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, July 18, 2010

Weekly Australian Health IT Links – 18 July, 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:

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Well, yesterday our less than a month old Prime Minister went to the Governor-General and called an election for August 21, 2010. As she said when she took the job ‘game on’!

From the e-Health perspective we have the following so far:

Julia Gillard's address to the nation

GOOD afternoon Australians one and all.

Can I say good afternoon to members of the Canberra press gallery and at least say to them they’ll be relieved to know their days of standing on street corners waiting for the election to be called are over.

And can I say to Australians on the 24th of June I had the very great honour of becoming Prime Minister of this country, the greatest country of all.

And on that day I acknowledged that I had not been elected by the Australian people. And I said then to the Australian people that I would ensure, that in the near future, they would to able to exercise their birthright, their vote, to select their Government and their Prime Minister.

Today I honour that pledge, and today I seek a mandate from the Australian people to move Australia forward.

This morning I asked Her Excellency, the Governor-General, to dissolve the House of Representatives so that elections can occur for the House and half of the Senate on Saturday, August 21.

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Instead of supporting computers in schools and e-health, he would abandon all of it.

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For the full speech go here:

http://www.theaustralian.com.au/national-affairs/julia-gillards-address-to-the-nation/story-fn59niix-1225893284705

From Tony Abbott we have:

Tony Abbott's mental health strike

  • Matthew Franklin and Adam Cresswell
  • From: The Australian
  • July 01, 2010 12:00AM

TONY Abbott has ignited the unofficial election campaign by targeting Labor's policy weak point of mental health with a $1.5bn spending package.

The package includes 800 new hospital beds.

Capitalising on health sector anger about Rudd government inaction on mental health, the Opposition Leader yesterday promised to fund 80 new mental health treatment facilities, including 60 serving young people.

.....

Mr Abbott's policy documents released yesterday said a Coalition government would raise the funding by abolishing a range of Labor programs, including expanded funding for GP services, the GP Superclinics program, an e-health system and existing youth mental health programs.

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More here:

http://www.theaustralian.com.au/politics/tony-abbotts-mental-health-strike/story-e6frgczf-1225886435544

So superficially, on the e-Health issue, there is no choice. Sadly, in my mind, it is actually rather like a Hobson’s choice or more accurately a Morton’s Fork.

See here:

http://en.wikipedia.org/wiki/Morton%27s_Fork

Definition:

“A Morton's Fork is a choice between two equally unpleasant alternatives (in other words, a dilemma), or two lines of reasoning that lead to the same unpleasant conclusion. It is analogous to the expressions "between the devil and the deep blue sea," "between a rock and a hard place," or, as those in the Spanish-speaking world say, "Between a sword and the wall." This is the opposite of the Buridan's Ass.”

The reason I say this is that I have zero confidence that the present Labor Government approach will yield much, if anything, in terms of e-Health progress – while the Liberal Opposition seem to be saying they have essentially given up on e-Health.

A credible approach from either lot would be a vote winner for me!

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http://www.smh.com.au/national/roxon-vows-hospital-website-will-open-next-month-but-wont-say-when-20100716-10e74.html

Roxon vows hospital website will open next month, but won't say when

MARK METHERELL

July 17, 2010

The federal government has rushed out a pre-election announcement on the long-awaited MyHospital website.

The Health Minister, Nicola Roxon, who said she could not say exactly when next month the website would begin operating, said she was announcing it because of speculation that the it might not happen.

Ms Roxon said the site would enable people to check how individual hospitals performed against national averages for elective surgery and emergency care, but would be based on 2008-09 statistics collected by the Australian Institute of Health and Welfare, and would also list hospital services available.

However, information on the frequency of hospital-triggered infections and mistakes was not yet available from the states because of different reporting systems, Ms Roxon's spokeswoman told the Herald.

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http://www.australiandoctor.com.au/articles/5b/0c06b05b.asp

My Hospitals website ready next month

16-Jul-2010

A NEW website comparing the nation's hospitals should be up and running before the federal election, the Federal Government says.

The government announced in April that it would introduce "transparent reporting" on every hospital's performance against new national standards as part of its $50 billion health reform agenda.

Federal Health Minister Nicola Roxon today revealed that a scaled-down version of those reports would be available online on the My Hospitals website from August.

"My Hospitals will show how a hospital performed compared [with] national average waiting times for elective surgery and emergency department care," Ms Roxon said in a statement.
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http://www.theaustralian.com.au/news/myhospitals-website-to-open-next-month-roxon-announces/story-fn59niix-1225892647083

MyHospitals website to open next month, Roxon announces

THE government's MyHospitals website is scheduled to be up and running next month to compare the performances of public hospitals against national benchmarks.

Announcing details of the site today Health Minister Nicola Roxon said: “MyHospitals draws back the curtain on the performance of Australia's hospital system and provides an unprecedented level of transparency as the Gillard government works to deliver better health and hospital services for hardworking Australians,”

The minister said the website aimed to provide information on which hospitals were performing well and which hospitals needed to lift their performance and require further assistance.

It will cover hospitals in all states and territories with the exception of Western Australia, which did not sign up to the government's health funding reforms in April.

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http://www.cio.com.au/article/352806/deakin_university_train_medical_students_online/?eid=-601

Deakin University to train medical students online

Project set to ease rural mental health workforce shortage

Deakin University has received funding to implement video conferencing facilities to teach students in Geelong, Warrnambool, Ballarat and Box Hill.

The federal government funding of $336,120 will allow students in these rural areas to fill mental health workforce shortages.

Minister for Indigenous health, rural and regional health, Warren Snowden, said the facilities will utilise video conferencing technology.

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http://www.computerworld.com.au/article/353313/new_mobile_computing_queensland_emergency_services/?eid=-6787

New mobile computing for Queensland emergency services

Queensland Ambulance and Fire and Rescue Service to get new mobile data terminals

The increasing availability of high speed wireless data networks and mobile computing devices has spurred the Queensland Government to expand its application of mobile data systems for its agencies providing emergency services.

The Government will set up a panel of providers as a method of giving agencies the flexibility to develop mobile data terminal solutions that meet their needs and utilises existing infrastructure.

