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."

Sunday, June 13, 2010

Weekly Australian Health IT Links – 13 June,2010.

Here are a few I have come across this week.
Note: Each link is followed by a title and a paragraph or two. 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 payment.

General Comment:

The most interesting thing this week was the ongoing discussion of the comments made last week at Senate Estimates as people thought through what it all might actually mean.
I have to say that despite my best efforts I am still to get any clarity about what is meant by the term Personally Controlled EHR (PCEHR), precisely what is intended, and just where it fits with the rest of the alphabet soup of IEHRs, PHRs, SEHRs and so on.
One can only conclude they really don’t know, or if they do, they think we are not entitled to know.
There has now been a month since the Budget (with this detail lacking announcement) was announced and the time for clarity has well and truly arrived.
The other obvious issue is that there has been some apparent change in the popularity of the Government due to the RSPT among other things. The impact of this on present e-Health plans, and all sorts of other things, is clearly under a cloud right now!
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BioGrid develops SaaS e-health platform

App can be applied to any long-term medical condition
Rodney Gedda (CIO) 11/06/2010 10:16:00
Melbourne-based medical research organisation BioGrid Australia has developed an e-health application which promises to break down information siloes between institutions by offering it as an integrated service.
BioGrid aims to provide an innovative medical research platform that facilitates “privacy protected research” across hospitals and medical research organisations.
BioGrid director Dr Marienne Hibbert said developing the portal provided an interesting example of consumer involvement in an IT project.
“The issue around consumer health is if your information is locked up in a clinic or hospital,” Hibbert said.
“If you have a personal record with important information it needs to be presented in a way people can understand.”
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Aboriginal health records get cyber treatment

By Louisa Rebgetz
Posted Fri Jun 11, 2010 12:00pm AEST
The Aboriginal Medical Services Alliance in the Northern Territory has welcomed a $1.5 million funding boost to expand e-health services to remote Indigenous patients.
The service has been trialed over the last four years and enables data detailing people's medical records to be stored at a central location.
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Indigenous health sees $4.3 million IT boost

By Jacquelyn Holt, ZDNet.com.au on June 11th, 2010
Indigenous health in Queensland, the Northern Territory, Victoria and South Australia will receive $4.3 million to upgrade IT services.
The Minister for Indigenous Health Minister, Warren Snowdon today announced plans which will see the money distributed across four Aboriginal health organisations to assist over 50 health services in the four states.
The Nganampa Health Council in South Australia will receive almost $2 million for IT systems maintenance and a web-based reporting trial. The Aboriginal Medical Services Association (AMSANT) will see just over $1.5 million for the development of a shared IT arrangement with other Aboriginal medical services and to evaluate the viability of an e-health system in the Northern Territory.
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Be careful of snake oil: health reform

  • AT THE COALFACE: Terry Hannan
  • From: The Australian
  • June 12, 2010 12:00AM
RECENT television advertisements claim: "Under the new health reform, the Australian government is delivering the most significant improvement to our health system since the introduction of Medicare."
The historical e-health reform evidence demonstrated worldwide would counter this claim. The answer is not in providing more hospital beds, training more doctors and nurses, and expanding the number of general practitioner services. This flawed model is essentially a propagation of the present healthcare delivery system, which is based on the costly, inefficient and poor quality widgets model of care.
Present models are no longer affordable, and to ensure success Australia must remove itself from non-data driven recommendations for health care. Real change can be made only with the use of effective health information technology tools. The phrase "electronic health records" is oft-quoted but poorly understood.
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Govt wants ISPs to record browsing history

By Ben Grubb, ZDNet.com.au on June 11th, 2010
Companies who provide customers with a connection to the internet may soon have to retain subscriber's private web browsing history for law enforcement to examine when requested, a move which has been widely criticised by industry insiders.
The Attorney-General's Department yesterday confirmed to ZDNet Australia that it had been in discussions with industry on implementing a data retention regime in Australia. Such a regime would require companies providing internet access to log and retain customer's private web browsing history for a certain period of time for law enforcement to access when needed.
Currently, companies that provide customers with a connection to the internet don't retain or log subscriber's private web browsing history unless they are given an interception warrant by law enforcement, usually approved by a judge. It is only then that companies can legally begin tapping a customer's internet connection.
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Building a case for e-health in aged care

Published on Tue, 08/06/2010, 11:04:13
The two national aged care peak bodies have joined together under the banner of the Aged Care Industry IT Council (ACIITC) to commission a study into the sector’s IT readiness.
The comprehensive, stratified survey will be conducted by Campbell Research as part of a national project to roll out electronic prescribing and medication management throughout the sector by 2013.
The ACIITC hopes to develop a strategy for implementing a secure repository that GPs, pharmacists and aged care facilities will be able to access.
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HealthSMART to roll out e-health smartcards

Part of $360 million Victorian e-health initiative
Victoria's Department of Health will shortly commence implementing an e-health smartcard to manage access to key Victorian public health sector (VPHS) applications via a new single sign-on portal, as part of its whole-of-health ICT strategy, HealthSMART.
The two-factor authentication system will consist of a smartcard management system card printers, contact smartcard readers, a hardware security module, middleware and mini-driver for network authentication, and an application for performing certificate and PIN management functions.
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Complete health identifier service still months away

