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HIM and Health IT

“Health information management and health information technology are disciplines with completely different functions; however, the two disciplines are striving to find common ground with the emergence of increasing volumes of electronic data. HIM and health IT are finding that the scope and responsibilities of individual job functions are increasingly crossing department domains.
This convergence is occurring at different rates in different healthcare facilities, based on a variety of factors such as organizational size, culture, infrastructure, and degree of electronic health record (EHR) adoption. However, there is a universal need for alignment between the two disciplines to ensure that both business processes and technology are in place to advance successfully toward a fully functional EHR. This practice brief outlines how HIM and health IT can find common ground in an electronic healthcare environment.”
Article
AHIMA, Journal of AHIMA 79, no.11 (November–December 2008): 69-74

Tagged: , , and ; posted on Monday, November 3rd, 2008 at 8:45 pm
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Elektronische Gesundheitskarte: USB-Sticks werden getestet

“Die mit der Einführung der elektronischen Gesundheitskarte (eGK) betraute Projektgesellschaft Gematik wird die Einsatzmöglichkeiten von USB-Sticks in der telematischen Infrastruktur testen. Die Speicherstäbchen mit einem Fassungsvermögen von mehreren Gigabyte könnten als Alternative zur “Server-gestützten Datenspeicherung” von Versichertendaten genutzt werden. Dies gab die Bundesärztekammer in einer Presseerklärung bekannt.”
Article (German)
Detlef Borscher, Heise Online, 18 October 2008

Tagged: and ; posted on Monday, October 20th, 2008 at 9:02 am
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‘EPD, Clip of Chip?’

“Tegenwoordig zijn er legio mogelijkheden om patiënteninformatie op te slaan. Naast de ouderwetse hard copy dossiers zijn er nu ook digitale patiëntendossiers. Sinds dit jaar is het UMC in Maastricht met de Cardiostick op de markt gekomen en zelfs de Hollandsche Eenheidsprijzen Maatschappij Amsterdam, beter bekend als de HEMA, heeft al een Medistick.”
Article (Dutch)
Sivera Berben en Tom van de Belt, Medicalfacts.nl, 8 October 2008

Tagged: and ; posted on Wednesday, October 8th, 2008 at 8:51 pm
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Goldmine of Personal Medical Information the NHS is Giving Away

“I warned of the dangers of having everyone’s medical records on one huge computer. Now it is reported that the records of NHS patients could be handed over to private companies.
They would be a goldmine for companies who could use them for medical research, helping to sell products to the NHS or, more sinister, checking on the health of employees.”
Article
Denise Robertson, iStockanalyst, 7 October 2008

Tagged: ; posted on Wednesday, October 8th, 2008 at 8:35 pm
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E-health is a key facilitator for reform

“The future of healthcare in Europe is being shaped by e-Health and Sweden has had huge successes in this area. It is this excellence in e-health that has led to Sweden being given the responsibility, along with 11 other member states, of developing e-health within the European Union. Public Service Review asked the Head of e-Health at the Swedish Ministry of Health and Social Affairs to describe his country’s technologically advanced healthcare systems.”
Article
Public Service Review: European Union Issue 16, 7 October 2008

Tagged: , and ; posted on Tuesday, October 7th, 2008 at 7:49 pm
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Google Health en Microsoft Health Vault Persoonlijk zorgdossier nuttige aanvulling op EPD

“Al jaren kunnen patiënten zelf medische gegevens vastleggen, bijvoorbeeld via internet of op een USB-stick. In sommige systemen voor patiënten kunnen ook gegevens vanuit de computer van hun zorgverlener worden geladen. Tot nu toe worden dit soort oplossingen slechts op beperkte schaal gebruikt. Doordat vorig jaar grote ICT-spelers als Microsoft en Google aankondigden ook producten op dit gebied te gaan leveren, is de aandacht hiervoor snel toegenomen. De generieke naam die het meest gebruikt wordt is Personal Health Record (PHR). Sommigen zien hierin de oplossing voor goede overdracht van gegevens in de gezondheidszorg. De invoering van een landelijk EPD zou hiermee in hun ogen zelfs overbodig worden.
De vraag rijst wat we nu werkelijk van deze ontwikkeling kunnen verwachten. In dit artikel worden de overwegingen op een rij gezet. Belangrijkste conclusie: het is niet of-of maar en-en.”
Article (Dutch)
Nictiz, 17 September 2008

Tagged: , and ; posted on Friday, September 26th, 2008 at 8:13 am
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Defense health record database growing too big

“A Defense Department database of electronic health records is growing so fast that it is showing signs of collapsing under its own weight, prompting information technology managers to consider dividing the storage load among regional data centers, Military Health System officials told Nextgov.”
Article
Bob Brewin, NextGov, 24 September 2008