The panel will act as a source of mobile data terminal hardware, peripherals and software as well as expanded network coverage via the incorporation of HSDPA (high speed 3G services), satellite networks or other private data networks.

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http://www.itnews.com.au/News/219867,lawyer-finds-ehealth-record-loophole.aspx

Lawyer finds eHealth record loophole

By Mahesh Sharma

Jul 14, 2010 3:20 PM

Australians can choose to pay a premium for privacy.

Australian citizens will only be able to avoid information being recorded against their healthcare identifier number by using medical services anonymously or giving a false name and paying full price for medical services, according to a legal expert.

University of Melbourne law professor Loane Skene - who supports the healthcare identifier as a way to allow research organisations to access medical information without consent - raised the prospect during a speech at the University of Monday night.

The Healthcare Identifier Act came into effect on July 1. It assigns Australian citizens with a unique number to link all medical information contained in disparate databases.

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http://www.pharmacynews.com.au/article/patient-doctor-confidentiality-needs-review/520302.aspx

Patient-doctor confidentiality needs review

13 July 2010 | by Nick O'Donoghue

Privacy laws need to be changed to allow doctors to discuss a patient’s genetic disorders with family members who may be affected, a medico-legal expert says.

Following a presentation last night, Professor of Law at the University of Melbourne and member of the Australian Health Ethics Committee, Loane Skene, told Pharmacy eNews there was a need for legislation to acknowledge the benefits e-health records could give doctors treating patients by providing information on other blood relatives

“In future we should take a more familial approach to health care, particularly acknowledge that a lot of information in the future will be genetic and whenever you have genetic information it has implications not only for you, but also for your close blood relatives.

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http://www.computerworld.com.au/article/352972/sa_health_chief_bans_ipads_among_staff/?eid=-255

SA Health chief bans iPads among staff

Issues a moratorium on purchases until IT team can assess the device

The chief executive of South Australia's health department issued a sternly worded letter to all staff in late May warning them off corporate purchases of Apple's flagship iPad device until the department's IT team could properly assess the device.

The letter - under the name of SA Health CEO Tony Sherbon - states that SA Health is issuing a moratorium on the purchase of iPads for an initial period of two months.

Sherbon told staff that while the potential use of the iPad within SA Health might be significant, the department needed to fully assess the device before it was implemented - with concerns around the security of patient information being one potential issue.

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http://www.theaustralian.com.au/australian-it/nehta-puts-finishing-touches-to-health-identifier-plan/story-e6frgakx-1225890944023

Nehta puts finishing touches to health identifier plan

NEHTA and the federal Department of Health and Ageing are finalising procurement for businesses to help develop Australia's e-health system.

Implementation partners, including IT companies, will be able to participate in the process in a few key areas, National E-health Transition Authority chief Peter Fleming said.

"We will be looking for implementation partners in the private sector that will work with us as we go through the journey of implementing the unique healthcare identifier program, then the packages such as discharge referral and then the electronic health record," Mr Fleming said.

He declined to go into detail about the tenders, but said "those things are being fleshed out a little bit further with DoHA".

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http://www.nehta.gov.au/media-centre/nehta-news/663-mh

Dr Mukesh Haikerwal named as one of 50 Australians currently most influential on General Practice in Australia

12 July 2010. Australia’s leading independent medical publication Australian Doctor has named Dr Mukesh Haikerwal as one of 50 Australians currently most influential on General Practice in Australia.

Viewed by many of his colleagues as a ‘young elder statesman’ Dr Haikerwal has been recognised for his work in various public roles, including that of commissioner on the National Health and Hospitals Reform Commission, and for his determination to get back to fulfilling his various public roles after being assaulted in 2008. Dr Haikerwal is currently the National Clinical Lead for NEHTA and is playing a pivotal role in e-health reform in Australia.

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http://www.computerworld.com.au/article/352969/queensland_health_bungle_lesson_shared_services/?eid=-6787

Queensland Health bungle a lesson on shared services

Failed project shows need for proper governance structures before starting a project, Ovum says

Queensland Health’s well publicised payroll blunder should serve as a sage lesson to private and public sector organisations on the dangers of shared IT service implementations, according to Ovum.

According to the analyst house’s public sector research director, Kevin Noonan, the failure of Queensland Health’s SAP-based payroll system suggested that the proper application, rather than a lack of IT tools and methodologies, was at the heart of the project’s woes.

“Shared services is certainly the flavour of the moment across Australian governments,” Noonan said in a research statement. “This is a sensible step given the significant potential savings in management and infrastructure costs, as well as the extra benefits in delivering coordinated services across agencies.

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http://www.computerworld.com.au/article/352971/queensland_whole-of-government_existential_crisis/?eid=-6787

Queensland's whole-of-government existential crisis

IT procurement navel gazing as CorpTech gets overhauled

The Queensland Government will abandon its one-size-fits-all approach to payroll across government following the bungling of Queensland Health’s SAP-based payroll roll out.

The fiasco has also seen the Government set to overhaul whole-of-government IT provider, CorpTech, in a bid to have it better match agency needs.

"We want larger agencies with complex payroll requirements to be able to use the payroll system which suits them," Queensland Premier, Anna Bligh, said in a statement on the new approach to public sector IT.

"At the same time, smaller agencies should have the ability to cluster with similar agencies and utilise the one payroll system."

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http://www.misaustralia.com/viewer.aspx?EDP://1278976277786&section=news&xmlSource=/news/feed.xml&title=Qld+Health+payroll+bungle+contaminates+super

Qld Health payroll bungle contaminates super

Fallout from Queensland Health's $100 million botched SAP payroll software upgrade has spread to contaminate the superannuation holdings and salary sacrifice schemes of government employees, the state's nurses union has warned

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http://www.computerworld.com.au/article/353100/isoft_uk_e-health_woes_lead_downward_revenue_revision/?eid=-180

iSoft UK e-health woes lead to downward revenue revision

ASX-listed e-health provider hit by overhaul of UK health system IT program

ASX-listed e-health provider iSoft (ASX: ISF) has revised its revenue forecast down by another $10 million, following a halving of its share price last month.

