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“OASIS, a Boston-based international consortium that develops e-business standards, has formed a technical committee to standardize how health care providers and payers exchange privacy policies, consent directives and authorizations. The goal is to have standard formats for the exchange of this data to further interoperability of information systems.”
Article
Health Data Management, 9 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
“Personalized medicine has just begun to alter health care in fundamental and profound ways. Genetic tests have already become mainstream practice for some cancers in identifying treatment strategies. And as an indication of what the future might hold, genetic analyses indicate that asthma, hypertension and Alzheimer’s have many genes in common. But before we can take full advantage of available genetic information, there are four factors we need to address: the electronic health record, reimbursement, privacy practices, and provider and patient education. These are in addition to the progress in medical science needed to understand the specifics of the relationships among our genome, the environment and our health.”
Article
John Glaser, HHNMostWired, 1 October 2008
“From a tool that was once predominantly used by radiologists, speech recognition is now enjoying much wider usage. All over Europe, hospitals and even regional networks are introducing the technology in order to improve the documentation workflow. According to Marcel Wassink, Managing Director of Philips Speech Recognition Systems, and Robert Thornton, the company’s Commercial Director, speech recognition could also be used as a vehicle to support cross-border interoperability in Europe.”
Article
HealthTech Wire, 24 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
“The State Alliance for e-Health, made up of governors and state officials from across the country, is calling on states to support e-prescribing and address medical privacy and security issues in order to boost healthcare IT.”
Article
Bernie Monegain, Healthcare IT News, 23 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
“A GP who has pioneered record sharing between GP and community teams wants to see local service providers giving interoperability a higher priority.
Dr Kambiz Boomla’s practice was the first surgery in London to trial EMIS Web, the common clinical record system from GP IT supplier EMIS. But he says plans to interoperate with hospital systems have so far failed to happen.”
Article
e-Health Insider Primary Care, 16 September 2008
“Peter Neupert is Corporate Vice President, Health Solutions Group, at Microsoft, which is charging into the personal health record field with HealthVault. After the recent spat of articles and editorials in Health Affairs debating health IT strategy, I was eager to hear Peter’s view on the “standards first?” controversy and how Microsoft sees the emerging consumer health world.”
Article
Malorye Allison, World Health Care Blog, 16 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
“The HIMSS Global Enterprise Task Force (GETF) was asked to investigate efforts to implement electronic health record (EHR) in a host of countries around the world. GETF looked at a battery of Electronic Health Record (EHR) components within each country, including security, quality, financing sources and barriers to adoption. Four common threads that affect EHR implementation and produce a kinship between every effort around the globe were identified:
· Funding
· Governance
· Standardization and interoperability
· Communication
Local and nationwide efforts to realize EHR systems were intermittently reported in all the countries we studied. When analyzing these efforts, the common threads listed above helped to explain the success, barriers or implementation failures experienced in each country.”
Report
HIMSS, August 2008
“Electronic health record implementations are affected by four common factors across the globe, according to a task force of the Healthcare Information and Management Systems Society.
The 16-member Global Enterprise Task Force reviewed EHR implementations at healthcare IT centers in 15 countries in North America, Europe, Asia Pacific and the Middle East.”
Article
Chip Means, Healthcare IT News, 9 September 2008
“Listening to Obama and McCain you realize that some issues have no absolute right answer. Pro-Life v. Pro-Choice, Pro-Gun v. Anti-Gun, Less Government v. More Government etc. Everyone has an opinion and often the emotions run high.
The same thing is true about health care data standards and interoperability, although the stakes are a bit lower than life and death issues.”
Article
John Halamka, The Health Care Blog, 4 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
“Funded by the Robert Wood Johnson Foundation (RWJF), in collaboration with the California HealthCare Foundation, Project HealthDesign is a $5 million national program of PHR systems. Administered by a national program office at the University of Wisconsin-Madison, Project HealthDesign’s goal is to design and test a variety of PHR tools and applications that work together to help people achieve their various and specific health goals in an integrated fashion.
The program is supported by the Foundation’s Pioneer Portfolio, which funds innovative projects that can lead to breakthrough improvements in the future of health and health care.”
Report
Sujansky & Associates, LLC, Project HealthDesign, August 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
“German e-health specialist InterComponentWare (ICW) has been selected by US health network Coventry Health Care to provide the infrastructure for a home monitoring programme.
ICW will provide the interoperability platform and infrastructure technology for Coventry Health’s telemonitoring pilot program.”
Article
e-Health Europe, 27 August 2008
“Thomson Reuters and CareEvolution are working together to deliver an alternative to the chronological medical record — an application that groups patient data by disease or medical episode. The web-based Medical Episode Groupe’ provides current patient information — logically organised, at the point of care — to help physicians make sound medical decisions and enhance disease management and quality of care.”
