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“UK-based communications solutions provider BT has successfully completed the first phase of a pilot project to improve the exchange of information between hospitals, outpatient clinics and general practitioners in the three least developed regions of Hungary.”
Article
Sam Collins, Healthcare IT News.eu, 8 October 2008
“A project involving 12 European countries and supported by the European Commission is taking the lead in ensuring healthcare interoperability in Europe.
The project is akin to the building of a nationwide health information network, or NHIN, that is under way in the United States.
Europe has launched the European Patient Smart Open Services (epSOS) ‘large scale pilot’ on interoperability of national e-health systems, involving 12 EU countries. It is set to run for three years.”
Article
Bernie Monegain, Healthcare IT News.eu, 6 October 2008
“As we have all heard in the certification processes for medical records, the goals to achieve are getting a little tougher, just like designing the software is. Also note the cost of the transaction, 10k, so it is not inexpensive and the EHR software companies have to not only prepare, but bankroll for the cost as well.”
Article
The Medical Quack, 3 October 2008
“Capital Region medical practitioners are preparing to flip the switch on an electronic medical records-sharing network they have spent nearly four years developing.
On Oct. 31, the Health Information Exchange of New York, or HIXNY, will start transmitting patients’ records and prescriptions between three Troy health care operations - Samaritan Hospital, Seton Health and Community Care Physicians.”
Article
James Schlett, Daily Gazette, 2 October 2008
“Rhode Island will build a statewide health information exchange (HIE) as a result of Gov. Don Carcieri Monday signing into law the Rhode Island Health Information Act of 2008.
The state has tasked the Rhode Island Quality Institute, a private agency, to run the voluntary HIE. The institute has received a $5 million federal grant to build the network but will seek additional funding from the state and health insurers, according to the Providence Journal.”
Article
Health Imaging News, 1 October 2008
“Urgent and emergency care providers in England must share more data electronically if they are to improve services, the Healthcare Commission says today.
Its latest report, Not Just a Matter of Time, shows that important information on patient care is often not shared between different parts of the urgent and emergency care system. It says this leaves it fragmented and patients repeating their story to different services.”
Article
e-Health Insider, 26 September 2008
See also:
Healthcare watchdog calls for new drive to improve the system for delivering urgent and emergency care (Healthcare Commission, UK, 26 September 2008)
“The U.S. health care system offers some of the most advanced and effective care in the world, with some of the best-trained providers and most advanced technology. Yet, the United States spends more per capita on health care than any other developed country while often achieving equal or poorer results in terms of health outcomes and access to services.
Health information technology (HIT) and electronic health information exchange (HIE) are critical tools in states’ efforts to transform health care in this country. HIT has strong potential to drive health system improvements, and states have taken steps in recent years to promote widespread use of HIT and enable access to information through electronic exchange.”
Report
State Alliance for e-Health, September 2008
“This document sets forth recommended policies and guidelines governing consumer consent and other safeguards relating to the exchange of personal health information in an electronic, interconnected health care environment. Interoperable health information exchange entails the exchange of patient health information among disparate clinicians, other authorized entities, and patients in real time while ensuring security and privacy. This process is facilitated by Regional Health Information Organizations (RHIOs) in New York. Interoperable health information exchange is essential to realizing the expected value of health information technology (IT) to support patient care improvements.
Consumer consent is an important element in achieving informed and trusted interoperable health information exchange as well as satisfying New York laws and regulations. RHIOs and their participants, and other technology service companies advancing interoperable health information exchange, are expected to implement and/or comply with the consumer consent and related policies outlined in this document. It is important to emphasize that consent policies must be accompanied by privacy and security protections relating to authentication, authorization, access and audit to earn patient trust and enable successful health information exchange. Comprehensive privacy and security policies and procedures will be published in the 4th quarter of 2008.
The policy recommendations set forth in this paper provide a starting point for advancing interoperable health information exchange in a nascent environment. These recommendations are expected to evolve over time. Additionally, the policy recommendations will be supplemented by more detailed operational guidance to support full implementation by RHIOs in New York.”
Draft Report
SCP, HISPC, September 2008
“Investigators from the Regenstrief Institute have led a demonstration of how health information exchange technologies developed and tested regionally can be used to securely share patient information across the nation during an emergency. This work builds on decades of experience in medical informatics and comes less than a year after the Indiana University School of Medicine received a $2.5 million contract from the U.S. Department of Health and Human Services to develop a trial implementation of a Nationwide Health Information Network (NHIN).”
