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“Efforts to recruit 200 primary-care physician practices for a federally funded electronic health records demonstration project have been hampered by two hurricanes, but officials hope to meet the goal by the Nov. 26 deadline.”
Article
Ted Griggs, Advocate Business, 9 October 2008
“To promote the adoption and meaningful use of health information technology, and for other purposes.”
Preliminary bill text
US House of representatives
“The Centers for Medicare and Medicaid Services has released an electronic prescribing guide for clinicians at its National e-Prescribing Conference in Boston.
“A Clinician’s Guide to Electronic Prescribing,” unveiled Tuesday, is designed to meet the needs of two target audiences.”
Article
Molly Merrill, Healthcare IT News, 7 October 2008
“Chilmark Research published a “PHR Market Report, Analysis and Trends” - the Executive Summary is available for free (with sharing of your details). In their blog commentary they make an relevant point.”
Article
Nick van Terheyden, Accelerating Adoption of Healthcare IT, 6 October 2008
“With a few keystrokes, Andrew Catanzaro, an internist with Aurora Advanced Healthcare, can call up a patient’s medical problems, test results, prescriptions and medical history.
He will know if a woman has a family history of ovarian cancer or if a man’s father died of abdominal aortic aneurysm — information that once may have been buried or even missing from a paper chart.
He will get reminders if the patient is due for a test and warnings if a new prescription may interact with another drug.”
Article
Guy Boulton, Milwaukee Journal Sentinel, 4 October 2008
In my last blog entry I concluded that there seems to be some confusion in The Netherlands on the structure and functioning of EHRs, especially concerning patient access. In an extended article, Martijn Hulst gave last week an overview of the issues concerning implementation and adoption of EHRs in The Netherlands. Some of his points:
He concludes that it should not be a matter of ICT professionals, as it is now, but a strategic issue, concerning all stakeholders (politics, insurers, medical professionals, hospitals, patients), almost certainly requiring a major paradigm shift. September 30, an article appeared in Qure, saying that Nictiz (the Dutch National Institute for Healtcare ICT) has made a secret plan to start a pilot in patient record access as soon as possible. According to the article there remain a number of concerns:
The proposed alternative to give patients access to the LSP would be to use the Digital ID number (DigID), already used by about half of the population. However, this procedure (log in on a central website with the use of the DigID, receive a confirmation SMS message with a code which gives access to the LSP) is considered of medium safety by the CBP. Nor is clear which data the patients will be able to see as there is only a small number of providers connected to the LSP.
During the last couple of years I have often talked and written about the fact that the concept of a separate EHR and PHR is fundamentally wrong. In Europe, nobody has experience with commercial PHRs, only the Americans do. It is therefore good to keep a close watch to what their reactions are, a couple of months after the introduction by Google and Microsoft. I was glad to read what Bruce Friedman had to say:
“I have come to the conclusion that there is very little future for the so-called untethered PHRs, which is to say web-based stand-alone PHRs. The only ones that will thrive are those with links to hospital EMRs such that some of the medical information contained in the hospital electronic records can be replicated to the tethered PHRs.”
Vince Kuraitis came to a similar conclusion recently, however, as I have said in the Im-Patient Blog, you can discuss the way EHRs and PHRs are joined. In my view, and I wrote and said it many times, most recently in the article “The Impatient Patient“, both should be one integral record:
“a container of links to all medical information about the citizen stored at hospitals, GP practices, pharmacies, independent lab and exam facilities, etc., together with the input from devices, paramedics. The citizen must be able to add his input (comments, over-the-counter-drug use, lifestyle, etc.), to make corrections as well as to decide who is going to see which part of his data and if/how his de-identified data will be used.”
It seems, the Dutch are making a step in the right direction.
Lodewijk Bos
Tagged: adoption and phr ; posted on Saturday, October 4th, 2008 at 11:37 am“The comment below from a vendor is interesting, as he comments on the fact that a physician can make an extra $125,000 in 5 years, well some family care practice doctors today in California would like to just be making that in one year, as all the recent contracts with insurance companies are getting more stringent and mal practice certainly is not going down, salary is what is left after the bills are paid.”
Article
The Medical Quack, 1 October 2008
“The Certification Commission for Healthcare Information Technology (CCHIT) has found that momentum is building behind incentives for physicians to adopt EHRs in their medical practices.
In the commission’s first search for programs that have sprung up to subsidize physician adoption of health IT over the past two years, the commission found 90 initiatives in the public and private sectors.”