Article
BJHC&IM, 22 August 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.”
Article
Robert M. Kolodner, Simon P. Cohn, and Charles P. Friedman, Health Affairs, 19 August 2008
“Developer of global healthcare standards, Health Level Seven, has announced the release of Version 3 Normative Edition 2008, a globally-defined suite of specifications based on HL7’s Reference Information Model.
Article
e-Health Europe, 18 August 2008
“Congress had asked the Department of Defense and the Veterans Affairs Department to use a common electronic health record (EHR) system because their respective systems, AHLTA (Armed Forces Health Longitudinal Technology Application) and VistA (Veterans Health Information Systems and Technology Architecture), were not interoperable.”
Article
Patty Enrado, NHIN Watch, 18 August 2008
“Massachusetts Gov. Deval Patrick (D) has signed legislation mandating hospitals and community health centers to implement interoperable electronic health records systems by Oct. 1, 2015, as a condition of their state license.”
Article
Health Data Management, 13 August 2008
“Congress should provide tax breaks and other incentives to help small physician practices buy and maintain electronic health record, or EHR, systems, said a family physician who testified before the House Committee on Small Business here on July 31.”
Article
James Arvantes, AAFP News, 6 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
“Ingenieros y clínicos deben caminar de la mano para que la interoperabilidad semántica avance, ya que es un campo imprescindible para la actual sanidad que sólo en los dos o tres últimos años ha avanzado realmente. Para que esta progresión siga, e incluso aumente, habrá que fijarse en el coste-beneficio y ver dónde aporta un valor añadido.”
Article (Spanish)
David Rodríguez Carenas, Diario Medico, 30 July 2008
“CCHIT announced yesterday that the blue ribbon PHR Advisory Task Force has released their recommendations for the follow-on PHR Workgroup to use in developing certification guidelines for PHRs. CCHIT will then use these guidelines to certify PHRs in much the way they now are certifying EMRs. Apparently, simply having the HON code is not enough for a PHR and in the future you may see some form of CCHIT certification label on a PHR website as well.”
Article
John Moore, Chilmark Research, 25 July 2008
“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
“Background
Semantic interoperability is a basic challenge to be met for new generations of distributed, communicating and co-operating health information systems (HIS) enabling shared care and e-Health. Analysis, design, implementation and maintenance of such systems and intrinsic architectures have to follow a unified development methodology.
Methods
The Generic Component Model (GCM) is used as a framework for modeling any system to evaluate and harmonize state of the art architecture development approaches and standards for health information systems as well as to derive a coherent architecture development framework for sustainable, semantically interoperable HIS and their components. The proposed methodology is based on the Rational Unified Process (RUP), taking advantage of its flexibility to be configured for integrating other architectural approaches such as Service-Oriented Architecture (SOA), Model-Driven Architecture (MDA), ISO 10746, and HL7 Development Framework (HDF).
Results
Existing architectural approaches have been analyzed, compared and finally harmonized towards an architecture development framework for advanced health information systems.
Conclusion
Starting with the requirements for semantic interoperability derived from paradigm changes for health information systems, and supported in formal software process engineering methods, an appropriate development framework for semantically interoperable HIS has been provided. The usability of the framework has been exemplified in a public health scenario.”
Abstract
Diego M. Lopez and Bernd G.M.E. Blobel, International Journal of Medical Informatics, In Press, Corrected Proof, Available online 14 July 2008, doi:10.1016/j.ijmedinf.2008.05.009
“A sub-group of the European Standardisation Organisations alliance has published a paper warning of gaps and overlaps in existing e-health standards.
The group, known as eHealth-INTEROP, says three types of standard need to be focused on to enable the achievement of interoperability in e-health – base standards, profiles and interoperability specifications.”
Article
e-Health Europe, 16 July 2008
“David Cerino (General Manager for HealthVault) told me a funny story the other day. He was on a panel at the (very cool, I was told) Healthcare Unbound conference with folks from Dossia and Google, and the conversation turned, as it often does, to “standards.” Jerry Lin spoke to the decision to use a modified CCR as the underpinnings of the Google product, and then the moderator turned to David and asked him why HealthVault chose to support the CCD instead.
Of course, David responded that there must be some misunderstanding, because HealthVault supports both the CCR and the CCD — that our approach is to be as inclusive as possible in order to create a comprehensive record. To which the moderator responded (I like to imagine a dramatic courtroom flourish at this point) — “that’s not what David Kibbe says!”
Article
Sean Nolan, Family Health Guy, 13 July 2008
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