MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'clinical decision'. Sat, 03 Sep 2011 02:15:44 +0100 http://www.medworm.com/index.php?rid=5139934&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2FMRIneOML2vQ%2F As I heard at AHIMA’s Legal EHR Summit earlier this week, clinical decision support isn’t a perfect science. (Check InformationWeek Healthcare for coverage on Thursday or Friday.) This is especially true when doctors rely too much on Google and don’t actually verify what they find on the Internet. This may sound hard to believe, but not everything posted online is true. Now, the notion that doctors guess with Google has made its way onto the funny pages, specifically in the cartoon Sherman’s Lagoon. To wit:     Hopefully, your own doctor is more qualified than Hawthorne. Related posts:Tasteless joke, but kind of on the mark How doctors use Twitter RIP, Google Health, doomed to fail from the start (Source: Neil Versel's Healthcare IT Blog) Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=5139934 Thu, 18 Aug 2011 05:41:54 +0100 5139934 http://www.medworm.com/index.php?rid=5069534&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FsjrXBlug4Do%2F URL: http://www.psychdomain.com/Welcome to PsychDomain! The goal of this website is to provide psychology students and faculty with up-to-date, relevant, and informative psychology related links, videos, interactions and images. Use the Content by Area navigation on the left to search for content by psychology area. Alternatively, use the the Tag Cloud below to browse the content. For: Anyone, Consumers, ResearchersTopics: Abnormal, Academia, Attachment, Behaviour Management, Clinical Decision Making, Clinical Psychology, Common Factors, Depression, Life, Lifestyle, Mental Health, Mental Health Promotion, Social SupportFeatures: Articles, Collaborative News, Community and Social Networking, Information, Links, e-learningWelcome to PsychDomain! The goal of this website is to provide psychol... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=5069534 Wed, 27 Jul 2011 17:00:38 +0100 5069534 http://www.medworm.com/index.php?rid=5057722&cid=t_227352_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-new-details-about-the-fda-regulation-of-mhealth-apps%2F2011.07.23 Since the beginning of this year, there have been clues that the FDA will be heading toward clarification of the complex regulatory issues posed by mobile health devices and software. We have previously reported on testimony and public comments by Dr. Jeffrey Shuren, director of the  FDA’s Center for Devices and Radiological Health (CDRH) alluding to coming guidelines. Today, the FDA finally released a detailed draft guidance of how it intends to regulate this rapidly exploding sector of mobile medical devices and software. This is what the Emergo group, regulatory compliance consultants, has gleaned from today’s FDA press release: (more…) *This blog post was originally published at iMedicalApps* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=5057722 Sat, 23 Jul 2011 16:00:04 +0100 5057722 http://www.medworm.com/index.php?rid=4921557&cid=t_227352_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2011%2F06%2F05%2Femr-and-hipaa-quote-of-the-sunday%2F Lately I’ve been posting a number of tweets in a sort of Sunday Tweet roundup. I think it’s been fun to highlight some short Healthcare IT and EMR related tweets that people might find interesting. With a little bit of commentary of my own (let me know if you disagree). Today, I decided I’d just go with a small quote from a comment that Chris Paton made over on Neil Versel’s Meaningful Healthcare IT News. Here it is: We’re a long way from getting rid of doctors but they might find their role changes from being repository of all knowledge to being a trusted communicator and carer. I’d been trying to summarize this position in a coherent way and I think Chris hit it on the head. Not only the part about being a long way from getting rid of doctors, but his desc... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4921557 Mon, 06 Jun 2011 06:59:22 +0100 4921557 http://www.medworm.com/index.php?rid=4893605&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2F0g_GyIRAV-M%2F In just the last few hours, I’ve seen a huge wave of pushback and doubt about Watson, the IBM supercomputer, being used for clinical decision support. Yesterday, I covered a “healthcare leadership exchange” at IBM’s new Healthcare Innovation Lab in downtown Chicago. I posted some of my observations on the EMR and HIPAA blog, and made the case for diagnostic decision support. I also wrote a story for InformationWeek, but that hasn’t run. Instead of posting my story, InformationWeek healthcare editor Paul Cerrato wrote a column about Watson already being “beaten in the medical diagnostics race” by Isabel Healthcare, a diagnostic decision support tool that’s been available for years. I have to admit, he’s right. I first interviewed Isabel ... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=4893605 Sat, 04 Jun 2011 00:37:50 +0100 4893605 http://www.medworm.com/index.php?rid=4921559&cid=t_227352_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Fneil%2F2011%2F06%2F02%2F4742%2F I’m beginning to see a pattern here. Two weeks ago, I wrote about clinical decision support in context of Dr. Larry Weed’s new book. Two weeks before that, I commented about physicians worrying that patients would perceive them as being incompetent if they relied on CDS. Today, I’m back to the same topic. Deny the obvious all you want, physicians, but clinical decision support is coming, and once it’s here, it’s not going away. I just got back back from the new IBM Healthcare Innovation Lab in downtown Chicago, the company’s third such center in the U.S. and eighth worldwide. While kickoff included a “healthcare leadership exchange” with such thought leaders as HIMSS CEO Steve Lieber and Allscripts Healthcare Solutions Chief Innovation Office... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4921559 Thu, 02 Jun 2011 21:10:40 +0100 4921559 http://www.medworm.com/index.php?rid=4862665&cid=t_227352_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FJa0I4VDCMDE%2F I’m sure like many of you, I was completely intrigued by the demonstration of the Watson computer competing against the best Jeopardy! stars. It was amazing to watch not only how Watson was able to come up with the answer, but also how quickly it was able to reach the correct answer. The hype at the IBM booth at HIMSS was really strong since it had been announced that healthcare was one of the first places that IBM wanted to work on implementing the “Watson” technology (read more about the Watson Technology in Healthcare in this AP article). Although, I found the most interesting conversation about Watson in the Nuance booth when I was talking to Dr. Nick Van Terheyden. The idea of combining the Watson technology with the voice recognition and natural language processing ... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4862665 Wed, 25 May 2011 15:59:50 +0100 4862665 http://www.medworm.com/index.php?rid=4848022&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2F2dCY8-XWSbI%2F It’s Friday afternoon, and I realize it’s been days since I’ve posted here. (Make sure you catch my posts on EMR and HIPAA every Thursday, including my latest on Dr. Larry Weed and his critiques of current health IT systems.) I think it’s time for a rundown of some interesting developments this week. Weed apparently is not the only one who’s disappointed in the pace of change in healthcare. Dr. Bill Crounse, senior director of worldwide health for Microsoft, was at the World of Health IT conference in Budapest, Hungary, to deliver some scathing remarks at about North American health IT. According to Canadian Healthcare Technology, Crounse called the U.S. and Canada the “worst of the worst in the industrialized world in the use of IT in healthcare.”... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=4848022 Fri, 20 May 2011 19:32:13 +0100 4848022 http://www.medworm.com/index.php?rid=4848026&cid=t_227352_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2F_97v-o6BSOE%2F Sometimes it’s better to be lucky than good. Last month, in my very first post for EMR and HIPAA, I mentioned Dr. Larry Weed in my commentary about the general public’s perception of clinical decision support. I referred to a 2007 study in the journal Medical Decision Making, which said, “Patients may surmise that a physician who uses a [decision support system] is not as capable as a physician who makes the diagnosis with no assistance from a DSS.” I then noted that Weed has been saying for more than 50 years that physicians shouldn’t have to rely on their memory to make clinical decisions when computers can help them process an increasingly voluminous knowledge base. As it turns out, Weed read my commentary. (I’m guessing that a computer, i.e., Google Aler... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4848026 Thu, 19 May 2011 21:24:27 +0100 4848026 http://www.medworm.com/index.php?rid=4813404&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2FWNwZU_GkVps%2F Oh man, I’ve been busy. I filled in as writer of the Midwest edition of Payers and Providers the last two weeks because regular editor Duncan Moore, a former colleague, had been hospitalized. (Get well soon, Duncan.) I’ve been at the Institute for Health Technology Transformation health IT summit in Fort Lauderdale, Fla., since yesterday, and I’ve also had my regular deadlines for InformationWeek and MobiHealthNews. I moderated two IHT2 conference sessions yesterday, on how health IT underpins Accountable Care Organizations and how business intelligence can create a framework for health information exchange. I haven’t had time to blog about those, but several people seem to have tweeted during those sessions. I therefore present a rundown via Twitter. @narmi91 #iHT2... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=4813404 Thu, 12 May 2011 00:13:28 +0100 4813404 http://www.medworm.com/index.php?rid=4794927&cid=t_227352_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FK8wwkSlT1Zg%2F Neils’ article about Unrealistic Expectations about Clinical Decision Support made me think of how important the ability to know where to find the information can be in so many different situations. In fact, memorization of where to search might be more valuable and useful than strict memorization of everything. The core point is that with very rare exception, the human mind can only store and recall so much information. However, if you only have to remember where to find a certain piece of information, it’s much easier to remember. For example, many of my readers probably don’t realize that I have a network of TV blogs. I get a lot of credit on those websites for listing out the music for those shows. Funny thing is that I’m not all that good at identifying songs. ... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4794927 Fri, 06 May 2011 17:43:44 +0100 4794927 http://www.medworm.com/index.php?rid=4753798&cid=t_227352_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2F0KFMueXj3ss%2F CPOE (Computerized Provider Order Entry), is the direct entering of orders into a computer (or mobile device), so that the order is documented in a digital, structured, and computable format. Meaningful Use Core Measure: CPOE More than 30% of unique patients with at least one medication in their medication list seen by the EP have at least one medication order entered using CPOE. Exclusion: providers who write fewer than 100 prescriptions during the reporting period. CPOE is one of the measures that elicited quite an animated response from the provider community. When initially proposed, this measure required 80% of all orders to be directly entered by the provider. To overcome objections to the scope of the requirement and the burden it would impose, CMS ultimately limited the measure to ... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4753798 Mon, 25 Apr 2011 15:41:02 +0100 4753798 http://www.medworm.com/index.php?rid=4742491&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2FIfPULHEeSYs%2F Since I’m starting to write a lot of daily/breaking news, I’m going to try something new today that might become a regular Friday feature: posting my week in review. It will consist of a quick rundown of stories I’ve written this week. Here goes: Monday “Patient Safety Initiative To Leverage Health IT: The $1 billion federal Partnership for Patients initiative aims to cut $35 billion in healthcare costs, save 60,000 lives, and decrease hospital-acquired conditions by 40% by 2013.” (InformationWeek) Tuesday “Medicare Opens EHR ‘Meaningful Use’ Attestation” (InformationWeek) “How mobile health can abide by HIPAA” (MobiHealthNews) “State of mobile and wireless healthcare” (video/slides of my recent presentation to M... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=4742491 Fri, 22 Apr 2011 17:21:52 +0100 4742491 http://www.medworm.com/index.php?rid=4742492&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2FekbeQ5dblLM%2F I’ve just written my first post for the well-established EMR and HIPAA blog, one of the flagship sites for the Healthcare Scene network. (This site belongs to Healthcare Scene as well.) My post is a commentary about public perceptions of clinical decision support and a critique of failures by health IT developers, the healthcare industry and the media to design easy-to-use technology and communicate the purpose of CDS to the public. I’ll be writing weekly for that site, usually on Thursdays. I quote Dr. Larry Weed in that post. If you want more on this pioneer in health informatics and healthcare quality, check out some of my previous posts and stories about him: A must-read from Dr. Weed (April 2009) ‘Isabel’ as a verb? (February 2007) “Realizing the Vision for IT i... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=4742492 Thu, 21 Apr 2011 20:46:02 +0100 4742492 http://www.medworm.com/index.php?rid=4747723&cid=t_227352_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Fneil%2F2011%2F04%2F21%2Fmore-unrealistic-expectations-from-the-public-this-time-involving-cds%2F Yet again, someone needs to educate the general public about healthcare in general and health IT in particular. HealthLeaders last week asked the question, “Does Decision Support Make Docs Look Dumb?” The story, apparently based on a 2007 study (not 2008, as HealthLeaders reported) in the journal Medical Decision Making, says: “Most clinicians would agree that evidence-based decision support tools have the potential to improve clinical quality. But patients’ perception of the tools—and the physicians who use them—might be yet another barrier to their adoption. The problem is twofold: Some patients are skeptical of docs who need a computer to help them make a diagnosis. And some physicians don’t want to be seen as being too reliant on technology.” We’ve... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4747723 Thu, 21 Apr 2011 20:05:53 +0100 4747723 http://www.medworm.com/index.php?rid=4719932&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FvA8fH867OTY%2F Search by alphabetic or category listings of a myriad of test titles. You will find included in Buros’s Institute of Mental Measurements free information on 3,500 commercially available assessments. For: Clinicians, ResearchersTopics: Academia, Behaviour Management, Clinical Decision Making, Clinical Psychology, Clinical Tool Development, Psycho-education, PsychometricsFeatures: Assessment Instruments, Databases, Information, e-learningSearch by alphabetic or category listings of a myriad of test titles.  You will find included in Buros’s Institute of Mental Measurements free information on 3,500 commercially available assessments. Over 2,500 of these same assessments have been critically reviewed by the Buros Institute.  The reviews can be purchased for 15 $ a review. (Sourc... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=4719932 Fri, 15 Apr 2011 17:00:56 +0100 4719932 http://www.medworm.com/index.php?rid=4696636&cid=t_227352_88_f&fid=38129&url=http%3A%2F%2Fwww.emergencyweb.net%2Flibrary%2Fmp3.php%3Ff%3Deits_ep038_disaster_help.mp3 The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4696636 Mon, 11 Apr 2011 08:16:03 +0100 4696636 http://www.medworm.com/index.php?rid=4658416&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FfJnd2T4XH_8%2F URL: http://www.brunswik.org/The Brunswik Society is an informal association of researchers who are interested in understanding and improving human judgment and decision making. For: Clinicians, ResearchersTopics: Academia, Behaviour Management, Clinical Decision Making, Clinical Psychology, General Psychology, History of Psychology, Research Methods, TeachingFeatures: Articles, Author Lists, Collaborative News, Conferences, Information, Links, Research, Societal or Organizational Membership, e-learning The Brunswik Society is an informal association of researchers who are interested in understanding and improving human judgment and decision making. Members of the Society share an appreciation of the work of the psychologist Egon Brunswik. The Society has no dues. Its primary activitie... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=4658416 Wed, 30 Mar 2011 17:00:15 +0100 4658416 http://www.medworm.com/index.php?rid=4642726&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2FB0_WsC3JVZ8%2F Just a reminder, the $3 million Heritage Health Prize competition will kick off on April 4. Sponsored by the Heritage Provider Network in Southern and Central California, the competition is meant to promote innovation in predictive modeling and clinical decision support, with the goal of helping physicians develop care plans to keep high-risk patients healthy and out of the hospital. In a story I wrote for Inside Healthcare IT (formerly Inside Healthcare Computing) in January, I explained that HPN will provide contestants with three years worth of de-identified claims data on 100,000 patients, from which they are expected to develop algorithms to identify high-risk patients. “We’re looking for an algorithm to allow us to predict, based on a person’s history, the likelihood of a perso... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=4642726 Mon, 28 Mar 2011 02:29:54 +0100 4642726 http://www.medworm.com/index.php?rid=4626886&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2FuP93TL-iZGE%2F The slams on Dr. Donald Berwick, frankly, are getting pathetic. Today, Fox News medical contributor Dr. Marc Siegel dismissed Berwick as a “basically a policy wonk” who “hasn’t really practiced since 1989.” Siegel tried to score points with sound bites. “This guy has more quotes than Yogi Berra, and let me tell you something, these quotes are an indictment on people that want clinicians to make decisions,” Siegel said on Fox this afternoon. Watch the latest video at video.foxnews.com According to Siegel, comparative effectiveness “doesn’t work in the real world.” Well, sure, that’s the point of clinical decision support. Best practices are for common conditions, and clinical decision support is to help physicians either foll... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=4626886 Wed, 23 Mar 2011 22:11:49 +0100 4626886 http://www.medworm.com/index.php?rid=4615191&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FfK9AWVu0SF4%2F URL: http://www.apsa.org/The American Psychoanalytic Association (APsaA), the oldest national psychoanalytic organization in the nation, was founded in 1911. APsaA, as a professional organization for psychoanalysts, focuses on education, research and membership development. For: Clinicians, Researchers, StudentsTopics: Academia, Behaviour Management, Clinical Decision Making, Common Factors, General Psychology, Psychodynamic, PsychotherapyFeatures: Articles, Careers, Collaborative News, Community and Social Networking, Conferences, Information, Journals, Links, Networking, Research, Resources, Societal or Organizational Membership, TrainingThe American Psychoanalytic Association (APsaA), the oldest national psychoanalytic organization in the nation, was founded in 1911. APsaA, as a profess... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=4615191 Sun, 20 Mar 2011 17:00:40 +0100 4615191 http://www.medworm.com/index.php?rid=4517168&cid=t_227352_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ffaces-of-medical-error-the-story-of-michael-skolnik%2F2011.02.24 I was very sad and quite angry after watching a powerful video this weekend entitled ”The Faces of Medical Error: From Tears to Transparency.” It’s the story of Michael Skolnik. His mother, Patty, gave me the video when I met her recently. Michael had what may have been unnecessary brain surgery in 2001 and died three years later. The Skolniks worked on this video as part of an educational campaign on medical error, and they created an organization now named Citizens for Patient Safety. Here’s a trailer to the video: You can also watch a Today Show segment that profiled the Skolniks from a few years ago: While much of the message is about medical errors and malpractice, the Skolniks also promote a message of the “critical need for shared decision-making.&#... Better Health blogs http://www.medworm.com/rss/comments.php?id=4517168 Thu, 24 Feb 2011 20:00:53 +0100 4517168 http://www.medworm.com/index.php?rid=4507280&cid=t_227352_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fselecting-targeted-therapies-online-the-future-of-personalized-cancer-treatment%2F2011.02.22 The word cancer comes from the greek word for crab “karkinos,” so named by Hippocrates who visualized the tumor and its surrounding vessels looking like a crab, dug stubbornly into the sand with its legs. We know far more about cancer today than the ancient Greeks, but the vision of an entrenched opponent, almost impossible to extract whole, appears to be vividly prescient. What we have realized over the last half century is that removal of the visible tumor is not enough. Even as we learned how to do bigger and more destructive surgeries, the cancer still managed to sneak back in, growing later at different locations. The crab’s legs are still embedded in the patient. Thus the discovery that certain chemicals could extinguish these rogue cells opened the modern era of cancer therapy... Better Health blogs http://www.medworm.com/rss/comments.php?id=4507280 Tue, 22 Feb 2011 20:00:25 +0100 4507280 http://www.medworm.com/index.php?rid=4433138&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FahyWG7Pa2zQ%2F URL: http://www.hsl.virginia.edu/historical/eugenics/index.cfmFrom psychcentral.com/blog which is highly recommended of course, if you haven’t read them, come many different and various blogs dealing with many facets of psychology. I recently read a blog by Margarita Tartakovsky, M.S., on the psychcentral blog World of Psychology discussing Eugenics and Carrie Buck, who was a woman who was sterilized in 1927 in the State of Virginia because some viewed her and her family as imbeciles and that they should not reproduce. Horrendous as this is, considering no one knows how a person will turn out, regardless of his or her environment or hereditary issues–many “higher ups” in society considered eugenics to be the right thing to do. Read more about eugenics on this websit... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=4433138 Thu, 03 Feb 2011 17:00:05 +0100 4433138 http://www.medworm.com/index.php?rid=4399646&cid=t_227352_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F01%2F25%2Fdo-emrs-improve-the-quality-of-healthcare%2F In conclusion, the editorial writers from the National Library of Medicine state, “Only when EHRs carry rich repositories can we expect EHRs to reach their promise and CDS to have measurable effects on a broad range of quality measures at the national level.” My conclusion is that the use of clinical decision support within EMRs can impact quality on a national level but that early implementation of EMRs may take time to demonstrate this impact. (Source: eHealth) eHealth blogs http://www.medworm.com/rss/comments.php?id=4399646 Wed, 26 Jan 2011 03:22:52 +0100 4399646 http://www.medworm.com/index.php?rid=4098062&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FVT5lekdzgnM%2F URL: http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=368Family Caregiver Alliance is a public voice for caregivers, illuminating the daily challenges they face, offering them the assistance they so desperately need and deserve, and championing their cause through many means. For: Anyone, ConsumersTopics: ADHD, Anxiety, Aspergers, Behaviour Management, Child and Adolescent, Clinical Psychology, Cognitive Behaviour Therapy, Eating Disorders, Emotional Health, General Psychology, Life, Lifestyle, Mental Health, Mental Health Promotion, Obsessive Compulsive Disorder, Personality disorders, Attachment, Clinical Decision Making, Clinical Psychology, Cognitive Fitness, Common Factors, Developmental, Health and Social Services, Life, Lifestyle, Quality of Life, RelationshipsFeatures... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=4098062 Fri, 22 Oct 2010 17:00:35 +0100 4098062 http://www.medworm.com/index.php?rid=4098063&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FnufKesuz-Xo%2F URL: http://www.growthhouse.org/Growth House, Inc., gives you free access to over 4,000 pages of high-quality education materials about end-of-life care, palliative medicine, and hospice care, including the full text of several books. We provide education both for the general public and for health care professionals. For: Anyone, Consumers, ConsumersTopics: ADHD, Anxiety, Aspergers, Behaviour Management, Child and Adolescent, Clinical Psychology, Cognitive Behaviour Therapy, Eating Disorders, Emotional Health, General Psychology, Life, Lifestyle, Mental Health, Mental Health Promotion, Obsessive Compulsive Disorder, Personality disorders, Attachment, Clinical Decision Making, Clinical Psychology, Cognitive Fitness, Common Factors, Developmental, Health and Social Services, Life, Lifestyle,... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=4098063 Thu, 21 Oct 2010 17:00:32 +0100 4098063 http://www.medworm.com/index.php?rid=4074151&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FALMZDWdiudg%2F URL: http://www.trich.org/index.html?FC=5935453Most humans pull, pluck, and pick at their hair, skin and nails in small amounts. But when these behaviors become excessive, they are considered disorders and can cause a lot of suffering. For: Anyone, ConsumersTopics: Behaviour Management, Clinical Decision Making, Clinical Psychology, Cognitive Behaviour Therapy, Depression, Diagnosis, Educational Psychology, Emotional Health, General Psychology, General Science, Life, Lifestyle, Mental Health, Self-helpFeatures: Articles, Clinical Tools, Collaborative News, Conferences, Group Management, Information, Links, Research, Societal or Organizational Membership, e-learning Most humans pull, pluck, and pick at their hair, skin and nails in small amounts. But when these behaviors become excessiv... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=4074151 Sat, 16 Oct 2010 17:00:32 +0100 4074151 http://www.medworm.com/index.php?rid=3935825&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FhmDWyIEvhcM%2F URL: http://www.quackwatch.com/Quackwatch has grown considerably. To help visitors with special areas of interest, we maintain 22 additional sites for autism, chiropractic, dentistry, multilevel marketing, and many other hot topics. For: AnyoneTopics: Academia, Behaviour Management, Bipolar, Chronic Disease, Clinical Decision Making, Clinical Psychology, Counselling, Depression, Diagnosis, General Psychology, General Science, Health Promotion, Health and Social Services, Life, Lifestyle, Medicine, Mental Health, Mental Health Promotion, Self-helpFeatures: Articles, Case Studies, Clinical Tools, Collaborative News, Community and Social Networking, Group Management, Information, Links, Networking, Newsletter, Research, Research Tools, ResourcesQuackwatch has grown considerably. To help visit... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=3935825 Sun, 05 Sep 2010 17:00:04 +0100 3935825 http://www.medworm.com/index.php?rid=3885390&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2F_pQ9YNflSJc%2F URL: http://www.iam1inamillion.net/Most people keep mental disorders like Major Depression, PTSD, and Social Phobia a secret, because they fear being— • Rejected by family & friends • Harassed • Fired or not hired • Denied child custody So far, attempts to end this discrimination and fear have been led by a few strong individuals. But strength also comes in numbers. Every year, 50 million U.S. adults have a mental disorder—if just one out of every 50 admits this, without shame or embarrassment— • Others will learn that mental disorders don’t come from personal weakness, and don’t make people violent or unpredictable. • More people will feel comfortable seeking treatment. Two thirds of people who need treatment don’t ask for it. • We will help each other stand... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=3885390 Thu, 19 Aug 2010 17:00:24 +0100 3885390 http://www.medworm.com/index.php?rid=3567943&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FYmBrQTxSCc0%2F URL: http://www.dsm5.org/pages/default.aspxPublication of the fifth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5) in May 2013 will mark one the most anticipated events in the mental health field. As part of the development process, the preliminary draft revisions to the current diagnostic criteria for psychiatric diagnoses are now available for public review. For: Clinicians, ResearchersTopics: Academia, Clinical Decision Making, Clinical Psychology, Clinical Tool Development, Common Factors, Diagnosis, General Psychology, General ScienceFeatures: Assessment Instruments, Clinical Tools, Databases, Information, Research, Research Tools, Resources Publication of the fifth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5) in May 2013 will ... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=3567943 Sat, 15 May 2010 17:00:44 +0100 3567943 http://www.medworm.com/index.php?rid=3546895&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2Fhz9x6QSfukk%2F URL: https://www.giveanhour.org/skins/gah/home.aspx?mode=userGive an Hour™ is a nonprofit 501(c)(3), founded in September 2005 by Dr. Barbara Van Dahlen, a psychologist in the Washington, D.C., area. The organization’s mission is to develop national networks of volunteers capable of responding to both acute and chronic conditions that arise within our society. For: Anyone, Clinicians, ConsumersTopics: Behaviour Management, Clinical Decision Making, Clinical Psychology, General Psychology, General Science, Health and Social Services, Lifestyle, Mental Health, Mental Health Promotion, Military, Online ConsultationFeatures: Collaborative News, Community and Social Networking, Databases, Information, Links, Networking, Online Counselling Give an Hour™ is a nonprofit 501(c)(3), founde... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=3546895 Sat, 08 May 2010 17:00:24 +0100 3546895 http://www.medworm.com/index.php?rid=3494350&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2Fm_xJej3jods%2F URL: http://www.icsahome.com/Founded in 1979, the International Cultic Studies Association (ICSA) is a global network of people concerned about psychological manipulation and abuse in cultic groups, alternative movements, and other environments. ICSA is tax-exempt, supports civil liberties, and is not affiliated with any religious or commercial organizations. For: AnyoneTopics: Abnormal, Academia, Behaviour Management, Clinical Decision Making, Clinical Psychology, Cognitive, Cognitive Behaviour Therapy, Depression, General Psychology, Life, Lifestyle, Post Traumatic Stress Disorder, Self-harm and suicide, Social Psychology, Social Support, TraumaFeatures: Advertising, Articles, Author Lists, Clinical Tools, Collaborative News, Community and Social Networking, Conferences, Databases, Infor... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=3494350 Wed, 21 Apr 2010 17:00:13 +0100 3494350 http://www.medworm.com/index.php?rid=3432932&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FpwXAYfn_IJk%2F URL: http://www.glitse.com/Free resources and information for GLBT communities. For: Anyone, Clinicians, ConsumersTopics: Clinical Decision Making, Clinical Psychology, Family Therapy, Mental Health, Mental Health Promotion, Psychiatry, Psychology and the Media, Psychotherapy, Quality of Life, RelationshipsFeatures: Advertising, Databases, Information, Links, Resources, Societal or Organizational Membership, Therapist DirectoryFree resources and information for GLBT communities. GLITSE works to educate the public in order to fight the fear and hatred that are often the results of ignorance and misinformation. We offer a wealth of resources to help. Through support, education and advocacy GLITSE promotes the health and well-being of gay, lesbian, bisexual and transgendered persons, their fa... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=3432932 Thu, 01 Apr 2010 17:13:12 +0100 3432932 http://www.medworm.com/index.php?rid=3420577&cid=t_227352_113_f&fid=34623&url=http%3A%2F%2Fhealthnex.typepad.com%2Fweb_log%2F2010%2F03%2Fthe-analytics-virtual-center.html Over the course of 2009, IBM opened centers in Berlin, Beijing, London, New York, Tokyo and Washington D.C.  to advance the frontier of analytics: namely turning big data into new intelligence, predictive capabilities and insight. Healthcare is one area where analytics holds great promise. To support those physical solution centers we launched the Analytics Virtual Center (AVC) at the start of 2010, and welcome you to visit it, especially as we come up on the one year anniversary of the launch of our business analytics initiative. The AVC underscores a central tenet of Smarter Planet — how digital and physical worlds — databases and drydocks,  petabytes and powerplants — are weaving themselves together. Through it, people can extend their physical presence,... HealthNex blogs http://www.medworm.com/rss/comments.php?id=3420577 Tue, 30 Mar 2010 14:06:43 +0100 3420577 http://www.medworm.com/index.php?rid=3378572&cid=t_227352_113_f&fid=34623&url=http%3A%2F%2Fhealthnex.typepad.com%2Fweb_log%2F2010%2F03%2Fenabling-smarter-healthcare.html . The following is a guest post from Lonne Jaffe, Director, Public Sector Solutions, IBM Software This Smarter Health video describes some of the benefits of connecting electronic medical record systems with each other and with other healthcare software systems. Technology like the IBM Health Integration Framework that brings all these systems together can enable a better patient experience, improve treatments, lower costs, and allow scientists to confidentially use data for disease research. That’s health information working together. As healthcare software becomes more sophisticated, security and privacy remain a priority. IBM helps protect patient information and helps healthcare organizations comply with government privacy regulations while achieving the extraordinary benef... HealthNex blogs http://www.medworm.com/rss/comments.php?id=3378572 Thu, 18 Mar 2010 14:24:46 +0100 3378572 http://www.medworm.com/index.php?rid=3362454&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Fclinicalit.blogspot.com%2F2010%2F03%2Fclinical-decision-support-and.html Before I forget, here's a link to a feature story I wrote for the March issue of CMIO. It's about how to decide on which rules to build clinical decision support for when going for meaningful use. (Source: Neil Versel's Healthcare IT Blog) Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=3362454 Sat, 13 Mar 2010 03:43:00 +0100 3362454 http://www.medworm.com/index.php?rid=3335441&cid=t_227352_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2010%2F03%2F01%2Fmedispan-clinical-expands-cds-offerings-by-wolters-kluwer-health%2F Since I know I have a number of EMR vendors that read this blog, I know they’ll be interested to learn the news coming out of Wolters Kluwer Health about a new clinical decision support (CDS) offering called Medi-Span Clinical. Here’s a part of the press release announcement: Wolters Kluwer Health, a leading global provider of information for healthcare professionals and students, today unveiled Medi-Span® Clinical, a robust clinical decision support (CDS) platform that delivers the functionality, interoperability and medication-related CDS necessary to advance the practice of evidence-based medicine and to achieve meaningful use of health IT. From the looks of their website page about Medi-Span Clinical, this looks like it’s the announcement of the features that they ha... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3335441 Mon, 01 Mar 2010 12:33:34 +0100 3335441 http://www.medworm.com/index.php?rid=3243843&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FaftDEWWgZgI%2F URL: http://www.ragingalcoholic.com/I assume alcoholism or problem drinking is affecting you in someway. A way you really aren’t happy about. We’re here to give you information and access to resources. For: AnyoneTopics: Abnormal, Addiction, Anger, Behaviour Management, Chronic Disease, Clinical Decision Making, Clinical Psychology, Cognitive Behaviour Therapy, Depression, Emotional Health, Family Therapy, Fatherhood, General Psychology, General Science, Health Psychology, Health and Social Services, Lifestyle, Mental Health, Trauma, Treatment PlanningFeatures: Articles, Assessment Instruments, Case Studies, Clinical Tools, Collaborative News, Databases, Information, Links, Self Monitoring, Self-quizzes, e-learning I assume alcoholism or problem drinking is affecting you in... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=3243843 Fri, 05 Feb 2010 17:00:21 +0100 3243843 http://www.medworm.com/index.php?rid=3129536&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FupenHYnlzXw%2F URL: http://www.understandingprejudice.org/Welcome to UnderstandingPrejudice.org, a web site for students, teachers, and others interested in the causes and consequences of prejudice. For: AnyoneTopics: Abnormal, Academia, Behaviour Management, Clinical Decision Making, Clinical Psychology, Common Factors, Educational Psychology, Emotional Health, General Psychology, Life, LifestyleFeatures: Welcome to UnderstandingPrejudice.org, a web site for students, teachers, and others interested in the causes and consequences of prejudice. In these pages you will find more than 2,000 links to prejudice-related resources, as well as searchable databases with hundreds of prejudice researchers and social justice organizations. To the right, you’ll also find a variety of interactive exercises... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=3129536 Tue, 29 Dec 2009 17:00:47 +0100 3129536 http://www.medworm.com/index.php?rid=3092778&cid=t_227352_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FnaQJ3skPWfE%2F “Physician order entry and decision support I believe offer the most chance of improving healthcare delivery. There are a lot of information systems with bells and whistles that don’t focus on physicians’ real needs.” – Neil R. Powe, MD, MPH, MBA, Chief of Medical Services, San Francisco General Hospital source I previously posted about the benefits of EMR interoperability. The above quote touts Physician order entry and clinical decision support as the most likely to improve healthcare. Are these the three most promising features of an EMR or is there something they’re missing? What’s the killer feature of an EMR that will make every doctor implement an EMR whether they like it or not? Related posts:Killer EMR Features According to EMR Vendors I... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3092778 Mon, 14 Dec 2009 16:25:34 +0100 3092778 http://www.medworm.com/index.php?rid=2954555&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FYXgh7YHwMxk%2F URL: http://www.stanleymilgram.com/The purpose of this website is to be a source of accurate information about the life and work of one of the most outstanding social scientists of our time, the social psychologist Stanley Milgram. For: StudentsTopics: Abnormal, Academia, Behaviour Management, Clinical Decision Making, General Psychology, Psychology and the MediaFeatures: Advertising, Articles, Books, Databases, Information, Links, Research, e-learningThe purpose of this website is to be a source of accurate information about the life and work of one of the most outstanding social scientists of our time, the social psychologist Stanley Milgram. His untimely death at the age of 51 on December 20, 1984, ended a life of scientific inventiveness and controversy. But his research and writings c... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=2954555 Mon, 02 Nov 2009 17:00:27 +0100 2954555 http://www.medworm.com/index.php?rid=2894567&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FYOPiCfgc81c%2F URL: http://psych.hanover.edu/research/exponnet.htmlOn this website, you will find links to known experiments on the internet that are psychologically related. They are organized by general topic area with the topic areas listed chronologically with the most recently added at the top. For: AnyoneTopics: ADHD, Abnormal, Addiction, Anger, Behaviour Management, Child and Adolescent, Clinical Decision Making, Clinical Psychology, Clinicial Trials, Depression, General Psychology, Mental Health, PsychometricsFeatures: Assessment Instruments, Clinical Tools, Information, Online Research On this website, you will find links to known experiments on the internet that are psychologically related. They are organized by general topic area with the topic areas listed chronologically with the most re... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=2894567 Wed, 14 Oct 2009 17:00:42 +0100 2894567 http://www.medworm.com/index.php?rid=2820282&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2F8fZXLLY7Q7w%2F URL: http://www.stopsilentsuffering.com/If a loved one or someone you know is going through a progressive late-stage illness… and taking certain prescription pain relievers, a common side effect is constipation that can be debilitating and difficult for them to talk about. But even if they remain silent, you can be their voice. To learn more about ways that can help break the silence, go to our website. For: Anyone, Consumers, ConsumersTopics: Anger, Anxiety, Attachment, Behaviour Management, Child and Adolescent, Clinical Psychology, Cognitive Behaviour Therapy, Depression, Educational Psychology, Emotional Health, Family Therapy, Fatherhood, General Psychology, General Science, Health Promotion, Health Psychology, Health and Social Services, Life, Lifestyle, Mental Health, Parentin... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=2820282 Mon, 21 Sep 2009 18:47:34 +0100 2820282 http://www.medworm.com/index.php?rid=2793217&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FhqMMtr8uyKc%2F URL: http://www.eyeofthestorminc.com/First posted in 1995, these pages (plus the bibliography and selected links to other websites) provide lots of information about DMH concepts including: typical victim reactions to traumatic events; psychological first aid; disaster preparedness; self-care for relief workers; spirituality; and tips on working with sudden loss of loved ones, including a handout for the survivors. For: Anyone, ConsumersTopics: Anger, Anxiety, Behaviour Management, Clinical Decision Making, Clinical Psychology, Combat Stress, Corrections, Counselling, Depression, General Psychology, General ScienceFeatures: Articles, Author Lists, Books, File Sharing, Information, e-learningFirst posted in 1995, these pages (plus the bibliography and selected links to other websites) provi... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=2793217 Mon, 14 Sep 2009 03:57:47 +0100 2793217 http://www.medworm.com/index.php?rid=2705110&cid=t_227352_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F08%2F17%2Finternational-journal-of-palliative-care-nursing-2009-vol-15-no-7%2F This article describes the learning experiences within an elective nursing course designed to strengthen clinical decision-making skills in the context of palliative care and interprofessional practice. Contact the library for a copy of this article Posted in Current Awareness, Journals Tagged: Clinical Decision-Making, Interprofessional Practice, Nurse Education, Palliative Care (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2705110 Mon, 17 Aug 2009 09:16:37 +0100 2705110 http://www.medworm.com/index.php?rid=2511152&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FsF3QW_uKmjY%2F URL: http://postsecret.blogspot.com/Everyone has a secret. Everyone (well, usually everyone) keeps a secret or two from others. This site, established by Frank Warren, enables ordinary every day you and me’s to put out a secret we have been keeping inside ourselves. For: AnyoneTopics: ADHD, Abnormal, Academia, Addiction, Anxiety, Child and Adolescent, Clinical Decision Making, Clinical Psychology, Counselling, Depression, Eating Disorders, Emotional Health, Family Therapy, Psychodynamic, Self-help, Social Psychology, VariedFeatures: Community and Social Networking, Information Everyone has a secret.  