Joseph Goedert, HDM Breaking News
“Two reporting tools in the Centricity Electronic Medical Record product of GE Healthcare may inaccurately report at least three meaningful use measures, the company has told customers.
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Chris Kaiser, MedPage Today
“Shared, individualized, computerized decision support run through a medical practice’s electronic medical records (EMR) system was well received by physicians and patients, but a recent randomized trial did not show improved vascular outcomes.
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Holbrook A et al, Archives of Internal Medicine, 171(19)
Background
Computerized decision support systems (CDSSs) linked with electronic medical records (EMRs) are promoted as an effective means of improving patient care. However, very few high-quality studies are set in routine, community-based clinical care, and no consistent evidence of an effect on patient outcomes has been found.
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Stafford RS, Romano MJ. Archives of Internal Medicine, 171(19)
Electronic health records (EHRs) are touted as a key strategy for reducing costs and improving quality in our health care system, which are both urgent goals. The shortcomings of our current system are perhaps most apparent in the provision of preventive services. Contrasted with treatment services focused on addressing symptomatic disease, preventive services aim to forestall or decrease future adverse health outcomes and thus improve quality of life, as well as life span.
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Gienna Shaw, HealthLeaders Media
“One of my favorite quotes from last week’s Center for Connected Health Symposium in Boston came from Peter Tipett, MD: “Information technology can reduce cost, increase quality, and advance science,” said the vice president of industry solutions and security practices at Verizon’s business unit. “But other than that it’s not worth it.”
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Kimberly Leonard, iWatch News
“Making electronic record-keeping systems easier for health providers to use can help prevent dangerous or even fatal mistakes, says the draft of a project by the National Institute of Standards and Technology (NIST).
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Mary Mosquera, Government Health IT
“The final rule for accountable care organizations relieved providers from some of the immediate pressures of establishing health IT, but electronic health records and other technologies will be critical to coordinate care to improve quality and lower costs.
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Neil Versel, InformationWeek
“The rapid movement toward electronic health records (EHRs) may unwittingly raise physician risk for malpractice lawsuits and push liability insurers to raise their premiums, a new report suggests.
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Larry Ozeran, Mark R. Anderson, ACGroup
“Health Information Technology (HIT) has a history dating back almost 50 years to its origins in bioinformatics. The earliest HIT pioneers considered how best to encode and store information about patient treatment, but were limited primarily to basic science research projects or managing patients in their own institutions.
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Brian Ahier, Ahier.net
“SK&A, a Cegedim Company, a leading provider of healthcare information solutions and research, recently released its updated “Physician Office Usage of Electronic Health Records Software” (previous report here: “Physician Office Usage of Electronic Health Records Software”) report, which identified the correlation between office size, number of exam rooms and average daily patient volume with the likelihood of EHR adoption.
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Mike Miliard, Healthcare IT News
“IBM has launched a new technology designed to extract relevant clinical information from unstructured data. Based on the same natural language processing technology used in IBM’s Watson, its new Content and Predictive Analytics for Healthcare is aimed at preventing patient readmissions.
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EurekAlert!
“E-counselling can significantly lower blood pressure, improve lifestyle and enhance quality of life, says Heart and Stroke Foundation researcher Dr. Robert Nolan.
“E-counselling has the potential to strengthen the effects of medical treatment for high blood pressure,” Dr. Nolan told the Canadian Cardiovascular Congress, which is co-hosted by the Heart and Stroke Foundation and the Canadian Cardiovascular Society. “We found that it led to an almost double decrease in the blood pressure levels of participants compared to those who did not receive the e-counselling.”
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Bernd DL, Fine PS. Frontiers of Health Services Management, 28(1)
Health systems are moving to implement comprehensive electronic medical record (EMR) systems, or significant pieces of them, in the belief that EMR can be integrated into clinical practice and lead to improved patient outcomes and enhanced safety. There are substantial roadblocks to implementing EMR, including significant cost, the competency needed to implement, the political environment, organization infrastructure and culture, and how organization leaders understand return on investment.
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Bakhshi-Raiez F et al, International Journal of Medical Informatics, 2011
Objective
To evaluate the usability of a large compositional interface terminology based on SNOMED CT and the terminology application for registration of the reasons for intensive care admission in a Patient Data Management System.
Design
Observational study with user-based usability evaluations before and 3 months after the system was implemented and routinely used.
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Claret P-G et al, The American Journal of Emergency Medicine, 2011
Hospitals implement electronic medical record systems (EMRSs) that are intended to support medical and nursing staff in their daily work. Evolution toward more computerization seems inescapable. Nevertheless, this evolution introduced new problems of organization.
This before-and-after observational study evaluated the door-to-first-medical-contact (FMC) times before and after the introduction of EMRS. A satisfaction questionnaire, administered after the “after” period, measured clinicians’ satisfaction concerning computerization in routine clinical use. The following 5 questions were asked: Do you spare time in your note taking with EMRS? Do you spare time in the medical care that you provide to the patients with EMRS? Does EMRS improve the quality of medical care for your patients? Are you satisfied with the EMRS implementation? Would you prefer a return to handwritten records?
Results showed an increase in door-to-FMC time induced by EMRS and a lower triage capacity. In the satisfaction questionnaire, clinicians reported minimal satisfaction but refused to return to handwritten records.
The increase in door-to-FMC time may be explained by the improved quantity/quality of data and by the many interruptions due to the software. Medical reorganization was requested after the installation of the EMRS.
Jay Hill, Community Blog
“Below is a list of the top five things that your executive team needs to know and do to avoid becoming a poster child for the health care data breach flyer.”
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Jackson & Coker Research Associates
“Smartphones and tablets: turns out they’re not just for checking your Facebook wall or sneaking in a quick Angry Birds session. In fact, these digital devices are increasingly in use within the medical world.
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Matthew Knight, CNN
“A new medical invention which harnesses the power of smartphone technology could revolutionize the treatment of heart patients, according to researchers in Switzerland.
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Sjaak Nouwt, KNMG
“Vertrouwen komt te voet en gaat te paard. Intussen regeert de angst. De scheidslijn tussen angst en vertrouwen is erg dun. Ik geef u enkele waar gebeurde voorbeelden.
In de trein zit een man met een (rubberen) zwaard. Tien jaar geleden zou de controlerende conducteur de man hebben gevraagd wat dat is.
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Peter Witonsky, Becker's Hospital Review
“Clinician workflows. IT budgets. It’s easy to understand why hospitals end up integrating a department at a time, or a device-type at a time, on their way to complete electronic medical record integration. But according to an article in the Journal of the American Medical Association, this type of approach is not optimal.
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