As reported by Computerworld Australia iSoft on 2 June revised its revenues down for the full 2010 fiscal year by as much as $30 million following a confluence of market events.

At the time the company said its revenue for fiscal 2010 would now be in the range of $440 to $455 million while EBITDA was likely to be in the range of $45 to $60 million.

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http://www.smartcompany.com.au/finance/20100714-isoft-makes-yet-another-profit-downgrade-fuels-speculation-of-private-equity-bid.html

iSoft makes yet another profit downgrade, fuels speculation of private equity bid

Wednesday, 14 July 2010 10:34

Patrick Stafford

Troubled software maker iSoft has announced yet another profit downgrade, the second since June, with the company reportedly letting go about 600 staff.

The announcement comes after reports were published suggesting a number of private equity firms are eyeing the company, as its market value has plummeted to just $170 million from a peak of about $1.5 billion.

In an announcement to the Australian Securities Exchange yesterday, chief executive Gary Cohen said the current estimate for the 2010 year is revenue of about $430 million, with EBITDA of approximately $40 million before "exceptional and one-off items".

This comes after a profit downgrade was made in early June, with the company then announcing an expected revenue level of $440-445 million, a decline from a previous downgrade to $500-520 million.

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http://www.zdnet.com.au/more-executive-changes-at-isoft-339304547.htm

More executive changes at iSoft

By Josh Taylor, ZDNet.com.au on July 15th, 2010

Following the departure of iSoft Australia and New Zealand managing director Denis Tebbutt last month, the company has today confirmed two more of its Australian executive team have left the company.

iSoft confirmed to ZDNet Australia that the company's ANZ operations director Rein de Vries and client engagement director Peter Hong had both left the company.

iSoft's head of brand and communications Sally Durant said that the departures were "part of a planned restructure that is part of the repositioning of the ANZ business for more focused growth".

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http://www.zdnet.com.au/telstra-and-nehta-get-it-right-for-gps-339304473.htm

Telstra and NEHTA get it right for GPs

By Suzanne Tindal, ZDNet.com.au on July 13th, 2010

With very little fanfare, Telstra last week announced its involvement in one of the more sensible initiatives I've heard about this year.

It will provide software-as-a-service medical systems via its T-Suite platform to the members of the Royal Australian College of General Practitioners. Currently there isn't any specialist medical software on T-Suite, but Telstra, the National E-Health Transition Authority (NEHTA) and the college plan to work with GPs and vendors to work that out.

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http://www.computerworld.com.au/article/353100/isoft_uk_e-health_woes_lead_downward_revenue_revision/?eid=-6787

iSoft UK e-health woes lead to downward revenue revision

ASX-listed e-health provider hit by overhaul of UK health system IT program

ASX-listed e-health provider iSoft (ASX: ISF) has revised its revenue forecast down by another $10 million, following a halving of its share price last month.

As reported by Computerworld Australia iSoft on 2 June revised its revenues down for the full 2010 fiscal year by as much as $30 million following a confluence of market events.

At the time the company said its revenue for fiscal 2010 would now be in the range of $440 to $455 million while EBITDA was likely to be in the range of $45 to $60 million.

In February the company reported a full fiscal 2010 outlook of $470 million and an EBITDA of $113 million. The company reported that it was on track to meet those targets in March.

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http://www.abnnewswire.net/press/en/63289/iSOFT_Group_Limited_%28ASX:ISF%29_Corporate_Results_Forecasts_For_The_Financial_Year_2010.html

iSOFT Group Limited (ASX:ISF) Corporate Results Forecasts For The Financial Year 2010

Sydney, July 13, 2010 (ABN Newswire) - iSOFT Group Limited (ASX:ISF) today announced that whilst the audit of its financial results for FY10 is still underway, the current estimate of the outcome for the year is revenue of approximately A$430 million and EBITDA of approximately A$40 million before exceptional and one-off items.

Following the delays associated with the rollout of Lorenzo under its NPfiT contract, it is now expected that the development work on Lorenzo will continue until September 2012. This has led to an accounting adjustment of the revenue recognized to 30 June 2010 of A$4.1 million. This adjustment does not have any cash flow impact. The additional time required for delivery will mean that the revenue recognition of milestones, which are a fixed amount, under the percentage of completion method, will now be extended over a further 12 months. However, the additional time and cost to develop Lorenzo is expected to be supported by monthly revenue receipts during the development period.

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http://www.abnnewswire.net/press/en/63285/iSOFT_Group_Limited_%28ASX:ISF%29_Wins_New_Customers_In_Germany_In_Deals_Worth_A58M.html

iSOFT Group Limited (ASX:ISF) Wins New Customers In Germany In Deals Worth A$5.8M

Sydney, July 12, 2010 (ABN Newswire) - iSOFT Group Limited (ASX:ISF) has won contracts with five new customers in Germany in the past month totaling EUR3.9 million (A$5.8 million).

Both Stadtklinik Frankenthal and Rudolf Virchow hospital at Glauchau will switch to iSOFT's ClinicCentre solution by January 2011. ClinicCentre will serve as a central hub ensuring the availability of accurate patient and clinical information across the hospitals.

The 335-bed Rudolf Virchow is also taking iSOFT's BusinessCentre application for financial accounting and a third-party pharmacy solution. The seamless integration of these applications was a key factor in the decision.
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http://news.idg.no/cw/art.cfm?id=CD3B599D-1A64-6A71-CE708FD7B9AAE2CE

NHS £13bn IT programme to be overhauled

Leo King
13.07.2010 kl 18:54 | Computerworld UK

The troubled £12.7 billion (US$19.1 billion) NHS National Programme for IT is set to be overhauled, after the Department of Health said it would slash spending on consultants for centralised programmes, and promised an "information revolution".

The troubled £12.7 billion (US$19.1 billion) NHS National Programme for IT is set to be overhauled, after the Department of Health said it would slash spending on consultants for centralised programmes, and promised an "information revolution".

The NHS, which is attempting to cut £20 billion from overall costs, will use a "more plural system of IT and other suppliers", the Department said in a white paper today. Chief executive David Nicholson will make an announcement in the next month.

