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 'customization'. Sat, 03 Sep 2011 02:39:07 +0100 http://www.medworm.com/index.php?rid=5008195&cid=t_157520_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fmammogram-frequency-should-be-dependent-on-more-than-a-womans-age%2F2011.07.07 I read the LA Times article by Shari Roan, Study urges more individual mammogram guidelines, with interest.  As Roan notes, guidelines to date have mainly focused on a woman’s age and not her other risks factors. The American Cancer Society recommends that healthy women undergo screening mammograms every one to two years beginning at age 40 regardless of risk factors. In 2009, the U.S. Preventive Services Task Force recommended a different schedule which urged the inclusion of an individual’s personal risks:  screening for women ages 40 to 49 should be based on individual risk factors and women ages 50 to 74 should be screened every two years. Monday, a paper was published in the Annals of Internal Medicine (full reference below) which argues for a more personalized approach to scree... Better Health blogs http://www.medworm.com/rss/comments.php?id=5008195 Thu, 07 Jul 2011 22:00:00 +0100 5008195 http://www.medworm.com/index.php?rid=3146059&cid=t_157520_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2010%2F01%2F04%2Fbalancing-workflow-customization-with-an-ehr%2F I’m a HUGE proponent of mapping your current workflows and evaluating how that applies to your EMR implementation. It’s absolutely essential to be able to do it right. It’s not an easy or necessarily fun task, but it pays big dividends when you go live with an EMR. However, far too many people get caught up with “my workflows” versus the “EMR workflows.” Some people like to argue that an EMR vendor should be able to customize their software to be able to support my current paper work flows. Other people argue that you should toss aside your current workflows and adopt the “best practices” standards of your EMR vendor. Of course, the real answer is as it should be: somewhere in the middle. The EMR should be built so that you can customiz... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3146059 Mon, 04 Jan 2010 17:04:01 +0100 3146059 http://www.medworm.com/index.php?rid=3019096&cid=t_157520_113_f&fid=36504&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedicalRecordShow%2F%7E3%2F_sAap8VbDls%2F You’re halfway home. Part 1 discussed Tests 1-4, for picking physician-friendly EHR features — and avoiding those that would incite a riot. 5. Pare With Care Eventually, you’ll feel tempted to carve away what seem like excesses — don’t do it! Not without checking at least three times! Scut step reduction always gets a PASS, if by “scut” you mean “multiple steps that are invariably done in a sequence that can’t go otherwise.” So if you ALWAYS sign-off a lab value by removing it from your lab listing tasking a staffer to notify the patient instructing the staffer on what new action the patient must take then it makes sense to carve away 2 of those steps, and to have a single button that does all 3. If at any point, however, somet... The EMR/EHR Show: Making Your Electronic Medical Records Really Work blogs http://www.medworm.com/rss/comments.php?id=3019096 Mon, 23 Nov 2009 15:47:39 +0100 3019096 http://www.medworm.com/index.php?rid=3017119&cid=t_157520_113_f&fid=36504&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedicalRecordShow%2F%7E3%2FqzRIsRNZlo0%2F Imagine participating in an EHR advisory group for your area. Every month or so, you meet to hammer out and vett new directions that your medical record will take. Which mods to bring in, when to do major and minor upgrades, how to educate physicians and staff about the transitions, and so on. And every month, you’re surprised with what folks rate a PASS or a FAIL. Every single time. I’ve been in these fun little shoes. It’s embarrassing if you’re the “physician champion,” and one of your duties is to minimize organizational surprises from doctor pushback. Being surprised keeps life interesting, but entertainment value is limited when it means going back to the drawing board. Sooo…I’ve distilled a list of 7 Key Tests — filters — t... The EMR/EHR Show: Making Your Electronic Medical Records Really Work blogs http://www.medworm.com/rss/comments.php?id=3017119 Sat, 21 Nov 2009 19:32:59 +0100 3017119 http://www.medworm.com/index.php?rid=2424206&cid=t_157520_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F05%2F19%2Favatar-customization-increases-feelings-of-presence%2F Although it may be pretty obvious that allowing a user to customize their avatar would lead them to enjoy whatever service they’re using, new research confirms this conventional wisdom for children as well. (An avatar is simply a graphical representation of a person in a virtual or other online environment.) In a small study of 30 children ages 10 to 12, researchers found evidence to support their hypothesis that avatar customization (as opposed to being assigned an avatar, or choosing from a stock set of avatars) can affect both subjective feelings of presence and physiological indicators of emotions during their time playing a game: For game producers and sponsors, this means that creating more customizable games may make the