2008 Identity Management Trends in Healthcare SurveyHealthcare IT Study Finds Mobility and Convenience Key to Productivity
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Thursday, May 29, 2008
Healthcare IT Study Finds Mobility and Convenience Key to Productivity
Austria's path toward nationwide electronic health...[Methods Inf Med. 2008] - PubMed Result
Austria's path toward nationwide electronic health...[Methods Inf Med. 2008] - PubMed Result: "After describing similar activities in several other countries, the authors explore the current situation of healthcare telematics and imminent steps toward the implementation of a lifelong EHR."
EU: eHealth Action Plan Progress report 2005
This progress report describes the main results of a first year of work since the publication of the eHealth Action Plan (2004): activities undertaken in 2005 by the European Commission and Member States together. The report reveals that there has particularly been a very close cooperation between the Commission services and the members of the i2010 subgroup on eHealth.epractice.eu
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The Health Care Blog: A Google Health Clinical Exam
The Health Care Blog: A Google Health Clinical Exam: "Not one more pixel need be spilt about the issues of privacy, security, HIPAA, metastatic data, third-party crashers, or corporate imperial overreach raised by the debut of Google Health. Let’s just snap on the latex gloves and do a quick exam."
SEEDIE.ORG - Society for Exorbitantly Expensive and Difficult to Implement EHR?s
SEEDIE.ORG - Society for Exorbitantly Expensive and Difficult to Implement EHR?s: "SEEDIE, the Society for Exorbitantly Expensive and Difficult to Implement EHR’s, is a healthcare IT standards organization that is completely funded and operated by a select group of proprietary electronic health record vendors."
Bill would let pharmacies sell medical records
Bill would let pharmacies sell medical records: "Pharmacies in California would be allowed to sell confidential patient prescription information to third-party marketing firms working for drug companies under a bill expected to be voted on Thursday by the state Senate."
The Health Care Blog: Vision for hospital's future HIT
The Health Care Blog: Vision for hospital's future HIT:
"We will lead the country in interoperable electronic health records
"We will lead the country in "social networking tools" for health care.
"We will use a combination of personal health records, electronic health records, and social networking tools to ensure continuity of care among all stakeholders in our community by 2011.
"We will lead the country in interoperable electronic health records
"We will lead the country in "social networking tools" for health care.
"We will use a combination of personal health records, electronic health records, and social networking tools to ensure continuity of care among all stakeholders in our community by 2011.
Medical Data Breaches Put Patients at Risk - CIO.com - Business Technology Leadership
Twenty-one of the 101 of the breaches tracked so far this year by information security group Attrition.org occurred at health care organizations.Medical Data Breaches Put Patients at Risk - CIO.com - Business Technology Leadership
Beyond The Efficiency Index: Finding A Better Way To Reduce Overuse And Increase Efficiency In Physician Care -- Greene et al., 10.1377/hlthaff.27.4.w
Beyond The Efficiency Index: Finding A Better Way To Reduce Overuse And Increase Efficiency In Physician Care -- Greene et al., 10.1377/hlthaff.27.4.w250 -- Health Affairs: "Current strategies for addressing health care costs stress physician performance measurement and commonly use an efficiency index (EI). During seven years of conducting individual practitioner pay-for-performance (P4P), we found that using EIs hindered our work on reducing overuse of services. This paper offers an alternative approach through the identification of variation in key cost drivers. As proof of concept, we apply this model to hypertension care. We then describe a project that decreased apparent overuse of fiberoptic laryngoscopy among otorhinolaryngologists. Focusing directly on reducing overuse improves cost efficiency without the barriers imposed by EI methodology."
E-Script Advocates Respond to AMA
"the May 22 letter to Congress from pharmacy, hospital, physician, insurer and vendor organizations contends that the lack of additional standards [cited by the AMA] presently is not a barrier to physician e-prescribing adoptionE-Script Advocates Respond to AMA
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InterSystems Targets RHIO Market with HealthShare
Interview with VP of strategic planning at InterSystems
Digital HealthCare
Digital HealthCare
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D.C. RHIO Sets Ambitious Plans
Digital HealthCare: "The District of Columbia RHIO plans to have EMR solutions installed at all six centers by September 2008, and hopes to have at least three functional by that time as well, said Baskerville. In addition, planners are looking to begin testing with local hospitals by November."
