Search Results for ehr implementation

Creating EHR diagnostic ‘e-triggers’ to detect misdiagnosis, identify high-risk patients over time

A just-published study in the BMJ Quality & Safety journal explores the potential of the information in EHRs to be used in new tools that detect errors in diagnosis and prescribing. The Safer Dx Trigger Tools Framework, proposed by the authors, would apply algorithms against the vast amounts of data stored in the EHR for data mining to prevent errors. Current e-triggers detect prescription errors and procedure complications. This framework proposes tracking of patient events over time, such as patient-provider encounters, performance and interpretation of diagnostic tests, follow up and tracking of diagnostic information over time, and referral and/or patient-specific... Continue Reading

A sobering, mercifully hype-free view of AI in healthcare

reach its conclusions in making ‘good decisions’? Sometimes the logic of the conclusion is obvious, but often it is not, and what you get is physician and clinician bypass–and suspicion. That Old Monkey Wrench Tossed into Existing Processes. It’s taken a long time for organizations to fully integrate their EHR inputs and documentation. Throwing in an AI implementation even in a limited sense may require more adjustments than the outcomes are worth. It’s Too, Tooooo Much Data. Healthcare organizations do not suffer from a paucity of data. AI feeds on data. Sounds like a good match, doesn’t it. Except that... Continue Reading

Rounding up September’s start: AliveCor’s hyperkalemia detector, Apple’s ECG Watch, Tunstall Nordic’s EWII, steps towards a bionic eye, Philips licenses BATDOK, VistA’s international future

...Observation Kit (BATDOK) technology for remote monitoring of vital signs by combat paramedics. Terms were not disclosed. BATDOK was developed by the US Air Force Research Laboratory, which sought commercialization. [TTA 6 Sept 17] Mobihealthnews What is generally not known about the VA’s eventually departing EHR is that it has for some years an open source version called OSEHRA VistA. Plan VI will expand VistA capability by making it compatible with different languages using Unicode and creating a reference implementation for global use. Working with non-profit OSEHRA are research groups in South Korea, China, and the Kingdom of Jordan. Release... Continue Reading

Two more events for the calendar: ATA’s EDGE18 (Austin TX), SEHTA/Brunel MedTech Connects (London)

EDGE18, American Telemedicine Association, 26-28 September, Fairmont Austin, Austin TX The revamped fall meeting of the ATA is being held in Austin, Texas this year as EDGE18. The conference will highlight emerging best practices in telemedicine and virtual care, which are accelerating delivery model innovation, program design, and technology implementation. Speakers will include industry thought-leaders from WalMart, Aetna, Blue Cross Blue Shield, Ascension Healthcare, Babylon Health, AHIP, and NY Presbyterian Hospital. There will also be interactive workshops and immersion tours (space limited) offering “hands-on” previews of new technologies and programs at the Austin offices of Fjord Austin, Dell Medical School,... Continue Reading

France officially enters the telemedicine world

By ministerial decree for the 2018 social security financing law, France starts deploying telemedicine both for doctor-patient consults (teleconsultation) and ‘telexpertise’ (between health professionals) starting on 15 September. The latter will be defined in stages by 2020. For instance, from 2019 it will be deployed for long-term conditions (ALD), rare disease patients in sub-dense areas or in long-term care homes or inmates. “In this context, they agree to define the scope of these acts and their rates as well as their methods of implementation and billing.” The rest of the teleprofessional deployment calendar will be defined before the year 2020.... Continue Reading

Rounding up July: Teladoc’s new name and earnings, Hitching a Lyft, GlobalMed with FCC, Proteus and HIV sensing, Parks Associates, Welbeing

...was substantially less than the projected $0.43. Revenue was $94.56 million for the quarter ended June 2018, more than double that of CY 2017. Zacks.com The burgeoning area of non-emergency medical transportation (NEMT) got a Lyft with the publishing of two studies indicating reductions in costs and no-shows. Lyft rideshare partner Hitch Health which integrates EHR data, to identify patients, worked over 12 months with the Hennepin Healthcare internal medicine clinic in Minneapolis. The no-show rate dropped from 31 percent to 22.5 percent, with an estimated increase in revenue of $270,000. In Camden, NJ, Rideshare worked with a branch of... Continue Reading

News roundup: FCC RPM/telehealth push, NHS EHR coding breach, unstructured data in geriatric diagnosis, Cerner-Lumeris, NHS funds social care, hospital RFID uses

identified using structured claims and structured and unstructured EHR data, finding that the unstructured data was needed to properly identify geriatric syndrome. Over 18,000 patients’ unstructured EHR notes were analyzed using a natural language processing (NLP) algorithm. Cerner buying a share in population health/value-based care management company Lumeris through purchasing $266 million in stock in Lumeris parent Essence Group Holdings. The angle is data crunching to improve outcomes for patients in Medicare Advantage and other value-based plans. Lumeris also operates Essence Healthcare, a Medicare Advantage plan with 65,000 beneficiaries in Missouri. Fierce Healthcare NHS Digital awarding £240,000 for investigating social... Continue Reading

News roundup: Paradromics; Cerner’s trials with DOD, VA; Medtronic; Babylon Health; NHS’ private data

No one is happy. Congress will exercise its right under the just-passed HR 4245 for the House Veterans Affairs Committee to review the implementation and to receive quarterly updates. POLITICO’s Morning eHealth for 6/25 Over at the VA, Cerner’s EHR will roll out starting in October in three hospitals in Washington state, to be completed by March 2020. The VA Committee has been asking some tough questions on the feedback that VA doctors have been providing, the fact that VA is under-strength on the modernization and that there is no permanent head of the implementation. POLITICO’s Morning eHealth for 6/27... Continue Reading

Rounding up the news: Babylon’s Samsung Health UK deal, smartphone urine test debuts, a VA Home Telehealth ‘announcement’, Aging 2.0’s NY Happy Hour

...Affairs (VA) [TTA 6 Feb 17]. The news here is that the AMCH release states that they have an “Authority to Operate (ATO)”, which means they can provide Home Telehealth services using AMC Health’s CareConsole to VA-enrolled veterans and their families. This last step is very important because it is a common post-award point of failure for new awardees. Earlier this year, the Iron Bow/Vivify Health award failed on the country of origin of Vivify’s kit, dooming the implementation [TTA 16 Jan] and Iron Bow’s award. (Vivify Health has gone on.) Medtronic, as a long-term incumbent, has few worries in... Continue Reading

Can chronic disease apps get adopted? Is it as simple as four steps? HBR states the obvious.

...nuggets of confirmation useful for presentations, such as you can’t generally sell monitoring apps direct to consumer because managing chronic disease is largely something to be avoided, except for the few with a different attitude, and most believe that insurers should pay for them at least in part. For clinicians, reimbursement and the differential between remote patient monitoring and in-person visits is a big factor. What’s not mentioned: sustainable pricing that’s low enough for a health system, high enough to support a business; clinicians fitting All That Data into a clinical workflow, much less a patient record in an EHR.... Continue Reading