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http://www.theage.com.au/technology/technology-news/child-porn-filter-move-hits-snag-20100712-107w3.html

Child porn filter move hits snag

ARI SHARP

July 13, 2010

HOPES that a voluntary filter of child pornography will become industry standard across all internet service providers have been dealt a blow, with significant mid-sized carrier Internode declaring yesterday that it will not participate.

Communications Minister Stephen Conroy late last week announced the government would hold off on its filter proposal until a year-long review of refused classification rules had been completed.

At the same time the government said three internet service providers - Telstra, Optus and Primus, which between them represent about 70 per cent of Australian internet connections - would voluntarily block child abuse content, with the prospect that others might follow.

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Enjoy!

David.

Friday, July 16, 2010

Weekly Overseas Health IT Links - 15 July, 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://www.ama-assn.org/amednews/2010/07/05/bisb0707.htm

Electronic pill bottles might help medication adherence

The bottles send audio and visual alerts when it's time to take medicine. A study showed nearly 100% patient compliance when the devices are used.

By Pamela Lewis Dolan, amednews staff. Posted July 7, 2010.

Pill bottles that electronically alert patients to take their medications show promise for increasing compliance, according to research from the Center for Connected Health, a division of Partners Healthcare in Boston.

A randomized controlled study of patients who used electronic pill bottles wirelessly connected to the Internet found a 27 percentage point higher rate of medication compliance compared with patients who didn't use the electronic bottles.

The bottles, called GlowCaps and produced by Cambridge, Mass.-based Vitality, alert patients with light and sound when it's time to take their medicine. The bottles also generate missed-dose reminder phone calls and refill reminders. Automated progress reports also are sent to the patients' physicians, family or caregivers.

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Healthcare.gov Adds Hospital Comparison Data

The data from the Hospital Compare Tool includes information on how well hospitals care for patients with heart attacks, protect outpatients from surgical infections and use of imaging equipment.

By Nicole Lewis, InformationWeek
July 8, 2010
URL:
http://www.informationweek.com/story/showArticle.jhtml?articleID=225702729

Barely a week after launching HealthCare.gov, the first website to provide a central database of health coverage options and other comparative healthcare statistics, the Department of Health and Human Services announced Wednesday that new information about the quality of care in America's outpatient and emergency departments has been posted to the new website.

The new data, which can be found at the Compare Care Quality link on the front page of HealthCare.gov, includes information on how well hospitals care for patients with heart attacks, compares how hospitals protect outpatients from surgical infections, and examines how efficiently facilities use certain types of imaging equipment among Medicare patients.

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http://healthcareitnews.com/news/hhs-proposes-new-privacy-and-security-rules

HHS proposes new privacy, security rules

July 08, 2010 | Diana Manos, Senior Editor

WASHINGTON – Department of Health and Human Services Secretary KathleenSebelius announced Thursday new proposed privacy and security rules and resources. She said they would strengthen the privacy of health information and help all Americans understand their rights and the resources available to safeguard their personal health data.

Sebelius said the rules are part of an effort led by the Office of the National Coordinator for Health Information Technology (ONC) and the HHS Office for Civil Rights (OCR) to ensure Americans trust personal health data exchange.

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http://www.gastongazette.com/news/health-48897-keeping-fill.html

Health care providers say keeping electronic records will be good for your health

Daniel Jackson

2010-07-09 09:58:51

Forget all those paper forms you have to fill out every time you go to a new doctor.

One day, we’ll each have one medical file — electronic health records on a National Health Information Network accessible anywhere in the country by any medical provider with authorization to review those files. But just as sure as some readers of The Gazette are viewing this article on newsprint, the conversion to digital medical records has yet to be embraced by all physicians and patients.

North Carolina started an organized effort to create a statewide health care information exchange (HIE) 15 years ago, but doctors offices, hospitals and other providers have been slow to adopt electronic health records (EHR) that could be shared on the HIE for a variety reasons, including financial, technical and privacy concerns.

With the passage of the American Recovery and Reinvestment Act last year, the federal government allocated roughly $36 billion for health information technology, including incentives for medical providers that switch from paper to digital records. And by 2016, medical practices that fail to make the conversion ultimately face penalties that are sure to make health information technology — to use the correct acronym — a HIT.

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http://www.modernhealthcare.com/article/20100708/NEWS/100709943

APSC urges FDA to establish device-ID system

By Shawn Rhea / HITS staff writer

Posted: July 8, 2010 - 1:00 pm ET

The Advancing Patient Safety Coalition, a group of provider, healthcare-quality and patient-advocacy organizations, has sent a letter to Food and Drug Administration Commissioner Margaret Hamburg urging the agency to publish a rule establishing a unique device identification, or UDI, system.

In the letter, the group said the agency was taking "an unreasonable amount of time to publish a proposed rule" for a UDI system, which Congress mandated be developed in 2007 with the passage of that year's FDA Amendments Act. The system would be used to track movement of medical devices from the point of manufacture to their use in patients. Advocates for a UDI system say it would promote a broad range of healthcare system improvements, including patient safety, comparative effectiveness of medical devices and cost reduction through supply-chain efficiencies.

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http://www.modernhealthcare.com/article/20100708/NEWS/100709940

Excellence in IT: St. Luke's Health System

By Deborah Gash

Posted: July 8, 2010 - 1:30 pm ET

In 2007, St. Luke's Health System, Kansas City, Mo., had a physician alignment problem: Its affiliated physicians were unhappy about the amount of paper received from the health system.

Laboratory results, discharge summaries, reports and more were delivered in hard copy. Solving this business problem would strengthen the provider's relationships with its physicians. Also, information technology leadership correctly suspected that the solution would have significant benefits beyond the reduction of paper. St. Luke's launched a health information exchange initiative that allows sharing of clinical data at the community level and beyond.

