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 'electronic medical records'. Sat, 03 Sep 2011 01:48:35 +0100 http://www.medworm.com/index.php?rid=5169553&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fgreat-clinical-care-and-excellent-bedside-manner-are-they-mutually-exclusive%2F2011.08.26 The New York Times recently published an article titled, Finding a Quality Doctor, Dr. Danielle Ofri an internist at NYU, laments how she was unable to perform as well as expected in the areas of patient care as it related to diabetes.  From the August 2010 New England Journal of Medicine article, Dr. Ofri notes that her report card showed the following – 33% of patients with diabetes have glycated hemoglobin levels at goal, 44% have cholesterol levels at goal, and a measly 26% have blood pressure at goal.  She correctly notes that these measurements alone aren’t what makes a doctor a good quality one, but rather the areas of interpersonal skills, compassion, and empathy, which most of us would agree constitute a doctor’s bedside manner, should count as well. Her articl... Better Health blogs http://www.medworm.com/rss/comments.php?id=5169553 Fri, 26 Aug 2011 14:00:00 +0100 5169553 http://www.medworm.com/index.php?rid=5107458&cid=t_97298_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2011%2F08%2Fwhy-ehrs-are-mission-hostile.html From "Revisiting E&M Visit Guidelines — A Missing Piece of Payment Reform" (free PDF as of this writing), Robert A. Berenson, M.D., Peter Basch, M.D, and Amanda Sussex, M.P.H., N Engl J Med 364;20 nejm.org May 19, 2011. Excerpt: ... Numerous problems have resulted. [From the CPT codes, Current Procedural Terminology codes used by physicians in billing, covering evaluation and management (E&M) services - ed.] The detailed guidelines often cause clinicians to overdocument, making the medical record an ineffective source of communication. ... A fundamental concern is that the office-visit descriptors and interpretive guidelines emphasize often-irrelevant elements of patients’ clinical histories and examinations, rather than decisionmaking and care-management activities. This is... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=5107458 Mon, 08 Aug 2011 02:35:00 +0100 5107458 http://www.medworm.com/index.php?rid=5086165&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2011%2F07%2Finfographic-doctors.html ++ Click to Enlarge Image ++Image Source: Spina Bifida Info.com (Source: Denise Silber's eHealth) Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=5086165 Sat, 30 Jul 2011 23:00:00 +0100 5086165 http://www.medworm.com/index.php?rid=5069474&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fimgs.xkcd.com%2Fcomics%2Fstandards.png Many people ask why the United States, unlike other countries, has no national system of electronic medical records. Here’s why: Insert the number 576 instead of 14, by the way. Each of which (more…) *This blog post was originally published at Musings of a Dinosaur* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=5069474 Wed, 27 Jul 2011 14:00:36 +0100 5069474 http://www.medworm.com/index.php?rid=5069407&cid=t_97298_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2011%2F07%2Fchilling-effects-to-blog-or-not-under.html On the travails of being a citizen journalist and medical watchdog:I must admit I almost gave up blogging recently.First, the death of my mother June 6, 2011 from an EHR-related medication continuity error has strained me severely. I took care of her at home since Sept. 2010 in a hospital bed rented for the living room, having promised her (and my father before he passed in 2000) that I would never put her in a nursing home. I kept my promise, but at great psychical cost. It was seriously distressing to watch her suffer and decline, cry, call out for her own long-deceased parents, and to have to administer hospice-supplied medications such as large doses of benzodiazepines, haldol (a major tranquilizer), and morphine in her final weeks to ensure she was as comfortable as possible.The effec... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=5069407 Mon, 25 Jul 2011 23:46:00 +0100 5069407 http://www.medworm.com/index.php?rid=5062240&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fwhich-generation-of-physicians-uses-the-most-mobile-technology%2F2011.07.25 Smartphones and tablets have reached 80% of physicians across all practice types, locations and years in practice, and 25% of users are “Super Mobile” physicians who use both types of mobile devices. This is far beyond the general population’s 50% adoption of smartphones and 5% adoption of tablets. QuantiaMd, a free, online learning collaborative, released survey results that showed 44% of physicians who do not yet have a mobile device intend to buy one this year. While younger physicians have higher adoption rates than older ones, current use of mobile devices by physicians longest in practice is above 60%, the survey showed. Among physicians with 30 years or more of practice, almost 20% already use a tablet device for work, and another 25% say they are extremely likely ... Better Health blogs http://www.medworm.com/rss/comments.php?id=5062240 Mon, 25 Jul 2011 18:00:00 +0100 5062240 http://www.medworm.com/index.php?rid=5057721&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fone-physician-learns-to-efficiently-manage-her-electronic-medical-records%2F2011.07.23 My practice has been using the EPIC electronic medical record for 5 years now, and it’s taken about that long for me to figure out how to tweak the system to make myself more efficient, and for the system to evolve to a place where I could tweak it myself. Case in point – Quick Actions. EPIC’s most recent upgrade includes little self-made macros called “quick actions” that turn repetitive tasks into a mouse click. I’m using quick actions to manage my results in basket in much the same way you may be using Rules in Outlook to manage your email. Some of my macros are actually little work-arounds for a system that is not yet entirely integrated and a patient population that has not yet embraced online results communication. About half of my patients sign up for online results – ... Better Health blogs http://www.medworm.com/rss/comments.php?id=5057721 Sat, 23 Jul 2011 19:00:03 +0100 5057721 http://www.medworm.com/index.php?rid=5036229&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-real-world-of-medicine-today%2F2011.07.17 The old joke in medicine goes, ‘don’t get sick on July 1st.’ That’s because it’s the day when new resident physicians, freshly graduated from medical schools across the land, begin their training programs. Although they have spent four years in undergraduate school and four years in medical school, it’s residency where physicians are made from the raw material of knowledge-rich, experience poor high achievers. However, even in residency physicians are seldom told the entire story of how the practice of medicine, and their lives, will look and feel as their careers evolve and they enter the medical work-force. Since our profession changes from year to year and administration to administration, it seems a good time to mention some of the things upcoming young physicians will face... Better Health blogs http://www.medworm.com/rss/comments.php?id=5036229 Sun, 17 Jul 2011 16:00:50 +0100 5036229 http://www.medworm.com/index.php?rid=5008364&cid=t_97298_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FxQq6eLbUOGU%2F When I learned that HITECH included funds setting up the regional extension center system to support small medical practices in implementing EHRs, I thought, well, that sounds OK. I wasn’t thrilled, mind you, as I wasn’t optimistic that a government-sponsored organization would produce the quick EHR adoption process HITECH demands, but it wasn’t a bad thing. Since then, I’ve gone from mildly interested to downright irritated.  While I wasn’t expecting the RECs to blaze a path to glory, I thought it would be nice if they produced great educational materials and sessions, made themselves highly accessible to physicians and offered clear guidance on vendor selection. As far as I can tell, we’re largely zero for three. Yes, as a recent a recent study notes,... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=5008364 Thu, 07 Jul 2011 02:59:47 +0100 5008364 http://www.medworm.com/index.php?rid=4976117&cid=t_97298_131_f&fid=35008&url=http%3A%2F%2Fscienceroll.com%2F2011%2F06%2F27%2Fgoogle-health-its-over%2F I guess you’ve heard the news: Google is giving up on its vision of helping people live healthier lives with online personal health records. When Google Health was introduced in 2008, Marissa Mayer, a Google executive, said it would be a “large ongoing initiative” that the company hoped would attract millions of regular users. But Google Health never really caught on. Well, I know it’s easy to say now, but I wasn’t that surprised. After the first steps, and after years of hard work, Google Health failed to make a real impact on healthcare. When I read the news, an old blog entry of mine came to my mind: Expecting Google Health to change healthcare is something like expecting Wikipedia to substitute all encyclopaedias in the world… Some great pieces on this issue: ... ScienceRoll blogs http://www.medworm.com/rss/comments.php?id=4976117 Mon, 27 Jun 2011 18:09:38 +0100 4976117 http://www.medworm.com/index.php?rid=4968447&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FI9wJcJOzAYg%2F Google said it would wind down its Google Health personal health record after about three years of operation. It “didn’t catch on the way we’d hoped,” the company said. Nor did the non-health related Google Power Meter, which will also be unplugged. The company said it will retire Google Health on Jan. 1, 2012. Its (apparently too few) users will have another year after that to download their data. When Google Health launched in May of 2008, we wrote that personal health records might be a tough sell for many consumers until more medical practices got their own electronic medical record systems up and running. Whatever the reason, the company says Google Health has had a limited impact: There has been adoption among certain groups of users like tech-savvy patients a... WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4968447 Fri, 24 Jun 2011 20:34:47 +0100 4968447 http://www.medworm.com/index.php?rid=4953047&cid=t_97298_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FI5q0SctUFvw%2F Boy, back in the good old days, protecting patient data was comparatively easy. All you had to do was make sure that nobody got their hands on a patient’s paper chart who shouldn’t be looking at it. After all, simple stuff like locking file rooms and making sure charts never get left in a public place are pretty easy to understand. Sure, paper records get stolen or rifled through now and then — no system is perfect — but putting processes in place to prevent unauthorized chart access isn’t that complicated. On the other hand, introducing electronic medical records  – plus e-prescribing, digital sharing of lab results and more — is a completely different kettle of fish. For one thing, providers must control access to medical information stored in t... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4953047 Thu, 16 Jun 2011 03:11:05 +0100 4953047 http://www.medworm.com/index.php?rid=4893389&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FrHtSGemKBrE%2F Melanoma Focus: Two of the as-yet unreleased studies to be highlighted at the upcoming annual meeting of the American Society of Clinical Oncology will deal with melanoma drugs — one from Bristol-Myers Squibb and another from Roche and Daiichi Sankyo, Dow Jones Newswires reports. The study of Bristol-Myers’ Yervoy, which was approved by the FDA in March for late-stage disease, will look at how it performs in newly diagnosed melanoma patients who are also on chemotherapy. Willing to Pay: Novartis will pay as much as $3 billion for the right acquisitions in veterinary medicine, consumer health, generic drugs, biotech or diagnostics, Bloomberg News reports, citing an interview with CEO Joe Jimenez. He wouldn’t comment, however, on analyst speculation that the pharma giant wo... WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4893389 Wed, 01 Jun 2011 12:46:14 +0100 4893389 http://www.medworm.com/index.php?rid=4872052&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FIqsXJCOU0zc%2F With $27 billion in government incentives up for grabs, hospitals and physicians are rushing to switch their older electronic medical record systems to newer ones. But that change can be tricky, a new study suggests. Researchers found that adopting a more sophisticated system for entering prescription orders led to an overall drop in prescribing errors, but that certain types of errors actually increased in the couple of months following the switch. “It speaks to the fact that transitioning is very, very hard,” Rainu Kaushal, an author of the study and chief of the division of quality and medical informatics at New York-Presbyterian Hospital/Weill Cornell Medical College, tells the Health Blog. Researchers followed 17 physicians at an outpatient clinic as it switched to a newer... WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4872052 Fri, 27 May 2011 16:45:27 +0100 4872052 http://www.medworm.com/index.php?rid=4872053&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2Fo0F-VmVKWyc%2F Study’s Reverberations?: Abbott’s Niaspan setback has implications for Merck and Roche, which are also trying to develop drugs that raise good cholesterol and can be added to statins, which lower the bad kind, the WSJ reports. Merck, for example, is conducting a 25,000-person