Quote Of The Year

Timeless Quotes - Sadly The Late Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"

or

H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."

Monday, December 03, 2012

Weekly Australian Health IT Links – 3rd December, 2012.

Here are a few I have come across the last week or so.
Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.

General Comment

Well the silly season seems to have begun and all seems pretty quiet on the e-Health front - not that the same is true under the hood with a lot of work happening to try and meet or fix various Government deadlines and problems.
For mine I just get the feeling we are seeing a fair bit of instability in all that is happening - the reason for this is unclear.
The weekly visit to my NEHRS reveals that the system is still unacceptably slow and that one sees much too much of the wirling ‘please wait’ symbol when looking around.
With the number or registrations reported so far (see first article below) this seems odd!
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PCEHR patient registration rising steadily

27th Nov 2012
REGISTRATIONS for the personally controlled electronic health record (PCEHR) are steadily rising, with at least one major GP software firm on track for GPs to be able to upload patient health data by December.
There have been 18,214 consumer registrations and 243 healthcare provider registrations for the PCEHR system since its low-key launch on 1 July.
“This number precedes targeted promotions, which are currently under way,” a Department of Health and Ageing spokesperson said.
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New PBS computer system delayed

THE Department of Health and Ageing has flagged further delays to a new computer system for the Pharmaceutical Benefits Scheme that will impact prescribers and dispensers, but not patients.
The new IT system for the PBS, dubbed PharmCIS, replaces over 40 systems spanning nearly 20 years.
According to the department, PharmCIS or Pharmaceutical Consolidated Information System will support approval and listing of medicines on the PBS and its price determinations.
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PharmCIS delays hamper PBS claims

30 November, 2012 Kirrilly Burton  
Pharmacists are being asked to hold off submitting their PBS claims until their software has been updated after delays on a major upgrade to the IT system for the PBS.
The new system, dubbed ‘PharmCIS,’ to replace over 40 existing systems, was expected to be introduced tomorrow to coincide with changes to the PBS Schedule from December 1 2012. 
However, the Department of Health and Ageing has admitted that some PBS software updates by some vendors would not be implemented by tomorrow due to the “complexity of the transition to the new system.”
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Doubts over e-health records for research

30 November, 2012 Julie Robotham
Patients and GPs are wary about the use of electronic health records for public health research, even if the data is de-identified, according to a UK study with implications for Australia’s development of the sector.
Fiona Stevenson from the Department of Primary Care and Population Health, at University College London, approached 800 patients from the two general practices chosen to evaluate an “opt out” system for patients whose medical and social security records otherwise could be linked though electronic identifiers and stored in a “safe haven”, for later de-identified use by researchers. Half of the patients she selected had opted out.
50 patients joined focus group interviews. They supported research in principle but worried records would be used by scientists with no duty of care to individual patients. They also questioned whether people fully understood the opt-out provision.
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Remote servicing helps spread word to the deaf

CHILDREN in the developing world may soon start receiving Australia's renowned Cochlear hearing implants, thanks to a process that tunes and services the devices using remote computer technology.
More than 250,000 patients worldwide have benefited from Cochlear implants and products since their inception in 1982 but their availability has been limited not only by access to surgical facilities and audiology specialists but also a lack of clinics to periodically tune the implant's speech processing unit.
The solution has moved one step closer, with the Sydney Cochlear Implant Centre confirming it has serviced an implant patient in Kenya using remote computer access technology provided by software firm LogMein. The patient, a three-year-old girl, is its first in Africa.
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Scientists facing a $2m shortfall on bionic eye project

Date November 28, 2012

Bridie Smith

A MAJOR funding shortfall could derail Australia's hopes of developing the world's first bionic eye, with a key group working on the project reporting a need of almost $2 million.
Bionic Vision Australia, a consortium of some of the country's top research institutions, secured a four-year, $42 million federal grant in 2009 after the idea was floated at the 2020 summit in 2008.
Delivered in instalments, the money was to last until the end of next year. But on Wednesday the group will launch a public appeal for funds, without which it says it will be unable to leap-frog international rivals or secure on-going contracts for researchers.
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Privacy Amendment Bill passed, gives commissioner far-reaching powers