Software vendors to come online in Q1 2011 as NeHTA rolls out "evolutionary process"
Despite efforts to have the healthcare identifier (HI) service up and running by 1 July, the National eHealth Transition Authority (NeHTA) believes the service could take years to fully implement.
A spokesperson for the authority behind the implementation of the identifier service told Computerworld Australia that the system required additional software vendors, live testing and education for healthcare providers before the system was rolled out nationwide.
Recent amendments made to the Healthcare Identifiers Bill - the legislation that will enable the service to be implemented - has pushed back its reintroduction into Parliament to 17 June, and potentially pushed back the service's starting date back from its original July timeframe.
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ID theft threat largely ignored: survey

June 7, 2010 - 1:07PM
Most Australian's aren't protecting themselves against identity theft even though more than half those surveyed had lost a wallet or other personal information over the past three years, according to a debt data firm.
Research by Veda Advantage shows only 30 per cent of people have taken simple measures, such as buying a personal shredder, to protect themselves from ID theft.
The credit/debt data monitor also said 80 per cent of people were worried about identity fraud.
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Google privacy probe toothless

THE Office of the Privacy Commissioner has not set a deadline for its investigation of Google but regardless of the outcome, it has no power to prosecute the internet giant.
Privacy Commissioner Karen Curtis launched a probe into Google on May 17 to determine if people's privacy was breached when its Street View cars captured personal information while inadvertently tapping into unsecure wireless networks.
The possible data breach took place in more than 30 countries and Google is facing at least one civil lawsuit in Oregon, US.
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Intervention and Prevention

Obesity (2010) doi:10.1038/oby.2010.119

12-Month Outcomes and Process Evaluation of the SHED-IT RCT: An Internet-Based Weight Loss Program Targeting Men

Philip J. Morgan1, David R. Lubans1, Clare E. Collins2, Janet M. Warren3 and Robin Callister4

Abstract

This article reports the 12-month follow-up results and process evaluation of the SHED-IT (Self-Help, Exercise, and Diet using Information Technology) trial, an Internet-based weight loss program exclusively for men. Sixty-five overweight/obese male staff and students at the University of Newcastle (Callaghan, Australia) (mean (s.d.) age = 35.9 (11.1) years; BMI = 30.6 (2.8)) were randomly assigned to either (i) Internet group (n = 34) or (ii) Information only control group (n = 31). Both received one face-to-face information session and a program booklet. Internet group participants were instructed to use the study website for 3 months. Participants were assessed at baseline, 3-, 6-, and 12-month follow-up for weight, waist circumference, BMI, blood pressure, and resting heart rate. Retention at 3- and 12-months was 85% and 71%, respectively. Intention-to-treat (ITT) analysis using linear mixed models revealed significant and sustained weight loss of −5.3 kg (95% confidence interval (CI): −7.5, −3.0) at 12 months for the Internet group and −3.1 kg (95% CI: −5.4, −0.7) for the control group with no group difference. A significant time effect was found for all outcomes (P < 0.001). Per-protocol analysis revealed a significant group-by-time interaction for weight, waist circumference, BMI, and systolic blood pressure. Internet group compliers (who self-monitored as instructed) maintained greater weight loss at 12 months (−8.8 kg; 95% CI −11.8, −5.9) than noncompliers (−1.9 kg; 95% CI −4.8, 1.0) and controls (−3.0 kg; 95% CI −5.2, −0.9). Qualitative analysis by questionnaire and interview highlighted the acceptability and satisfaction with SHED-IT. Low-dose approaches to weight loss are feasible, acceptable, and can achieve clinically important weight loss in men after 1-year follow-up.
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iSOFT Group Limited (ASX:ISF) Releases Market Update On National Programme For IT

Sydney, June 7, 2010 (ABN Newswire) - iSOFT Group Limited (ASX:ISF) issued a market update on 2 June 2010 partly referring to a deferral of decisions in relation to the National Programme for IT (NPfIT) for our partner CSC (NYSE:CSC) being due to an uncertain political climate in the UK and ensuing election.
In addition, further comments regarding government change were given as a reason for delays in NPfIT procurements in the South of England. Both these statements were iSOFT's opinion and cannot be taken as fact.
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A brain, but not as we know it

DREW TURNEY
June 10, 2010
We are closer to the ultimate neurology experiment: building a brain, writes Drew Turney.
The 17th-century philosopher Rene Descartes claimed there was a disembodied driver in the brain, a kernel of intelligence that viewed sensory input and wielded consciousness to act upon it.
Though we're no closer to discovering the soul today, we know about dendrites, axons (cell components) and synapses (empty, electro-conductive space).
But what is still a mystery is how even though the brain comprises little more than these simple structures, it has somehow given rise to everything from language to love, from Beethoven to Big Brother.
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Cancer patients denied surgery

