MedWorm: Electronic Medical Records (EMR)

Demystifying healthcare transformation Part 1 – EMR Shortfalls

ICMCC: The International Council on Medical and Care Compunetics — Wed, 08 Feb 2012 14:02:52 +0100

Source: Chris Taylor, The Successful Workplace Content: “There are real challenges with Electronic Medical Records (EMR) beyond getting doctors to write things down (a feat in itself). Healthcare providers are being pushed to adopt EMR, but few are at Stage 7, shown at right. Because certification at lower levels doesn’t mean system interoperability, EMR ends [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

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EMR: Safe When Used as Directed?

ICMCC: The International Council on Medical and Care Compunetics — Wed, 08 Feb 2012 13:55:41 +0100

Source: Harold Hambrose, Electronic Ink Content: “There’s no question about it—electronic medical records have become a growth industry. And I’m worried. It’s true that EMR systems can deliver superior data management, greater cost efficiencies, and a host of other benefits. But as with any new product, there are risks. Some of the questions we should be [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

The cost of diagnosing Type 2 diabetes mellitus by clinical opportunistic screening in general practice

Diabetic Medicine — Tue, 07 Feb 2012 05:00:00 +0100

Conclusions: Almost two‐thirds of new cases of Type 2 diabetes can be detected before symptoms are reported, at reasonable cost by opportunistic screening in general practice, without the use of extra resources. As an affordable alternative to population screening, clinical opportunistic screening merits further consideration.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine)

Electronic Medical Record Availability and Primary Care Depression Treatment

Journal of General Internal Medicine — Mon, 06 Feb 2012 19:36:48 +0100

Conclusions EMRs appear to have an unintended negative association with depression care provided during visits made by primary care patients with multiple chronic conditions. Content Type Journal ArticleCategory Original ResearchPages 1-6DOI 10.1007/s11606-012-2001-0Authors Jeffrey S. Harman, Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USAKathryn M. Rost, Department of Mental Health Law and Policy, Florida Mental Health Institute, University of South Florida, Tampa, FL, USAChristopher A. Harle, Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USARobert L. Cook...

Healthcare apps requested by EMR company

Hospital IT Europe — Mon, 06 Feb 2012 09:56:00 +0100

Patient-controlled electronic medical records company invites smartphone app collaboration (Source: Hospital IT Europe)

Why EMR is a dirty word to many doctors

ICMCC: The International Council on Medical and Care Compunetics — Fri, 03 Feb 2012 14:37:21 +0100

Source: Adam Sharp, KevinMD Content: “Don’t get me wrong, EMRs (electronic medical records) are inevitable. Over the long-run they are almost certainly good for physicians, patients and the healthcare industry. However, their origin and the ulterior motives currently driving their adoption is sowing the seeds of their failure. First, what is actually happening out there? [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

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Electronic medical records have low impact on quality of osteoporosis care

MedWire News - Bone Health — Fri, 03 Feb 2012 04:48:08 +0100

The use of electronic medical records only marginally improves the care of patients with osteoporosis, a US pilot study has found. (Source: MedWire News - Bone Health)

Using Electronic Medical Records as patient teaching tools

ICMCC: The International Council on Medical and Care Compunetics — Thu, 02 Feb 2012 18:00:46 +0100

Source: Sheri Ross, Technology for Doctors Online Content: “Healthcare providers have a unique opportunity to not only address current or anticipated health problems with their patients, but also to help patients avoid future negative health consequences by teaching them how to care for themselves. Regular reinforcement increases the likelihood that patients will adhere to the [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Topics in Neonatal Informatics: Optimal Clinical Data Entry, Display

NeoReviews recent issues — Wed, 01 Feb 2012 05:00:00 +0100

Displaying the vast amount of clinical data that exist in electronic medical records without causing information overload or interfering with provider thought processes is a challenge. To support the transformation of data into information and knowledge, effective electronic displays must be flexible and guide physicians’ thought processes. Applying research from cognitive science and human factors engineering offers promise in improving the electronic display of clinical information. (Source: NeoReviews recent issues)

Medical e-record use mandate drawing nearer

ICMCC: The International Council on Medical and Care Compunetics — Tue, 31 Jan 2012 18:28:02 +0100

Source: Kim Bandura, The Morehead News Content: “Technology will be playing a bigger role in patient care than ever before. Healthcare professionals and their related associates have been mandated by the federal government to abide by “meaningful use” of electronic medical records (EMR) by the end of 2014. EMR is the electronic version of the paper medical [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Variability in Reexcision Following Breast Conservation Surgery [Original Contribution]

JAMA — Tue, 31 Jan 2012 05:00:00 +0100

Conclusion Substantial surgeon and institutional variation were observed in reexcision following partial mastectomy in women with invasive breast cancer. (Source: JAMA)

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Primary Care Colorectal Cancer Screening Recommendation Patterns: Associated Factors and Screening Outcomes

Medical Decision Making — Tue, 31 Jan 2012 05:00:00 +0100

Conclusions. Specialty, the influence of guidelines, test concerns, and the "jointness" of the test selection decision distinguished CRC screening recommendation patterns. All patterns were associated with similar overall screening rates. (Source: Medical Decision Making)

Study indicates type 2 diabetes patients could receive improved care with EMR

ICMCC: The International Council on Medical and Care Compunetics — Fri, 27 Jan 2012 16:39:05 +0100

Source: LawrenceG, Microwize Technology Content: “Under the HITECH Act, individual physicians and small medical facility managers who can illustrate “meaningful use” through their deployment of electronic medical records software are eligible for thousands of dollars in federal funding. While this is one reason EMR adoption will likely continue to grow through 2015 – the year when [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Health Consequences Associated with Being Overweight or Obese: A Swedish Population‐Based Study of 85‐Year‐Olds

Journal of the American Geriatrics Society — Fri, 27 Jan 2012 05:00:00 +0100

ConclusionFor 85‐year‐olds, being obese, as opposed to overweight, is associated with self‐reported activity limitations and comorbidities. Overweight older adults living in their own homes in this population had well‐being similar to that of those with normal weight. (Source: Journal of the American Geriatrics Society)

Effect of a best-practice alert on the rate of influenza vaccination of pregnant women.

Obstetrics and Gynecology — Thu, 26 Jan 2012 20:42:46 +0100

CONCLUSION: : Both our rate of vaccination of pregnant women against influenza and the rate of a documented discussion regarding vaccination increased after implementation of the best-practice alert. We recommend that users of electronic medical records add a best-practice alert to improve influenza vaccination rates. LEVEL OF EVIDENCE: : II. PMID: 22270281 [PubMed - in process] (Source: Obstetrics and Gynecology)

Automating classification of free-text electronic health records for epidemiological studies

ICMCC: The International Council on Medical and Care Compunetics — Thu, 26 Jan 2012 16:53:23 +0100

Source: Schuemie MJ et al, Pharmacoepidemiology and Drug Safety, 2012 Content: PURPOSE: Increasingly, patient information is stored in electronic medical records, which could be reused for research. Often these records comprise unstructured narrative data, which are cumbersome to analyze. The authors investigated whether text mining can make these data suitable for epidemiological studies and compared a [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

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Electronic medical records explain gender differences

Hospital IT Europe — Thu, 26 Jan 2012 11:00:00 +0100

Large study using data from EMRs finds women report more pain than men in every category (Source: Hospital IT Europe)

Electronic medical records explain pain thresholds

Hospital IT Europe — Thu, 26 Jan 2012 11:00:00 +0100

Large study using data from EMRs finds women report more pain than men in every category (Source: Hospital IT Europe)

Upstate makes health records digital, accessible

SUNY Upstate Medical — Wed, 25 Jan 2012 08:22:03 +0100

Upstate University Hospital outpatients will be able to access their own health records, request medical appointments from their home computer or smartphone through a new, confidential electronic medical records (EMR) and practice management system. (Source: SUNY Upstate Medical)

Study Of Electronic Medical Records Reveals That Women Report Feeling Pain More Intensely Than Men

Health News from Medical News Today — Wed, 25 Jan 2012 08:00:00 +0100

Women report more-intense pain than men in virtually every disease category, according to Stanford University School of Medicine investigators who mined a huge collection of electronic medical records to establish the broad gender difference to a high level of statistical significance. Their study, published online in the Journal of Pain, suggests that stronger efforts should be made to recruit women subjects in population and clinical studies in order to find out why this gender difference exists. The study also shows the value of EMR data mining for research purposes... (Source: Health News from Medical News Today)

10,000 New York Doctors to Adopt Electronic Medical Records

ICMCC: The International Council on Medical and Care Compunetics — Tue, 24 Jan 2012 17:34:10 +0100

Source: NYeC Content: “By the end of 2011, over 10,000 New York State healthcare providers had enrolled into a federally subsidized program that will help them transition from paper to electronic medical records (EMRs), continuing the effort to improve the quality and coordination of care for all patients across the state. Federal and state data [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

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Kaiser Permanente offers patients Android app for EMR access

ICMCC: The International Council on Medical and Care Compunetics — Tue, 24 Jan 2012 17:23:58 +0100

Source: Brian Dolan, mobihealthnews Content: “Kaiser Permanente announced today that its nearly 9 million patients can now securely access their electronic medical records (EMRs) from a new, free mobile app on their Android devices or from other mobile devices via a mobile-optimized site. KP expects to launch an iPhone version of the app in the [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Incidence of reduced chemotherapy relative dose intensity among women with early stage breast cancer in US clinical practice

Breast Cancer Research and Treatment — Tue, 24 Jan 2012 07:35:04 +0100

This study employed a retrospective cohort design and electronic medical records from >65 community oncology/hematology clinics in >35 states (2004–2010). The study population comprised adult women who received myelosuppressive chemotherapy for ESBC (stages I–IIIA). For each such woman, each unique cycle of chemotherapy within their first observed course was identified. Incidence of chemotherapy dose delays (≥7 days for any drug in ≥1 cycles), chemotherapy dose reductions (≥15% for any drug in ≥1 cycles), and low chemotherapy relative dose intensity (RDI <85% over the course) relative to published reference standards were descriptively analyzed for the seven most-frequently planned regimens in the study database. A total of 2,228 women (70% of the subjects w...

