The Informatics Review
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Medicine 2.0: Social Networking, Collaboration, Participation, Apomediation, and Openness
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“Medicine 2.0” applications, services, and tools are defined as Web-based services for health care consumers,
caregivers, patients, health professionals, and biomedical researchers, that use Web 2.0 technologies and/or semantic web and virtual reality
approaches to enable and facilitate specifically 1) social networking, 2) participation, 3) apomediation, 4) openness, and 5) collaboration,
within and between these user groups.
Source: The Informatics Review - September 1, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Literature Source Type: info
Automated de-identification of free-text medical records
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We have developed a pattern-matching de-identification system based on dictionary look-ups, regular expressions, and heuristics.
Evaluation based on two different sets of nursing notes collected from a U.S. hospital suggests that, in terms of recall, the software
out-performs a single human de-identifier (0.81) and performs at least as well as a consensus of two human de-identifiers (0.94). The system
is currently tuned to de-identify PHI in nursing notes and discharge summaries but is sufficiently generalized and can be customized to
handle text files of any format. Although the accuracy of the algorithm i...
Source: The Informatics Review - September 1, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Literature Source Type: info
Presence in Virtual Worlds Could Help Health Plans Achieve Real-World Behavior Change
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Second Life is a virtual world of avatars, sims and Linden dollars, and CIGNA, Corp., Partners HealthCare System, Inc. and the
Centers for Disease Control and Prevention (CDC) are among the first health organizations to establish beachheads on its shores. But it's
not, they say, because Second Life and other social networking media (e.g., Web sites) are new and flashy. Rather, their ventures are a
response to changes in the way consumers are communicating and accessing health information.
Source: The Informatics Review - September 1, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Resources Source Type: info
DNA databases blocked from the public
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The National Institutes of Health quietly blocked public access to databases of patient DNA profiles after learning of a study that
found the genetic information may not be as anonymous as previously believed. The study that sparked the move, published in today's
edition of the journal Public Library of Science, revealed the ability of a new type of forensic DNA analysis to identify a person's DNA
even if it were found in minute quantities and mixed with that of hundreds of other people.
Source: The Informatics Review - September 1, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Resources Source Type: info
Nationwide EHR implementation price tag estimated at $150 billion
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Full implementation of networked e-health records in U.S. doctors’ offices and hospitals could cost around $150 billion over
eight years. Miller’s projections call for hospitals to spend $35 billion to acquire and expand EHR systems and $55 billion in new
operating costs over eight years. He said this level of spending would bring hospitals’ IT spending closer to that of other
industries.
Source: The Informatics Review - September 1, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: News Source Type: info
Wrong National Strategy for EMRs?
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The health informatics community, the various national organizations and professional committees and ONCHIT need to consider making
major changes in order to have any hope for meaningful progress towards working, efficient, and successful EMR implementations. First, we
need an honest and open discussion on the current situation. Second, we need to look at many of the health informatics myths such as
“the goal of 2014 is easily achievable”, or “interoperability can easily be achieved if we follow the HITSP
standards”. Only then can we create cost-effective, interoperable, non-proprietary, user friend...
Source: The Informatics Review - July 15, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Report Source Type: info
"Plug and Play" Hospitals Medical devices that exchange data could make hospitals safer
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Device interoperability could also reduce the large number of false alarms that nurses must contend with. "If you go into an
ICU, it's a madhouse," says Szolovits. "There are alarms going off constantly, because each alarm is separate from the others,
so none of them have an integrated view of what's going on with the patient." If the data from medical monitors were integrated, he
says, alarms would be more likely to indicate something truly important.
Source: The Informatics Review - July 15, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Announcement Source Type: info
Surveillance Sans Frontières: Internet-Based Emerging Infectious Disease Intelligence and the HealthMap Project
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HealthMap
Source: The Informatics Review - July 15, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Literature Source Type: info
A treasure-trove of data in the UK National Health Service is set to energize biomedical research
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Perhaps the most significant move for biomedical science at the NHS lies in opening up the ocean of patients' data that the
organization has collected over the decades. Public consultations are now beginning that, favourable soundings suggest, will lead to ways by
which researchers can readily find appropriate patients for research and clinical trials, and can gain access to data whose sources are
anonymized but traceable subject to the patient's permission. In particular, the national extent and depth of those data will provide
researchers in academia and industry with a globally unique resource for highly...