In an online connectivity solution named St. Luke CareLink, St. Luke's uses a combination of e-health technologies to enable two-way communication: secure messaging, e-prescribing, clinical results delivery and automated personal health records. This e-connectivity is accomplished using a software-as-a-service network platform and supplier-hosted rapid deployment methodology that allows flexibility and extensibility to connect outward. The exchange requires minimal staffing resources and eliminates the need for infrastructure beyond access to the Internet, eliminating large capital outlays.

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http://www.modernhealthcare.com/article/20100708/NEWS/100709949

HHS proposes changes to HIPAA privacy rule

By Joseph Conn / HITS staff writer

Posted: July 8, 2010 - 1:00 pm ET

HHS has proposed a new federal healthcare information privacy rule to amend the Health Insurance Portability and Accountability Act of 1996. Reflecting changes Congress sought last year in the stimulus law, the proposed rule would give patients the right to restrict certain disclosures and ban the sale of patient data without patient consent, according to HHS.

According to an HHS announcement made jointly by David Blumenthal, head of the Office of the National Coordinator for Health Information Technology, and Georgina Verdugo, director of the Office for Civil Rights, the proposed rule would:

-expand individuals' rights to access their information;

-restrict certain disclosures of protected health information to health plans;

-extend the applicability of certain of the HIPAA privacy and security rule requirements to the business associates of covered entities;

-establish new limitations on the use and disclosure of protected health information for marketing and fundraising purposes;

-strengthen and expand OCR's ability to enforce HIPAA's privacy and security provisions.

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http://www.prnewswire.com/news-releases/use-of-health-information-technology-leads-to-improved-care-quality-97969569.html

Use of Health Information Technology Leads to Improved Care Quality

Kaiser Permanente Study Finds Quality of Care Scores Increase as Patients and Physicians Communicate via Secure E-mail

OAKLAND, Calif., July 7 /PRNewswire/ -- Secure patient-physician e-mail messaging improves the effectiveness of care for patients with diabetes and hypertension, according to new research by Kaiser Permanente. The study, published in the July issue of Health Affairs, shows that health information technology improves quality of care scores.

The study observed 35,423 patients with diabetes, hypertension, or both, in Kaiser Permanente's Southern California region, finding that use of secure patient-physician messaging in any two-month period was associated with statistically significant improvements in HEDIS (Healthcare Effectiveness Data and Information Set) care measurements. Results included 2.0 percentage-points to 6.5 percentage- points improvements in glycemic, cholesterol and blood pressure screening and control.

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http://www.fierceemr.com/story/ehealth-initiative-finds-significant-gains-emr-adoption-2007-concerns-about-explaining-value/2

eHealth Initiative finds significant gains in EMR adoption since 2007

July 8, 2010 — 12:00pm ET | By Neil Versel

Health IT adoption is gaining steam, but many have been unable to articulate the value of EMRs within their organizations and, significantly, to the public, a new report suggests. Still, people are optimistic about the future, but worry that the transition to ICD-10 coding and HIPAA 5010 transactions could slow momentum.

The "National Progress Report on eHealth," supported by the Commonwealth Fund and released by the broad-based, nonprofit eHealth Initiative, is an update on a 2007 study meant to identify trends that have emerged since passage of the American Recovery and Reinvestment Act in February 2009. For the report, the eHealth Initiative surveyed more than 100 healthcare professionals in each of five focus areas: aligning incentives; engaging consumers; improving population health; managing privacy, security & confidentiality; and transforming care delivery.

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http://online.wsj.com/article/SB10001424052748704535004575348963511758660.html?mod=dist_smartbrief

Dell Puts Hope in Health-Services Unit

Computer Giant Aims for Higher Margin Areas Using Perot Systems' Technology; H-P, IBM Remain Fierce Competitors

By IAN SHERR

Dell Inc. hopes customers like Methodist Hospital System will help cure what ails it.

Methodist has contracted with Dell's services since December 2009 to help it create and maintain an electronic medical records system. Dell's technicians are also customizing software for Houston-based Methodist's 2,600 doctors so those records can be accessed by staff at any of its four community hospitals.

Dell plans to use Perot to move up the technology food chain. Above: CEO Michael Dell shown in June.

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http://www.informationweek.com/news/healthcare/mobile-wireless/showArticle.jhtml?articleID=225702193

Healthcare Mobile Devices Forecast To Gain 7%

The healthcare industry is among the fastest growing handheld device markets, and should hit $8.8 billion this year, says Kalorama Information.

By Nicole Lewis, InformationWeek

July 2, 2010

URL: http://www.informationweek.com/story/showArticle.jhtml?articleID=225702193

The total market for handheld devices in healthcare is expected to reach $8.8 billion for 2010, a 7% increase from last year when the global market posted $8.2 billion, a new report shows.

The report, titled "Handhelds in Healthcare: The World Market for PDAs, Tablet PCs, Handheld Monitors, & Scanners," was published this week by healthcare market research firm Kalorama Information. Noting that the healthcare industry is considered to be among the largest and fastest growing industry segments worldwide, the document said, "the industry can be classified on the basis of the roles that various entities perform. Hence, the healthcare value chain consists of producers, purchasers, providers, fiscal intermediaries, and payers."

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http://healthcareitnews.com/news/patients-referring-docs-md-anderson-making-good-use-web-portal

Patients, referring docs at MD Anderson making good use of Web portal

July 06, 2010 | Molly Merrill, Associate Editor

HOUSTON – Just one year after its launch, officials at the University of Texas MD Anderson Cancer Center report that 57 percent of patients and 40 percent of referring community physicians are using its Web-based portal for personal health information.

Patients are accessing their medical information an average of 3.3 times per week, while referring physicians are clicking on their patients' records 2.8 times per week, according to MD Anderson Clinical Information Services reports. Officials also noted that new-patient users are being added every week as they register at MD Anderson, return for checkups or hear about the portal.

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http://www.ecommercetimes.com/story/70336.html?wlc=1278556761

Health Information Exchanges, Part 1: Follow That Patient

Successfully establishing the means to link healthcare providers through networks, as impressive as that may be, is just the beginning. "Laying pipe isn't enough," says Jason Hess, general manager of clinical research at KLAS. "You still need some ground rules related to data access, data safety, other legal issues and ease of use."