Automating classification of free‐text electronic health records for epidemiological studies

Pharmacoepidemiology and Drug Safety — Tue, 24 Jan 2012 05:00:00 +0100

ConclusionsAlthough a training set still needs to be created manually, text mining can help reduce the amount of manual work needed to incorporate narrative data in an epidemiological study and will make the data extraction more reproducible. An advantage of machine learning is that it is able to pick up specific language use, such as abbreviations and synonyms used by physicians. Copyright © 2012 John Wiley & Sons, Ltd. (Source: Pharmacoepidemiology and Drug Safety)

Women report feeling pain more intensely than men, says study of electronic medical records

ScienceDaily Headlines — Mon, 23 Jan 2012 16:55:55 +0100

Women report more intense pain than men in virtually every disease category, according to researchers who mined a huge collection of electronic medical records to establish the broad gender difference to a high level of statistical significance. (Source: ScienceDaily Headlines)

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Women report feeling pain more intensely than men, says Stanford study of electronic medical records

EurekAlert! - Medicine and Health — Mon, 23 Jan 2012 05:00:00 +0100

(Stanford University Medical Center) Women report more-intense pain than men in virtually every disease category, according to Stanford University School of Medicine investigators who mined a huge collection of electronic medical records to establish the broad gender difference to a high level of statistical significance. (Source: EurekAlert! - Medicine and Health)

Higher prevalence of obesity among children with asthma.

Obesity — Tue, 17 Jan 2012 05:00:00 +0100

In conclusion, overweight, moderate, and extreme obesity are associated with higher odds of asthma in children and adolescents, although the association varies widely with race/ethnicity. Increasing BMI among youth with asthma is associated with higher consumption of corticosteroids and emergency department visits. PMID: 22252049 [PubMed - as supplied by publisher] (Source: Obesity)

[Qualitative evaluation of blood products records in a hospital.]

Transfusion Clinique et Biologique — Tue, 17 Jan 2012 05:00:00 +0100

CONCLUSION: Although blood products traceability has good quantitative results, the recorded documentation is not qualitative. In our study, data entry errors are similar in electronic or paper records, but the global failure rate is lesser in electronic records because omissions are controlled. PMID: 22261347 [PubMed - as supplied by publisher] (Source: Transfusion Clinique et Biologique)

Now is the perfect time to schedule your child's yearly physical

Pediatric Health Associates — Mon, 16 Jan 2012 20:41:00 +0100

Kim GubbinsCertified Pediatric Nurse PractitionerWant to beat the rush? Now is the best time to get your child’s physical/annual checkup completed! Why wait until the summer ‘check-up’ crowd. Scheduling it now gives you the opportunity to schedule an appointment when it's convenient for you.The American Academy of Pediatrics (AAP) and PHA recommend that all children have an annual well child exam even if a physical form is not needed for sports or school that particular year. This visit will include a history of what is going on in the child's life, developmental screening (autism screening at 18 and 24 months), a physical examination, possible laboratory tests (such as hemoglobin, lead, cholesterol or a urinalysis) or vaccinations. There w...

Prevalence of Abdominal Wall Hernia in Participants With Abdominal Aortic Aneurysm Versus Peripheral Arterial Disease--A Population-Based Study

Angiology — Mon, 16 Jan 2012 05:00:00 +0100

Small studies suggest an association between abdominal aortic aneurysms (AAAs) and hernias, possibly related to connective tissue weakness. We evaluated the association between AAA and abdominal wall hernia (AWH), using peripheral arterial disease (PAD) patients as controls, in Olmsted County, Minnesota. In a retrospective cohort study we queried the electronic medical records for the diagnosis of AAA. The resulting data were then queried for prevalence of AWH. The same set of queries was repeated for PAD. Occurrence of AWH in the 2 groups was compared using the chi-square test. Of the 187 151 patient records queried, 939 had AAA and 3465 had PAD. Abdominal wall hernia occurred in 157 (16.7%) patients with AAA and in 343 (9.9%) patients with PAD. Abdominal wall hernia was 1.7 times more pr...

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Clinical Significance of Serum COL6A3 in Pancreatic Ductal Adenocarcinoma

Journal of Surgical Research — Sat, 14 Jan 2012 22:29:57 +0100

Introduction: Type VI collagen (COL6) forms a microfibrillar network associated with type I collagen fibrils and constitutes a major component of the prominent desmoplastic reaction in pancreatic ductal adenocarcinoma (PDA). We have demonstrated recently that a subunit of COL6, COL6A3, is expressed in high levels in PDA tissue and that the COL6A3 gene undergoes tumor-specific alternative splicing. the aim of this study is to investigate the diagnostic value and clinical significance of circulating COL6A3 in PDA. Methods: Serum samples were obtained from patients that underwent pancreatic resection at Thomas Jefferson University Hospital between 2006 and 2009. COL6A3 levels in the sera from patients with pathologically confirmed PDA (n=44), intraductal papillary mucinous neoplasms (IPMN) (n...

Why SCIP-Based Antibiotic Prophylaxis is Inadequate to Prevent Surgical Site Infections?

Journal of Surgical Research — Sat, 14 Jan 2012 22:29:43 +0100

Conclusions: There is significant room for improvement in the appropriate administration of prophylactic antibiotics to reduce SSIs. The perceived failure of increased compliance with SCIP infection guidelines may be linked to lack of attention to other important aspects of antibiotic prophylaxis. The importance of these components that are not addressed by SCIP on SSI rates remains to be determined. (Source: Journal of Surgical Research)

Epic Systems, Digitizing Health Records Before It Was Cool

NYT Health — Sat, 14 Jan 2012 19:58:45 +0100

In the growing business of electronic medical records, Epic Systems is far from a newcomer: it started more than 30 years ago, and now helps keep track of 40 million patients. (Source: NYT Health)

A retrospective analysis of glycol and toxic alcohol ingestion: utility of anion and osmolal gaps

BMC Clinical Pathology - Latest articles — Thu, 12 Jan 2012 05:00:00 +0100

Conclusions: Our study concurs with other investigations that show that osmolal gap can be a useful diagnostic test in conjunction with clinical history and physical examination.. (Source: BMC Clinical Pathology - Latest articles)

Differences in outcomes between cholecalciferol and ergocalciferol supplementation in veterans with inflammatory bowel disease

Geriatrics and Gerontology International — Tue, 10 Jan 2012 05:00:00 +0100

Conclusions: Our data suggest that cholecalciferol replacement might improve outcomes to a greater extent than ergocalciferol, and might be better in limiting health‐care costs and expenses in patients with inflammatory bowel disease. Geriatr Gerontol Int 2012; ••: ••–••. (Source: Geriatrics and Gerontology International)

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How Healthcare’s Embrace of Mobility has Turned Dangerous

ICMCC: The International Council on Medical and Care Compunetics — Fri, 06 Jan 2012 19:41:53 +0100

Source: Eric Lai, Business2Community Content: “Doctors love their devices. 81% of physicians have smartphones. They also love their apps. 38% of them use medical apps daily. One-third use smartphones or tablets to access electronic medical records today, with another 20% expecting to start using them this year. For instance, 200 doctors and nurses at Charite Berlin, [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Impact of Wireless Electronic Medical Record System on the Quality of Patient Documentation by Emergency Field Responders during a Disaster Mass-Casualty Exercise. - Chan TC, Griswold WG, Buono C, Kirsh D, Lyon J, Killeen JP, Castillo EM, Lenert L.

