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, November 07, 2010

Weekly Australian Health IT Links – 07 November, 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 subscription payment.

General Comment:

A very quiet week indeed. I wonder will we see anything useful come from the Summit in a few weeks. Readers here seem pretty dubious.

See here:

http://aushealthit.blogspot.com/2010/11/aushealthit-poll-number-43-results-7.html

A bit of a theme seems to be emerging that the management of comparative health information is increasingly tricky as payments become linked to information outcomes.

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http://www.smh.com.au/nsw/hundreds-of-patients-shunted-off-surgery-lists-20101103-17e1b.html

Hundreds of patients shunted off surgery lists

Julie Robotham

November 4, 2010

Western Sydney hospital man- agers systematically bumped hundreds of patients off surgical waiting lists, artificially improving the area's performance, a damning external review has found.

The patients were reclassified - after waiting almost a year - as not being available to have their elective surgery, typically a fortnight or less before their operation would have become officially overdue, according to the report by the auditor O'Connor Marsden & Associates.

In a sample of 896 patients moved into the ''not ready for care'' category - either for medical or personal reasons - not a single instance was adequately documented. The time patients then spent in this category ''generally seemed excessive'', according to the report, with many people recorded as taking unusually long holidays.

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http://www.computerworld.com.au/article/366383/hospitals_go_under_online_microscope/?eid=-255&uid=25465

Hospitals go under online microscope

MyHospitals website gets WA backing

  • AAP (AAP)
  • 01 November, 2010 16:01

Patients will be able to jump online to compare the performance of hospitals via a website to be launched in December.

Federal Health Minister Nicola Roxon said work on the MyHospitals website could now be finalised with the signing on of the West Australian government.

While WA is the only state not to sign up to a national health reform agreement in April it had now agreed to take part in the website, Ms Roxon said.

MyHospitals would show how a hospital performed compared to national average waiting times for elective surgery and emergency department care, list the medical services provided, bed numbers and if outpatient services, such as allied health, were provided.

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http://www.theaustralian.com.au/australian-it/victims-still-awaiting-identity-theft-laws/story-e6frgakx-1225946347835

Victims still awaiting identity theft laws

LAWS to prevent identity theft and giving victims a means of untangling financial and legal damage are still held up in federal parliament.

The draft laws were introduced two years ago by former Home Affairs minister Bob Debus.

The Identity Crimes Bill adds three identity offences to fill gaps in existing laws: trafficking in identity data (carrying a penalty of up to five years' imprisonment); possession with intent to commit a crime, and possession of equipment for the purpose of identity theft (both a maximum three years' jail).

The laws will also allow victims to obtain a magistrate's certificate confirming misuse of their personal information, to assist in their negotiations for reparation with banks and other authorities.

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http://www.pharmacynews.com.au/article/doctors-off-pace-in-e-health/524957.aspx

Doctors off pace in e-health

1 November 2010 | by Nick O'Donoghue

Pharmacists will not be able to make any substantial progress in e-health until other health care professionals embrace computerisation, according to the Pharmaceutical Society of Australia (PSA).

Speaking at Pharmacy Australia Congress 2010 (PAC10), PSA president Warwick Plunkett said the profession had taken e-prescribing as far as it could go without doctors becoming more involved in e-health.

“E-prescribing is to the forefront of what pharmacists have been involved in, and we’ve been ahead of the game.

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http://www.healthcanal.com/medical-breakthroughs/12128-New-apps-for-speedy-patient-care-remote.html

New apps for speedy patient care in remote WA

03/11/2010 03:34:00

Patient care - particularly in remote areas - will be faster and more efficient thanks to the launch of iPhone and iPad versions of world-renowned clinical software developed at The University of Western Australia.

Health professionals will no longer have to transport boxes of patient notes over long distances and doctors will be able to support clinics after hours.

Medical Message Exchange (MMEx) was developed as an e-health platform at UWA's Centre for Software Practice. Used by more than 7,000 health professionals in Australia for secure information sharing and clinical patient management, it is a web-based clinical system. It incorporates the latest technical standards from the National e-Health Transition Authority, evidence-based clinical protocols for chronic disease, and specific modules for management of cancer and wounds.

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http://www.theaustralian.com.au/news/nation/concern-over-data-pool/story-e6frg6nf-1225948023995

Concern over data pool

THE Privacy Commissioner has raised concerns over Attorney-General's Department plans regardings ISPs.

It plans to force them to keep records of emails and telephone calls made by their customers and provide them to police for criminal investigations.

The Attorney-General's Department has been holding confidential discussions with the internet industry over the past six months as it examines the proposal, which has drawn fire from privacy advocates but which police say will help them in crucial investigations.

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http://www.nehta.gov.au/media-centre/nehta-news/748-mens-health

How e-health can help improve men’s health

4 November 2010.

Currently five men die every hour in Australia from potentially preventable illnesses, which are not detected early enough, yet despite this staggering number, men are still reluctant to go and see a GP. Dr Ronald McCoy, a board member of a men’s health program, The M5 Project, developed by the Royal Australian College of General Practitioners (RACGP), is hoping that new e-health systems may help to detect preventable illnesses earlier and ultimately lead to better health outcomes for men.

“Men face a higher death rate than women when it comes to cancer, heart disease, strokes, diabetes, respiratory disease and mental health problems including suicide and accidents. Many of these conditions are preventable. Men tend to present later with health problems, visit the GP less frequently and when they do, they have shorter consultations and are less likely to come in for preventative health checks.

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http://www.nehta.gov.au/ehealth-implementation/state-a-territory

State and Territory Implementation Plans

The States and Territories have collaborated with NEHTA in a joint approach to integration of the HI Service. The cornerstone of this approach is the identification of early implementations to build experience of implementation of the services and specifications across the healthcare provider and vendor community.

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http://www.nehta.gov.au/media-centre/nehta-news/736-national-conf

E-Health conference: Revolutionising Australia’s Health Care

28 October 2010.

Australia’s leading health experts, consumer groups and information technology specialists will come together to discuss the technological revolution in the delivery of health care at an e-health conference to held in Melbourne on 30 November and 1 December 2010.

Minister for Health and Ageing Nicola Roxon said the e-health conference is an important opportunity for stakeholders to discuss how electronic health and telehealth will drive the delivery of health care into the future.

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http://www.pulseitmagazine.com.au/index.php?option=com_content&view=article&id=501:nehta-and-msia-release-joint-statement-to-the-software-industry&catid=16:oz-hit&Itemid=227

NEHTA and MSIA release joint statement to the software industry

The National E-Health Transition Authority (NEHTA) and the Medical Software Industry Association (MSIA) have released a joint statement to address some concerns software developers have expressed regarding the way industry has been engaged by the government-funded organisation. NEHTA has been undertaking its e-health work program for over five years, however its shifting focus from specification design to implementation has seen increasing amounts of interaction with industry throughout 2009 and 2010.