Source: The Informatics Review - July 15, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Editorial Source Type: info
The Impact of Prevention on Reducing the Burden of Cardiovascular Disease
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Approximately 78% of adults aged 20-80 years alive today in the United States are candidates for at least one prevention activity.
If everyone received the activities for which they are eligible, myocardial infarctions and strokes would be reduced by 63% and 31%,
respectively. If more feasible levels of performance are assumed, myocardial infarctions and strokes would be reduced 36% and 20%,
respectively. Implementation of all prevention activities would add {approx}221 million life-years and 244 million quality-adjusted
life-years to the US adult population over the coming 30 years, or an average of 1.3 ye...
Source: The Informatics Review - July 15, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Literature Source Type: info
DEA proposes rules to allow e-prescribing of controlled substances
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The proposed rules, as explained in a 62-page Federal Register notice today, require doctors to use two forms of identification for
each transmission of e-prescriptions for controlled substances in addition to an annual audit of each system by a certified public
accountancy.
Source: The Informatics Review - July 15, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Proposal Source Type: info
One answer to EMR data entry: Hire a scribe to do it
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Here's how it works: The scribe takes notes during the clinical exam and enters them into the appropriate place in the EMR,
relieving the doctor of the note-taking and data-entry responsibilities. The common criticism of medical scribes is that their use adds one
more layer of bureaucracy, and keeps physicians from unlocking the potential of their EMRs because they're never interacting with them.
But medical scribe companies counter that they help physicians interact more with patients, because scribes handle the technology.
Source: The Informatics Review - July 15, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: News Source Type: info
Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment
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Health care applications of autoidentification technologies, such as radio frequency identification (RFID), have been proposed to
improve patient safety and also the tracking and tracing of medical equipment. In 123 EMI tests (3 per medical device), RFID induced 34 EMI
incidents: 22 were classified as hazardous, 2 as significant, and 10 as light. The passive 868-MHz RFID signal induced a higher number of
incidents (26 incidents in 41 EMI tests; 63%) compared with the active 125-kHz RFID signal (8 incidents in 41 EMI tests; 20%). In a
controlled nonclinical setting, RFID induced potentially hazardous inciden...
Source: The Informatics Review - July 1, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Literature Source Type: info
Information on Provider Taxonomy Codes for Payers
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Many hospitals, physicians and clinics are having difficulty getting claims paid because of problems related to Provider Taxonomy
codes in payers’ crosswalks. The folks from HIT Transitions have posted a lot of information on their health IT blog, and they’ve
just set up a link to all those posts.
Source: The Informatics Review - July 1, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Information Source Type: info
Overview of Trends in Health Information Exchange and Implications for Public Policy
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This month's webinar will provide an overview of what's happening related to health information exchange. The most recent
findings from surveys and research on health information exchange will be shared, including: health information exchange research funded by
Harvard's Program for Health Systems Improvement and published in the December 2007 edition of Health Affairs, findings from the
State-level HIE Consensus Project and Final Report which focused on assessing the current landscape of state-level health information
exchange initiatives, and the preliminary results from the eHI 2008 Survey of Health Info...
Source: The Informatics Review - July 1, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Seminar Source Type: info
CCHIT Certified Inpatient EHR 2007
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The following products have achieved CCHIT Certified status by testing against the 2007 Inpatient EHR criteria.
Source: The Informatics Review - July 1, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Report Source Type: info
Top five biggest healthcare IT blunders
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Despite their best efforts, many hospitals adopting healthcare IT have found some unexpected curves in the road over the last few
years. Here are some of the biggest blunders...
Source: The Informatics Review - July 1, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Report Source Type: info
Implementation of a novel on-ward computer-assisted surveillance system for device-associated infections in an intensive care unit
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A computer-based surveillance system for detecting nosocomial infections (NI) with direct data input from attending on-ward
physicians was implemented. Detected infection rates ranged within the German national reference data. Personnel costs for on-ward physicians
and infection control personnel were 1.01 Euro per device day in the routine phase. Time expenditure of less than 3 min per device day,
rendered in about equal parts by physicians and infection control personnel, was lower than in studies relying on on-ward assessment by
infection control personnel.
Source: The Informatics Review - July 1, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Literature Source Type: info
Novel, Web-based, information-exploration approach for improving operating room logistics and system processes
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A Web-based, graphical dashboard is described in this study, which can be used to interpret clinical operational data, allow
managers to see trends in data, and help identify inefficiencies that were not apparent with more traditional, paper-based approaches. The
dashboard provides a visual decision support tool that assists managers in pinpointing areas for continuous quality improvement. Strengths,
weaknesses, opportunities, and threats associated with implementing such a program in the perioperative environment are summarized.
