terrace, Ill., consultancy, who spoke on the use of physician electronic health records to drive financial integration. Marino is a firm believer that EMRs will improve healthcare quality, but he also sees hurdles for both physician practices and hospitals before that goal becomes a reality.
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Katherine Rourke, EMR and EHR
“I just caught a blog post by the indefatigable Fred Trotter (a high-profile Open Source guy focused on HIT) which raised an important issue. In his article, Trotter argues credibly that once a healthcare organization implements an EMR, its records are more or less incompatible with standard paper records.
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Shea Steinberg, EHR Bloggers
“Electronic Medical Records paint a pretty picture for health researchers and scientists looking to mend the damages done to public care. In the past we relied on Medicaid and other federal health programs to provide us with data but with the influx of web-based EHRs, we can extract important information within minutes rather than relying on Medicaid claims which have recently been proven to be less effective for health research.
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Kimberly Okazaki, EHR Bloggers
“Managing chronic disease is a challenge for both doctors and patients. According to the CDC, seven out of 10 deaths among Americans each year are from chronic diseases like stroke, heart disease and diabetes. In 2005, 133 million Americans suffered from at least one chronic illness – that’s around one out of every two adults. The numbers are scary, but the thought of trying to properly manage chronic disease for such a huge number of patients is even scarier.
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Nicole Lewis, InformationWeek Healthcare
“As IBM pairs its technology with biomedical research, the company announced Friday that it has successfully teamed with Coriell Institute for Medical Research to provide storage hardware and data management software that supports the research of human genetic diseases.
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The MedBonsai
“Here is where Second Life a free 3D virtual world where users can socialize and connect, could have an important role in medical education. Imagine the following scenario. You read about treatments for Diabetic Ketoacidosis, Respiratory Failure, STEMI, Pulmonary Edema, Heart Failure etc you name it. Once you read about it instead of having your usual, boring and annoying test your test becomes a 3d Virtual game where you get to exercise your knowledge.
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