One of the goals of improved healthcare in the U.S. is to ensure that health insurance is portable. The idea is that people should be able to change jobs, move around the country, and still be enrolled in the same health insurance plan.

Still, when a person from Texas relocates to California and changes physicians, the new doctor may know a more about that person's health insurance than his or her physical condition. To obtain information about the new patient's health usually calls for the doctor to conduct a complete physical exam, perhaps order a few tests, and depend upon the patient's recollections to create a medical history.

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http://www.ehealtheurope.net/news/6058/scottish_practice_goes_live_with_iplato

Scottish practice goes live with iPlato

07 Jul 2010

iPlato Healthcare has implemented iPlato Patient Care Messaging in Scotland for the first time.

The Dunbar Medical Centre in East Lothian has launched the web-based system, which integrates with GP systems and enables fully automated appointment reminders and targeted group messaging.

Its two practices hope to reduce waiting times for GP appointments and to enable GP-led, personalised and timely public health promotion.

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http://www.sfgate.com/cgi-bin/article.cgi?f=/g/a/2010/07/06/urnidgns852573C40069388000257758003E5DC7.DTL

Secrecy of cloud computing providers raises IT security risks

Ellen Messmer, Network World

Tuesday, July 6, 2010

(07-06) 04:33 PDT -- Despite how attractive cloud computing can sound as an outsourcing option, there's widespread concern that it presents a security and legal minefield for businesses and government. Cloud service providers often cultivate an aura of secrecy about data centers and operations, claiming this stance improves their security even if it leaves everyone else in the dark.

Businesses and industry analysts are getting fed up with this cloud computing version of "don't ask, don't tell," where non-disclosure agreements (NDA) dominate, questions aren't answered, and data center locations and practices are treated like national security secrets. But public cloud service providers argue their penchant for secrecy is appropriate for the cloud model -- and at any rate, everyone's doing it. They often hold out their SAS-70 audit certifications to appease any worry (though some don't have even that)."The business data you store in Google's cloud is safe," said Google product marketing manager Adam Swidler at the recent Gartner security conference held in National Harbor, Md. He emphasized that Google's multi-tenant distributed model entails "splicing data across many hard drives" so that in this "hardened Linux stack" there's a "quick update of all fragments of all files in the hard drives," a process he called "obfuscated files."

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http://www.modernhealthcare.com/article/20100706/NEWS/307079976

HHS sends final meaningful-use rules to OMB for review

By Joseph Conn / HITS staff writer

Posted: July 6, 2010 - 4:15 pm ET

HHS has sent its final meaningful-use rules and certification criteria for electronic health-record system testing to the Office of Management and Budget—typically one of the last bureaucratic hurdles before rules are released. The criteria are called for under the EHR subsidy program established by the American Recovery and Reinvestment Act of 2009.

OMB received a copy of the final rule of the “meaningful use” criteria from the CMS Monday, according to the posting on the website of its Office of Information and Regulatory Affairs.

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http://www.modernhealthcare.com/apps/pbcs.dll/article?AID=/20100707/NEWS/100709958/1029

Excellence in IT: University of Pa. Health System

By Mike Restuccia

Posted: July 7, 2010 - 11:45 am ET

Following is one of the five winners of Modern Healthcare's 2010 IT Case Study Contest.

The University of Pennsylvania Health System includes three acute-care hospitals and two large ambulatory networks that serve Philadelphia, the surrounding five-county area and parts of southern New Jersey. Its physicians see more than 2 million outpatient visits in more than 220 practice locations each year.

The healthcare implementation project for this submission is a comprehensive outpatient electronic medical record. Its features include: clinical documentation, physician ordering, data reporting, outpatient pharmacy, a communications module, myPennMedicine and a referring physicians portal. More than half of Penn Medicine physicians are active users of the ambulatory EMR.

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http://www.miamiherald.com/2010/07/06/1716657/medical-records-go-online-but.html?mitest=A_default

Medical records go online, but at what cost to privacy?

Allison Grisham learns how to navigate her medical records with help from Dr. David Seo, a cardiologist at University of Miami Miller School of Medicine.

You're a South Florida resident on vacation in Boise or Bogotá. You suffer stomach pains and visit a local doctor. You whip out your BlackBerry, punch in your access code and show the doctor a list of your medications, allergies, past illnesses, tests, surgeries and advice from your physician back home.

Electronic medical records, or EMRs, are quickly becoming a reality for doctors and hospitals in South Florida and beyond.

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http://www.healthleadersmedia.com/content/TEC-253370/Large-Patient-Information-Breaches-Passes-Century-Mark

Large Patient Information Breaches Passes Century Mark

Dom Nicastro, for HealthLeaders Media, July 6, 2010

The number of entities reporting breaches of unsecured protected health information (PHI) affecting 500 or more individuals has hit the 100 mark and then some.

As of Friday, July 2, the number of entities reporting the egregious breaches to the government’s HIPAA privacy and security enforcer hit 107. The number of entities—listed on the Office for Civil Rights (OCR) breach notification website—has more than tripled since the enforcer first began posting them in February. The list has grown about 15 per month, or an entity every other day.

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http://www.fiercehealthcare.com/story/missing-beat-cardiovascular-information-systems-lack-functionality/2010-06-30

Missing a beat: Cardiovascular information systems lack functionality

June 30, 2010 — 11:41am ET | By Sandra Yin

Nearly one-third (30 percent) of cardiology IT users say they are considering replacing their cardiovascular information system software (CVIS), because their current vendors don't deliver the performance they expect.

"Client satisfaction continues to trend downward industry-wide as vendors fail to deliver on integration, functionality and service expectations," said Ben Brown, general manager of medical imaging and medical equipment research for KLAS and author of the new CVIS report, Cardiology IT: Has the industry missed a beat?

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http://www.fiercehealthit.com/story/aclu-suit-against-r-i-hie-shows-why-privacy-so-central-health-it/2010-07-05

ACLU suit against Rhode Island HIE shows why privacy is so central to health IT

July 5, 2010 — 9:51pm ET | By Neil Versel

The other shoe has dropped.