Towards IMIA 2015: the IMIA Strategic Plan
IMIA_Strategic_Plan.pdf (application/pdf Object)
approved by the IMIA General Assembly on 18 August 2007
International Medical Informatics Association
approved by the IMIA General Assembly on 18 August 2007
International Medical Informatics Association
National Voluntary Consensus Standards for Health Information Technology- Ongoing Projects - Projects - National Quality Forum
NQF Member and Public Comments Requested on the Draft ReportNational Voluntary Consensus Standards for Health Information Technology- Ongoing Projects - Projects - National Quality Forum
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Bio-IT World
Bio-IT World: "CDISC is also part of a group called BRIDG (Biomedical Research Integrated Domain Group), which is a model that spans CDISC and HL7 standards. The BRIDG group is working to support the eventual integration of clinical research and healthcare data by building a foundation for standards interoperability and consistency using CDISC standards."
Questions for Google - www.healthleadersmedia.com
Questions for Google - www.healthleadersmedia.com: "As a healthcare journalist, I've eagerly awaited the unveiling, but as a patient and healthcare consumer, I'm skeptical."
Wednesday, May 28, 2008
Physicians debate computerizing medical records | Dallas Morning News | News for Dallas, Texas | Dallas Business News
Physicians debate computerizing medical records | Dallas Morning News | News for Dallas, Texas | Dallas Business News: "only a third of Texas physicians surveyed by the Texas Medical Association are using an electronic medical record system, up from 27 percent in 2005."
Bridges to Excellence Launches Medical Ho... ( Doctors can qualify for ...)
Bridges to Excellence Launches Medical Ho... ( Doctors can qualify for ...): "A medical home provides patients with access to quality health care from doctors who practice evidence-based guidelines; use appropriate health information technology; and demonstrate the use of 'best practices' while being accountable for the quality and value of care."
The Washington Times COMMENTARY: Information tech for health care
The Washington Times COMMENTARY: Information tech for health care: "Only about 14 percent of doctors and primarily large hospitals use electronic medical records and most of those don't have systems that can communicate with other caregivers of their mutual patients."
Tuesday, May 27, 2008
ACP: New E-Health Recommendations from American College of Physicians Aim to Improve Health Care Quality, Safety, Efficiency, Efficacy, and Access
In a new position paper released today by the American College of Physicians (ACP) at www.acponline.org/advocacy, the nation’s largest medical specialty organization says that collaboration among physicians, patients, technology developers, and policymakers must occur if e-health activities like electronic communication between physicians and their patients, remote monitoring of patients, personal and electronic health records, and patients seeking health information online are to transform health care in the U.S.ACP: New E-Health Recommendations from American College of Physicians Aim to Improve Health Care Quality, Safety, Efficiency, Efficacy, and Access
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Friday, May 23, 2008
HealthBlawg: PHRs, EHRs, privacy, functionality, and what the future might hold
"Back to the question of regulation: HIPAA seems to have left some gaping holes through which Microsoft's HealthVault and Google Health may pass. Those companies say that their privacy policies are more stringent than HIPAA and Google has said recently that serving ads on Google Health is not in the cards. The problem with relying on these statementsis simply that they are voluntary policies adopted by businesses that may change them over time. Other related parts of the health care information economy are similarly untouched by HIPAA."
HealthBlawg: PHRs, EHRs, privacy, functionality, and what the future might hold
HealthBlawg: PHRs, EHRs, privacy, functionality, and what the future might hold
UF Doctor Quits After Putting Medical Records at Risk
Firstcoastnews.com | Jacksonville, St. Augustine and Brunswick | UF Doctor Quits After Putting Medical Records at Risk
"'We deeply regret this event and apologize to our patients who it may have affected,' Dr. Nuss tells us. 'We have taken steps to prevent incidents of this type from occurring in the future and are continuing to educate our physicians and staff on our electronic data storage policies.'"
"'We deeply regret this event and apologize to our patients who it may have affected,' Dr. Nuss tells us. 'We have taken steps to prevent incidents of this type from occurring in the future and are continuing to educate our physicians and staff on our electronic data storage policies.'"
Google Funds OHSU Medical Image Retrieval Project
"'Image retrieval is less reliable than text retrieval partly because the algorithms to automatically identify image content are less well developed, but demand for efficient, secure image search engines is rising, among physicians and other medical users, said William Hersh, M.D., the project's lead investigator."