KATE BENSON
June 8, 2010
EXCLUSIVE
HUNDREDS of patients in Sydney, many needing spine and cancer surgery, have been left off hospital waiting lists for up to a year because overworked staff did not file the paperwork.
The mistake, which doctors say has affected more than 800 people, some in acute pain, has forced the health department to order a blitz on the centralised surgery bookings system in western Sydney. But angry surgeons claim some patients have already deteriorated as a result of the fiasco.
The error has also made politically sensitive hospital performance figures - much vaunted by the health department - look better than they are.
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Calls to expand e-mental health

June 7, 2010 - 11:39AM
The internet offers huge potential to bridge the gap between mental health services and those marginalised Australians most in need, experts say.
Professors Helen Christensen and Ian Hickie have joined forces to call for a major expansion of "e-mental health" in Australia.
Web-based mental health services could attain new reach into rural Australia while also placing help only mouse clicks away from the nation's internet savvy teens, they write.
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Experts call for web-based mental health services

AAP
The internet offers huge potential to bridge the gap between mental health services and those marginalised Australians most in need, experts say.
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Just 16 per cent tipped to take up NBN

ONLY 16 per cent of homes and businesses passed by national broadband network fibre-optic would choose to connect to it, even after 15 years.
The surprisingly low estimates were prepared by the Tasmanian government and have been released to The Australian under Freedom of Information law, in a ruling by state Ombudsman Simon Allston.
Also released are documents showing Tasmania initially wanted the NBN rolled out mostly via wireless technology - rather than fibre - as a more cost-effective delivery method.
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Seven free software tools for top productivity

DAVID WILSON
June 7, 2010 - 12:51PM
If you're still chained to Internet Explorer, switching to Google's Chrome browser might be the ticket.
The web is a thrifter's paradise. The giant network teems with free applications that tackle everything from spyware to website building.
Yes, free stuff has dodgy associations. You may recall those free but trashy plastic gifts once routinely stuck in cereal packets. The modern equivalent is the spam that promises you a free laptop but only brings more junk mail messages.
Despite free stuff's dubious aura, some tools that you can download at no charge are top-class. That means lean (low on megabytes), stable (rarely liable to crash), plus - above all - effective.
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Enjoy!
David.

Saturday, June 12, 2010

AusHealthIT Poll Number 22 – Results – 12 June, 2010.

The question was:

If We are To Have a Shared / Personally Controlled EHR Who Should Deliver and Manage It?

NEHTA

- 1 (2%)

Commonwealth Department of Health

- 7 (18%)

Separate Government Entity

- 13 (34%)

Private Sector via Tender

- 6 (15%)

No One – It’s a Bad Idea

- 3 (7%)

None of the Above

- 8 (21%)

Votes : 38

Comment:

This is a pretty interesting result. It is pretty clear most do not want NEHTA any where near this. It seems a separate government entity gets the cigar – with some support for having DoHA.

I would be curious what those who said None of the Above had in mind. Maybe a comment on those views would be useful?

Again, many thanks to all those who voted

David.

Friday, June 11, 2010

Weekly Overseas Health IT Links 10-06-2010.

Here are a few I have come across this week.

Note: Each link is followed by a title and a paragraph or two. 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 payment.

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http://radar.oreilly.com/2010/06/unlocking-innovation-through-d.html

Making community health information as useful as weather data

Open health data from Health and Human Services is driving more than 20 new apps.

by Alex Howard | @digiphile |

Human Services, Todd Park, is fond of using the National Ocean and Oceanographic Association (NOAA) as a metaphor for the innovation that may be unlocked through releasing public data. NOAA data underpins Weather.com and nearly every commercial meteorological service in the United States. Park has been working closely with other government officials and the technology community to put community healthcare data into a parallel role as a catalyst for innovation. In other words, HHS is creating a framework for government to act as a platform through the Community Health Data Initiative.

"The idea to make our community data as useful to the world as weather data or other types of data is to other parts of American life," said Park yesterday at a media briefing. "The real magic is that HHS put data out there on March 11 and the world responded. Innovators responded -- from Google to Microsoft to startups -- and have built amazing apps that HHS could never have built itself. That's built amazing value for citizens."

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http://www.healthcareitnews.com/news/home-monitoring-gives-heart-failure-patients-boost

Home monitoring gives heart failure patients boost

June 01, 2010 | Bernie Monegain, Editor

BERLIN – Heart failure patients who used an interactive telehealth system with motivational support tools at home spent less time in the hospital and reported their quality of life had significantly improved over 12 months evaluation period, according to a new study.

The research, called CARME (CAtalan Remote Management Evaluation) was conducted at the Spanish Hospital Germans Trias i Pujol, and supported by Royal Philips Electronics, The Netherlands-based conglomerate that is the parent company of Andover, Mass.-based Philips Healthcare.

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http://www.nytimes.com/2010/05/30/business/30stream.html?adxnnl=1&src=busln&adxnnlx=1275538484-4kpM2ix3gpRKvaq8/D7jPQ

When Patients Meet Online, Are There Side Effects?

By NATASHA SINGER

COULD we cure diseases faster, or at least better control them, through crowd-sourcing?

That is the premise behind social networking sites like CureTogether.com and PatientsLikeMe.com, which offer online communities for patients and collect members’ health data for research purposes.

