e-Patient Dave, e-patients.net
“What are we waiting for, people?? Imagine if doctors were able to access all of our records, or at least those of us who opt in, so your doctors (your kids’ doctors, your mom’s) can go beyond the limitations of peer reviewed literature – and provide better care. Make better use of their training and experience.
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Don Fluckinger, Health IT Pulse
“This time, House, M.D. fans, it was lupus. The article “Evidence-Based Medicine in the EMR Era” published in the Nov. 10 issue of the New England Journal of Medicine might have read like a House television script, but it was a real-life glimpse of what the most optimistic health IT advocates are hoping will become commonplace in U.S. health care: Mining EHR data to arrive at treatment decisions.
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Frankovich J et al, N Engl J Med, 2011
Many physicians take great pride in the practice of evidence-based medicine. Modern medical education emphasizes the value of the randomized, controlled trial, and we learn early on not to rely on anecdotal evidence. But the application of such superior evidence, however admirable the ambition, can be constrained by trials’ strict inclusion and exclusion criteria — or the complete absence of a relevant trial.
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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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Ano Lobb, EHR Bloggers
“In a recent issue of the Annals of Internal Medicine, Don Berwick of CMS and Carolyn Clancy of AHRQ discuss how the challenges of translating evidenced-based findings into practice can stand in the way of improving health care safety and quality. Perhaps more than in any other field, the social, physical, environmental and cultural context within which medicine is practiced can have a huge impact on outcomes.
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Tom Lewis, iMedicalApps
“Statistics from the 2011 National Diabetes Fact Sheet (link here) show that the prevalence of diabetes in the U.S. is 8.3% or 25.8 million people. In 2007, the total cost of diagnosed diabetes in the U.S. alone reached $174 billion. It is clear that diabetes is a major healthcare issue in modern medicine.
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Pauline W. Chen, The New York Times
“Researchers from Archimedes Inc., a San Francisco-based health care company, applied complex mathematical models to the electronic medical records of almost 3,000 hypertensive patients who had been followed for over a decade.
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William Hersh, Informatics Professor
“The first part of 2011 has brought a number of publications, and subsequent discussion, about the “evidence base” for the efficacy of biomedical and health informatics interventions, including electronic health records.
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David More, Australian Health Information Technology
“As a consequence of a series of recommendations in the Final Report to Government of National Health and Hospitals Reform Commission (NHHRC) in 2009 the subsequent Commonwealth Budget allocated almost half a billion dollars over two years to make a PCEHR available to all citizens who wanted one by July 2012.
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Healthcare IT News
“Three major health organizations, the American Cancer Society, American Diabetes Association and American Heart Association/American Stroke Association, have collaborated to create a quality improvement program aimed at improving outpatient care nationwide. Working with electronic health records providers from around the country, the program will provide doctors with the ability to easily gather, access and report on important data that can ultimately lead to improved care and outcomes for patients.
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Grady B et al, Telemedicine and e-Health, 17(2)
This document is an educational tool to aid practitioners in meeting the practice guidelines set forth in companion document, ATA’s Practice Guidelines for Videoconferencing-Based Telemental Health (TMH). The evidence-based document provides the reader with an analysis of current published literature and documents qualitative and qualitative research focused on video-conferencing-based mental health services and telemedicine/telehealth.
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Epstein BA et al, Journal of the Medical Library Association, 98(3)
Question:
What is the process of developing a clinical information tool to be embedded in the electronic health record of a very large and diverse academic medical center?
Setting:
The development took place at the University of Pittsburgh Health Sciences Library System.
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Patty Enrado, EHRWatch
“I read an editorial by a veteran physician assistant based in Pickens, N.C., who is a long-term user of EMRs. He has recognized the clinical and financial benefits of health IT and is definitely a physician champion.
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Wu AW et al, Health Affairs, 29(10)
Comparative effectiveness research generates evidence that helps consumers, clinicians, purchasers, and policy makers make better decisions about health care. Capturing the patient’s perspective is central to this research because it provides a complete picture of treatment impact. This can be done with standardized questionnaires that ask patients to report on their functioning, well-being, symptoms, and satisfaction with care.
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David More, Australian Health Information Technology
“Maybe NEHTA or DoHA could investigate and possibly fund some form of national program to have this information made available to Australian practitioners.
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Dale Sanders, HealthSystemCIO
“Cerner and the British Medical Journal (BMJ) have teamed to provide evidence-based medicine (EBM) embedded in the electronic medical record in a manner that is as exciting and encouraging a development in healthcare IT as anything I’ve ever seen — I repeat, as exciting as anything I’ve ever seen.
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Walsh MN, et al, American Heart Journal, 159(4)
Background
Electronic health records (EHRs) are considered an important technology to improve the quality of health care, yet few data exist regarding their effect on delivery of evidence-based care in the outpatient setting.
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Roni Zeiger, e-patients.net/Huffington Post
“At Health 2.0 in Paris last week, I said: “Data on its own is useless. It’s all about conversations.” Let’s dig into this a bit more.
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Cartreine, James A. et al, Harvard Review of Psychiatry, 18(2)
Computers can be used to deliver self-guided interventions and to provide access to live therapists at remote locations. These treatment modalities could help overcome barriers to treatment, including cost, availability of therapists, logistics of scheduling and traveling to appointments, stigma, and lack of therapist training in evidence-based treatments (EBTs). EBTs could be delivered at any time in any place to individuals who might otherwise not have access to them, improving public mental health across the United States.
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Mark Hagland, Healthcare Informatics
“The folks at Children’s Hospital of Pittsburgh don’t just parrot the party line about using actionable data to optimize patient care; they live the creed.
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