tag:blogger.com,1999:blog-4109121989878952716.comments2010-09-03T10:08:44.455-07:00EHReditorhttp://www.blogger.com/profile/05554437768441364746emily@practicefusion.comBlogger189125tag:blogger.com,1999:blog-4109121989878952716.post-27254026806987940792010-09-03T10:08:44.455-07:002010-09-03T10:08:44.455-07:00Wow! I feel energized after reading that. What a vivacious and fun entry.Kellie Charltonhttp://www.blogger.com/profile/03051003355877402270noreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-75003488115770683352010-09-03T09:43:27.841-07:002010-09-03T09:43:27.841-07:00We&#39;re glad to have you with us Shea! Great to hear you enjoyed your first week :)dpossokhovhttp://www.blogger.com/profile/17394289718422882948noreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-75395068476510114592010-09-03T09:36:09.527-07:002010-09-03T09:36:09.527-07:00Thank you!EHReditorhttp://www.blogger.com/profile/05554437768441364746noreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-37203046711902638782010-09-03T09:29:22.539-07:002010-09-03T09:29:22.539-07:00Good luck to you.<br /><br />BobbyG<br />http://regionalextensioncenter.blogspot.comBobbyGhttp://www.blogger.com/profile/03807934795994985233noreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-15964645820445137452010-09-03T02:40:49.979-07:002010-09-03T02:40:49.979-07:00I agree that at the macro level, the EHR does stand to improve healthcare.<br /><br />But how do we prevent the use of the EMR in the physician practice or hospital from getting in the way of the physician and the patient?<br /><br />I had a less than satisfactory experience at my own doctor&#39;s office yesterday and I wonder..<br /><br />The same way they say the iPad and other such technologies are decreasing attention spans, making us less able to sit down with Tolstoy, what impact will the EMR have on how physicians treat patients?<br /><br />My own doctor &quot;forgot&quot; to examine me yesterday interestingly enough. But the prescriptions got sent electronically and I had a nicely printed summary of my visit as I walked out the door and my information will be readily available the next time I am there...too bad about that pesky physical exam. <br /><br />http://mmodal2.wordpress.com/2010/09/02/lynn-goes-to-the-doctor/<br /><br />So yes, lets adopt the technology - but let&#39;s make sure we aren&#39;t throwing whats good about healthcare out as we undergo these changes. <br /><br />-Lynn KosegiLynn Kosegihttp://mmodal2.wordpress.com/noreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-18268768636115866272010-09-01T06:16:56.939-07:002010-09-01T06:16:56.939-07:00Weno Healthcare Inc. has <a href="http://emrdailynews.com/2010/08/30/weno-healthcare-inc-applies-for-onc-atbc-status/" rel="nofollow">announced</a> its application to become an ONC-ATBC. No specifics yet on when the application was submitted or what pricing models its pursuing.Michelle Whttp://www.occampm.com/blognoreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-25001352967121410092010-08-30T08:26:21.168-07:002010-08-30T08:26:21.168-07:00As they say, the future is now. To go along with the theme, some readers might like this <a href="http://blog.carecloud.com/2010/06/29/9-things-electronic-health-records-can-learn-from-star-trek/" rel="nofollow">list</a> of things HIT can learn from Star Trek I found a while back.<br /><br />Fans of HIT and Trek alike should enjoy, though I think the point about holographic doctors is a bit much: much as I liked him on Voyager, I don&#39;t want a stuffy hologram treating me if I have misfortune of winding up in Sick Bay.Michelle mWhttp://www.occampm.com/blognoreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-11118074277023462452010-08-26T21:32:29.620-07:002010-08-26T21:32:29.620-07:00Check w university of Pittsburgh center for Bio Informatics they used to be part of the lead for syndromic surveillance. They did the salt lake Olympics suvierlence.<br /><br />I used to be part of region 13emergency management system. Pitt has the system in a. Buunch of the hospitals. They may be able to show us the way.<br />Paul KapsarTAZssubmanhttp://www.blogger.com/profile/03620306681587247090noreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-1780522855059487352010-08-20T17:29:55.396-07:002010-08-20T17:29:55.396-07:00$2,500 ? Is that missing a zero? ...lame.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-81580766601446778992010-08-17T14:48:55.309-07:002010-08-17T14:48:55.309-07:00I am an architect for a very large in-house built EMR system (Over 4000 concurrent users) and we are currently looking into the same issue. Although we have full capability to add/modify new modules within our EMR system, this ill-defined criteria will certaintly be a nightmare to implement. Let say we figure out how to collect the data and create a report to submit. The requirement stated that we must submit by HL7 messages. I would want to see how the CDC open a secured port for the rest of the states to send in HL7 messages with patient data.