Timothy Pilgrim can seek civil penalties in cases of serious privacy breaches
The Privacy Amendment (Enhancing Privacy Protection) Bill 2012 was passed in Parliament today, giving privacy commissioner Timothy Pilgrim more powers, including the right to seek civil penalties in the case of serious breaches of privacy.
The legislation also permits the commissioner to conduct assessments of privacy performance for both Australian government agencies and private companies.
The Bill which is due to come into effect in March 2014, updates the Privacy Act 1988 and is designed to enhance Australian’s personal information.
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Million-dollar fines set for privacy breaches

Date November 30, 2012 - 12:11PM

Jane Lee

The Australian Privacy Commissioner will be able to issue million-dollar fines to government agencies and companies for serious and repeated privacy breaches under a new law.
The reforms, which Commonwealth Attorney-General Nicola Roxon has dubbed the most significant changes to privacy laws in more than 20 years, passed on Thursday and are expected to come into force in about 15 months. Ms Roxon introduced a discussion paper on mandatory reporting of breaches in October
The law gives privacy commissioner Timothy Pilgrim new powers, including the ability to investigate both groups at his discretion, in the same way that he currently can individuals.
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Mental health needs better information: report

Vast improvements in health information collection, sharing and analysis are needed if Australia is to better support the estimated 3.2 million people currently suffering from mental illness.
So says Australia’s first ever National Report Card on Mental Health and Suicide Prevention, released by the National Mental Health Commission yesterday.
The report provides as snapshot of the nation’s progress to date on mental health along with recommendations for change and improvement, with a particular focus on an individual’s “recovery journey” to achieve a fulfilling life.
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Availability of eHealth authentication solution to support secure messaging delivery

29 November 2012. The first release of the Department of Human Services (DHS) National Authentication Service for Health (NASH) supported access to the Personally Controlled Electronic Health Record (PCEHR) system using both organisational and individual certificates.
The use of the DHS NASH digital certificates (known as HPI-O certificates) for healthcare organisations has now been extended by DHS to enable usage for Secure Message Delivery (SMD) via compliant SMD products.
Providing an assurance that only authorised healthcare organisations are allowed to access eHealth Records and transmit important health information is vital to protecting people’s private health information and improving health outcomes. This same level of assurance is now available for SMD.
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Data revolution hits healthcare

Advances in genomic science are turbocharging the data volumes available to tackle a global surge in chronic disease, according to the Scottish Government’s chief health scientist.

Speaking at the NSW Agency for Clinical Innovation’s Network to Network conference in Sydney, Professor Andrew Morris explained how genomic science, together with the growth in health information from other sources such as ehealth records, requires new approaches to collecting, sharing and analysing data.
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More bumps in e-health road

THE Gillard government's personally controlled e-health record system is facing more bumps in its rollout following frequent disruption to its software vendor testing environment.
In the past seven months, only five vendors have passed the requirements for their software to be connected to the live e-health production platform. There are more than 250 software vendors who need their 300-400 products certified for the PCEHR.
The PCEHR is intended to be a secure electronic summary of people's medical history that is stored and shared in a "network of connected systems".
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Department keeps details secret

THE inner workings of a powerful unit behind the Gillard government's e-health records program is set to remain behind closed doors indefinitely.
The highly secretive program control group within the Health Department is the main steering body overseeing the implementation of the national personally controlled electronic health record system.
The control group includes health deputy secretary Rosemary Huxtable, chief information officer Paul Madden, e-health division first assistant secretary Fionna Granger and National E-Health Transition Authority chief executive Peter Fleming.
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Tibco pushes privacy breach laws

  • by: Fran Foo
  • From: Australian IT
  • November 28, 2012 10:54AM
AUSTRALIA has been urged to adopt new mandatory breach notification rules to offer the same protection consumers in Europe are afforded.
Under local privacy laws there is no requirement to notify the Office of the Australian Information Commissioner or any individual in the event of a data breach.
However, the government has released a discussion paper on privacy breach notification, with submissions closing on November 23, following the Australian Law Reform Commission's recommendation for such laws to be introduced.
The paper covers a myriad of areas, primarily whether there is a need to introduce a mandatory data breach notification scheme.
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Online access boosts consults