SafetyLit: All (Unduplicated) — Fri, 06 Jan 2012 15:21:09 +0100

This study examines the role of wireless, electronic, medical records and communications technologies on the qu... (Source: SafetyLit: All (Unduplicated))

How to Succeed with Electronic Medical Records | 8 Tips from Real Users

ICMCC: The International Council on Medical and Care Compunetics — Fri, 06 Jan 2012 09:10:54 +0100

Source: Katie Matlack, Software Advice Content: “What separates those who realize the benefits of an EMR from those who don’t? What are the critical success factors that can help ensure a practice’s switch to EMRs is truly transformational? To find out, I spoke with representatives of three healthcare organizations where EMRs are in place.” Article Katie Matlack, Software [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Inverse Association Between Helicobacter pylori and Pediatric Asthma in a High‐Prevalence Population

Helicobacter — Thu, 05 Jan 2012 16:45:57 +0100

Conclusions: We demonstrate an inverse association between H. pylori and pediatric asthma in a population with a high prevalence of H. pylori. (Source: Helicobacter)

Improving diabetes management with electronic health records and patients’ health records

ICMCC: The International Council on Medical and Care Compunetics — Wed, 04 Jan 2012 09:00:28 +0100

Source: Benhamou P-Y. Diabetes & Metabolism, 37S4 Content: The lack of patient engagement and clinical inertia both contribute to suboptimal diabetes care. However, both obstacles are amenable to informatics- and Internet-based interventions. The use of electronic medical records (EMRs) is now established as being useful for improving diabetes care. Intelligent records that integrate computerized decision-support [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

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Agreement between self‐report and prescription data in medical records for pregnant women

Birth Defects Research Part A: Clinical and Molecular Teratology — Sun, 01 Jan 2012 05:00:00 +0100

CONCLUSIONS Results indicate a high concordance between self‐report and prescription data for therapeutic classes used chronically, while poor agreement was observed for medications used intermittently, on an 'as needed” basis, or in short courses. Birth Defects Research (Part A) 2012. © 2012 Wiley Periodicals, Inc. (Source: Birth Defects Research Part A: Clinical and Molecular Teratology)

Feasibility of an interdisciplinary program for obesity management in Canada.

Canadian Family Physician Medecin de Famille Canadien — Sun, 01 Jan 2012 05:00:00 +0100

Conclusion Preliminary data support the short-term effectiveness and clinical utility of this publicly funded program. Using this interdisciplinary model, approximately half of patients were able to attain clinically significant weight loss. PMID: 22267637 [PubMed - in process] (Source: Canadian Family Physician Medecin de Famille Canadien)

Trends in the use of electronic medical records.

Canadian Family Physician Medecin de Famille Canadien — Sun, 01 Jan 2012 05:00:00 +0100

Authors: Biro SC, Barber DT, Kotecha JA PMID: 22267635 [PubMed - in process] (Source: Canadian Family Physician Medecin de Famille Canadien)

Advances in pediatric asthma in 2011: Moving forward

Journal of Allergy and Clinical Immunology — Tue, 27 Dec 2011 23:54:41 +0100

Last year’s “Advances in pediatric asthma” concluded with the following statement: “Perhaps new directions in personalized medicine and improved health care access and communication will help maintain steady progress in alleviating the burden of this disease in children, especially young children.” This year’s summary will focus on recent advances in pediatric asthma that show significant accomplishments in reducing asthma morbidity and mortality over the last 10 years and discuss some pathways to further reduce asthma burden, as indicated in Journal of Allergy and Clinical Immunology publications in 2011. Some of the recent reports continue to shed light on methods to improve asthma management through steps to reduce asthma exacerbations, identify features of the disease in ea...

IT compatibility a factor in Cone-Alamance merger

bizjournals.com Health Care:Hospitals headlines — Fri, 23 Dec 2011 19:24:10 +0100

Both Cone Health and Alamance Regional Medical Center have been responsive to the increasingly loud calls for broader implementation of electronic medical records technology. The two health systems have been ahead of the game in implementing this new technology, but their pending merger now depends in part on seeing if they can make the different systems they've chosen play nice together. During an interview this week about the merger that you can read about in today's Business Journal, Cone Health's Tim Rice and Alamance Regional's John Currin Jr... (Source: bizjournals.com Health Care:Hospitals headlines)

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Operational Problems of Haniwa Net as a Form of Social Capital: Interdependence Between Human Networks of Physicians and Information Networks

Journal of Medical Systems — Fri, 23 Dec 2011 16:55:32 +0100

Abstract In August 2009, Miyazaki Health and Welfare Network (Haniwa Net, hereafter referred to as “the Net”), centrally led by University of Miyazaki Hospital (UMH), adopted a center hospital-based system offering a unilateral linkage that enables the viewing of UMH’s medical records through a web-based browser (electronic medical records (EMR)). By the end of December 2010, the network had developed into a system of 79 collaborating physicians from within the prefecture. Beginning in August 2010, physicians in 12 medical institutions were visited and asked to speak freely on the operational issues concerning the Net. Recordings and written accounts were coded using the text analysis software MAXQDA 10 to understand the actual state of operations. Analysis of calcul...

Regional extension center in NY enrolls 5,107 providers

Healthcare IT News — Thu, 22 Dec 2011 16:04:57 +0100

The New York eHealth Collaborative regional extension center announced that it has reached its goal of enrolling 5,107 eligible healthcare providers into its program to help the transition to electronic medical records. The nation's fourth largest REC in terms of its enrollment goal, officials note that NYeC reached its goal two weeks early and is only the second of the nation's largest RECs to do so. Limited extra spaces remain in the NYeC REC program for eligible providers, they add. read more (Source: Healthcare IT News)

Lingua franca critical for electronic medical records and health information exchange

EurekAlert! - Medicine and Health — Thu, 22 Dec 2011 05:00:00 +0100

(Indiana University School of Medicine) A reference compendium of standardized codes for the 2,000 most frequently reported laboratory test observations, released by the Regenstrief Institute, enables hospitals, medical laboratories, physician offices and others to focus on approximately 98 percent of tests as they develop electronic medical record systems and engage in health information exchange. (Source: EurekAlert! - Medicine and Health)

HIMSS Analytics honors Florida Hospital Flagler with Stage 7 award

Healthcare IT News Press Releases — Tue, 20 Dec 2011 13:53:32 +0100

HIMSS Analytics announced that Florida Hospital Flagler, an Adventist Health System facility, has received its Stage 7 Award. The award represents attainment of the highest level on the Electronic Medical Records Adoption Model? (EMRAM), which is used to track EMR progress at hospitals and health systems. read more (Source: Healthcare IT News Press Releases)

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Forecasting Preanesthesia Clinic Appointment Duration from the Electronic Medical Record Medication List.

Anesthesia and Analgesia — Tue, 20 Dec 2011 05:00:00 +0100

Conclusions:Schedulers can use the number of medications that each patient is taking when choosing the time for preoperative evaluation. This approach can take schedulers only approximately 10 seconds extra per patient when scheduling the appointment. PMID: 22190552 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)

Using your electronic medical record for research: a primer for avoiding pitfalls

ICMCC: The International Council on Medical and Care Compunetics — Fri, 16 Dec 2011 19:30:33 +0100

Source: Terry AL et al, Family Practice, 27(1) Content: In Canada, use of electronic medical records (EMRs) among primary health care (PHC) providers is relatively low. However, it appears that EMRs will eventually become more ubiquitous in PHC. This represents an important development in the use of health care information technology as well as a [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Psychiatric Comorbidity in Children and Adolescents with Restless Legs Syndrome: A Retrospective Study

Journal of Clinical Sleep Medicine : JCSM — Wed, 14 Dec 2011 21:29:02 +0100

Conclusion:Comorbid psychiatric conditions occurred in two-thirds of children with RLS, underscoring the need for multidisciplinary management of this condition. An important relationship might exist between psychotropic medication, and possibly pharmacogenomic factors, in children and adolescents with symptoms of restless legs syndrome. These findings are consistent and build on those reported in the adult literature.Citation:Pullen SJ; Wall CA; Angstman ER; Munitz GE; Kotagal S. Psychiatric comorbidity in children and adolescents with restless legs syndrome: a retrospective study. J Clin Sleep Med 2011;7(6):587-596. (Source: Journal of Clinical Sleep Medicine : JCSM)

NHS Trust rolls out electronic medical records

Hospital IT Europe — Mon, 12 Dec 2011 11:14:00 +0100

Aintree University Hospital NHS Foundation Trust installs new system to integrate records (Source: Hospital IT Europe)

One Student’s Perspective on Electronic Medical Records

ICMCC: The International Council on Medical and Care Compunetics — Fri, 09 Dec 2011 10:36:01 +0100

Source: Jennifer Dennard, EMR and EHR Content: “I’ve had the good fortune in the past year or two to watch one of my daughters’ favorite babysitters blossom into a full-time nursing student at the University of West Georgia. Not only do my girls benefit from her great bedside manner, including an infinite amount of patience, [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

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Lower Standards for Electronic Medical Records, Asking Too Much to Begin With?