Source: The Informatics Review - July 1, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Literature Source Type: info
Evidence on the Costs and Benefits of Health Information Technology
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Many people believe that health information technology (health IT) has the potential to transform the practice of health care by
reducing costs and improving quality. In this paper, prepared at the request of the Chairman of the Senate Budget Committee, the
Congressional Budget Office (CBO) examines the evidence on the costs and benefits of health information technology, possible barriers to a
broader distribution and use of it in hospitals and clinicians’ offices, and possible options for the federal government to promote use
of health IT.
Source: The Informatics Review - June 15, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Report Source Type: info
Behind the Curtain at Epic Systems
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Of course, there are ways in which Epic does resemble its competitors. It sells corporately designed clinical systems software,
which it implements in patient care organizations; it has a team of internal software developers and a team of implementers; and it competes
with other core-clinical companies for the same essential base of customers, in both the inpatient and outpatient spheres.
Source: The Informatics Review - June 15, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Article Source Type: info
E-Prescribing: Becoming Mainstream Practice
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report is intended to set the stage for rapid growth in the adoption and use of e-prescribing technology that can significantly
improve medication safety while better managing medication costs and improving health outcomes related to medications. It provides an
overview of the progress that has occurred, and challenges that still exist.
Source: The Informatics Review - June 15, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Report Source Type: info
The more ‘wired’ the hospital, the happier the patients
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An analysis of patient-satisfaction surveys from more than 1,000 hospitals found that the more “wired” a hospital is,
the happier its patients are. Patients from the most-wired hospitals reported higher satisfaction related to the admission process, their
experiences with physicians, and personal issues such as sensitivity and pain.
Source: The Informatics Review - June 15, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: News Source Type: info
Virtual Discussions: An Interface to Knowledge
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The Virtual Conversations® programs (
click to read article describing project
Source: The Informatics Review - June 15, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Application Source Type: info
Report from workshop on Guidelines for good evaluation practice and reporting" at MIE 2008 in Göteborg, 26 - 28 May 2008
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The WG meeting was very successful with more than 60 attendees and active participation of some of them. Attendees were enthusiastic
about STARE-HI and GEP-HI and some of them already use STARE-HI e.g. for supervising Master theses.
Source: The Informatics Review - June 15, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Conference Source Type: info
IT Visionary: William W. Stead, M.D.
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“We wanted to focus on decision support,” he says, and that meant bringing together all the groups involved in
management of information, from the library to hospital systems. The result was creation of the Informatics Center. It also meant building an
information architecture to link the enterprise and a strong academic unit to support it.
Source: The Informatics Review - June 15, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Biography Source Type: info
THE ONC-COORDINATED FEDERAL HEALTH INFORMATION TECHNOLOGY STRATEGIC PLAN: 2008-2012
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The Plan has two goals, Patient-focused Health Care and Population Health, which are defined as follows:
Patient-focused Health Care: Enable the transformation to higher quality, more cost-efficient, patient-focused health care through
electronic health information access and use by care providers, and by patients and their designees.
Source: The Informatics Review - June 15, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Report Source Type: info
Hospitals Using Telehealth to Provide Efficient ICU Care
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The critical patients at both the Naval Hospital in Guam and the Army Hospital Yongsan in Korea can be stabilized under the
direction of intensivists at Tripler. Dr. Benjamin Berg , an intensivist at the University of Hawaii's Telehealth Research Institute
said, "patients can be treated and many times the need for air evacuation can be eliminated or delayed at a cost of more than $100,000.
If they need to be, stabilized patients can be brought to Tripler on a regularly scheduled medical flight mission when they are in better
condition to fly.
Source: The Informatics Review - May 27, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Report Source Type: info
Just Looking: Consumer Use of the Internet to Manage Care
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A recent Pew Internet and American Life survey showed that 80% of consumers search the Internet for health-related information. Yet
their relationship to health information on the Web remains a passive one for most. Relatively few patients tap the Internet to manage their
care, including scheduling appointments with their doctors, filling prescriptions, or using ratings information to make choices about their
doctors or hospitals.