trial to test its own niacin-based drug tredaptive. A Merck exec tells the WSJ it’s way too early to judge niacin’s potential by these latest results alone. Unifying Records: The Defense Department and Department of Veterans Affairs plan to jointly develop a computerized system to keep military members’ health records in one place throughout their career and retirement, the New York Times reports. Officials say an interoperable system will reduce lost paperwork, speed the delivery of care... WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4872053 Fri, 27 May 2011 12:44:45 +0100 4872053 http://www.medworm.com/index.php?rid=4847959&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Freally-seven-per-cent-of-physicians-use-video-chat-with-patients%2F2011.05.20 Seven percent of U.S. physicians use online video conferencing to communicate with any of their patients, according to a study of physician digital adoption trends. The study captures a snapshot of technology, including mobile platforms, electronic health records, electronic prescribing and interaction with patients, pharmaceutical and health care market research company Manhattan Research said in a press release. Psychiatrists and oncologists are more likely to be using video conferencing with patients. But physicians added that reimbursement, liability and privacy are still major barriers to communicating online with patients. Major findings include: (more…) *This blog post was originally published at ACP Internist* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=4847959 Fri, 20 May 2011 11:00:00 +0100 4847959 http://www.medworm.com/index.php?rid=4841424&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FoYblPhSFjGs%2F Should electronic medical records be rolled out chiefly according to the needs of physicians and other providers? That’s the question debated by two physicians in this week’s Annals of Internal Medicine. Anwar Hussain, a physician at UHS Hospitals in Johnson City, NY, argues the affirmative in  his commentary. He writes that the government’s current policy — which awards financial incentives to hospitals and physicians that demonstrate “meaningful use” of digitized records — “takes a top-down strategy and assumes that there is uniform and solid evidence for use of technology in all types of provider settings, a view that is inconsistent with current evidence.” Hussain cites an uncertain return on investment, a lack of data supporting &... WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4841424 Tue, 17 May 2011 17:11:15 +0100 4841424 http://www.medworm.com/index.php?rid=4828816&cid=t_97298_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2011%2F05%2Felectronic-medical-records-and.html There are many parallels between the health IT sector (with known injuries and deaths [1]; deliberate lack of regulatory enforcement in part due to regulatory capture [2]; willfull blindness and special pleadings by vendors and purchasers regarding the dangers of the devices [3]; 'certification' standards that ignore safety [4], and other cavalier practices), and this tragic story below:Swimming pool maker pleads guilty to criminally negligent homicideSource: Claims Journal "Pool Company Admits Guilt in Connecticut Boy's Drowning" John Christoffersen, April 15, 2011After the tragic drowning of a 6-year-old Connecticut boy in 2007, his parents have brought a lawsuit against the swimming pool company. The lawsuit against Shoreline Pools detailed statistics of pool entrapment deaths and injur... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=4828816 Sat, 14 May 2011 11:52:00 +0100 4828816 http://www.medworm.com/index.php?rid=4813282&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2011%2F05%2Fconsultation-virtuelle.html Here is the scenario of your next consultation.  You call a unique national phone number and explain your problem to someone who is specialized in managing this type of call and who can provide a pre-diagnosis. Conscious of the importance of your problem, he or she gets you a same-day appointment in the town where you live. The appointment is confirmed by email during the phone call. When you get there, a first person with an iPad greets you, checks off the appointment and lets everyone who could be following up with you know that you're there. The Center is very busy, but you are taken within 10 minutes of your appointed time. That person performs a very quick examination, confirms the earlier diagnosis, and notes the result in her iPhone. She goes off to get just what you ne... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=4813282 Mon, 09 May 2011 23:00:00 +0100 4813282 http://www.medworm.com/index.php?rid=4789636&cid=t_97298_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FUtb6qNBvltg%2F One year after its launch, the iPad is proving hot with docs. A new survey finds that 30 percent of US physicians now own the Apple tablet and another 28 percent plan to purchase an iPad within the next six months, according to a survey of 2,041 doctors by Manhattan Research. In fact, 75 percent of all docs in the US own some type of Apple device, such as an iPhone, iPad or iPod (see the statement). The finding is potentially significant, at least when one considers that docs can access electronic medical records on their iPad. The implications for EMR providers is rather obvious, since iPad accessibility may be a deciding factor for some practices when selecting an EMR provider. There can be implications for drugmakers, too. Pharma can use the EMR app on iPad to interact with docs by prov... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=4789636 Thu, 05 May 2011 12:16:36 +0100 4789636 http://www.medworm.com/index.php?rid=4789250&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-family-physician-may-become-extinct-is-that-a-bad-thing%2F2011.05.04 The New York Times recently published an article titled the Family Can’t Give Away Solo Practice wistfully noting that doctors like Dr. Ronald Sroka and “doctors like him are increasingly being replaced by teams of rotating doctors and nurses who do not know their patients nearly as well. A centuries-old intimacy between doctor and patient is being lost, and patients who visit the doctor are often kept guessing about who will appear in the white coat…larger practices tend to be less intimate” As a practicing family doctor of Gen X, I applaud Dr. Sroka for his many years of dedication and service.  How he can keep 4000 patients completely clear and straight in a paper-based medical system is frankly amazing.  Of course, there was a price.  His life was focused sol... Better Health blogs http://www.medworm.com/rss/comments.php?id=4789250 Wed, 04 May 2011 20:00:00 +0100 4789250 http://www.medworm.com/index.php?rid=4709184&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2F5S3O7NiUKLc%2F Plenty of medical practices spent a lot of time and money to put in place electronic-medical record systems only to find that physicians find them so cumbersome to use that they, well, don’t. So many, in fact, that Athenahealth has created a group called a “burn unit” to handle these physician practices that have been “burned” by the old systems and are looking for a new solution, the company’s chairman and CEO, Jonathan Bush, told us on a visit to Health Blog HQ. About 35% of Athenahealth’s new EMR business comes from medical groups that have already tried one of the traditional software systems and aren’t happy with it. In many cases they’re large, hospital-owned physician groups that have either bought the systems themselves, or are ... WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4709184 Wed, 13 Apr 2011 20:28:22 +0100 4709184 http://www.medworm.com/index.php?rid=4696618&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fare-electronic-medical-records-a-27-billion-waste-of-money%2F2011.04.10 President Obama’s has created an incentive program to encourage physicians to adopt functional Electronic Medical Records.  The program’s $27 billion dollars (funded by President Obama’s Economic Stimulus package) will turn out to be a colossal failure and a waste of money. Twenty seven billion dollars would provide $44,000 for 640,000 physicians. After the bureaucratic infrastructure is built the federal government will be lucky if one third of the money remains for bonuses to physicians. Only 21,000 of 650,000 (3%) of physicians have applied to date. Complex bureaucracies and complicated regulations never save money. These bureaucracies create bigger government, inconsistent policies, more complicated regulations and inefficiencies. The best and cheapest way to create a universall... Better Health blogs http://www.medworm.com/rss/comments.php?id=4696618 Sun, 10 Apr 2011 23:00:40 +0100 4696618 http://www.medworm.com/index.php?rid=4684252&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FtEkZXVTLCNY%2F The reasons for not adopting electronic medical records are pretty straightforward: those on the sidelines think the systems are expensive, that they won’t produce a return on investment and that they’ll cut productivity even after they’re fully implemented. So finds a new survey, conducted by the Medical Group Management Association and covering 4,588 health-care organizations, including independent practices, hospitals, integrated systems and others. Some groups were still using paper records and others reported being at various stages of implementing electronic ones. Among those using paper charts, 78% believed there would be a “significant to very significant” loss of productivity during the switchover to an electronic system, and 67% believed productivity... WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4684252 Thu, 07 Apr 2011 16:02:52 +0100 4684252 http://www.medworm.com/index.php?rid=4676789&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fare-emrs-the-key-to-improving-hand-offs-from-the-er-to-the-pcp%2F2011.04.04 Improving handoffs from the emergency room back to the primary care physician will require changing how electronic health records are used, better reimbursement to both the hospital and ambulatory doctors, and malpractice reform, according to a study. The rising use of hospitalists and larger primary care practice sizes has contributed to the difficulties faced when an ER doctors tries to reach a physician who best knows the patient. Haphazard communication and poor coordination can undermine effective care, according to a new research conducted by the Center for Studying Health System Change. Researchers conducted 42 telephone interviews between April and October 2010 with 21 pairs of emergency department and primary care physicians, who were case-matched to hospitals so the perspective o... Better Health blogs http://www.medworm.com/rss/comments.php?id=4676789 Mon, 04 Apr 2011 12:00:00 +0100 4676789 http://www.medworm.com/index.php?rid=4670106&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fpatients-dont-want-to-communicate-with-their-doctors-on-facebook%2F2011.04.03 Patients may not want to discuss clinical matters via social media, but they’d gladly set pay their bills when reminded. Social media’s value in communicating with patients is limited to the administrative aspects of it. Americans still want traditional ways of communication when they need a clinical consult. A survey finds 84% would not use social media or instant messaging channels for medical communication if their doctors offered it, according to the communications firm Capstrat. Respondents were more favorable toward conferring with the doctor via e-mail (52%) than they were by Twitter and Facebook (11%), chat or instant messaging (20%) or a private online forum (31%). Even among those 18 to 29 years old, 21% said they would take advantage of an online forum if their docto... Better Health blogs http://www.medworm.com/rss/comments.php?id=4670106 Sun, 03 Apr 2011 15:00:00 +0100 4670106 http://www.medworm.com/index.php?rid=4670103&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2011%2F04%2Fcase-for-ehealth.html The Case for eHealth is a publication I had the great fortune to write at the request of the European Commission (Ilias Iakovidis, Petra Wilson) unit in charge of eHealth, in 2003. It is now referenced in publications in many languages, although there have been no translations. I thought it would be interesting to circulate it again now, thanks to Twitter and Facebook, as we ask ourselves about the best way forward. Here are 2 quotes from page 36 :         Please feel free to download the report via this link. Téléchargement Case_for_eHealth03. (Source: Denise Silber's eHealth) Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=4670103 Fri, 01 Apr 2011 23:00:00 +0100 4670103 http://www.medworm.com/index.php?rid=4592390&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2011%2F03%2Fpatientslikeme.html What self-respecting health on the internet fan doesn't know PatientsLikeMe  the site that enables English-speaking patients to create their online profile, generate dynamic graphic representations of their data and-- most important of all, meet up with people "like them"? For many, myself included, PatientsLikeMe is the icon of the Health 2.0 movement. Two new changes to PatientsLikeMe rules inspired this blogpost 1) the PatientsLikeMe site will henceforth apply the principle of cooptation. A member can invite another patient, whatever his or her condition 2) a patient can create a new condition, if one is lacking. People with multiple conditions will be able to follow all of them on PLM. A final but important question at this time: Why does PatientsLikeMe... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=4592390 Tue, 15 Mar 2011 00:00:00 +0100 4592390 http://www.medworm.com/index.php?rid=4560274&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fadvice-from-the-emr-trenches%2F2011.03.07 The latest from moi: “Implementing Electronic Medical Records: Advice from the Trenches” in the March/April 2011 issue of HIT Exchange magazine. An excerpt: The news released in late December from the Centers for Disease Control and Prevention that more than half of the nation’s physicians are now using electronic medical records (EMR)—double the adoption rate of just five years ago—is surely worth celebrating. Until, that is, you take a look and realize that just a fourth of office-based physicians have access to a “basic” EMR system including patient history, demographics, problem lists, clinical notes, and computerized physician order entry (CPOE), while just one in 10 has a “fully functional” system, which also includes the communication system required for me... Better Health blogs http://www.medworm.com/rss/comments.php?id=4560274 Mon, 07 Mar 2011 23:00:00 +0100 4560274 http://www.medworm.com/index.php?rid=4522108&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Femr-and-the-pathologist-a-winning-combo%2F2011.02.25 A pathologist uses the EMR to find out just a little more about the patient whose cerebro-spinal fluid she has under her microscope — and changes her diagnosis: This patient had a diagnosis of plasma cell myeloma with recent acute mental status changes. So the lone plasma cell or two I was seeing, among the lymphs and monos, could indicate leptomeningeal spread of the patient’s disease process. I reversed the tech diagnosis to atypical and added a lengthy comment – unfortunately there weren’t enough cells to attempt flow cytometry to assess for clonality of the plasma cells to cinch the diagnosis. But with the information in the EMR I was able to get a more holistic picture on a couple of cells and provide better care for the patient. I cringe to wonder if I might have blown th... Better Health blogs http://www.medworm.com/rss/comments.php?id=4522108 Fri, 25 Feb 2011 14:00:13 +0100 4522108 http://www.medworm.com/index.php?rid=4512373&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FWq7GBWLyHgk%2F Doctors’ views of electronic medical records are not getting any rosier. According to a 500-physician survey released by athenahealth, which provides online business services to medical groups, and online physician community Sermo, while the overall favorable rating held steady at 77%, more detailed responses showed doctors were more skeptical about digitized records. The percentage of doctors saying that the financial benefits of electronic records outweigh the costs fell to 64% from 71% last year. And the percentage saying the patient-care benefits justified the financial investment fell to 68% from 73%. This year’s survey also found doctors were less likely to agree that electronic records can help reduce medical errors, improve efficiency and lower costs. And a greater prop... WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4512373 Wed, 23 Feb 2011 21:07:22 +0100 4512373 http://www.medworm.com/index.php?rid=4445803&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fa-doctors-brain-the-most-important-piece-of-healthcare-technology%2F2011.02.07 Some people may tell you that healthcare IT will solve many of the quality and cost problems in healthcare. I don’t believe them. I know a 70-year old man named Carlos (not his real name) who was hospitalized following a bout of hydrocephalus. Hydrocephalus is a build-up of fluid in the skull, which affects the brain. Among other things, people with hydrocephalus can be confused, irritable, and nauseous. Carlos had all of these symptoms. Carlos’ problem was fixable by inserting a special kind of drain in his head called a “shunt.” This kind of shunt is, essentially, a series of catheters that runs from the brain into the abdomen, and which drain the excess fluid. You can’t see it from the outside, so it’s meant to stay inside of you for a very long time. For a week after Ca... Better Health blogs http://www.medworm.com/rss/comments.php?id=4445803 Mon, 07 Feb 2011 17:00:08 +0100 4445803 http://www.medworm.com/index.php?rid=4436728&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2F4oF-YWz-FNI%2F Blumenthal oversaw the development of rules that qualify electronic-medical record users for stimulus funds. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4436728 Fri, 04 Feb 2011 14:38:30 +0100 4436728 http://www.medworm.com/index.php?rid=4424233&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fe-patient-goes-mainstream%2F2011.02.01 I have a Google alert for “e-patient,” and sometimes I’m surprised what it catches. [Recently] it was this: 3 Reasons Steve Jobs Will Be The Ultimate e-Patient Steve Jobs’ medical leave sets the stage for the upcoming revolution in the production and delivery of medical information at time of diagnosis. 3 things you need to know. So I’m thinking: “Oh, wow: Is the term ‘e-patient’ going mainstream?” That would be a hoot, because indeed the Society for Participatory Medicine is engaged in spreading the word. *This blog post was originally published at e-Patients.net* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=4424233 Tue, 01 Feb 2011 22:00:04 +0100 4424233 http://www.medworm.com/index.php?rid=4399493&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2F5Bjn4WIj544%2F "Reasonable people who work in the health-care system don't expect any computer program" to drastically change care, an author says. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4399493 Tue, 25 Jan 2011 21:16:59 +0100 4399493 http://www.medworm.com/index.php?rid=4382737&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FsTJBLjTZi8k%2F "Many of the clinical claims made about the most commonly deployed [digital health] technologies cannot be substantiated by the empirical evidence," the authors write. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4382737 Fri, 21 Jan 2011 17:34:26 +0100 4382737 http://www.medworm.com/index.php?rid=4377550&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FA3YG_DirivI%2F It might mean an easy way for consumers, rather than health systems or health plans, to control their health records. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4377550 Thu, 20 Jan 2011 17:24:57 +0100 4377550 http://www.medworm.com/index.php?rid=4349515&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Freferral-communication-what-happens-to-handoffs-between-primary-care-physicians-and-specialists%2F2011.01.14 Far more primary care doctors report detailed referrals than do specialists report receiving them. The same applies in reverse. Specialists report returning quality consultations, while primary care physicians report receiving them far less often. Researchers reported in Archives of Internal Medicine that perceptions of communication regarding referrals and consultations differed widely. While 69.3 percent of primary care physicians reported “always” or “most of the time” sending a patient’s history and the reason for the consultation to specialists, only 34.8 percent of specialists said they “always” or “most of the time” received the information. And, while 80.6 percent of specialists said they “always” or “most o... Better Health blogs http://www.medworm.com/rss/comments.php?id=4349515 Fri, 14 Jan 2011 18:00:00 +0100 4349515 http://www.medworm.com/index.php?rid=4337896&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2F27kp3yYOnPs%2F Out of the ten companies that now make up Dossia, six have deployed a digitized health record, Critelli tells us. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4337896 Wed, 12 Jan 2011 20:46:17 +0100 4337896 http://www.medworm.com/index.php?rid=4337904&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FAtzevy1Uwl8%2F To create a universal language for electronic medical records, take the framework out of the hands of companies, said Schmidt. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4337904 Tue, 11 Jan 2011 16:07:57 +0100 4337904 http://www.medworm.com/index.php?rid=4330990&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FsOCSe52-qKs%2F A full 77% of respondents said they'd find a web- or software-based personal health record very or somewhat helpful to track medications, test results and other data. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4330990 Mon, 10 Jan 2011 16:50:13 +0100 4330990 http://www.medworm.com/index.php?rid=4309612&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fmaking-2011-meaningful%2F2011.01.03 Today, $27 billion in incentives begin for using electronic medical records, as office- and hospital-based providers begin to register for meaningful use criteria. Providers must use a certified system according to Centers for Medicare and Medicaid meaningful-use guidelines for 90 consecutive days within the first year of the program to qualify. Eligible professionals can receive up to $44,000 over five years under the program. There’s an additional incentive for eligible professionals who provide services in a Health Professional Shortage Area. To get the most money, Medicare-eligible professionals must begin by 2012. By 2015, Medicare-eligible professionals and hospitals that do not demonstrate meaningful use get punished. (more…) *This blog post was originally publis... Better Health blogs http://www.medworm.com/rss/comments.php?id=4309612 Mon, 03 Jan 2011 20:00:00 +0100 4309612 http://www.medworm.com/index.php?rid=4302125&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ftest-results-delivered-to-your-cellphone-via-a-disposable-test-strip%2F2010.12.31 GENTAG, Inc. has announced a new diagnostic platform which uses near field communication (NFC) technology to transmit test results from a disposable test strip to a patient’s cellphone. Once results have been sent to a phone, they can then be uploaded to internet-connected EMR systems. The company claims their platform can test for pregnancy, HIV/AIDS, pathogens, and a number of different cancers, and monitor glucose, fever, as well as deliver drugs. From the press release: GENTAG started with well-established immunoassay technology and made it wireless and compatible with Near Field Communication (NFC) technology, which enables consumers to use their cell phones as diagnostic tools to instantly test for pathogens, allergens or common medical conditions at any time, no matter where ... Better Health blogs http://www.medworm.com/rss/comments.php?id=4302125 Fri, 31 Dec 2010 16:10:57 +0100 4302125 http://www.medworm.com/index.php?rid=4294604&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FrvdFUnb0mck%2F Trying to introduce an EMR system to an already complex health-care workplace can cause "a myriad of unintended consequences" in terms of workflow and communication. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4294604 Tue, 28 Dec 2010 21:14:00 +0100 4294604 http://www.medworm.com/index.php?rid=4294628&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fstick-to-one-er-avoid-unnecessary-tests%2F2010.12.28 Via Kaiser Health News: On a recent Friday night at the Boston Children’s Hospital ER, Dr. Fabienne Bourgeois was having difficulty treating a 17-year-old boy with a heart problem. The teen had transferred in  from another hospital, where he had already had an initial work-up — including a chest X-ray and an EKG to check the heart’s electrical activity. But by the time he reached pediatrician Bourgeois, she had no access to those records so she gave him another EKG and chest X-ray. He was on multiple medications, and gave her a list of them. But his list differed from the one his mother gave doctors, neither of which matched the list his previous hospital had sent along. This is excellent advice. Every ED has seen a patient, probably today, with “they saw me at the ER across t... Better Health blogs http://www.medworm.com/rss/comments.php?id=4294628 Tue, 28 Dec 2010 18:00:10 +0100 4294628 http://www.medworm.com/index.php?rid=4285201&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Finterview-%25e2%2580%2593-informatics-nurse%2F2010.12.23 Ever wonder how all those hospital systems are created and maintained? (Computer charting, systems to report data to national and state organizations, to name a couple.) Sure, they could hire some IT guy to run them, but everything seems to flow better with a nurse’s touch. After all, we’re the ones using them all the time, right?  Jen C, RN, BSN almost MSN gives us a look into the world of nursing informatics. Jen has been doing this job for two years. She says she “stumbled into it” when she was interviewing for a new job and mentioned that she was starting her master’s in informatics. Although she was hired to be a staff nurse, within four months she was working in informatics. What do you do all day? Each day is different. I do a lot of troubleshooting. I go to a lot o... Better Health blogs http://www.medworm.com/rss/comments.php?id=4285201 Thu, 23 Dec 2010 16:00:59 +0100 4285201 http://www.medworm.com/index.php?rid=4277809&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FVLZG-PE096o%2F A number of health books for lay readers published in 2010 offer practical advice for patients, as well as some page-turning narratives, according to today’s Informed Patient column. But for those inside the business of health care, two titles offered thought-provoking ideas on how to fix a flawed system. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4277809 Tue, 21 Dec 2010 15:14:02 +0100 4277809 http://www.medworm.com/index.php?rid=4272293&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2F11-healthcare-predictions-for-2011%2F2010.12.18 Here are 11 things that are absolutely going to happen* in 2011 (they’re in no particular order….or are they?): 1.  