PatientsLikeMe provides forums where more than 65,000 members with epilepsy, multiple sclerosis and more than a dozen other disorders are encouraged to share details about their conditions and the success or pitfalls of specific drug treatments.

“When patients share real-world data, collaboration on a global scale becomes possible,” the site says. “New treatments become possible.”

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http://www.nytimes.com/2010/05/30/business/30telemed.html

The Doctor Will See You Now. Please Log On.

By MILT FREUDENHEIM
Published: May 28, 2010

ONE day last summer, Charlie Martin felt a sharp pain in his lower back. But he couldn’t jump into his car and rush to the doctor’s office or the emergency room: Mr. Martin, a crane operator, was working on an oil rig in the South China Sea off Malaysia.

He could, though, get in touch with a doctor thousands of miles away, via two-way video. Using an electronic stethoscope that a paramedic on the rig held in place, Dr. Oscar W. Boultinghouse, an emergency medicine physician in Houston, listened to Mr. Martin’s heart.

“The extreme pain strongly suggested a kidney stone,” Dr. Boultinghouse said later. A urinalysis on the rig confirmed the diagnosis, and Mr. Martin flew to his home in Mississippi for treatment.

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http://www.healthcareitnews.com/news/hies-choose-different-approaches-privacy

HIEs choose different approaches to privacy

June 01, 2010 | Patty Enrado, Special Projects Editor

A recent virtual roundtable hosted by Symantec on health information exchanges (HIEs) highlighted the different approaches states are taking to protect patient health information.

Oregon is blessed with having a culture for well-documented public processes and embracing the planning process, according to Carol Robinson, State Health IT Coordinator for Oregon State Health Information Technology Oversight Council or HITOC. The state also enjoys a high rate of EHR adoption, with more than 65 percent of providers with some sort of electronic system in their offices, she said.

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http://www.healthcareitnews.com/news/surveys-point-health-it-jobs-rise

Surveys point to health IT jobs on the rise

June 02, 2010 | Bernie Monegain, Editor

NEW YORK – A majority of employers and recruiters (52 percent) expect to hire more career professionals in the second half of 2010 than they did in the first half of the year, according to a new survey by Dice Holdings, Inc., which operates specialized career Web sites for professional communities, including healthcare.

The Dice survey does not break down numbers by industry sectors. However a recent report from the U.S. Department of Labor anticipates demand for health information technology workers to grow.

Jobs in medical records and health information technology are expected to grow by 20 percent through 2018, according to the U.S. Bureau of Labor Statistics. Industry insiders estimate 50,000 new jobs will be created by the push to transform healthcare from a mostly paper-based industry to a digital one.

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http://www.healthcareitnews.com/news/kiwi-companies-bring-healthcare-it-expertise-us

Kiwi companies bring healthcare IT expertise to the U.S.

May 21, 2010 | Eric Wicklund, Managing Editor

BOSTON – Nine healthcare IT companies from New Zealand are taking a tour of the United States, in hopes of finding new markets for their products and getting a piece of the American healthcare reform pie.

The companies, chosen from 104 that participated in the New Zealand Trade & Enterprise Agency’s year-long “Focus on Health Challenge,” are visiting San Francisco, New York, Washington D.C. and Boston this month. They were selected by a seven-member international panel that included Harvard Medical School’s John Halamka and Jay Srini of Lifewire and SCS Ventures.

“New Zealand has the agility, as a small country, to expedite innovation in a way that larger countries, with multiple rules, regulations and bureaucratic processes, have difficulty doing," Srini says on the New Zealand Trade & Enterprise Web site.

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http://www.healthcareitnews.com/news/big-growth-projected-his-market

Big growth projected for HIS market

June 02, 2010 | Mike Miliard, Managing Editor

NEW YORK – The worldwide market for Hospital Information Systems (HIS) is positioned for significant growth in the coming years, according to a new study from GlobalData.

The global market is forecast to exceed $18 billion by 2016, after growing at a compound annual rate of 13 percent from its $7.8 billion valuation in 2009.

That growth is primarily driven by hospitals that stand to receive government reimbursements, as they try to improve care and increase workflow efficiency with information technology. Overall, the study shows, hospitals strongly believe that adopting HIS will greatly increase efficiency and reduce medical errors, thus improving quality of care.

The electronic medical records (EMR) segment is by far the largest segment in the HIS market – valued at $3.4 billion in 2009 and expected to increase at a compound annual growth rate (CAGR) of 15.3 percent over the next seven years.

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Dell, Practice Fusion Offer SaaS EMR

The software-as-a-service offering aims to help smaller medical offices overcome steep barriers to electronic medical record system adoption.

By Nicole Lewis, InformationWeek

June 3, 2010

URL: http://www.informationweek.com/story/showArticle.jhtml?articleID=225300323

Dell and software-as-a-service provider Practice Fusion will offer an electronic medical record package for small and medium-size medical practices looking for an affordable EMR system.

Today's announcement builds one part of Dell's healthcare strategy: to penetrate medical practices with 20 physicians or less, where limited budgets present barriers to EMR adoption.

