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Noreen C

U.S. Tries Open-Source Model for Health Data Systems - NYTimes.com - 1 views

bits.blogs.nytimes.com/...-model-for-health-data-systems

3.7_databases 3.4_internet 3.2_software 2.4_health 1.2_security 1.3_privacy_anonymity 1.10_standards

shared by Noreen C on 06 Feb 11 - Cached
  • easily and securely share information
  • A fancy electronic patient record, unconnected, is just an expensive way to capture data.
  • Getting many different health care providers and suppliers of specialized software to agree on how to do that is no simple task.
  • ...2 more annotations...
  • The solution the group agreed to is essentially Internet-based e-mail and public key encryption technology, tailored for health care.
  • For health care technology companies, the data-sharing standards, experts say, should stimulate the market for electronic health records and allow them to focus their efforts on making their individual offerings more affordable and easier to use.
  • Noreen C on 06 Feb 11
     
    This article is primarily about setting standards and protocols so that an electronic health records could world easily and securely for many health care providers and suppliers. The reason the introduction of an EHR hasn't worked before, is that there were no data-sharing standards, which would ensure that the data is transmitted securely across the internet. These standards are also in accordance of many of the interests of all of the health providers and stakeholders involved, which was a major problem previously. Without the issue of connecting the EHR from provider to provider, then the records would be a "fancy...way to capture data," and it's full potential would never be recognized. However, these new standards and protocols, filled with secure transactions based on encryptions, have made the introduction of an electronic health record possible. There are many benefits to the use of an EHR, including productivity and financial improvement for the companies and the employees. For example, doctors/nurses no longer need to spend time pulling a patient's file, or writing the details of the visit afterwards. There are also fewer repetitive tasks, and improved communication between doctor and nurse, or doctor and another doctor. Quality of care may also improve because doctors have quick access to a patient's information, there is better monitoring and discovery of chronic illnesses, and doctors can return phone calls/ provide medication refills immediately. Also, in general, the electronic charts allow for a more efficient office, which leads to a less stressful environment and more attention on the patients' care rather than searching for their charts. This can only be done through the introduction of an EHR, leading to easier queries, instant reorganization, and file management that could be transmitted to both the patient and any other doctors. This minimizes the ambiguity of not having tests results from one doctor, and allows all doctors treating a p
  • Noreen C on 06 Feb 11
     
    patient to see all of the patient's history. This is important in having a correct diagnosis and treatment. However, there are also some drawbacks. Initially, doctors who chose to engage in the implementation of a EHR, see some decreases in productivity. This is because entering information and learning how to use the software takes some time. Some doctors also do not have the money to invest in such software and accompanying hardware to, and others no not want to because they are accustomed to their hand-written charts. There are also some security issues, leading to greater privacy issues. The EHR maintains very personal data about a patient, and if the records are breached, then the privacy of the patient may be put at risk. There is also the issue of interoperability, which was brought up in the article. Many of the companies in different countries wishing to engage in the implementation of EHR have different standards involving the usage. This could harm the usage of an international EHR.
Ariel A

EHR Software- Electronic Health Care Record Software System - 0 views

www.ehr-software.net

shared by Ariel A on 07 Feb 11 - Cached
  • Ariel A on 07 Feb 11
     
    EHR software is basically a program that allows the user which can be a patient or doctor to update information regarding there health issues. This program is secure for only the doctor and patient and not viewed in public. This information remains private with fast accessibility and easier use of storing data. EHR solves the problem of losing paper and pen sheet information that is valuable. One can just go to the doctor and the information can be placed as fast as searching for the best way to handle a certain sickness more effective with an online source of various information that would enhance better results in curing a sick patient. EHR Reliability is safe in the sense that its use of functioning for organizing data as been beneficial for the medical industry as a whole.
  • Madeline Brownstone on 27 Feb 11
     
    Ariel, this is not a news source. Stick to vetted newspapers or very reputable bloggers who are considered journalists. Also, I expected that you would use the ITGS Triangle to guide your summary.
Alex F