ICMCC: The International Council on Medical and Care Compunetics — Wed, 07 Dec 2011 16:09:54 +0100

Source: Michael West, Happy EMR Doctor Content: “Looks like the Department of Health and Human Services is lowering the bar after shooting themselves in the foot by setting unrealistic expectations for doctors to go digital. In HHS says looser rules for health records will spur job creation, the government will push back the standards [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

The Ottawa Hospital enhances patient interaction with more than 3,000 Apple iOS devices

Healthcare IT News Press Releases — Wed, 07 Dec 2011 14:08:48 +0100

Aruba Networks, Inc. (NASDAQ: ARUN) today announced that The Ottawa Hospital has deployed an 802.11n wireless network based on the Aruba Mobile Virtual Enterprise (MOVE) architecture to support more than 3,000 Apple iPads, iPhones and iPod touches. Physicians and other healthcare professionals are using these devices to access electronic medical records and physician order entry systems at patients’ bedsides to facilitate decision-making and enhance patient interaction. read more (Source: Healthcare IT News Press Releases)

Kaiser San Jose among 2011 Leapfrog honorees

bizjournals.com Health Care:Physician Practices headlines — Tue, 06 Dec 2011 22:17:27 +0100

Ten Kaiser Permanente Northern California hospitals, including the one in San Jose, were named as 2011 Leapfrog Top Hospitals. The honor recognizes medical centers for successes in health care such as using electronic medical records to reduce errors, lowering infection rates, proper staffing, and safety and efficiency measures, according to a prepared statement on Tuesday from Kaiser. Kaiser Permanente San Jose Medical Center also received the honor last year. The nine other locations in Northern California included: AntiochOaklandRichmondRosevilleSan FranciscoSouth San FranciscoSouth SacramentoVacavilleWalnut Creek (Source: bizjournals.com Health Care:Physician Practices headlines)

Use of mobile devices by physicians influences EMR purchases

American Medical News - BUSINESS — Tue, 06 Dec 2011 13:12:04 +0100

A survey says they want their electronic medical records to have a mobile component. (Source: American Medical News - BUSINESS)

Natural Language Processing and Electronic Medical Records [Letters]

JAMA — Tue, 06 Dec 2011 05:00:00 +0100

(Source: JAMA)

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Natural Language Processing and Electronic Medical Records--Reply [Letters]

JAMA — Tue, 06 Dec 2011 05:00:00 +0100

(Source: JAMA)

Data: EMR Usage By Docs Continues to Climb

ICMCC: The International Council on Medical and Care Compunetics — Sun, 04 Dec 2011 15:51:20 +0100

Source: Haydn Bush, H&HN Daily Content: “A new report from the Centers for Disease Control and Prevention finds that 57 percent of office-based physicians now use electronic medical records or electronic health records, up from 50 percent in 2010 and 18 percent back in 2001. And 52 percent of physicians intend to apply for meaningful [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Using administrative data for epidemiological research: case study to identify persons with periodontitis

Periodontology 2000 — Sun, 04 Dec 2011 04:47:38 +0100

AbstractThe availability of automated administrative databases in medical and dental healthcare, combined with modern computing power, allows sophisticated multi‐layered analyses of the causes and consequences of care delivered to large populations. These automated databases are now also commonly linked to data extracted from electronic medical records, and are used to measure health system performance, adjust payments, assess providers for quality improvement purposes, and inform policy decisions. Use of health insurance databases can be particularly powerful when linked through common unique identifiers to allow examination of the influences of dental care on medical outcomes and costs, and vice versa. This review describes the growing use of these databases for epidemiological and hea...

Child and adolescent mental health care in Dutch general practice: Time trend analyses

BMC Family Practice — Thu, 01 Dec 2011 05:00:00 +0100

This study aims to investigate the identification and treatment of child and adolescent mental health problems in general practice over a five-year period (2004-2008). Methods: Data of patients aged 0-18 years (N ranging from 37716 to 73432) were derived from electronic medical records of 42-82 Dutch general practices. Time trends in the prevalence of recorded mental health problems, prescriptions for psychotropic medication, and referrals to primary and secondary mental health care were analysed. Results: In 2008, 6.6% of children and 7.5% of adolescents were recorded as having mental health problems; 15.2% of these children and 29.4% of these adolescents were prescribed psychotropic medication; 18.9% of these children and 22.9% of these adolescents were referred, mainly to secondary ment...

Practical Examples of Natural Language Processing in Radiology

Journal of the American College of Radiology : JACR — Thu, 01 Dec 2011 05:00:00 +0100

The utility of natural language processing (NLP) for understanding voluminous amounts of textual data has been recognized for 6 decades, and NLP now permeates everyday life, from Internet search engines to e-mail filtering to telephone banking. NLP has gained ground in medicine, most recently as a consequence of the increasing adoption of electronic medical records, which remain composed primarily of unstructured textual data. Inevitably, the primary challenge for quality improvement and biomedical research initiatives has become how to uncover and extract necessary information from this rich data resource. A plethora of applications have been developed and reviewed for clinical applications, a vast number of which focus on information extraction []. (Source: Journal of the American Colleg...

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Self-reported health and functional status information improves prediction of inpatient admissions and costs.

The American Journal of Managed Care — Thu, 01 Dec 2011 05:00:00 +0100

Conclusions: Using self-reported health information improved the predictive power of a DxCG model to forecast inpatient admissions and patient cost-tier. PMID: 22216871 [PubMed - in process] (Source: The American Journal of Managed Care)

Lack of electronic records holds health-care system back: CMA president

ICMCC: The International Council on Medical and Care Compunetics — Wed, 30 Nov 2011 11:44:16 +0100

Source: Emily Senger, iPolitics Content: “For all the advancements in medical technology, Canada is mired in ancient times when it comes to simple data sharing among health-care professionals, the president of the Canadian Medical Association said Tuesday. Establishing electronic medical records is the one of the best things Canada could do to improve its health-care system, [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Eastfield College gets $98K workforce grant

bizjournals.com Health Care:Hospitals headlines — Tue, 29 Nov 2011 19:13:28 +0100

Eastfield College has received a $97,698 Skills Development Fund grant from the Texas Workforce Commission as part of a partnership in which the college provides job training for employees of a medical office consortium. Eastfield, part of the Dallas County Community College District, is partnering in the grant with ACRC Trials; the North Texas Institute of Neurology and Headache; Syzygy Fort Worth LLC; Lynne Gerlach, DDS; Lone Star Vision; EpiCentre Legacy; and Village Health Partners. The grant will be used to train 127 new and incumbent workers to improve their skills in electronic medical records... (Source: bizjournals.com Health Care:Hospitals headlines)

Electronic medical records for appropriate timing of arthroplasty

Journal of Evaluation in Clinical Practice — Tue, 29 Nov 2011 05:00:00 +0100

Conclusions Data from electronic patient entries complemented with data of the operable condition can be used for defining the optimal operation time with regard to the pre‐operative condition of the patients. The implication of prolonged waiting times was not very profound, but elderly patients benefit from a short waiting time. (Source: Journal of Evaluation in Clinical Practice)

Pitfalls of merging GWAS data: lessons learned in the eMERGE network and quality control procedures to maintain high data quality

Genetic Epidemiology — Tue, 29 Nov 2011 04:59:32 +0100

AbstractGenome‐wide association studies (GWAS) are a useful approach in the study of the genetic components of complex phenotypes. Aside from large cohorts, GWAS have generally been limited to the study of one or a few diseases or traits. The emergence of biobanks linked to electronic medical records (EMRs) allows the efficient reuse of genetic data to yield meaningful genotype–phenotype associations for multiple phenotypes or traits. Phase I of the electronic MEdical Records and GEnomics (eMERGE‐I) Network is a National Human Genome Research Institute‐supported consortium composed of five sites to perform various genetic association studies using DNA repositories and EMR systems. Each eMERGE site has developed EMR‐based algorithms to comprise a core set of 14 phenotypes for extr...

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The adoption of electronic medical records and decision support systems in Korea

ICMCC: The International Council on Medical and Care Compunetics — Mon, 28 Nov 2011 15:30:27 +0100

Source: Chae YM et al, Healthcare Informatics Research, 17(3) Content: OBJECTIVES To examine the current status of hospital information systems (HIS), analyze the effects of Electronic Medical Records (EMR) and Clinical Decision Support Systems (CDSS) have upon hospital performance, and examine how management issues change over time according to various growth stages. METHODS Data taken from the 2010 [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Acupuncture and chiropractic care for chronic pain in an integrated health plan: a mixed methods study

BMC Complementary and Alternative Medicine — Fri, 25 Nov 2011 05:00:00 +0100

DiscussionSuccessful completion of these aggregate aims will provide an evaluation of outcomes associated with the real-world use of A/C services. The trio of retrospective, qualitative, and prospective study will also provide a clearer understanding of the decision-making processes behind the use of A/C for CMP and a transportable methodology that can be applied to other health care settings, CAM treatments, and clinical populations.Trial registration: http://www.clinicaltrials.gov identifier NCT01345409 (Source: BMC Complementary and Alternative Medicine)

Small practices could show big growth in EMR market

ICMCC: The International Council on Medical and Care Compunetics — Wed, 23 Nov 2011 15:04:54 +0100

Source: Pamela Lewis Dolan, amednews Content: “The U.S. market for electronic medical records is expected to exceed $8 billion by 2016, up from $4.6 billion today, with the fastest-growing segment occurring in the small practice market, according to an industry report by Millennium Research Group. The Toronto-based medical technology research company’s report, “U.S. Markets for Electronic [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

EHR adopters give advice to those considering electronic medical records

ICMCC: The International Council on Medical and Care Compunetics — Tue, 22 Nov 2011 14:46:40 +0100

Source: Peter J. Polack, KevinMD Content: “Our practice went live with our own EMR system in late 2008. For the most part, this was uneventful. The reason for this was mainly due to proper planning. And credit for our implementation plan goes primarily to our administrator, our IT director, and staff members of our appointed [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Injuries and injury risk factors among British army infantry soldiers during predeployment training