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http://healthcare-informatics.com/ME2/dirmod.asp?sid=&nm=&type=Publishing&mod=Publications%3A%3AArticle&mid=8F3A7027421841978F18BE895F87F791&tier=4&id=9878204FBA944B71B04C91ED7CA1E569

Web-Exclusive Report: Physicians Found Craving iPads

A recent survey suggests that many clinicians are on-board with the I-Pad.

By Mark Hagland

Are physicians in the U.S. craving the just-released Apple iPad? Well, let’s put it this way: they certainly are intrigued by the device, if the results of a recent survey accurately reflect their views. In late February (more than two months before the iPad actually made its commercial debut, researchers at the San Mateo-based Epocrates, the drug-reference solution vendor, asked physicians, physician assistants, and nurse practitioners what they thought of the iPad, and how much they wanted it.

Here’s what the researchers found: of 392 total clinicians surveyed (of whom 260 were physicians and the remainder were physician assistants and nurse practitioners), a significant plurality (23 percent) were already planning to buy the iPad for their use, a couple of months before its commercial release. Of that 23 percent, 9 percent were planning to buy the mobile device “when it’s available,” while another 14 percent expected to do so “within the next year.” Another 38 percent queried said, “Maybe, I need to learn more information,” while 40 percent described themselves as “not likely to buy” the device.

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http://www.healthleadersmedia.com/content/QUA-251798/Hospital-Nearly-Doubles-Medication-Scanning-Rates

Hospital Nearly Doubles Medication Scanning Rates

Sarah Kearns, for HealthLeaders Media, June 1, 2010

In April 2008, Baystate Medical Center (BMC), a 653-bed teaching hospital in Springfield, MA, began implementation of its Bar Code Point of Care (BCPOC) technology to positively impact medication administration in reducing errors.

In the early pilot programs, BMC reported a 50% bedside scanning rate for all medications and a medication error rate of 1.2 errors per 1,000 patient days.

Following the implementation of an organizationwide bar code scanning process in September 2008, BMC improved its medication scanning rates to 87%-90%. The medication error rate also decreased to 0.3 errors per 1,000 patient days, a 75% reduction.

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http://www.modernhealthcare.com/article/20100604/NEWS/100609980

Health centers share plans for HHS grants

By Jennifer Lubell / HITS staff writer

Posted: June 4, 2010 - 12:15 pm ET

Community health centers that got a share of the nearly $84 million in HHS stimulus money to adopt electronic health records will be doing more than just deploying EHR systems.

Some will develop online health-information warehouses to share best healthcare practices; others will upgrade their health information technology infrastructure. All seek to help define and demonstrate the "meaningful use" of information technology.

The funds are part of the $2 billion administered to HHS' Health Resources and Services Administration under the American Recovery and Reinvestment Act of 2009 to expand healthcare services to low-income and uninsured individuals through its health-center program. Forty-five grants will support new and enhanced EHR implementation projects as well as various health IT innovation projects. Professionals practicing in health centers who are able to demonstrate meaningful use of certified EHR technology may be eligible to receive incentive payments from Medicare and Medicaid, the department announced.

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http://healthitupdate.nextgov.com/2010/06/ehrs_on_the_run.php?oref=latest_posts

EHRs on the Run

By Emily Long

E-health records may serve a valuable purpose outside hospitals and physicians' offices. The organizers of last year's Detroit Free Press Marathon, held in October, collected medical information from participants prior to the race and stored it on a secure server, reports Scientific American.

On race day, medical staff were given laptops with access to runners' health records and were able to treat those in distress using that information. To maintain confidentiality, the records matched runners' bib numbers, the article says. The purpose of the project was to speed race-day treatment and to study injury patterns so organizers can better prepare for future events.

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http://www.earthtimes.org/articles/show/shred-it-calls-on-healthcare-leaders,1328902.shtml

Shred-it Calls on Healthcare Leaders to Make Sure Patient Information is Secure

DALLAS, June 3 /PRNewswire/ -- Shred-it, an information security company that provides secure information destruction services worldwide, is pleased to offer free copier hard drive destruction to every healthcare organization that becomes Shred-it's client in 2010. Shred-it will destroy up to 100 hard drives, a potential value of $1,200.

"Healthcare administrators selling or disposing of used photocopying machines may inadvertently do so without removing and securely destroying the hard drives that contain private medical information," says Vincent R. De Palma, President and CEO at Shred-it, a company that serves over 1,500 hospitals and clinics worldwide.

In fact, more than 60 percent of Americans do not realize that copiers contain a hard drive that stores images, according to a recent CBS report. In the healthcare environment, information stored within copier hard drives may include personal patient data.

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http://www.modernhealthcare.com/article/20100603/NEWS/100609983

AHRQ introduces patient-data app

By Maureen McKinney / HITS staff writer

Posted: June 3, 2010 - 12:30 pm ET

A free software application unveiled by the Agency for Healthcare Research and Quality promises to streamline the quality reporting process and could potentially save users hundreds of thousands of dollars, the agency said.

The Windows-based tool, known as MONAHRQ, allows state and local organizations to create their own website populated with patient data for use in quality improvement and reporting initiatives. AHRQ estimated that creating this kind of online resource would likely cost at least $300,000 and take up to a year to develop. MONAHRQ, on the other hand, can be up and running in a few days, the agency said in a news release.