Can Barack Obama ensure all Americans have electronic health records by 2014? | Society... - 0 views

www.guardian.co.uk/...electronic-medical-records

EHR privacy

shared by Alex F on 04 Feb 11 - No Cached
  • Personal health records are a concept enabling customers to gather their information from different providers (perhaps their primary and secondary care providers, for example) and store them in one place.
    • Alex F
      Alex F on 04 Feb 11
       
      this is how health records are used, and how useful they would be when customers go to different providers and that way information can be passed on.
  • Portability and Accountability Act of 1996 which is meant to govern the security and privacy of EHRs.
    • Alex F
      Alex F on 04 Feb 11
       
      this is historical information
  • Privacy
    • Alex F
      Alex F on 04 Feb 11
       
      issue/ concern
  • ...5 more annotations...
  • health information exchanges, and the DHHS has already commissioned 15 contractors to work on trial implementations of prototype architectures.
  • 2007, according to research from George Washington University, 20-25% of outpatients were being served by some form of electronic health records (EHR) in the US
  • "meaningful use": the practical deployment of these records for e-prescribing, laboratory exchange and quality measurement
  • The American Medical Association says it is fully behind Connecting for Health.
  • Google and Microsoft have also endorsed Connecting for Health, a consortium that provided one of the original prototype architectures for the NHIE (and unconnected to the NHS IT organisation of the same name).
Yuval S

New rules issued on electronic health records - 1 views

news.cnet.com/8301-27083_3-20010507-247.html

2.4_health 2.4_med_research 3.7_databases 1.10_standards

shared by Yuval S on 06 Feb 11 - No Cached
  • Yuval S on 06 Feb 11
     
    This news article talks about the new rules that are focused around EHR. The situation is that despite the push toward "electronic health records by Washington, the transition toward EHR still has a long way to go." Last year, the American Medical Association estimated that there were over 800,000 physicians in the U.S., said Practice Fusion, which offers a free Web-based system to doctors. But only 6.3 percent of them said they had a fully functional electronic medical records system in place. There was and attempt to resolve this by these rules. The government is hoping to clarify the conditions under which doctors and hospitals can collect payments by investing in electronic health records, or EHR, for the next few years. Calling the rules a "significant milestone," General Electric said they include important changes that make the objectives for incentive payments more realistic for medical providers. The exact rules that are going into place are: "One of the rules, issued by the Centers for Medicare & Medicaid Services, defines the "meaningful use" objectives that medical professionals must meet to qualify for the payments. The goal of this rule is to provide greater flexibility by offering a menu of different objectives and procedures that providers can choose from to qualify. The other rule, issued by the Office of the National Coordinator for Health Information Technology, defines the standards that must be met by EHR technology so medical providers are confident that the equipment they use will actually perform all the required functions."
Saida K

Healthcare innovation: The files are IN the computer! - 1 views

news.cnet.com/8301-13641_3-10190109-44.html

2.4 Health 1.11 People and machines 1.4 Intellectual Property

shared by Saida K on 07 Feb 11 - No Cached
  • Saida K on 07 Feb 11
     
    Obama has given a vast quantity of money to impact the way health cares use the technology. In other words, he hopes that supporting them with financial help, any health care facility would be able to use the technology created. The advantage of the EHR (Electronic Health Records) would be that doctors and medical nurses wouldn't have to hassle in writing every single record of a patient, rather just simply put in the information in a database which other hospital or medical facilities can easily obtain. This alleviates the stress of scanning and faxing information to other doctors. The usage of EHR would impact people in actually being motivated to even use it to begin with, arising the issue of people and the machines. If the people simply choose not to update patient's records into the database, the patient will be greatly affected considering that it's the health status that is at risk. In order to motivate workers to actually use the EHR, is something that must be studied according to the article. But most people who do have access to using EHR, actually use it, will begin to notice the advantages very soon, noticing that business is actually getting better and receiving more patients on a daily basis since it's possible to attend their needs. With intellectual property on the side, since data presentations becomes important too in the waiting room, many patients begin to adapt to the way services are held at local medical facilities since it becomes easier to obtain information for both the patients and doctors.
Madeline Brownstone

Healthcare Technology and Healthcare Reform - 1 views

www.lansingbusinessmonthly.com/...chnology-and-healthcare-reform

health EHR impacts

shared by Madeline Brownstone on 04 Mar 10 - Cached
  • Madeline Brownstone on 04 Mar 10
     