There will be no big compromise between President Obama and the Republicans on healthcare reform. Why? Because the law is such a massive collection of, well, stuff, that it is pretty much impossible to find pieces of it that you could cut a deal on, even if you wanted to. And no, the federal district court decision on the individual mandate doesn’t change my mind…and in fact may breathe new life into other parts of the law). State governments, insurance companies, and private businesses have made all kinds of important and hard to reverse choices based on the law as is. There’s not much of an appetite outside of people trying to score political points for m... Better Health blogs http://www.medworm.com/rss/comments.php?id=4272293 Sat, 18 Dec 2010 20:00:44 +0100 4272293 http://www.medworm.com/index.php?rid=4258831&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2F9poN-KvG2Sw%2F Also: fragmented care for emergency room visitors; heart treatments may not work after all; committee looks at health IT safety issues. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4258831 Tue, 14 Dec 2010 13:38:28 +0100 4258831 http://www.medworm.com/index.php?rid=4249015&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2Fyw1HEr2mTKo%2F Two surveys on electronic medical records wrap on the week, one from the CDC and one from a CIO group. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4249015 Fri, 10 Dec 2010 21:55:17 +0100 4249015 http://www.medworm.com/index.php?rid=4241699&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FmMQ83UJcEtQ%2F Radiation-therapy dose errors are the top tech health hazard, according to ECRI Institute. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4241699 Wed, 08 Dec 2010 23:15:03 +0100 4241699 http://www.medworm.com/index.php?rid=4237867&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FYOpKCptlv9I%2F Kaiser’s secure patient site, which is linked to its electronic medical records site, is now piloting online depression treatment and management programs. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4237867 Tue, 07 Dec 2010 13:47:44 +0100 4237867 http://www.medworm.com/index.php?rid=4219721&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2Fc57Sebl83pw%2F Software systems that manage billing and reimbursement are in demand, and deals are following. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4219721 Wed, 01 Dec 2010 14:23:53 +0100 4219721 http://www.medworm.com/index.php?rid=4179446&cid=t_97298_131_f&fid=35008&url=http%3A%2F%2Fscienceroll.com%2F2010%2F11%2F18%2Fhealth-2-0-news-from-android-interfaces-to-wikipedia-hard-cover-editions%2F Google Celebrates Discovery of X-rays With Special Doodle New Medical Calculators in Wolfram|Alpha Wikipedia hard-cover editions now available Top 10 EMR and operational iPhone medical apps Imagine Medicine: The Photography / Photoshop Contest Welcome to the Imagine Medicine contest! We are looking for fascinating medical photography that… imagines medicine. Nothing is off the table: portraits, group shots, happy shots, tragic shots, clinical shots, photoshop illustrations, macro, micro, and anything in between. Can you imagine medicine, showcase it as art, and make us wonder? Future Android Interfaces (Videos) The World of e-Patients: A Content Analysis of Online Social Networks Focusing on Diseases. (Source: ScienceRoll) ScienceRoll blogs http://www.medworm.com/rss/comments.php?id=4179446 Thu, 18 Nov 2010 15:31:41 +0100 4179446 http://www.medworm.com/index.php?rid=4167939&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FdkjLwxHcFkk%2F Liability carriers are actively promoting digitized records, one expert says, a sign that they feel they cut the risk of mistakes -- and lawsuits. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4167939 Mon, 15 Nov 2010 20:18:31 +0100 4167939 http://www.medworm.com/index.php?rid=4151740&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FX1izfNBydu0%2F The study was sponsored by ID Experts, which sells services to protect against and respond to data breaches. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4151740 Tue, 09 Nov 2010 21:56:05 +0100 4151740 http://www.medworm.com/index.php?rid=4151784&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F11%2Fesante-means-ehealth.html http://esante.gouv.fr/en Here is the link to the English part of the official eHealth web site of the French government.Only a select number of articles are in English, but it will give you a good idea of what's going on and who does what.  You see  on the left a photo of the French pharmacists' president, whose 10 million electronical pharmaceutical records (shared by pharmacists) are impressive. and mention of the DMP which is France's national EMR, expected very shortly. (Source: Denise Silber's eHealth) Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=4151784 Tue, 09 Nov 2010 00:00:00 +0100 4151784 http://www.medworm.com/index.php?rid=4133653&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FHjxTbIOVIys%2F CEO Glen Tullman doesn't expect any major changes to the rollout of EMRs as a result of the pending takeover of the House by Republicans. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4133653 Wed, 03 Nov 2010 20:59:25 +0100 4133653 http://www.medworm.com/index.php?rid=4133605&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F11%2Fhhs-wants-to-hear-from-you-about-empowering-consumers.html By Matthew Holt HHS is developing a 5 year strategic plan for publication in early 2011. Part of that is more work on the role of HHS in encouraging consumer empowerment. Here are the current proposed objectives: Objective A. Engage... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=4133605 Wed, 03 Nov 2010 00:00:00 +0100 4133605 http://www.medworm.com/index.php?rid=4133607&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F11%2Fmike-barber-ge-healthymagination.html By Matthew Holt Last week thanks to the munificence of the RWJ Pioneer Fund (thanks Steve, Paul & team!), I spent a few days at the TEDMED conference in the Hotel Del Coronado near San Diego (famous for its role... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=4133607 Tue, 02 Nov 2010 00:00:00 +0100 4133607 http://www.medworm.com/index.php?rid=4119472&cid=t_97298_131_f&fid=35008&url=http%3A%2F%2Fscienceroll.com%2F2010%2F10%2F27%2Fhealth-2-0-news-from-medting-to-break-dancing%2F A Do-It-Yourself Genomic Challenge to Myriad, the FDA and the Future of Genetic Tests Researchers “Unzip” Their Genomes For The Public Good Why doctors should use social media: it benefits their patients enormously The Real Reasons Healthcare Providers Need Electronic Health Records For a moment, let’s throw out the talk of any government incentives for implementing electronic health records (EHR). Everyone tends to focus on the incentives much more than the other very real benefits of having an EHR system. A number of providers have implemented EMR systems even before the incentives were announced. Most of those providers would never want to return to paper systems again. Here are a few non-incentive related reasons for implementing an EMR system. Break Dan... ScienceRoll blogs http://www.medworm.com/rss/comments.php?id=4119472 Wed, 27 Oct 2010 14:05:26 +0100 4119472 http://www.medworm.com/index.php?rid=4097941&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fhealthcares-facebook%2F2010.10.22 [Recently] the Wall Street Journal‘s front page story exposed a significant privacy breech of online personal information via the world’s most popular social networking site, Facebook: Many of the most popular applications, or “apps,” on the social-networking site Facebook Inc. have been transmitting identifying information—in effect, providing access to people’s names and, in some cases, their friends’ names—to dozens of advertising and Internet tracking companies, a Wall Street Journal investigation has found. The issue affects tens of millions of Facebook app users, including people who set their profiles to Facebook’s strictest privacy settings. The practice breaks Facebook’s rules, and renews questions about its ability to keep ident... Better Health blogs http://www.medworm.com/rss/comments.php?id=4097941 Fri, 22 Oct 2010 16:00:00 +0100 4097941 http://www.medworm.com/index.php?rid=4077243&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F10%2Fchilean-miners-telemedicine.html As one of the many following the Chilean miner rescue, it occurred to me, beyond the incredible human interest story, that this event highlighted various lessons beyond the courage of the miners themselves. As you can see from these 3 points, given the extreme situation, the rules of the game changed. a) telemedicine was embraced  (read about the Zephyr Physiological Status Monitoring system) b) there was delegation of medical responsibility to non-physicians  c) cost of $10 to 20 million was apparently not an issue in the saving of human life (several hundred thousand dollars per person) - although the mining company is being asked to reimburse 2/3 of the cost. Hmmm. I'll leave you to ponder the above. (Source: Denise Silber's eHealth) Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=4077243 Sat, 16 Oct 2010 23:00:00 +0100 4077243 http://www.medworm.com/index.php?rid=4074016&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FW9kZZfBN3W0%2F The physicians in the study reported 217 side effects to regulators during the study period, compared to none the year before. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4074016 Fri, 15 Oct 2010 13:44:04 +0100 4074016 http://www.medworm.com/index.php?rid=4040710&cid=t_97298_131_f&fid=35008&url=http%3A%2F%2Fscienceroll.com%2F2010%2F10%2F07%2Felectronic-medical-records-on-ipad%2F Medgadget just shared Nimble an EMR solution which looks quite amazing on iPads. I thought I would share some other solutions designed for iProducts because there are more and more of them. (Source: ScienceRoll) ScienceRoll blogs http://www.medworm.com/rss/comments.php?id=4040710 Thu, 07 Oct 2010 14:37:38 +0100 4040710 http://www.medworm.com/index.php?rid=4031237&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F10%2Ftweet-up-epatientdave-ginny.html Téléchargement 4 Oct 2010 Transcript for #health20fr - What the Hashtag   Tweetup today with @epatientdave & @oxyvet (Ginny) on #health20fr True to life examples are unpredictable and highly original and so were Dave & Ginny, our tweet-up guests. Dave deBronkiart has mostly been invited to speak at patient empowerment conferences alone. But, in reading between the lines of Laugh, Sing, Eat like a Pig, one realizes the massive importance of Ginny, Dave's wife, in Dave's life...sort of like the wedding vows to be your faithful partner in sickness and in health, ... And Dave regularly reminds us that he and Ginny honeymooned in Paris...So, how fitting for the French and English bilingual tweet-up that they both joined in and told us how much they are loving life. What ... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=4031237 Sun, 03 Oct 2010 23:00:00 +0100 4031237 http://www.medworm.com/index.php?rid=4013185&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F09%2Fmedting-demo.html Founder Miguel Cabrer presents, at Health 2.0 Europe 2010, Medting, a global doctors' case-sharing platform with extranet capabilities. (Source: Denise Silber's eHealth) Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=4013185 Wed, 29 Sep 2010 23:00:00 +0100 4013185 http://www.medworm.com/index.php?rid=4013134&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2Fn4haZL5yRc8%2F Sorting through a barrage of daily medical e-alerts "can be like finding a needle in a haystack." (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4013134 Tue, 28 Sep 2010 13:36:03 +0100 4013134 http://www.medworm.com/index.php?rid=4003233&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FakqbESPhiiI%2F It seemed obvious the computerized system would prevent harmful drug interactions. As it turns out, the system itself caused some harm. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=4003233 Tue, 28 Sep 2010 00:01:04 +0100 4003233 http://www.medworm.com/index.php?rid=3998944&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FidPPUVtB0fY%2F Government Health IT reports that CMS will make "minor revisions" to the regulations, which were released in July. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=3998944 Fri, 24 Sep 2010 20:21:29 +0100 3998944 http://www.medworm.com/index.php?rid=3987187&cid=t_97298_131_f&fid=35008&url=http%3A%2F%2Fscienceroll.com%2F2010%2F09%2F20%2Felectronic-medical-records-by-the-numbers%2F If we take a look at the biggest medical technology blogs right now, we will find dozens of articles and entries focusing on the issues related to electronic medical records. While the video below is actually an advertisement, it still can summarize the main problems around EMRs properly. (Source: ScienceRoll) ScienceRoll blogs http://www.medworm.com/rss/comments.php?id=3987187 Mon, 20 Sep 2010 12:43:46 +0100 3987187 http://www.medworm.com/index.php?rid=3957893&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FYItn1TBPSOw%2F Some 28% of respondents said they expect to qualify for stimulus funding before April 1, 2011, and another 62% by Sept. 30, 2012. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=3957893 Fri, 10 Sep 2010 19:39:55 +0100 3957893 http://www.medworm.com/index.php?rid=3954403&cid=t_97298_131_f&fid=35008&url=http%3A%2F%2Fscienceroll.com%2F2010%2F09%2F10%2Feprescribe-drugs-through-an-ipad%2F I just came across these videos from drchrono.com describing how drugs can be ePrescribed through an iPad. (Source: ScienceRoll) ScienceRoll blogs http://www.medworm.com/rss/comments.php?id=3954403 Fri, 10 Sep 2010 07:32:46 +0100 3954403 http://www.medworm.com/index.php?rid=3914996&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Felectronic-medical-records-er-wait-times-and-the-medical-blogosphere%2F2010.08.30 Here’s a confession: Despite my steadfast advocacy of medical blogging as a means to promote understanding and education, I continue worry a lot about professional liability. Not just whether the things I write could hurt my career, but, in terms of academic output, is blogging a waste of time? What view does my department’s leadership take on blogging? Still, I’ve continued to support medical blogging as a useful academic endeavor, hoping that someday this support would be borne out. When sites like Sermo and Facebook came along, I despaired that more physician opinions were going to be hidden behind walled gardens, available only to select colleagues or friends. Then, last week, some revelations — I discovered a member of my department’s leadership was blog... Better Health blogs http://www.medworm.com/rss/comments.php?id=3914996 Mon, 30 Aug 2010 20:00:00 +0100 3914996 http://www.medworm.com/index.php?rid=3902902&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fluddism-and-internet-based-medicine%2F2010.08.25 My recent post on the subject of email from patients raised more eyebrows than I expected. It also put me in a position I’m unfamiliar with: Looking like a luddite. Perhaps I’m not forward-thinking enough in my reluctance to embrace this advance. Perhaps I’ve gotten conservative as I’ve grown grey. Electronic communication is a great idea (I’m doing it right now), so why not apply it to my medical practice? Has Ned Lud gotten into my circle of influence? This is, of course, extremely ironic. I lived so much on the cutting edge that my butt developed calluses. The calluses, however, were not just put there by the edge, they also came from occasional kicking. The problem is I have an addiction: I’m addicted to change. I’m constantly looking for new a... Better Health blogs http://www.medworm.com/rss/comments.php?id=3902902 Wed, 25 Aug 2010 12:00:25 +0100 3902902 http://www.medworm.com/index.php?rid=3880821&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FGEYG_ZU8pfs%2F A study looked at data from 2006 and found that only advanced EMR systems were associated with shorter ER waits. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=3880821 Wed, 18 Aug 2010 14:31:03 +0100 3880821 http://www.medworm.com/index.php?rid=3876648&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fdoctors-and-alarm-fatigue-potential-for-patient-harm%2F2010.08.17 The hospital is never a quiet place. Walk through the wards on a typical day and you’ll hear a cacophony of alarms, bells, and other tones coming from both computers and medical equipment. American Medical News recently discussed so-called “alarm fatigue.” They cite a study showing find that “16,934 alarms sounded in [a medical] unit during an 18-day period.” That’s astounding, and for those who are wondering, that’s about 40 alarms an hour. It’s not surprising that doctors become desensitized to these alarms, and that has potential to harm patients, as physicians may miss legitimate, emergent findings. (more…) *This blog post was originally published at KevinMD.com* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3876648 Wed, 18 Aug 2010 01:00:48 +0100 3876648 http://www.medworm.com/index.php?rid=3872555&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fsecurity-of-patient-records-the-weakest-link%2F2010.08.16 The Queen of Soul famously wailed about being a link in a “chain of fools.” The lead story in the August 13th Boston Globe tells us about another sort of link in the chain — the weakest link in the chain of custody of patient records. In brief, a pathology billing service bought out by another service apparently dumped all records more than a year old in a town dump. A Globe photographer taking out his own trash noticed that the paper records (which he was looking at because he thought they ought to be recycled rather than dumped) had identifiable patient data and represented at least four hospitals from across Eastern Massachusetts. Clearly, these records ought to have been shredded or otherwise destroyed before disposal. (more…) *This blog post was or... Better Health blogs http://www.medworm.com/rss/comments.php?id=3872555 Mon, 16 Aug 2010 16:00:13 +0100 3872555 http://www.medworm.com/index.php?rid=3854519&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fe-visits-with-patients-for-greedy-doctors-or-not%2F2010.08.10 Dr. Wes (a cardiology blogger whom all should read) wrote a very compelling post about technology and the bondage it can create for doctors: The devaluation of doctors’ time continues unabated. As we move into our new era of health care delivery with millions more needing physician time (and other health care provider’s time, for that matter) –- we’re seeing a powerful force emerge –- a subtle marketing of limitless physician availability facilitated by the advance of the electronic medical record, social media, and smartphones. Doctors, you see, must be always present, always available, always giving. These sound like dire words, but the degree to which it has resonated around the Web among doctors is telling. (more…) *This blog post was originally published at Mus... Better Health blogs http://www.medworm.com/rss/comments.php?id=3854519 Wed, 11 Aug 2010 00:00:03 +0100 3854519 http://www.medworm.com/index.php?rid=3816396&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F08%2Fcegedim.html Pulse Systems based in Wichita Kansas with 2010 revenues of US$16 million and certified CCHIT 2011, was the recent site of an important international announcement. I am not referring to  its homepage banner indicating that its electronic health records solutions will meet the US stimulus package requirements, in keeping with the package proposed by Obama and enacted by Congress in Feb. 2009, providing $30 billion in incentives for physicians and hospitals to implement electronic health records EHR's. I am referring to the fact that on July 28, 2010 Pulse Systems joined Cegedim Health Systems, a division of French-based CEGEDIM, thereby receiving $13.5 million in cash and a potential additional payment for a total of no more than $58 million over the next two years. Pulse, while... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3816396 Mon, 02 Aug 2010 23:00:00 +0100 3816396 http://www.medworm.com/index.php?rid=3786975&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F07%2Fpanel-discussion-can-health-20-improve-ehr-adoption.html By Matthew Holt On stage at Health 2.0 Goes to Washington, June 07, 2010, this panel discussed the Electronic Health Record (EHR) and ways to improve its adoption and the relationship between physicians and patients. The moderator was Joshua Seidman,... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3786975 Sun, 25 Jul 2010 23:00:00 +0100 3786975 http://www.medworm.com/index.php?rid=3780312&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F07%2Fbeating-up-on-onc-mostly-unjustified.html By Matthew Holt Earlier this week there was a curious little hearing at Pete Stark’s committee. Much of the Q & A—mind you post the announcement of the final meaningful use rules—was (apparently, as I can’t find the transcript) a... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3780312 Wed, 21 Jul 2010 23:00:00 +0100 3780312 http://www.medworm.com/index.php?rid=3776356&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FsZkWQLsplYQ%2F The AMA says the requirements are improved but still ask too much of doctors. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=3776356 Wed, 21 Jul 2010 16:26:23 +0100 3776356 http://www.medworm.com/index.php?rid=3772217&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FPoEf7vBJJQM%2F What would you think if you saw "SOB" in the notes your doctor took about your visit? (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=3772217 Tue, 20 Jul 2010 12:36:24 +0100 3772217 http://www.medworm.com/index.php?rid=3761388&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F07%2Fso-im-on-tv-unfortunately-in-piece-of-crappy-reporting.html By Matthew Holt So last month the nice people from KTVU (the local Fox affiliate in SF) came by to interview me and last night it aired. They’d been over at web-based EMR vendor Practice Fusion and had found out... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3761388 Thu, 15 Jul 2010 23:00:00 +0100 3761388 http://www.medworm.com/index.php?rid=3757841&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FQ2OwvQ7lgN0%2F Would you pick a doctor or a hospital if you knew they were more wired? (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=3757841 Thu, 15 Jul 2010 20:26:08 +0100 3757841 http://www.medworm.com/index.php?rid=3750059&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fonline-medical-records-not-all-patients-want-all-that%2F2010.07.13 Anytime you come across a healthcare article that implies that every patient wants access to this or that – i.e. their medical record, patient-centered care, etc. – you can safely assume that the claim is wrong. Why? Patients are not a monolithic group –- they don’t all share the same motivations, preferences, beliefs or experiences when it comes to their health. But let’s face. If you are trying to push an agenda, just saying some people want this or that is not the same as implying that everyone wants it. Take the issue of patient access to physician notes in their medical record. Robert Wood Johnson (RWJ) recently announced their OpenNotes study. The OpenNotes project will evaluate the impact on both patients and physicians of sharing, through online medical record p... Better Health blogs http://www.medworm.com/rss/comments.php?id=3750059 Tue, 13 Jul 2010 18:00:51 +0100 3750059 http://www.medworm.com/index.php?rid=3750036&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FfkOjyP3W2w0%2F Changes from the draft version make it easier for hospitals and doctors to qualify for the first round of incentive payments. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=3750036 Tue, 13 Jul 2010 16:16:53 +0100 3750036 http://www.medworm.com/index.php?rid=3750010&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F07%2Fmeaningful-use-and-cats-dogs.html By Matthew Holt More than a year or so of squabbling is (sort of) over and today HHS announced its criteria for the first phase of meaningful use. Essentially the 25 criteria for qualifying for “meaningful use” (in other words... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3750010 Mon, 12 Jul 2010 23:00:00 +0100 3750010 http://www.medworm.com/index.php?rid=3750009&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F07%2Finterview-blumenthal-talks-meaningful-use.html By Matthew Holt Absolutely hot off the recorder, here's my interview with David Blumenthal, the Obama administration's National Coordinator for Health IT. David and I discuss patient communication, why the percentages of certain criteria were reduced, and how to get... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3750009 Mon, 12 Jul 2010 23:00:00 +0100 3750009 http://www.medworm.com/index.php?rid=3721728&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F07%2Fconsenting-technologies-.html By MARGALIT GUR-ARIE Yesterday, ONC held a fine gathering at the Grand Hyatt in Washington DC. There were experts, ONC Tiger team members and cutting edge technology vendors displaying and discussing platforms and software for providing patients the opportunity to... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3721728 Thu, 01 Jul 2010 23:00:00 +0100 3721728 http://www.medworm.com/index.php?rid=3695563&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F06%2Fdigital-projects-france.html Nathalie Kosciusko-Morizet, the French Minister of the Digital Economy, is the motor behind a recent French law proposing a 4.5 B Euro budget,to "create wealth for future generations" via digital initiatives. This  begins by a public consultation ongoing til July 7. The envelope is divinded into two main categories: 2B for infrastructure and 2.5 B for services. There are 9 priority areas: cloud computing, digitization of content, digital technologies, smart grids, ehealth, network security, intelligent transport systems, digital city, e-education. The French government will invest and participate in co-financing of those projects that are the most advanced. Initial ongoing consultation is for the purpose of collecting and understanding "needs" before holding a pub... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3695563 Wed, 23 Jun 2010 23:00:00 +0100 3695563 http://www.medworm.com/index.php?rid=3671661&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2F8pQNBhWRWiI%2F Consumers also aren't sure what's available to them -- 42% don't know if their primary-care doc uses electronic medical records. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=3671661 Thu, 17 Jun 2010 18:30:08 +0100 3671661 http://www.medworm.com/index.php?rid=3671697&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fwhy-improved-patient-care-isnt-in-the-chart%2F2010.06.16 Why do we physicians chart the way we do? Hopefully, we do it perfectly well and have no concerns at all. But where I practice emergency medicine, we are approaching maximum inefficiency in charting. It all became much clearer when we started using our new EMR system. Let me make it clear, I’m not against EMR. In fact, typing and templates work better for me than dictating. My dictations were usually a mine field of blanks and misunderstood words. Furthermore, if I wanted to use it, we have a new voice recognition dictation system in addition to our templated chart. Though admittedly, the voice recognition program clearly hates some of my partners, as evidenced by the way they grasp the screen and yell at it (‘Chest Pain, not west rain!’) and by its inexplicable use of profanity in ... Better Health blogs http://www.medworm.com/rss/comments.php?id=3671697 Wed, 16 Jun 2010 22:00:10 +0100 3671697 http://www.medworm.com/index.php?rid=3665973&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Felectronic-medical-records-what-is-meaningful-use%2F2010.06.15 Quiz:  What does the term “meaningful use” mean? A.  Using something in a way that gives life purpose and leads to carefree days of glee. B.  It depends on your definition of the word “term.” C.  It’s not mean. It’s really nice. D.  A large number of rules created by the government to assess a practice’s use of electronic medical records (EMRs) so that they can spur adoption, give criteria for incentive rewards, and have physicians in a place where care can be measured. E.  Job security for those making money off of health IT. The answer, of course, is D and E. (more…) *This blog post was originally published at Musings of a Distractible Mind* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3665973 Tue, 15 Jun 2010 22:00:07 +0100 3665973 http://www.medworm.com/index.php?rid=3662668&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F06%2Fcertification-emr-software.html Chris Thorman, The author of an interesting blogpost on the standards bodies related to EMR's contacted me and asked that I encourage my network to vote on his survey. Please read his post and vote!Chris's question regards the future of the CCHIT, who used to be the single certifying body, designated by the Department of Health and Human Services, and now finds itself one amongst many both private and public. In August 2009, the "National Coordinator for Health IT, said that it would be in the best interest of the healthcare industry to have multiple entities certifying EHR software." So, what will happen to CCHIT?Chris also points out the handy Health IT standards and testing site for those of you who are interested in the subject: http://healthcare.n... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3662668 Mon, 14 Jun 2010 23:00:00 +0100 3662668 http://www.medworm.com/index.php?rid=3644745&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FCQf4U2-OsIo%2F Also: a $1.3 billion health IT merger; abortion-inducing pills via telemedicine in Iowa. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=3644745 Wed, 09 Jun 2010 12:29:18 +0100 3644745 http://www.medworm.com/index.php?rid=3644721&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F06%2Fallscripts-buys-eclipsys-does-it-make-sense.html By Matthew Holt Queen of shoes Inga at HISTalk got ahead of the news (she tweeted about 2 hours before the announcement—not sure if that led to the news being moved up—but the Eclipsys stock showed no sign of word... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3644721 Tue, 08 Jun 2010 23:00:00 +0100 3644721 http://www.medworm.com/index.php?rid=3641018&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F06%2Fdermatology-distance.html In this study, patients learned how to take an appropriate photo and send them to their physician. There are many other  favorable dermatology at a distance studies. Of course, we are not saying that all dermatology consultations should be done from a  distance, but undoubtedly far more than at the present time if we want to make good use of patients', physicians', and system resources. (Source: Denise Silber's eHealth) Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3641018 Mon, 07 Jun 2010 23:00:00 +0100 3641018 http://www.medworm.com/index.php?rid=3635738&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F06%2Fonline-consultation.html As the latest NYTimes article tells us, American patients are ready for online consultation, but it won't take off until doctors get paid for it. Take a quick look at the numbers1) 42% of American doctors say they have exchanged by email with their patients. This is not a consultation of course.  9 million Americans say they have exchanged by (ordinary, non secure (!)) email with their doctor. This is not reimbursed.2) 80 million (!) Americans would be interested in getting an online consultation.3) Various insurers including Cigna, Aetna, Blue Shield, Wellpoint, Humana reimburse online consultation. But only 1% of their physicians have begun to do so. 4) Insurers tend to reimburse the online consultation from 1/3 to 1/2 of the price of an office consult.5) 12 A... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3635738 Sat, 05 Jun 2010 23:00:00 +0100 3635738 http://www.medworm.com/index.php?rid=3625496&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F06%2Fannouncing-the-health-20-developer-challenge.html Health 2.0 is proud to announce The 2010 Health 2.0 Developer Challenge, with support from the Department of Health and Human Services (HHS) and the Community Health Data Initiative (CHDI).With newly opened government data sets and lightweight frameworks for rapid application development, we have a unique opportunity to participate in an ecosystem of data “suppliers” and “appliers” to build innovative tools to improve personal and population health.Who can participate?Government agencies, community organizations, foundations, healthcare and technology companies, software developers, UI designers, subject matter experts – all backgrounds welcome!Organizations working on related efforts will be able to join the Challenge Consortium to share resources and success stories. For exampl... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3625496 Tue, 01 Jun 2010 23:00:00 +0100 3625496 http://www.medworm.com/index.php?rid=3625495&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F06%2Fva-it-contest-winners.html Continuing in the crowd-sourcing, 2.0 mode, Silber's Blog is  particularly pleased to post this information about a completed crowd-sourcing competition at the VHA, who  remain near and dear since my mission to Tulsa and Washington DC a few years ago. The employees at the VHA submitted 26 winning ideas between February and May 28th when the contest winners were announced. These run the gamut from search engines to a  suicide hotline and a touchscreen device for nurse support.6500 ideas were submitted. Then a  web-based voting method narrowed the submissions to a smaller group of finalists that were then judged by a panel.  The panel consisted of 24 department employee and other distinguished participants, including Craig, the founder of &... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3625495 Tue, 01 Jun 2010 23:00:00 +0100 3625495 http://www.medworm.com/index.php?rid=3621678&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F06%2Fannouncing-the-health-20-developer-challenge.html Health 2.0 is proud to announce The 2010 Health 2.0 Developer Challenge, with support from the Department of Health and Human Services (HHS) and the Community Health Data Initiative (CHDI).With newly opened government data sets and lightweight frameworks for rapid application development, we have a unique opportunity to participate in an ecosystem of data “suppliers” and “appliers” to build innovative tools to improve personal and population health.Who can participate?Government agencies, community organizations, foundations, healthcare and technology companies, software developers, UI designers, subject matter experts – all backgrounds welcome!Organizations working on related efforts will be able to join the Challenge Consortium to share resources and success stories. For exampl... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3621678 Tue, 01 Jun 2010 23:00:00 +0100 3621678 http://www.medworm.com/index.php?rid=3621620&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F06%2Fhealth-20-webinar-with-david-hale-ted-eytan-regina-holliday-marco-smit.html By Matthew Holt Tuesday's Health 2.0 Show with Indu & Matthew was (IMHO) the best we’ve done so far. For those of you who missed it, we had David Hale demoing talking about Pillbox—fascinating. Then Ted Eytan and Patient activist... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3621620 Tue, 01 Jun 2010 23:00:00 +0100 3621620 http://www.medworm.com/index.php?rid=3614515&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F05%2Fnhsdirect-a-la-francaise.html While all the world's health systems share the same objectives of improving the health of their population, the regulation and organization of care is national and reflects many local factors (demography, genetics, environment, diseases, culture, resources, history of public policy...). Nonetheless, as many developed economies hit up on the same challenges of insufficient resources, budget deficits, unequal quality of care, benchmarking is becoming more common? The recent Health 2.0 Europe conference is a case in point of the potential synergies amongst European health innovators. The May 20th edition of the French daily Le Figaro   explains a recent benchmarking development;  the French Health Minister is considering establishing a single govermental portal with a na... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3614515 Sun, 30 May 2010 23:00:00 +0100 3614515 http://www.medworm.com/index.php?rid=3610305&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F05%2Fregina-holiday-here-today-on-the-health-20-show-tuesday.html By Matthew Holt As we get closer to Health 2.0 Goes to Washington on June 7 (Monday) we'll be ramping up coverage of all kinds of things, and one is a big chance for you all to get to know... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3610305 Thu, 27 May 2010 23:00:00 +0100 3610305 http://www.medworm.com/index.php?rid=3607496&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F05%2Ffastcompany-cleveland-clinic.html FastCompany published its new top 100 creatives list, headed by  Lady Gaga, in case your wondering. Anyhow, it's a serious exercise and the first health care listing is none other than the director of the Cleveland Clinic, Dr Martin Harris,  number 12.Dr Harris has worked with Google Health and Microsoft and let's not forget to mention recently with the stimulus package, thanks to the Obama White House..I always like to point out the worldclass health information system at the Cleveland Clinic, its 6 million files, its scorecard for physicians approach, and of course its wonderful  social media policy with quite a few successes. My favorite is the YouTube video of the pianoplaying waiting room couple. Thank you @johnsharp for bringing Cleveland Clinic to our atten... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3607496 Wed, 26 May 2010 23:00:00 +0100 3607496 http://www.medworm.com/index.php?rid=3592209&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fpatient-tests-ehrs-and-medical-homes-the-price-isnt-right%2F2010.05.24 Healthcare reform is forcing medical students to learn about the financial costs of the tests they order, as well as their clinical importance. Once a taboo topic, it’s being openly taught to students to prepare them for practice. At Harvard, one physician in training duplicated television’s “The Price is Right” to keep his peers guessing at the costs of tests on a patient’s bill. Molly Cooke, FACP, a Regent of the College, encourages doctors to consider the value of the tests they order as they deliver care. (Kaiser Health News, New England Journal of Medicine) The price isn’t right for electronic medical records. Even $44,000 in stimulus money isn’t enough to make doctors jump into using computers. (more…) *This blog post was origin... Better Health blogs http://www.medworm.com/rss/comments.php?id=3592209 Mon, 24 May 2010 14:00:00 +0100 3592209 http://www.medworm.com/index.php?rid=3590326&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F05%2Fhealth-20-goes-to-washington--three-questions-for-ryan-howard-practice-fusion.html By Matthew Holt Health 2.0 Goes to Washington, the one day conference is coming up on June 7th. We’re going to be featuring a quick series of podcasts with just a few of the presenters and demoers who are going... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3590326 Sat, 22 May 2010 23:00:00 +0100 3590326 http://www.medworm.com/index.php?rid=3573660&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FjvCvqnftz2w%2F At issue are the grants available under the stimulus bill to doctors and hospitals showing “meaningful use” of electronic health records. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=3573660 Tue, 18 May 2010 12:42:54 +0100 3573660 http://www.medworm.com/index.php?rid=3569772&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F05%2Freflections-from-health-20-in-the-doctors-office.html By William Sellman, M.D., MBA Will Sellmann has commented on a couple of panels at Health 2.0 and been very prescient. Now he's spent a bit of time to pen his reflections on what happened in Health 2.0 in the... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3569772 Sun, 16 May 2010 23:00:00 +0100 3569772 http://www.medworm.com/index.php?rid=3563945&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FK7Uydz53wXg%2F How might Apple's iPad fit into the world of health care? (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=3563945 Thu, 13 May 2010 20:28:04 +0100 3563945 http://www.medworm.com/index.php?rid=3556032&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F05%2Fthe-practical-consumer-vs-the-impratical-deb-peel.html By Matthew Holt So it’s time for a little rant about everyone’s favorite privacy advocate, and the way she gets treated in the press—including by people who should know better (yes, I mean you, Inga at HERTalk, even though I... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3556032 Tue, 11 May 2010 23:00:00 +0100 3556032 http://www.medworm.com/index.php?rid=3529761&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FtLLvx3gYyMA%2F The study, published online today in Pediatrics, found that at Lucile Packard Children’s Hospital at Stanford, the monthly mortality rate dropped by 20%. (Source: WSJ.com: Health Blog) WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=3529761 Mon, 03 May 2010 18:07:46 +0100 3529761 http://www.medworm.com/index.php?rid=3529788&cid=t_97298_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fa-not-so-unforseen-complication-of-electronic-health-records%2F2010.05.03 [Here's a] good article [from] the New York Times written by a doctor [Pauline Chen, M.D.] about intrusive aspects of electronic health records (EHRs) on doctor-patient communication. An excerpt: “…just because EMR improves information sharing and retrieval, it doesn’t necessarily follow that our communication with patients and colleagues will also be better.” Read the rest of the article here. *This blog post was originally published at a few thoughts from a tumor surgeon* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3529788 Mon, 03 May 2010 18:00:03 +0100 3529788 http://www.medworm.com/index.php?rid=3494310&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F04%2Fhealth-20-europe-government.html Is a keynote speech necessarily the highpoint of the conference for the audience? When the speaker is an international celebrity, if nothing else, the audience will have had the pleasure of seeing the speaker in person. But in healthcare where there are few global celebrities, the keynotes can be just as boring as elsewhere. Not so at Health 2.0 Europe, where you could hear a pin drop during the session.As the organizer, I of course felt that we were proposing an exciting selection  with  Etienne Caniard from France, Pieter Vos of the Netherlands, and Morten E Petersen of Denmark. We would be taking the audience on a journey from a country that is just starting to recognize the important of Health 2.0, France, to the Netherlands that has finished a public consultation on the su... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3494310 Wed, 21 Apr 2010 23:00:00 +0100 3494310 http://www.medworm.com/index.php?rid=3490631&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F04%2Fhealth-20-europe-government.html Is a keynote speech necessarily the highpoint of the conference for the audience? When the speaker is an international celebrity, if nothing else, the audience will have had the pleasure of seeing the speaker in person. In public policy forums, on the other hand, the Al Gores are few and far between. And keynotes may be -- how shall I say-dull, although no one will deny the importance of Government in Europe.As organizer/moderator of the keynote session at Health 2.0 Europe, I knew that we were proposing a most exciting selection of keynote speakers with  Etienne Caniard from France, Pieter Vos of the Netherlands, and Morten E Petersen of Denmark. However, I didn't realize just how well the chemistry would work amongst the speakers who had not previously appeared together....Read... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3490631 Tue, 20 Apr 2010 23:00:00 +0100 3490631 http://www.medworm.com/index.php?rid=3490585&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F04%2Fcatching-up-with-anvita-health.html By Matthew Holt Another one of my HIMSS interviews that's taken a while to make it onto THCB. But that shouldn't fool you--Anvita Health is one of the more interesting companies out there, doing complex analytics to personalize and identify... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3490585 Tue, 20 Apr 2010 23:00:00 +0100 3490585 http://www.medworm.com/index.php?rid=3490584&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F04%2Fanother-physician-tool-mpay-gateway-interview.html By Matthew Holt While I clear out interviews that I have had in the can that were interrupted by first health reform and then Health 2.0 Europe, here's an interesting one on a very niche application mPay Gateway that helps... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3490584 Tue, 20 Apr 2010 23:00:00 +0100 3490584 http://www.medworm.com/index.php?rid=3486994&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F04%2Fhealth-20-in-the-doctors-office.html By Matthew Holt The Health 2.0 meetings are coming thick and fast at the moment. No sooner have we finished Health 2.0 Europe in Paris (a very successful first venture abroad—and fortuitously held before the Icelandic eruptions suspended air travel... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3486994 Mon, 19 Apr 2010 23:00:00 +0100 3486994 http://www.medworm.com/index.php?rid=3471813&cid=t_97298_105_f&fid=38964&url=http%3A%2F%2Fdrwes.blogspot.com%2F2010%2F04%2Ffirst-health-care-information.html For anyone who has or will be implementing an Electronic Medical Record, here's the very first successful implementation of the information technology help desk:Look familiar?-WesMusings of a cardiologist and cardiac electrophysiologist. (Source: Dr. Wes) Dr. Wes blogs http://www.medworm.com/rss/comments.php?id=3471813 Thu, 15 Apr 2010 04:23:00 +0100 3471813 http://www.medworm.com/index.php?rid=3471732&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F04%2Fimportant-input-on-conusmer-meaningful-use-wanted-apr-20.html By Matthew Holt Josh Seidman, now running the meaningful use program at ONC, but formerly of the Center for Ix Therapy writes with an important request: The Meaningful Use Workgroup of the Health IT Policy/federal advisory committee that advises ONC)... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3471732 Wed, 14 Apr 2010 23:00:00 +0100 3471732 http://www.medworm.com/index.php?rid=3463566&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FaCDFLpB31rU%2F Patients already lie to their doctors. And almost half of respondents in a new survey said if there was any hint their health information — even stripped of identifying details like name or date of birth — would be shared with outside organizations, they might be even less forthcoming. A study on electronic medical records use by the California HealthCare Foundation, a philanthropic group, found that 15% of the 1,849 adults surveyed said they’d conceal information from a physician if “the doctor had an electronic medical record system” that could share that info with other groups. Another 33% would “consider hiding information.” Privacy concerns still hover around EMRs, with 68% of survey respondents reporting some degree of worry about what happens to their personal information on... WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=3463566 Tue, 13 Apr 2010 14:05:33 +0100 3463566 http://www.medworm.com/index.php?rid=3467733&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FaCDFLpB31rU%2F Patients already lie to their doctors. And almost half of respondents in a new survey said if there was any hint their health information — even stripped of identifying details like name or date of birth — would be shared with outside organizations, they might be even less forthcoming. A study on electronic medical records use by the California HealthCare Foundation, a philanthropic group, found that 15% of the 1,849 adults surveyed said they’d conceal information from a physician if “the doctor had an electronic medical record system” that could share that info with other groups. Another 33% would “consider hiding information.” Privacy concerns still hover around EMRs, with 68% of survey respondents reporting some degree of worry about what happens to their personal information on... WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=3467733 Tue, 13 Apr 2010 13:54:37 +0100 3467733 http://www.medworm.com/index.php?rid=3460159&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F04%2Fhealth-20-europe-paris-messages.html Whether you attended the Health 2.0 Europe conference in Paris or not, if you're interested in the movement, whatever the name you use for it, you've been waiting to hear the results of the conference. In this first article, we'll look at  the takeaway messages. What did people learn? Well, this very much depends on what they knew going in. But we'll take a stab at answering nonetheless. Click for the important takeaways that the program could provoke. And come back soon for the next blogpost, where we'll work our way through the agenda.                              Takeaway messagesIn preface to the following observation... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3460159 Sat, 10 Apr 2010 23:00:00 +0100 3460159 http://www.medworm.com/index.php?rid=3457831&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F04%2Fhealth-20-europe-paris-messages.html Whether you attended the Health 2.0 Europe conference in Paris or not, if you're interested in the movement, whatever the name you use for it, you've been waiting to hear the results of the conference. In this first article, we'll look at  the takeaway messages. What did people learn? Well, this very much depends on what they knew going in. But we'll take a stab at answering nonetheless. Click for the important takeaways that the program could provoke. And come back soon for the next blogpost, where we'll work our way through the agenda.                              Takeaway messagesIn preface to the following observation... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3457831 Sat, 10 Apr 2010 23:00:00 +0100 3457831 http://www.medworm.com/index.php?rid=3440769&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2F8GxyZcWIAEQ%2F Anyone who follows health IT knows that the Department of Veterans Affairs often gets high marks for being an early adopter of electronic medical systems in the U.S. Now a study in Health Affairs tries to put a price-tag on what the VA systems collectively called Vista, for Veterans Health Information Systems and Technology Architecture. The bottom line: “We conservatively estimate that the VA’s investments in the four health IT systems studied yielded $3.09 billion in cumulative benefits net of investment costs by 2007,” say the authors, a team from Center for IT Leadership at Partners Healthcare in Charlestown, Mass. The results looks at measures such as reduced workloads, freed workspace and savings from items such as unneeded medical tests and avoided hospital admissions. ... WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=3440769 Tue, 06 Apr 2010 13:54:38 +0100 3440769 http://www.medworm.com/index.php?rid=3420453&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F03%2Fpredicting-health20-in-2001.html In preparing my notes for the Health 2.0 Europe conference in Paris April 6,7, I came across a 2001 article in which Marilyn Larkin interviewed Mark Bard and myself. The article was written just after the crash of the first internet bubble. If you read Mark Bard's and my comments, you will see that we both spoke of a second stage, where web sites woud go beyond content to practical applicationsWe were in fact predicting the arrival of Health 2.0I in particular spoke of the "rise and fall and rise" of the internet health sector.OK, so I wasn't expecting it would take 9 years to reach the level of interest we see today...But as they say in French, when you love, who's counting?PS I'm sorry I'm printing this article from Lancet...But it is 9 years later...and for... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3420453 Mon, 29 Mar 2010 23:00:00 +0100 3420453 http://www.medworm.com/index.php?rid=3415992&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F03%2Fhealth-20-webinar-on-emrs-meaningful-use-clinical-groupware.html By Matthew Holt The Health 2.0 crew is in Paris—yes Health 2.0 Europe is next week (April 6 & 7) but the Health 2.0 clock is still running in the US with conferences in Florida for physicians on April 24,... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3415992 Sun, 28 Mar 2010 23:00:00 +0100 3415992 http://www.medworm.com/index.php?rid=3415995&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F03%2Fphysicians--grumpy-getting-grumpier.html By Matthew Holt As the careful THCB reader may have noted, we like to feature Daniel Palestrant (CEO of Sermo) and Jonathan Bush (CEO of athenahealth) relatively frequently because a) they’re both very entertaining and b) their companies are providing... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3415995 Sun, 28 Mar 2010 00:00:00 +0100 3415995 http://www.medworm.com/index.php?rid=3408353&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FjUoZKysV-e8%2F More and more doctors are moving away from private practice and are instead becoming employees of hospitals and health systems, reports the NYT. This trend could mean more coordinated and better care for patients, though without the personal touch that private practice offers. Patients are more likely to see the same doctor in private practice than they are in a health center setting. For docs, receiving a salary from an employer could mean less worries about changes to the health-care system. They also don’t have to worry about implementing expensive electronic medical records in their practices, according to the NYT. But it also does mean that the practice of medicine is likely changing permanently. “When I was young, you didn’t blink an eye at being on call all the time, go... WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=3408353 Fri, 26 Mar 2010 12:24:09 +0100 3408353 http://www.medworm.com/index.php?rid=3374080&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F03%2Fandy-wiesenthal-kaiser-permanente.html By Matthew Holt Those of you with really long memories may remember that Kaiser had a little kerfuffle with a guy named Justen Deal. As part of that incident, I did a rather unorthodox interview with Andy Wiesenthal from The... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3374080 Wed, 17 Mar 2010 00:00:00 +0100 3374080 http://www.medworm.com/index.php?rid=3370349&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F03%2Fmicrosoft-at-himss.html By Matthew Holt I'm still catching up with my HIMSS interviews. This is Chris Sullivan and Mike Raymer from Microsoft who are talking about the evolution of the Amalga product—the business intelligence engine—and the current state of HealthVault. (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3370349 Tue, 16 Mar 2010 00:00:00 +0100 3370349 http://www.medworm.com/index.php?rid=3370346&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F03%2Fjonathan-bush-quickly.html By Matthew Holt Jonathan Bush gave me a quick interview at HIMSS ten days ago. We had a chat about what the recent restatement of accounting was all about (stock off about 12%), and last night they released numbers that... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3370346 Tue, 16 Mar 2010 00:00:00 +0100 3370346 http://www.medworm.com/index.php?rid=3370413&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F03%2Fmiguel-cabrer-medting.html Miguel Cabrer founder of MEDTING, a global site for the exchange of  medical information and images, will be a panelist at Health 2.0 Europe in Paris. Formerly CIO of Hospital Son Llatzer, the first digital hospital in Europe (European Commission eHealth Award in 2004) and eHealth Coordinator for the Balearic Islands Health Department,  Miguel Cabrer is now an independent eHealth Advisor, Member of the HIMSS EMEA Governing Council and Member of the IMIA Web 2.0 taskforce workgroup.  Our Health 2.0 Regional Ambassador to Spain, Miguel even found the time to be interviewed!     Denise says: Please tell us the main reason for a physician to use Medting?   Miguel says: Physicians use Medting to share a clinical case with a colleague from anywhere in the ... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3370413 Mon, 15 Mar 2010 00:00:00 +0100 3370413 http://www.medworm.com/index.php?rid=3358938&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F03%2Fepocratesreference-present-and-emr-future.html By Matthew Holt I met with Bob Quinn the CTO and Geoff Rutledge, the CMO, of Epocrates at HIMSS last week. The company has a big footprint in mobile (and web) reference content for physicians. The big news is that... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3358938 Thu, 11 Mar 2010 00:00:00 +0100 3358938 http://www.medworm.com/index.php?rid=3354254&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F03%2Fglen-tullman-allscripts.html By Matthew Holt Allscirpts' CEO Glen Tullman has had a good year. Allscripts' stock is up four-fold, sales are going well and some people think that ARRA/HITECH's fillup to the healthcare IT industry is mostly his doing--he was an early... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3354254 Thu, 11 Mar 2010 00:00:00 +0100 3354254 http://www.medworm.com/index.php?rid=3318384&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F03%2Fweb-20-bmj-braillon-silber-act-2.html You recall that I learned about a French colleague's unfortunate "sacking" through a Dutch colleague's tweet of an article by a French author in BMJ and wrote about it on this blog and my French blog. This all led to broad 2.0 relaying of the story in France. Chapter 2 is a somewhat happier story. Braillon and SIlber responded jointly this weekend to an article that Alain Braillon had noticed. And sure enough it was published online the same day and discouvered thanks to  a Google alert received this morningOur response explained why we think that the FDA should not suddenly be recommending that patients fill in  lists of x-rays taken on a separate form, given the many alternatives for a relatively complete file online, not to mention the "meaningful use&... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3318384 Mon, 01 Mar 2010 00:00:00 +0100 3318384 http://www.medworm.com/index.php?rid=3294588&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F02%2Fvideo-health-20-europe-speaker-mohammad.html Catch Dr Mohammad Al Ubaydli speaking about electronic health records. Meet him in person at Health 2.0 Europe. Improving patient care with the EPR - Mohammad Al-Ubaydli from Mohammad Al-Ubaydli on Vimeo. (Source: Denise Silber's eHealth) Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3294588 Mon, 22 Feb 2010 00:00:00 +0100 3294588 http://www.medworm.com/index.php?rid=3279953&cid=t_97298_87_f&fid=36224&url=http%3A%2F%2Ffeeds.wsjonline.com%2F%7Er%2Fwsj%2Fhealth%2Ffeed%2F%7E3%2FfRhr37lui7Y%2F Paper medical records can easily go missing, contain bad or missing information and undermine patient care. But consider the alternative, says Alexander Friedman, a fellow in maternal-fetal medicine at the University of Pennsylvania. As a resident fresh out of medical school, Friedman was working an an ememrgency room switching over to electronic medical records, he writes in a guest column on WSJ.com. Checking boxes and inserting codes required by the new system became the focus rather than tending to the patient, he says. As a result, he adds: I often stood turned away, typing on the computer mounted against the wall, occasionally turning my head over my shoulder to make eye contact. I used a pre-emptive apology — “I’m sorry. I apologize for having my back to you&#822... WSJ.com: Health Blog blogs http://www.medworm.com/rss/comments.php?id=3279953 Tue, 16 Feb 2010 18:31:22 +0100 3279953 http://www.medworm.com/index.php?rid=3248521&cid=t_97298_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F02%2Fehr-redux.html By by DAVID C. KIBBE It's time to revive the discussion of electronic health record software in light of the new federal regulations that define criteria for meaningful use and also set criteria for the EHR technologies that must be... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3248521 Sun, 07 Feb 2010 00:00:00 +0100 3248521 http://www.medworm.com/index.php?rid=3220522&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F01%2Fphrs-revolution-microsofthealthvault.html So, it's a big week in PHR-land. Revolution Health stops theirs for lack of users. Obama doesn't mention health IT in his State of the Union address. Microsoft Health Vault goes off to test European waters via Siemens in Germany. Good thing the weekend is almost upon us...But that doesn't mean the news will stop. On the contrary, with all the tweeters, bloggers, etc, we're all having to tweet and blog, faster and faster to keep our platforms current.Who can predict the physionomy of the PHR market? All I can say, is that it is sure to be hybrid. No big new national programs that ultimately bite the dust, despite Denmark's success. Long live innovation...We're waiting for the breakthrough and if we don't continue to innovate, phr's will remain imperfect ... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3220522 Fri, 29 Jan 2010 00:00:00 +0100 3220522 http://www.medworm.com/index.php?rid=3220726&cid=t_97298_145_f&fid=35710&url=http%3A%2F%2Fstoryofhealing.com%2F2010%2F01%2F28%2Fshifting-paradigm-active-and-towards-more-efficient-patient-care%2F The paradigm is shifting on patient care… and in many directions. One of the many things that is exciting about this century’s palpable heartbeat is a noticeable and rightfully unabashed effort by providers of medical and health care (and many others concerned) to wear their sneakers once again, run around, jump up and down, and explore further how patient care is delivered. The resulting new and wiser approach includes the actual patient in the team—having a more active role in the process. This, as we try to reduce (or eliminate) the insurance companies’ role, a separate story that I will leave to the experts. Before I put the pins on three of today’s determined fragments of this big endeavor, let me hover a little bit. One of the greatest luxuries this time allows us t... the story of healing blogs http://www.medworm.com/rss/comments.php?id=3220726 Thu, 28 Jan 2010 22:14:50 +0100 3220726 http://www.medworm.com/index.php?rid=3208365&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F01%2Fmicrosoft-healthvault-belgium.html While  the definition of "meaningful use" is occupying some of the finest minds in official EMR-land in the US, things are also moving in Belgium, and Microsoft HealthVault may be approaching roll-out, according to the Francophone website of a patient association. The site reports that patients must partake in the pending debate on this subject. Here is the link to the  article in French by the president of the association.  And an extract from the article:"Even though all of this seems to contribute to the centralization of medical data by the patient, who is the only one to decide to share the data with the entity of his or her choice, Microsoft HealthVault could represent a danger for Belgian patients. ... We think we should participate in the debates co... Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3208365 Tue, 26 Jan 2010 00:00:00 +0100 3208365 http://www.medworm.com/index.php?rid=3204852&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F01%2Fehr-emr-phr.html Electronic health record, electronic medical record, personal health record -- We decided to see how frequent the use of the term has been over the past 50 years, with an advanced Google timeline search.      (Source: Denise Silber's eHealth) Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3204852 Sun, 24 Jan 2010 00:00:00 +0100 3204852 http://www.medworm.com/index.php?rid=3208404&cid=t_97298_93_f&fid=35707&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FHemodynamics%2F%7E3%2FkTKXHFmw-2Q%2Fveterans-administration-linux-of.html I just spent three weeks in our local Veterans Administration system. Mention "VA" to any group of doctors and you are sure to hear funny stories; a great many doctors have at least some of their medical training within VA hospitals, and those hospitals are full of characters among both their staff and their patients. VA hospitals have various frustrating aspects you'd expect from a large federal bureaucracy. But they also share a common sense of purpose and community unusual in other hospitals. Because of their commitment to a particular group, they feel almost like massive community health centers, in which there is a sense of shared purpose built not on organizational advancement but on the welfare of the community which the organization serves. It's this part of the VA which makes it a... hemodynamics blogs http://www.medworm.com/rss/comments.php?id=3208404 Sat, 23 Jan 2010 14:53:00 +0100 3208404 http://www.medworm.com/index.php?rid=3201737&cid=t_97298_93_f&fid=35707&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FHemodynamics%2F%7E3%2FkTKXHFmw-2Q%2Fveterans-administration-linux-of.html I just spent three weeks in our local Veteran's Administration system. Mention "VA" to any group of doctors and you are sure to hear funny stories; a great many doctors have at least some of their medical training within VA hospitals, and those hospitals are full of characters among both their staff and their patients. VA hospitals have various frustrating aspects you'd expect from a large federal bureaucracy. But they also share a common sense of purpose and community unusual in other hospitals. Because of their commitment to a particular group, they feel almost like massive community health centers, in which there is a sense of shared purpose built not on organizational advancement but on the welfare of the community which the organization serves. It's this part of the VA which makes it ... hemodynamics blogs http://www.medworm.com/rss/comments.php?id=3201737 Sat, 23 Jan 2010 14:53:00 +0100 3201737 http://www.medworm.com/index.php?rid=3193720&cid=t_97298_87_f&fid=38805&url=http%3A%2F%2Fwww.denisesilber.com%2Fehealth%2F2010%2F01%2Fcommunicate-film.html The film you're about to see was originally produced with a French audience in mind. We did an English voice-over...and would love to get your opinion on how it works for an Anglophone audience. Thanks. (Source: Denise Silber's eHealth) Denise Silber's eHealth blogs http://www.medworm.com/rss/comments.php?id=3193720 Thu, 21 Jan 2010 00:00:00 +0100 3193720 http://www.medworm.com/index.php?rid=3153339&cid=t_97298_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2010%2F01%2Ftwo-new-challenges-to-cybernetic-utopia.html At "2009: a Pivotal Year in Healthcare IT" I concluded that 2009 had proven to be a critical year in HIT, due to authoritative publications on HIT difficulties and related issues that appeared that year.It was good to see the critical thought processes and the scientific methods inherent in modern medicine applied to the irrational exuberance and marketing-dominated field of healthcare IT.It seems in 2010 the trend may continue.Two new very interesting publications have recently come to my attention regarding the complications that can, and are, introduced by HIT.These complications are worsened by the "boatload of cash," as one author expressed it, that is helping fuel what I term an irrational exuberance, or purchased exuberance, in this technology and its use in social re-engineering in... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=3153339 Thu, 07 Jan 2010 15:31:00 +0100 3153339