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http://www.fierceemr.com/story/ahrq-vendors-seek-ehr-usability-standards-development-best-practices/2010-06-03

AHRQ, vendors seek EHR usability standards, development best practices

June 3, 2010 — 11:58am ET | By Neil Versel

The Agency for Healthcare Research and Quality is calling for the creation of an independent entity to lead development of voluntary EHR usability standards, and apparently has support from some parts of the vendor community.

A report, prepared by James Bell Associates and the Altarum Institute on behalf of AHRQ says that EHR vendors tend to turn to best practices for general software design since there aren't any specific standards for EHR usability. This, according to the report, leads to the need for extensive customization to meet each customer's specific requirements.

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http://www.fierceemr.com/story/google-denies-report-its-giving-google-health-phr/2010-06-03

Google denies report that it's giving up on Google Health PHR

June 3, 2010 — 11:14am ET | By Neil Versel

Google is denying a report by an industry analyst that it is giving up on its much-hyped but little-used Google Health PHR.

"The project is alive and well from a staffing perspective," an unnamed source is quoted as saying on eWeek's "Google Watch" blog.

"We continue to invest in Google Health--we see it as a multi-year effort and think that finding ways to empower consumers help solve important problems, in health information and beyond, is very much in line with our corporate mission. As we demonstrated at HIMSS [in March], we continue working to add new features and grow our ecosystem of new partners with Google Health, and will have more to share in the coming months," a company spokesperson says in the same blog post.

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http://www.fierceemr.com/story/cerner-implementation-uk-hospital-has-gone-remarkably-well/2010-06-03

Cerner implementation at UK hospital has 'gone remarkably well'

June 3, 2010 — 12:32pm ET | By Neil Versel

Here's something you don't see every day: an EMR success story in England's massive National Programme for IT.

Implementation of a Cerner Millennium system at the Kingston Hospital National Health Service Trust, on the outskirts of London, has "gone remarkably well," Kate Grimes, CEO of the trust, says in an extensive interview with E-Health Insider. Kingston Hospital NHS Trust has been live with Millennium since November, and was the first to follow a new, local implementation model with Cerner and British Telecom that was developed following widely publicized failures at two other NHS trusts.

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http://www.fierceemr.com/story/doc-developed-emr-canada-boosts-workflow-heavy-templating/2010-06-03

Doc-developed EMR in Canada boosts workflow with heavy templating

June 3, 2010 — 12:59pm ET | By Neil Versel

It's time to re-open the debate over templating vs. free text in EMR documentation. For this, we turn to Canada.

Dr. Ravi Murthy, a family physician in the Toronto area, wanted to improve record-keeping and efficiency while also maintaining some of his personal autonomy because his staff was prone to constant turnover; but he didn't like most of the EMRs on the market. So through his own company, GoHomeDoc, Murthy built his own EMR and is now bringing Promise EMR to market in the province of Ontario with the promise that it can save doctors two to three hours a day.

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http://ehealtheurope.net/news/5961/study_advises_ec_on_e-health_models

Study advises EC on e-health models

03 Jun 2010

A study to evaluate business models for e-health in Europe has made a series of policy recommendations for the European Commission to follow to improve the quality and efficiency of e-health services.

The study, which was funded by the ICT for health unit of the European Commission’s DG Information Society and coordinated by RAND Europe in partnership with Capgemini Consulting, used semi-structured interviews with European experts in the field of e-health.

It also examined five case studies of value-creating and sustainable e-health systems in Europe.

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EHRs Lack Standards, Best Practices

Vendors support an independent body to develop best practices and usability standards for electronic health record products.

By Nicole Lewis, InformationWeek

May 28, 2010

URL: http://www.informationweek.com/story/showArticle.jhtml?articleID=225200548

A report raises growing concerns that electronic health record products are being developed without specific best practices and design standards related to EHR product use in a healthcare setting. To overcome this difficulty, many vendors support an independent body guiding development of voluntary usability standards for EHRs, the study found.

The Electronic Health Record Usability Vendor Practices and Perspectives report was published this month by the Agency for Healthcare Research and Quality. The study, which was conducted by James Bell Associates and the Altarum Institute on behalf of AHRQ, interviewed vendors of ambulatory EHR products that came on the market during the mid-1990s to 2007.

The study's objective was to examine vendors' processes and practices with regard to: the existence and use of standards and "best practices" in designing, developing, and deploying products; testing and evaluating usability throughout the product life cycle; and supporting post-deployment monitoring to ensure patient safety and effective use.

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http://govhealthit.com/newsitem.aspx?nid=73825

Ohio legislation trains docs in medical home IT

By Heather Hayes
Tuesday, June 01, 2010

The Ohio General Assembly completed a legislative package last week that will establish 44 existing primary care practices as training centers for patient-centered medical homes. The bill, which passed both the Ohio House and Senate unanimously, is expected to be signed by Gov. Ted Strickland as early as this week.