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http://www.computerworld.com.au/article/367028/iinet_announces_free_calls_crisis_mental_health_support_services/

iiNet announces free calls to crisis and mental health support services

iiNet's home and net phone subscribers will be able to call service lines such as, Lifeline, Beyond Blue, Mensline Australia, Suicide Callback Service, SANE Helpline, Kids Helpline, The Samaritans and Crisis Care

IT companies are continuing to lend support to charities, with internet service provider (ISP) iiNet announcing it will provide free telephone calls for customers calling crisis and mental health support services.

The ISP’s home and net phone subscribers, including Westnet, Netspace and AAPT, will be able to call service lines including Lifeline, Beyond Blue, Mensline Australia, Suicide Callback Service, SANE Helpline, Kids Helpline, The Samaritans and Crisis Care, free of charge.

iiNet’s chief executive, Michael Malone, said he believed access to services such as Lifeline should be available to everyone in need.

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http://blogs.computerworlduk.com/the-tony-collins-blog/2010/11/isoft-welcomes-renewed-commitment-to-npfit-contracts/

iSoft welcomes renewed commitment to NPfIT contracts

iSoft has yet to get milestone payments under the NPfIT but says its IPR in Lorenzo presents potential opportunities

In its annual report, which is published today, Robert Morgan, non-executive chairman of iSoft, says the implementation of the National Programme for IT [NPfIT] has been slower than the company's executives expected. This has meant that iSoft has not yet received a number of milestone payments associated with the NPfIT, and other related income has been delayed.

"However we are encouraged by the Department of Health's recent decision to continue with national applications already procured while moving to a more locally-led plural system for new contracts," says iSoft.

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http://www.hc2d.co.uk/content.php?contentId=16598

NHS Bury yet to sign-off Lorenzo

4th November 2010

NHS Bury has still not signed off the deployment verification certification for the implementation of Lorenzo Release 1.9 despite going live with the iSoft electronic patient record system a year ago.

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http://www.e-health-insider.com/news/6373/isoft:_%E2%80%98we_should_have_acted_sooner%27

ISoft: ‘We should have acted sooner'

02 Nov 2010

ISoft has told investors that it should have acted sooner to recognise the risk posed by its rapidly rising costs and uncertain revenues.

In its annual report, Robert Moran, the chairman who is also a major stakeholder in the company, admitted that it has been a “difficult” year for iSoft, which is one of the major contractors to the National Programme for IT in the NHS.

He said it had hit a “number of hurdles and “encountered unforeseen challenges” that had a significant impact on its financial performance and share price.

Earlier this year, iSoft posted a statutory loss of £221m (AUS $383m) for the financial year 2010, with total revenue down 20% to £249m (AUS $431m).

Last week, its share price dropped to an all time low of 10 cents and remain fixed at that rate.

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http://www.e-health-insider.com/news/6369/birmingham_women%E2%80%99s_live_with_lorenzo

Birmingham Women’s live with Lorenzo

01 Nov 2010

Birmingham Women’s Hospital NHS Foundation Trust has confirmed that it has gone live with Lorenzo Release 1.9, which includes patient administration system functionality.

The trust went live with iSoft’s electronic patient record system, provided by local service provider CSC under the National Programme for IT in the NHS, over the weekend. The final clinical areas went live this morning.

Steve Peak, chief executive at Birmingham Women’s, said in a statement: “All areas of clinical activity were brought live by the project team in a phased manner over the weekend.

"By the morning of 1 November 2010 every area in our hospital was using Lorenzo. It is clearly good news to have taken this important step.

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http://www.stuff.co.nz/technology/4292143/High-Court-limits-iSoft-damages

High Court limits iSoft damages

TOM PULLAR-STRECKER - The Dominion Post

Last updated 05:00 01/11/2010

The High Court at Auckland has taken the sting out of a $14.5 million claim against troubled Australian-listed health software provider iSoft, capping the damages that could be claimed by Kiwi company i-health in their long-running dispute at $5 million including interest.

I-health's patient management software was acquired by then-British-owned iSoft in 2004, but i-health owner Brian Allen later took iSoft to court, accusing it of failing to properly market i-health's software, which meant shareholders missed out on performance-related payments.

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http://abnnewswire.net/press/en/64071/New_iSOFT_Group_Limited_%28ASX:ISF%29_System_at_Macclesfield_Gets_Pharmacy_Robot_Talking.html

New iSOFT Group Limited (ASX:ISF) System at Macclesfield Gets Pharmacy Robot Talking

London, Nov 1, 2010 (ABN Newswire) - iSOFT Group Limited (ASX:ISF) said today that its latest pharmacy system is helping Macclesfield District Hospital further reduce dispensing errors, increase efficiency and free the department's 60 staff for more direct patient care.

The new version features a bi-directional interface to the hospital's Mach 4 robotic dispensing system so that it now updates the iSOFT pharmacy system automatically once medicines are loaded or dispensed, which improves stock control and reduces stock discrepancies.

It has cut the time to check-in new deliveries, which previously involved checking every drug pack individually. Now, packs are loaded on to the robot's conveyor and scanned, sorted and stored automatically. The robot updates the iSOFT system so that deliveries are reconciled against purchase orders automatically.

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http://www.nzherald.co.nz/science/news/article.cfm?c_id=82&objectid=10684426

Stroke therapy gets high tech treatment

By Christopher Adams

5:30 AM Monday Nov 1, 2010

The Kiwi developers of a device that gives fresh hope to stroke and brain injury survivors have big plans for their product's entrance into the lucrative export market.

And it's no wonder, with the global medical technology industry now worth more than $400 billion annually, and growing by 6 to 7 per cent each year, according to the Medical Technology Association of New Zealand.

Able-X - the brainchild of Industrial Research engineer Marcus King - allows stroke victims to play simple video games using an "air mouse"attached to a handlebar, which is wirelessly connected to a computer.

Users make repetitive movements while playing the games, which re-teach their brains to work in conjunction with their bodies after a stroke or brain injury.

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http://www.smh.com.au/technology/technology-news/nbn-upgrade-could-cost-up-to-400-a-room-20101102-17b3g.html

NBN upgrade could cost up to $400 a room

Georgina Robinson

November 2, 2010 - 2:18PM

Households wanting to make the most of the fastest internet speeds on the National Broadband Network will need to spend up to $400 a room rewiring their homes, plus a $150 connection fee.

