La bitácora de Fran Sánchez Laguna
“Del interesantísimo debate que se está generando en la entrada “La historia clínica en los tiempos de la sanidad híbrida“, quiero compartir con vosotros un vídeo que nos muestra la HCE vasca que enlazó Alfredo Alday (@alfrealday).
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Jeff Byers, CMIO
“The American Medical Association (AMA) House of Delegates voted today to work vigorously to stop implementation of ICD-10, a coding set that has about 69,000 codes and will replace the 14,000 ICD-9 diagnosis codes currently in use.
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El cuaderno de bitácora de Fran Sánchez
“Me parece especialmente interesante el informe del Departamento de Salud Estadounidense al que hacen referencia sobre sus brechas de seguridad que han afectado a más de 500 individuos. Me parece fundamental la transparencia con la que tratan el asunto y os recomiendo que le echéis un vistazo a la tabla dinámica en la que podéis ver y ordenar los eventos a vuestro gusto.
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Reda Chouffani, Meaningful Health Care Informatics Blog
“This week senators Mark Kirk (R-Ill.) and Ron Wyden (D-Ore.) and Representatives Jim Gerlach (R-Pa.) and Earl Blumenauer (D-Ore.) introduced a bill that would require the issuance to all Medicare members smart card. In the bill become law physician practices and practitioners would be required to have a membership card.
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Don Fluckinger, SearchHealthIT
“My name is Don Fluckinger. My pals and work colleagues will likely confirm that I am, er, a unique individual.
Last I checked, I’m the only Don Fluckinger on Facebook, which makes me a popular guy, a conduit for all the John Smiths I went to school with looking to friend our mutual pal Jim Johnson, but who can’t figure out which one of the thousands Jim Johnsons on Facebook is the right one (or is he James? Or does he still go by his high school nickname, “Flock of Seagulls?”) — until they friend me and access my friend list. Ditto for LinkedIn, Twitter and other social media sites.
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Ruby Raley, AxWay
“Gartner’s Andrew White blogged recently about the importance of managing information in health care, and what struck me is a point he made about the practicality of exchange languages.
The health care industry is warming rapidly to the idea of using technology for exchanging records and improving clinical outcomes. But I think the industry needs to slow down a bit.
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Radecki RP, Sittig DF. JAMA, 306(1)
Since publication of To Err Is Human, electronic health records (EHRs) and related health information technologies have been promoted as means to improve patient safety. This promise remains largely unfulfilled. For instance, whereas EHRs with clinical decision support (CDS) interventions integrated into computerized physician order entry (CPOE) have measurably improved clinicians’ performance on process metrics, their effect on patient outcomes remains unconfirmed.
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El Emam K et al, BMC Medical Informatics and Decision Making,11(1)
BACKGROUND:
The public is less willing to allow their personal health information to be disclosed for research purposes if they do not trust researchers and how researchers manage their data. However, the public is more comfortable with their data being used for research if the risk of re-identification is low. There are few studies on the risk of re-identification of Canadians from their basic demographics, and no studies on their risk from their longitudinal data. Our objective was to estimate the risk of re-identification from the basic cross-sectional and longitudinal demographics of Canadians.
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Anthony Guerra, HealthSystemCIO
“A new report from the Institute of Medicine identifies the most important principles that should guide the establishment of a digital infrastructure “that will support a learning health system at the national level.”
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Sara Jackson, FierceMobileHealthcare
“Creating an app or other mobile technology is only the first step for hospitals hoping to engage their patients on their mobile devices. The second–and just-as-tough–task is to figure out which patients have smartphones, and how they’re using them.
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T.P. Caruso & Associates
“Think about it. I walk into a doctors office and instead of giving my name, I give them a way to access all my medical information that does not release my identity. The doctor, who has read the medical information, meets with me and I respond to his questions. The doctor uses this information to develop a diagnosis and a care plan.
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Brenno de Winter, Webwereld
“Burgers krijgen voorlopig geen toegang via internet tot hun EPD. De methodiek van aanmelden blijkt een te groot beveiligingsrisico. Ondertussen is een goed alternatief nog niet voor handen.
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Joseph Goedert, HDM Breaking News
“The Health Industry Group Purchasing Association and the Association for Healthcare Resource and Materials Management are asking federal officials to consider adoption of two identification standards used in the health care supply chain.
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Bernie Monegain, Healthcare IT News
“The Santa Cruz Health Information Exchange (HIE) is working on its user authentication and identity proofing to ensure patient privacy.
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Fran Sánchez, El cuaderno de bitácora de Fran Sánchez
“Continuando con el artículo de ayer, me gustaría comentar con vosotros un artículo de la excelente web FlashTICSalut en la que se analiza un interesantísimo artículo de la European Journal of ePractice que propone 6 medidas para lograr la interoperabilidad de nuestras historias clínicas electrónicas (HCE).
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Marisa Correcher, Pilar Raro, HospitalDigital
“Uno de los objetivos dentro de las líneas estratégicas del plan de Sistemas de Información del Hospital la Fe, es la implantación y puesta en marcha de un sistema de localización, trazabilidad y seguimiento de pacientes y activos mediante tecnología RFID en el nuevo centro, cuya apertura está prevista para el último trimestre de 2010.
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APISCAM
“Hasta ahora, la identificación de pacientes en los hospitales se había hecho con tecnología activa, la cual presenta inconvenientes como la indefinición a distancias pequeñas (dando problemas de localización) o la necesidad de esterilización de las etiquetas, ya que no soportan procesos como el autoclave.
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Medical News Today
“In today’s world more geographic information is being collected about us, such as where we live, where the clinic we visited is located, and where we work. Web sites are also collecting more geographic information about their users. This location information makes it easier to identify individuals, which can raise privacy concerns when location is coupled with basic demographics and sensitive health information.
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El Emam, Khaled et al, BMC Medical Informatics and Decision Making, 10(1)
Background
A common disclosure control practice for health datasets is to identify small geographic areas and either suppress records from these small areas or aggregate them into larger ones. A recent study provided a method for deciding when an area is too small based on the uniqueness criterion. The uniqueness criterion stipulates that an the area is no longer too small when the proportion of unique individuals on the relevant variables (the quasi-identifiers) approaches zero. However, using a uniqueness value of zero is quite a stringent threshold, and is only suitable when the risks from data disclosure are quite high. Other uniqueness thresholds that have been proposed for health data are 5% and 20%.
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Neil Versel, FierceHealthIT
“Last week in this space, I wrote about the importance of a master patient index or other form of reliable patient identifier as key to making health information exchange work.
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