Tagged: ; posted on Thursday, September 25th, 2008 at 8:06 pm
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PHRs Need to be More than Data Stores

“There are seemingly countless PHRs in the market with an extremely wide range of capabilities. However, even in the PHR market, the 80/20 rule applies.
In this case, 80% of the PHRs are simply data repositories, a place where the consumer enters the usual information such as demographic profile, meds, allergies, immunizations, insurer, etc. into various templates. Beyond this basic data entry/repository, there is almost always some syndicated content to tap into and maybe a couple of tools such as a BMI calculator or a health risk assessment (HRA).  That’s about it.”
Article
John Moore, Chilmark Research, 12 September 2008

Tagged: and ; posted on Saturday, September 13th, 2008 at 9:10 am
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E-Card: Meinungen prallen aufeinander

“Unterschiedlicher hätten die Bewertungen zur E-Card nicht sein können: Während Ärztevertreter in Hamburg weiter vor der Karte warnten, kam ein optimistischer Ausblick aus Kiel.”
Article (German)
Ärzte Zeitung, 10 September 2008

Tagged: , and ; posted on Wednesday, September 10th, 2008 at 8:39 pm
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First London NHS care records rollout causes ‘chaos’ - report

“The first London rollout of the new version of a key care records system, which went live in June at the Royal Free Hospital in Hampstead, has caused “chaos” according to a local newspaper report.”
Article
Leo King, Computerworld UK, 6 August 2008

Tagged: , and ; posted on Thursday, August 7th, 2008 at 7:02 am
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Kansas health agency will get a window into its data

“The Kansas Health Policy Authority has awarded a $4 million contract to Thomson-Reuters for the creation of a virtual data warehouse that will allow the authority to examine patterns of health care and costs in the state.
The warehouse, known as the Data Analytic Interface, will include data from the state’s Medicaid Management Information System, the state employees health benefits program, the Kansas Health Insurance Information System and the state workers compensation program. These programs cover about 1 million of the state’s 2.7 million residents.”
Article
Nancy Ferris, Government Health IT, 5 August 2008

Tagged: and ; posted on Thursday, August 7th, 2008 at 6:30 am
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Storing the Data Deluge

“If two trillion filing cabinets—or one billion terabytes—sounds like too much data to deal with, brace yourself. According to industry experts, health care data is increasing at such a rapid rate that by 2010, medical centers will need to be equipped to hold this massive volume of information. This exponential growth of data is straining storage and long-term archiving resources, says IBM’s Dr. Richard Bakalar, chief medical officer.”
Article
Cindy Atoji, Digital Healthcare & Productivity, 29 July 2008

Tagged: , and ; posted on Wednesday, July 30th, 2008 at 8:33 am
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Momentum builds for internet medical-records sites

“Medical patients in Washington soon will have the means to store and control access to their medical records electronically in a new online depository called a “health record bank,” which promoters say will improve the efficiency and quality of health care and eventually restrain its growing cost.
The South Sound Health Communication Network, in Tacoma, plans to have the first complete health record bank in the state up and running by the second quarter of next year.”
Article
Peter Neurath, Puget Sound Business Journal, 11 July 2008

Tagged: ; posted on Monday, July 14th, 2008 at 9:46 pm
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New Kind of Dashboard Emphasizes Collaboration Among Vendors

“Originally, a dashboard was a screen in front of a vehicle to deflect dirt, water, mud and snow. As vehicles evolved, “dashboard” came to mean the array of dials and gauges that kept track of the vehicle’s workings.
Enter the next permutation of the word: A 21st century IT dashboard is a computer-driven interface that gathers, organizes and presents information in easy-to-read, digestible form. Data are often displayed in graphic format, presenting a series of charts and gauges similar to a 20th century dashboard.
In health care, one of the most common uses of dashboard technology is for comparison — comparing clinical results of treatments, comparing hospital performance, comparing health plan offerings.
In the competitive world of health insurance, data for dashboard comparisons are usually delivered in a vacuum: Companies A, B and C provide information on their terms, in their language, and whoever is receiving the information has to make sense of it.”
Article
George Lauer, iHealthBeat, 7 July 2008

Tagged: , , and ; posted on Tuesday, July 8th, 2008 at 9:25 am
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IT company lists top 10 healthcare IT initiatives

“Healthcare IT company Logicalis has developed a list of the top 10 information technology initiatives that have the attention of hospitals and other healthcare organizations across the country.
Data storage is the No. 1 driver for many of these IT initiatives, Logicalis executives say.”
Article
Bernie Monegain, Healthcare IT News, 7 July 2008

Tagged: and ; posted on Monday, July 7th, 2008 at 6:56 pm
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The Patient as the Platform