Article
EurekAlert, 23 September 2008
“William Ozzie may be a fictional soldier, but his electronic health record showed how Kaiser Permanente, the Department of Veterans Affairs and private sector providers can seamlessly share information over an interoperable health information exchange. In a critical step towards giving patients and doctors a “health care Internet,” Kaiser Permanente today collaborated with the VA in a unique “wounded warrior” test demonstration of the Nationwide Health Information Network. The scenario showed how physicians could safely and securely share Ozzie’s sample medical history across multiple EHR systems, such as Kaiser Permanente HealthConnect(TM) and the VA’s VistAWeb, to inform medical decisions and deliver high quality care regardless of location or where the health record originated.”
Article
PRNewsWire, 23 September 2008
“Responding to growing evidence that interoperable health information technology (IT) can support improvements in health care quality, safety, efficiency, and outcomes, New York State is making considerable investments in transitioning its health care settings from today’s largely paper-based environment to an electronic, interconnected health care system. Health IT is an element of New York’s health care reform agenda, along with hospital and long-term care restructuring, reimbursement reform, universal coverage, prevention and wellness initiatives among others. These policy initiatives aligned together will transform our health care system and drive improvements in health care quality, affordability and outcomes for all New Yorkers.”
White paper
NY eHealth Collaborative, September 2008
“Jacksonville, Fla. -based Availity and Vienna, Va.-based Prematics have launched a new electronic prescribing service for Florida physicians.
The new service called CarePrescribe is integrated across the Prematics and Availity network platforms, making it accessible through the Availity Health Information Network, a secure online health information exchange, and through a handheld system provisioned by Prematics.”
Article
Molly Merrill, Healthcare IT News, 22 September 2008
“MedPlus has completed a test of patient data sharing among health information exchanges as part of the Nationwide Health Information Network’s trial implementations core content test.”
Article
Health Data Management, 19 September 2008
“Many regional health information organizations and telemedicine applications have fallen short of their potential. But by combining the two forms of technology, Louisiana health care providers are able to improve patient care in the state’s rural areas.”
Article
Jamie Welch, Andrew Hurd, HHNMostWired, 17 September 2008
“The exchange of health information electronically between physicians, hospitals, health plans, and patients is decreasing the cost of care and improving outcomes, according to a new survey released by the non-profit eHealth Initiative today. The 2008 Fifth Annual Survey of Health Information Exchange at the State and Local Levels, which included responses from 130 community-based initiatives in 48 states, shows the significant impact fully operational initiatives are having on improving health care delivery and efficiency.”
Survey
eHealth Initiative, 11 September 2008
“A growing number of providers and health plans surveyed by the eHealth Initiative report a positive return on their healthcare exchange investments, according to eHi’s fifth annual survey, released Thursday.”
Article
Diana Manos, Healthcare IT News, 11 September 2008
“The fear of losing competitive advantage among stakeholders is slowing the development of health information exchanges beyond simple recordkeeping systems, an economist said this week.”
Article
Kathryn Foxhall, Government Health IT, 10 September 2008
“AmeriHealth New Jersey has launched a statewide pilot program that will allow physicians in New Jersey to share patients’ imaging records.
The new initiative, “New Jersey Health Information Exchange (NJHIE),” gives radiologists and other physicians 24-hour electronic access to shared-patient medical imaging records through a secure Web portal.”
Article
Molly Merrill, Healthcare IT News, 8 September 2008
“A North Carolina health information exchange has finished the first phase of an electronic health record project that lets physicians pull up patient data across more than a dozen hospitals.”|
Article
John Moore, Government Health IT, 5 September 2008
“The recently announced merger of Kaleida Health and Erie County Medical Center is an important step in a series of critical changes needed to enhance the quality of care in Western New York. However, we need to take an important physician-driven next step: the implementation of a regionwide medical information exchange connecting physicians, hospitals and insurers.”
Article
Raghu Ram, The Buffalo News Opinion, 5 September 2008
“Randolph Medical Center, a rural critical access hospital in Roanoke, Ala., has launched a project to set standards and create a model for how non-affiliated hospitals can exchange patient data.”
Article
Molly Merrill, Healthcare IT News, 5 September 2008
“HealthBridge, a health information exchange operating in the Greater Cincinnati-Northern Kentucky region, has launched its community e-prescribing application enabling physicians to send prescriptions electronically to area pharmacies.