    Positive impacts of EHR on medical field
nicholas n

Rural Doctor Finds Benefits in Electronic Medical Records - NYTimes.com - 1 views

www.nytimes.com/...11records.html

3.7_databases 1.10_standards 2.4_health 2.4_med_info_adm_marketing_sales 3.3_networks

shared by nicholas n on 06 Feb 11 - No Cached
  • nicholas n on 07 Feb 11
     
    In looking at this article and the other articles that I have post The main It IT system is a database to store the medical records of the patients of doctors. In theory this would be great for everyone. There will be less paper waste, and it would be easier to pull up patient information at the doctor's office. Its true potential can be achieved if each doctor's database can be connected to created to create a network so any doctor can access the patients information nationally or internationally. The primary issue however, is that the doctors have no standard. Some doctors are not willing to make a transfer because there are to many implications to actually becoming all digital. So that is the issue, since there are no standard the doctors are not willing to adapt. Now this issue can affect a number of stakeholder's. The doctors can see the benefits and draw backs of this standard issue. The doctor's who adopt EHR, actually save a lot of money in the long run, and are on better terms with insurance companies, in the cases where doctors don't use EHR and if a standard is developed they will suffer for it. They will not be able to process patient information quickly, and be on bad terms with insurance companies, and the U.S government(since the government wants to only have EHR or EMR). If a standard is not developed its the patient that will suffer the most. In this world that that we live in International travel is a common place, many people can get injured abroad a EMR can give life saving information to the doctors from the foreign country. This article displays the particular benefits of EMR, the article above me is the reasons doctors do not want to adopt to EMR, and the article before mine displays the governments interest to change all the paper records to EMR.
sarah d

Rural Doctor finds benefit in Electronic Health records - 1 views

www.nytimes.com/...11records.html

EHRs 2-22-sarah

shared by sarah d on 22 Feb 10 - Cached
  • sarah d on 22 Feb 10
     
    22 Feb 2010 "Rural Doctors Find Benefit in Electronic Health Records" by: Milt Freudenheim www.nytimes.com ITGS Triangle- Area of Impact: health Social and Ethical issues: equality of access, global and cultural diversity; electronic health records allow patients' information to be more easily accessed by professionals. IT system: Electronic Health Records Stakeholders: Patients and professional health-care workers. Professionals can share and access patient information more easily and readily. Presentation of Issue-- If a professional cannot switch to electronic health records, they are at a disadvantage. The playing field is not even for all professionals. Some professionals were switching their written records to electronic records to make access and use of records easier. While some professionals made the switch, others were having difficulty succeeding. This issue affected some doctors severely. For example Dr. Michael Ferris had a problem with his expensive system continuing to crash. This put his practice in jeopardy.
Madeline Brownstone

Electronic health records raise doubt - The Boston Globe - 11 views

www.boston.com/...nic_health_records_raise_doubt

health database CS10 integrity

shared by Madeline Brownstone on 03 Mar 10 - Cached
  • Madeline Brownstone on 03 Mar 10
     
    "Google Health and others in the fast-growing personal health record business say they are offering a revolutionary tool to help patients navigate a fragmented healthcare system, but some doctors fear that inaccurate information from billing data could lead to improper treatment."
  • ...10 more comments...
  • helen g on 18 Mar 10
     
    This article provides a possible service that can be used in the east African country our case study is on. Google health is a free service that would give all patients the opportunity to store their health records digitially, making it easier for doctors to access it. Especially if telemedicine were to be used, having electronic health records would be a great benefit. However, the issue of reliability is especially troubling when it comes to using services like Google health in this context. There have been many reported errors with the diagnoses of patients using this service, and it is crucial that the records are checked by both patients and doctors to ensure that all information listed is correct. Literacy rates are much lower in rural African settings, creating a problem for patients who may be unaware of inaccurate information on their records. Especially for individuals in critical conditions, fatal mistakes can therefore be made.
  • Santiago P. on 18 Mar 10
     