Last week, the American Civil Liberties Union sued a state-sanctioned health information exchange in Rhode Island, saying that the pre-operational exchange doesn't have adequate protections for patient privacy. Rules developed by the Rhode Island Department of Health to govern the HIE, called Currentcare, require patients to opt in to the system and control who can access their medical records, but does not allow them to wall off certain data elements, including sensitive information about substance abuse, mental health or HIV status.

The lawsuit, filed June 29 in state court, alleges that the DOH violated the Rhode Island regulatory process by failing to spell out exactly how data sharing will work. "In light of the important privacy and confidentiality issues raised by an EHR system, the legislature clearly envisioned the adoption of detailed regulations through a transparent process of public input," ACLU volunteer attorney Frederic Marzilli told CMIO magazine. "This lawsuit simply seeks to carry out that intent."

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http://www.modernhealthcare.com/article/20100706/NEWS/100709973

Web's sports health information can be way off base

By Maureen McKinney / HITS staff writer

Posted: July 6, 2010 - 12:00 pm ET

The Internet is usually the first stop for people seeking information about common sports injuries such as tennis elbow or a torn rotator cuff. But according to a new study in the July issue of the Journal of Bone and Joint Surgery, the accuracy and quality of that data varies considerably based on the source.

Researchers did Internet searches for 10 of the most common sports medicine diagnoses using Google and Yahoo and then ranked the first 10 websites based on accountability, transparency and content.

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http://www.modernhealthcare.com/article/20100706/NEWS/100709974

Excellence in IT: North Texas Specialty Physicians

By Fowad Choudhry and Thomas Deas Jr.

Posted: July 6, 2010 - 12:00 pm ET

Relevant, quality patient care relies on comprehensive clinical information available at the point of care. To fully transform its paper-based healthcare delivery system into an electronic and integrated care model, North Texas Specialty Physicians, an independent physician association based in Fort Worth, invested more than $10 million into the development of an interoperable health information exchange.

NTSP wanted to gather and use real-time patient information that could be parsed from multiple sources to provide faster, better and safer patient care, enhance physician communication and provide fiscally responsible care within one single sign-on application.

NTSP's HIE collects, communicates and distributes medical data to physicians on disparate electronic health-record applications, providing healthcare providers with real-time parsed clinical data at the point of care. It communicates with certified EHR systems through clinical documents called Continuity of Care Records, or CCRs. The system processes either the ASTM International standard CCR or the Health Level 7-based Clinical Care Document, or CCD, which includes patient demographics, diagnoses, current and past medications, allergies, laboratory results, procedures and a list of patient providers. The interoperable EHR system automatically sends and receives clinical documents prior to the patient's scheduled visit.

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http://www.govhealthit.com/newsitem.aspx?nid=74165

Health IT panel scrutinizes 2013 quality measures

By Mary Mosquera

Friday, July 02, 2010

Even before healthcare providers begin to demonstrate the first set of meaningful use requirements next year, federal health IT policymakers are already working on how high to set the bar for providers to qualify for the next round of financial incentive payments in 2013.

One set of criteria – that providers show the use of health IT to healthcare quality outcomes – will appear in progressively more sophisticated stages. A tenet of meaningful use, quality measures are expected ultimately to help providers both hone their treatment protocols and lower healthcare costs.

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http://www.healthdatamanagement.com/news/breach-maine-mental-health-40597-1.html

Mental Health Data Breached in Maine

HDM Breaking News, July 6, 2010

The University of Maine is notifying 4,585 current and former students after two servers holding information from the school's mental health and support counseling center were breached.

Data on the servers, covering students who sought counseling services between Aug. 8, 2002, and June 21, 2010, includes names, Social Security numbers and clinical information. "Any student or former student who visited the counseling center as a UMaine student since Aug. 8, 2002, should assume that he or she is in the affected database," according to a statement the university has issued.

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http://www.ehiprimarycare.com/news/6054/inps_wants_vision_360_to_be_gp_system

NPS wants Vision 360 to be GP system

06 Jul 2010

INPS is to seek NHS Connecting for Health accreditation for its Vision 360 data hub as a GP system.

The GP systems supplier has been developing Vision 360 for some years and it is already in use as a data repository. It is used or will be used for information sharing in Scotland, Wales and several English health communities.

Max Brighton, INPS managing director, told EHI Primary Care that the eventual aim was to seek CfH accreditation for Vision 360 as a GP system.

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http://www.ehiprimarycare.com/comment_and_analysis/606/ehi_pc_interview:_inps

EHI PC Interview: INPS

06 Jul 2010

EHI Primary Care editor Fiona Barr talks to Max Brighton, managing director of INPS, Russell Blackmore, the company’s product director, and Simon Fanthorpe, its IT director, about the future of the GP system supplier and its Vision 360 data hub.

Add up the column inches devoted to GP system suppliers on EHI Primary Care and elsewhere and you would probably find that they were dominated by two names - EMIS and TPP.

One of these companies is the biggest GP system supplier in the UK and the other has had a high profile entry to the market over the last decade.

Yet over that same period, another company, INPS, has not only maintained its position as the second biggest GP IT supplier in the UK but has also seen its customer base grow every year.

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http://www.ehiprimarycare.com/news/6055/health_guide_gets_first_english_trial

Health Guide gets first English trial

06 Jul 2010

NHS Central Lancashire is using Intel’s Health Guide with COPD patients in Preston so they can monitor their condition from home.

The Health Guide is being used by 40 patients as part of a 12 month pilot in what is the first implementation of the device in England.

The technology, which is provided by GE Healthcare, allows patients to measure their vital signs and respond to questions about their conditions on a regular basis, with all the data being reviewed by a community matron.

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http://www.ihealthbeat.org/features/2010/californias-new-health-information-exchange-hires-ceo.aspx

Tuesday, July 06, 2010

California's New Health Information Exchange Hires CEO

Cal eConnect, the new organization overseeing California's metamorphosis from paper-based to electronic health care, has hired a CEO -- Carladenise Edwards.

Edwards, former health IT coordinator for the state of Georgia and health IT adviser to former Florida Gov. Jeb Bush (R), will oversee the $38.8 million federal grant for health information exchange that California received under the American Recovery and Reinvestment Act of 2009.

