DH keen to press ahead with telehealth, says adviser
Pulse
“GPs are set for a ‘significant change’ in the way they manage patients with long-term conditions, according to the lead investigator of a DH trial of telemedicine in primary care.
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Articles
Managing the personal side of health: how patient expertise differs from the expertise of clinicians
Hartzler A, Pratt W. J Med Internet Res, 13(3)
BACKGROUND
When patients need health information to manage their personal health, they turn to both health professionals and other patients. Yet, we know little about how the information exchanged among patients (ie, patient expertise) contrasts with the information offered by health professionals (ie, clinician expertise). Understanding how patients’ experiential expertise contrasts with the medical expertise of health professionals is necessary to inform the design of peer-support tools that meet patients’ needs, particularly with the growing prevalence of largely unguided advice sharing through Internet-based social software.
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Changing the script
e-Health Insider
“It is now more than a decade since auditors first called for the NHS to take up e-prescribing to reduce errors and deliver efficiencies. Until recently, progress was slow. But the past two years have seen a slew of implementations, tenders and boards considering business cases.
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Planned implementations of ePrescribing systems in NHS hospitals in England: a questionnaire study
Crowe S et al, JRSM Short Reports, 1(4)
OBJECTIVES
To describe the plans of English NHS hospitals to implement ePrescribing systems. DESIGN AND SETTING Questionnaire-based survey of attendees of the National ePrescribing Forum.
PARTICIPANTS
A piloted questionnaire was distributed to all NHS and non-NHS hospital-based attendees. The questionnaire enquired about any completed or planned implementation of ePrescribing systems, the specific systems of interest, and functionality they offered.
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Legal conference highlights EHR complexities
Jeff Rowe, Healthcare IT HITECHWatch
“Anyone who doubts the complexity of the HIT transition should talk to a lawyer.
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Health IT savings plan coming together
Randal Jackson, Computerworld NZ
“Not long after National came into government, Health Minister Tony Ryall identified $700 million in savings to be made in the public health sector. Nearly three years on, some of the changes that are expected to lead to those savings are coming into play.
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EPD kan doorstart maken
Nu.nl
“Een aantal koepelorganisaties van huisartsen en apothekers concludeert dat het Elektronisch Patiënten Dossier (EPD) toch kan worden ingevoerd.
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The Consent Model For the PCEHR Needs To Be Sorted Out Correctly. We See Some Odd Allies on A Different View.
David More, Australian Health Information Technology
“There seems to be no doubt that if opt-in is chosen that adoption will indeed be very slow indeed.
At the very least, before opt-out is considered, there does need to be the proper infrastructure, including NASH, in place and the education of users of all sorts needs to be fully implemented and delivered.
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How the Center for Body Computing fits in
Neil Versel, mobihealthnews
“As MobiHealthNews reported last week, the University of Southern California Center for Body Computing wants to become the “epicenter of wireless health.”
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Congress: How’s FCC doing on mobile health oversight?
Brian Dolan, mobihealthnews
“After two years of research and a joint effort between groups of security experts working at separate academic institutions, a professor and a graduate student showed attendees at hacker conferences Black Hat and Defcon how to build a “cheap” $1,000 system to mimic the control mechanism on a pacemaker.
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Ontario Telemedicine Network expands into homes
Technology for Doctors Online
“The Ontario Telemedicine Network (OTN) is adopting web-based technology to create a tele-home care system that will interoperate with its existing video conferencing network, thereby extending the reach of its telehealth services into patient homes. OTN expects to roll out the new network to thousands of patients and providers throughout the province over the next three years.
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Public Health pilot connects with Electronic Medical Records
Rosie Lombardi, Technology for Doctors Online
“Doctors still use paper and fax to share data with Public Health authorities, but recent pandemics have underscored the need to automate data collection. To this end, the Public Health Agency of Canada (PHAC) ran a pilot during the second wave of the H1N1 pandemic (Oct 2009 to May 2011).
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ONC tests metadata standards through state HIEs
Mary Mosquera, Government Health IT
“The Office of the National Coordinator for Health IT is testing the use of certain metadata standards in pilots with Indiana and Montana through the state health information exchange program.
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Australia to build national health records infrastructure
Adrienne Valdez, Asia Pacific Futuregov
“Health Minister, Nicola Roxon has commissioned a consortium, led by Accenture, to build Australia’s Personally Controlled Electronic Health Records (PCEHR) system.
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Comparison of user groups’ perspectives of barriers and facilitators to implementing electronic health records: a systematic review
McGinn CA et al, BMC Medicine, 9
BACKGROUND
Electronic health record (EHR) implementation is currently underway in Canada, as in many other countries. These ambitious projects involve many stakeholders with unique perceptions of the implementation process. EHR users have an important role to play as they must integrate the EHR system into their work environments and use it in their everyday activities. Users hold valuable, first-hand knowledge of what can limit or contribute to the success of EHR implementation projects. A comprehensive synthesis of EHR users’ perceptions is key to successful future implementation. This systematic literature review was aimed to synthesize current knowledge of the barriers and facilitators influencing shared EHR implementation among its various users.
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Kaiser Permanente’s experience of implementing an electronic medical record: a qualitative study
Scott JT et al, BMJ, 331(7528)
OBJECTIVE
To examine users’ attitudes to implementation of an electronic medical record system in Kaiser Permanente Hawaii.
DESIGN
Qualitative study based on semistructured interviews.
SETTING
Four primary healthcare teams in four clinics, and four specialty departments in one hospital, on Oahu, Hawaii. Shortly before the interviews, Kaiser Permanente stopped implementation of the initial system in favour of a competing one.
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Health identifier pointers launched
Gary Culliton, Irish Medical Times
“Recommendations for ‘unique health identifiers’ for healthcare practitioners and organisations have been issued by the Health Information and Quality Authority (HIQA).
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How social media has changed my medical practice
Natasha Burgert, KevinMD
“Last summer, I joined millions of others in the deluge of social media. I committed one year of effort to see if social would enhance or distract from my pediatric practice.
That was my goal, just one year.
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Metadata and Patient Data: How Useful Would it Be?
John Cushman, Solany
“It seems the buzz this month is around The Office of the National Coordinator for Health Information Technology, or ONC, and it’s push for data standards. More specifically, metadata and its importance to Health Information Exchange, Electronic Medical Records, and possibly insight into stage 2 meaningful use regulations.
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Single vocab standard for each EHR reporting domain seen as ‘momentous’
Mary Mosquera, Government Health IT
“The Health IT Standards Committee has endorsed a single set of vocabulary standards and a single guide for putting them in place for each area of quality reporting measures, an accomplishment that some individuals and groups have been working on for 10 years. The domains include medications, labs and allergies.
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