Everyone (well, usually everyone) keeps a secret or two from others.  This site, established by Frank Warren, enables ordinary every day you and me’s to put out a secret we h... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=2511152 Sat, 20 Jun 2009 17:00:17 +0100 2511152 http://www.medworm.com/index.php?rid=2511554&cid=t_227352_113_f&fid=34623&url=http%3A%2F%2Fhealthnex.typepad.com%2Fweb_log%2F2009%2F06%2Fsmarter-healthcare-channel-via-gbs-video-studio.html With healthcare reform taking centerstage in Washington in the weeks and months ahead, we wanted to share this section of clips in the IBM Global Business Services Video Studio, which debuted with the launch of IBM's new consulting organization, Business Analytics & Optimization. (Source: HealthNex) HealthNex blogs http://www.medworm.com/rss/comments.php?id=2511554 Fri, 19 Jun 2009 18:36:16 +0100 2511554 http://www.medworm.com/index.php?rid=2511153&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FVrcx0fZb7V4%2F URL: http://www.wholefamily.com/Strengthen your personal and family relationships and solve the most challenging issues facing you and your family today. For: Anyone, AnyoneTopics: ADHD, Abnormal, Academia, Addiction, Anxiety, Child and Adolescent, Clinical Decision Making, Clinical Psychology, Counselling, Depression, Eating Disorders, Emotional Health, Family Therapy, Psychodynamic, Self-help, Social Psychology, Varied, Abnormal, Addiction, Behaviour Management, Child and Adolescent, Clinical Decision Making, Clinical Psychology, Counselling, Depression, Psychiatry, Relationships, Self-harm and suicide, Self-help, Sexual AssaultFeatures: Community and Social Networking, Information, Articles, Case Studies, Information, Links, Online Counselling, Question and Answer Service Strengthen... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=2511153 Fri, 19 Jun 2009 17:00:19 +0100 2511153 http://www.medworm.com/index.php?rid=2511556&cid=t_227352_113_f&fid=34623&url=http%3A%2F%2Fhealthnex.typepad.com%2Fweb_log%2F2009%2F06%2Fsystem-s-stream-computing-for-healthcare.html IBM System S, which was released in May, has been in the works for more than 20 years. The software uses a new streaming architecture and mathematical algorithms that can analyze thousand of simultaneous data streams in real-time. Officials say organizations, like those in the healthcare industry, will benefit from the technology’s ability to help them improve decision-making. Traditional computing models retrospectively analyze stored data and don’t have the ability to continuously process massive amounts of incoming data streams, they say. (via IBM unveils “stream computing” software | Healthcare IT News) For more on Smarter Healthcare, see The Smarter Health channel on our Tumblr site or http://www.ibm.com/smarterplanet (Source: HealthNex) HealthNex blogs http://www.medworm.com/rss/comments.php?id=2511556 Fri, 19 Jun 2009 15:23:52 +0100 2511556 http://www.medworm.com/index.php?rid=2511549&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Fclinicalit.blogspot.com%2F2009%2F06%2Fanswering-mail.html I have to admit I'm shamefully behind on blogging this week. Between the AMA House of Delegates meeting, deadlines for FierceMobileHealthcare Tuesday and FierceEMR Thursday, plus a dentist's appointment thrown in for good measure, I've been too busy or too tired to post here. I also submitted an entry for the BNET Healthcare blog, but it hasn't been posted yet.Meantime, I've left some people hanging.While I was on the air with news anchor Andrea Darlas of WGN-AM 720 in Chicago to discuss President Obama's speech to the AMA, I promised this link to a story about a high-schooler in Washington state who correctly diagnosed herself in science class with Crohn's disease after doctors were stumped for years. Folks, this is why we need clinical decision support.Fellow blogger Lodewijk Bos of the ... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=2511549 Fri, 19 Jun 2009 04:17:00 +0100 2511549 http://www.medworm.com/index.php?rid=2447692&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPsychsplash%2F%7E3%2FXKvF5SvnmKU%2F URL: http://www.seefirstblog.com/The purpose of this blog is to share our real-world experiences in helping patients see their way through the healthcare system. We want to share the insights we have gained through their journeys, and what they mean for patients, doctors, and everyone else who cares about helping people get well and stay well. For: Consumers, AnyoneTopics: ADHD, Anxiety, Aspergers, Attachment, Autism, Bipolar, Clinical Psychology, Depression, Emotional Health, Abnormal, Academia, Anxiety, Clinical Decision Making, Clinical Psychology, General Psychology, General Science, VariedFeatures: Articles, Community and Social Networking, Forums, Articles, Commentary and Blogs, Information The purpose of this blog is to share our real-world experiences in helping patients see th... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=2447692 Sun, 31 May 2009 17:00:37 +0100 2447692 http://www.medworm.com/index.php?rid=2405568&cid=t_227352_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2009%2F05%2F10%2Falert-fatigue-and-clinical-decision-support%2F Clinical Decision Support has been called out as an important part of an EMR system. You’ll get no argument from me on this. What I have been thinking a lot about is what people call “Alert Fatigue.” For those unfamiliar with the term, it basically means that a doctor gets so many alerts that they grow numb to the alerts and stop looking at them. For those that are married, it’s like your wife’s nagging. It happens so much that you stop listening (ok, that was a joke. I hope none of us do that or have reached that point. I’m just lucky to have a wife who doesn’t nag). I think this concept of “alert fatigue” is really important and I think it will be impossible to create an EMR that strikes the perfect balance. Some EMR offer too many al... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=2405568 Sun, 10 May 2009 16:45:53 +0100 2405568 http://www.medworm.com/index.php?rid=2390015&cid=t_227352_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FlTTJzcTDQuQ%2F We’re all still sitting here waiting for the government to finally decide two key terms in regards to gaining access to the $18 billion in stimulus money in the HITECH act (ARRA). I’ve been interested in the subject myself since before it was even settled that we’d call it meaningful use as opposed to meaningful EMR user. From the looks of that post back in February, there was still a lot of confusion about “meaningful use” and “certified EHR.” Turns out that a few months later, we still have very little clarification about what these two terms mean. Certified EHR discussion has really revolved around CCHIT certification or some other alternative. We’ll try to leave that discussion for other posts. What has been interesting is in just the pas... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=2390015 Tue, 05 May 2009 13:19:39 +0100 2390015 http://www.medworm.com/index.php?rid=2348818&cid=t_227352_113_f&fid=34623&url=http%3A%2F%2Fhealthnex.typepad.com%2Fweb_log%2F2009%2F04%2Fbusiness-analytics-optimization-services-ibms-new-consulting-organization.html Can you predict and respond to opportunities and threats? Optimize operations to capitalize on new sources of revenue? Proactively manage risk while ensuring efficiency? IBM Business Analytics and Optimization capabilities are your most powerful ally in the new economic environment. In addition to this overview on this new business analytics focus -- helping to build smarter enterprises, including healthcare organizations -- you can follow developments through two new social media channels: The Smarter Planet Network on Tumblr IBM Business Analytics: Twitter ID, ibmbizanalytics Jack Mason, IBM Global Business Services, Strategic Programs and Social Media (Source: HealthNex) HealthNex blogs http://www.medworm.com/rss/comments.php?id=2348818 Wed, 15 Apr 2009 13:47:28 +0100 2348818 http://www.medworm.com/index.php?rid=2227094&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Fclinicalit.blogspot.com%2F2009%2F03%2Fanother-take-on-clinical-decision.html I've been on a mini kick for clinical decision support since last fall's AMIA annual conference. If you recall, I said medical informatics needed a rock star to spread the word about the link between CDS and proper implementation of electronic health records. Today, while attempting to catch