    Electronic Health Records are also used in the case study. Patients and doctors rely on these records for accurate data, but it is rather difficult, due to the lack of reliability with which Google Health updates patient's health data. In order for Dr. Ogola's plan to work (face the challenges, create a modern health system), he must implement such health records that will store patients' information on an accessible, secure and easy to use database. This would help patients, doctors and nurses share data without having to travel long distances. Data would be secure and also accessible to the three parties. However, this would require a reliable system (more than Google Health) so as to not provide inaccurate data to the patients. Patient involvement in the care of his/her own data would be required for an such an erroneous system, as would a reliable source of healthcare information on the patients. Unreliable sources can potentially damage the whole system.
  • Kristin O on 18 Mar 10
     
    The use of Electronic Health Records in this article can be applied to our case study. Firstly, it would make the transfer of patient data easier and faster, this would increase the quality of care that the hospitals and clinics offer to their patients. These Electronic Health Records can also keep data from different doctors in order, for example if a patient visits several Doctors all of their information will be in one place and ready to access when ever necessary. In the case study if doctors had a more accurate picture of the patients medical history they would be more prepared to make diagnoses, especially when they are working with strange cases. This would also help to increase the quality of treatment that the patient would receive. Digital Health Records are easy to update both the patient and the doctor can edit the Electronic Health Record, it also can keep track of test results, and medications that the patient is currently using. Electronic Health Records allow patients to be more active in their health care allowing them to see and have access to all of their medical information. Even though this IT system is ideal for our case study there are some things we should take into consideration. In our case study we would have to make sure that equality of access is equal for everyone, there may be some people living on the outskirts of villages that might not have access to Digital Health Records. We would also have to assume that everyone would know how to use the Digital Health Record. Meaning how to update it and how to look for errors. Lastly we would have to assume that the patient would make good use out of having an Electronic Health Record. They would have to constantly be updating and checking their records to see if there is any missing information or any errors within their data. Lastly, the coding system would have to be revised, it is confusing and very inaccurate, there should be a new coding system that makes understanding your own records
  • sarah d on 18 Mar 10
     
    In this article, the use of electronic health records is discussed. However, some problems arising from their use are also introduced, including inaccurate patient information. In the world of the case study, this IT system, electronic health records. is quite relevant and can be useful. EHRs can be used in Africa to connect rural doctors to hospitals and other professional health care workers in better facilities. This way patients' records can be reviewed, diagnoses can be made and other help can be given. However, if this system is taken advantage of in Africa, its users must be certain that the information in the records is accurate and comes from a reliable source. This is because if the information in a record is inaccurate, incorrect diagnosis and/or medication can be given as was the situation in the article. These kinds of mistakes can be detrimental to some patients.
  • Richie P on 18 Mar 10
     
    This article elaborates on the drawbacks of electronic health files. Although the IT System, Google Health, seems that it will make getting quality health care much easier and quicker, there is a major issue of possible inaccurate information. These inaccuracies or exaggerated diagnoses on Google Health may prevent patients from receiving the care they need, and Google Earth is prone to human error as real people are responsible for inputting insurance billing codes or mislabeling a lab test with a disease that is hoped to be ruled out. This has an impact on our African case study as this article illustrates one of the highly potential problems that arise from the use of telemedicine. Although medical centers in Africa would be able to eliminate the tedious process of paper work by instantly communicating records over the internet, these records can be inaccurate and therefore compromise an already sick patients health even further. However, for the case study, EMR's prove to be a very feasible solution for the lack of communication and distances between villages and health centers, but a solution must be made in order to counteract the potential misdiagnoses'. One solution could be that patients would check their EMR's for accuracy, but with the poor conditions of living in the African villages and poor or no internet service, this solution does not seem possible for the case study.
  • Jaymee C on 18 Mar 10
     
    This article is about a man getting his health information in an electronic health records massed up. There's an issue with the EMRs in the sense that they are sometimes unreliable. In regard to the Case study, as they want to place EMRs into their hospitals and clinics they ma have this issue with reliability. But it has shown signs of improvement from paper records. But the hospitals and clinics in the East African cities will need to hire more staff to make sure these records are up to date and accurate. As for the health of the patients, EMRs has its benefits and drawbacks. If the information is accurate then a life could be saved and that person could be properly cared for in a more timely fashion, but if the information isn't accurate they could be given unneeded surgery or given the wrong drugs. The EMRs could help the efficiency of the hospitals and clinics because they could work faster and get to more patients without wasting countless time looking through paper records.
  • Olivia M on 18 Mar 10
     