Source: The Informatics Review - May 27, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Report Source Type: info
A New Concept for Medical Imaging Centered on Cellular Phone Technology
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The goal of this study is to introduce and demonstrate the feasibility of a new concept in medical imaging that is centered on
cellular phone technology and which may provide a solution to medical imaging in underserved areas. The new system replaces the conventional
stand-alone medical imaging device with a new medical imaging system made of two independent components connected through cellular phone
technology.
Source: The Informatics Review - May 27, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Literature Source Type: info
Simple accessories could turn mobile phones into useful medical devices
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A research team led by Dan Fletcher from the University of California, Berkeley, which has developed a cheap attachment to turn the
digital camera on many of today's mobile phones into a microscope. Called a CellScope, it can show individual white and red blood cells,
which means that with the correct stain it can be used to identify the parasite that causes malaria. Moreover, by transmitting an image
directly over the mobile network, the CellScope could greatly help with the remote diagnosis and monitoring of many illnesses.
Source: The Informatics Review - May 27, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Report Source Type: info
Medical Errors Cost U.S. $8.8 Billion, result in 238,337 potentially preventable deaths
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HealthGrades' analysis of 41 million Medicare patient records (
Full Report
Source: The Informatics Review - May 27, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Report Source Type: info
The supporting player: second generation CDS goes beyond the basics to become intuitive
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Ask most IT professionals for a definition of CDS and they're likely to talk about alerts or warnings related to drug allergies
or drug-drug interactions. But new and emerging second-generation CDS goes far beyond alerts. It infers possible questions and needs before
they are explicitly asked, and it combines reference information seamlessly with tools for taking action. It embraces order sets, guideline
helpers, problem-based documentation templates, just-in-time flowsheets and data displays, and intelligent integrated reference
information.
Source: The Informatics Review - May 27, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Literature Source Type: info
National Alliance for Health Information Technology (NAHIT) Releases HIT Definitions
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Finally, NAHIT has released its
final report
Source: The Informatics Review - May 27, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Report Source Type: info
Interface Terminologies: Bridging the Gap between Theory and Reality for Africa
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Adoption of EHRs by physicians has been slow and the use of decision support has been minimal. Part of the difficulty lies in the
challenges that users face in capturing structured clinical information. Reference and administrative terminologies have been in use for many
years and provide a critical infrastructure to support reimbursement, decision-support and data analysis. The problem is that physicians do
not think and work using reference terminologies. Interface terminologies bridge the gap between information that is in the physician's
mind and information that can be interpreted by computer applications.
Source: The Informatics Review - May 27, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Literature Source Type: info
The Launch of Google Health
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Google's Personal Health Record Application
Source: The Informatics Review - May 27, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Resource Source Type: info
Practical Guide to Clinical Computing Systems: Design, Operations, and Infrastructure
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The development of clinical computing systems is a rapidly growing priority area of health information technology, spurred in large
measure by robust funding at the federal and state levels. It is widely recognized as one of the key components for reducing costs and
improving the quality of care. At the same time as more and more hospitals and clinics are installing clinical computing systems, major
issues related to design, operations, and infrastructure remain to be resolved. This book tackles these critical topics, including system
selection, configuration, installation, user support, interface engines, ...
Source: The Informatics Review - May 27, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Book Source Type: info
Detection and prevention of prescriptions with excessive doses in electronic prescribing systems
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Our study revealed a remarkable number of prescriptions with doses exceeding approved limits (2.5 - 6.1%). Their prevention appears
feasible but the choice of an appropriate database for MRTDs is essential, and differences between available information sources are
large.
Source: The Informatics Review - April 30, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Literature Source Type: info
A Randomized Trial of the Effectiveness of On-Demand vs. Computer-Triggered Drug Decision-Support in Primary Care
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Customization of computer-triggered alert systems is more useful in detecting and resolving prescribing problems than on-demand
review but neither approach was effective in reducing prescribing problems. New strategies are needed to maximize the use of drug
decision-support systems to reduce drug-related morbidity.
Source: The Informatics Review - April 30, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Literature Source Type: info
Diagnosing Alzheimer's disease--non-clinicians and computerised algorithms together are as accurate as the best clinical practice
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A combination of non-clinical researchers, a structured interview and a computerised algorithm is as effective at identifying AD as
highly trained and skilled clinicians.