“Yet for me the chance of getting pancreatitis was 1-in-1. Could we have known that? I believe we could have made a more educated guess than the 1-in-20 template alone provided. The fault there is partly mine, because I knew (and cared) more about myself than the medical system did, and there were possible risk factors which, in retrospect, I should have flagged. But I trusted the system. Thus I found what I should have known first: that the system is built to treat templates, not the pile of combined oddities and typicalities that comprise a sixty-year-old human being.”
Article
Doc Searls, Linux Journal, 24 June 2008

Tagged: , , and ; posted on Tuesday, June 24th, 2008 at 8:03 pm
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GPs vote to halt Care Record Service development

“GP representatives overwhelmingly backed a motion to call a halt to development of the NHS Care Records Service at the BMA’s annual Local Medical Committees conference on Friday.
LMC representatives backed a motion expressing no confidence in the government’s ability to store electronic patient records safely.”
Article
e-Health Insider Primary Care, 16 June 2008

Tagged: , and ; posted on Monday, June 16th, 2008 at 7:39 pm
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Enterprise Image Management

“To me, the basic components of a medical record are Problems, Medications, Allergies, Notes/Reports, Lab/Micro Results, and Radiology results including images. Of all of these, image exchange between different vendor systems and among organizations is the most problematic. Standards exist to transmit the outputs of CT, MRI, Ultrasound and digital xray machines to PACS systems, but most vendors customize or extend the standards to meet their own proprietary needs. Sharing images among providers is essential for coordination of care and efficiency. The path forward to enable image sharing across vendors, modalities, and imaging technologies is not entirely clear.”
Article
John Halamka, Life as Healthcare CIO, 4 June 2008

Tagged: and ; posted on Wednesday, June 4th, 2008 at 7:56 pm
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Do you want others to have access to your medical records?

“Do you want others to have access to your medical records?
Half of all GPs will consider refusing to put patient records automatically on to a new national database in defiance of the government, a survey finds.
The Guardian newspaper poll of 1,026 GPs and hospital doctors found many doubted the security of the new system.
Four out of five thought the confidentiality of their patients’ records would be at risk.”
Article
Heena R Modi, 31 May 2008

Tagged: , , and ; posted on Sunday, June 1st, 2008 at 12:39 pm
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NHS must rethink central patient record plan: Analysts

“Would patient smartcards have been a better option?
The NHS should rethink the idea of a central database, IT industry commentators have said in a damning outlook for the £12.4 billion National Programme for IT.”
Article
Leo King, Computerworld UK, 30 May 2008

Tagged: and ; posted on Saturday, May 31st, 2008 at 6:43 am
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Fast. Forward. Finland. – Setting the eHealth benchmark

“There are 21 hospital districts for specialized care in Finland, of which – let’s keep it simple - 100% are using Electronic Medical Record Systems. The saturation point was in 2003 when 90% of the hospitals had adopted EMR solutions, while the 50% mark had been passed back in 1999.”
Article
HealthTech Wire, 8 May 2008

Tagged: , , and ; posted on Friday, May 9th, 2008 at 8:45 am
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Microsoft Explains HealthVault Strategy

“With comparisons to both Microsoft’s Xbox platform and the PayPal online payment platform, Microsoft aims to correct common misperceptions about its HealthVault platform.
Grad Conn, Healthcare and Life Sciences senior director for global consumer strategy, Microsoft, addressed attendees at Microsoft’s Health and Life Sciences Developer Conference held April 22 through 24 in Atlantic City to explain that Microsoft is pioneering a new technology category with Microsoft’s recent Amalga and HealthVault launches.”
Article
Sharon Linsenbach, eWeek.com

Tagged: and ; posted on Friday, April 25th, 2008 at 7:28 am
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The Wisdom of Patients - Social Media In Health Care

“Social media on the Internet are empowering, engaging, and educating health care consumers and providers. While consumers use social media — including social networks, personal blogging, wikis, video-sharing, and other formats — for emotional support, they also heavily rely on them to manage health conditions.
The Internet has evolved from the information-retrieval of “Web 1.0” to “Web 2.0,” which allows people who are not necessarily technologically savvy to generate and share content. The collective wisdom harnessed by social media can yield insights well beyond the knowledge of any single patient or physician, writes report author Jane Sarasohn-Kahn. The outcome of this development is “Health 2.0” — a new movement that challenges the notion that health care happens only between a single patient and doctor in an exam room.
Using examples, this report describes how the Web is becoming a platform for convening people with shared concerns and creating health information that is more relevant to consumers. Social networks, ranging from MySpace to specific disease-oriented sites, are proliferating so rapidly that new services are already under development to help health consumers navigate through the networks.
The report details how innovative collaborations online are changing the way patients, providers, and researchers learn about therapeutic regimens and disease management. It examines the benefits and concerns regarding Health 2.0 and it also includes an extensive listing of health media resources.
According to the report, the growing demand for transparency will drive the evolution of social media in health. A growing array of tools will become available that are increasingly mobile, as well as personal health data storage in commercial products like Microsoft Health Vault, Google Health, and others. The author concludes that the ongoing demands of a consumer-driven health marketplace will inspire innovation in applications that integrate clinical, financial, and ratings information.”
Report
Jane Sarasohn Kahn, THINK Health for California Healthcare Foundation, April 2008

