Spending on entitlement programs like Medicare and Medicaid consumes some two-thirds of all federal spending, but new research from the University of Notre Dame shows that information technology investments in health care lead to significant spending reductions — potentially in the billions of dollars...
health information exchanges (HIEs)
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Standards and Open Source Make Advances in Apps and Data Exchange for Health
I try to be optimistic about health care, and I managed to move my mood meter in that direction last month after talking about advances in data sharing, standards, and interoperability with a few people involved in the open FHIR standard: Grahame Grieve from the Core FHIR Development Team, David Hay from the FHIR Management Group, and Josh Mandel, a research scientist working on the open-source SMART Platform. Read More »
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Study: Most U.S. Hospitals Not Participating In Health Data Exchanges
The majority of hospitals in the U.S. do not participate in health information exchanges, and there is substantial variation in participation rates among states, according to a new study published in Healthcare: The Journal of Delivery Science and Innovation, Health Data Management reports...
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The Pathway to Patient Data Ownership and Better Health
Digital health data are rapidly expanding to include patient-reported outcomes, patient-generated health data, and social determinants of health. Measurements collected in clinical settings are being supplemented by data collected in daily life, such as data derived from wearable sensors and smartphone apps, and access to other data, such as genomic data, is rapidly increasing. One projection suggests that a billion individuals will have their whole genome sequenced in the next several years. These additional sources of data, whether patient-generated, genomic, or other, are critical for a comprehensive picture of an individual’s health...
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The Reduction of State-coordinated HIE: How Should Public Health React?
A recent article in HealthAffairs describes a significant decline in the number of both operational HIEs and HIEs in the planning stage from several years earlier. The authors note continuing barriers to broad-based HIE and a shift to vendor-driven exchange which diminishes the effectiveness of community-based networks. In effect, this translates to a shift away from geographic-based/dominated HIEs to product-dominated HIEs. We have already noted (see The Interoperability of Things) the lack of a national strategy on HIE, and ONC’s Nationwide Interoperability Roadmap barely mentions the concept.
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ThoughtWorks' Bahmni Helps Small, Low-Cost Hospitals Improve Patient Care
Hundreds of patients at the Jan Swasthya Sahyog (JSS) hospital in Chhattisgarh’s Bilaspur used to spend hours carrying documents to different windows. ThoughtWorks’ Bahmni, an open source medical record system, has attempted to put an end to that. The open source software platform was developed by engineers of software firm ThoughtWorks in Bengaluru and Hyderabad to help doctors keep medical records, lab reports and other related information and treat their patients better...
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UMD Researchers Develop Tool to Counter Public Health IT Challenges
Front-line protection of U.S. communities against disease epidemics relies on seamless information sharing between public health officials and doctors, plus the wherewithal to act on that data. But health departments have faltered in this mission by lacking guidance to effectively strategize about appropriate “IT investments. And incidents like the current Zika crisis bring the issue to the forefront,” says Ritu Agarwal, Robert H. Smith Dean's Chair of Information Systems and Senior Associate Dean for Faculty and Research at the University of Maryland’s Robert H. Smith School of Business...
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VA & SAMHSA test Exchange of Tagged Substance Abuse Data
The Veterans Affairs Department and the Substance Abuse and Mental Health Services Administration have demonstrated how to securely share sensitive health information while following confidentiality laws and patient disclosure wishes among providers using certified electronic health records (EHRs). Read More »
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VA, HHS Team Up On Telehealth
Health and Human Services Secretary Kathleen Sebelius and Secretary of Veterans Affairs Eric K. Shinseki have announced a joint effort to expand care delivery to veterans living in rural areas. Read More »
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Veterans In Rural Areas To Get Expanded Access To Health Care
Department of Health and Human Services (HHS) Secretary Kathleen Sebelius and Secretary of Veterans Affairs (VA) Eric K. Shinseki today announced a joint effort to expand health care delivery to veterans living in rural areas. Read More »
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WellTrackONE and Zoeticx Demonstrate Interoperability by Integrating Good Samaritan’s EHR System with Indiana HIE
The long awaited road to true healthcare IT system interoperability is being implemented at Good Samaritan in Indiana, enabling the 232-bed community health-care facility to better deliver on its commitment to delivering exceptional patient care. The system will also enable the hospital to substantially increase their practice’s revenue while containing healthcare system integration costs....The integration is being made possible with Zoeticx’s Patient-Clarity interoperability platform which will integrate WellTrackONE’s Annual Wellness Visit (AWV) patient reports with Indiana’s Health Information Exchange (IHIE) and the hospital’s Allscripts EHR.
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What the IoT can learn from the health care industry
After a short period of excitement and rosy prospects in the movement we’ve come to call the Internet of Things (IoT), designers are coming to realize that it will survive or implode around the twin issues of security and user control: a few electrical failures could scare people away for decades, while a nagging sense that someone is exploiting our data without our consent could sour our enthusiasm. Early indicators already point to a heightened level of scrutiny — Senator Ed Markey’s office, for example, recently put the automobile industry under the microscope for computer and network security. Read More »
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When Medical Informatics Clashes With Medical Culture
Tools are available that can help reduce the number of duplicative or otherwise unnecessary diagnostic tests doctors order. And although their main function is not cost containment, these systems can have a profound effect on the bottom line. EHRs, for example, when properly implemented, can keep clinicians informed of recent lab tests and imaging studies--through the magic of HL7...
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Why Making the Case for Interoperability Standards Is Needed
It's buzzy. It's the fly in the ointment for many and vendors swear it's seriously. just. about. to. gain. traction. Interoperability. Thinking about the topic is daunting itself but for those on the frontlines of care delivery and for patients, its increasingly becoming necessary as the healthcare industry enters into a more networked era. When we last checked in on interoperability, the industry was touting the massive adoption of EHRs...
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