A NEW US study showing online access to medical records and doctors led to an increase in GP and emergency department visits is no cause for concern, according to Australian medical leaders.
AMA president Dr Steve Hambleton said a spike in the use of clinical and hospital services that was identified by the study was not a result of patients with online access developing additional health concerns but, rather, because the people who participated in online access were more worried and motivated about their health.
“It wasn’t because of access, it was because of self-selection bias”, Dr Hambleton said.
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Medicare Locals name to go under review

28th Nov 2012
HEALTH Minister Tanya Plibersek has confirmed a planned review of the Medicare Locals initiative – set to begin early in 2013 – will evaluate whether the contentious moniker given to the entities is “suitable for its purpose”.
News of the review – which will also canvass community acceptance of the name – came as legislation amendments that would officially open the door for Medicare Locals to legally use the term Medicare in their operating names passed the lower house by a single vote yesterday.
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Smart specs may replace guide dogs

  • From: AAP
  • November 26, 2012 6:19AM
SMART specs for the blind that could take the place of white canes and guide dogs may be available in two years, say researchers.
The hi-tech glasses are designed to prevent "legally blind" individuals with a small degree of residual vision from bumping into objects.
They use tiny stereo cameras in the frames to project simplified images onto the lenses which become brighter the closer an object is.
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NICTA scientists will use funds from a recently-awarded National Health and Medical Research Council (NHMRC) grant to help doctors tell the difference between lethal and non-life-threatening prostate cancers. The scientists will use computational analysis to better understand genomic data, paving the way for better, more targeted medical treatments in the future.
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Online tool calculate childhood obesity risk

29 November, 2012 Julie Robotham
The likelihood a child will become obese can be predicted accurately at birth, say British researchers who have incorporated risk factors identified in a long-term study into an online calculator.
Researchers from Imperial College, London, used data from a study established in 1986 to track 4000 children born in Finland. They had initially expected the children’s genetic profiles might yield most clues to subsequent weight gain.
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Electronic heart decisions put to the test

23 November, 2012 Megan Reynolds
An electronic decision support system will be rolled out in an ambitious pilot project across 60 Sydney GP clinics and Aboriginal health services in an attempt to improve persistent deficiencies in cardiovascular disease prevention.
Using a computerised algorithm based on guidelines from the National Heart Foundation, Diabetes Australia and other groups, the Health Tracker system combines decision support with patient materials and practice feedback for doctors.
It will compare the performance of practices using the system against matched controls participating in existing quality improvement initiatives, according to the protocol published in BMJ Open.
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National Health and Medical Research Council seeks IP telephony

Other government agencies may opt in to the VoIP service.
The National Health and Medical Research Council (NHMRC) wants to replace an “ageing” phone system with IP telephony, according to a request for tender posted Tuesday.
The Council said its existing PBX telephony system in Canberra and Melbourne is more than 20 years old. The Council has 220 staff in Canberra and 25 staff in Melbourne. The government body’s data centre is in Canberra.
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Dusty cameras cause false alarms

29 November, 2012 Clare Pain
Cameras used for total body photography (TBP) to record skin checks need to be carefully cleaned, otherwise dust specks can look like melanomas, warn Australian dermatologists.
Describing a recent experience with a 34 year old woman with a history of lentigo maligna and atypical naevi, Dr Alex Chamberlain and Dr Sarah Edwards of the Victorian Melanoma Service, the Alfred Hospital in Melbourne report how a darkly pigmented lesion seen on the right thigh in photographs misled them into thinking a lesion had regressed.
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Cambridge centre to delve into artificial intelligence

  • From: AP
  • November 26, 2012 9:41AM
COULD computers become cleverer than humans and take over the world? Or is that just the stuff of science fiction?
Philosophers and scientists at Britain's Cambridge University think the question deserves serious study.
A proposed Centre for the Study of Existential Risk will bring together experts to consider the ways in which super intelligent technology, including artificial intelligence, could "threaten our own existence", the institution says.
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Windows 8 sales flounder as critics pan clumsy interface

Date November 26, 2012

Asher Moses

Technology Editor

Windows 8 sales in Australia and overseas are below expectations, with one US expert describing its user interface as "a monster that terrorises poor office workers and strangles their productivity".
In Australia, IDC market analyst Amy Cheah, who has spoken to local retailers, vendors and channel partners as part of her work compiling sales numbers, said Windows 8 take-up was "not as strong as Microsoft would like it to be".
"Actual sales to date is not matching the hype, but the momentum is picking up in November," she said.
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Enjoy!
David.