up on a massive backlog of e-mail, I came across a Jan. 26 post from Steve Beller, Ph.D., on the Trusted.MD blog network. Beller writes about including consumer-centric cognitive support in the next generation of CDS systems, and he has started to put together a PowerPoint presentation on defining his goal and thoughts on how to achieve it.I'd love to hear your thoughts. (Source: Neil Versel's Healthcare IT Blog) Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=2227094 Mon, 02 Mar 2009 17:10:00 +0100 2227094 http://www.medworm.com/index.php?rid=2240786&cid=t_227352_113_f&fid=34621&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FHealthcareGuy%2F%7E3%2FLoYGpik98o4%2F485 This article is the first in a series about the challenges of clinical interoperability in healthcare. The first thing we need to do is ask the question “What is clinical interoperability?” The Institute of Electrical and Electronics Engineers or IEEE defines the term interoperability as follows: The ability of two or more systems or components to exchange information and to use the information that has been exchanged. I like this definition because it is short and sweet, but to truly understand interoperability, we need to go a little further. The first thing we need to do is add that clinical interoperability is about exchanging a specific type of information.  It is about exchanging clinical information about a patient that allows our ‘partner’ to leverage what we alread... The Healthcare IT Guy blogs http://www.medworm.com/rss/comments.php?id=2240786 Tue, 24 Feb 2009 12:55:37 +0100 2240786 http://www.medworm.com/index.php?rid=2210313&cid=t_227352_113_f&fid=34623&url=http%3A%2F%2Fhealthnex.typepad.com%2Fweb_log%2F2009%2F02%2Fsmarter-planet-healthcare-this-weeks-focus.html This week, Smarter Planet moves to the pressing issue of healthcare.  As the "op-ad" thought leadership story for this vital topic notes:"The problems with our healthcare system are well known and well documented and endlessly debated. What's not so apparent is that many of them arise because our healthcare system isn't, in fact, a system."Adam Christensen's post on the Building a Smarter Planet blog picks up on how of all aspects of smarter planet, healthcare is understandably one that is both deeply personal, as well as a societal front that we all have a vested interest in.On the Smarter Planet Tumblr site, we've added a channel for all posts the touch on the way in which healthcare is becoming instrumented, interconnected  and... HealthNex blogs http://www.medworm.com/rss/comments.php?id=2210313 Mon, 23 Feb 2009 15:43:55 +0100 2210313 http://www.medworm.com/index.php?rid=2206727&cid=t_227352_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F02%2F22%2Fpatient-health-questionnaire-phq-9-can-improve-care%2F There’s usually a canyon-sized gap between what researchers find in their studies and what goes on in clinical practice, otherwise known as “the real world.” One of those differences is the simple act of measurement. Most clinicians simply don’t spend a lot of time measuring or worrying about measuring their client’s progress. If this is a problem in the mental health professions, it’s virtually a non-existent exercise in primary care practices. You know, those places where most people actually get their antidepressants. Why should anyone care about measuring what a person is feeling or experiencing? Well, research has shown that such measurements help a professional keep better track of their patient’s concerns, and whether the current medication... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2206727 Sun, 22 Feb 2009 19:15:49 +0100 2206727 http://www.medworm.com/index.php?rid=2152809&cid=t_227352_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2009%2F02%2F02%2Fcchit-certification-thoughts%2F I just came upon a blog post on the TempDev blog that talks about the expansion of CCHIT certification into a number of new specialty categories. It’s really interesting to look at the list of new categories: Behavioral Health Clinical Research Dermatology Oncology Advanced Interoperability Advanced Quality (in reference to Quality Measures) Advanced Clinical Decision Support Long Term Care OB/GYN As noted by Ben, these are in addition to the HIE and PHR categories added for 2009. Well, I never back away from a discussion about CCHIT. I just wonder why the Senate hasn’t called me up to a hearing to talk about CCHIT certification. Of course, my friend Al Borges would do much better than I, but I digress. After reading through Ben’s post about the expansion of CCHIT I had... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=2152809 Tue, 03 Feb 2009 07:35:07 +0100 2152809 http://www.medworm.com/index.php?rid=2137507&cid=t_227352_113_f&fid=34623&url=http%3A%2F%2Fhealthnex.typepad.com%2Fweb_log%2F2009%2F01%2Fhealthcare-and-the-new-intelligence.html The volume, variety and velocity of data in healthcare is a very good example of where our world needs "new intelligence." Such a new infrastructure would help us better manage and process medical records to lower the cost and increase the quality of healthcare, put more research and genetic data to work and shift from a system that treats disease to one that prevents and manages it.  Check out this video for an entertaining overview of what we mean by new intelligence.And to see more on some of the healthcare implications for Smarter Planet -- new types of sensors and devices, new models such as evidence-based medicine and clincial decision support -- take a look at this "channel" of tagged posts on the Smarter Planet site on Tumblr  http://smarterplanet.tu... HealthNex blogs http://www.medworm.com/rss/comments.php?id=2137507 Tue, 27 Jan 2009 17:41:40 +0100 2137507 http://www.medworm.com/index.php?rid=2115532&cid=t_227352_113_f&fid=34623&url=http%3A%2F%2Fhealthnex.typepad.com%2Fweb_log%2F2009%2F01%2Fmy-pwer-personal-wellness-el.html MY PWeR (Personal Wellness electronic Record) is an intelligent, comprehensive  system is equipped with 24 applications ranging from Electronic Medical Records to electronic prescriptions to transcription solutions. MY PWeR also assists with electronic billing, reporting and analytics, and many other practice management tools. Earlier this year Quantum announced the launch of the PWeR healthcare information platform and selected IBM as a cornerstone of its information management, storage, security and privacy focus.See more on the Smarter Planet: Healthcare channel on our Tumblr site. (Source: HealthNex) HealthNex blogs http://www.medworm.com/rss/comments.php?id=2115532 Mon, 19 Jan 2009 16:01:09 +0100 2115532 http://www.medworm.com/index.php?rid=2110496&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Fclinicalit.blogspot.com%2F2009%2F01%2Fits-officially-epidemic.html From Urban Dictionary:academic bulemia [sic]The process of learning or memorizing by rote, subsequently followed by the regurgitation of that knowledge onto an exam answer sheet. Just as with the serious eating disorder, this form of bulemia [sic] results in no real retention of substance.This term is frequently applied to describe a common practice of young medical students.I can't remember anything that I learned last night. It's like I grabbed the answer sheet, puked out all the answers and forgot everything immediately. I'd say that's academic bulemia [sic].As of this writing, the "score" for this definition was 6757 up and 833 down, so I'd say it's pretty well accepted, even if the spelling of "bulimia" is wrong.Anyone care to guess now why there are so many medical errors in teaching... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=2110496 Sat, 17 Jan 2009 04:36:00 +0100 2110496 http://www.medworm.com/index.php?rid=2086801&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Fclinicalit.blogspot.com%2F2009%2F01%2Fmodest-feedback.html A couple of months ago, I posted, "A modest proposal," my observations about a session on clinical decision support from the American Medical Informatics Association annual meeting. In it, I argued that medical informatics needed a rock star of sorts to help humanize the issue of clinical decision support and communicate the benefits of such technology to the general public.I got three comments on that post—actually pretty high for this blog—as well as several e-mails. One correspondent said we need more than a rock star, we need the whole band. I passed that comment on to Dr. Bill Bria, CMIO of Shriners Hospitals for Children, who was part of the panel at the AMIA meeting, who told me that he once led an all-physician rock band called the Straight Caths. It still may take the Rolling ... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=2086801 Wed, 07 Jan 2009 07:25:00 +0100 2086801 http://www.medworm.com/index.php?rid=1960479&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Fclinicalit.blogspot.com%2F2008%2F11%2Fmodest-proposal.html Medical informatics needs a rock star. Not a David Brailer-esque figure who could excite people in the technology sphere, but perhaps a Don Berwick type who can reach every level and constituency of healthcare, and even capture the imagination of the general public.I had this thought yesterday during a highly engaging session at the American Medical Informatics Association's annual symposium in Washington, a session with the mouthful of a title, "Harnessing Mass Collaboration to Synthesize and Disseminate Successful CDS Implementation Practices." In English, that means panelists were discussing the forthcoming "Improving Outcomes with Clinical Decision Support: An Implementer’s Guide" and related feedback mechanisms, including a wiki.During the session, panelists discussed the difficulti... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=1960479 Fri, 14 Nov 2008 00:47:00 +0100 1960479 http://www.medworm.com/index.php?rid=1951796&cid=t_227352_113_f&fid=34623&url=http%3A%2F%2Fhealthnex.typepad.com%2Fweb_log%2F2008%2F11%2Fa-smarter-and-h.html I've been busy working on the launch of IBM's Smarter Planet mega-strategy, which seeks to help the world build the next generation of intelligent infrastructure for everything from transportation and energy grids to supply chains and complex systems such as healthcare.   To that end I've set up A Smart Planet on Tumblr (which I like as a more spontaneous and multimedia approach to blogging) and just wanted to share a couple of examples of how this smarter planet meme, which intersects with fronts such as wireless sensor systems, ubiquitous and wearable computing, as well as the promise of marrying this new "Web Wide World" to powerful supercomputing, presumably delivered via cloud-based services. I just added to examples of how the "Internet of Things" -- t... HealthNex blogs http://www.medworm.com/rss/comments.php?id=1951796 Tue, 11 Nov 2008 20:15:49 +0100 1951796 http://www.medworm.com/index.php?rid=1634782&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Fclinicalit.blogspot.com%2F2008%2F07%2Famdis-notes.html This article certainly is an attention-grabber, listing the optimism about meeting the goal of getting interoperable EHRs to most Americans by 2014 among a number of "health informatics myths."If you want an impassioned defense of the national health IT strategy, check this space in the next 24 hours for my podcast with national health IT coordinator Robert Kolodner, M.D., who spoke at this conference yesterday. This might be my biggest podcast "get" to date. (Source: Neil Versel's Healthcare IT Blog) Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=1634782 Thu, 17 Jul 2008 16:41:00 +0100 1634782 http://www.medworm.com/index.php?rid=1207163&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Fclinicalit.blogspot.com%2F2008%2F02%2Fpriorities.html What would be my blog without a random item from weeks ago? On Tuesday I discovered a news story from Dec. 31 about an e-health strategy in Rwanda. The U.S. Centers for Disease Control and Prevention reportedly is helping to fund the installation of Internet links between the three major hospitals in the Central African country, known in these parts mostly for its 1990s civil war and genocide.According to the story, lack of high-speed Internet is holding back a national e-health strategy, "meant to help Rwandan medical experts exchange health information with their overseas counterparts." Those overseas counterparts included "two U.S. universities of George Washington and New Jersey." So George Washington University in Washington, and, I presume, the University of Medicine and Dentistry of... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=1207163 Wed, 06 Feb 2008 06:35:00 +0100 1207163 http://www.medworm.com/index.php?rid=1045032&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Fclinicalit.blogspot.com%2F2007%2F11%2Ftasteless-joke-but-kind-of-on-mark.html Since it's Thanksgiving here in the states, you'd rather laugh than work, right? In case anyone was wondering if the Wal-Mart retail clinic idea is getting any traction, here's a joke from an e-mail recently forwarded to me. (File this under clinical decision support.):One day, in line at the company cafeteria, Joe says to Mike behind him, "My elbow hurts like hell. I guess I'd better see a doctor." "Listen, you don't have to spend that kind of money," Mike replies. "There's a diagnostic computer down at Wal-Mart. Just give it a urine sample and the computer will tell you what's wrong and what to do about it. It takes 10 seconds and costs $10 — A lot cheaper than a doctor." So, Joe deposits a urine sample in a small jar and takes it to Wal-Mart. He deposits $10, and the computer lights u... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=1045032 Thu, 22 Nov 2007 06:59:00 +0100 1045032 http://www.medworm.com/index.php?rid=760352&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Fclinicalit.blogspot.com%2F2007%2F07%2Fcdscat-decision-support.html I'm sure the national media is jumping all over a "Perspective" essay in the July 26 New England Journal of Medicine about a cat named Oscar (at right) at Steere House Nursing and Rehabilitation Center who has "an uncanny ability to predict when residents are about to die," the report says."His mere presence at the bedside is viewed by physicians and nursing home staff as an almost absolute indicator of impending death, allowing staff members to adequately notify families," writes David M. Dosa, M.D, a geriatrician at Rhode Island Hospital in Providence.According to an Associated Press/Yahoo story, Oscar recently received a wall plaque publicly commending his "compassionate hospice care."I guess if you don't have advanced information systems with full clinical decision support, you rely on... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=760352 Thu, 26 Jul 2007 16:27:00 +0100 760352 http://www.medworm.com/index.php?rid=637910&cid=t_227352_109_f&fid=34752&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FPsychsplash%2F%7E3%2F119451657%2F This is one close to my heart given my current employment in Child and Adolescent Mental Health (CAMH). The PeabodyTreatment Progress Battery (PTPB) is a comprehensive, evidence-based assessment battery for Youths aged 11-18. It consists of 10 measures of treatment progress and process, which can (in varying combinations) be provided to the Youth, the Youth’s caregiver and the therapist/clinician. The PTPB is the work of Leonard Bickman, Ph.D. Manuel Riemer, Ph.D Warren Lambert, Ph.D. Susan D. Kelley, Ph.D. Carolyn Breda, Ph.D. Sarah E. Dew, M.A. Ana.Maria Brannan, Ph.D. and Ana Regina Vides de Andrade, Ph.D from the Center for Evaluation and Program Improvement at the Peabody College of Vanderbilt University. The 10 measures cover: Symptoms & functioning - Addressing symptoms of... PsychSplash blogs http://www.medworm.com/rss/comments.php?id=637910 Fri, 25 May 2007 01:18:01 +0100 637910 http://www.medworm.com/index.php?rid=611386&cid=t_227352_113_f&fid=34623&url=http%3A%2F%2Fhealthnex.typepad.com%2Fweb_log%2F2007%2F05%2Fmedical_decisio.html I just noticed this bulletin on IBM's intranet about the company's new effort to improve healthcare for IBM employees.Personalized, up-to-date medical research to help IBMers and their dependents "Advancements in medical technology, particularly diagnostic tools and treatments, are being developed at an ever-accelerating pace. For nearly every known diagnosis or condition, you can find reams of material – but it's not always easy to separate the reliable, accepted medical practice from inaccurate, experimental or outdated recommendations. The sheer volume of information can overwhelm even experienced medical professionals. According to the New England Journal of Medicine, it can take doctors up to three years to learn about new medical best practices, and another seven to adopt ... HealthNex blogs http://www.medworm.com/rss/comments.php?id=611386 Mon, 14 May 2007 15:37:09 +0100 611386 http://www.medworm.com/index.php?rid=462246&cid=t_227352_113_f&fid=34625&url=http%3A%2F%2Fclinicalit.blogspot.com%2F2007%2F02%2Fisabel-as-verb.html Will "Isabel" become a verb, much in the way "Google" has? A Fox News story from December on Isabel Healthcare, developer of a diagnostic decision support engine, suggested that it already has. The correspondent, Dr. Christine Dumas, says that clinicians in some hospitals routinely ask, "Did you Isabel this?" Unfortunately, the 2-minute piece does not include an interview with anyone at Isabel, nor does it mention any other clinical decision support companies. (Insert "fair and balanced" joke here.) I'll be speaking with the company at HIMSS in a couple of weeks.A much more in-depth piece of TV reportage on healthcare quality comes from none other than Katie Couric. The CBS Evening News anchor interviewed safety guru Dr. Don Berwick in a report that aired last week. The link takes you to a... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=462246 Tue, 13 Feb 2007 05:28:00 +0100 462246