But most families and individuals will not need to spend any money on extra gear to see a noticeable difference in download speeds, network engineers say.

With an anticipated eight-year roll-out on the $43 billion project, it is difficult to predict how technology will change and how much money people will need to spend upgrading their home networks.

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http://www.theaustralian.com.au/business/industry-sectors/bombshells-in-nbn-documents/story-e6frg9hx-1225947524110

Bombshells in NBN documents

  • EXCLUSIVE: Annabel Hepworth and Mitchell Bingemann
  • From: The Australian
  • November 04, 2010 12:00AM

THE Gillard government must urgently pass legislation to smash apart Telstra's near-monopoly position for the implementation of the $43bn NBN to proceed.

This has been revealed by previously secret documents.

A brief to the incoming government, obtained by The Australian under Freedom of Information laws, also makes the explosive revelation that NBN Co abandoned its support for key recommendations from the $25 million implementation study on the NBN.

Despite NBN Co being "heavily involved" in the McKinsey-KPMG study, the briefing says that "significant differences" emerged over the recommendations relating to the design of the high-speed broadband network and the nature of the prices and products that NBN Co will offer to customers.

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http://www.theaustralian.com.au/australian-it/telcos-fear-nbn-will-crush-them/story-e6frgakx-1225946339830

Telcos fear NBN will crush them

TELECOMS industry stakeholders have raised concerns that NBN Co is reneging on commitment not to "squash" backhaul infrastructure competition.

The companies were responding to the government-owned enterprise's revelation that it may sell backhaul capacity to mobile carriers, reported in The Australian last week.

At the time a spokeswoman for NBN Co said the company "may provide fibre connections to mobile base stations where there is a commercial return".

One industry source said the move contradicted statements by NBN Co chief Mike Quigley at a Communications Alliance industry forum in Brisbane in September last year.

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http://www.theaustralian.com.au/business/telstra-values-its-nbn-deal-at-16bn/story-e6frg8zx-1225945872742

Telstra values its NBN deal at $16bn

TELSTRA'S proposed deal on the broadband network has taken centre stage in the company's latest stoush with the competition regulator.

The stoush involves the prices Telstra is allowed to charge rivals accessing its network.

Telstra has now suggested the deal could be worth $16bn, but it says the regulator values the deal with the NBN Co -- which would result in Telstra gradually decommissioning its copper network -- at only $11bn.

This is a widely used figure, comprising $9bn to pay Telstra to decommission its copper network and $2bn of benefits flowing to Telstra from a raft of new public policy reforms, including being relieved of the so-called universal service obligation.

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http://www.techworld.com.au/article/366265/11_uses_an_old_pc

11 uses for an old PC

Just because you bought a new PC doesn't mean you have to throw away the old one.

Loyd Case (PC World (US online)) 30/10/2010 05:16:00

You've finally gone and bought a new PC. It has a boatload of memory, lots of cores, and a fast, modern graphics card. But now your old computer sits in a corner, and although you know it's just a machine, it seems to be sulking like a puppy that missed its morning biscuit. It's weird, but you feel guilty with the whole idea of throwing it out.

After all, it's perfectly functional. When you first bought it, it was near state-of-the-art. If your new PC replaces one that's really on its last legs, by all means, take it to a reputable electronics recycler. But it's amazing how many users ditch perfectly good machines when they pick up a shiny new system.

You can do plenty of things with an old PC besides sending it to the recycling heap. Let's take a look at a few ways you might put that old system to work.

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http://www.techworld.com.au/article/366471/8_cool_features_chrome_8_beta

8 cool features of Chrome 8 beta

The version 8 beta release of Google's Web browser has several new and interesting features.

Howard Wen (Network World) 02/11/2010 07:28:00

The version 8 beta release of Google's Web browser has several new and interesting features.

Most are still regarded to be in an experimental stage and, therefore, are not activated by default. These can be turned on by typing about:flags in the URL bar.

1. Instant Web page loading and keyword search

Start typing the address or name of a site into the URL bar, and the Instant feature will guess which site you mean to visit (either based on which sites are ranked as most popular, or which pages you have saved in your bookmarks or history) and automatically load it, usually before you're even finished entering it.

Type a word or term into the URL you want to search, and Instant will immediately load and display search results from Google.

This enhancement to Chrome's URL bar can be convenient, but of course having a fast broadband connection and running Chrome on a speedy computer help make the experience "instant." Otherwise, this background Web-page loading could slow things down, getting in the way of your surfing.

Instant is not enabled by default in Chrome and must be switched on under the about: flags tab.

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Enjoy!

David.

AusHealthIT Poll Number 43 – Results – 7 November, 2010.

The question was:

Will Anything Useful Come from The Proposed Government E-Health Summit?

You Bet!

- 1 (4%)

Possibly

- 5 (20%)

Maybe

- 8 (33%)

No Way

- 10 (41%)

Votes 24

I think there is a fair degree of scepticism much good will come from this! We shall all have to wait and see.

I wonder are we going to see information released in the next week or two to explain just what is to be discussed?

Again, many thanks to those that voted!

David.

Saturday, November 06, 2010

The Issues of Usability and Workflow Impact Really Do Need Addressing!

The following appeared a day or so ago.

Data Sparse on E-Health Records, Workflow

By John Pulley

Exactly how electronic health records will affect workflow in outpatient settings remains unclear, according to a new report.

Studies to date have been "anecdotal, insufficiently supported, or otherwise deficient in terms of scientific rigor," according to the report, prepared by the Agency for Healthcare Research and Quality by the Center for Quality and Productivity Improvement at the University of Wisconsin-Madison.

Notwithstanding those deficiencies, previous studies found that EHR implementation resulted in "nearly universal" increases in workload for physicians, according to the report submitted to the AHRQ. Workflow can include activities by patients, clinic providers or clinic staff, exchanges between organizations or work that happened during or between clinic encounters, the researchers said.

The report found that:

  • In most cases, a computer terminal in the examination room was distracting for the provider, shifting attention away from the patient. To compensate, some providers reviewed patient records ahead of time, allowed patients to see the computer screen, printed out the records or waited until the patient left to document findings in the computer.
  • Several studies found clinics saved time using features such as text templates, automatic billing data transfers, and computer-printed prescriptions and letters.

And a range of other issues:

Read the full list here:

http://healthitupdate.nextgov.com/2010/11/ehrs_time_savers_or_time_wasters.php?oref=latest_posts

Here is how the report is described by the AHRQ.

