Brian Ahier, Healthcare, Technology & Government 2.0
“SK&A’s updated “Physician Office Usage of Electronic Health Records Software” report revealed a significant growth in EHR software adoption during 2011. Findings of the report, which were finalized in January 2012, show overall growth in the EHR implementation, as government initiative deadlines get closer.
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BPC
“Health information technology (IT) plays a critical role in supporting new models of care and payment that are designed to achieve health care’s triple aim: improve health, improve the experience of care for patients and families, and reduce the cost of care. Despite the introduction of IT to nearly every other aspect of modern life, the U.S. health care system remains largely paper-based. Greater use of health IT enjoys bipartisan support.
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Bouhaddou O et al, Journal of Biomedical Informatics, 2012
The increased need for interoperable electronic health records in health care organizations underscores the importance of standards. The US Department of Veterans Affairs (VA) has a long history of developing and adopting various types of health care data standards. The authors present in detail their experience in this domain. A formal organization within VA is responsible for helping to develop and implement standards. This group has produced a Standards Life Cycle (SLC) process endorsed by VA key business and information technology (IT) stakeholders. It coordinates the identification, description, and implementation of standards aligned with VA business requirements.
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Jane Sarasohn-Kahn, Health Populi
“Doctors are using iPads in huge numbers for personal life project management. 80% of doctors are excited about using them in clinical practice. But when it comes to clinical applications, don’t confuse physicians’ desire for mobility with their current use of iPads in everyday practice.
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Dan Bowman, FierceHealthIT
“Despite the complexity associated with computerized physician order entry, such systems can be used on a broad scale by medical facilities to schedule medical imaging exams, a new study focused on such efforts at Boston-based Brigham & Women’s Hospital concluded. What’s more, if properly used, CPOE can decrease inappropriate use of imagining while boosting the quality of patient care, according to the study’s authors.
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Ip IK et al, Journal of the American College of Radiology, 9(2)
Purpose
The aim of this study was to assess whether an integrated imaging computerized physician order entry (CPOE) system with embedded decision support for imaging can be accepted clinically.
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Adam Sharp, KevinMD
“Don’t get me wrong, EMRs (electronic medical records) are inevitable. Over the long-run they are almost certainly good for physicians, patients and the healthcare industry.
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Janet Dillione, Huffington Post
“The adoption of healthcare IT as a means to improve clinical workflow processes and ultimately to improve the delivery of patient care has accelerated.
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Margalit Gur-Arie, KevinMD
“EHRs are not ready for prime time. EHR benefits are questionable and there are documented instances where patients’ deaths were directly attributed to an EHR. EHRs are cumbersome and slow. They are unnecessarily complex and built on very old technology. The people who build EHRs have no concern for the end user and therefore EHR usability is pretty abysmal. And EHRs are expensive to buy and expensive to maintain, not to mention that they can completely derail your practice through loss of productivity.
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Elinore Boeke, HIMSS News
“I recently took my youngest in for a first visit with the new practice, for his 5-year check up. I brought copies of Alex’s immunization and other records from his previous pediatrician, and I traded my insurance card for the familiar clipboard and pages of additional forms to fill out in the waiting room.
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Newsham D et al, ElectronicHealthcare, 10(3)
Significant progress is being made in the clinical adoption of electronic records in hospitals, regions, clinics, communities and jurisdictions across Canada. The goal of such adoption is to enable continuing improvements in patient care quality, safety and effectiveness at a time when the healthcare system faces increasing performance, capacity and sustainability pressures. We know that transformative changes involving the implementation of new information systems and technologies do not occur overnight – adoption is a journey and the realization of the full benefits of our investments will require sustained effort, innovation and continuous learning for health informatics professionals along with our clinical colleagues.
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NYeC
“By the end of 2011, over 10,000 New York State healthcare providers had enrolled into a federally subsidized program that will help them transition from paper to electronic medical records (EMRs), continuing the effort to improve the quality and coordination of care for all patients across the state.
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Vreeman DJ et al, Journal of Biomedical Informatics, 2012
Interoperable health information exchange depends on adoption of terminology standards, but international use of such standards can be challenging because of language differences between local concept names and the standard terminology. To address this important barrier, we describe the evolution of an efficient process for constructing translations of LOINC terms names, the foreign language functions in RELMA, and the current state of translations in LOINC. We also present the development of the Italian translation to illustrate how translation is enabling adoption in international contexts. We built a tool that finds the unique list of LOINC Parts that make up a given set of LOINC terms.
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Dan Bowman, FierceHealthIT
“Researchers have called the effectiveness of web-based interventions in healthcare into question on the heels of a study showing limited use of such features by patients, according to a study published this month in the Journal of Health Communication.
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Nicole Lewis, InformationWeek Healthcare
“While healthcare executive applaud the benefits that health information exchanges (HIEs) can provide–such as improving the quality of clinical reporting and the coordination of care among physicians–the high costs of participating in an HIE is still an impediment, according to a study from healthcare management consulting firm Beacon Partners.
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Jeff Byers, Cardiovascular Business
“Licensing, costs for technology and reimbursement for robotic telemedicine (RTM) continue to impede progress, according to an article published in the January/February edition of Telemedicine and e-Health.
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Paul Cerrato, InformationWeek
“The main reason the public doesn’t sign up for PHRs en mass is they don’t really care that much about their health. Yes, concerns about security and privacy and the reluctance of providers to share patient information slow things down, but at its core this is about apathy.
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David Lee Scher, mHIMSS
“Medicine as an establishment is known to adopt significant changes slowly, whether it relates to practice itself, new technologies or other practice tools or the emergence and acceptance of new specialties. This may be due to divergence of clinical opinions, economic considerations or an inherent skepticism of physicians.
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Kutney-Lee A, Kelly D. The Journal of Nursing Administration, 41(11)
The aim of this study was to examine the effect of having a basic electronic health record (EHR) on nurse-assessed quality of care, including patient safety. Few large-scale studies have examined how adoption of EHRs may be associated with quality of care. A cross-sectional, secondary analysis of nurse and hospital survey data was conducted. The final sample included 16,352 nurses working in 316 hospitals in 4 states.
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Sabrina Rodak, Becker's Hospital Review
“People who have grown up using technology, or “digital natives,” tend to adopt technology, at least initially, for different reasons compared to those who are new to technology, or “digital immigrants,” according to Ryan Sandefer, chair of the health informatics and information management department, and Shirley Eichenwald-Maki, assistant professor in the department at College of St Scholastica in Duluth, Minn. “Digital natives are more willing to use [HIT] for technology’s sake,” Mr. Sandefer says. “Digital immigrants are more interested in how this will help them.”
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