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-61234496720103764062010-08-11T04:10:18.189-07:002010-08-11T04:10:18.189-07:00I weighed in on this a long time ago.<br />http://bit.ly/90d9sq<br /><br />The AMA needs to work with firms like PracticeFusion to create the HealthRecord standard.G Khttp://www.blogger.com/profile/15566008287858351051noreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-78245092996506714022010-08-10T10:57:36.605-07:002010-08-10T10:57:36.605-07:00I just had to respond after reading the brilliant description &quot;tinfoil haberdashery.&quot; Deliciously sardonic, those two little words.<br /><br />I believe <i>FierceHealthIT</i> ran a story on this subject today, with a warning about how difficult granular controls can be (just ask Facebook). These privacy and security regs are something everyone has a stake in, but they also will take lots of patient involvement to work. And as I wrote a few weeks ago regarding PHRs, I&#39;m not sure there&#39;s that much long-term involvement people are interested in.<br /><br />It&#39;s a question of which good is greater: instant access or shielded privacy. While electronic permissions will help, I think we&#39;re going to need a shift of perspective of patients from passive to engaged in order to really make this dream a reality.Michelle Whttp://www.occampm.com/blognoreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-53031614243329194932010-08-10T09:41:09.311-07:002010-08-10T09:41:09.311-07:00<i>&quot;Let us not forget that our goal is to enable health information to follow the consumer, be available for clinical decision making, and support the appropriate use of health information beyond direct patient care so as to improve population health.&quot;</i><br />___<br /><br />Well, you <i>do</i> realize, do you not, that once Michelle Obama gets her mitts on your BMI (as required to be computed and recorded in the ARRA certified EHR), she will have the federal government telling you what you can eat should your &gt;26 number mark you as running afoul of her &quot;Obesity Index&quot;?<br /><br />;)<br /><br />Seriously, I recently saw an angry comment posted in one of our Nevada papers online wherein the guy snipped out the damning subsection of the Act as <i>proof</i> of the malignant Lifestyle Police intent of all this HIE hubbub.<br /><br />I know: Tinfoil Haberdashery. But, you also have the loud likes of a Deborah C. Peel out there visibly pouring gas on these fires -- to a fairly large, anxious public audience.<br /><br />It&#39;s a vexing issue, to be sure, what with all the &quot;moral hazard,&quot; adverse selection,&quot; and discrimination aspects.BobbyGhttp://www.blogger.com/profile/03807934795994985233noreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-52230793404987796642010-08-09T19:15:20.039-07:002010-08-09T19:15:20.039-07:00PHRs can be very helpful especially if they can be maintained in real time and pull data from a pharmacy benefits manager,Raymond Zakhari, NPhttp://www.MetroMedicalDirect.comnoreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-1317327955047065482010-08-09T15:38:52.699-07:002010-08-09T15:38:52.699-07:00I guess I should have added that I agree with Dr. Rowley about this REC &quot;preferred vendor&quot; thing. We at HealthInsight are assiduously &quot;vendor neutral.&quot; RECs cutting &quot;preferred vendor&quot; deals beg what ought be some obvious questions of dubiety.BobbyGhttp://www.blogger.com/profile/03807934795994985233noreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-13695746385773524032010-08-06T16:09:24.842-07:002010-08-06T16:09:24.842-07:00A next project would be to send an actual soap note in addition to all of the things that have been included thus far.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-73301348633101909192010-08-06T14:08:42.490-07:002010-08-06T14:08:42.490-07:00It&#39;s *so* great to see a fellow Physician Assistant outside the clinical arena! I suspect this is one of the reasons that Practice Fusion is among the best products for PAs that I&#39;ve used - given the dynamic PA practice regulations that range from states where PAs own their own practices to others where they have to be employed, and all the other little tweaks that make it PA friendly. Well done!