New Report Examines Impacts of Health IT on Workflow in Outpatient Settings

AHRQ released a new summary report, Incorporating Health IT into Workflow Redesign (PDF, 1.37 MB), prepared by the University of Wisconsin-Madison's Center for Quality and Productivity Improvement (CQPI). The report summarizes existing research and evidence related to the impact of health IT on workflow in outpatient settings. Key information obtained from the research will be incorporated into a toolkit to assist small and medium-sized practices in workflow analysis and redesign before, during, and after health IT implementation. The toolkit, Workflow Assessment for Health IT, is expected to be available in January 2011.

Download the Incorporating Health IT into Workflow Redesign Summary Report (PDF, 1.37 MB) and the associated Appendix, Incorporating Health IT Into Workflow Redesign Summary Report Appendix F: Tool Compendium (PDF, 1.43 MB) PDF Help.

This is the page where this and a heap of other stuff is found:

http://healthit.ahrq.gov/portal/server.pt/community/ahrq_national_resource_center_for_health_it/650

Important stuff and well worth a read!

David.

Friday, November 05, 2010

Debunking The Myths of EHR Implementation. A Dozen Rejected!

This popped up a day or two ago.

Debunking the 12 Key Myths of EHR Implementation

Written by Cheryl Waltko, Vice President of Equation, Christopher Sprowl, MD, MMM, President of HVA | November 02, 2010

The fervor and buzz around electronic health records is mounting as federal legislation threatens fines for non-compliance by 2016. Ironically, the EHR adoption rate for medical practices remains relatively low, especially among practices with fewer than 50 physician providers.

The barriers in part are due to an abundance of myths and misinformation that lead to errors along the implementation path and drive runaway costs for EHR projects.

With thousands and even millions of dollars at stake for providers, we debunk 12 common myths that may doom your EHR efforts.

Myth #1 – EHR projects are IT projects

Implementing EHR is not a project for the IT department alone. EHRs are an enabling technology that is part of a larger initiative designed to help physicians demonstrate the improved value of the services they deliver by improving clinical quality and economic efficiency. This involves a cross-department effort. Healthcare providers who can successfully and demonstrably supply services of greater value to patients and other consumers of healthcare services will be in a better competitive market position. They can use this improved position to take advantage of government incentives, avoid government penalties, access pay-for-performance programs and gain market share.

Myth #2 – EHR software is useful out of the box

EHRs are usable, but not useful “out of the box.” Like all large scale software products, they require some end-user modification and customization. Providers need to pay particular attention to customizing certain visit templates, building useful patient registries and chronic disease management flow sheets, adding evidence-based decision support features and creating custom reports. Furthermore, in order to meet the challenge of building a health information exchange, the EHR must be customized to interface with other systems.

Myth #3 – EHR vendors will provide all the project management and assistance I need
EHR vendors may claim to provide “end-to-end” solutions. However, EHR vendors will typically use this term in reference to their specific area of expertise. In reality, there are numerous aspects of an EHR project that fall outside the purview of the vendor.

Read the other nine here:

http://www.beckershospitalreview.com/healthcare-information-technology/debunking-the-12-key-myths-of-ehr-implementation.html

The webinars offers with this are also useful:

For more details regarding how to avoid the common pitfalls of EHR implementation, watch the following pre-recorded webinars from Ms. Waltko and Dr. Sprowl:

Part I : https://www1.gotomeeting.com/register/805140696

Part II : https://www1.gotomeeting.com/register/297403248

The registration only requires an e-mail address and name and the content seems pretty sound to me.

Well worth some of your time.

David.

Thursday, November 04, 2010

Weekly Overseas Health IT Links - 04 November, 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 subscription payment.

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http://www.ihealthbeat.org/features/2010/health-it-key-to-patientcentered-medical-homes.aspx

Friday, October 29, 2010

Health IT Key to Patient-Centered Medical Homes

The patient-centered medical home concept has been around since 1967, when it was first introduced by the American Academy of Pediatrics. More than 40 years later, widespread implementation has yet to occur, but the health reform law and the "meaningful use" incentives have given the concept new legs.

The patient-centered medical home model aims to improve consumer access to primary care services and increase care coordination. Advocates say such a team-based care model can reduce costs, prevent unnecessary hospitalizations and improve population-based health.

According to Paul Keckley, executive director of the Deloitte Center for Health Solutions, the patient-centered medical home "is an advancement in the design, delivery and payment for health care services that leverages emergent characteristics of a transformed health system -- shared decision-making with patients, multidisciplinary teams where all participate actively in the continuum of care, incentives for adherence to evidence-based practices and cost efficiency, and health information technologies that equip members of the care team and consumers to make appropriate decisions and monitor results."

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http://hitechwatch.com/blog/are-ehrs-already-obsolete

Are EHRs already obsolete?

By Jeff Rowe, Editor

Providers and policymakers working hard to transition the healthcare sector to EHRs might not want to think about this, but at least one longtime observer of HIT is suggesting that EHRs have already had their day and it’s time to move on to something new.

After a brief overview of the development and introduction of electronic health records, he turns the corner and declares, “It’s time to forget and rethink the model.”

It’s not that he thinks EHRs don’t provide significant value; it’s that “new approaches” to healthcare delivery, such as patient-centered medical homes (PCMH) and accountable care organizations (ACOs), “require a different toolset than traditionally has been available to the healthcare market. EHRs, while evidence of technological progress in the industry, were designed to support a provider- and hospital-centric approach to care. As such, they are not fully equipped to catapult the industry towards the collaborative strategy preferred today. ACOs, PMHCs and other approaches will rely upon a platform that facilitates collaboration beyond the enterprise and across the community to achieve multidisciplinary care coordination.”

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Hospitals, Health Systems Drive EHR Adoption

More than half of U.S. medical offices affiliated with large healthcare groups have implemented electronic health records, ahead of the U.S. average of 39%.

By Nicole Lewis, InformationWeek

Oct. 26, 2010

URL: http://www.informationweek.com/story/showArticle.jhtml?articleID=228000059

Medical offices owned by hospitals and health systems saw the biggest jump in electronic health record (EHR) adoption rates between January and October 2010, according to the latest results of an ongoing survey released Monday by SK&A, a provider of healthcare information solutions and research.

The latest findings from the biannual survey, "Physician Office Usage of Electronic Healthcare Records Software," show EHR adoption at hospital-owned offices grew from 44.1% to 54.9%, a 10.8% increase. Adoption at heath-system-owned offices grew from 50.2% to 61.2%, an 11% increase. Overall, U.S. medical office EHR adoption has grown from 36.1% to 38.7%, a 3% increase.

