upcoming HITSP webinars
HITSP -Health Information Technology standards.
“ The Healthcare Information Technology Standards Panel (HITSP) is identifying the standards that will support the exchange of healthcare information across the United States“
Please click here (PDF) for upcoming webinars
I would like to hear from HIEs, EHR vendors and others if these standards will gain traction.
Upcoming webinar – WellStar and Google: Maximizing Return on Information
Thought I would share an upcoming webinar sponsored by Google
“As healthcare companies produce, store, and consume more and more business information, volume grows and the investment needed to manage complexity increases. Yet much of this content remains difficult to manage and access. Fulcrum Research claims that 80% of enterprise content is unstructured (stored in things like Word docs and .pdfs, as opposed to structured data bases, CRM systems, etc.), and Forrester Research asserts that content volume is growing at a rate of 200% annually. At this rate, the volume of data stored in many organizations reaches the point of “too much information” – in other words, where the levels of information actually interfere with productivity rather than contribute to it.“
October 1, 2009
10:00am PST
HIEs, security and cloud EHRs
Robert
A quick question on your posting as I cannot comment on your blog
Do you think that Regional Health Information Organizations (for example calrhio.org) will be supplanted by HIEs?
Cloud based EHRs – a response to PracticeFusion
In response to Dr Rowley’s posting
Note: I attempted to comment in the EHRBloggers blog but there were technical glitches with the “word” verification (used to prevent spamming) thus I am writing my comment here
Dr Rowley,
Thank you for your well crafted insight into the benefits of ‘cloud’ oriented EHRs, especially for solo practitioners who may not wish to invest in in-house hardware, software and associated maintenance.
Some responses:
1. Is a solo practitioner or very small medical practice, likely to have the high bandwidth internet connection required for SaaS based EHR?
2. Like any other SaaS solution, does the Dr’s practice grind to a halt because an Internet connection is down (due to the fault of the ISP or any other conditions beyond his control) and the physician cannot request an EMR for a patient?
3. The ‘care co-ordination’ you write about sounds wonderful, my question is what technical standards exist for medical practices to exchange EMR data ? Or is the ‘care co-ordination’ you write about restricted to medical practices that use the PracticeFusion cloud?
Looking forward to the ongoing conversation
EMR or EHR, what’s the difference
I hear the terms EMR (Electronic Medical Record) and EHR (Electronic Health Record) bandied about interchangeably.
So what is the difference.
Based on some reading I offer the following:
EMR – An electronic record of a person’s health related information that is gathered and managed from a single organization
EHR- An electronic record of a person’s health related information that is gathered and managed from a many organizations.
So my EMR is generated by my family physician and his/her nurse, but my EHR includes medical information from visits to specialists as well, perhaps even dentists and podiatrists. An EHR vendor thus needs to provide interfaces that allow data to be easily interchanged. In this regard I am starting to read about LOINC and HL7, though I understand the latter to be somewhat outdated.
Protecting confidential patient information in an EHR
I wonder if HIPAA suffices to protect patient information?
Especially if the patient data is stored in “the cloud” by a SaaS EHR vendor.
I blogged earlier about patient concerns as voiced on NPR
And here is a report from the UK:
“A study of how healthcare organisations manage personal data”
http://www.cqc.org.uk/_db/_documents/Info_governance_FINAL_PDF.pdf
(Forcing?) Adoption of EHRs and doing it right
Interesting discussion I had with Paul Roemer on “The HIE blog“
How do we encourage the adoption of EHRs aside from dangling the ARRA reimbursement carrot in front of the donkey?
Is the process of implementing an EHR any different from a large software project such as SAP or ORACLE?
Join the discussion, here.
Data-mining EHRs
Clinical trials means a pharmaceutical company tests their new product on ‘human guinea pigs’, in a more or less closed and controlled environment.
EHRs would allow much more data to be accumulated in a more real-world setting: thousands or tens of thousands of patients of various ages, races, genders etc using a medication in the real-world.
Any companies out there doing data-mining of EHRs or EMRs? At the HIE level perhaps?
Here is a story from the Department of Health and Human Services proposing to use EHRs (scrubbed of private patient data) to improve the health of minorities.
in response to John Zelski, “Healthcare Information Technology and The Future of Medicine”
I heartly endorse John’s thoughts on telemedicine, remote health and how technology can benefit medicine.
I believe what is sorely needed by physicians and patients, is security and trust that private health information will not be revealed to unauthorized personnel. How does a device used at home transmit information securely and accurately to central computer servers? Is there any risk of information corruption along the way that results in either inaccurate or garbled medical information. Sure SSL (security) and digital signatures (confidentiality, information was not tampered) help, but that technology is slower and more challenging to properly implement.
In addition to the NPR patient access story I blogged about yesterday, I include this radio story as well: Old-Fashioned Medicine Needs Assist From WiFi
Update: A blogpost from Intel on tele-medicine
About
Simply passionate about Healthcare Information Technology and Informatics.
Located one mile from Stanford Hospital, California.
Looking forward to the conversation
Jonathan Gershater; email: jogershater’AT’pacbell.net
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