Article
HealthImagng, 25 September 2008
“The director of the U.S. Office of Health IT Adoption explains why it’s so hard to get doctors to go digital.”
Article
Emily Singer, Technology Review, 26 September 2008
“The Certification Commission for Healthcare Information Technology (CCHIT) announced today results of a survey that shows momentum is building to financially coax physicians into adopting electronic health records (EHRs).
The Commission reported over $700 million in funding programs have sprung up in the past two years to subsidize healthcare IT adoption.”
Article
Diana Manos, Healthcare IT News, 25 September 2008
“I’m here today at my alma mater, MIT to attend Technology Review’s annual conference, EmTech (short for emerging technologies). And why am I attending an event that appears to have little relevance to healthcare? Well, there is one session this afternoon addressing EMRs and another tomorrow on personalized medicine, but those are periphery to my real reason to attend.”
Article
John Moore, Chilmark Research, 24 September 2008
“The United States government and private sector payers must become more involved in the adoption of electronic health records if America is to catch up to adoption rates in leading nations, according to the co-author of a new global study of EHR adoption.”
Article
Joe Vanden Plas, WTN News, 24 September 2008
“Zorgverzekeraars Nederland (ZN) en de Nederlandse Patiënten Consumenten Federatie (NPCF) hebben de afgelopen dagen met verbazing kennis genomen van het verzet van de Landelijke Huisartsen Vereniging (LHV) tegen de landelijke invoering van het Elektronisch Patiëntendossier (EPD).”
Article (Dutch)
Huisarts Vandaag, 25 September 2008
“Health systems nationwide are in varying stages of implementing personal health record applications. The thought is that the technology can provide clinicians with a gold mine of data that will be helpful in improving both efficiency and care quality, while providing consumers with the tools necessary to take a more active role in their health care. Despite the benefits, resistance remains.”
Article
Kate Ackerman, iHealthBeat, 24 September 2008
“At a Live Chat today with Dr. Jason Hwang co-author of The Innovator’s Prescription: A Disruptive Solution for Health Care, (Sponsored by the World Healthcare innovation and Technology Congress) I asked him how he saw the recent and fast paced developments in mobile phone applications and technology having an impact on health care.”
Article
Fred Fortin, AJFortin.com, 23 September 2008
“The following is a statement and advisory from Medsphere Systems Corporation.”
Article
Marketwire, 22 September 2008
“While hospitals are evaluating strategies to help physicians purchase electronic medical records (EMRs) following recent federal regulatory changes, they are proceeding cautiously, according to findings from the Center for Studying Health System Change’s (HSC) 2007 site visits to 12 nationally representative metropolitan communities. Hospital strategies to aid physician EMR adoption include offering direct financial subsidies, extending the hospital’s ambulatory EMR vendor discounts and providing technical support. Two key factors driving hospital interest in supporting physician EMR adoption are improving the quality and efficiency of care and aligning physicians more closely with the hospital. A few hospitals have begun small-scale, phased rollouts of subsidized EMRs, but the burden of other hospital information technology projects, budget limitations and lack of physician interest are among the factors impeding hospital action. While it is too early to assess whether the regulatory changes will spur greater physician EMR adoption, the outcome will depend both on hospitals’ willingness to provide support and physicians’ acceptance of hospital assistance.”
Issue brief
Joy M. Grossman, Genna Cohen, Center for Studying Health System Change, September 2008
“Is Health 2.0 in demise or not?
This is an opinion column followed by a lively discussion, including a comment from Matthew Holt.
My comment: I don’t think it is.”
Article
Ted Eytan MD, 18 September 2008
“As the 2008 Scientific Assembly of the American Academy of Family Physicians got under way Wednesday, a healthcare IT expert with the organization said there was a “renewed focus” on IT in the family practice setting.
Jason Mitchell, MD, assistant director of the AAFP’s Center for Health Information Technology, said AAFP-affiliated family practice physicians are beginning to “move beyond” discussions about IT adoption and implementation, and are instead talking about how best to utilize healthcare IT tools.”
Article
Richard Pizzi, Healthcare IT News, 18 September 2008
“On Monday, House Ways and Means Health Subcommittee Chair Pete Stark (D-Calif.) introduced a bill designed to create a nationwide system of electronic health records, CongressDaily reports.