AusHealthIT Poll Number 147 – Results – 3rd December, 2012.

The question was:

Have DoHA and NEHTA Handled e-Prescribing / Medication Management Competently and Efficiently Over The Last Decade?

Results:

For Sure 21%

Possibly 4%

Neutral 2%

Probably Not 6%

They Have Been Hopeless 64%

I Have No Idea 2%

Total votes: 47

Very interesting. It seems a good majority think this has been a policy fiasco. It is hard to disagree.

Again, many thanks to those that voted!

David.

Sunday, December 02, 2012

The Phoney War Regarding The PCEHR Is Almost Over. The Rubber Hits The Road In The Next Few Months.

Ever since the so- called ‘soft launch’ of the Personally Controlled Electronic Health Record on July 1 this year there has been a ‘cone of silence’ descend upon the project. The fundamental reason for this has been that key elements for the program were simply not ready - and some still aren’t.
If the Department of Health and Ageing has its way this is all going to change over the next six months (or a little less depending on when this is published). The key is the updated and toughened  ePIP program which was introduced in the May 2012 Budget.
Essentially to continue to receive Practice Incentive Payments (PIP) for e-Health activities, which can amount to $50,000 per practice per year, there are some new and pretty demanding requirements. The key requirement is that there be a dramatic update in the capabilities of GP Practice Systems over the next five months (with most of the updates needed in less than 2 months).
Here is the summary from the NEHTA web site:
eHealth Incentive Introduction
The eHealth incentive aims to encourage general practices to keep up to date with the latest developments in eHealth to assist in improving administration processes and enhancing the quality of patient care by, for example, by supporting the capacity to share accurate electronic patient records.
The Australian Government announced as part of the 2012-13 Budget that new PIP eHealth Incentive requirements had been developed in order to support the delivery of current eHealth initiatives particularly the personally controlled electronic health (eHealth) records system.
The new requirements and associated dates are:
Integrating Healthcare Identifiers into Electronic Practice Records
1 February 2013
Secure Messaging
1 February 2013
Data Records and Clinical Coding
1 February 2013
Electronic Transfer of Prescriptions
1 February 2013
PCEHR
1 May 2013
This information is found here:
Given that many practices have been receiving considerable funds from the older ePIP initiative(s) you can understand these practices would be keen to not take a pay cut and so will almost certainly aim to do as they are incentivised to do.
All this was only clarified 3-4 months ago so you can understand that the software providers for these practices are working away like crazy to have software which meets the (detailed requirements) at least a few months ahead of deadline. Sadly their efforts have been somewhat hampered by the NEHTA / DoHA test environments being unstable and frequently unavailable.
Interestingly all this is being done in rather of a policy rush with there being a number of gaps in the current standards environment (Data coding and Electronic Prescriptions) and little certainty as to the robustness of both the Health Identifier Service and the PCEHR Service Infrastructures. Precious little time seems to have been left for the testing of the system as an integrated whole and there are strong rumours that some major performance issues remain unresolved.
Nevertheless, once all this development - and hopefully careful supervised testing - has been completed and a few other elements fall into place such as robust secure practice and user identification, we are assuming - courageously - we will have a PCEHR System which is fully tested ready to go.
As the title of the article says it will be at this point that we will see just how many patients and how many GPs are prepared to become involved and spend the time and effort to prepare, consent and upload the Shared Health Summaries for their patients - assuming that all the deadlines are met and PCEHR and associated systems are actually ready to use close to a year late. It does need to be remembered that to date getting on towards a billion dollars has been spent by the Government to get this far along. There is certainly more to come.
While I will be happy to be proven wrong I suspect a year from now the usage of the PCEHR will be still very low and that leading into the next election it might just be decided to quietly let the program slide. We have already seen very substantial reductions in the NEHTA workforce - on the basis of the rather absurd claim that the PCEHR has been delivered - and I suspect the same fate awaits the DoHA eHealth group next year unless fortunes turn around dramatically.
As of November 2012 less than 20,000 patients have registered to have a record and less than 20 summaries have been uploaded.
Having been one of those who have registered for a record I can attest that the system is, at present both slow and ‘clunky’ to use a technical term.
We will not have long to wait to be able to assess whether the billion dollars (and the ongoing operational costs) have been well spent!
(This is a draft article for a magazine - comments welcome).
David.
 