Health records going high-tech, 28 hospitals to share electronic info
Patient consent is required. The information is protected by security software and only accessible to authorized users. Every information request by a user will also be tracked.Health records going high-tech, 28 hospitals to share electronic info
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Wal-Mart Implementing EHR for Employees, In-store Clinics
In addition to full portability, the system supports multiple personal health applications and allows users to organize and summarize their information in ways that are most useful to them. The records are accessible only by the individual or others to whom the individual has granted permission; employers will not have access to their employees’ personal health records.Wal-Mart Implementing EHR for Employees, In-store Clinics
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Electronic health records may not be available in secondary care until 2015
The prediction will provide ammunition to critics calling for changes to the six year old project’s management, and the way it obtains patients’ consent for data to be shared.Electronic health records may not be available in secondary care until 2015 -- Cross 336 (7654): 1153 -- BMJ
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Thursday, May 22, 2008
$1M test of medical care -- Page 1 -- Times Union - Albany NY
Aside from access to a doctor, the medical home concept also promises better communication between caregivers. Backers see a team approach in dealing with patients, with more planning of ongoing care and the use of electronic medical data so doctors can easily know a patient's medical history.
$1M test of medical care -- Page 1 -- Times Union - Albany NY
$1M test of medical care -- Page 1 -- Times Union - Albany NY
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A more welcoming model for care - The Boston Globe
"What distinguishes a medical home from a conventional practice is a comprehensive approach to care from prevention through hospitalization that provides as many services as possible in one location and coordinates all other care, using both a personal touch and electronic medical records."
A more welcoming model for care - The Boston Globe
A more welcoming model for care - The Boston Globe
Health Blog : Savings from Health-Care Computerization May Be Overstated
The CBO says that “both studies appear to significantly overstate the savings for the health care system as a whole–and, by extension, for the federal budget” that health IT legislation could accomplish.Health Blog : Savings from Health-Care Computerization May Be Overstated
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Congressional Budget Office Releases Report on the costs and benefits of HIT
"Many people believe that health information technology (health IT) has the potential to transform the practice of health care by reducing costs and improving quality. In this paper, prepared at the request of the Chairman of the Senate Budget Committee, the Congressional Budget Office (CBO) examines the evidence on the costs and benefits of health information technology, possible barriers to a broader distribution and use of it in hospitals and clinicians’ offices, and possible options for the federal government to promote use of health IT. In keeping with CBO’s mandate to provide objective, impartial analysis, the paper makes no policy recommendations."
PDF version of report available here.
PDF version of report available here.
EuroSOCAP: European Standards and Guidance on Privacy and Confidentiality in Healthcare
European Standards on Confidentiality and Privacy in Healthcare Among Vulnerable Patient Populations
EuroSOCAP: European Standards and Guidance on Privacy and Confidentiality in Healthcare
EuroSOCAP: European Standards and Guidance on Privacy and Confidentiality in Healthcare
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Medical Privacy News: Using Social Security number to identify medical records
"...civil right groups have promptly reacted by pointing out that such usage could open a dangerous backdoor in the security of the medical files and will allow the interconnection of the sensitive data."Medical Privacy News: Using Social Security number to identify medical records
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Comparison of information technology in general practice in 10 countries[Healthc Q. 2007] - PubMed
Pubmed Abstract:
"A study commissioned by Canada Health Infoway provides a comparative analysis of automation in general practice in 10 countries. The most common clinical application is the automation of medication prescriptions--even if it is not a mandatory requirement as it is in Norway. It is the clinical application that provides one of the biggest benefits to general practitioners as it addresses legibility concerns, can be a significant time saver (particularly for repeat prescriptions) and offers the potential to make use of decision-support capabilities. The transmission of laboratory results is the most common electronic clinical communication application."
Healthcare Quarterly 2007
"A study commissioned by Canada Health Infoway provides a comparative analysis of automation in general practice in 10 countries. The most common clinical application is the automation of medication prescriptions--even if it is not a mandatory requirement as it is in Norway. It is the clinical application that provides one of the biggest benefits to general practitioners as it addresses legibility concerns, can be a significant time saver (particularly for repeat prescriptions) and offers the potential to make use of decision-support capabilities. The transmission of laboratory results is the most common electronic clinical communication application."
Healthcare Quarterly 2007
Wednesday, May 21, 2008
German hospital uses RFID for patient identification
The goals: Easier patient data access and drug safetyGerman hospital uses RFID for patient identification
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Institute of Health Record and Information Management
"Timely, accurate Health Record information has always been important, and the move towards Electronic Health Records means that it is even more important to have standards in place, maintained by professionally qualified staff. IHRIM is recognised as the Authority in this specialised field and the educational role IHRIM plays in the field of Healthcare Information is second to none."
