patient records

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HHS Releases Landmark Report: Reforming America's Healthcare System

On December 3, 2018, the Department of Health and Human Services (HHS) released an extensive, 120-page report on the administration's proposals to reform the healthcare system. The report, titled Reforming America's Healthcare System Through Choice and Competition, is divided into four major sections. The report that government policy of the last few years has suppressed competition, increased prices for healthcare, and limited choices for consumers. Though rich in detail as it tries to prove each of these points, the more than fifty recommendations are often broad and aspirational rather than practical. Since I am not a health economist, I will leave the market issues to others to discuss (many of the ideas in this report have been vetted and discussed by others previously). But there are two sections of the report which make direct mention of Health IT.

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HIEs Craft Strategies For Non-Targeted Query

Anthony Brino | Government Health IT | June 26, 2013

In the process of creating health information exchange recommendations, the Health IT Policy Committee’s Privacy & Security Tiger Team is considering practices that have been developed for a critical care coordination practice: non-targeted query. Read More »

How Cyber Hardening Can Protect Patient Privacy And Treatment

The abundance of internet-connected devices that collect and share patient data has greatly increased the “attack surface” (where an attacker inserts or extracts data) and number of possible vulnerabilities within a system. Now that medical devices can connect to home-based routers, public Wi-Fi or cellular networks to relay data to hospitals, specialists, and care providers. In addition, the software in those devices lacks cybersecurity and can be updated and reprogrammed remotely. Thus, sensitive patient information is even more prone to data breaches, and the safety of the devices can be compromised. Recent supply chain compromises, and the migration of health applications and platforms to the cloud, also add to the threat equation. This article looks at why the medical community is so vulnerable and suggests how it can better protect life-saving equipment and sensitive data from unprecedented cyberattacks.

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How Do You Change HIE Software Platforms? Very Carefully!

David Raths | Healthcare Informatics | July 8, 2013

HealtheConnections RHIO execs detail lessons learned about changing horses in midstream Read More »

Indian Healthcare Industry Prescribing A Dose Of Technology

Ayushman Baruah | InformationWeek | October 22, 2012

Max Healthcare which has been at the forefront of delivering healthcare services in Delhi-NCR has moved to an Electronic Health Records (EHR) system from their existing Hospital Information System (HIS). The group implemented an open source EHR system, WorldVistA, with the goals of minimizing the need for paper records, allowing order entry by the doctors in the system itself, and enabling easy access to patient records. The system was hosted on a private cloud and was interfaced with laboratory, radiology and pharmacy to allow real-time access to any patient record.

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JP Systems Awarded $100M from the V.A. For Foundational Data Standards Work

Press Release | JP Systems | October 12, 2015

J P Systems, Inc. was awarded a $100 million (ceiling) contract from the Veteran's Administration to standardize medical terminologies.  The overall purpose of the work is that of patient safety. When doctors use standard terms, healthcare providers all over the world are better able to understand the details of patient records written by different doctors over many decades, even in different countries and languages. Continuity and accuracy count a great deal. As Dr. Robert M. Califf, Vice Chancellor for Clinical Research from Duke University says: "People are dying because we don't use the same names for the same things!"

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Max Healthcare is 1st hospital in India to receive 'Stage 6' recognition from HIMSS

As reported in Business Wire India and IT News Online, Max Healthcare has become the first hospital in India and only the sixth in Asia to achieve “Stage 6” on the EMR adoption model from the Healthcare Information and Management Systems Society (HIMSS), indicating that a significant portion of patient records are now electronic with minimal usage of paper charts. They rely heavily on the use of open source health IT solutions, e.g. VistA, Mirth.
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mCode Initiative Open Sources Common Cancer Data Platform and Standards to Improve EHR Data Interoperability

Press Release | MITRE, ASCO, CancerLinQ LLC, Alliance Foundation | June 1, 2019

In an effort to advance cancer data sharing and improve the quality and coordination of patient care, three of the nation's leading health and technology organizations have established a core set of data elements and recommended technical specifications (the Minimal Common Oncology Data Elements, or "mCODE") that are essential for capturing and reporting the characteristics, treatments, and outcomes of every cancer patient and should be contained in each patient's electronic health record (EHR).

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Mobile Will Be Essential To Meeting MU Stage 2, Improving Care Coordination

Neil Versel | MobiHealthNews | November 1, 2012

We’ve heard talk for years about patient engagement, but not a whole lot of real progress. Mobile technologies are about to change that, with a substantial boost from Stage 2 of the “meaningful use” EHR incentive program. Read More »

Nationwide Exchange Stands On Its Own

Tom Sullivan | Healthcare IT News | October 11, 2012

Marking a bridge’s beginning, ONC on Thursday made it official: eHealth Exchange is standing on its own as a non-federal, non-profit entity. Read More »

Public Medical Labs Could Save Canada $250 Million A Year: Study

Crawford Kilian | The Tyee | January 22, 2013

The Canadian health care system could save a quarter of its billion-dollar annual spending on lab tests if for-profit labs no longer did them, a new study suggests. Read More »

Science Journal Examines Key Role of Open Source EHR in Ending Ebola Epidemic in Sierra Leone

The prestigious, open access, Journal of Medical Internet Research recently published a study looking at the effectiveness of OpenMRS’ use during the 2014-2016 Ebola epidemic in West Africa. The article highlights the work of a team who developed new user-interface components for OpenMRS and rapidly deployed the system in an Ebola Treatment Centre (ETC) in Sierra Leone. The team, composed of members from OpenMRS, Save the Children International, Thoughtworks, The London School of Hygiene and Tropical Medicine, Partners In Health, University of Leeds, and Columbia University. The team came together in response to an urgent request for healthIT from colleagues at Save the Children International to develop an EHR suitable for deployment in a new Ebola treatment Centre being set up in Kerry Town outside the capital, Freetown.

The Anxiety of Waiting For Test Results

Jan Hoffman | New York Times | July 23, 2012

As medical records move online and state regulations loosen, many patients can bypass the doctor’s call and get the results of these tests faster, directly from labs via Web sites and apps.

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The Radical Potential Of Open Source Programming In Healthcare

Nicholas Filler | Healthcare IT News | May 21, 2015

...electronic health records pose interesting problems related to sorting through vast amounts of patient data. This is where open source programming languages come in, and they have the ability to radically change the medical landscape. So why aren’t EHRs receiving the same care that patients expect from their doctor? There are a variety of answers, but primarily it comes down to how the software interprets certain types of data within each record. There are a variety of software languages designed to calculate and sort through large amounts of data that have been out for years, and one of the most prominent language is referred to as “R”.

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Why do EHR Firms Own Patient Data When Other Software Vendors Don't?

There's a healthy debate going on about healthcare data interoperability and I think the more we discuss it, the better off we'll be. It's absolutely crucial that all healthcare information systems be able to talk to each other in a way that is useful to both physicians/clinicians as well as patients. The only way to have truly interoperable systems is to have free (but safe and secure) data interchange and exchange requires access rights and an understanding of ownership rules. One part of the discussion that many vendors of electronic health records (EHRs), a large portion of the health IT ecosystem, don't want to have is about the ownership of patient data stored in "their" EHR systems.

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