Tagged: , , , , , , and ; posted on Thursday, April 24th, 2008 at 10:43 pm
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Designing the Ideal Electronic Health Record

“Yesterday, I keynoted a Veterans Administration meeting via teleconference (part of my effort to reduce travel, improve my carbon footprint, and be increasingly virtual) on the topic of designing the ideal electronic health record.”
Article
John Halamka, Life as a Healthcare CIO, 23 April 2008

Tagged: , , , and ; posted on Wednesday, April 23rd, 2008 at 9:03 pm
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New FP7 eHealth Project - MEDNet

“MEDNet Project will develop a medical network that addresses the problems of providing health care from a distance. The medical network will be supported by expert physician located in urban cities of Latin America. The medical applications will be vary from gynaecology, paediatric, cardiology to typical infectious diseases for the region such as malaria and tuberculosis.”
Article
eHealthNew.eu, 21 April 2008

Tagged: , , , and ; posted on Tuesday, April 22nd, 2008 at 8:41 am
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Tectonic Shifts in the Health Information Economy

“In a recent shift in the health information landscape, large corporations are seeking an integral and transformative role in the management of health care information. The mechanism by which this transformation is likely to take place is through the creation of computer platforms that will enable patients to manage health data in personally controlled health records (PCHRs). Two types of large corporations are involved. Technology companies such as Google and Microsoft see business opportunities, whereas Fortune 100 companies in their role as employers securely store, access, augment, and share their own copy of electronic health information. Though this shift in the locus of control of health information is driven largely by a need to provide assistance with clinical care processes, it will also profoundly affect the biomedical research enterprise. We illustrate this shift with a two-part scenario in which a patient fills her PCHR with data from multiple sites of care and then participates in research.”
Article
Kenneth D. Mandl and Isaac S. Kohane, NEJM, Volume 358:1732-1737, April 17, 2008, Number 16

Tagged: , , , , , , and ; posted on Thursday, April 17th, 2008 at 8:47 am
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Warning on Storage of Health Records

“In an article in The New England Journal of Medicine, two leading researchers warn that the entry of big companies like Microsoft and Google into the field of personal health records could drastically alter the practice of clinical research and raise new challenges to the privacy of patient records.”
Article
Steve Lohr, The New York Times, 17 April 2008

Tagged: , , and ; posted on Thursday, April 17th, 2008 at 8:37 am
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EMC Information Infrastructure Cornerstone of National Patient Record Archive

“Finland’s Electronic Patient Record Archive Stores Medical Data of 5.3 Million Finnish Citizens, Radically Boosts Efficiency of the Entire National eHealth System.
EMC Corporation, the world leader in information infrastructure solutions, announced today that the Social Insurance Institution of Finland (KELA) has selected an EMC(R) information infrastructure solution to build one of the world’s first centralized national patient record archives to keep the most essential digital information protected, secure and continuously available.
With 300,000 user licenses, the end-to-end architecture consisting of EMC Documentum(R), EMC Symmetrix(R) and EMC Centera(R) provides all critical information management solutions, including content management, storage and archiving, in an architecture designed to support extremely large data volumes.”
Article
PRNewsWire, 17 March 2008

Tagged: , and ; posted on Monday, March 17th, 2008 at 9:41 pm
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E-medicine: It has strong devotees, but privacy issues slow growth of valuable programs

“With the click of a computer mouse, Nashville businessman Doug Smith can see his personal health records, including medical lab results, and communicate by e-mail with his doctors at Vanderbilt University Medical Center.
That access came in handy recently when Smith saw a mention in radiology test results that indicated spots on his thyroid could be cancerous. He alerted his doctor, who had e-mailed him the report, and the proper treatment was started immediately.”
Article
Getahn Ward, The Tennessean, 16 March 2008

Tagged: , , , , and ; posted on Monday, March 17th, 2008 at 11:42 am
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Businessmen Create Device That Holds Medical Information

“Having already pushed floppy disks and zip drives into obsolescence, USB flash drives could soon replace another device past its prime: The medical bracelet. And one Lakeland startup plans to help spur the transition.”
Article
Kyle Kennedy, The Ledger, 13 March 2008

Tagged: , and ; posted on Friday, March 14th, 2008 at 8:36 pm
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