Saturday, December 01, 2012

Weekly Overseas Health IT Links - 1st December, 2012.

Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.
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Who are the doctors most trusted by doctors? Big data can tell you.

By Ki Mae Heussner | GigaOM.com, Published: November 20

ZocDocHealthgradesVitalsYelp and other sites can tell you what patients think of their doctors. But finding out in any aggregate way what doctors think of their peers has been much harder, if not near impossible, for patients — up until now.
By accessing information in government databases through FOIA (Freedom of Information Act) requests, healthcare innovators are now able to share connections between doctors that are based on millions of physician referrals — a valuable indicator of who doctors hold in esteem.
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EHRs pinpoint patients who need personalized health messages

November 17, 2012 | By Marla Durben Hirsch
Patients who received personalized messages about their risk of cardiovascular disease generated from EHR data were more likely to get medication to reduce their cholesterol, one of the risk factors for the disease, according to a study published in the Journal of General Internal Medicine.
The researchers, from Northwestern University, theorized that assessment of patient risk for cardiovascular disease often did not occur at the primary care level, and that using the EHRs to pinpoint patients who were at risk would increase preventive care. The study of 29 physicians and 435 eligible patients used the physicians' EHRs to automatically identify at-risk patients not being treated for high cholesterol, enabling the physicians to generate personalized messages delivered by mail suggesting that the patients come in to discuss this issue.
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38% of physicians 'highly satisfied' with their EHR systems

November 16, 2012 | By Marla Durben Hirsch
Physician opinions on electronic health records appears to be generally positive, according to the results of a new survey published by the American Academy of Family Physicians. Thirty-eight percent of the survey's 3,088 respondents reported that they're "highly satisfied" with their systems, while 37 percent said that they "liked" their EHR.
The survey focused on user satisfaction with the 31 EHR products most used by the respondents. It concentrated on 17 different aspects of EHRs, such as ease of learning the system, how well alerts worked, and how easy it was to attain Meaningful Use.
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Mostashari on Meaningful Use: It's a long road, but we have a roadmap

November 14, 2012 | By Dan Bowman
A delicate balance needs to be struck between the urgency to modernize the U.S. healthcare system and the pace of change that can be absorbed by both providers and IT vendors, National Coordinator for Health IT Farzad Mostashari said at a Congressional hearing in Washington, D.C., this morning focusing on if Meaningful Use is delivering meaningful results. Mostashari said that while he thought meeting Meaningful Use was meant to be challenging, substantial progress has been made to date with regard to interoperability.Mostashari said that while he thought meeting Meaningful Use was meant to be challenging, substantial progress has been made to date with regard to interoperability.
"This is a long road," Mostashari said. "But we have a roadmap, and we have, through Meaningful Use, a phased approach to being able to bring the floor up and create infrastructure in stage after stage after stage to help increase that journey toward interoperability."
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Long, winding road for IHE

By Anthony Brino, Associate Editor, Healthcare Payer News and Government Health IT
Created 11/21/2012
At the Radiological Society of North America’s annual conference this year, a real-world use case of Integrating the Healthcare Enterprise (IHE) medical image and personal health record standards is slated for demonstration.
IHEs road leading up to RSNA 2012, however has been a long and involved one.
Back in 1998, HIMSS and the Radiological Society of North America created Integrating the Healthcare Enterprise (IHE), in an effort to coax some more efficiency into health IT systems and help them communicate — or, as the industry speaks now, become interoperable.
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Online access spurs greater use of healthcare services

November 21, 2012 | By Susan D. Hall
Patients with online access to their medical records and email communication with clinicians have more interaction with their clinicians, including office visits and phone calls, according to a study published this week in the Journal of the American Medical Association.
The results contradict previous research suggesting that if patients could look up test results, schedule appointments and request refills themselves, they would use traditional healthcare services less.
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Researchers develop architecture to support practice-based research networks