    This article arises a social and ethical issue of integrity of electronic health records. In this article, Dave deBronkart faced this issue when he transferred his medical records to Google Health. His information was inaccurately transferred because of the incorrect coding that insurance companies use. The database then used this incorrect coding and stated that Dave had other health problems, which he never had. The lack of codes makes the database more likely to make an inaccurate diagnosis. It also suffers from reliability because if the information, doctors can't rely on it to make correct diagnosis. Electronic databases are very useful and can be used in Oobunta if its integrity is improved. It will allow patients in villages that can't afford travel to share their symptoms and past medical history with doctors in the hospital. This will cut costs for both doctors and patients because they won't have to pay for transportation. It will also benefit the patients because it will let them be diagnosed accurately especially if they don't have enough resources or medical care in their village.
  • Jackie C on 18 Mar 10
     
    This article covers a recent problem that has risen from the use of Electronic Medical Records. Google's new Google Health, a service that gathers e-health records for patients all in one place has become unreliable. Google Health gathers medical information from billing records, which is an inaccurate source of information. The medical records on the site also do not distinguish between recent illnesses and past illnesses, and does not indicate the level of severity for the health issues. The diagnostic medical coding is to blame for inaccuracies in information gleaned from insurance data, mostly because it is clunky and includes tests for diseases that doctors hope to rule out, not for diseases that the patients necessarily have. The problems that the unwieldy code and medical records in Google Health bring up are enormous. Information is inaccurate and out of date, and this is potentially deadly when patients are being treated. The issue of reliability is that data in the records is out of date, and entered incorrectly, which could be the difference between life and death for patients with dangerous diseases.
  • Karen M on 18 Mar 10
     
    This article was about electronic medical records. They allow patients to share their health information with doctors over the Internet, using Goggle Health. However, this application is not completely accurate. It takes information from insurance bills. These insurance bills may not be precise in describing the treatment of a patient because of their lack of codes. This raises the issue of reliability of the electronic health records. Inaccurate records could stop a doctor from performing a life saving procedure on a patient. The article relates to the case study because it talks about the drawbacks of having electronic medical records. In order for issues with reliability and integrity to be avoided in Oobunta, patients should regularly check their records to ensure their accuracy. Doctors and patients should also communicate more to eliminate problems within the health records.
  • Mark Gakin on 18 Mar 10
     
    In this article, a new electronic health system arose. In order for one to use this newly aged system, their personal health records must be transferred. According to the article, "accuracy gets lost in translation" (Wangsness). Due to the fact that certain information is getting lost in translation, many issues have been brought up, such as reliability. Health records are vital for every individual because they contain information that cannot be found anywhere else. A loss in data, such as certain dates, can lead to many problems for the patients during treatment. As a solution, people are asked to do one thing. They are told to check out their record and see if everything is accurate. There is a positive side for this new system and it relates directly to our case study. These Google health records are easily transferable. If one needs to send out their information to a hospital for a diagnosis, they can do so in no time. In the case study, people in Africa are having trouble getting to a hospital because of the expenses and lack of transportation. By using these Google electronic health records, the people would be able to e-mail their record to a hospital for a direct prognoses. This would save them so much money and time because they would be able to complete this task in the comfort of their own home, or anyplace with internet access. These electronic health records can solve many problems in Africa.
  • T Graham on 18 Mar 10
     
    This case study tackles the issues of Integrity and Reliability. The article talks about inaccurate health records and it effect on patients who want to follow updates on their health status. The stakeholders in this articles are patients because they are the ones who need accurate information, doctors because patients come to them when they read inaccurate information about their health and the people who control the information in the databases because they are the ones responsible for whether or not the information is accurate. Integrity is an appropriate Social and Ethical Issue because the information in the databases have a been changed accidentally, in turn affecting accuracy. Reliability is even better because is directly about accuracy of data, if it is entered incorrectly. If data is entered wrong patients lose trust in them. This is especially relevant to databases which is the major IT system discussed in this article. In relation to the case study it is important to find a solution for the patients of Africa, that is as efficient as possible. In a place like the one described in the study it is important to save time by being as accurate as possible and making sure that patents and doctors can understand the information on databases, ensuring more successful treatments for the patients.
  • jonathan i on 18 Mar 10
     