SK&A's report is an ongoing study that tracks EHR adoption data and summarizes market research from 213,500 medical offices representing 643,000 physicians.

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Social Media Cuts Healthcare Costs

Health 2.0 initiatives reduce medical expenses while improving the quality of care, finds Healthcare Performance Management Institute study.

By Nicole Lewis, InformationWeek

Oct. 27, 2010

URL: http://www.informationweek.com/story/showArticle.jhtml?articleID=228000138

Social media initiatives that help physicians, patients, and the medical research community share patient information will drive down healthcare-related costs while improving the quality of care, a report concludes.

The report, "Healthcare Performance Management in the Era of 'Twitter,'" was published this week by the Healthcare Performance Management Institute. Drawing on a number of case studies across the country, the report gives examples of how social media and other Health 2.0 initiatives are transforming the healthcare marketplace to promote a cost-efficient interactive healthcare system that provides better patient outcomes.

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http://www.healthcareitnews.com/news/it-helps-care-coordination-heart-disease-prevention-program

IT helps with care coordination in heart disease prevention program

October 25, 2010 | Molly Merrill, Associate Editor

DENVER – An intensive population management program that matches heart disease patients to personal nurses and clinical pharmacy specialists is able to save lives, reduce hospital visits and drive down costs, according to a new study from Kaiser Permanente Colorado.

Researchers in the study examined healthcare expenditures in two populations of patients with heart disease: a group of 628 people enrolled in the Kaiser Permanente Collaborative Cardiac Care Service (CCS), a population disease management program, and 628 matched patients receiving standard care. The goal of the study was to determine if an intensive disease management program could provide more value than usual care.

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http://www.e-health-insider.com/news/6356/dh%27s_info_revolution_is_%27fantasy%27

DH's info revolution is 'fantasy'

28 Oct 2010

Analysts and professional bodies have expressed concern about the government’s ability to bring about an information revolution without additional funding or detail on how the change will be led in a period of NHS reform.

Experts contacted by E-Health Insider for their reaction to the government’s consultation on an NHS information strategy, also queried the lack of focus of the IT required to deliver the records that lie at the heart of many of its proposals.

Jonathan Edwards, Gartner’s research vice president for health, told EHI that without funds and a focus on the practical details of delivery many statements in the document were “little more than fantasy.”

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http://www.e-health-insider.com/comment_and_analysis/649/october_revolution

October revolution

28 Oct 2010

Experts have not been fired with enthusiasm by the government’s ideas for an information revolution. In fact, analysts and professional bodies are asking where the commitment, money and practical details have got to. Sarah Bruce reports.

In opposition, health secretary Andrew Lansley promised NHS staff and patients an “information revolution” to support quality, promote choice and deliver accountability.

July’s white paper, ‘Equity and excellence: Liberating the NHS’, said an information strategy would be published to help to bring the revolution about.

Last week, a 68 page consultation emerged from the Department of Health. Yet analysts and professional bodies are struggling to find anything terribly revolutionary about it.

There is also considerable skepticism about whether its proposals can be carried through. A major cause of concern is that there will be no funding for any of the initiatives proposed.

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http://www.fierceemr.com/story/vas-baker-modernize-rather-replace-vista/2010-10-28

VA's Baker: Modernize rather than replace VistA

October 28, 2010 — 10:56am ET | By Neil Versel

The Department of Veterans Affairs won't be trying to replace VistA anymore, but instead will be looking for ways to improve the powerful EMR system via open-source collaboration with the private sector.

"Let's be clear, in my view, VA over the last 10 years has tried to replace VistA. I don't think that's possible. It would be like Microsoft trying to replace Windows with not an evolutionary product, but with something brand new, but it has to come out and it has to be better the day it's introduced," VA CIO Roger Baker says in a in-depth interview with FierceGovernmentIT. "That, basically, was the criteria for what VA was trying to do. That program was called HealtheVet. I have stepped VA away from HealtheVet, and what we're now looking at is how do we continue the evolution of VistA.

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http://www.modernhealthcare.com/blogs/it-everything/20101028/310289956

Beginning in the middle

In medias res is a narrative device that begins a story by plunging a reader or viewer into the middle or near the story's chronological end.

Think of the opening scene in Sunset Boulevard and the disembodied voice of William Holden explaining why Joe Gillis is taking such a long soak in Norma Desmond's pool.

In medias res is what a policy committee of the federal government is doing just now, seeking public comment on how to govern a proposed network for health information exchange, development of which is already well under way.

A federal proposal to develop what was then called a National Health Information Network dates to 2004 and David Brailer, the first National Coordinator for Health Information Technology at HHS. And work began that year, funded by the Markle and Robert Wood Johnson foundations, on what would become Markle’s "Common Framework," a set of policy and technical guidelines for the NHIN.

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http://www.e-health-insider.com/features/isoftRT-sep2010/

IT for Primary Care

At the end of September 2010, eHealth Insider hosted a roundtable on the future of IT in primary care, sponsored by ISOFT.

The debate took place just a few weeks after the launch of the white paper, ‘Equity and excellence: Liberating the NHS’, but before the publication of the information strategy that will support it. So there was much discussion of the many details of future policy that are still unknown.

Despite this, the participants agreed that information for both clinical decision making and commissioning will become ever more important - and that more information will need to be shared with other providers and with patients as well.

They also agreed that online services and telehealth will become more widely used and influential. And that future IT developments will need to be moulded around the needs of clinicians and the patients they serve.

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http://www.computerworld.com/s/article/9193130/Digital_divide_plagues_slow_e_health_records_rollout

Digital divide plagues slow e-health records rollout

EHRs can sometimes be the difference between life and death

Lucas Mearian

October 27, 2010 (Computerworld)

The digital divide is alive and well when it comes to health care technology.

Although President Barack Obama has made it a priority to have medical facilities deploy electronic health records (EHR) over the next four years, the people most likely to benefit -- those in poor and minority communities -- are unlikely to see them anytime soon.

Physicians' practices and small clinics, where most doctors work, don't have the money to implement the technology, which can cost tens of thousands of dollars.

In an open letter to IT vendors, David Blumenthal, National Coordinator for Health IT, asked that they do what they can to improve health care for low-income and minority communities to prevent health disparities caused by a "digital divide."

EHRs, which can help ensure that medical best practices are followed and aid in tracking illnesses by geographic regions, can mean the difference between life and death.

