Caregivers Are Enthusiastic about Telemedicine
Roger Downey, GlobalMedia
“The suggestion that caregivers are often overlooked when it comes to supporting telehealth programs is perplexing since I have never had that indication.
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Articles
New ONC Initiative Tackles Data Segmenting in HIE
Helen R. Pfister, Susan R. Ingargiola, iHealthBeat
“One of the most challenging issues in electronic health information exchange (HIE) relates to tagging and separating certain pieces of health data from others in an electronic health record.
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Should Patients Get Direct Access to Their Laboratory Test Results? An Answer With Many Questions
Davis Giardina T, Singh H. JAMA. 2011
In the outpatient setting, between 8% and 26% of abnormal test results, including those suspicious for malignancy, are not followed up in a timely manner. Despite the use of electronic health records (EHRs) to facilitate communication of test results, follow-up remains a significant safety challenge.
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Radiologists worried about meaningful use
Bernie Monegain, Healthcare IT News
“In a new survey of 216 radiologists, nearly 40 percent of participants cited concerns about either the lack of clarity in meaningful use guidelines or decreased efficiency as a result of adopting the guidelines.
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The adoption of electronic medical records and decision support systems in Korea
Chae YM et al, Healthcare Informatics Research, 17(3)
OBJECTIVES
To examine the current status of hospital information systems (HIS), analyze the effects of Electronic Medical Records (EMR) and Clinical Decision Support Systems (CDSS) have upon hospital performance, and examine how management issues change over time according to various growth stages.
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UK: NHSScotland’s new eHealth strategy
ePractice EU
“The Strategy contains a foreword by the Cabinet Secretary for Health, Wellbeing and Cities Strategy, and sets out the Scottish Government’s vision for eHealth in 2017. The strategy is ambitious; it has the citizen at its centre; and seeks to build on the significant progress that was made collectively over the course of the last three years.
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Health care delivery: Telemedicine improves care and reduces costs
Miles Ellenby, Oregon Live
“California recently passed legislation expanding the use of telemedicine that has the potential to save the state’s Medicaid program several hundred million dollars. These impressive savings could be achieved by using two-way audio-video technology for home monitoring of heart failure and diabetes patients, according to an analysis done for the Center for Connected Health Policy in Sacramento.
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Alert: Lawrence Weed, father of the Problem Oriented Medical Record, looks ahead
e-Patient Dave, e-patients.net
“The excellent ICMCC daily newsletter just alerted me to this item from Permanente Journal: Interview with Lawrence Weed, MD – The Father of the Problem-Oriented Medical Record Looks Ahead.
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Five Strategies to Tackle ICD-10
Baldwin G. Health Data Management Magazine, 19(12)
To summarize, fear of the costs, complexity and numerous unknowns of a transition to ICD-10 have many on the industry on edge.
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Good Things to Say About ICD-10
Changing to ICD-10 diagnosis and procedure coding is a nail-biter for I.T. staff, health information managers, billing departments, and pretty much anyone who has to document anything about patient care.
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Keeping the EHR Machine Running
Goedert J. Health Data Management Magazine, 19(12)
Rockford (Ill.) Orthopedic adopted electronic health records in a phased go-live during late 2006 and early 2007. The practice’s 21 physicians now do very little dictation; they document most clinical notes via EHR templates.
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10 Most read articles week 20 November 2011
Lodewijk Bos, ICMCC
- Studies of HIT impacts report mixed results
- Social Media, Data Privacy Issues to Dominate Health Care in 2012: PwC
- Patient expectations in the digital world. Tallinn 2010
- Methodologies for assessing telemedicine: A systematic review of reviews
- Health Care Providers Prefer Tablets Over Cloud Computing
Interview with Lawrence Weed, MD- The Father of the Problem-Oriented Medical Record Looks Ahead
Jacobs L. The Permanente Journal, 13(3)
I first met Lawrence Weed, MD, in 1972 when I was a third-year medical student at the University of Vermont. To this day I remember his passion for a disciplined approach to medical record documentation to optimize the care provided to each individual patient. Now, 35 years later, I was privileged to meet with Dr Weed at his home in Vermont. We discussed when he first was alerted to the nonscientific approach clinicians use to make decisions on patients.
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Review of health information technology usability study methodologies
Yen P-Y, Bakken S. J Am Med Inform Assoc, 2011
Usability factors are a major obstacle to health information technology (IT) adoption. The purpose of this paper is to review and categorize health IT usability study methods and to provide practical guidance on health IT usability evaluation. 2025 references were initially retrieved from the Medline database from 2003 to 2009 that evaluated health IT used by clinicians. Titles and abstracts were first reviewed for inclusion. Full-text articles were then examined to identify final eligibility studies. 629 studies were categorized into the five stages of an integrated usability specification and evaluation framework that was based on a usability model and the system development life cycle (SDLC)-associated stages of evaluation. Theoretical and methodological aspects of 319 studies were extracted in greater detail and studies that focused on system validation (SDLC stage 2) were not assessed further.
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The challenges in making electronic health records accessible to patients
Beard L et al, J Am Med Inform Assoc, 19(1)
It is becoming increasingly apparent that there is a tension between growing consumer demands for access to information and a healthcare system that may not be prepared to meet these demands. Designing an effective solution for this problem will require a thorough understanding of the barriers that now stand in the way of giving patients electronic access to their health data.
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Exploiting time in electronic health record correlations
Hripcsak G et al, J Am Med Inform Assoc, 2011
Objective
To demonstrate that a large, heterogeneous clinical database can reveal fine temporal patterns in clinical associations; to illustrate several types of associations; and to ascertain the value of exploiting time.Materials and methodsLagged linear correlation was calculated between seven clinical laboratory values and 30 clinical concepts extracted from resident signout notes from a 22-year, 3-million-patient database of electronic health records. Time points were interpolated, and patients were normalized to reduce inter-patient effects.
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Telemedicine and remote management of heart failure ? Authors’ reply
Anker SD et al, The Lancet, 378(9806)
We agree with Alexander Clark and David Thompson about the complexity of telemedicine and remote patient management interventions and that in many cases “interventions with the same label are not the same interventions”. Hence we proposed the concept of “four generations of telemedicine” in our Review. We maintain that the effectiveness of telemedicine and remote patient management in heart failure is not established.
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Telemedicine and remote management of heart failure
Inglis SC et al, The Lancet, 378(9806)
We commend Stefan Anker and colleagues on their excellent Review of telemonitoring in chronic heart failure (CHF) and on their proposed classification of telemedical remote management systems according to the type of data transfer, decision ability, and level of integration.
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Telemedicine and remote management of heart failure
Clark AM, Thompson DR. The Lancet. 378(9806)
“Everything works” or “nothing works”: clinicians often grapple with these dichotomous and non-qualified conclusions in systematic reviews. Seldom does this occur in the same paper.
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Physician Assistants Are Ideal Leaders for EHR Implementation (Part II)
Peter Igneri, Physicians Practice
“So why might you look for a physician assistant in your organization to help with your EHR planning? One of the best reasons is that a PA is neither nurse nor doctor. Nurses and doctors can have a love-hate relationship. Pushing their influence too far in either direction is probably not healthy for your organization. It is one of the most difficult jobs to balance the needs of these two large groups.
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