experience more sympathetically arousing, which may in ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2424206 Tue, 19 May 2009 10:27:10 +0100 2424206 http://www.medworm.com/index.php?rid=2417079&cid=t_157520_113_f&fid=36504&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedicalRecordShow%2F%7E3%2FppfwJfCX2ik%2F Actually, pretty much everybody who’s been on EHR for a while talks about it. Sometimes loudly, to anyone who will listen. F-R-A-U-D. As in, “Your documentation says you did that, but you didn’t really.” Did you? You Didn’t Mean To, Honest We know. And hopefully, you’re not even guilty — yet. But it’s an occupational hazard that you must be aware of in order to guard against: stating in your documentation that you did much more than you actually did, or reasonably could have. And perversely, the more adept you get at your record keeping, the more likely you are to fall into this trap. It starts with one of the foundational tenets of patient encounter workflows: documenting by exception. Most systems are based — have to be based &#8212... The EMR/EHR Show: Making Your Electronic Medical Records Really Work blogs http://www.medworm.com/rss/comments.php?id=2417079 Mon, 18 May 2009 02:31:17 +0100 2417079 http://www.medworm.com/index.php?rid=2288959&cid=t_157520_113_f&fid=36504&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedicalRecordShow%2F%7E3%2FVvaHIY8FQnQ%2F Nice post on TempDev. Who Should Conform: You Or Your EMR? encapsulates in one pithy question, the essential nature of the IT dilemma at the provider level. Usually, it takes a more direct form: Why the hell should I conform to the EMR system — the machine — when it’s the proper role of technology to make my life easier? Who’s the boss here, anyway? The answer, of course, is that you’re asking the wrong question. Everyone’s The Boss There’s no question that you, as a healthcare provider, are more important than the thousands of lines of software code. In an ideal world, the system would conform to you, and your office mate, and your colleague across town, seamlessly and instantly, no matter how different your practice styles were. In the real worl... The EMR/EHR Show: Making Your Electronic Medical Records Really Work blogs http://www.medworm.com/rss/comments.php?id=2288959 Wed, 25 Mar 2009 20:18:08 +0100 2288959 http://www.medworm.com/index.php?rid=2195668&cid=t_157520_113_f&fid=36504&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMedicalRecordShow%2F%7E3%2F5yygu52TgTE%2F Back in the day when I was a burgeoning kendo student, I read an account about a visiting fencing master. The writer, an established member of a kendo club, was looking forward like everyone else to the visit of this celebrity sensei. While having practiced kendo for nearly seven decades, the guest was appallingly fast, and had a reputation for winning known throughout Japan. He was, in a word, amazing, and every bit as impressive in person as his record suggested. When the guest asked the writer to practice with him, the club member was practically beside himself. What special techniques and feints would he be privileged to witness? What insights into timing, distance, and psyching-out your opponent would he be party to? “I’d like to work the overhead strike,” the guest ... The EMR/EHR Show: Making Your Electronic Medical Records Really Work blogs http://www.medworm.com/rss/comments.php?id=2195668 Wed, 18 Feb 2009 09:31:32 +0100 2195668 http://www.medworm.com/index.php?rid=1044147&cid=t_157520_134_f&fid=36049&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FDiabetesNotes%2F%7E3%2F188384260%2F …a team of University of Wisconsin-Madison researchers reports the genetic reprogramming of human skin cells to create cells indistinguishable from embryonic stem cells. This is a huge advancement towards the treatment and cure for diseases such as diabetes and Parkinson’s. This would help put the ethical stem cell debate to rest and aid in the customization of cells for each and every patient. Immune-rejection would also be lessened using re-programmed cells. via University of Wisconsin Madison and Science Daily Share This (Source: Diabetes Notes) Diabetes Notes blogs http://www.medworm.com/rss/comments.php?id=1044147 Wed, 21 Nov 2007 17:15:21 +0100 1044147 http://www.medworm.com/index.php?rid=1012272&cid=t_157520_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2007%2F11%2F07%2Ffree-emr-by-medicare%2F I’ve been working with John Deutsch of EMR Experts, Inc. and I invited him to be a guest blogger on my blog. Here’s an article John sent me about the Free Vista EMR offered by the government. While I think the news about Vista being free came out about 2.5 years ago, the information about adopting it is still VERY relevant. Probably because the EMR adoption level is so low. Enjoy John’s take on the government’s “Free EMR.” Is anything ever free these days? Maybe so. Instigated by the incredibly slow adoption of Electronic Medical Records (EMR) by doctors across the nation, Medicare is announcing it will begin offering doctors free electronic medical record software solutions. Both upfront and ongoing costs have been critical factors in the lagging EMR a... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=1012272 Wed, 07 Nov 2007 16:24:15 +0100 1012272