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http://www.fiercehealthit.com/story/telemedicine-adoption-picks-costs-fall-quality-rises/2010-10-25

Telemedicine adoption picks up as costs fall, quality rises

October 25, 2010 — 12:13pm ET | By Neil Versel

With costs falling and video quality rapidly improving, more healthcare providers are taking a serious look at videoconferencing for telemedicine, helping to standardize the field while also extending the reach of healthcare professionals, according to a report from Frost & Sullivan. However, factors including staff training and lack of third-party reimbursement are holding back wider growth, the London-based research firm says.

"The costs of telemedicine videoconferencing systems and transmission service are not a major barrier to their deployments any more," Frost & Sullivan research analyst Iwona Petruczynik says in a press release. "In the last two years, there has been a significant reduction in prices of equipment and a substantial improvement in endpoint functionality, especially video quality."

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Apple iPad Helps Ease EMR Concerns

ClearPractice's Nimble e-health record product running on the iPad has convinced some nervous doctors that digital charts aren't so bad after all.

By Marianne Kolbasuk McGee, InformationWeek

Oct. 26, 2010

URL: http://www.informationweek.com/story/showArticle.jhtml?articleID=227900734

The iPad in healthcare has a lot of potential to be a preferred device for clinical applications, including e-health records. Not only is the device mobile and affordable, its ease of use could be just the thing to hook physicians who are otherwise scared of trading in their paper charts for digital records.

At least that's the thinking of Joel Andersen, president of ClearPractice, a vendor that offers web-based, software-as-a-service e-medical record, e-prescribing and practice management applications for physician practices that have 10 or fewer clinicians.

Last month, the company introduced its newest offering, Nimble, an EMR for the iPad.

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http://www.washingtonpost.com/wp-dyn/content/article/2010/10/25/AR2010102503199.html

Push for better ways to share e-health records

By LAURAN NEERGAARD

The Associated Press

Monday, October 25, 2010; 4:02 PM

WASHINGTON -- Think you entered the digital health age when your doctor switched from paper charts to computerized medical records? Think again: An e-chart stored in one doctor's computer too often can't be read by another's across town.

Now the country's largest network for paperless prescribing is poised to help tackle that hurdle. Surescripts is expanding so that doctors around the country can choose to share medical reports, X-rays and other health data over its network much as they send e-prescriptions to drugstores today, regardless of what competing brand of computerized health records they use.

"What doctors would like to do is share comprehensive information with each other - give me the whole file as opposed to writing me a note," says Surescripts executive vice president Cris Ross. "No other industry would stand for that level of clumsy communication."

With 200,000 doctors already using Surescripts for e-prescribing, the move is among the largest of a growing number of efforts to connect electronic medical records - including work to link Veterans Affairs hospitals with private physicians in certain cities, and half a dozen soon-to-start pilot projects in a government-industry partnership.

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http://blogs.wsj.com/health/2010/10/21/joint-commission-hospital-collaboration-targets-hand-offs/

Joint Commission-Hospital Collaboration Targets Hand-Offs

Last year the Joint Commission, which accredits hospitals, said its new Center for Transforming Healthcare would collaborate with hospitals and health-care systems to help them fix some of the most serious problems in patient care.

The center started with handwashing, the seemingly straightforward hygiene measure that health-care workers often fail to take. Today the Joint Commission gave an update on a project targeting the miscommunication that can happen when a patient is handed off from one caregiver to another. (Other ongoing projects tackle surgical-site infections and wrong-site surgery.)

The Joint Commission said that the ten hospitals and systems that volunteered to collaborate on the issue initially found that hand-offs were defective 37% of the time. That’s important, because those crossed signals are estimated to be associated with 80% of serious medical errors, the commission said.

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http://healthcareitnews.com/news/patient-monitoring-market-pegged-4b-2017

Patient monitoring market pegged at $4B by 2017

October 22, 2010 | Bernie Monegain, Editor

VANCOUVER, BRITISH COLUMBIA – Fueled by efforts to reduce acute and long-term care costs, the U.S. patient monitoring market is expected to reach almost $4 billion by 2017, according to a new report by iDataResearch, a global research and consulting firm.

Multi-parameter vital-sign devices represented the majority of the patient monitoring market in 2010, with the home telehealth segment growing more than 17 percent in 2010 and the hospital wireless telemetry monitoring segment growing at high double-digit rates. The second largest segment of this market was pulse oximetry, which is expected to exceed $934 million by 2017.

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http://www.modernhealthcare.com/article/20101026/NEWS/310269996/

White House forms online-privacy group

By Joseph Conn / HITS staff writer

Posted: October 26, 2010 - 10:45 am ET

The Obama administration is forming a work group focused on online privacy, but the group's work, which could affect the privacy of millions of Americans online, possibly including health information, will be conducted mostly in private.

The Subcommittee on Privacy & Internet Policy will include a representative from HHS as well as other Cabinet-level departments—Justice, Homeland Security, Commerce, Energy, Education, State, Transportation and Treasury. Its membership also will draw from national intelligence and national security agencies under the executive branch, including the National Security Staff Cybersecurity Directorate and the National Security Council, whose members include the defense secretary, the chairman of the Joint Chiefs of Staff, the director of national intelligence and the assistant to the president for national security affairs.

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http://www.infoway-inforoute.ca/lang-en/about-infoway/news/news-releases/650-manitoba-launches-electronic-medical-record-program

Manitoba launches electronic medical record program

Funding available for swift implementation: Minister

October 26, 2010 (Winnipeg, MB) - More Manitoba physicians will be able to make use of electronic medical records (EMR) to better manage patient information with the support of a new funding program, Health Minister Theresa Oswald announced today.

“Patients will receive faster access to better quality care with more doctors implementing electronic medical records,” said Oswald. “Together with Canada Health Infoway, we are making it easier and more affordable for family doctors to modernize their practices with electronic medical records.”

The electronic medical record is a system used within primary and specialist-care clinics to improve the management of patient information and care. EMRs contain information that is specific to the care a patient receives from a clinician or group of clinicians usually within one clinic or facility, such as diagnostic images like X-rays, prescriptions and medications, patient recalls and reminders and appointment scheduling.

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http://www.healthdatamanagement.com/news/ehr-cuts-long-term-operating-costs-41218-1.html

Study: EHR Cuts Long-Term Operating Costs

HDM Breaking News, October 25, 2010

A report from the Medical Group Management Association, based on a survey of 1,324 primary care and specialty practice members, finds significant financial benefits to using an electronic health records system.

Englewood, Colo.-based MGMA reports that independent practices had a median of $49,916 more revenue after operating costs per full-time physician in 2009 than paper-based practices. Hospital- or delivery system-owned multi-specialty practices with an EHR had a median operating margin in 2009 of $42,042 more than paper-based practices.