IHRIM | Members Benefits
IHRIM | Members Benefits
WHO/Europe - Country information
WHO information on 53 countries (not all of which I would consider European!)
WHO/Europe - Country information
WHO/Europe - Country information
WHO/Europe - Highlights on health, United Kingdom 2004
This section is based on publications of the European Observatory on Health Care Systems and Policies
WHO/Europe - Highlights on health... - Health system
WHO/Europe - Highlights on health... - Health system
WHO/Europe - Highlights on health, Germany 2004
This section is based on publications of the European Observatory on Health Care Systems and Policies
WHO/Europe - Highlights on health... - Health system
WHO/Europe - Highlights on health... - Health system
WHO/Europe - Highlights on health, Netherlands, 2004
This content is based on publications of the European Observatory on Health Care Systems and Policies.
WHO/Europe - Highlights on health... - Health system
WHO/Europe - Highlights on health... - Health system
Google Health Launches to Questions About Privacy
"users who sign up for the program must agree to grant "all or nothing" access to Google Health partner companies, including Walgreens, Quest Diagnostics and The Cleveland Clinic."
Google Health Launches to Questions About Privacy
Google Health Launches to Questions About Privacy
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Maryland's Three Largest Hospital Systems and Erickson Retirement Communities Collaborate on Health Information Exchange
CRISP (Chesapeake Regional Information System for our Patients), a non-profit joint venture formed by the four partner organizations, will be supported with $250,000 from the Health Services Cost Review Commission (HSCRC) funded through the hospital rate setting system. It will develop recommendations on a broad range of policies, principles, and designs for the secure exchange of patient information across multiple provider settings.Maryland's Three Largest Hospital Systems and Erickson Retirement Communities Collaborate on Health Information Exchange
Tuesday, May 20, 2008
Google Health: A Quick Hands-On Look
[Google] is trying to do an end-run around the health establishment by trying to get consumers to manually load their own medical information into their profiles. HealthVault allows this as well, but seems to have stronger partnerships with back-end health data providers.Google Health: A Quick Hands-On Look
Monday, May 19, 2008
Four-year delay for patient records
"An electronic system for patients' records will not be introduced to every NHS Trust in England until 2014/15 - four years later than planned"
Universal Mandatory Health Insurance In The Netherlands: A Model For The United States?
"Policy analysts consider the Netherlands health system a possible model for the United States. Since 2006 all Dutch citizens have to buy standardized individual health insurance coverage from a private insurer. Consumers have an annual choice among insurers, and insurers can selectively contract or integrate with health care providers. Subsidies make health insurance affordable for everyone. A Risk Equalization Fund compensates insurers for enrollees with predictably high medical expenses. The reform is a work in progress. So far the emphasis has been on the health insurance market. The challenge is now to successfully reform the market for the provision of health care."
Article in the May/June issue of Health Affairs
Article in the May/June issue of Health Affairs
IBM and HIPAAT Team to Give Patients Control Over Personal Health Information Access
"The IBM-HIPAAT collaboration extends patient-driven privacy to Electronic Medical Records (EMRs), Electronic Health Records (EHRs), Personal Health Records (PHRs) and Health Information Exchanges (HIEs). Combined IBM and HIPAAT technologies allow patients to easily specify who is granted access to their personal health information (PHI), what information can be accessed and when. They enable caregivers to implement and enforce patient consent directives, providing "break the glass" access to PHI and EHR data in emergency-care situations, where appropriate."
Friday, May 16, 2008
Researchers to Share Ideas in Virtual Research Park
"There have been so many instances where people have built great communities, but then without providing reasons to join, [the communities] fall flat on their face," Butcher said. "From the beginning, we have taken great strides to think about a plan to garner usership and provide value."
KnowledgeMesh
KnowledgeMesh
Medicare Acute Care Episode (ACE) Demonstration
The Acute Care Episode (ACE) Demonstration will provide global payments for acute care episodes within Medicare fee-for-service (FFS). The focus is on select orthopedic and cardiovascular inpatient procedures. ACE Demonstration goals are to: improve quality for FFS Medicare beneficiaries, produce savings for providers, beneficiaries, and Medicare using market-based mechanisms, improve price and quality transparency for improved decision making, and increase collaboration among providers.
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Shepherding Major Health System Reforms: a Conversation with German Health Minister Ulla Schmidt
Americans looking for role models among foreign health systems may find Germany’s, along with the Dutch system, of particular interest.