Injury Prevention — Tue, 22 Nov 2011 05:00:00 +0100

Conclusion British infantry injury rates were lower than those reported for US infantry (range 101–223 injuries/100 soldier-years), and younger age and previous injury were identified as independent risk factors. Future efforts should target reducing the incidence of traumatic injuries, especially those related to physical training and/or sports. (Source: Injury Prevention)

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Unusual Complication After Left-Lobe Liver Biopsy for Diffuse Liver Disease: Severe Bleeding From the Superior Epigastric Artery

American Journal of Roentgenology — Tue, 22 Nov 2011 05:00:00 +0100

CONCLUSION. It is important to recognize the subtle CT signs of superior epigastric artery bleeding because the traditional femoral approach with angiography of the hepatic and portal vessels may not reveal active bleeding. The superior epigastric artery, rather than the hepatic arteries, should be evaluated. A brachial approach for the angiogram may be the more optimal technique. (Source: American Journal of Roentgenology)

Amagine and Michigan Association of Health Plans Announce Plans to Speed Access to Insurance Information

Medical News (via PRIMEZONE) — Mon, 21 Nov 2011 17:08:00 +0100

CHICAGO, Nov. 21, 2011 (GLOBE NEWSWIRE) -- Amagine, Inc., a subsidiary of the American Medical Association (AMA), and Michigan Association of Health Plans (MAHP) today announced they are teaming up to provide Michigan physicians with greater online access to information from health insurers. Physicians will be able connect with insurers using online portals administered by both Amagine and MAHP to check the insurance eligibility of patients or the status of a medical claim. This agreement gives Michigan physicians the ability to efficiently manage administrative tasks with MAHP health plans. Both portals operate on the same platform facilitated by Covisint, a Compuware (Nasdaq:CPWR) company. This is Amagine's third major health information technology initiative in Michigan. In 2009,...

Comparative Cost Analysis of Housing and Case Management Program for Chronically Ill Homeless Adults Compared to Usual Care

Health Services Research — Sun, 20 Nov 2011 03:20:43 +0100

ConclusionThe findings of this comprehensive, comparative cost analyses demonstrated an important average annual savings, though in this underpowered study these savings did not achieve statistical significance. (Source: Health Services Research)

Dermatitis in patients undergoing the Nuss procedure for correction of pectus excavatum

Contact Dermatitis — Sun, 20 Nov 2011 00:54:13 +0100

Conclusions. Despite clinical evidence of cutaneous reactions or putative allergy, no patient required early removal of the bar(s). Cutaneous testing with stainless steel discs supplied by the bar manufacturer does not provide accurate screening for allergy to the implant used in the Nuss procedure. (Source: Contact Dermatitis)

Multilevel correlates for human papillomavirus vaccination of adolescent girls attending safety net clinics.

Vaccine — Sat, 19 Nov 2011 05:00:00 +0100

CONCLUSIONS: In four urban safety-net clinics, HPV initiation rates paralleled 2008 national rates. The correlation of HPV initiation with other adolescent vaccines underscores the importance of reviewing vaccination status at every health care visit. HPV vaccine uptake in safety-net clinics should continue to be monitored to understand impact on cervical cancer disparities. PMID: 22108490 [PubMed - as supplied by publisher] (Source: Vaccine)

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[Electronic medical records and diabetes in Spain]

ICMCC: The International Council on Medical and Care Compunetics — Fri, 18 Nov 2011 17:33:21 +0100

Source: Navarro-Pérez J et al, Avances en Diabetología, 2011 Content: Introduction Optimising care for people with diabetes goes through the incorporation of information and communication technology to a chronic care model. Objectives To determine the development of electronic medical records related to diabetes in different regions of Spain. Material and methods Observational, descriptive and cross-sectional study, aimed at analysing the [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Disease genetics: Harnessing electronic medical records

Nature Reviews Genetics — Fri, 18 Nov 2011 05:00:00 +0100

Nature Reviews Genetics 12, 807 (2011). doi:10.1038/nrg3127 Author: Louisa Flintoft Using electronic medical records (EMRs) as a source of phenotypic information is a potentially cost-effective way of identifying disease-associated genetic variants. These authors developed an algorithm to identify cases and controls from the EMRs of different institutions and applied this to a genome-wide association study (Source: Nature Reviews Genetics)

Depression and Anxiety Diagnoses Are Not Associated with Delayed Resolution of Abnormal Mammograms and Pap Tests Among Vulnerable Women

Journal of General Internal Medicine — Tue, 15 Nov 2011 06:47:47 +0100

Conclusions An active diagnosis of depression and/or anxiety in the year prior to an abnormal mammogram or Pap test was not associated with a prolonged time to diagnostic resolution. Our findings imply that documented mood disorders do not identify an additional barrier to resolution after abnormal cancer screening in a vulnerable population of women. Content Type Journal ArticleCategory Original ResearchPages 1-6DOI 10.1007/s11606-011-1920-5Authors Andrea C. Kronman, Women’s Health Unit, Section of General Internal Medicine, Department of Medicine, and Women’s Health Interdisciplinary Research Center, Boston University School of Medicine, 801 Massachusetts Avenue, Suite 470, Boston, MA 02118, USAKaren M. Freund, Women’s Health Unit, Section of General Interna...

Hospitals save money via records access

Health News - UPI.com — Tue, 15 Nov 2011 01:45:07 +0100

NASHVILLE, Nov. 14 (UPI) -- One purpose of healthcare reform was to lower costs by adopting electronic medical records and U.S. researchers say one city has shown it works. (Source: Health News - UPI.com)

Mercy patients get link to electronic medical records

ICMCC: The International Council on Medical and Care Compunetics — Mon, 14 Nov 2011 11:07:33 +0100

Source: Julie M. McKinnon, Toledo Blade Content: “Ever wanted to look over your medical records or prescription history from home? Or wished you could shoot off an email at 2 a.m. with a question for your doctor that doesn’t need an immediate response? How about schedule an appointment by finding a free spot that will [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Veterans To Create World's Largest Medical Database

NPR Health and Science — Mon, 14 Nov 2011 05:01:00 +0100

The Department of Veterans Affairs is way ahead of the curve when it comes to electronic medical records, which it's been collecting for 25 years. The Million Veteran Project launched this year is an effort to pair the records with blood samples — which contain DNA — from 1 million veterans.» E-Mail This » Add to Del.icio.us (Source: NPR Health and Science)

Variation in formulary adherence in general practice over time (2003-2007)

Family Practice — Mon, 14 Nov 2011 05:00:00 +0100

Conclusions. General practice information networks are useful for monitoring general patterns of formulary on a year-to-year basis. Formulary adherence is stable over time but varies across diagnoses, patients and general practices. In the past decade, efforts have been made to increase the level of formulary adherent prescribing. These general efforts managed to stabilize (variation in) adherence in a field where many other initiatives (e.g. by pharmaceutical companies) are undertaken to influence prescribing behaviour. (Source: Family Practice)

Normal Sagittal and Coronal Suture Widths by Using CT Imaging [PEDIATRICS]

American Journal of Neuroradiology — Mon, 14 Nov 2011 05:00:00 +0100

CONCLUSIONS: The normative values for suture widths established by CT scan among this large population may be used to assess the infant calvaria for suture diastasis. (Source: American Journal of Neuroradiology)

Risk factors for emergent preterm delivery in women with placenta previa and ultrasound findings suspicious for placenta accreta

Journal of Perinatal Medicine — Fri, 11 Nov 2011 11:28:50 +0100

Journal of Perinatal Medicine 39 (6): 693-696 Abstract Aim: To identify factors associated with emergent preterm delivery in women with placenta previa and suspected accreta. Methods: Pregnancies with placenta previa and ultrasound findings suspicious for accreta were identified. Demographic information and obstetric and neonatal outcomes were obtained from electronic medical records. Mann-Whitney U, Fisher’s exact test, and Kaplan-Meier analysis were used. Continuous data are expressed as median (interquartile range). Results: Twenty-one patients with placenta previa and suspicion for accreta delivered at a median of 34 weeks [32–37]. Fourteen bled prior to delivery, 10 at (Source: Journal of Perinatal Medicine)

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Cataract research using electronic health records

BMC Ophthalmology - Latest articles — Fri, 11 Nov 2011 05:00:00 +0100

Conclusions: Using electronic health records can be a viable and efficient tool to identify cataract for research. However, using retrospective data from this source can be confounded by historical limits on data availability, differences in the utilization of healthcare, and changes in exposures over time. (Source: BMC Ophthalmology - Latest articles)

Medical students need to think strategically about EMRs

ICMCC: The International Council on Medical and Care Compunetics — Thu, 10 Nov 2011 18:15:23 +0100

Source: Technology for Doctors Online Content: “Self-described geek, Dr. Gerard Farrell (pictured), director of the E-Health Research Unit, Faculty of Medicine, Memorial University of Newfoundland in St. John’s, is working and advocating with medical teaching faculty and staff to reconsider how they are using and teaching technology, including electronic medical records (EMR). “A new generation of [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Electronic medical records rarely encrypted

Modern Medicine — Thu, 10 Nov 2011 05:00:00 +0100

WASHINGTON (Reuters) - Electronic medical records, which the Obama administration would like to see widely used, are rarely encrypted, so a data breach could be triggered by the simple theft of a laptop or misplaced thumb drive, a privacy expert told lawmakers on Wednesday. (Source: Modern Medicine)

Electronic medical records rarely encrypted: expert

Reuters: Health — Thu, 10 Nov 2011 00:04:58 +0100

WASHINGTON (Reuters) - Electronic medical records, which the Obama administration would like to see widely used, are rarely encrypted so a data breach could be triggered by the simple theft of a laptop or misplaced thumb drive, a privacy expert told lawmakers on Wednesday. (Source: Reuters: Health)

EMR Pushback

ICMCC: The International Council on Medical and Care Compunetics — Wed, 09 Nov 2011 20:51:41 +0100

Source: Gary Baldwin, HealthLeaders Media Magazine Content: “Bruce Landes, MD, is a confirmed skeptic when it comes to electronic medical records. But he insists he is no technophobe. “I am not a Luddite,” Landes says, working up some steam on a topic he knows well. “Physicians are people who have been through the development of [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

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Detecting pregnancy use of non-hormonal category X medications in electronic medical records.