Under the bill, physicians who use an approved EHR system would be eligible for up to $40,000 over five years in Medicare incentive payments, while hospitals could receive several million dollars. Eventually, the Medicare incentive payments would be phased out, and Medicare reimbursements would decrease for health care providers that do not use an approved EHR system.”
Article
iHealthBeat, 16 September 2008
“House Ways and Means Health Subcommittee Chair Pete Stark (D-Calif.) this week plans to introduce a bill intended to encourage nationwide adoption of electronic health record technology that will include a provision to impose penalties on health care providers who fail to do so, CQ Today reports.”
Article
Medical News Today, 11 September 2008
“We fully agree with Carol Diamond and Clay Shirky that deployment of health information technology (IT) is necessary but not sufficient for transforming U.S. health care. However, the recent work to advance health IT is far from an exercise in “magical thinking.” It has been strategic thinking. To illustrate this, we highlight recent initiatives and progress under four focus areas: adoption, governance, privacy and security, and interoperability. In addition, solutions exist for health IT to advance rapidly without adversely affecting future policy choices. A broad national consensus is emerging in support of advancing health IT to enable the transformation of health and care.”
Abstract
Robert M. Kolodner, Simon P. Cohn and Charles P. Friedman, Health Affairs, 27, no. 5 (2008): w391-w395, doi: 10.1377/hlthaff.27.5.w391
“One of the biggest obstacles to expanding the use of information technology (IT) in health care may be the current narrow focus on how to stimulate its adoption. The challenge of thinking of IT as a tool to improve quality requires serious attention to transforming the U.S. health care system as a whole, rather than simply computerizing the current setup. Proponents of health IT must resist “magical thinking,” such as the notion that technology will transform our broken system, absent integrated work on policy or incentives. The alternative route to transforming the system sets all of its sights on the destination.”
Abstract
Carol C. Diamond and Clay Shirky, Health Affairs, 27, no. 5 (2008): w383-w390, doi: 10.1377/hlthaff.27.5.w383
“Some of the country’s top CEOs identified the adoption of electronic health records among their top legislative priorities Thursday as they called on Congress and the president to take care of “unfinished business”.”
Article
Bernie Monegain, Healthcare IT News, 5 September 2008
“It is a widely accepted notion that a more streamlined health care system can reduce medical errors and save providers, payers and patients frustration, time and money. Even more widely accepted is that information technology is critical to improving the delivery, quality and efficiency of health care. So, with all this agreement, why aren’t we getting there faster?”
Article
Robin Thomashauer, iHealthBeat, 1 September 2008
“Consumers may actually resist electronic health records, fearing they’re not quite safe.
While some studies suggest it will be consumer demand that drives the adoption of electronic health records, a recent Harris Interactive poll found a large percentage of consumers believe their records will not be secure in electronic form. Consumers were asked to respond yes or no to certain questions about electronic records crime.”
Article
AMedNews, 3 September 2008
“To improve quality and efficiency and reduce errors and unnecessary treatments across the healthcare system, the National Quality Forum (NQF) has endorsed nine new national voluntary consensus standards for health information technology (HIT) in the areas of electronic prescribing, electronic health record (EHR) interoperability, care management, quality registries, and the medical home. These HIT structural measures are intended to help providers assess the efficiency and standardization of current HIT systems and identify areas where additional HIT tools can be used.”
Article
PRNewswire, 29 August 2008
“This is a Getting Started resources discussing the Slow Adoption Rate of EMR.
This discussion between Robert Gleeman and Mark Anderson, CEO of the AC Group, Inc. discusses the slow adoption rate of EMR and delves into some of the reasons behind why Doctors are not using EMR as actively as they could. This interview is also provided as a written transcription below.”
Article
Nick Harrington, EMRUpdate, 23 August 2008
“The road to connected health care is paved with complex conversations. Hospital leaders strategize with the board, bargain with vendors and negotiate with physicians, all with the goal of using information technology to improve the quality, safety and efficiency of care. To introduce an ambulatory electronic medical record, hospitals and physicians often need to talk their way from conflicting agendas to common ground. And when working with a vendor, honest communication about expectations and deliverables is needed to lay the foundation for a fruitful partnership.”
Article
Jane Jeffries, HHNMostWired, 20 August 2008
“The journal Health Affairs released yesterday three papers that address issues revolving around HIT adoption. Quick synopsis follows with my views in italics.”
Article
John Moore, Chilmark Research, 20 August 2008
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Some light behind the dikes?
Posted 4 Oct 2008
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