Article
Bernie Monegain, 27 August 2008
“Back at the beginning of the year, I did a Top Ten Predictions post where one of the predictions was the continued struggles of Regional Health Information Organizations (RHIOs) and the steady rise of Health Information Exchanges (HIEs). Since much of the ballyhooed National Health Information Network (NHIN) is built upon the premise of RHIOs and their success, the NHIN is basically dead in the water.”
Article
John Moore, Chilmark Research, 13 August 2008
“Before connecting with the Indiana Health Information Exchange, physicians at Cardiac Care Associates in Crown Point, Ind., received lab and test results in a way familiar to many practices.
The doctor would send the patient for the test, then wait. And wait. The doctor would call the lab, leave several messages, get placed on hold, and maybe get an answer within a few days. Add in a lost fax or a report placed in the wrong file and it all added up to one big frustration.”
Abstract
Pamela Lewis Dolan, AMNews, 11 August 2008
“Objective
To assess the state of health information technology (HIT) adoption and use in seven industrialized nations.
Design
We used a combination of literature review, as well as interviews with experts in individual nations, to determine use of key information technologies.
Main outcome measures
We examined rates of electronic health record (EHR) use in ambulatory care and hospital settings, along with current activities in health information exchange (HIE) in seven countries: the United States (U.S.), Canada, United Kingdom (UK), Germany, Netherlands, Australia, and New Zealand (NZ).
Results
Four nations (the UK, Netherlands, Australia, and NZ) had nearly universal use of EHRs among general practitioners (each >90%) and Germany was far along (40–80%). The U.S. and Canada had a minority of ambulatory care physicians who used EHRs consistently (10–30%). While there are no high quality data for the hospital setting from any of the nations we examined, evidence suggests that only a small fraction of hospitals (<10%) in any single country had the key components of an EHR. HIE efforts were a high priority in all seven nations but the early efforts have had varying degrees of active clinical data exchange.
Conclusion
We examined HIT adoption in seven industrialized nations and found that many have achieved high levels of ambulatory EHR adoption but lagged with respect to inpatient EHR and HIE. These data suggest that increased efforts will be needed if interoperable EHRs are soon to become ubiquitous in these seven nations.”
Abstract
Ashish K. Jha, David Doolan, Daniel Grandt, Tim Scott and David W. Bates, International Journal of Medical Informatics, In Press, Corrected Proof, Available online 25 July 2008, doi:10.1016/j.ijmedinf.2008.06.007
“Sluggish progress by the departments of Defense and Veterans Affairs in setting up a joint interagency program office to facilitate health information exchange may be seriously hampering the military’s ability to meet congressional mandates in this area.”
Article
Peter Buxbaum, Government Health IT, 29 July 2008
“Microsoft’s HealthVault and McKesson’s RelayHealth will partner their offerings with the goal of providing patients with greater access to physicians and personal health information and physicians with greater access to data to improve patient care.
HealthVault, which allows patients to store, manage and share their personal health records, will use RelayHealth’s Software-as-a-Service platform to enhance its online patient service and communications.”
Article
Molly Merrill, Healthcare IT News, 25 July 2007
“Personal health information networks are likely to prove better models for health data exchange than regional health information organizations, or RHIOs, speakers said Tuesday at a world conference on interoperability in Boston.
The personal health record platforms, such as those provided by Microsoft, Google and Dossia, provide hope for the exchange of health information sooner than could be achieved by RHIOs, said R. Tim McNamar, founder and chief executive officer of e-certus Inc. , at the 3rd Annual Leadership Summit on the Road to Interoperability.”
Article
Bernie Monegain, Healthcare IT News, 23 July 2008
“Het medisch informatieplatform eHealth is vrijdagnamiddag goedgekeurd in de Senaat. Dit tot grote onvrede van de artsen, die vinden dat ze te weinig inspraak hebben gekregen. Volgens senator Vankrunkelsven is het nu aan de minister van Volsgezondheid Onkelinx om in de uitvoering van de wet te luisteren naar de grieven van de artsen.”
Article (Dutch)
Jibbe Van Oost, IT Professional, 18 July 2008
“Sur son site, l’asbym met en ligne un communiqué commun des associations médicales belges à la veille du vote à la chambre. Depuis, la chambre a approuvé eHealth avec certains amendements du MR et l’OpenVLD. L’ABSyM souhaite que la nouvelle loi soit évoquée au Sénat. Si le Sénat modifie le texte, il devra être revoté par la Chambre.”
Article
Soins Infirmiers & Informatique, 14 July 2008
See also:
Wetsontwerp e-health gestemd, Maggie de Block, 14 July 2008
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