November 21, 2012 | By Julie Bird
A joint U.S. and British research group has developed an information architecture to support electronic practice-based research networks (PBRNs), linking disparate electronic health record systems and providing a foundation for software development in support of network-based research, according to a report published in the current issue of the Annals of Family Medicine.
Electronic support of PBRNs facilitates participation in clinical trials and other clinical research opportunities, including collection of aggregated data and the exchange of information between investigators and "clusters of independent data sites," according to the article, "A Model for the Electronic Support of Practice-Based Research Networks."
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Online diabetes care management program shows gains

November 21, 2012 | By Susan D. Hall
A nurse-led, multidisciplinary health team working through an online disease management program helped Type 2 diabetes patients achieve better A1C results at six months, though the gains were not sustained at 12 months. Still, the researchers found the program a viable way to help patients manage their disease.
In the study, published at the Journal of American Medical Information Association clinicians at the Palo Alto Medical Foundation in California sought to engage and motivate patients through an online monitoring system that included features including wirelessly uploaded home glucometer readings, online messaging with the health team, advice from a nurse care manager and dietician and personalized text and video clips sent to patients.
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Epic contract under review

19 November 2012   Lis Evenstad
Cambridge University Hospitals and Papworth Hospital NHS foundation trusts’ joint electronic patient record contract with Epic is under review, while Monitor takes a close look at Cambridge’s finances and performance.
The EPR is a part of Cambridge and Papworth Hospitals’ eHospital programme.
In what was seen by many as one of the most important NHS IT procurements in recent years, the trusts announced in April that they were awarding the software component of the tender to US supplier Epic and the hardware and infrastructure contract to Hewlett Packard.
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NHS CB mandated to create EHR

13 November 2012   Rebecca Todd
The NHS Commissioning Board should have plans in place for all patients to have an integrated electronic record of their care that can follow them to any part of the NHS or social care system, by 2015.
The government mandate to the NHS CB, published today, says the board should promote the implementation of electronic records in all health and care settings and set national information standards to support integration.
By March 2015, “clear plans will be in place to enable secure linking of these electronic health and care records wherever they are held, so there is as complete a record as possible of the care someone receives.”
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Advocate Health Care's Technology Plans for the Long Run

Scott Mace, for HealthLeaders Media , November 20, 2012

How are healthcare CIOs preparing for the possibility of the federal government going over the fiscal cliff? I spoke last week with Bruce Smith, CIO of Advocate Health Care, the largest integrated healthcare system in Illinois, about the post-election landscape.
"We've got strong cost management processes in place," he says. "Actually, we put those in place regardless of the fiscal cliff. We're making the assumption going down the road—if you look at where Washington's at and what's coming out there—there are going to be reductions in healthcare spending, so we know there's a good possibility that we are going to be under more economic pressure."
Chicago-based Advocate is big, with more than 250 sites of care, 10 acute-care hospitals, and a children's hospital with two campuses. In the grand scheme of things, the recent election was barely a blip on a six-year-old mission to build electronic medical records and digitize as much clinical information as possible to make it available anywhere, anytime.
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Can public and private HIEs get along?

By Diana Manos, Healthcare IT News
Public health information exchanges (HIEs) have expressed concerns about compatibility and sustainability as the number of private HIEs continues to rise, according to eHealth Initiative's 12th Annual HIE Survey.
The survey of 161 HIEs nationwide indicates that if public and private HIEs are operating on different systems within a state or region, it will become increasingly difficult to exchange and leverage useful data to improve the quality and coordination of care in the United States, researchers said.
According to eHealth Initiative (eHI), there should be a level playing field between public and private HIEs.
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Pediatricians cite cost, uncertainty of benefits as barriers to EHR adoption

By Erin McCann, Associate Editor
Created 11/20/2012
Pediatricians in the U.S. continue to adopt electronic health record (EHR) systems at an underwhelming rate, citing costs and hesitancy over potential system benefits, according to a new report published Monday.
The study, published in Pediatrics and conducted by researchers at the Seattle Children’s Hospital, East Carolina University and the American Academy of Pediatrics, sought to shed light on the often opaque and limited data surrounding pediatricians and health IT adoption rates.
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UK GPs top for use of EMRs

