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 'exchange'. Sat, 03 Sep 2011 01:57:13 +0100 http://www.medworm.com/index.php?rid=5158855&cid=t_161243_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F23%2Fimplementation-of-patient-safety-alerts%2F Scan or click to download 'Implementation of Patient Safety Alerts' Title: Implementation of Patient Safety Alerts The Skinny: Report from Action Against Medical Accidents into the implementation of Patient Safety Alerts by NHS Trusts. These alerts are issued by the National Patient Safety Agency (NPSA) about known problems that have repeatedly caused harm or killed patients, and which can be avoided if the actions in the alerts are implemented. The report finds: 195 NHS trusts had not complied with at least one patient safety alert for which the deadline had already past. This is almost 50% of all NHS trusts. Of the 9 extra-urgent “Rapid Response Report” alerts issued in 2010 and which are already past the deadline for completion, not a single one has been complied ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=5158855 Tue, 23 Aug 2011 12:01:12 +0100 5158855 http://www.medworm.com/index.php?rid=5158856&cid=t_161243_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F23%2Fhow-to-guide-improving-transitions-from-the-hospital-to-the-clinical-office-practice-to-reduce-avoidable-rehospitalizations%2F Scan or click to download 'How-to Guide: Improving Transitions from the Hospital to the Clinical Office Practice to Reduce Avoidable Rehospitalizations' Title: How-to Guide Improving Transitions from the Hospital to the Clinical Office Practice to Reduce Avoidable Rehospitalizations The Skinny: Guide from Institute for Health Improvement on avoiding avoidable rehospitalisations as a result of poor co-ordination of care settings. Avoiding this is a key step toward achieving broader delivery system transformation. Based on the healthcare system of the USA this guide is of use to those looking at primary care and community settings. Publisher: Institute for Health Improvement Published: August 2011 Filed under: Ooops Missed Category! Tagged: Clinical Governance, Collaboration, Coord... Fade Library blogs http://www.medworm.com/rss/comments.php?id=5158856 Tue, 23 Aug 2011 09:53:48 +0100 5158856 http://www.medworm.com/index.php?rid=5139620&cid=t_161243_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F19%2Fan-information-revolution-summary-of-responses-to-the-consultation%2F strong>Title: An Information Revolution: Summary of responses to the consultation Scan or click to download ‘An Information Revolution: Summary of responses to the consultation’ The Skinny: Summarises responses received to the consultation Liberating the NHS: An Information Revolution. Key identified themes: Ensuring that the information revolution benefits everyone Information for improved outcomes The need for information to be linked across health, social care and also public health Information for professionals People’s control of and access to information held in their own care records The need for clear routes (or “channels”) to information Information for patients, service users, carers and the public Information for autonomy, accountability and democrat... Fade Library blogs http://www.medworm.com/rss/comments.php?id=5139620 Fri, 19 Aug 2011 10:51:15 +0100 5139620 http://www.medworm.com/index.php?rid=5139621&cid=t_161243_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F19%2Finformation-governance-in-health-research-report%2F Scan or clcick to download 'Information governance in health: Research Report'Title: Information governance in health: Research Report The Skinny: Research from the Nuffield Trust that explores the current information governance regulations and reflect on the social values that underpin them. It indentifies that the governance the use of health care data is of growing concern to the public, researchers and policy-makers alike. Key questions the research addresses: How can we define what constitutes a ‘public benefit’? What safeguards are necessary to ensure that patients’ rights are protected within a ‘public benefit’ model? How can obligations arising from the rights of patients be balanced against the benefits accrued to the public at large? Publisher: Nuffield Tru... Fade Library blogs http://www.medworm.com/rss/comments.php?id=5139621 Fri, 19 Aug 2011 07:38:31 +0100 5139621 http://www.medworm.com/index.php?rid=5139622&cid=t_161243_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F19%2Faccess-to-person-level-data-in-health-care-research-summary%2F Title: Access to person-level data in health care: Research Summary Scan or click to download ‘Access to person-level data in health care: Research summary’ The Skinny: Research summary from the Nuffield Trust that indentifies that the governance the use of health care data is of growing concern to the public, researchers and policy-makers alike. Regulations and guidance help to protect individual privacy and confidentiality. However, overly restrictive rules can also stifle valuable research and analysis. It identifies as key questions: How can we define what constitutes a ‘public benefit’? What safeguards are necessary to ensure that patients’ rights are protected within a ‘public benefit’ model? How can obligations arising from the rights of patients be balance... Fade Library blogs http://www.medworm.com/rss/comments.php?id=5139622 Fri, 19 Aug 2011 07:25:45 +0100 5139622 http://www.medworm.com/index.php?rid=5139951&cid=t_161243_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Fannouncing-metadata-pilots-realize-pcast-vision Those of you keeping a close eye on the Office of the National Coordinator for Health Information Technology (ONC) and its activities might have noticed the advance notice of proposed rulemaking (ANPRM) that was published on Tuesday, August 9, 2011, requesting public input on a set of proposed metadata standards recommended to ONC by the HIT Standards Committee. read more (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=5139951 Thu, 18 Aug 2011 13:25:30 +0100 5139951 http://www.medworm.com/index.php?rid=5130653&cid=t_161243_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F15%2Facute-care-toolkit-for-handover%2F Scan or click to download Title: Acute Medicine Toolkit May 2011 The Skinny: Royal College of Physicians toolkit on handover in acute settings which includes concise practical guidance to enhance patient safety, medical effectiveness and high quality service and training within current working patterns. Publisher: RCP Published: 11/07/11 Size: 4p. Additional Documents Handover Proceedings Sheet Out of Hours Handover Filed under: Ooops Missed Category! Tagged: Clinical Governance, Communication, Grey Literature, Information exchange, Information management, Information transfer, Management, Medical communication, Medical information exchange, Medical Staff, Patient Safety, Quality, Quality control, Quality Improvement, Safety (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=5130653 Mon, 15 Aug 2011 14:36:35 +0100 5130653 http://www.medworm.com/index.php?rid=5125824&cid=t_161243_113_f&fid=34625&url=http%3A%2F%2Ftraffic.libsyn.com%2Fnversel%2FVi_Shaffer_AMDIS_2011.mp3 Back in June, I covered the Wisconsin Technology Network’s Digital Healthcare Conference in Madison. That conference featured a panel with Vi Shaffer, research vice president and industry services director for healthcare providers at Gartner, Judy Murphy, vice president of information services at Aurora Health Care in Milwaukee, and Epic Systems CEO Judy Faulkner, based in nearby Verona, Wis. The panel discussed the question, “Is meaningful use a floor or a ceiling?” as I reported for WTN News. The conference also featured several sessions on how business intelligence and health information exchange can support Accountable Care Organizations. A month later, I saw Shaffer again at AMDIS Physician-Computer Connection meeting in Ojai, Calif. There, she presented preliminary ... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=5125824 Fri, 12 Aug 2011 17:24:05 +0100 5125824 http://www.medworm.com/index.php?rid=5125720&cid=t_161243_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FPNFMyAbivyw%2F By Mark A. CalabriaIt’s a little too early to really tell what is going on here, but it certainly looks suspicious to me that a week after the rating agency Standard &Poor’s downgraded the U.S. government, we now have the Securities and Exchange Commission starting an insider-trading investigation of who inside S&P worked on the downgrade.  This comes on top of an announced Senate probe into S&P’s decision. I’ve long argued for reducing the role and influence of the rating agencies when it comes to financial regulation.  One of the few things the Dodd-Frank Act got correct was pushing for a reduction in regulators’ reliance on the rating agencies.  But still, it is nothing short of hypocritical for the same parties who complained that the agenci... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=5125720 Fri, 12 Aug 2011 14:53:37 +0100 5125720 http://www.medworm.com/index.php?rid=5125825&cid=t_161243_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FU55DsRRCd6E%2F I was hit by this comment made by Ciro on a LinkedIn group that I’m apart of (You can find the HealthcareScene.com blog network on LinkedIn if you want to join). My patients are discharged from hospitals and are seen in different offices. I have no clue what changes have been made when I open the patient’s record in my emr. We have to call to have notes faxed to us all the time. Then we scan the documents into the emr and attach it to the patient record as a tif file. If a patient has a reaction to a medication and is seen at urgent care facility, I will not know about it unless the patient tells me. There is no integrity in my emr data since changes are made all the time. Our hospital recently spent millions on a emr that does not integrate with any outpatient emr. Where is th... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=5125825 Fri, 12 Aug 2011 13:47:51 +0100 5125825 http://www.medworm.com/index.php?rid=5118611&cid=t_161243_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FpP2-UtiQPnQ%2F By Neal McCluskeyThe good news: Supporters haven’t been able to completely stamp out debate over national curriculum standards. The bad news: The Invasion of the School Snatchers strategy is real, and it is working!  Yesterday, I blogged about a letter from Jeb Bush reportedly causing a subcommittee of the American Legislative Exchange Council to table model legislation opposing national standards. Subsequent to my writing that, a follow-up Education Week post reported that debate wasn’t, in fact, quashed by Bush’s letter. Unfortunately, it appears consideration was postponed for another reason: Most state legislators have no idea what’s going on with national standards: “Legislators have heard of it, but not a whole lot of states engage legislators in... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=5118611 Wed, 10 Aug 2011 14:20:28 +0100 5118611 http://www.medworm.com/index.php?rid=5118616&cid=t_161243_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FNjfGOgNR6eg%2F By Neal McCluskeyFormer Florida governor Jeb Bush cares about education. He made major education reforms in the Sunshine State, including many centered on private school choice. He has established the Foundation for Excellence in Education, and dedicates much of his time to education reform. Unfortunately, when it comes to national curriculum standards, it seems his genuine caring has led him to avoid—and now attempt to quash—critical debate on both the dubious merits of national standards, and the huge threats to federalism posed by Washington driving the standards train. As I’ve complained on numerous occasions, it’s clear that supporters of national standards have employed a stealth strategy to get their way: back-room drafting of standards, content-free Language ... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=5118616 Tue, 09 Aug 2011 16:19:38 +0100 5118616 http://www.medworm.com/index.php?rid=5096465&cid=t_161243_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Fhealth-information-exchange-current-projects-inspiring-future-pathways There’s been a lot of talk lately about the future of health information exchange (HIE)—what it will mean 10, 15 or even 20 years down the road. There is no question that providers recognize the importance of HIE, and realize in combination with electronic health records (EHRs) that it will transform the practice of medicine. The question is whether providers are fully aware of the many HIE projects on the ground right now that already are beginning to impact patient care. read more (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=5096465 Thu, 04 Aug 2011 13:07:33 +0100 5096465 http://www.medworm.com/index.php?rid=5036310&cid=t_161243_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2FwDSUut5dc7o%2F From HL7 International‘s Chuck Jaffe, M.D., at the AMDIS conference in Ojai, Calif., this morning: Related posts:Podcast: Dr. David Kibbe on personal health information, medical homes, value in healthcare and more Podcast: Dr. Bill Bria on CMIOs and medical informatics Friday funny (Source: Neil Versel's Healthcare IT Blog) Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=5036310 Fri, 15 Jul 2011 16:26:53 +0100 5036310 http://www.medworm.com/index.php?rid=5028536&cid=t_161243_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2FuTFg5p22Qug%2F The Medical Group Management Association today named Susan Turney, M.D., as its new president and CEO, effective in September. Longtime chief William F. Jessee, M.D., is retiring after 12 years on the job. Like Jessee, Turney is an advocate of health information technology. She has been CEO and executive vice president of the Wisconsin Medical Society since 2004. There, she founded and chaired the Wisconsin Statewide Health Information Network (WISHIN) co-founded the Wisconsin Health Information Organization. Tunney was MGMA board chair in 2005-06. Read more here. Related posts:MGMA wants standard patient IDs within a year Why is this news? (Source: Neil Versel's Healthcare IT Blog) Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=5028536 Mon, 11 Jul 2011 20:45:19 +0100 5028536 http://www.medworm.com/index.php?rid=5008381&cid=t_161243_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Falaskan-healthcare-it-lessons-learned I'm back from Alaska and I'll post several blogs about my Healthcare IT and personal experiences in the 49th state. Alaska faces many healthcare challenges given its large area (663,268 sq mi) and population of 710,231 residents (as per the 2010 US Census), approximately half of which live in the Anchorage metropolitan area, making Alaska the least densely populated state. Roads are limited, making boat and small plane the only means of transportation to many locations, especially in the western portion of the state. read more (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=5008381 Wed, 06 Jul 2011 13:13:46 +0100 5008381 http://www.medworm.com/index.php?rid=4953045&cid=t_161243_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FKaZsqQHRAoU%2F This is the second in a series of EMR and EHR interviews that will be done on EMR and HIPAA and EMR and EHR. The full EMR interview with Dr. Muir can be found on the new EHR and EMR interviews website. The following is a summary of that interview written by Kathy Bongiovi. If you’re a doctor, nurse, practice manager, EHR consultant, CEO or executive of an EHR vendor, etc with EMR experience that’s interested in being interviewed, let us know on our Contact Us page. Dr. Peter Muir of Springfield Center for Family Medicine was interviewed recently concerning his acquisition of the maximum Medicare Incentive for showing Meaningful Use of a Certified EHR. The Ohio based primary care practice has been using NextGen Ambulatory since 2003 and NextGen Management since 2006. Dr. Muir st... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4953045 Fri, 17 Jun 2011 21:43:07 +0100 4953045 http://www.medworm.com/index.php?rid=4934456&cid=t_161243_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Faco-development-provider-driver The proposed CMS regulations on Accountable Care Organizations (ACOs) took the first step in promoting discussions about lowering costs, but how to align these costs between each healthcare stakeholder is still an issue and obstacle, leaving most of us to wonder — how will this all actually work? read more (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=4934456 Tue, 14 Jun 2011 19:50:36 +0100 4934456 http://www.medworm.com/index.php?rid=4911619&cid=t_161243_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Fharmonizing-provider-directory-standards Two weeks ago, I wrote about a strawman for embracing internet-based standards to support the provider directory services needed by health information exchanges. No sticky read more (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=4911619 Wed, 08 Jun 2011 13:49:07 +0100 4911619 http://www.medworm.com/index.php?rid=4911621&cid=t_161243_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Fnew-apple-developments-will-likely-spur-mobile-health-innovation If you’re reading this blog, you most likely saw the pop-up/interstitial Intel ad that asks “Is Cloud Computing Right for You?” Steve Jobs apparently thinks so. The Apple impresario announced the company’s most talked-about offering, iCloud, at its Worldwide Developers Conference this week, among a number of other new developments that have stirred Apple fans to new heights of evangelism. Mashable.com staffers have been keeping up with conference developments and announcements pretty well. No sticky read more (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=4911621 Tue, 07 Jun 2011 14:11:59 +0100 4911621 http://www.medworm.com/index.php?rid=4902527&cid=t_161243_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Fhit-lessons-learned-scotland My trip to Scotland provided a remarkable opportunity to exchange ideas and experiences. Scotland has nearly 100% adoption of electronic health records among general practioners and is making good progress in hospitals with innovative built/bought inpatient systems. As in most countries, health information exchange is still evolving, but novel databases supporting disease management at the community level and an emergency care summary exchange are already live. Here's what I learned while in Scotland: No sticky read more (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=4902527 Wed, 01 Jun 2011 13:33:08 +0100 4902527 http://www.medworm.com/index.php?rid=4862919&cid=t_161243_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FFTY9Q97A1IU%2F After months of intense debate, the US Securities and Exchange Commission has finally announced rules to implement the whistleblower provisions in the Dodd-Frank Wall Street Reform and Consumer Protection Act. And the final version is a rebuff to many companies - including several drugmakers, such as Pfizer and GlaxoSmithKline - which lobbied for constraints. Here’s why: under the rules, employees will not be required to first report concerns internally to their employers before going to the government. Many large companies fought for the requirement, but advocates objected over concerns that legitimate problems may not be properly investigated and that employees might face retaliation (back stories here and here). “Not requiring internal reporting before providing information... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=4862919 Wed, 25 May 2011 19:59:09 +0100 4862919 http://www.medworm.com/index.php?rid=4862676&cid=t_161243_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Fspinning-rhio-story A recent publication in the Annals of Internal Medicine has gotten quite a bit of attention in Health IT related media: RHIOs struggling to meet Meaningful Use Few RHIOs Meet Basic Criteria for Meaningful Use, Researchers Find No sticky read more (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=4862676 Tue, 24 May 2011 14:01:45 +0100 4862676 http://www.medworm.com/index.php?rid=4852987&cid=t_161243_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Fsuperfreakonomics-healthcare-it I recently attended a conference at which Stephen Dubner, co-author of the best-selling books Freakonomics and Superfreakonomics, gave a keynote. Though he was speaking to a room full of email marketers, his story was peppered with anecdotes from the world of healthcare. He specifically, and quite humorously, told the story of Cedars-Sinai’s efforts to encourage doctors to wash their hands more often in an effort to reduce patients’ hospital-acquired infections. No sticky read more (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=4852987 Mon, 23 May 2011 12:48:05 +0100 4852987 http://www.medworm.com/index.php?rid=4829034&cid=t_161243_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2FBHnoLVW6vfw%2F Last month, I asked if anyone has been successful with an EMR for mental health. I wondered if an iPad might make it easier for a psychotherapist to take electronic notes during a session without making the patient feel like the computer was getting in the way, because a desktop PC certainly would be a distraction. I also wondered about where mental health fits in the realm of truly comprehensive EHRs. (Yes, I make a distinction between EHR and EMR here, since, while it’s important to have a complete medication list to avoid harmful interactions, there’s little reason why an orthopedist or dermatologist would need to know whether a patient had been diagnosed with a mental illness. The same goes for records of sexually transmitted diseases or any other condition that patients ma... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=4829034 Tue, 17 May 2011 03:09:29 +0100 4829034 http://www.medworm.com/index.php?rid=4820950&cid=t_161243_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2F-gmzgCD_78g%2F I’ve just finished my latest post for EMR and HIPAA, based on a session I moderated this week at the the Institute for Health Technology Transformation health IT summit in Fort Lauderdale, Fla. Here’s a taste: The panelists did great job of articulating some of these conundrums and strategies to overcome them, but none better than Kevin Maher, director of clinical innovations for Horizon Healthcare Innovations, a new affiliate of Horizon Blue Cross Blue Shield of New Jersey tasked with testing new care models, and Victor Freeman, M.D., quality director in the Health Resources and Services Administration‘s Office of Health IT and Quality. The patient-centered medical home is a great idea for managing care, promoting prevention and, ultimately reducing costs. “We view the ba... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=4820950 Thu, 12 May 2011 21:59:53 +0100 4820950 http://www.medworm.com/index.php?rid=4821091&cid=t_161243_135_f&fid=35277&url=http%3A%2F%2Fblog.aac.org%2Findex.php%2F2011%2F05%2F12%2Fprogress-and-challenges-in-hepatitis-c%2F May is Hepatitis Awareness Month. Currently, more than 3 million people in the U.S. and 170 million worldwide are infected with the hepatitis C virus (HCV).   HCV-related liver disease and other health complications now claim an estimated 8,000 to 12,000 American lives each year – making HCV the fourth leading infectious cause of death in the U.S.  These numbers have been projected to increase substantially in the coming decade. Fortunately, the past few weeks have brought news of promising developments that may help change these bleak projections:  Namely, the imminent approvals of two new drugs for HCV treatment – Merck and Co.’s boceprevir and Vertex Pharmaceuticals’ telaprevir. In late April, a Food and Drug Administration (FDA) advisory committee unanimously recommended th... AIDS Action Committee's Blog blogs http://www.medworm.com/rss/comments.php?id=4821091 Thu, 12 May 2011 17:00:05 +0100 4821091 http://www.medworm.com/index.php?rid=4813404&cid=t_161243_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2FWNwZU_GkVps%2F Oh man, I’ve been busy. I filled in as writer of the Midwest edition of Payers and Providers the last two weeks because regular editor Duncan Moore, a former colleague, had been hospitalized. (Get well soon, Duncan.) I’ve been at the Institute for Health Technology Transformation health IT summit in Fort Lauderdale, Fla., since yesterday, and I’ve also had my regular deadlines for InformationWeek and MobiHealthNews. I moderated two IHT2 conference sessions yesterday, on how health IT underpins Accountable Care Organizations and how business intelligence can create a framework for health information exchange. I haven’t had time to blog about those, but several people seem to have tweeted during those sessions. I therefore present a rundown via Twitter. @narmi91 #iHT2... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=4813404 Thu, 12 May 2011 00:13:28 +0100 4813404 http://www.medworm.com/index.php?rid=4742491&cid=t_161243_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2FIfPULHEeSYs%2F Since I’m starting to write a lot of daily/breaking news, I’m going to try something new today that might become a regular Friday feature: posting my week in review. It will consist of a quick rundown of stories I’ve written this week. Here goes: Monday “Patient Safety Initiative To Leverage Health IT: The $1 billion federal Partnership for Patients initiative aims to cut $35 billion in healthcare costs, save 60,000 lives, and decrease hospital-acquired conditions by 40% by 2013.” (InformationWeek) Tuesday “Medicare Opens EHR ‘Meaningful Use’ Attestation” (InformationWeek) “How mobile health can abide by HIPAA” (MobiHealthNews) “State of mobile and wireless healthcare” (video/slides of my recent presentation to M... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=4742491 Fri, 22 Apr 2011 17:21:52 +0100 4742491 http://www.medworm.com/index.php?rid=4684478&cid=t_161243_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2F8o9rFUIBgWw%2F I’ve been starting to contribute a bit to InformationWeek. One of my first projects was interviewing five of the publication’s first-ever list of 25 leading healthcare CIOs. I wrote the profiles on Stephanie Reel of Johns Hopkins Health System, Lynn Vogel of MD Anderson Cancer Center, Dr. Paul Tang of Palo Alto Medical Foundation, Bill Spooner of Sharp HealthCare and Craig Luigart of the Veterans Health Administration. The link above contains the full text, or you can download an abbreviated “print” edition in the form of the March InformationWeek Healthcare e-zine here. It’s not the first time I’ve written about CIOs for a national publication not specific to healthcare, but I’m pretty proud of reaching the pages of InformationWeek. Meanwhile, che... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=4684478 Wed, 06 Apr 2011 04:46:38 +0100 4684478 http://www.medworm.com/index.php?rid=4592363&cid=t_161243_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FEBillfEbNV0%2F By Michael F. CannonMerrill Goozner read my article in the March 21 National Review, in which I argue that states should refuse all ObamaCare funds and refuse to erect an ObamaCare Exchange that would execute the law's many health-insurance regulations. Since ObamaCare provides that the feds will set up and administer an Exchange in states that don't do so themselves, Goozner concludes that I'm actually advocating a federal takeover of health care. Really? Goozner either completely missed the point of my article, which I sort of doubt, or he's trying to be cute.  Let's assume it's the former. As I explain in that article, under ObamaCare the feds will write all the rules governing health insurance, so who administers the Exchanges is well-nigh irrelevant. ObamaCare is a federal takeove... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4592363 Tue, 15 Mar 2011 14:58:46 +0100 4592363 http://www.medworm.com/index.php?rid=4592371&cid=t_161243_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FJAVZY3Aq0cM%2F By Michael F. CannonIn a March 4 article for National Review Online titled, “Mitch Daniels’s Obamacare Problem,” I explain how Indiana Gov. Mitch Daniels (R) is undermining the effort to repeal ObamaCare, and how he might do even more damage to that movement as the Republican nominee for president.  My article came under fire from Daniels' policy director Lawren Mills (in the comments section of my article), Grace-Marie Turner of the Galen Institute, and Bob Goldberg of the Center for Medicine in the Public Interest. Today, NRO runs my response.  An excerpt: In brief, the trio believes that Daniels’s expansion of government-run health care is a conservative triumph. I can’t believe we’re even having this conversation... Daniels has an ObamaCare problem that could hurt the ... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4592371 Mon, 14 Mar 2011 12:40:37 +0100 4592371 http://www.medworm.com/index.php?rid=4545030&cid=t_161243_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2FyENL-jmhHiI%2F The first Health Wonk Review since last week’s HIMSS conference is up, courtesy of Jared M. Rhoads of the Lucidicus Project. While I’m no fan of organization’s ideological bent (it seems to think CMS Administrator Don Berwick is more interested in socialism than in improving healthcare), I’m happy to say this roundup has more IT than normal. For one thing, Rhoads mentions my post detailing my injury at HIMSS and the consumerism and EMR use that played into the care I received at a walk-in clinic in Orlando, Fla. I’m happy to report that I got the stitches out on Tuesday and the deep laceration is healing well. There’s a good chance that the resulting scar might kind of blend into my eyebrow, so I’m hoping it won’t be too conspicuous. Four oth... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=4545030 Thu, 03 Mar 2011 22:58:59 +0100 4545030 http://www.medworm.com/index.php?rid=4527771&cid=t_161243_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F02%2F28%2F2-simple-ways-to-enhance-joy-in-your-relationship%2F As a couple, when you’re dealing with the many demands of day-to-day life, it can feel like the fun has been zapped from your relationship. But contrary to popular opinion, you don’t necessarily have to do anything spectacular or pricey to bring the enjoyment back. Below, Susan Heitler, Ph.D, a clinical psychologist in Denver who specializes in couples and author of The Power of Two: Secrets of a Strong & Loving Marriage, offers a simple 2-step plan to perk up your relationship. 1. Do a joy audit. Ask yourself ”How much time are we devoting to doing things that we enjoy as a couple?” Consider a further question. “How enjoyable are we making time together when the activity we need to do isn’t essentially fun?” For instance, you can easily turn “have-to” activit... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4527771 Mon, 28 Feb 2011 12:00:57 +0100 4527771 http://www.medworm.com/index.php?rid=4482933&cid=t_161243_135_f&fid=35277&url=http%3A%2F%2Fblog.aac.org%2Findex.php%2F2011%2F02%2F15%2Frebecca-haag-responds-to-the-new-york-times%2F Rebecca Haag, AIDS Action’s President and CEO,  has a letter published in today’s New York Times in response to a February 8th article entitled “An H.I.V. Strategy Invites Addicts In” that examined a reduction in HIV infections through an innovative prevention and treatment program in Vancouver, Canada Rebecca’s letter highlights the success that Massachusetts has seen in reducing new HIV infections by 59% in the years 1998 to 2008 by providing aggressive prevention and behavioral interventions in addition to making sure that those who are living with HIV are connected to care and treatment. (Source: AIDS Action Committee's Blog) AIDS Action Committee's Blog blogs http://www.medworm.com/rss/comments.php?id=4482933 Tue, 15 Feb 2011 21:34:15 +0100 4482933 http://www.medworm.com/index.php?rid=4482934&cid=t_161243_135_f&fid=35277&url=http%3A%2F%2Fblog.aac.org%2Findex.php%2F2011%2F02%2F11%2Fpublic-health-alert-rash-of-opiate-related-overdoses-in-greater-boston%2F There are have been a rash of fatal and non-fatal opiate-related overdoses in greater Boston over the past two weeks. We’re not sure what the cause of the overdoses are — whether it’s related to purity or poly-drug use. Whatever the cause, we want people to be safe. Here are tips from the Boston Public Health Commission for opiate users, family, friends, and bystanders: Know your risk for overdose, including low tolerance, mixing drugs, using alone, and having no plan. Then create a plan of action for whan you’re using. Signs of an overdose include shallow breathing, blue lips/fingertips, and being unconscious. What to do if you see an overdose: Yell at the person; rub your knuckles on their breastbone; check their breathing. Call 911 and give rescue breathing and N... AIDS Action Committee's Blog blogs http://www.medworm.com/rss/comments.php?id=4482934 Fri, 11 Feb 2011 22:14:04 +0100 4482934 http://www.medworm.com/index.php?rid=4433159&cid=t_161243_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2F2011-predictions-mu-goes-tactical-aco-strategic In the Healthcare IT (HIT) market, 2010 was the year of meaningful use (MU). Healthcare organizations (HCOs) of all sizes developed plans, began making IT modifications and began adopting the technology they needed to meet Stage One MU requirements and subsequently receive incentive payments, some of which began being disbursed in late 2010. read more (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=4433159 Thu, 03 Feb 2011 18:53:35 +0100 4433159 http://www.medworm.com/index.php?rid=4322569&cid=t_161243_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FC4O43-BoHwc%2F I recently got a message from Jerry Theis of MyCrisisRecords. He sent me a story that I thought was a great way to start off the new year. It talks about the value of health care data interoperability and in this case a device and PHR with a person’s health information. Enjoy the story! Yesterday, one of my members called me to tell me she was taken to the emergency room suffering combinations of complications caused by a rare condition, Polymorphous along with a flare up of fibromyalgia which caused to her go into cardiac arrest. The ER doctors were able to effectively treat her because she had her digital device which provided them all of her medications, conditions, allergies (she is allergic to latex). Because of this rare condition and her acute distress she was told by the doct... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4322569 Thu, 06 Jan 2011 18:22:08 +0100 4322569 http://www.medworm.com/index.php?rid=4285349&cid=t_161243_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FZJcqK68-rK4%2F Last week, some 260 companies warned the US Securities and Exchange Commission that its proposed whistleblower program, which is mandated as part of the Dodd-Frank Wall Street Reform and Consumer Protection Act, would transform financial fraud into a veritable “gold mine” for employees. The warning (see here) was contained in a letter from the Association of Corporate Counsel and signed by lawyers from Allergan, Arcadia Biosciences, GlaxoSmithKline, Pfizer and Onyx Pharmaceuticals among many others. The law requires the SEC to pay rewards of 10 percent to 30 percent of fines and settlements extracted from enforcement actions triggered by whistleblower claims. But the ACC argues employees will be encouraged to ignore early signs of fraud and to maximize penalties and payouts. &#... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=4285349 Thu, 23 Dec 2010 20:27:20 +0100 4285349 http://www.medworm.com/index.php?rid=4159219&cid=t_161243_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FujSpzFqXP-E%2F By Michael F. CannonFollowing up on what Dan and Chris have said … If the co-chairs of President Obama’s fiscal commission were serious about reducing federal spending and deficits, they would have proposed eliminating the federal deficit, rather than “reduc[ing] it to 2.2 percent of GDP by 2015.”  Yawn. They would have proposed cutting federal spending (currently, 24 percent of GDP and rising) to match federal tax revenue (currently at 15 percent of GDP).  But the co-chairs proposed only to “bring spending down to 22 percent and eventually 21 percent of GDP.”  Not only does that elicit another yawn, but since the co-chairs only asked for half a loaf, they won’t even get that much. If the co-chairs were serious about reducing federal spending ... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4159219 Thu, 11 Nov 2010 17:55:59 +0100 4159219 http://www.medworm.com/index.php?rid=3983449&cid=t_161243_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2010%2F09%2F15%2Fno-sign-for-healthcare%2F I recently heard Arien Malec from ONC summarize the biggest challenge of Healthcare Information Exchange (HIE) in one simple phrase: There’s no @ sign for healthcare It’s a really basic idea, but sadly cuts straight to one of the core reasons HIE isn’t happening. We don’t have a great way to authenticate, verify and address health information to another provider. Twitter has created this interesting concept of using @ to specify people. For example, you can find me @techguy and @ehrandhit. It’s amazing how quickly Twitter has created a whole new set of addresses where we can communicate with other people. Certainly it’s not designed for healthcare, but it’s amazing that they could create this whole new address system for people and organizations. A... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3983449 Wed, 15 Sep 2010 16:11:26 +0100 3983449 http://www.medworm.com/index.php?rid=3899484&cid=t_161243_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Fassessment-ingenix-makes-hie-move-acquiring-axolotl Last week, Ingenix announced that it would be acquiring Axolotl. Probably no one was happier than the folks at Gilat Satellite Networks who had invested $4.5M in Axolotl over ten years ago, had written off that investment during the dot-com bust in 2001 and now is looking at getting some $24M in cash plus another $3M by year’s end. (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=3899484 Tue, 24 Aug 2010 13:20:29 +0100 3899484 http://www.medworm.com/index.php?rid=3889027&cid=t_161243_83_f&fid=34801&url=http%3A%2F%2Fthefragens.com%2Fblog%2F2010%2F08%2Ftenet-healthcare-and-the-iphone%2F Well, I finally broke down and started using Tenet’s Exchange Server. First, IS created an Exchange account for me then I tried adding it to my iPhone. After I got the settings right, from someone who’s using it with their iPhone everything works fine. Here are the settings that aren’t obvious. Server mail.etenet.com Domain tenethealth Then make sure SSL is on and you should be good to go with your email address, username and password. Now, if I could just get this working on my Mac desktop. There are clearly some differences in the manner in which iOS 4 and the OS X 10.6.4, and particularly Mail.app, iCal and AddressBook, interact with the Exchange server. I’m still trying to find the secret incantation to make it work on the desktop. When I do a follow-up ... Surgical Diversions blogs http://www.medworm.com/rss/comments.php?id=3889027 Fri, 20 Aug 2010 22:17:01 +0100 3889027 http://www.medworm.com/index.php?rid=3823005&cid=t_161243_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Fhies-public-interest The Health Information Exchange (HIE) market is the Wild West right now.  Vendors are telling us that they are seeing an unprecedented level of activity both for private and public HIEs.  Private HIEs are being set-up by large and small healthcare organizations to more tightly align affiliated physicians to a hospital or IDN to drive referrals and longer term, better manage transitions in care in anticipation of payment reform.  Public HIEs are those state driven initiatives that have blossomed with the $560M+ of federal funding via the HITECH Act. (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=3823005 Wed, 04 Aug 2010 12:44:46 +0100 3823005 http://www.medworm.com/index.php?rid=3798544&cid=t_161243_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FXAwfQG0jKkQ%2F By Daniel J. MitchellFree markets are characterized by voluntary exchange between buyers and sellers. Mapping that relationship is absurdly simply, as this image indicates. Indeed, the only reason I even bothered to include that image was for purposes of comparison. Here is a new flowchart prepared for the Joint Economic Committee showing the healthcare system under Obamacare. It’s worth noting, by the way, that the system already was a disaster even before Obamacare was enacted. In the health care sector, free markets are only allowed to operate in very rare cases, such as cosmetic surgery, laser eye surgery, and (for better or worse) abortion. The rest of the sector was heavily distorted by government intervention. Obamacare simply makes a bad situation worse. (Source: Cato-at-li... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=3798544 Wed, 28 Jul 2010 18:06:13 +0100 3798544 http://www.medworm.com/index.php?rid=3718380&cid=t_161243_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2F_qZfqtnCi-s%2F By Daniel IkensonSteven Pearlstein’s ready for the nuclear option.  With the conviction of a man who knows he won’t be held accountable for the consequences of his prescriptions, Pearlstein says the time has come for action against China.  Hopefully, those whose fingers are actually near the button will recognize Pearlstein’s suggestion for what it is: an outburst of frustration over what he considers China’s insubordination. In his Washington Post business column yesterday, Pearlstein criticizes U.S. policymakers for blindly adhering to the view that China will inevitably transition to democratic capitalism, while they’ve excused market-distorting protectionism, mercantilism, and state dominance over the economy in China.  Pearlstein writes: Up to now, a succession of adminis... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=3718380 Thu, 01 Jul 2010 19:31:44 +0100 3718380 http://www.medworm.com/index.php?rid=3659176&cid=t_161243_160_f&fid=36189&url=http%3A%2F%2Fwww.skinmdblog.com%2F163%2Facne-rosacea-acne-vulgaris-and-seborrheic-dermatitis%2F Acne rosacea and seborrheic dermatitis can easily be confused.  In a few cases, all three conditions exist in the same patient. Acne vulgaris is the medical term for outbreaks of pimples, pustules, bumps and blemishes.  It is very common during a person’s teenage years, but rarely persists into adulthood. Rosacea in adults is often mistaken as acne.  Treatments like benzoyl peroxide are commonly recommended for acne, but will worsen rosacea. Redness of the cheeks, nose and forehead are the primary symptoms of rosacea.  Occasionally, the neck, chest, ears and scalp are affected. When redness and flaking of the ears and scalp are present, it is often indicative of seborrheic dermatitis, rather than rosacea.  But, that’s not always the case. You may be able to see that diagnosing one... Skin MD blogs http://www.medworm.com/rss/comments.php?id=3659176 Mon, 14 Jun 2010 12:34:22 +0100 3659176 http://www.medworm.com/index.php?rid=3644756&cid=t_161243_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2Fg05BfzWMZi4%2F By Tom G. PalmerThe professionally ignorant (and I’m thinking here of Lou Dobbs, among others) never “get it” about trade. They think it’s some complex swindle, in which we deny ourselves “jobs,” or that it should be about being “fair” or “balanced.” They don’t see how free trade creates prosperity and peace. I was inspired by the outstanding trade economist Doug Irwin of Dartmouth to explain what goes on when people trade. The challenge was to explain international trade in under 3 minutes. So here’s the result in 2:57: The Great Prosperity Machine. Share it with your favorite protectionist, or with professors and teachers. (There’s more information at AtlasNetwork.org/BastiatLegacy.) Watch and share: (Source: C... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=3644756 Tue, 08 Jun 2010 15:41:56 +0100 3644756 http://www.medworm.com/index.php?rid=3621951&cid=t_161243_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2Ff7mnT2ghmmk%2F In its latest report to Congress, the US Securities and Exchange Commission’s Office of Inspector General never mentions Dendreon by name, but sources tell us the agency probe into allegations of market manipulation and a “bear raid” into an unnamed “manufacturer” do, indeed, concern the maker of the celebrated Provenge prostate cancer vaccine that was recently approved by the FDA (background). The investigation was opened last summer and the SEC’s OIG last report to Congress noted that a complaint was filed “alleging that the SEC failed to investigate instances of market manipulation and other misconduct in connection with the review, and eventual nonapproval, of a developmental drug.” The newest OIG report says the probe into the trading ap... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=3621951 Wed, 02 Jun 2010 13:30:25 +0100 3621951 http://www.medworm.com/index.php?rid=3607481&cid=t_161243_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FM_yxevurwek%2F By Michael F. CannonAs explained in an excellent letter to the editor of The Washington Post: Capitalism’s friends never had to cede moral ground to its enemies, but they will have to replace the current power structure to make room for a revival. President Obama summarized his understanding of free enterprise in his 2009 commencement speech at Arizona State University: “ruthless competition pursued only on your own behalf…” That markets are built on voluntary transactions — mutual exchange for mutual benefit — is an alien concept in the academic environment that produced Mr. Obama and many of his staffers. That one accumulates wealth in a free market by providing value to willing buyers — the exact opposite of acting “only on your own behalf... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=3607481 Thu, 27 May 2010 16:56:01 +0100 3607481 http://www.medworm.com/index.php?rid=3570009&cid=t_161243_132_f&fid=35021&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FYourBonesGotALittleMachine%2F%7E3%2FO4btHltj2IM%2F Recently I’ve noticed the emergence of several Stack Overflow-style sites for science-related questions and answers. For those unfamiliar with Stack Overflow – it’s a question and answer ‘forum’ for computer programmers that keeps the signal-to-noise ratio very high through a carefully refined reputation system. Late last year the creators of Stack Overflow launched a hosted service called Stack Exchange, which allows anyone to start their own “Stack Overflow” based around any topic. http://www.flickr.com/photos/alicebartlett/ / CC BY-NC 2.0 The service is was a little pricey ($129+/month), and I suspect this is one reason why a few open source clones inspired by Stack Overflow also exist. Since then, Stack Exchange sites (or clones) have prolifer... Your bones got a little machine. blogs http://www.medworm.com/rss/comments.php?id=3570009 Wed, 12 May 2010 05:33:48 +0100 3570009 http://www.medworm.com/index.php?rid=3556283&cid=t_161243_132_f&fid=35021&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FYourBonesGotALittleMachine%2F%7E3%2FO4btHltj2IM%2F Recently I’ve noticed the emergence of several Stack Overflow-style sites for science-related questions and answers. For those unfamiliar with Stack Overflow – it’s a question and answer ‘forum’ for computer programmers that keeps the signal-to-noise ratio very high through a carefully refined reputation system. Late last year the creators of Stack Overflow launched a hosted service called Stack Exchange, which allows anyone to start their own “Stack Overflow” based around any topic. http://www.flickr.com/photos/alicebartlett/ / CC BY-NC 2.0 The service is was a little pricey ($129+/month), and I suspect this is one reason why a few open source clones inspired by Stack Overflow also exist. Since then, Stack Exchange sites (or clones) have prolifer... Your bones got a little machine. blogs http://www.medworm.com/rss/comments.php?id=3556283 Wed, 12 May 2010 05:33:48 +0100 3556283 http://www.medworm.com/index.php?rid=3499049&cid=t_161243_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2Fwa-L6rBh0XI%2F By Mark A. CalabriaThere has been much speculation that the Securities and Exchange Commission (SEC) released its charges against Goldman Sachs on the eve of a Senate vote on new finance regulation in order to help Democrats win that vote.  Perhaps that theory is wrong: It now looks more likely that the SEC timed its Goldman case in order to divert attention away from two SEC inspector general (IG) reports criticizing the commission. In one of the reports, the SEC IG found that several of the top staffers at the SEC were spending their days surfing the web for porn, rather than looking for securities fraud.  One senior manager spent almost 8 hours a day looking a porn, getting to the point where he even filled up his government issued hard-drive with porn.  His actions were not ... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=3499049 Fri, 23 Apr 2010 16:09:52 +0100 3499049 http://www.medworm.com/index.php?rid=3494464&cid=t_161243_131_f&fid=34989&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FGeneticsHealth%2F%7E3%2FDMHP2NOu_Hs%2F Remember thredUP, the super-cool kids clothing exchange program we told you about earlier this month? To celebrate thredUP’s first Earth Day, they’re offering members a $5 credit simply for listing a box of kids’ clothing on the site. The $5 credit can be used toward the cost of shipping for your next swap or a PRO membership. The offer is invite-only, so to take advantage of the deal, go directly to http://thredup.com/blisstree. The promo is valid today only, so get busy packing a box and posting it on thredUP. Get a $5 thredUP credit by making one of these kids boxes - Earth Day only! In case you forgot, here’s a reminder of why we like thredUP so much, and why Earth Day does, too: Why is thredUP Green? At our core thredUP is green because we let you swap out the ... Genetics and Health blogs http://www.medworm.com/rss/comments.php?id=3494464 Thu, 22 Apr 2010 15:00:33 +0100 3494464 http://www.medworm.com/index.php?rid=3475806&cid=t_161243_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FOfx9jPsfRDQ%2F By Timothy B. LeeI haven’t been following the debate over Sen. Dodd’s financial overhaul closely enough to have an opinion on the overall package, but Mike Masnick flags one aspect of the legislation that seems really troubling. Bob Litan explains: Under existing law, startup companies can raise money easily and quickly from “accredited investors” — individuals with substantial wealth or income. There is no need for the companies or the investors to gain approval from any state or regulatory official. All of this would change if Section 926 of the Dodd bill is included in any final reform legislation. That section would require, for the first time, companies seeking angel investment to make a filing with the Securities and Exchange Commission, which would hav... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=3475806 Fri, 16 Apr 2010 12:32:31 +0100 3475806 http://www.medworm.com/index.php?rid=3463681&cid=t_161243_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Fhealthcare-reform-and-hit I recently planned a speaking engagement and was warned to avoid healthcare reform commentary - too controversial and too emotionally charged. Regardless of your politics, some aspects of healthcare reform are not controversial. Here's a list of health information technology tactics included in healthcare reform. (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=3463681 Tue, 13 Apr 2010 13:01:52 +0100 3463681 http://www.medworm.com/index.php?rid=3425082&cid=t_161243_135_f&fid=35277&url=http%3A%2F%2Fblog.aac.org%2Findex.php%2F2010%2F03%2F31%2Faids-action-sponsoring-the-8th-national-harm-reduction-conference-in-austin-tx%2F   The AIDS Action Committee will sponsor the 8th National Harm Reduction Conference, taking place November 18-21, 2010 in Austin, TX. The conference will bring together approximately 2,000 drug users, ex-drug users, researchers, sex workers, social workers, doctors, politicians and community organizers from around the country and abroad to share perspectives on Harm Reduction, a broad set a practices aimed at reducing the negative consequences of drug use and promoting healthy individuals and communities. AIDS Action Committee will likely send staff to participate in the conference as both learners and facilitators.The National Harm Reduction Conference is the only multidisciplinary gathering in the United States focusing on the health of individuals and communities impacted by drug use. ... AIDS Action Committee's Blog blogs http://www.medworm.com/rss/comments.php?id=3425082 Wed, 31 Mar 2010 15:47:52 +0100 3425082 http://www.medworm.com/index.php?rid=3327295&cid=t_161243_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FzEJPPjqF0fE%2F After the ruckus over the FDA advisory meeting for the Provenge prostate cancer vaccine in 2007, there was little expectation that yet another panel would be convened, especially after favorable data was released last year. But Favus Institutional Research issued a report yesterday saying it spoke with some docs, who claimed to be invited to such a meeting, according to TheStreet.com. The news sent Dendreon stock down about 5 percent and set off a scramble to ascertain the truth. An FDA spokeswoman later said a panel isn’t planned, and a Dendreon spokeswoman said there was no indication from the agency a meeting was scheduled. Deutsche Bank analyst Mark Schoenebaum noted companies must be informed of a planned panel 55 business days before a PDUFA date. The Provenge PDUFA date is May... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=3327295 Wed, 03 Mar 2010 13:18:25 +0100 3327295 http://www.medworm.com/index.php?rid=3251395&cid=t_161243_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2F3jmG_mqpIbk%2F Much of the long-running controversy over the Provenge prostate-cancer vaccine, which could be approved by the FDA on May 1, has centered on the viability of the data or a 2007 FDA advisory panel recommendation for approval that was overturned by FDA higher-ups amid dizzying conflict of interest charges (some background here, here and here, here). The messy episode has prompted patient protests, unusual stock trades, a lawsuit accusing the FDA of illegally withholding info and countercharges from the FDA that conspiracy theorists are wasting the agency’s time. Much of the sparring, though, has centered on patients and the drug-approval process, but another subplot appears to be emerging - the U.S. Securities and Exchange Commission may be probing some of the rollercoaster trading in ... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=3251395 Mon, 08 Feb 2010 13:06:35 +0100 3251395 http://www.medworm.com/index.php?rid=3243786&cid=t_161243_87_f&fid=38368&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FDisruptiveWomenInHealthCare%2F%7E3%2FpUaVfsdpLaE%2F It could not escape notice this week that the Virginia state Senate passed legislation that would make it illegal for any government body to require individuals to purchase health insurance.  The bill is expected to be passed by the state’s House of Delegates and then signed into law by Governor Bob McDonnell. Virginia is one of the first states to take such action, but it almost certainly won’t be the last.  According to the American Legislative Exchange Council, legislative measures or proposed constitutional amendments have been filed in 35 states to challenge the idea of health insurance mandates. This is a significant problem for the future of health reform.  One of the most popular components of the health reform bills that have passed both houses of Congress is the provision ... Disruptive Women in Health Care blogs http://www.medworm.com/rss/comments.php?id=3243786 Fri, 05 Feb 2010 13:01:03 +0100 3243786 http://www.medworm.com/index.php?rid=3108313&cid=t_161243_86_f&fid=34445&url=http%3A%2F%2Fwomenshealthnews.wordpress.com%2F2009%2F12%2F20%2Fweekly-news-round-up-1220%2F Assorted things I’ve been reading this week: Via NPR, Ban Lifted On Federal Funding For Needle Exchange. Applications are open to be a Spring semester site for the Great American Condom Campaign. Applications close January 3rd. I would love it if somebody near me got a site and wanted to talk about it! At the New York Times on health reform, Negotiating to 60 Votes, Compromise by Compromise. Planned Parenthood issued a statement opposing the Nelson amendment and says, “it is a sad day when women’s health is traded away for one vote.” A presentation last year on Vanderbilt’s PEPFAR work in Africa (on YouTube). The Midwest Teen Sex Show has a great interview with Scarleteen’s Heather Corinna, Heather Corinna Doesn’t Eat Man Soup. The Choices Campus ... Women's Health News blogs http://www.medworm.com/rss/comments.php?id=3108313 Sun, 20 Dec 2009 18:42:40 +0100 3108313 http://www.medworm.com/index.php?rid=3084932&cid=t_161243_135_f&fid=35277&url=http%3A%2F%2Fblog.aac.org%2Findex.php%2F2009%2F12%2F14%2Fcongress-ends-20-year-ban-on-syringe-exchange-funding%2F Over the weekend, Congress passed an appropriations bill, including language that will end the 20-year ban on federal funding for syringe exchange programs (SEPs). These programs are shown to effectively reduce new HIV infections among intravenous drug users, and to provide avenues to get otherwise hard to reach HIV-positive people into care. The following is a press release from the national advocacy group, AIDS Action Council, whose Executive Director, Rebecca Haag, is also President & CEO of AIDS Action Committee here in MA. For Immediate Release December 13, 2009 Contact: Ronald Johnson, (202) 530-8030 x3096, rjohnson@aidsaction.org  William McColl, (202) 530-8030 x3096, (202) 595-4167, wmccoll@aidsaction.org AIDS Action Applauds Congress for Historic End to Twenty Year Ban on th... AIDS Action Committee's Blog blogs http://www.medworm.com/rss/comments.php?id=3084932 Mon, 14 Dec 2009 15:43:27 +0100 3084932 http://www.medworm.com/index.php?rid=3036990&cid=t_161243_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FeXeiCoqQKS0%2F Everyone seems to love talking about RHIO, HIE and all of the other various initiatives happening around sharing patient health information amongst doctors. This weekend, I want to open it up to you the readers to get an idea of what type of participation you’ve had in an RHIO, HIE or other clinical data exchange. Are you participating in one now? Do you like it? Do you hate it? In fact, what do you like and what do you hate? Do you use an EMR to interface with the exchange? What’s the interface like? How much work is it to manage the interface? I’d also be interested in hearing about people who are working through the process now. Where are you at in the process? What’s holding you up from making this happen? Let’s help educate each other on what’s happ... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3036990 Sat, 28 Nov 2009 16:11:30 +0100 3036990 http://www.medworm.com/index.php?rid=2992815&cid=t_161243_135_f&fid=35277&url=http%3A%2F%2Fblog.aac.org%2Findex.php%2F2009%2F11%2F12%2Fpolicy-update-progress-in-the-fight-against-hivaids%2F The HIV/AIDS community continues to make progress in the policy fight against the epidemic. Critical funding has been maintained or enhanced at the state and federal levels, and discriminatory policies targeting HIV+ people are coming undone. Read on for more detail on key areas of policy progress, as well as struggles that still need your help. National HIV/AIDS Strategy Comment Period Closing Friday AIDS Action Committee is proud to be a leading member of the Coalition for a National AIDS Strategy, the grassroots organization founded two years ago that successfully lobbied presidential candidates Obama and McCain to commit to creating a National HIV/AIDS Strategy for the United States. After 26 years of the domestic HIV/AIDS epidemic, the U.S. still operates without a coordinated, outcom... AIDS Action Committee's Blog blogs http://www.medworm.com/rss/comments.php?id=2992815 Fri, 13 Nov 2009 23:13:39 +0100 2992815 http://www.medworm.com/index.php?rid=2886673&cid=t_161243_135_f&fid=35277&url=http%3A%2F%2Fblog.aac.org%2Findex.php%2F2009%2F10%2F13%2Fnational-equality-march-a-call-to-action-at-the-aids-rally-vigil%2F This past weekend, tens of thousands (some estimates have it at hundreds of thousands) of lesbian, gay, bisexual, transgender and allied people from across the nation converged on Washington, DC for the National Equality March (NEM), the first national LGBT rights march in DC since 2000. On Saturday, October 10th, 15+ organizations hosted a rally and vigil for HIV/AIDS on the Ellipse, not even a block away from the White House. Cleve Jones, one of the co-chairs of the NEM and founder of the NAMES Project AIDS Memorial Quilt, said of the rally, “The weekend of course is about achieving full equality for LGBT Americans. We need to be using that political power to underscore that the AIDS epidemic continues. We believe a great many young people will be attending the march, and they need... AIDS Action Committee's Blog blogs http://www.medworm.com/rss/comments.php?id=2886673 Tue, 13 Oct 2009 14:33:38 +0100 2886673 http://www.medworm.com/index.php?rid=2682099&cid=t_161243_135_f&fid=35277&url=http%3A%2F%2Fblog.aac.org%2Findex.php%2F2009%2F08%2F07%2Fnytimes-wash-post-come-out-strongly-against-new-restrictions-on-syringe-exchange-funding%2F The House of Representatives recently passed a bill that would end the ban on federal funding for syringe exchange programs — a major victory for public health advocates. Unfortunately, Representatives who do not want to see the ban go away were successful in attaching an amendment to the bill prohibiting federally-funded syringe exchange programs “from operating within 1,000 feet of colleges, universities, parks, video arcades, day-care centers, high schools, public swimming pools and other institutions.” In America’s dense, urban communities where IV drug use and HIV infection rates run high, such restrictions make it nearly impossible to run a federally-funded program, effectively maintaining the blanket ban for America’s hardest hit areas. It’s possi... AIDS Action Committee's Blog blogs http://www.medworm.com/rss/comments.php?id=2682099 Fri, 07 Aug 2009 17:14:31 +0100 2682099 http://www.medworm.com/index.php?rid=2657873&cid=t_161243_135_f&fid=35277&url=http%3A%2F%2Fblog.aac.org%2Findex.php%2F2009%2F07%2F30%2Fsenate-throws-wrench-in-effort-to-lift-the-syringe-exchange-funding-ban%2F The Senate Appropriations Subcommittee on Labor, Health and Human Services, Education and Related Agencies approved a spending bill this week that maintains the ban on federal funding for syringe exchange programs nationwide. Just last week the Subcommittee’s companion in the House approved a bill that strikes the ban, marking “the first time in 20 years that the federal government is on the verge of recognizing syringe exchange as an important, evidence-based tool in HIV prevention…,” said Rebecca Haag, AIDS Action Committee President & CEO and Executive Director of AIDS Action Council, the national advocacy group. House and Senate leaders will determine the fate of the syringe exchange ban in conference, where both sides work to reconcile differences in their ver... AIDS Action Committee's Blog blogs http://www.medworm.com/rss/comments.php?id=2657873 Thu, 30 Jul 2009 18:59:22 +0100 2657873 http://www.medworm.com/index.php?rid=2637975&cid=t_161243_135_f&fid=35277&url=http%3A%2F%2Fblog.aac.org%2Findex.php%2F2009%2F07%2F24%2Fact-now-federal-repeal-of-needle-exchange-funding-is-in-serious-trouble%2F UPDATED:  US House of Representatives ENDS the Federal funding ban on Syringe Exchange.  