Alexandra Wilson Pecci, HealthLeaders Media
“Steven L. Kelley, president and CEO of Ellenville Regional Hospital in Ellenville, NY, admits that he’s a bit “fanatical” when it comes to efficiency.
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Paul Cerrato, InformationWeek
“Garbage in, garbage out is a common expression that’s especially relevant to health IT. The quality of the data that goes into an e-prescribing program or clinical decision support system determines the accuracy of the diagnoses and treatment decisions coming out of your doctors and nurses.
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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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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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NHS Direct
“Patients are being given the tools to help them make informed decisions about their treatments and to encourage a shared decision making process between them and their clinicians.
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Carl Natale, ICD10 Watch
“I’m going to break a bit out of my area to talk briefly about electronic health records (EHR). But there’s a parallel with ICD-10 implementation.
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Klitzman R. JAMA, 304(10)
Increasingly, physicians and patients face dilemmas of whether to exclude genetic information from medical charts, posing critical challenges for practice, research, policy, and education. Physicians and patients are obtaining more genetic information, yet medical records are rapidly becoming electronic, threatening confidentiality. Tensions thus arise between potential medical benefits vs social risks of including information.
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Paul Cerrato, InformationWeek
“A collaboration between the University of Pittsburgh Medical Center (UPMC) and Nuance Communications, makers of Dragon Medical Enterprise, will offer several advantages: Doctors at the hospital can more effectively add information into their electronic medical record (EMR) software, the facility will save on traditional transcription service fees, and on a grander scale, their development agreement will use natural language processing to crunch all this data to improve clinical decision-making.
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Carolyn Bloch, Federal Telemedicine News
“Today, EHRs are not designed to support clinical decision-making since physicians are faced with information overload, time pressures, multi-tasking, and the need to aggregate and synthesize information from disparate sources. Today’s systems serve as a medium for information storage and retrieval but are rarely aligned with mental processes that underlie clinical decisions.
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Brown BC, Hannan A. BMJ, 342
The roundtable discussion on shared decision making cited an “asymmetry of information”—where patients cannot see written details of their treatment—as a barrier.
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The 21st century should become the century of the patient, according to Gerd Gigerenzer, director of the Centre for Adaptive Behaviour and Cognition in Berlin and one of the participants in a BMJ discussion group last month. But how do we make it so? What new skills and what shifts in attitudes do both patients and health professionals need? The Salzburg statement on shared decision making lists various actions in its call for patients and clinicians to work together to be coproducers of health (BMJ 2011;342:d1745, doi: 10.1136/bmj.d1745).
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Gai Elhanan, Healthcare IT News
“The HITECH initiative and the promise of effectively coordinated care are fundamentally based on the adoption of standards as an integral part of the larger adoption of healthcare information technology. Numerous types of standards are being promoted, including messaging standards, secure communication standards and data standards. But perhaps, some of the most important standards are those that are not being enforced.
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chiscosayans, doctordoctores
“Leyendo el informe del Sandetel, Sociedad Andaluza para el Desarrollo de las Telecomunicaciones, llamado Estado del Arte: eSalud & eInclusión, me topé con un punto que me resulta más que interesante, se trata de la Integración de sistemas de recogida y tratamiento de Datos en los modelos de gestión de la salud, o lo que es lo mismo, la consecución de Inteligencia de Negocio.
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Jones JB et al, Translational Behavioral Medicine, 1(1)
Advances in shared decision making (SDM) have not successfully translated to practice. We describe our experience and lessons learned in translating an SDM process for primary care cardiovascular disease management. The SDM process operationalized recognized SDM elements using workflow modifications, a computerized patient questionnaire, an automated risk calculator to identify at-risk patients, a web-based tool for patients to choose interventions, automated feedback on the personalized benefits of choices, and a web-based tool for providers to view patient risk, patient choice, and expert advice. Although medication was typically the intervention resulting in the greatest risk reduction, the majority of patients preferred dietary and other lifestyle changes.
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Ken Terry, FierceHealthIT
“The Office of the National Coordinator of Health IT (ONC) must balance the competing concerns of a wide range of stakeholder groups, including patients, providers, health plans, vendors and government agencies.
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Wang TD et al, Journal of Medical Systems, 2011
Current electronic health record (EHR) systems facilitate the storage, retrieval, persistence, and sharing of patient data. However, the way physicians interact with EHRs has not changed much. More specifically, support for temporal analysis of a large number of EHRs has been lacking. A number of information visualization techniques have been proposed to alleviate this problem. Unfortunately, due to their limited application to a single case study, the results are often difficult to generalize across medical scenarios.
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Richard, World of DTC Marketing
“The hidden costs of U.S. health care for consumers: A comprehensive analysis produced by the Deloitte Center for Health Solutions, in Washington, D.C. had some startling findings on healthcare. First is that consumers are concerned about health-related costs and are acting to avoid higher exposure.
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Anthony Guerra, InformationWeek Healthcare
“The vision of a safe, efficient and cost-effective healthcare system supported by information technology was outlined in a recent Institute of Medicine report, The Learning Health System Series: The Digital Infrastructure.
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Naik AD, Singh H. Medical Decision Making, 30(6)
Background
Processes of communication that guide decision making among clinicians collaboratively caring for complex patients are poorly understood and vary based on local contexts. In this paper, the authors characterize these processes and propose a wiki-style communication model to improve coordination of decision making among clinicians using an integrated electronic health record (EHR).
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Collins SA et al, International Journal of Medical Informatics, 2010
Purpose
Effective interdisciplinary exchange of patient information is an essential component of safe, efficient, and patient-centered care in the intensive care unit (ICU). Frequent handoffs of patient care, high acuity of patient illness, and the increasing amount of available data complicate information exchange. Verbal communication can be affected by interruptions and time limitations. To supplement verbal communication, many ICUs rely on documentation in electronic health records (EHRs) to reduce errors of omission and information loss. The purpose of this study was to develop a model of EHR interdisciplinary information exchange of ICU common goals.
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