    In the East African city, the medical facilities all contain databases that their patient's health records are recorded on, however the platform for each database varies between each clinic and the main hospital. This in turn makes it more difficult to exchange health records between each clinic and the main hospital.This article brings up a solution to the health records exchange problem that are within this East African Region. Google Health is a database that is in the cloud and makes it possible to exchange health records through the internet. This form of exchanging data for a patient helps to keep a patient's data up to date. Now though this could be a great solution it comes with many drawbacks from the system and the lacking materials from the East African region makes it difficulty to better utilize it.
Madeline Brownstone

Tracking Vital Signs With a Smart Phone - WSJ.com - 0 views

74.125.113.132/search

health mobile device tracking data EHR

shared by Madeline Brownstone on 08 Feb 10 - Cached
  • Madeline Brownstone on 08 Feb 10
     
    phone apps for tracking health data (cached version of WSJ article)
Mohammad A

Tech Companies Push to Digitalize Patients' Records - 0 views

www.nytimes.com/...10records.html

3.1_hardware 3.2_software 2.4_health 1.10_standards 2.4_diagonistic_therapeutic_tools EHR electronic health records

shared by Mohammad A on 07 Feb 11 - No Cached
  • Mohammad A on 07 Feb 11
     
    This article is regarding the use of Electronic Health Records, and digitalizing medical documents for the "betterment" of the medical staff, and the ease of use that databases provide as a solution to the IT issues that these facilities face. Many health care policy makers within the government, including President Obama, are advocating for the major shift in the use of electronic health records, and digitalizing patient information. However, only a small percentage of medical treatment offices have done so (approximately 17%). Basically, electronic health records document personal information of the patients, for example name, address, age, and medical issues that they face, making it much more easier for doctors and medical staff members to get into the use of e-prescriptions, providing treatment electronically. However, as information becomes digitalized, often times, major issues such as reliability of the IT equipment becomes and important aspect of the scenario. Major companies such as Dell and IBM are in the run to provide electronic health record databases for medical facilities to use. To these major stakeholders, these databases, when set-up properly, are basically a tool for health care providers to use; they can reduce costs and improve the type of care that is provided for patients. They also have the patient's entire medical history, and other medications, along with lab tests that if properly connected to databases, can ease the treatment guidelines. Thus the benefits include less trivial tests, reduced health related errors, and better care with less costs for patients. The IT systems that are provided, including faster networks with improved wireless connections and more financially affordable computers are what will basically be used within the medical facilities running on electronic health records with digitalized information. Also, there will be more space for these new machines to be placed in, since all
  • Mohammad A on 07 Feb 11
     
    continued... the paper documents are now going to be taking no physical space; entirely stored digitally. However these devices do not provide the solution of reliability that staff members may face when on the wireless networks and/or dealing with digital data. One solution that the article provides is the new Internet-based service model, known as cloud computing, in which much of the computing firepower and data reside in remote data centers, which doctors, nurses and staff would use via the Web browsers on their personal computers. Through cloud-computing, there is a more reliable and efficient way for medical staff members to document data without having system failures, and also if they ever plan on outsourcing, they can easily work with the database online.
Carmen M

Electronic health records work getting done, but questions remain - 1 views

www.masshightech.com/...done-but-questions-remain.html

2.4_health .6_digital_div_equ_access

shared by Carmen M on 06 Feb 11 - No Cached
  • Carmen M on 06 Feb 11
     
    Over the past two years, there has been work being done regarding installing EHR across all health cares. Massachussetts is curently the state that is the most advanced regarding electronic health records. In Massachusetts eHealth Institute was the institute designated to work on taking your paper health records and transforming them to digital records that can be accessed at any time and quickly. The main issues presented here were the amount of money being spent on this project and physicians not knowing how to use an electronic health record, or simply refusing to use it. To enforce the use of EHR's, those in charge of this project clearly stated that physicians will face consequences if failure to use EHR's. They will not get paid as much as a physician who is using EHR's. Thus, forcing physicians to train themselves to use these electronic records.
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