Read the AIDS Action Council press release here. Previously:  The repeal of the Federal Ban on Syringe Exchange Funding is in serious trouble. Please act now to make sure that the repeal of the federal ban goes through. Call your Representative in the US Congress and tell them to reject the Souder Amendment that prohibits HHS funding for distribution of sterile needles. This amendment is being considered today. Call Now. To find out who your Congressional Representative is visit the US House website: http://www.house.gov/. There is a “find your Representative” box in the upper left corner where you plug in your zip code. You may need the additional four numbers, in which case the site will dir... AIDS Action Committee's Blog blogs http://www.medworm.com/rss/comments.php?id=2637975 Fri, 24 Jul 2009 14:09:15 +0100 2637975 http://www.medworm.com/index.php?rid=2591664&cid=t_161243_135_f&fid=35277&url=http%3A%2F%2Fblog.aac.org%2Findex.php%2F2009%2F07%2F10%2Faids-action-council-applauds-removal-of-ban-on-federal-funding-for-syringe-exchange-programs%2F   AIDS Action Council commends Chairman David R. Obey (D-WI) and the Labor, Health and Human Services Appropriations sub-committee members on removing the ban on the use of federal funds for syringe exchange programs from the Labor, Health and Human Services FY 2010 Appropriations bill. In Chairman Obey’s prepared remarks he stated, “This bill deletes the prohibition on the use of funds for needle exchange programs. Scientific studies have documented that needle exchange programs, when implemented as part of a comprehensive prevention strategy, are an effective public health intervention for reducing AIDS/HIV infections and do not promote drug use.  The judgment we make is that it is time to lift this ban and let State and local jurisdictions determine if they want to pursue this app... AIDS Action Committee's Blog blogs http://www.medworm.com/rss/comments.php?id=2591664 Fri, 10 Jul 2009 17:06:57 +0100 2591664 http://www.medworm.com/index.php?rid=2458221&cid=t_161243_115_f&fid=38592&url=%2Findex.php%2Fmy-profile%2Fmy-blog%2FDare-To-Share-Radiology-case-and-image-exchange-released-.html "Dare To Share!" is a project, which allows sharing cases between researchers and colleagues. Users may find interesting or needed cases/images for different kind of projects (studies, books, publications, presentations etc.) while assuring the owner's credentials/copyright of the case. Direct contact between the searcher and the owner of the case provides also a good opportunity to get to know new, potential partners for future projects.Why was "Dare To Share!" devRead More... (Source: Radiolopolis Blogs) Radiolopolis Blogs blogs http://www.medworm.com/rss/comments.php?id=2458221 Mon, 04 May 2009 03:00:00 +0100 2458221 http://www.medworm.com/index.php?rid=2365332&cid=t_161243_133_f&fid=35129&url=http%3A%2F%2Fwhitterer-autism.blogspot.com%2F2009%2F04%2Fwhen-first-we-practice-to-deceive.html A thorough desensitization plan is an essential tool for many parents of autistic children. The key to success is both consistency and persistence with a healthy dollop of patience and encouragement. It’s a recipe for success around here and after many long years of practice we are now the very proud, temporary custodians of an ex-neophobe. This is not to say that my youngest son actually enjoys very much of the food in his new diet but he does eat it.For many months now we have been fading the reward, the chocolate pudding, until it finally fizzled out about a month ago. However, chocolate pudding is a very good way of getting high calories of fat and protein, which when you’re very skinny may not be such a bad thing. As a consequence, I decide that the reintroduction of chocolate pud... Whitterer on Autism blogs http://www.medworm.com/rss/comments.php?id=2365332 Thu, 23 Apr 2009 06:47:00 +0100 2365332 http://www.medworm.com/index.php?rid=2367397&cid=t_161243_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F15%2Fneedle-and-syringe-programmes-providing-people-who-inject-drugs-with-injecting-equipment%2F Title: Needle and syringe programmes: providing people who inject drugs with injecting equipment Source: NICE The Skinny: Promotes the optimal provision of needle and syringe programmes (NSPs) among injecting drug users. It is for NHS and other professionals who have a direct or indirect role in, or responsibility for, NSPs. This includes those working in drug (and alcohol) action teams (DAATs), pharmacies, local authorities and the wider public, voluntary and community sectors. It may also be of interest to people who inject illicit substances and non-prescribed drugs, their families and other members of the public. The recommendations relate to people over the age of 18 who inject illicit substances and non-prescribed anabolic steroids. The guidance complements and supports, but does not... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2367397 Wed, 15 Apr 2009 09:16:36 +0100 2367397 http://www.medworm.com/index.php?rid=2306681&cid=t_161243_87_f&fid=36516&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FAScannerBrightly%2F%7E3%2FA1MNc9hHuew%2Fguest-blog-collective-clinical-wisdom.html I'd like to invite and encourage all clinicians to register for the openEHR Foundation's new Clinical Knowledge Manager (CKM) - found online at www.openehr.org/knowledge. CKM is an international repository for openEHR archetypes and has two primary purposes - that of archetype publication and archetype governance. It is a real opportunity for clinicians to collaborate and agree on clinical content definitions for publication and use in our electronic health records.openEHR archetypes are open source, computable specifications that define clinical information about a single and discrete clinical concept. For example there are separate archetypes defining a 'symptom', 'diagnosis', 'blood pressure', 'medication order', and 'risk of disease based on family history'. As structured and standardi... A Scanner Brightly blogs http://www.medworm.com/rss/comments.php?id=2306681 Mon, 06 Apr 2009 17:20:00 +0100 2306681 http://www.medworm.com/index.php?rid=2235820&cid=t_161243_113_f&fid=38130&url=http%3A%2F%2Fwww.tempdev.net%2Fblog%2F%3Fp%3D617 A good friend and mentor was known for sitting patiently during long, contentious meetings before finally asking “What problem are we trying to solve?” After receiving blank stares, she would respond with “I think we’re getting ahead of ourselves. Let’s define the problem before we attempt to solve it.” I consistently find problem definition to be one of the most overlooked components of any project. And what’s funny is PMPs often get so busy coming up with a charter, vision statement, or some other Project Management Institute concoctions, rather than gaining a firm grasp of the problem to be solved. This approach directly results in loss in money, time, and resources as the project drifts without a clear mission. Similarly, when making decisions ... Implementing EMRs blogs http://www.medworm.com/rss/comments.php?id=2235820 Thu, 05 Mar 2009 12:36:21 +0100 2235820 http://www.medworm.com/index.php?rid=2234467&cid=t_161243_87_f&fid=36516&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FAScannerBrightly%2F%7E3%2FW_lJXt8bsg4%2Fmedical-data-privacy-consumers-v.html I just left the following as a comment over at THCB, but after I got done ranting it seemed like a mouthful so I'm reposting it here.I enjoy the position of being involved in HIT, clinical and claims data, *and* being one of the afore-mentioned hackers. Please distinguish hacker from malicious hacker or "cracker". The term "hacker" has no negative connotation in the community.That said, I'd like to promise you all this:When we're done, your health information will be as private and secure as your credit card information.It will flow across secured networks using portions of the public Internet. It will be covered by copious security policies, all well-intentioned, and few implemented fully.It will be accessible to you, the patient, electronically. A vague audit trail will also be available... A Scanner Brightly blogs http://www.medworm.com/rss/comments.php?id=2234467 Tue, 03 Mar 2009 16:54:00 +0100 2234467 http://www.medworm.com/index.php?rid=2200622&cid=t_161243_131_f&fid=34989&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FGeneticsHealth%2F%7E3%2FM85a_wepspI%2F Would it surprise you to know that American teenagers are interested in science, technology, engineering and math? A survey found that an “overwhelming majority – 85 percent to be exact - of teenagers expressed interest in how things work” in the sciences. The 2009 Lemelson-MIT Innovation Index (LMII) also found that 80 percent felt their schools prepared them for careers in the STEM fields. Unfortunately, that interest does not translate to pursuing higher studies or careers in the sciences. Why? These teenagers don’t know anyone working in the field or have a clue of what the fields are all about. Take home message? Taking a little time to mentor interested teenagers might increase our future crop of scientists someday. In “Help wanted: US teens need science and engineering... Genetics and Health blogs http://www.medworm.com/rss/comments.php?id=2200622 Fri, 20 Feb 2009 06:15:00 +0100 2200622 http://www.medworm.com/index.php?rid=2097776&cid=t_161243_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2Fxcnq9-HcJ8c%2F If you’ve been reading my blog, then you know that I’ve started a pretty interesting and complicated discussion about EHR and EMR sharing of patient data. I first posted an example of sharing data with an EHR and then followed it up with some challenges associated with sharing of EHR data. In my interoperability challenges post, Bjorn from Health Xcel posted a lengthy comment discussing some challenges of data sharing and made the case for RHIO (Regional Health Information Organizations) and HIE (Health Information Exchanges) as a means for sharing patient data between hospitals and doctors offices. His comment was so well done that I’m copying it below for more people to see and read it. I don’t personally agree with everything that was said. I also think he didn&#... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=2097776 Mon, 12 Jan 2009 05:10:40 +0100 2097776 http://www.medworm.com/index.php?rid=2061700&cid=t_161243_129_f&fid=36035&url=http%3A%2F%2Fblog.healthtalk.com%2Fchronic-pain%2Flife-with-chronic-pain%2Flow-on-energy-but-spurred-on-by-yuletide-spirit%2F This will be my only blog post this week. I’m taking a day off to enjoy the holidays, that is, if we’re able to have one. We are experiencing the biggest snow storm in a decade here in the great Northwest which they are calling an Arctic Blast and right now, nothing is moving out there. The reporters are saying it is the third largest storm in the Northwest since 1940. My intrepid husband is moving out there and my son-in-law walked to work today. Jim took my car to work at the jail this morning because his was frozen over and I do have studded tires. I think he may have even put on a jacket once or twice for this storm. It must be a Christmas miracle. Thankfully, we still have power. My heart skips a beat every time the lights flicker off and on. The snow is beautiful as it cl... Life with Chronic Pain blogs http://www.medworm.com/rss/comments.php?id=2061700 Tue, 23 Dec 2008 17:40:58 +0100 2061700 http://www.medworm.com/index.php?rid=2040260&cid=t_161243_151_f&fid=35823&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FAddictionInbox%2F%7E3%2F486821850%2Fdubious-choice-for-drug-czar.html Obama should just say no to Congressman Ramstad.At the Huffington Post, Maia Szalavitz deconstructs the exaggerated outcome data being used by Minnesota Teen Challenge (MNTC) to document the supposed effectiveness of their addiction treatment program. Plenty of treatment programs inflate their success numbers, knowingly or unknowingly, by using flawed statistics to support their arguments. Often--as in this case--there is no control group, thereby making firm statements about the “success” of a treatment all but impossible to prove.So why bother pointing out such obvious problems in the case of Minnesota Teen Challenge? Primarily, Szalavitz writes, because “the sole sponsor of an earmark providing $235,000 to Minnesota Teen Challenge, a branch of a national anti-addiction group which... Addiction Inbox blogs http://www.medworm.com/rss/comments.php?id=2040260 Tue, 16 Dec 2008 17:56:00 +0100 2040260 http://www.medworm.com/index.php?rid=1969123&cid=t_161243_125_f&fid=36046&url=http%3A%2F%2Fdentistrylibrary.blogspot.com%2F2008%2F11%2Fwould-you-like-to-spend-some-time-in.html If yes, the Smile Ecuador Dental Program could be just what you were looking for! The program is offered by Sustainable Volunteer Ecuador (SVE) in Quito, the capital of Ecuador. It gives dental students and dentists an unique opportunity to experience dental care in a developing country. Exchange students are able to learn Spanish while at the same time observing and participating in various clinics, such as surgery, orthodontics, and general dental practice. SVE works in close collaboration with a local Spanish school called Amazing Andes. The school has been operating for almost 10 years in Quito and the owners and directors have more than 10 years experience in receiving foreign students and organizing their stay in the country. The program is accredited by and registered with the Ecuad... DentistryLibrary@Sydney blogs http://www.medworm.com/rss/comments.php?id=1969123 Tue, 18 Nov 2008 02:15:00 +0100 1969123 http://www.medworm.com/index.php?rid=2510254&cid=t_161243_87_f&fid=36516&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FAScannerBrightly%2F%7E3%2FNHGrFeVAZMc%2Finteroperability-eu-style.html Seriously, is anyone in the US paying attention?Twelve countries. Three years. Internationally-accessible personal health records. Wow. (Source: A Scanner Brightly) A Scanner Brightly blogs http://www.medworm.com/rss/comments.php?id=2510254 Mon, 06 Oct 2008 18:22:00 +0100 2510254 http://www.medworm.com/index.php?rid=1850903&cid=t_161243_87_f&fid=34825&url=http%3A%2F%2Fwww.wesleyjsmith.com%2Fblog%2F2008%2F10%2Fas-world-snoozes-environmentalists.html One of the most radical alterations in the self definition of humankind has just occurred in Ecuador and the world snoozes. But the radical environmental movement sees what is happening and is cheering. From a Global Exchange press release: Today, the people of Ecuador voted to recognize the inalienable rights belonging to ecosystems in their new constitution. A set of groundbreaking articles that transform the status of nature from mere property to a rights-bearing entity are now incorporated into the national charter. Ecuador, one of the world's most biodiverse places, has set a precedent for other nations who have struggled against multinational corporations' exploitation, which has turned ecosystems and whole communities into sacrifice zones. The world watches as Ecuador takes its firs... Secondhand Smoke blogs http://www.medworm.com/rss/comments.php?id=1850903 Sat, 04 Oct 2008 00:33:00 +0100 1850903 http://www.medworm.com/index.php?rid=2510259&cid=t_161243_87_f&fid=36516&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FAScannerBrightly%2F%7E3%2FzitKxETuSh0%2Fgetting-there.html An information exchange of a thousand patients begins with a single discharge.The Nationwide Health Information Network, basically a separate Internet of health care organisations and systems, underwent it's first real test last week. Among other achievements, we saw the creation of a fabulous new acronym: DURSA. Stands for Data Usage and Reciprocal Support Agreement.In the test, 19 organisations demonstrated the ability to access and retrieve patient level data, albeit fictitious patients, from NHIN partners, which include DoD, the VA, and SSA. A live test with real data is scheduled for December, but ten years from now, we'll be looking back at this test as the first successful day we exchanged data, I think this is truly the the beginning of the end of the beginning. We're nearly there.... A Scanner Brightly blogs http://www.medworm.com/rss/comments.php?id=2510259 Tue, 30 Sep 2008 16:03:00 +0100 2510259 http://www.medworm.com/index.php?rid=1806725&cid=t_161243_87_f&fid=36516&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FAScannerBrightly%2F%7E3%2F396499315%2Ftoo-many-chefs.html Colour me cynical, but after reading this article from Gov Health IT by Nancy Ferris, covering eHI's annual survey of Health Information Exchanges, I can't help but hang my head in despair.I quote:Although the number of HIEs reporting this year held steady at 130, the number that are actually exchanging data grew by 31 percent, from 32 to 42. Eighteen of the 130 HIEs are new to this year’s survey, indicating that interest in using health IT continues to increase, said Janet Marchibroda, chief executive officer of the eHealth Initiative.On the surface, seems like good news, right?But wait a minute.One hundred and thirty HIEs?130.Nearly a gross.Do we *really* need 130 HIEs to cover 50 states? Unless I'm mistaken, we have four major credit cards, and three credit bureaus. Covering roughly t... A Scanner Brightly blogs http://www.medworm.com/rss/comments.php?id=1806725 Thu, 18 Sep 2008 18:42:00 +0100 1806725 http://www.medworm.com/index.php?rid=1764492&cid=t_161243_87_f&fid=36516&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FAScannerBrightly%2F%7E3%2F383558577%2Fmore-chartered-value-exchanges.html Eleven more communities will join the fourteen already designated by Leavitt as Chartered Value Exchanges - collaborations focused on improving care and transparency. The new Chartered Value Exchanges are: * Aligning Forces for Quality, based in York, Pa.; * the California Chartered Value Exchange, in San Francisco; * the Colorado Chartered Value Exchange in Denver; * eHealth Connecticut, Inc., of Middletown, Conn.; * the Greater Louisville Value Exchange Partnership in Louisville, Ky. ; * the Health Improvement Collaborative of Greater Cincinnati and HealthBridge, in Cincinnati, Ohio; * the Kansas City Quality Improvement Consortium, in Kansas City, Mo. ; * Michigan Health Information Alliance, in Mt. Pleasant, Mich.; * the Nevada Partnership for Value-driven Health Care, in Las ... A Scanner Brightly blogs http://www.medworm.com/rss/comments.php?id=1764492 Thu, 04 Sep 2008 20:34:00 +0100 1764492 http://www.medworm.com/index.php?rid=1531582&cid=t_161243_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F315769979%2F by David C. Kibbe MD, MBA The purpose of this post is to help a non-technical audience untangle some of the confusion regarding health data exchange standards, and particularly come to a better understanding of the similarities and  differences between the Continuity of Care Record (CCR) standard and the CDA Continuity of Care Document (CCD). But what I’m most interested in is getting beyond the technical, political, or economic positions and interests of the proponents of any particular standard to arrive at some principles that demonstrate in plain language what we are trying to achieve by using such standards in the first place. Frankly, I don’t give a hoot about what standardized XML format for capturing clinical data and information about a person becomes the norm in the ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1531582 Fri, 20 Jun 2008 05:43:32 +0100 1531582 http://www.medworm.com/index.php?rid=1526042&cid=t_161243_132_f&fid=35006&url=http%3A%2F%2Fnsaunders.wordpress.com%2F2008%2F06%2F17%2Flinux-tip-forward-email-from-m-exchange-server-to-gmail%2F My work email has migrated to M$ Exchange Server, with M$ Outlook Web Access. Eurgh. No more POP3 retrieval to my GMail account. I restored sanity using an Ubuntu server as follows. Needless to say, this requires that (a) the exchange server allows IMAP access and (b) the SMTP server for your machine will relay mail outside of your domain. Updated: to do it all via procmailrc, without .forward Install fetchmail and edit /etc/fetchmailrc: sudo apt-get install fetchmail sudo nano -w /etc/fetchmailrc Make /etc/fetchmailrc look something like this: set daemon 300 poll your.exchange.server protocol imap username “user” password “pass” smtpname “user@gmail.com” ssl replacing your.exchange.server, user (exchange), pass (exchange) and user@gmail.com (your ... What You're Doing Is Rather Desperate blogs http://www.medworm.com/rss/comments.php?id=1526042 Tue, 17 Jun 2008 07:50:25 +0100 1526042 http://www.medworm.com/index.php?rid=1379577&cid=t_161243_147_f&fid=35750&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FHealthCareVox%2F%7E3%2F272219534%2Fnew_government_website_highlig.html Recently the federal government’s Agency for Healthcare Research and Quality (AHRQ) launched a new Website, “Health Care Innovations Exchange” that features success stories on how health industry stakeholders are using a range of technologies to improve care.  What’s also interesting is that AHRQ is looking at what failed so that people can learn from others’ mistakes.  Currently the Website features 100 case studies and will be updated every two weeks.  I believe this site is critically important.  A common mantra of those working in the e-health field is “this sounds nice,” but did it work?  With AHRQ’s new Website we can now learn from what others have done so that we are not constantly reinventing the wheel or sim... HealthCareVox blogs http://www.medworm.com/rss/comments.php?id=1379577 Thu, 17 Apr 2008 15:39:32 +0100 1379577 http://www.medworm.com/index.php?rid=1247947&cid=t_161243_93_f&fid=36200&url=http%3A%2F%2Fblog.jammedph.com%2Fget-free-distributed-stumble-exchanges-through-stumbleudon%2F Found this new site StumbleUdon, which lets you exchange stumbles automatically. You may earn up to 15 free stumbles everyday. Without doing anything. How does it work? 1. Join the program. It will ask for a nickname (your username), password, and your StumbleUpon ID and password. Joining is through invitation. 2. Submit a specific page in your website or blog to StumbleUpon. 