Shepherding Major Health System Reforms: A Conversation With German Health Minister Ulla Schmidt -- Cheng and Reinhardt 27 (3): w204 -- Health Affairs
Shepherding Major Health System Reforms: A Conversation With German Health Minister Ulla Schmidt -- Cheng and Reinhardt 27 (3): w204 -- Health Affairs
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A Living Model Of Managed Competition: A Conversation With Dutch Health Minister Ab Klink -- Enthoven 27 (3): w196 -- Health Affairs
In this November 2007 interview, Dutch health minister Ab Klink discussed his country’s system with Alain Enthoven. Enthoven is one of the chief architects of the "managed competition" model that laid the groundwork for the Clinton administration reform proposal in the 1990s and pending legislation in the Senate, as well as the current Dutch approach.
A Living Model Of Managed Competition: A Conversation With Dutch Health Minister Ab Klink -- Enthoven 27 (3): w196 -- Health Affairs
A Living Model Of Managed Competition: A Conversation With Dutch Health Minister Ab Klink -- Enthoven 27 (3): w196 -- Health Affairs
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Monitoring Hospital-Physician Contractural Arrangements to Comply with Changing Regulations
Summary of the federal anti-kickback and physician self-referral statutes prepared by Deloitte Forensic Center
Thursday, May 15, 2008
Health Data Systems Need a Comprehensive Privacy and Security Framework
new report from the Centers for Democracy and Technology
HealthBlawg: No pay for more never events: CMS proposes more never events and more hospital reporting obligations
As part of the proposed 2009 IPPS legislation, CMS has issued an expanded list of never events, and also proposed increasing hospital reporting obligations.
Performance Measures Using Electronic Health Records: Five Case Studies
"This article describes five case studies that illustrate both the benefits and challenges for providers in implementing new quality of care measures associated with the use of electronic data."
New Privacy Provisions Could Push Passage of Health IT Bill - iHealthBeat
The provisions would:
New Privacy Provisions Could Push Passage of Health IT Bill - iHealthBeat
* Prevent operators of personal health record databases from distributing patient information;
* Restrict the use of health information for marketing purposes;
* Require HHS to report to Congress about further privacy guidelines; and
* Guarantee individuals the right to view a copy of their electronic health records.
New Privacy Provisions Could Push Passage of Health IT Bill - iHealthBeat
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Google Health: Birth of a Giant - Health Management Technology
"The first release is slated to enable users to download or "pull" their medical records from multiple sources directly into their Google Health accounts, including medications, conditions, allergies, test results and immunizations, or, they can input the data themselves. Users can then send or "push" their data directly to caregivers and hospitals. Eventually, users will be able to push the data contained in their accounts to doctors and relatives in a "read only" manner, as well as other features Google has in mind."
Google Health: Birth of a Giant - Health Management Technology
Google Health: Birth of a Giant - Health Management Technology
State E-Health Activities in 2007: Findings From a State Survey
This report, funded by the Commonwealth Fund, is based on a 2007 survey of states and DC conducted by the NGA in partnerships with Health Management Associates.
State E-Health Activities in 2007: Findings From a State Survey
State E-Health Activities in 2007: Findings From a State Survey
Wednesday, May 14, 2008
Just Looking: Consumer Use of the Internet to Manage Care - CHCF.org
"Relatively few patients tap the Internet to manage their care, including scheduling appointments with their doctors, filling prescriptions, or using ratings information to make choices about their doctors or hospitals."
link to report
link to report
Oklahoma City Woman Pleads Guilty to HIPAA Violation for Disclosing Patient Information Used to Commit Identity Theft
"The case is the result of an investigation conducted by the United States Secret Service, the Federal Bureau of Investigation, and the Office of Inspector General for the United States Department of Health and Human Services."
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"Less Paper" Trumps Paperless - Health Management Technology
"Today, all physicians and 240 employees at Doctor’s Walk-in Clinics use the EMR to access and manage critical patient data, enabling improved clinical decision-making and more accurate documentation of patient encounters, which has led to increased reimbursements that reflect the extensive patient care delivered."
article
article
The Fire Next Time - Health Management Technology
"Sharp HealthCare’s effective use of an ambulatory EHR during the California wildfires meant uninterrupted healthcare for displaced patients and clinicians."
Web 3.0 and Health Librarians
This paper introduces some of the main concepts and principles of Web 3.0 for health librarians.
Google Health
"Why does Google Health have the industry all a-twitter? Because, it’s the Internet, and if ever there was an invention that appealed to the majority of people, this is it. Studies repeatedly show that the portion of the population using the Internet to research medical conditions and medications is growing rapidly and shows no indication of slowing down."
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