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Policy

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2008|06|26

21st Century Medicine Using 20th Century IT

According to a survey, published online by the New England Journal of Medicine on June 18th, 2008, of over 2,700 physicians, just 17% of respondents are using EHRs in their ambulatory care practice. This contrasts with more than 90% of similar physicians in the Netherlands, Australia, New Zealand an...
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2008|05|09

DHC 2008: Pre-Conference Themes and Variations, Data Management and Retention

Jim Prekop, CEO of Teramedica, led a discussion on data retention of clinical information. A key issue to understand from end-users is their wants versus their needs. Any discussion must focus on both technology, and its capabilities, and basic ROI. Rules engines/algorithms help organizations manage...
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2008|05|09

DHC 2008: Pre-Conference Themes and Variations, Data Transfer, Access and Security

John Steindorf of CapData and John Barlo of Sun Microsystems raised concerns about security and privacy, suggesting that keeping the information centralized provided a better approach to protect data. If data is accessed through a thin client (e.g., data stored centrally), none of the data is put at...
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2008|05|07

DHC 2008: Pre-Conference Themes and Variations, Phishing and Website Security Breach

This year’s Digital Healthcare Conference held at the Fluno Center in Madison, WI focuses on issues top-of-mind of provider organization senior executives. This is my 6th year as chairperson of the conference. Prior to the conference, interactive sessions led by vendor representatives explo...
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2008|05|01

Genetic Testing: An Example of Personalized Medicine and Its Burden

Personalized medicine promises to offer patients unique diagnostic and treatment services focused on the individual. For several years the BRCA test has been used by physicians treating women with a past medical history or family history of breast cancer. The test has proved useful due to the high i...
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2008|04|17

Chasing Online Health Data Technology

In two previous blogs I talked about issues related to online electronic health information. One focused on Google’s and Microsoft’s efforts to build online personal health records, and the other addressed advertising supported electronic medical records. It seems this issue of online he...
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2008|04|04

Blame Privacy Breach on Processes Not People

March 24th marked the day of one more privacy breach of someone’s healthcare records. Nothing unusual there except one of the 3,000 electronic patient records on the laptop stolen from the trunk of a car belonged to Congressman Joe Barton (TX), ranking Republican on the Energy and Commerce com...
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2008|03|24

Is the Defining of HIT Terms by ONC/NAHIT Going to Matter?

The National Alliance for Health Information Technology (Alliance) tasked by the Office of the National Coordinator for HIT is working on the final definitions for 5 HIT terms: Electronic Health Record (EHR), Electronic Medical Record (EMR), Personal Health Record (PHR), Regional Health Information ...
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2008|03|05

Challenge to Google: Understand that PHR Data is Different

In his HIMSS Annual Conference keynote address last week, Eric Schmidt, CEO of Google, presented an easily understood and exciting review of his plans for an online Personal Health Record (PHR). For those of us committed to using health IT to improve quality, enhance patient safety and reduce costs,...
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