15 November 2012   Rebecca Todd
More than two thirds of UK GPs use electronic medical records and can also order tests or prescriptions online, manage patients lists or generate patient information electronically, a new survey reveals.
The 2012 Commonwealth Fund International Health Policy Survey of 8,500 primary care doctors in Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, the United Kingdom and the United States, places the UK at the top of the table in their use of electronic records.
The report, published today, shows that more than two thirds (68%) of GPs in the UK said they have ‘multi-functional HIT capacity.’
This means they use EMRs with at least two electronic functions such as; order prescriptions or diagnostic tests online; manage patient lists and generate patient information electronically; and routine clinical support.
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Health IT ROI hampered by staff shortages, limited data sources

November 20, 2012 | By Julie Bird
The potential return on investment for health IT is compromised by personnel shortages and limited sources for "clean, comprehensive data," according to a recently released survey by Deloitte Consulting and the American Medical Informatics Association.
"(E)ven when the budget is available, these organizations are unable to secure the right people and the right data to meet their needs," the authors concluded in the "2012 Deloitte-AMIA Health Informatics Industry Maturity Survey." They added that the gap "represents an opportunity for those with a desire to enter the field and for those with potential data sources to make them available."
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How one hospital uses EHR data to track core measures

November 20, 2012 | By Gienna Shaw
The following is an excerpt from an article published in the FierceEMR eBook "Making Data Meaningful." Download the eBook here to read more.
Now in its second stage, the Meaningful Use incentive program has no doubt increased the number of hospitals and physicians who are using electronic health record systems. Still, some say there is a danger that Meaningful Use program participants will simply "check the boxes" to get their incentive payments.
But there is so much more organizations can do with the data.
A more "holistic" approach to data mining includes clinical data from electronic health records combined with financial and administrative information to provide a more well-rounded view of the quality and efficiency of patient care--and then using that information to make strategic decisions, according to market research firm Frost & Sullivan.
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E-visits could lead to overprescribing

November 20, 2012 | By Dan Bowman
While patients who "see" their doctor via an e-visit aren't any more likely to need follow-up care than those who see their doctors in person, researchers have found that they are more likely to receive prescriptions for antibiotics without relevant testing, according to a study published online this week in the Archives of Internal Medicine. The study's authors, from the University of Pittsburgh School of Medicine and UPMC, say their findings could be indicative of overprescribing during e-visitors.
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Health IT collaborative releases patient engagement guide

Posted: November 19, 2012 - 2:00 pm ET
Healthcare providers wanting a recipe to follow to improve patient engagement within their organizations can start by looking over the Patient Engagement Framework released by the National eHealth Collaborative.
“We are at a critical moment when patient engagement is becoming increasingly important given the movement toward meaningful use and accountable care,” said the collaborative's CEO Kate Berry in a news release. “We as individuals should be more engaged in managing and improving our own health. This framework is intended as a guide organizations can aspire to as they move in this direction.”
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How is a medical informatician trained?

By Daniela Chueke, Managing Editor, EHealth Reporter Latin America
Created 11/15/2012
The Hospital Italiano offers a course specializing in health IT as part of its HIBA residency program through its University Institute.
The course trains recently graduated doctors in supporting the work of other doctors. It includes tools from Healthcare Administration and Management Sciences as well as studies in new technologies such as computer and information sciences. Also, as the discipline is relatively new, it includes a space dedicated to research into the impact of its application for which reason it also involves the study of epidemiological issues.
The training program is designed both for those who have just graduated and those who already have a specialty, the former studying for four years and the latter for two years.
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Decision time on insurance exchanges

By Mary Mosquera, Senior Editor
Created 11/19/2012
The continuing saga around the deadline delay for states to decide whether or not they'll establish their own health insurance exchanges doesn’t change the final upshot: All states are anticipated to have an online insurance marketplace, one way or another.
The delays may also make a federal/state partnership model for the exchange more palatable and a way out for unprepared states, at least in the initial years, according to an expert on state healthcare issues.
The continuing saga around the deadline delay for states to decide whether or not they'll establish their own health insurance exchanges doesn’t change the final upshot: All states are anticipated to have an online insurance marketplace, one way or another.
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The Fiscal Cliff and Meaningful Use: Be Very Afraid