Journal of the American Medical Informatics Association — Wed, 09 Nov 2011 05:00:00 +0100

ConclusionsCategory X medications may indeed be used in pregnancy, although rarely. However, most patients identified by the algorithm as exposed in pregnancy were not truly exposed. Therefore, implementing an electronic warning without evaluation would have inconvenienced prescribers, possibly hurting some patients (leading to non-use of needed drugs), with no benefit. These data demonstrate that computerized physician order entry interventions should be selected and evaluated carefully even before their use, using alert simulations such as that performed here, rather than just taken off the shelf and accepted as credible without formal evaluation. PMID: 22071529 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)

Genetic variants associated with the white blood cell count in 13,923 subjects in the eMERGE Network

Human Genetics — Tue, 08 Nov 2011 19:15:31 +0100

Abstract White blood cell count (WBC) is unique among identified inflammatory predictors of chronic disease in that it is routinely measured in asymptomatic patients in the course of routine patient care. We led a genome-wide association analysis to identify variants associated with WBC levels in 13,923 subjects in the electronic Medical Records and Genomics (eMERGE) Network. We identified two regions of interest that were each unique to subjects of genetically determined ancestry to the African continent (AA) or to the European continent (EA). WBC varies among different ancestry groups. Despite being ancestry specific, these regions were identifiable in the combined analysis. In AA subjects, the region surrounding the Duffy antigen/chemokine receptor gene (DARC) on 1q21 e...

CMIOs, nurses want medical device integration with EMRs

ICMCC: The International Council on Medical and Care Compunetics — Tue, 08 Nov 2011 15:54:43 +0100

Source: Ken Terry, FierceHealthIT Content: “HIMSS Analytics has released a research report, sponsored by medical device technology company Capsule, that examines the evolving roles of chief medical information officers and chief nursing officers and how they view medical device integration with electronic medical records. Based on a focus group of CMIOs at the 2011 HIMSS convention [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

More Docs, Fewer Patients Think EHRs are Safer than Paper

Physicians Practice — Tue, 08 Nov 2011 12:00:00 +0100

It’s no surprise patients have their reservations about electronic medical records. How fast will that change? (Source: Physicians Practice)

Do-It-Yourself IT Solutions

News stories via the Rural Assistance Center — Tue, 08 Nov 2011 06:00:00 +0100

HealthLeaders Media article discusses how healthcare providers are spending billions to implement electronic medical records, but progress toward meaningful use is being stymied by a severe shortage of tech professionals who are qualified to set up and maintain these complex systemsand to support the clinicians and staff who use them. (Source: News stories via the Rural Assistance Center)

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Why small medical practices lag in EMR adoption

ICMCC: The International Council on Medical and Care Compunetics — Mon, 07 Nov 2011 17:47:29 +0100

Source: Pamela Lewis Dolan, amednews Content: “Although a growing percentage of physician practices are adopting electronic medical records, a large gap persists in adoption rates between the smallest and largest practices. Small practices are not averse to adopting technology, analysts said. But the cost of systems, confusion about federal incentives for using them and the practice [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Electronic medical records in a multidisciplinary health care setting: A clinical perspective.

Professional Psychology: Research and Practice — Mon, 07 Nov 2011 05:00:00 +0100

This article provides an overview of EMR use within health care and mental health care, with a particular focus on an implementation experience within an integrated health care setting. The potential for how an EMR can enhance effectiveness of mental health treatment in the communication, coordination, and delivery of mental health care is presented, along with how psychologists can help in the development and implementation of EMRs in mental health settings. (PsycINFO Database Record (c) 2011 APA, all rights reserved) (Source: Professional Psychology: Research and Practice)

'Preemptive' Test Offered for Statin-Myopathy Gene'Preemptive' Test Offered for Statin-Myopathy Gene

Medscape Today Headlines — Fri, 04 Nov 2011 20:48:44 +0100

A major medical center has launched a far-reaching program hoping to show value in including pharmacogenomic data in patients' electronic medical records. Medscape Medical News (Source: Medscape Today Headlines)

Aggregate patient data aids doctor's decision

Hospital IT Europe — Fri, 04 Nov 2011 12:53:00 +0100

Data from electronic medical records used to make challenging, real-time decision (Source: Hospital IT Europe)

'Preemptive' Statin-Myopathy Gene Test Offered to Patients'Preemptive' Statin-Myopathy Gene Test Offered to Patients

Medscape Today Headlines — Thu, 03 Nov 2011 22:17:49 +0100

A major medical center has launched a far-reaching program hoping to show value in including pharmacogenomic data in patients' electronic medical records. Heartwire (Source: Medscape Today Headlines)

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"Preemptive" statin-myopathy gene test helps explore new world of pharmacogenomics

theHeart.org — Thu, 03 Nov 2011 14:00:29 +0100

A major medical center has launched a far-reaching program hoping to show value in including pharmacogenomic data in patients' electronic medical records. (Source: theHeart.org)

Cost-effectiveness of a shared computerized decision support system for diabetes linked to electronic medical records.

Journal of the American Medical Informatics Association — Thu, 03 Nov 2011 04:00:00 +0100

ConclusionThe web-based prototype decision support system slightly improved short-term risk factors. The model predicted moderate improvements in long-term health outcomes. This disease management program will need to develop considerable efficiencies in terms of costs and processes or improved effectiveness to be considered a cost-effective intervention for treating patients with type 2 diabetes. PMID: 22052900 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)

Hospital electronic records adoption jumps, but still low

Computerworld Health Care News — Wed, 02 Nov 2011 20:17:00 +0100

Hospitals that are prepared to adopt electronic medical records and achieve the government's "meaningful use" criteria have increased significantly, from 25% to 41%, according to new research. (Source: Computerworld Health Care News)

Dual Function Seal: Visualized Digital Signature for Electronic Medical Record Systems

Journal of Medical Systems — Wed, 02 Nov 2011 16:59:11 +0100

Abstract Digital signature is an important cryptography technology to be used to provide integrity and non-repudiation in electronic medical record systems (EMRS) and it is required by law. However, digital signatures normally appear in forms unrecognizable to medical staff, this may reduce the trust from medical staff that is used to the handwritten signatures or seals. Therefore, in this paper we propose a dual function seal to extend user trust from a traditional seal to a digital signature. The proposed dual function seal is a prototype that combines the traditional seal and digital seal. With this prototype, medical personnel are not just can put a seal on paper but also generate a visualized digital signature for electronic medical records. Medical Personnel can then...

Practical considerations to guide development of access controls and decision support for genetic information in electronic medical records

BMC Health Services Research — Wed, 02 Nov 2011 04:00:00 +0100

DiscussionAs health care systems increasingly implement electronic medical record systems (EMRs) they must carefully consider how to use information from this wide spectrum of genetic tests, with whom to share information, and how to provide decision support for clinicians to properly interpret the information. Although some characteristics of genetic tests overlap with other medical test results, there are reasons to make genetic test results widely available to health care providers and counterbalancing reasons to restrict access to these test results to honor patient preferences, and avoid distracting or confusing clinicians with irrelevant but complex information. Electronic medical records can facilitate and provide reasonable restrictions on access to genetic test results and deliver...

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How e-health records improve healthcare: A cancer patient's story

Computerworld Health Care News — Wed, 02 Nov 2011 00:47:27 +0100

Breast cancer survivor Pam Crum received treatment at Georgetown University Medical Hospital both before and after it had electronic medical records. So she knows how paper records can create arduous tasks for patients and how an electronic, networked system can streamline treatment. (Source: Computerworld Health Care News)

PHRs – A Difficult Pill to Digest?