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http://www.modernhealthcare.com/article/20101025/NEWS/310259909

HITS briefs1: An Rx for IT

By Gregg Blesch / HITS staff writer

Posted: October 25, 2010 - 12:01 am ET

The American Medical Association has a solution for physicians put off by the quickly evolving and high-stakes marketplace for health information technology.

Specifically, the association has a doorway to other people's solutions and is going to sell tickets for entry.

Over the past several months, the organization has announced partnerships with a handful of technology companies that have signed on as participants in this new online platform, including NextGen Healthcare Information Systems and CareTracker, which offer integrated electronic health-record and practice management applications.

The AMA and other national physician groups generally have steered clear of endorsing any particular product or vendor, choosing instead to be counselors and resource libraries to members attempting to understand a complex and quickly evolving marketplace before investing tens of thousands of dollars and untold hours into a product.

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http://online.wsj.com/article/SB10001424052702304180804575188402688763416.html

  • OCTOBER 25, 2010
STAYING FIT

Tracking Your Health

Are online services the best way to manage medical records? A look at three of the most popular sites.

By JEANETTE BORZO

JAMES YANG

One Saturday night, Michael Adamik, a retired engineer, was recording his weight and blood pressure when he discovered a startling gain of nine pounds from the day before. Sudden weight gain for someone who has congestive heart failure, as Mr. Adamik does, could indicate the condition is worsening.

So the Cleveland Clinic, where Mr. Adamik is a patient, asked him to sign up for Microsoft HealthVault, an online personal health record, or PHR. Now the 66-year-old from Brecksville, Ohio, enters his daily numbers directly into the online tool, which the clinic monitors in real time. If Mr. Adamik is in any danger, the clinic contacts him immediately.

"The biggest benefit" of the service, he says, "is that it takes the decision away from a non-medical person."

With people over 50 increasingly focused on ways to monitor and measure their health, PHRs are drawing more attention. In addition to Microsoft Corp.'s product, other well-known PHRs include Google Inc.'s Google Health and WebMD Health Manager from WebMD Health Corp. These tools can store your entire health history, saving you from chasing medical details spread over countless slips of paper from pharmacies, doctors and laboratories.

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http://www.thespec.com/news/local/article/270368--prognosis-is-finally-good-for-e-health

  • Carmela Fragomeni
  • Sun Oct 24 2010

Prognosis is finally good for e-Health

A regional version of e-Health is taking shape and giving doctors access to most of a patient’s record from almost any hospital in the Local Health Integration Network (LHIN).

Although out-of-hospital records such as private lab test results and prescriptions are unavailable, Hamilton Health Sciences (HHS) wants people to know an electronic patient information system is closer than most would think.

It is still in a rollout phase, but “we have 3,000 physicians and clinicians (out of 15,000) enrolled and we continue to add hospitals onto the system,” said Mark Farrow, HHS assistant vice-president of information and technologies. The Hamilton Niagara Haldimand Brant LHIN e-health version, spearheaded by HHS, will also tap into the Wellington Waterloo LHIN’s hospitals.

Provincially, Ontario’s e-Health Program will standardize and connect all such versions for province-wide access.

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http://www.e-health-insider.com/news/6348/wrightington_finalises_cambio_contract

Wrightington finalises Cambio contract

25 Oct 2010

Wrightington, Wigan and Leigh NHS Foundation Trust has completed the sign-off of its contract with Cambio Healthcare Systems for a new hospital information system.

As first reported by E-Health Insider last month, the trust has awarded the Swedish company the ‘multi-year’ contract for a patient administration system, A&E functionality and e-prescribing.

The award followed a comprehensive tendering process that began in January. Speaking to E-Health Insider after finalising the contact, Stephen Dobson, head of IM&T at the trust, said it selected Cambio out of 25 competitors for “numerous reasons.”

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http://www.modernhealthcare.com/article/20101022/NEWS/101029992

Privacy group grades Obama administration

By Joseph Conn

Posted: October 22, 2010 - 11:30 am ET

When it comes to privacy, the Obama administration is like a distracted student with a lot on his plate.

Obama's grades, while not terrible, have fallen off somewhat for 2010 as compared with 2009, according to a report card (PDF) released by the Electronic Privacy Information Center, a 16-year-old public interest research organization based in Washington.

EPIC, as the organization is more commonly known (it is not related to Epic Systems Corp., the Verona, Wis.-based health information technology developer), has filed numerous Freedom of Information Act requests to obtain information about the federal government's warrantless wiretapping and Total Information Awareness fiber-optic-network computer surveillance programs.

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http://govhealthit.com/newsitem.aspx?nid=74897

Beacons test community health care strategies

By Mary Mosquera

Tuesday, October 19, 2010

Federally funded “beacon” communities are tackling the problem of hospital readmissions and other tough health care challenges by testing the effectiveness of multiple treatment strategies simultaneously instead of taking the traditional approach of testing one treatment at a time, according to the program’s director.

The model communities, which have already embraced electronic health records and information exchange, are working to determine which specific treatments best improve patient outcomes for their region’s healthcare goals. They would then share for those results that they can share with other communities.

“No one specific intervention in each community is designed to be the thing that will lead to improved health goals,” said Aaron McKethan, director of ONC’s Beacon program in the Office of the National Coordinator.

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Enjoy!

David.

Wednesday, November 03, 2010

There Are Some Serious Home Truths Here. Read, Mark, Learn and Inwardly Digest!

This excellent brief article appeared last week

Six best practices for EHR implementation

October 25, 2010 | Jamie Thompson, Web Editor

Peggy E. Delany, MBA, CHBC, CEO, DR Management, LLC, Member of the National Society of Certified Healthcare Business Consultants (NSCHBC), and Thomas S. Nelson, CIO, COO, DR Management, LLC, shared the following six best practices for hospitals and medical groups when implementing electronic health records.

1. Tailor your EHR to fit within staff workflows
"You cannot implement the system to meet 100% of each individual’s needs, but neither can you implement in a generic manner and assume that everyone will adjust," Delany and Nelson emphasized. But it is important to determine which aspects can be adapted to work on an individual basis, and which aspects can work across a wider spectrum. Securing the opinions and recommendations of the staff - as well as their cooperation and commitment - are crucial to making sure the EHR will work for everyone.

2. Identify ways the EHR could potentially fail in order to prevent problems in the future
Gather input from stakeholders to pinpoint ways the EHR could fail, and use that knowledge to determine what it will take for the EHR to be successful. "Remember that you are dealing with huge amounts of data. Be sure to allow for enough storage and fast enough computers to quickly access the data," said Delany and Nelson.