NOV 16, 2012 8:11pm ET
During the congressional tax/budget debate coming very soon, someone in the Republican Party is going to demand another $20 billion or so cut from an entitlement program or another government program that is near and dear to the Democratic Party. Someone in the Republican Party will mention that boondoggle health information technology initiative in the hated stimulus bill, and someone in the Democratic Party will decide that’s where another $20 billion in savings can come from. Whatever federal funds are left to support electronic health records meaningful use, health I.T. workforce training, health information exchanges, best practices dissemination, regional extension centers and anything else in the HITECH Act will be gone.
Don’t believe all the talk of how health I.T. has bi-partisan support. Nothing but the most sacred cows will be considered sacred in the upcoming budget battle. Since health I.T. doesn’t pass the sacred test, the spigot is in danger of running dry unless the nation’s physicians and hospitals rise up en masse and scare the hell out of their congressional representatives and senators.
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5 steps to engage patients in their healthcare data

November 19, 2012 | By Dan Bowman
The patient engagement requirement included in Stage 2 of the Meaningful Use incentive program has many providers worried about whether or not they'll be able to convince their patients to use interactive online tools to access their health data. The National eHealth Collaborative, a Washington, D.C.-based public-private partnership geared toward enabling nationwide health information exchange, thinks it might be able to help.
NeHC today released a model framework provider organizations can use to help spur patient engagement efforts. The model--dubbed the Patient Engagement Framework--is divided into five phases, each of which incorporates advice from organizations that have successfully launched and sustained patient engagement efforts.
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Reimbursement remains a major barrier to telehealth

November 19, 2012 | By Susan D. Hall
Though the landscape for telehealth continues to evolve, uncertainty over provider payment and unever reimbursement remains a barrier.
Telehealth is making advances in other countries, but there's still much to work out in the United States, according to a blog post from law firm EpsteinBeckerGreen.
Medicare regulations remain restrictive, covering fewer than 20 telehealth services and about 30 codes. It defines telehealth as real-time communication through audio or video link. And the patient must live in or use a facility deemed part of a rural Health Professional Shortage Area. Writer Rene Quashie says it will take an act of Congress to expand Medicare payments for telehealth, something he considers unlikely since federal regulators aren't convinced of the benefits of telehealth for many conditions and they fear expanding the program would raise costs.
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Evidence builds for SMS smoking cessation

By: Jonah Comstock | Nov 16, 2012
This week, the Cochrane Library published a review of mobile messaging-based smoking cessation interventions. The report found that, based on five studies, with a total of more than 9,000 participants, smokers who used mobile messaging interventions were twice as likely to make it six months without smoking than those who didn’t.
“We can’t say from the result that this means all text messaging cessation programs work, but we can say these studies have shown that they can work,” said Robyn Whittaker, the lead author of the review from the University of Auckland in New Zealand. She told MobiHealthNews that of the five studies looked at, three were pure text messaging interventions, one incorporated text messaging and use of a website, and one used both text and video messaging. In the mixed studies, the Cochrane review looked at the texting intervention specifically. Although not all of the five studies were conclusive, the meta-analysis of the five showed significant results, according to Whittaker.
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Monday, November 19, 2012

Patient Consent for Information Exchange Comes Into Focus

by Ken Terry, iHealthBeat Contributing Reporter
Federal and state laws require that patients give permission or be allowed to withhold consent for health information exchanges to use their individually identifiable health information (IIHI) for purposes other than direct patient care. Consequently, as health care providers start to adopt new care delivery models that necessitate clinical data exchange, patient consent is becoming a hot issue.
Despite the existing regulations -- or because of them, in some cases -- patient consent involves legal, technical and practical issues that are far from being resolved. Which circumstances require patient consent, which parties can be allowed to access particular information and whether patients must opt in to health information exchange or should be allowed to opt out are all open questions.
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Enjoy!
David.

Apology To Standards Australia - Ehealth Page

A few days I complained the SA EHealth web site seemed to not be standards compliant.

Just looked at the update history of Firefox as it went from Version 17.0 to 17.0.1

Guess what - Version 17 messed up something in the rendering engine. It is now fixed.

The page found here now looks as it should and does in IE and Safari.

http://www.e-health.standards.org.au/Home.aspx

Sorry guys - Firefox goofed. Not you!

David.