Medical homes rely on health information technology, including electronic health records, health information exchanges, decision support tools and e-prescribing, to enable a medical team led by a primary care physician to coordinate aspects of a patient’s preventive, chronic and acute care.

Many advocates say that medical homes go a long way toward achieving the holy grail of healthcare: better outcomes at a lower cost.

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http://healthcare-informatics.com/ME2/dirmod.asp?sid=&nm=&type=Publishing&mod=Publications%3A%3AArticle&mid=8F3A7027421841978F18BE895F87F791&tier=4&id=CD0403D2386845DDBA686B0FAD04FFED

HIEs Blossoming

An interview with Janie Tremlett, Senior Vice President of Strategic and Clinical Consulting, Concordant

By Mark Hagland

Janie Tremlett is senior vice president of strategic and clinical consulting at the Chelmsford, Mass.-based consulting firm Concordant, which specializes in health information exchange (HIE) development and related areas, and is currently working with numerous HIE initiatives nationwide. Tremlett spoke recently with HCI Editor-in-Chief Mark Hagland regarding her perspectives on HIE development.

Healthcare Informatics: What is the general landscape of HIE development like right now?

Janie Tremlett: What we’re seeing is that you have different states in different stages—Vermont, Maine, Maryland—all these statewide HIEs that have actually been around for a while and have now gotten new life because of the HITECH grant money that’s been awarded under HITECH [the federal American Reinvestment and Recovery Act/Health Information Technology for Economic and Clinical Health (ARRA-HITECH) Act]. But there’s still high anxiety regarding sustainability. The HIEs have been living grant by grant. And everybody’s been feeling that we’re reaching the end of that era. Altogether, the figure is in the hundreds of millions of dollars in funding for HIE support under HITECH; but one of the requirements for receiving the funds is for the HIEs to document how they’ll be sustainable. So each state is in a different stage, but the commonality among everyone is to try to figure out the sustainability.

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Health IT Lacks Innovation, Integration

An HP executive's assertion that the healthcare sector isn't investing enough in health IT is backed up by a Dow Jones study.

By Nicole Lewis, InformationWeek

June 1, 2010

URL: http://www.informationweek.com/story/showArticle.jhtml?articleID=225200742

If health IT is to meet the challenges of a reformed healthcare system, the industry needs greater investment in health IT innovation, more integrated systems, and a focus on finding ways to enable patients to better manage their health, a Hewlett Packard executive says.

In an interview with InformationWeek, Harry Kim, HP's director of enterprise business healthcare, argued that the United States is not driving the level of innovation needed to meet the new healthcare realities.

"We have the best medical technology, but our information technology to bring it all together is lacking investments. It lacks the structure inside the country to drive progress," Kim said.

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http://www.modernhealthcare.com/apps/pbcs.dll/article?AID=/20100602/NEWS/100609998/1029

Health IT work group debates privacy, consent

By Joseph Conn / HITS staff writer

Posted: June 2, 2010 - 12:01 am ET

A key government advisory panel on healthcare information privacy continues to wrestle with how much—if any—control patients should have over the use and movement of their electronic health records.

Patient consent for movement and use of records “is absolutely a part of this framework,” said Deven McGraw, chair of the Privacy and Security Workgroup of the Health IT Policy Committee. Still, patient consent should not be the linchpin of healthcare information privacy, she argued at the committee's May 19 meeting, “because then you've asked the patient to bear that burden.”
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http://www.modernhealthcare.com/article/20100602/NEWS/306029977

National health data initiative unveiled

By Jennifer Lubell

Posted: June 2, 2010 - 10:00 am ET

HHS Secretary Kathleen Sebelius and Harvey Fineberg, president of the Institute of Medicine, unveiled the Community Health Data Initiative, a national effort to promote the use of community health data to spur innovation and development of new applications.

In taking steps to improve quality of care and build a healthcare system “that meets the needs of every American,” HHS wants to leverage new health information technology tools to achieve those goals, Sebelius said during a community health data forum in Washington sponsored by the IOM.

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http://www.healthdatamanagement.com/news/public-health-status-portal-hhs-40410-1.html

HHS to Make Health Data Available

HDM Breaking News, June 2, 2010

The Department of Health and Human Services has launched an initiative to make federally generated community health data widely available to the public in easily accessible and useful formats.

"Our national health data constitute a precious resource that we are paying billions to assemble, but then too often wasting," HHS Secretary Kathleen Sebelius said while announcing the Community Health Data Initiative. "When information sits on the shelves of government offices, it is underperforming. We need to bring these data alive." Doing so can help communities determine best approaches to improving health status, she added.

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http://www.earthtimes.org/articles/show/kaiser-permanente-honored-for-health,1327231.shtml

Kaiser Permanente Honored for Health Information Technology Innovation with CIO 100 Award

OAKLAND, Calif., June 2 /PRNewswire/ -- Kaiser Permanente was recognized by IDG's CIO magazine with a CIO 100 Award for using information technology in innovative ways that provide value. The award was specifically in honor of Kaiser Permanente's first-of-its-kind Mobile Health Vehicle.