3. Don’t rush implementation, take time to train
"Train for every step of the process and do several short training sessions," advised Delany and Nelson. They also stressed that beginning with the basics is important, and to follow a planned-out procedure so as to ensure the accuracy and efficiency of implementation.

The other three best practices are here:

http://healthcareitnews.com/news/six-best-practices-ehr-implementation

This sentence especially struck a chord with me:

‘"You cannot implement the system to meet 100% of each individual’s needs, but neither can you implement in a generic manner and assume that everyone will adjust," Delany and Nelson emphasized.’

What logically flows if this is true - and I believe it is - is that there must be discussion and negotiation with those on the ground in each site and workplace as to what will work for them and what won’t. This is just the total opposite to the centrally imposed one size fits all approach that has been adopted - with considerable pain and anguish - in some State jurisdictions.

To not proceed in this sensible fashion is something as complex as e-Health implementation is really a very bad idea I believe.

Indeed I would suggest that there really needs to be much more focus in general in making solutions work for the Health Sector broadly - rather than what we frequently seem to see coming from policy makers and bureaucrats - where somehow the impacts of their grand designs don’t quite seem to work out when implementation is attempted.

Six points worth sticking on the war room wall!

David.

Tuesday, November 02, 2010

Does This Sound Like A Good Idea? It is Certainly Worth Discussion!

The following article popped up late last week on ZDNet. It is a very interesting summary of a 30 minute or so podcast.

Free broadband will help the NBN's case

By Phil Dobbie, ZDNet.com.au on October 28th, 2010

Some of the major benefits to society from a ubiquitous broadband network will come from government services, including health and education. That means access to these services needs to be free, so everyone is able to make use of the channel, thus displacing other, more costly, ways of interacting.

This isn't a new notion. Economist Joshua Gans raised it over a year ago at a Senate Select Committee hearing in Melbourne. He suggested the government provides free access to a basic internet service that included public services.

Industry analyst Paul Budde agrees that we should be working towards a free government network, available to all households through the National Broadband Network. For example, e-health services could be available to all, without needing to connect to a commercial retail service provider.

Simon Hackett, managing director of Internode, is less convinced about the idea of a direct connection for government services. He says we only have one network in the home, which means only one connection to the NBN.

Paul Brooks from Layer 10 Advisory disagrees, arguing that we have multiple networks into the home — television, our phone, internet. A government-provided network could be another one.

This week I ask whether we need free government services for everyone to realise meaningful benefits from the NBN and, if so, why is no one doing anything about it?

More here:

http://www.zdnet.com.au/free-broadband-will-help-the-nbn-s-case-339306899.htm

You can play the podcast (narrated by Phil Dobbie of ZDNet's Twisted Wire and his guests) here:

The key issue from the e-Health perspective is that to date there has been very little recognition of the whole ‘digital divide’ issue - where the old and the poor frequently lack any internet access and so cannot utilise things such as the proposed PCEHR etc.

The discussion provides some useful insights to the possibilities that may be explored.

It also points out that for some reason these ideas are not really being discussed much in the halls of power. That indeed is a pity if true.

David.

Monday, November 01, 2010

Talk About Not Being Able To Organise a Party in a Brewery - More Overpromising and Under-delivering It Would Seem!

The following appeared on the weekend:

MyHospitals on a waiting list: private sector keen to launch its own initiative

  • Adam Creswell, Health editor
  • From: The Australian
  • October 30, 2010 12:00AM

A BRAVE new world of public hospital transparency seemed to be on the horizon following the election of the Rudd government in 2007.

A perception that was encouraged by Labor's most senior figures.

Truculent states would have their heads knocked together, seemed to be the message; and they were required for the first time to divulge information that would allow an unprecedented level of scrutiny of public hospital performance.

In exchange for getting their hands on hundreds of millions of dollars in extra cash to tackle soaring waiting lists, public hospitals would have to level with the public about how they were performing across a range of measures.

Federal Health Minister Nicola Roxon warmed to this theme, telling a Consumers Health Forum event in October 2008 that the Rudd government had a "big focus on improving accountability and transparency", and work on performance indicators for public hospitals was "well advanced".

"Transparency and accountability create strong advantages for consumers, both as people who use health services and as taxpayers," she said. "For example, comparable data on quality of care, like adverse events or infection rates for superbugs such as MRSA [methicillin-resistant Staphylococcus aureus], will allow consumers to legitimately distinguish between effective and less effective providers of health care, [allowing] them to make informed decisions."

However, nothing emerged until July this year when, 24 hours before the federal election was called, Roxon said the government would launch its MyHospitals website the following month. The task of completing the launch was given to the Australian Institute of Health and Welfare, but no launch occurred in August and no new date has been offered.

The AIHW was this week referring all inquiries about the website to Roxon's office.

Even when it does start, it will be a shadow of the service Labor promised three years ago.

It will offer comparisons between what services are provided, how many beds a hospital has and how it compares with the national average in terms of waiting times for elective surgery and emergency department care.

But there will be no information about infection rates or other adverse events, at least in the near future, and much of the information may not be up to date: it is likely to reflect the most recent available data, which at present is often at least two years out of date.

Roxon defends progress on the initiative, telling Weekend Health the government believes the public has "a right to know" how its health services are performing, and the government is "not just handing over a blank cheque and wishing for the best".

Much more here:

http://www.theaustralian.com.au/news/health-science/myhospitals-on-a-waiting-list-private-sector-keen-to-launch-its-own-initiative/story-e6frg8y6-1225944907200

You can see how progress is happening by going to www.myhospitals.gov.au

The most helpful thing you get at present is the advice to call 000 in an emergency!

I did mention this planned site, and suggest this was harder than you might think, in a previous blog which you can browse here:

http://aushealthit.blogspot.com/2010/08/and-just-where-will-reliable.html

In this blog I also point out just how hard reliable information on which to base more than basic bed number statistics will be.

To this we now have the added to issue most quality measures will be very hard to gather and we will find the information pretty out of date.

Maybe DoHA should contract Healthgrades in the US to assist them to develop the site they want.

Have a look here to see what is possible.

http://www.healthgrades.com/

It really is a shame this is all taking so long as there is no doubt that if proper comparable data can be provided and made available to the public there should be a positive impact on safety and quality.

This page reports the astonishing differences between the best and worst in the US and shows just how helpful the information can be.

http://www.healthgrades.com/business/study/quality.aspx

At the very worst those who are careful would be able to find out what places to avoid if DoHA and AIHW were to get this sorted and going as was promised in the election campaign!

David.

Late Update 9am Nov 2.

Computerworld is reporting the site will be available in December 2010 with very routine data only and no indicators of clinical quality and safety.