3. Then log in to your StumbleUdon account and submit your page. You need credits/udons to submit a campaign. You earn maximum of 5 credits per 24 hours or more if you invite more friends. Remember that you credit score is reset every 24 hours so you have to use it to as soon as you earn it. You get one stumble for every 1 credit/udon. Get an account now! (Source: Jammed: Full into Capacity) Jammed: Full into Capacity blogs http://www.medworm.com/rss/comments.php?id=1247947 Thu, 21 Feb 2008 14:21:37 +0100 1247947 http://www.medworm.com/index.php?rid=1212469&cid=t_161243_87_f&fid=36516&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FAScannerBrightly%2F%7E3%2F230452767%2Fphi-spy-with-my-other-eye.html Oddly enough, if it's not bad enough that the Chinese want to know what's wrong with you, GHIT is reporting that Wisconsin, that bastion of transparency and public reporting, is now pushing for changes to health privacy laws that would enable the sharing of patients' information such as their names, diagnoses, medications, even mental health providers, without the patient's consent!This underscores two things that I happen to rail on a lot.1. We need accountability and audit trails built in to any RHIO or health information exchange from the get go.We can easily pull a credit report and find out who's accessed our credit data, we need the exact same mechanism for our health data. It's not rocket science, we already do this. Just keep on doing it for our health info.2. We want to share our ... A Scanner Brightly blogs http://www.medworm.com/rss/comments.php?id=1212469 Wed, 06 Feb 2008 18:03:00 +0100 1212469 http://www.medworm.com/index.php?rid=1176330&cid=t_161243_87_f&fid=36516&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FAScannerBrightly%2F%7E3%2F222537797%2Fgoogle-health-inching-closer-to-reality.html Just when you thought Google couldn't know anything more about you...It's not live yet, not even closed beta, but if you look ever so closely there's a login page for Google Health.My Google account doesn't do anything, the login doesn't work, but the page promise that you will be able to:* Build online health profiles that belong to you* Download medical records from doctors and pharmacies* Get personalized health guidance and relevant news* Find qualified doctors and connect to time-saving services* Share selected information with family or caregiversThe service should be up sometime this year, but a few screenshots have surfaced:More here (Source: A Scanner Brightly) A Scanner Brightly blogs http://www.medworm.com/rss/comments.php?id=1176330 Thu, 24 Jan 2008 22:01:00 +0100 1176330 http://www.medworm.com/index.php?rid=1120981&cid=t_161243_87_f&fid=36516&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FAScannerBrightly%2F%7E3%2F207597410%2Fguest-blog-open-source-and-primary-care.html Tim Cook, a vocal proponent and leader of open source in the health care IT space and owner of possibly the most impressive list of achievements in the FOSS-meets-HIT space, managed to stumble across a post I made a while back about the National Health Information Network. Even though he was apparently having a much more interesting Christmas than I was, he took the time to drop me a note which led to the guest blog below. Thanks Tim!Back in March 2007 Jaz-Michael King posted about open sourcing the National Health Information Network (NHIN). There are success stories regarding using open source as part of some trials being done with NHIN record locating such as the Mendocino HRE as well as others.But, as Jaz pointed out in December 2007, Regional Health Information Organizations (RHIOs) a... A Scanner Brightly blogs http://www.medworm.com/rss/comments.php?id=1120981 Fri, 28 Dec 2007 15:23:00 +0100 1120981 http://www.medworm.com/index.php?rid=1106393&cid=t_161243_129_f&fid=36035&url=http%3A%2F%2Fblog.healthtalk.com%2Fchronic-pain%2Flife-with-chronic-pain%2Flets-have-a-cyber-recipe-exchange%2F How would it be if we take a break from our pain, our weather problems and the vagaries of Mother Nature to share a few holiday memories? Why don’t we share some of our favorite holiday recipes just as we would if we could gather around my kitchen table in the morning and share recipes over a cup of coffee or hot herbal tea? This is the Northwest so it’s raining outside, big surprise there. It’s warm and cozy inside, there’s the faint aroma of cinnamon pinecones and potpourri in the air, there’s a dog lying at your feet and we’re sharing, as good friends do. We have survived another year. That’s reason enough to celebrate. My holiday memories are filled with thoughts of delicious food, aren’t yours? When I think about Christmases past, the tastes and the odors of the season... Life with Chronic Pain blogs http://www.medworm.com/rss/comments.php?id=1106393 Wed, 19 Dec 2007 19:13:06 +0100 1106393 http://www.medworm.com/index.php?rid=1100096&cid=t_161243_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2007%2F12%2F17%2Fthe-boston-pops-and-bso-doesnt-care-if-youre-happy-or-sad%2F For months, my wife and I and our friends have been looking forward to the annual Christmas show, the “Holiday Pops” of the Boston Symphony Orchestra (BSO). We’re regular attendees of the Boston Pops, because we enjoy their music and they always put on a good show. We’ve been to over a dozen shows in the past few years, and have never had a negative experience or bad thing to say about them. Until Saturday night. The live performance we attended was telecast on PBS that evening and we had seats with two of our friends on the floor. The floor seating at Symphony Hall is unlike most orchestra seating — it’s cafe-style, with tables, folding chairs and food and beverage service. It’s usually a festive atmosphere, with families and people dressed-up f... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1100096 Mon, 17 Dec 2007 19:06:35 +0100 1100096 http://www.medworm.com/index.php?rid=1093351&cid=t_161243_87_f&fid=36516&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FAScannerBrightly%2F%7E3%2F199791395%2Frhios-need-data-not-dollars.html GovHealthIT reports on a Harvard study that finds that RHIOs across the USA are failing abysmally. Well duh. Regional Health Information Organisations can only function if and when they have regional health information to organise. Imagine building Google before the Web. Or Facebook before E-mail. That's what we're seeing happen now, and the feds STILL refuse to speak up.Two systems that work that I think shine a light on how to build a national health network are the Internet and the credit card clearing system. Neither of these systems were written into law, neither came from new taxes, yet somehow they seem to work and sustain themselves.The calls for funding RHIOs get louder and louder, yet these people HAVE NO DATA to share.I have a few thoughts:Incent adoption of electronic health re... A Scanner Brightly blogs http://www.medworm.com/rss/comments.php?id=1093351 Thu, 13 Dec 2007 15:05:00 +0100 1093351 http://www.medworm.com/index.php?rid=736324&cid=t_161243_133_f&fid=35129&url=http%3A%2F%2Fwhitterer-autism.blogspot.com%2F2007%2F07%2Fmy-mother-said.html “What it is?”“What is what dear?” Are we still on this spot? I’ve given up trying to turn it the other way around, from ‘what it is’ to ‘what is it,’ but I still inwardly groan at the questions that emerge from nowhere, without clues. Questions out of the blue with no referencing? Why can’t he add the bit that he wants to know about? Why does he leave that bit, the essential bit, out? I purse my lips and remind myself of the joy of having a far less speech delayed child than I once had.“Dah ‘disobey’?”“Disobey? Well that’s when you’re asked to do something and then you don’t do it.” I don’t add ‘just like you,’ but I think it. [translation = if you think an evil thought, it’s just as much of a sin as if you had done the deed]“He is disobey.�... Whitterer on Autism blogs http://www.medworm.com/rss/comments.php?id=736324 Sun, 15 Jul 2007 14:44:00 +0100 736324 http://www.medworm.com/index.php?rid=651735&cid=t_161243_93_f&fid=35707&url=http%3A%2F%2Fhemodynamics.blogspot.com%2F2007%2F05%2Fprevention-works-still-fighting-in-dc.html When I lived in DC, I worked at an immunology lab, and I volunteered for Prevention Works, Washington, DC's beleaguered needle exchange program. Ron Daniels was one of the staff members who was often on the van supervising sessions where I was a volunteer. I did simple work like counting out new needles and giving them out to people, or explaining the basics of the program to new participants, while Ron and others would be talking to people about tougher stuff, like drug treatment options and doing HIV testing.Ron and people like Ron are incredibly inspiring to me. For anyone who becomes a part of Prevention Works or supports it, needle exchange is a great way to make a difference. But for people like Ron Daniels, needle exchange is not just that; it's also a way of reclaiming the meaning ... hemodynamics blogs http://www.medworm.com/rss/comments.php?id=651735 Wed, 30 May 2007 04:41:00 +0100 651735 http://www.medworm.com/index.php?rid=949492&cid=t_161243_87_f&fid=36516&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FAScannerBrightly%2F%7E3%2F115434086%2Ffinally-someone-gets-it.html Project To Merge Health Care, Banking Information Systems The Tennessee-based Medical Banking Project later this year plans to unveil a computer-based platform that would allow banks to share medical record information and offer standards to manage that process, the Tennessean reports. (Source: A Scanner Brightly) A Scanner Brightly blogs http://www.medworm.com/rss/comments.php?id=949492 Wed, 09 May 2007 20:50:00 +0100 949492 http://www.medworm.com/index.php?rid=620286&cid=t_161243_133_f&fid=35129&url=http%3A%2F%2Fwhitterer-autism.blogspot.com%2F2007%2F05%2Fconvention-of-potential-buyers-with.html [From pre-blog days when I 'tidied' their language]I find that I am roped in [translation = persuaded against my better judgment] to throw a bit of a do [translation = host a party] for my mate. [translation = Brit friend.] Mrs. C is branching out and launched herself into the perilous waters of selling jewelry. In a feeble attempt at support I attempt hosting. My version is that of a mere amateur. Others, such as my "pal" [translation = American friend] manage matters in a such a professional manner, that I am brought to my knees in awe. [translation = very impressed] When the woman describes herself as "Queen," who am I to suggest otherwise? [translation = the "mayhem" tempers the monarchy]My "non verbal" speech delayed five year old reads from the computer screen at 5:45 in the morning.... Whitterer on Autism blogs http://www.medworm.com/rss/comments.php?id=620286 Mon, 07 May 2007 16:42:00 +0100 620286 http://www.medworm.com/index.php?rid=573773&cid=t_161243_113_f&fid=34898&url=http%3A%2F%2Fbillkosloskymd.typepad.com%2Fwirelessdoc%2F2007%2F04%2Fohiohealth_part.html OhioHealth Adopts New ePrescribing System for All of Its 2,300 Physicians This will provide all of OhioHealth's 2300 physicians a chance to use this ePrescribing tool the supports both Pocket PC and Palm OS. The RxNT system will connect to the Pharmacy Health Information Exchange™, operated by SureScripts®, which facilitates the secure, electronic transmission of new prescriptions and refill requests between physicians and pharmacists. Today, more than 95 percent of all pharmacies in the United States are certified to connect to the Pharmacy Health Information Exchange.Technorati Tags: OhioHealth, RxNT, Pharmacy Health Information Exchange, ePrescribing, SureScripts (Source: Wireless Doc) Wireless Doc blogs http://www.medworm.com/rss/comments.php?id=573773 Fri, 27 Apr 2007 17:23:12 +0100 573773 http://www.medworm.com/index.php?rid=949502&cid=t_161243_87_f&fid=36516&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FAScannerBrightly%2F%7E3%2F104531730%2Fphrs-certifiable.html There was a bit of buzz last week over the American Health Information Council's discussion around certification of Personal Health Records, with the Consumer Empowerment Workgroup not finding consensus on the issue. I've been waiting until the transcript of the CEW February 16 meeting was posted to comment on the workgroup's recommendations, however, the March 13th AHIC meeting which summarizes the CEW's February meeting has its transcript up already, so I'll work from that. When the Feb 16 transcript comes out I'll comment if necessary.Quick recap on the Consumer Empowerment Workgroup: Broad Charge for the Workgroup:Make recommendations to the Community to gain wide spread adoption of a personal health record that is easy-to-use, portable, longitudinal, affordable, and consumer-centered.... A Scanner Brightly blogs http://www.medworm.com/rss/comments.php?id=949502 Mon, 26 Mar 2007 18:33:00 +0100 949502 http://www.medworm.com/index.php?rid=463423&cid=t_161243_113_f&fid=34624&url=http%3A%2F%2Fblogs.bsti.com%2Fhealthcare%2F%3Fp%3D519 CalRHIO will pick a contractor by mid March. The resulting HIE will be a “service-oriented architecture framework, Web services platform, application components and operational support services for an exchange within and across health care organizations statewide.” The eight prospective contractors are: Accenture Covisint Computer Sciences Corp. (CSC) IBM, partnering with Axolotl McKesson Medicity Sun Microsystems Wellogic Why this matters: It’s always interesting to see a lot of money being spent. By following CalRHIO, we should also get an understanding of what will happen when we build a NHIN. I think it is great that Sun is a contender; I don’t think they will get it. I haven’t read through the recent NHIN presentations, so I don’t have an educated guess for who wil... Healthcare IT blogs http://www.medworm.com/rss/comments.php?id=463423 Wed, 31 Jan 2007 15:45:10 +0100 463423