Source: The Informatics Review - April 30, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Literature Source Type: info
Best Practices for Laptop Management and Data Breach Prevention
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In 2006, Allina lost a laptop containing sensitive data, and could not prove that the data on that laptop was encrypted. At that
time, Allina could only locate approximately 65% of its laptop population. To address its laptop management challenges, Allina implemented
Computrace®, an IT asset management, remote data delete and theft recovery solution. By 2007, the solution was deployed on all of the
hospital network’s laptops and tablets. Since implementing Computrace, Allina Hospitals & Clinics has recovered 75% of stolen
laptops, including a laptop that was tracked to Vietnam and back.
Source: The Informatics Review - April 30, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Report Source Type: info
Denis Protti, founder of the University of Victoria’s School of Health Information is honored
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To recognize Protti’s commitment to improving health information systems and the quality and cost-effectiveness of patient
care the health care systems management company
Courtyard Group
Source: The Informatics Review - April 30, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Resource Source Type: info
AHRQ Health Care Innovations Exchange
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The Health Care Innovations Exchange is an AHRQ program designed to support health care professionals in sharing and adopting
innovations that improve the delivery of care to patients. Explore this site to find innovative strategies and quality-related tools, learn
how to improve your organization's ability to innovate and adopt new ideas, and interact with innovators and adopters.
Source: The Informatics Review - April 30, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Resource Source Type: info
Web guru targets malaria with social network site
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Hadfield came up with the idea for
www.MalariaEngage.org
Source: The Informatics Review - April 30, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: News Source Type: info
How Do You Amend Your Terms of Use? Hint: Don't Hide the Ball
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The case, *Douglas v. U.S. District Court*, 495 F.3d 1062 (9th Cir. 2007), involved a change to terms of use for an AOL subsidiary
providing long-distance telephone services. The subsidiary was acquired by Talk America, which changed the existing terms of use to add a
number of new clauses, including a new arbitration provision and a waiver of the right to class actions. The plaintiff, a California
resident, filed a class action on a number of claims arising from the change in terms. The defendant moved to compel arbitration based on the
new arbitration provision. The District Court granted arbitration and ...
Source: The Informatics Review - April 30, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Report Source Type: info
Leapfrog CPOE Evaluation Tool
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The CPOE Evaluation Tool is a remote test for use by hospitals to assess their compliance with The Leapfrog Group's CPOE patient
safety standard. Leapfrog's CPOE standard requires that hospitals:
assure that prescribers enter hospital medication orders via a computer system that includes decision support software to reduce
prescribing errors; and,
Source: The Informatics Review - April 30, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Resource Source Type: info
SlidesOnline.org A resource for Powerpoint Slide Presentations
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Slidesonline is a web resource designed to facilitate educational process of medical professionals. As you know slide presentations
has become one of the key ways of facilitating education and a way of communicating the new scientific developments. Academic faculties and
clinicians in practice from worldwide have contributed to the web portal. We would like to invite you to share and enhance the sharing and
collaborative development of this educational resource.
Source: The Informatics Review - April 30, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Resource Source Type: info
Characterizing the Health Information Technology Workforce: Analysis from the HIMSS Analytics™ Database
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The data in this report focus on IT professionals in health care settings. We extracted data from the HIMSS Analytics™
Database and extrapolated our findings to the United States (US) as a whole. We found the following results:
There are approximately 108,390 IT professionals in health care the US.
Source: The Informatics Review - April 30, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Resource Source Type: info
Carefx announced the “go live” of its integrated, open systems platform for the Louisiana Rural Health Information Exchange (LARHIX)
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The integrated platform employs a federated model that offers clinicians secure, anywhere, anytime access to a portal-based view of
patient-centric data housed in disparate applications across multiple hospitals. Fusion from Carefx provides the platform, architecture and
aggregate view of real-time patient data. IBM Websphere provides the portal framework while user authentication and single sign-on,
policy-based authorization, identity federation, and auditing of access is provided by CA’s Identity & Access Management suite of
products. The architecture and data flow among the four technology partners en...
Source: The Informatics Review - April 14, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Announcement Source Type: info
New group forms to focus on interoperability
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Open Health Tools' stated mission is to accelerate the implementation of electronic health information interoperability
platforms, which improve patient quality of care, safety and access to electronic health records. The new tools will be available under an
open source agreement so that anyone may use them to provision interoperable healthcare platforms to link clinics, hospitals, pharmacies and
other points of care to make the healthcare system more efficient, OHT officials said.
Source: The Informatics Review - April 14, 2008 Category: Information Technology Authors: dean at informatics-review.com Tags: Announcement Source Type: info