ICMCC: The International Council on Medical and Care Compunetics — Tue, 01 Nov 2011 09:15:27 +0100

Source: Priya Ramachandran, EMR Thoughts Content: “A report from Manhattan Research earlier this month had some interesting statistics on consumer access to electronic medical records. According to the report, 56 million Americans accessed the patient records available from their medical providers’ EMRs, and another 41 million said they were interested in viewing their medical records [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Greening Radiology

Journal of the American College of Radiology : JACR — Tue, 01 Nov 2011 04:00:00 +0100

Conclusions: With the increasing necessity of cost savings and energy reduction, this small and simple step, implemented hospital-wide, will lead to much larger cost savings across institutions. (Source: Journal of the American College of Radiology : JACR)

Quality improvement in cytology: where do we go from here?

Archives of Pathology and Laboratory Medicine — Tue, 01 Nov 2011 04:00:00 +0100

Conclusions.-To maintain their high standard of excellence, cytologists should seek to define the most appropriate way to incorporate this new information into their interpretation of individual cases. PMID: 22032562 [PubMed - in process] (Source: Archives of Pathology and Laboratory Medicine)

Hearing loss in children with mitochondrial disorders

International Journal of Pediatric Otorhinolaryngology — Tue, 01 Nov 2011 01:32:14 +0100

Conclusion: In comparison with previous studies, generally including less than 20 patients, this is one of the largest collections of audiometric data on children with mitochondrial disorders. Unlike prior studies describing a progressive, sensorineural loss across all frequencies or mainly affecting high frequencies, the hearing loss in our patients was more variable including low frequency losses, mid-frequency losses, and conductive losses and was often not progressive or even improved. Our overall 38% rate of sensorineural hearing loss correlates well with previous case series; this study clearly justifies the use of routine audiometric screening in children with mitochondrial disorders, including use of ABR and OAEs as ASND can be seen in this population, as well as repeat testing ove...

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The Difference Between EMR and EHR

ICMCC: The International Council on Medical and Care Compunetics — Mon, 31 Oct 2011 16:00:37 +0100

Source: Peter Polack, Medical Practice Trends Content: “Too many people use these terms interchangeably and they are not the same thing. Learn the difference between EMR (electronic medical records) & EHR (electronic health records) and how they relate to your medical practice (and impress your colleagues at parties with your new-found wisdom).” Article Peter Polack, Medical Practice [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Doctors drag feet on digital records

ICMCC: The International Council on Medical and Care Compunetics — Fri, 28 Oct 2011 16:38:56 +0100

Source: Jim Doyle, STLtoday Content: “Despite new government subsidies, doctors’ offices are struggling to fulfill a federal mandate to switch to electronic medical records. Physicians, long used to writing prescriptions in chicken scratch and surrounding themselves with walls of paper charts and files, have been slow to make the changeover.” Article Jim Doyle, STLtoday, 28 October 2011 (Source: ICMCC: The International Council on Medical and Care Compunetics)

The appropriateness of prescribing antibiotics in the community in Europe: study design

BMC Infectious Diseases — Fri, 28 Oct 2011 04:00:00 +0100

This study will provide valuable and unique data concerning resistance patterns and prescription behaviours in primary care in nine European countries. It will provide evidence-based recommendations on antibiotic prescription guidelines that take resistance patterns into account which will be useful for both clinicians and policy makers. By improving antibiotic use we can move towards controlling the resistance problem globally. (Source: BMC Infectious Diseases)

Long-term follow-up of cervical radiographic sagittal spinal alignment after 1- and 2-level cervical corpectomy for the treatment of spondylosis of the subaxial cervical spine causing radiculomyelopathy or myelopathy: a retrospective study.

Journal of Neurosurgery.Spine — Fri, 28 Oct 2011 04:00:00 +0100

Conclusions Long-term follow-up data in our veteran population support cervical corpectomy as an effective, long-lasting treatment for spondylotic myelopathy of the cervical spine. Use of CTMCs without end caps was associated with statistically significant increased postoperative kyphotic angulation and chronic pain. Despite an increase in focal kyphosis over time, regional cervical sagittal lordotic alignment had increased at the latest follow-up. Further investigation will include the association of chronic neck pain and postoperative kyphosis, and high fusion rates among a veteran population of heavy smokers. PMID: 22035103 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery.Spine)

Cerner report will show whether growth pace is continuing

bizjournals.com Health Care:Biotechnology headlines — Thu, 27 Oct 2011 19:39:21 +0100

Cerner Corp. will reveal whether it’s been extending a recent growth curve when it announces third-quarter financial results Thursday afternoon. The North Kansas City-based company (Nasdaq: CERN) has recorded increases in revenue and profits in recent quarters as it benefits from the ongoing transition among hospitals and other health care providers from paper-based patient record systems to computer databases. That trend is being fueled further by federal health reform law requirements. UPDATE: Click here to see Cerner's third-quarter results Cerner designs electronic medical records software and systems, including offering to store the data and maintain the systems remotely... (Source: bizjournals.com Health Care:Biotechnology headlines)

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Towards case-based medical learning in radiological decision making using content-based image retrieval

BMC Medical Informatics and Decision Making - Latest articles — Thu, 27 Oct 2011 04:00:00 +0100

Conclusions: The IBCR-RE paradigm incorporates a novel combination of essential aspects of diagnostic learning in radiology: (i) Provision of work-relevant experiences in a training environment integrated into the radiologist's working context; (ii) Up-to-date training cases that do not require cumbersome preparation because they are provided by routinely generated electronic medical records; (iii) Support of the way adults learn while remaining suitable for the patient- and problem-oriented nature of medicine. Future work will address unanswered questions to complete the implementation of the IRMAdiag trainer. (Source: BMC Medical Informatics and Decision Making - Latest articles)

EMR-Based Decision Support Misses Mark

ICMCC: The International Council on Medical and Care Compunetics — Wed, 26 Oct 2011 10:35:15 +0100

Source: Chris Kaiser, MedPage Today Content: “Shared, individualized, computerized decision support run through a medical practice’s electronic medical records (EMR) system was well received by physicians and patients, but a recent randomized trial did not show improved vascular outcomes. Patients whose care was associated with the decision support system were significantly more satisfied than controls with [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Shared Electronic Vascular Risk Decision Support in Primary Care

ICMCC: The International Council on Medical and Care Compunetics — Wed, 26 Oct 2011 10:30:11 +0100

Source: Holbrook A et al, Archives of Internal Medicine, 171(19) Content: Background Computerized decision support systems (CDSSs) linked with electronic medical records (EMRs) are promoted as an effective means of improving patient care. However, very few high-quality studies are set in routine, community-based clinical care, and no consistent evidence of an effect on patient [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Pharmacotherapy and clinical characteristics of ultra‐high‐risk for psychosis according to conversion status: a naturalistic observational study

Early Intervention in Psychiatry — Wed, 26 Oct 2011 04:00:00 +0100

Conclusions: In a naturalistic setting, the different pattern of exposure to antipsychotics between the converter and non‐converter groups calls attention to the effects of antipsychotics on conversion to psychosis. (Source: Early Intervention in Psychiatry)

Improving cancer treatment by addressing legislative and regulatory issues

Public Health — Wed, 26 Oct 2011 04:00:00 +0100

Conclusion: The flexibility of legislation and regulation to meet a rapidly changing environment is key to ensuring the timely adoption of new cancer treatments to improve cancer outcomes. (Source: Public Health)

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Electronic medical records: a path forward

ICMCC: The International Council on Medical and Care Compunetics — Tue, 25 Oct 2011 16:03:24 +0100

Source: Bernd DL, Fine PS. Frontiers of Health Services Management, 28(1) Content: Health systems are moving to implement comprehensive electronic medical record (EMR) systems, or significant pieces of them, in the belief that EMR can be integrated into clinical practice and lead to improved patient outcomes and enhanced safety. There are substantial roadblocks to implementing [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

EMR-Based Decision Support Misses Mark (CME/CE)

MedPage Today Public Health — Tue, 25 Oct 2011 15:53:20 +0100

(MedPage Today) -- Shared, individualized, computerized decision support run through a medical practice's electronic medical records (EMR) system was well received by physicians and patients, but a recent randomized trial did not show improved vascular outcomes. (Source: MedPage Today Public Health)

Topical prostaglandin fixed combinations in UK primary care: observational study using data from the health improvement network.