The MHV increases and extends access to critical health care services, including a broad range of screenings, for Kaiser Permanente members and uninsured patients who would otherwise lack access to these services. The 500-square-foot, 10-wheeled vehicle was the nation's most wired private mobile health solution at the time of its deployment, having full access to Kaiser Permanente HealthConnect®, the organization's comprehensive electronic health record, so that care teams aboard could wirelessly access complete health information for patients being treated.

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http://www.itbusiness.ca/it/client/en/home/News.asp?id=57819&cid=7

Telus launches e-health system that talks to medical devices

6/2/2010 7:00:00 AM By: Brian Jackson

Telus is using Microsoft HealthVault to power Health Space, its patient-managed and Web-based electronic health records system. Users will be able to track their medical information and share it with doctors or family members.

Telus Corp. has launched a Web-based electronic health records management service accessible by customers and members of 12 partner groups, the Calgary-based firm announced Monday.

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http://www.ehiprimarycare.com/news/5939/web_calculator_identifies_statins_risks

Web calculator identifies statins risks

26 May 2010

Researchers have developed a web calculator to identify patients at high-risk of adverse events from statins after a study found some may have unintended effects.

The study on statins, published in the BMJ, used the QResearch database of patients from UK GP practices to look at adverse outcomes from statins and found some can lead to an increased risk of liver dysfunction, acute renal failure, myopathy and cataracts.

Professor Julia Hippisley-Cox, professor of clinical epidemiology and general practice, and Carol Coupland, associate professor in medical statistics from Nottingham University, went on to develop algorithms so that the risk could be estimated for individual patients.

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http://www.ehiprimarycare.com/news/5948/bma%E2%80%99s_ingrams_says_four_scrs_%E2%80%98barmy%E2%80%99

BMA’s Ingrams says four SCRs ‘barmy’

01 Jun 2010

A senior BMA IT representative has criticised the creation of four separate emergency summary records for the four countries in the UK.

Dr Grant Ingrams, co-chair of the BMA and Royal College of GPs Joint IT Committee, told last week’s British Computer Society Primary Healthcare Specialist Group conference that it did not make sense to have the Summary Care Record in England and different emergency summaries in Scotland, Wales and Northern Ireland.

He added: “Four different summaries none of which talk to each other is barmy. There are plenty of people that live along the borders and people do move around. We don’t have a national summary care record – just one in each area.”

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http://www.ehiprimarycare.com/news/5947/gp_plans_nursing_home_access_to_records

GP plans nursing home access to records

28 May 2010

A GP is to explore giving nursing home staff electronic access to patient records in a move he claims could save the NHS millions of pounds.

Dr Amir Hannan, a GP in Hyde Cheshire who has pioneered patient access to records, has launched a project to enable a local nursing home to access patient records, make appointments and order repeat prescriptions online.

Dr Hannan told this week’s British Computer Society Primary Healthcare Specialist Group conference that nursing homes were becoming equivalent to the leprosy hospitals of the past, with increasingly dependent patients cut off from the rest of their communities.

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http://www.fiercehealthfinance.com/story/security-breach-mailing-machine-wreaks-billing-havoc-ny-hospital/2010-05-24

Security breach: Mailing machine wreaks billing havoc at New York hospital

May 24, 2010 — 8:04pm ET | By Caralyn Davis

Think data breaches involve only human misuse or errors? Think again. Out of 2,500 patient bills that Strong Memorial Hospital in Rochester, N.Y., mailed out on April 19, roughly half went to the wrong patients due to a malfunctioning automated billing machine, reports The Democrat and Chronicle.

The billing machine, which folds bills and puts them in envelopes, picked up several billing statements at once instead of individually. As a result some patients received their own bills as well as bills for at least one additional patient. Strong Memorial didn't learn of the problem until patients started calling the hospital about the extra bills.

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http://www.modernhealthcare.com/article/20100601/NEWS/100529910

VA names winning ideas for IT improvements

By Joseph Conn / HITS staff writer

Posted: June 1, 2010 - 12:15 pm ET

An information technology industry advisory panel recently recommended that the Veterans Affairs Department hold off on further development of its VistA clinical IT system, but it appears the VA may be heading in the opposite direction.

VA Secretary Eric Shinseki announced May 28 the 26 winning entries of an in-house competition held by the VA's Office of Information & Technology to come up with innovative ideas for using IT to improve services to veterans.

Many of the winning ideas involved improvements to VistA and its primary electronic health-record module, the Computerized Patient Record System.

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http://www.govhealthit.com/newsitem.aspx?nid=73808

EU sets major investments in health IT, telemedicine

By Brian Robinson

Thursday, May 27, 2010

The European Commission is proposing ambitious, wide-ranging public investments in digital technologies that will allow it to tackle looming challenges, including the support of an aging population and limiting health care costs.

As part of a decade-long action plan, the EC has proposed establishing a number of major pilots throughout the European Union that will lead to all Europeans having secure, online access to their medical health data by 2015. The plan also calls for widespread deployment of telemedicine services by 2020.

As the precursor to all of this, the EC is also proposing that a minimum, common set of patient data be defined that will allow patient records to be accessed or exchanged electronically across all of the EU's 27 member states by 2012.

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Enjoy!

David.