"I am delighted to have the opportunity to be part of the largest health information exchange effort in the country," Edwards said. After moving from Atlanta to California, Edwards began managing the start-up organization's business in earnest last month.

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http://medhealth.tmcnet.com/topics/mobile-connected-health/articles/90964-what-does-health-20-mean.htm

July 06, 2010

What Does "Health 2.0" Mean?

The terms "Health 2.0" and "Medicine 2.0" get thrown around quite a bit in e-health circles, but is there any consensus about what they actually mean? The short answer appears to be: no. At least not according to a literature review recently published in the Journal of Medical Internet Research.

To search for unique definitions of Health 2.0 or Medicine 2.0, the authors examined electronic databases such as PubMed, Scopus, and CINAHL, and also searched "gray literature" on the Internet, using Google (News - Alert), Bing, and Yahoo. They found 1937 articles, and common to many definitions were the following themes: Web 2.0/technology; patients; professionals; social networking; health information/content; collaboration and change of health care.

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http://www.infoway-inforoute.ca/lang-en/about-infoway/news/news-releases/593

Infoway Certification Services expands to include Diagnostic Imaging, Drug Information Systems

'Infoway Certified' assures products meet pan-Canadian standards

July 5, 2010 (Toronto, ON) – Canada Health Infoway (Infoway) has added diagnostic imaging and drug information systems to its pre-implementation Certification Services. Health information technology vendors can now receive certification for seven classes of technology.

Receiving the 'Infoway Certified' mark gives vendors of health information technology products an advantage in the marketplace by signalling to potential healthcare customers their commitment to pan-Canadian standards and industry best practices, and their leadership in contributing to interoperable health information for Canadians.

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http://walnutcreek.patch.com/articles/medicine-in-the-age-of-twitter

Medicine in the Age of Twitter

Some doctors are embracing the digital revolution and tweeting and using Facebook to give their patients a better understanding of their own health care.

By Ayako Mie | Email the author | 3:13am

When Rahul Parikh arrived at his office on Tuesday morning, the first thing he did was to tweet that the hospital finished construction of the front entrance.

"I thought it was useful information for the community," said the 38-year old Parikh.

Parikh is a pediatrician at Kaiser Permanente Medical Center in Walnut Creek. What makes Parikh different from some other doctors is that he fully embraces Web. 2.0. He tweets about heath care news, in addition to writing medical-related blogs on Salon.com and contributing to the New York Times, the Los Angeles Times, and the San Francisco Chronicle. You can follow the doctor at @parikhmd.

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Enjoy!

David.

Thursday, July 15, 2010

France Takes An Interesting E-Health Path. Any Useful Learnings?

The following appeared a few days ago – and it is interesting the Strategic Path being followed has substantial crossover to what I think should be happening in Australia.

07/07/2010

Voilà! French e-health goes online in 2010

Report: John Brosky

The hosting service has been selected, software standards have been published, and on 11 December 2010 any French citizen will be able to open a file and begin creating a secure, personal electronic health record (EHR). If the agency charged with this ambitious programme meets the deadline, France will suddenly jump to the leading edge of e-health worldwide, rivalling advanced national programmes in Canada, Sweden and Denmark, as well as benchmark regional programmes implemented in Spain and Italy.

Launched with much fanfare in 2004, the dossier medical personalisé (DMP) was promoted as the pièce de résistance for reforming France’s healthcare system, expected to bring over €3.5 billion in cost savings annually for the state health insurance fund.

The July 2007 deadline set by the legislature passed, the programme became a national embarrassment and, in 2008, a joint commission of three government ministries declared the DMP officially dead.

Stubbornly, Health Minister Roselyn Bachelot re-launched the DMP in 2009. The solution may have failed, she said, but the need for patient-centred management and savings for the health insurance fund had not gone away.
Against all odds and in record time, the newly created agency charged with delivering the new DMP moved quickly and convincingly, securing the necessary funding, overcoming legal and technical problems and announcing the ambitious deadline.

During the national Health Information Technology exposition in Paris, European Hospital spoke with Jean-Yves Robin, the head of ASIP Santé (Agence des Systèmes d'Information Partagés de Santé) who is leading the French charge to the frontline of e-health in Europe.

He chafes at the suggestion that France is going to pull a rabbit out of its hat in December, suddenly to become the only country to offer a nationally coordinated healthcare record. ‘This is not a magic trick. This is the fruit of years of work,’ he said during our European Hospital interview. ‘We are not creating something completely new but re-launching the DMP, which is to say we are not re-inventing everything but instead pulling together several years of pilot programmes, development of security systems and tapping into independent efforts such as the medication records and the record of medical acts from the national health insurance agency.’

‘At the moment, yes, France is behind other countries that have launched impressive regional programmes or have focused on specific functions, such as pharmacy or scheduling,’ Jean-Yves Robin conceded. ‘We have had problems with governance and leadership of projects, but those issues are now settled.’ Legal disputes on patient identification and the rights of patients to direct medical records are resolved.

A key strategy, he explained, was to clearly separate the DMP into two different programmes, though both share the same designation in French as DMP.

The dossier médical personnel (DM-Personnel) to be launched in December is an EHR aimed at helping citizens organise health records for consultation with their general practitioner (GP) and other healthcare providers, such as home care providers or emergency caregivers seeking medication histories and a summary of recent surgeries.

The dossier médical patient (DM-Patient), which will be developed progressively over the next few years, is an electronic patient’s record (EPR) that will be shared among healthcare professionals, specialists and clinicians with detailed reports of a patient’s care and will include exam results, e.g. lab reports and medical images.

Lots more here:

http://www.european-hospital.com/en/article/7321-Voil%C3%A0_French_e-health_goes_online_in_2010.html

What the French seem to be doing is creating a patient orientated play-pen where patients can record their health information and have it shareable, if they wish, with their GP.

In parallel they are embarking on a much more complicated and slow process to develop electronic patient records for their health professionals to share with each other.

Yet another county has figured out you actually need to work on both. Hardly voila but pretty sensible!

David.