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-79486282692800134732010-08-05T07:39:49.537-07:002010-08-05T07:39:49.537-07:00Glen, Thanks for saying what need to be said about patient centric health care, that is litigation, payment and fear are what provider are really concerned about. PHRs are here to stay and they should be. The only way to really reduce cost and increase care is to get the patient involved. If a patient can tract their Glucose level as easy as tracking their weight we will probably have better outcomes. <br /><br />The Holy grail of Patient centric care is getting the patient&#39;s data in digitized form, then tools can be produced to aggregate the data into a useful form that the provider can easily monitor . I envision a dashboard type tool on your EHR that will illustrate the aggregated summary of a patient&#39;s provide data. As for annotation of the legal record by the patient, this is easy content management problem that already has available solutions. <br /><br />As John mention CCR and CCD are today the least common denominator of HIE and NHIN for passing data from PHR to/from EHR. OAuth and RESTful is becoming the technology standard for communication between systems. We are on our way to an exciting new and improved healthcare system. We will need to strap ourselves in because it will be a bumpy ride but worth the effort.<br /><br />Jeff Brandt<br />CTO, Communication Software<br />http://comsi.comJeff Brandthttp://www.blogger.com/profile/06904719689986990682noreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-26984829688764773992010-08-04T08:29:02.620-07:002010-08-04T08:29:02.620-07:00Nice post. I hear growing talk among a variety of subspecialties that measurement of outcomes will become a requirement for reimbursement both from CMS and insurers. It&#39;ll be interesting to see if specific subspecialty quality measures will be added as standard features to EHRs.Leonard Kishhttp://www.leonardkish.comnoreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-50620568598857389912010-08-04T06:21:49.491-07:002010-08-04T06:21:49.491-07:00Glen, you may want to check out www.zweenahealth.com. we collect our clients/your patients medical paper records and scan and digitize medical data into a CCR data set. All this is done by RNs. The viewing of the information is over a secure web portal, and our clients choose to give their providers access to their Zweena Health Records. Minnesota is reimbursing MDs for eclinical visits ($35, last I heard) in a trial. Consumers want their providers to see their information and to better assimilate the key elements. This is what Zweena does. Providers are view only and consumers can not alter/ammend their digitized health information once entered by Zweena RNs. Let me know if I can answer any questions.John Phelanhttp://www.zweenahealth.comnoreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-7913691117151685412010-08-04T01:53:23.891-07:002010-08-04T01:53:23.891-07:00That&#39;s an interesting blog, actually!!.<br /><br />Implementing an automated real-time syndromic surveillance is not an easy task from IT implementation point of view because of the technical challenges of applying data-mining algorithms and analytics tools on very sparse IT repositories.<br /><br />I just wonder will the surveillance be done at the IT repositories in the hospitals or at the IT repositories of the RHIOs?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-7253817266766553312010-08-03T13:50:14.646-07:002010-08-03T13:50:14.646-07:00Does this include the STATE OF Florida - what is your community saying?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-8644398304825611232010-08-03T11:32:52.380-07:002010-08-03T11:32:52.380-07:00Nicely and succinctly stated. May I quote you on my blog, at http://regionalextensioncenter.blogspot.com ?BobbyGhttp://www.blogger.com/profile/03807934795994985233noreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-3532320159067139472010-08-01T11:00:18.036-07:002010-08-01T11:00:18.036-07:00I saw this software demonstration four years ago when I was involved with setting up a HIE in Riverside Ca. It was good then, and has evolved. Unfortunately stakeholders were not ready. Congrats to Ryan Howard for pulling this off, and it will evolve and get even better because of the API, and involvement with clinicians as it is designed.<br />It is too bad I retired and don&#39;t need this anymore. Perhaps I should go back into practice. At any rate I do recommend this to all those needing an EMR and looking forward to HIE. I will bring this back to the table in the Inland Empire.Health Train Expresshttp://www.blogger.com/profile/16205704913440150198noreply@blogger.comtag:blogger.com,1999:blog-4109121989878952716.post-60626490173209708442010-07-30T11:25:42.079-07:002010-07-30T11:25:42.079-07:00Excellent constructive commentary, Vince. Thank you.Robert Rowley MDhttp://www.blogger.com/profile/06553939715720183545noreply@blogger.com