European Journal of Ophthalmology — Tue, 25 Oct 2011 04:00:00 +0100

Conclusions. The largest proportion of first-time recipients of prostaglandin/beta-blocker FC products treated in UK primary care was prescribed latanoprost/timolol FC. Twelve-month persistence was similar (<40%) across the 3 FCs evaluated. PMID: 22034021 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)

Shared Electronic Vascular Risk Decision Support in Primary Care: Computerization of Medical Practices for the Enhancement of Therapeutic Effectiveness (COMPETE III) Randomized Trial [Original Investigation]

Archives of Internal Medicine — Mon, 24 Oct 2011 04:00:00 +0100

Conclusion Despite favorable reviews and important improvements in the complex processes required to reduce vascular risk, clinical outcomes remain unchanged. Trial Registration clinicaltrials.gov Identifier: NCT00132145 (Source: Archives of Internal Medicine)

NIH to include children's genomic data in electronic medical records

American Journal of Medical Genetics Part A — Sun, 23 Oct 2011 18:16:17 +0100

(Source: American Journal of Medical Genetics Part A)

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ProHealth completes electronic medical records implementation

bizjournals.com Health Care:Physician Practices headlines — Fri, 21 Oct 2011 21:38:37 +0100

ProHealth Care had finished installing a $50 million systemwide electronic medical records system that officials say will set the stage for significant strides in patient care and better coordination across all of ProHealth’s services and sites. “This represents a huge leap forward for our community’s health care infrastructure,” said Kathy Scott, ProHealth’s chief innovation officer. “We’re excited about the many benefits this technology will bring for our patients.” With the new electronic medical records system, each ProHealth patient will have a single comprehensive medical record that reflects the patient’s entire health care experience... (Source: bizjournals.com Health Care:Physician Practices headlines)

Results of MR Imaging Screening for Breast Cancer in High-Risk Patients with Lobular Carcinoma in Situ [Breast Imaging]

Radiology — Wed, 19 Oct 2011 04:00:00 +0100

Conclusion: Screening breast MR imaging helped identify breast cancer in LCIS patients at a rate similar to that shown in high-risk populations for whom screening breast MR imaging is currently consistently recommended. © RSNA, 2011 (Source: Radiology)

The Development and Implementation of an Electronic Departmental Note in a Colposcopy Clinic.

Computers, Informatics, Nursing : CIN — Wed, 19 Oct 2011 04:00:00 +0100

This study has demonstrated that practitioners in a colposcopy clinic successfully collaborated with information technology specialists and each other to develop and implement a clinical departmental information system. While certain challenges were encountered, nurses and physicians have bought into the system, recognize its potential for research and patient care, and are therefore committed to figuring out how to adapt to the changes in communication both within the clinic and with referring physicians. PMID: 22015979 [PubMed - as supplied by publisher] (Source: Computers, Informatics, Nursing : CIN)

How Can We Improve the Management of Urinary Tract Infections?

The Journal of Urology — Wed, 19 Oct 2011 04:00:00 +0100

In this issue of The Journal Jackson et al (page 2257) describe the theoretical results of a study using algorithms derived from data mining of electronic medical records to guide empirical therapy for uncomplicated urinary tract infections (UTIs). Antimicrobial therapy based on the results of the data mining significantly improved the theoretical outcomes compared to conventional therapy for patients in the Department of Urology and for female patients in the Emergency Department. Uropathogen prevalence and antimicrobial susceptibility differed by department, and the results were also gender specific. Antibiograms are generated for use throughout the hospital, and in addition to problems using them in the outpatient setting, the authors emphasize that these data are needed on at least a d...

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Data Mining Derived Treatment Algorithms From the Electronic Medical Record Improve Theoretical Empirical Therapy for Outpatient Urinary Tract Infections

The Journal of Urology — Wed, 19 Oct 2011 04:00:00 +0100

Conclusions: Antimicrobial resistance patterns in outpatient urinary tract infections are time dependent, and drug and site specific. Data mining directed therapy significantly improved theoretical outcomes compared to conventional therapy for Department of Urology outpatients and for female patients in the Emergency Department. (Source: The Journal of Urology)

Electronic Medical Records and the Gastroenterologist

Gastrointestinal Endoscopy Clinics of North America — Wed, 19 Oct 2011 04:00:00 +0100

This is an age of disruptive innovation in health care in which the business model is changing. Fee-for-service, volume-based systems are being replaced by fixed-fee, value-based systems. One of the major facilitating forces behind this change has been the development of the electronic health record, which is providing the medical community with the ability to have real-time quality metrics that will drive the development of web-based clinical decision support tools that will transform the current peer-review–based rules of practice with an eclectic fluid environment of continuous quality measurement and improvement. (Source: Gastrointestinal Endoscopy Clinics of North America)

6 reasons not having an EHR will put your practice at risk

ICMCC: The International Council on Medical and Care Compunetics — Tue, 18 Oct 2011 10:07:46 +0100

Source: Reda Chouffani, Healthcare IT Insider Content: “For many physicians who are not currently using electronic medical records are constantly being told through one form or the other of how EHR will help improve patient’s health, reduce their operational costs and allow them to see more patients. And study after study shows the benefits of [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Antidepressant non-adherence is common among veterans, with ineffectiveness and side effects as commonly reported reasons

Evidence-Based Mental Health — Tue, 18 Oct 2011 04:00:00 +0100

QuestionQuestion What are the types of non-adherence, reasons for non-adherence and side effects experienced by veterans receiving antidepressants? Assessment Self-reported adherence was determined using a specially designed instrument. At the 6- and 12-month follow-up surveys, the participants' electronic medical records were searched to identify any prescriptions or refills of antidepressants in the past 6 months. The participants with an active prescription were asked if they were currently taking their prescribed medication, how frequently they took the medication in the previous month and if they took the dosage prescribed. Patients were categorised as adherent if they reported taking the full dosage ≥80% of the time. Adherence was also measured using medication possession ratios c...

Records linkage of electronic databases for the assessment of adverse effects of antiretroviral therapy in sub‐Saharan Africa

Pharmacoepidemiology and Drug Safety — Tue, 18 Oct 2011 04:00:00 +0100

ConclusionProbabilistic record linkage methods were effective for records linkage in this sub‐Saharan African setting. Copyright © 2011 John Wiley & Sons, Ltd. (Source: Pharmacoepidemiology and Drug Safety)

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Implementation of electronic medical records: Theory-informed qualitative study

ICMCC: The International Council on Medical and Care Compunetics — Mon, 17 Oct 2011 17:07:07 +0100

Source: Greiver M et al, Canadian Family Physician, 57(10) Content: Objective To apply the diffusion-of-innovations theory to the examination of factors that are perceived by family physicians as influencing the implementation of electronic medical records (EMRs). Design Qualitative study with 2 focus groups 18 months after EMR implementation; participants also took part in a [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Doctor Reveals Massive Cost Savings Hidden In Electronic Medical Records

ICMCC: The International Council on Medical and Care Compunetics — Thu, 13 Oct 2011 07:42:53 +0100

Source: MarketWatch Content: “Several recent studies have shown the vast majority of doctors in the U.S. have not adopted the standardized use of Electronic Health Records (EHR). Dr. Angel Garcia, CEO of EHR solutions provider Global Medical Consultants, believes it’s one of the driving forces behind rising healthcare costs. He addresses this problem in his [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

Paramedics to be told if patient does not wish to be resuscitated

the Mail online | Health — Wed, 12 Oct 2011 13:42:51 +0100

Paramedics will be told of a patient's end-of-life wishes, under Department of Health plans to extend the use of electronic medical records. (Source: the Mail online | Health)

Trying Out New Ways to Deliver Health Care

RWJF News Digest - Quality/Equality — Mon, 10 Oct 2011 03:07:08 +0100

At Village Health Partners, patients receive a year’s worth of wellness exams in a single visit; get their e-mails answered 24 hours a day, 7 days a week; and have their mammogram and M.R.I. results logged into their electronic medical records by the time they pull out of the parking lot. (Source: RWJF News Digest - Quality/Equality)

Body Mass Index, Depression and Sexual Transmission Risk Behaviors Among HIV-Positive MSM

AIDS and Behavior — Fri, 07 Oct 2011 15:57:15 +0100

Abstract Depression has been shown to be a risk factor for serodiscordant unprotected anal intercourse (SDUAI) in some studies, but not others. Body mass index (BMI) has recently been associated with SDUAI; however, to date, no published study has investigated the interactive effect of depression and BMI on SDUAI. The current study assessed the association between depression, BMI, and SDUAI among HIV-positive MSM. Participants were 430 HIV-positive MSM recruited in a Boston community health center where they received primary care. Participants completed audio computer-assisted self interview (ACASI) measures. Objective height and weight and other clinical variables were accessed through participants’ electronic medical records. Depression was positively associated with S...

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American Diversified Holdings Corporation to Send Electronic Medical Records (EMR) to the Cloud

Medical News (via PRIMEZONE) — Fri, 07 Oct 2011 13:00:00 +0100

DEL MAR, Calif., Oct. 7, 2011 (GLOBE NEWSWIRE) -- American Diversified Holdings Corporation (Pink Sheets:ADHC) (www.americandiversifiedholdings.com) announced that its wholly owned subsidiary, Rebel Networks, is offering Electronic Medical Records (EMR) Software applications. (Source: Medical News (via PRIMEZONE))

10 things you hate about your EMR

ICMCC: The International Council on Medical and Care Compunetics — Fri, 07 Oct 2011 08:35:51 +0100

Source: Michelle McNickle, Kelly Mehler, Healthcare IT News Content: “Change is hard. And when that change involves new technology and a radical shift within the industry, it’s even easier to become frustrated. The great debate concerning electronic medical records continues to this day, and as more systems are implemented, the more issues providers and professionals have [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

The future of electronic medical records, in one doctor’s visit

ICMCC: The International Council on Medical and Care Compunetics — Wed, 05 Oct 2011 18:05:05 +0100

Source: Ezra Klein, The Washington Post Content: “If you want a glimpse into the future of health care, there’s a good crystal ball here in our nation’s capital: the D.C. Primary and Immediate Care Clinic. I spent Tuesday morning there, not as a reporter, but as a patient with a fever and earache. Still, the [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)