Search Results for ehr implementation

Blockchains, EHRs, roadblocks and baby steps

...have to argue about and so mapping from one EHR to another is expensive for little or no ROI. The mapping process could be jump-started by agreeing a standard for basic EHR structures and protocols for exchanging data structured that way between EHRs. This is the rationale for the US-based open standard for health data exchange, called Fast Healthcare Interoperability Resources (FHIR, pronounced ‘fire’). The project started in 2014 and, according to this Wikipedia article, produced its first standards for trial use in March 2017. Even if it is successful in the US, I’m betting that FHIR will not be... Continue Reading

Lyft and Uber’s big tech twists on a Social Determinant of Health–medical-related transportation

...Lyft’s recent announcements take the NEMT concept further with integration into discharge planning, chronic care management in practices, and EHRs while keeping it simple for patients and caregivers. The launch of Uber Health, targeted to healthcare organizations (and just in time for HIMSS). The ride booking for both patients and caregivers uses a HIPAA-compliant dashboard for the health manager to book the ride, and text messaging to the patient for confirmations and pickup. Over 100 healthcare organizations are piloting the service. MedCityNews Lyft Business inked a deal with Allscripts to integrate booking transportation into appointment setting. The Allscripts EHR is... Continue Reading

VA moves closer to doing Cerner EHR deal, real Choice for veterans (updated)

The Cerner EHR deal with the VA edges closer to closing. Another VA contractor, MITRE, reviewed the agreement and recommended 50 changes that, according to POLITICO Morning eHealth’s source, address many of the interoperability-related usability features “that irritate EHR users” such as reconciling data coming from outside sources (Home Telehealth, perhaps?–Ed.). VA officially updated the status with Congressional Veterans Affairs staff on Tuesday. The deal could be inked as early as next week, but never bet on this when the Secretary seems doubtful of the agreement date. In any case, it will be a decade before VA is fully transitioned... Continue Reading

Telehealth alternatives to in-person consultation found lacking in effectiveness: Alt-Con Study (UK)

It needs work and can’t be top down. That’s the conclusion of the Alt-Con Project and its researchers from several UK universities: Warwick, Bristol, Oxford (Nuffield) and Edinburgh. After examining the use of technological alternatives to GP consultations in eight general practices, they found that there were significant barriers to implementation, including insufficient training of non-clinical staff on these approaches’ benefits. The study includes recommendations to guide a more effective implementation. Practices have been slow to adopt tech alternatives to F2F consults using telephone, email, e-consultation systems, and online video, despite NHS encouragement and programs such as the GP Access... Continue Reading

Updated–Rounding up this week’s news: VA budget, Shulkin’s troubles, ATA’s new CEO, Allscripts’ wheeling-dealing, Roche buys Flatiron, Nokia out of health?, NHS Carillioning?

click to enlargeHere’s our roundup for the week of 12 February: VA wins on the budget, but the Secretary’s in a spot of bother. Updated. Last week started off as a good week for Secretary Shulkin with a White House budget proposal that increased their $83.1 billion budget by 11.7 percent, including $1.2 billion for Year 1 of the Cerner EHR implementation in addition to the agency’s $4.2 billion IT budget which includes $204 million to modernize VistA and other VA legacy IT systems in the interim. While the Cerner contract went on hold in December while record-sharing is clarified,... Continue Reading

Telemedicine’s still-sluggish adoption in health systems revealed in survey of health system executives

...Editor looking at the ‘glass half-full’ with a ‘Gimlet Eye’, but here we are in February 2018 still having this discussion at the executive and service line levels. The progress has been glacial at best on starvation budgets, yet telemedicine vendors are multiplying. What is also not promising: these executives’ preference for enterprise solutions which preclude small, innovative companies from getting past the pilot or trial phase. Another barrier: the insistence upon EMR (EHR) integration, which sounds appropriate except that Cerner and EPIC are ‘walled gardens’. Defining Telemedicine’s Role: The View from the C-Suite (PDF, free download from Sage). Also... Continue Reading

Google ‘deep learning’ model more accurately predicts in-hospital mortality, readmissions, length of stay in seven-year study

A Google/Stanford/University of California San Francisco/University of Chicago Medicine study has developed a better predictive model for in-hospital admissions using ‘deep learning’ a/k/a machine learning or AI. Using a single data structure and the FHIR standard (Fast Healthcare Interoperability Resources) for each patient’s EHR record, they used de-identified EHR derived data from over 216,000 patients hospitalized for over 24 hours from 2009 to 2016 at UCSF and UCM. Over 47bn data points were utilized. The researchers then looked at four areas to develop predictive models for mortality, unplanned readmissions (quality of care), length of stay (resource utilization), and diagnoses (understanding... Continue Reading

MediBioSense and Blue Cedar take a new approach to secure medical wearable data (UK/US)

...latest release of app security is Enforce, to secure existing mobile apps using in-app embedded controls to enforce a broad range of security policies. It is sold on the Microsoft Azure cloud platform and is primarily targeted to the value-added reseller (VAR) market. All the more reason to use all means to secure devices and apps. When as of last week Allscripts‘ EHR for e-prescribing was hit with a ransomware attack (FierceHealthcare), yet another hospital (Hancock Regional in Indianapolis) paid $5,000 to hackers to get back online (Digital Health), and Protenus/DataBreaches.net tracks a breach a day [TTA 29 Dec 17],... Continue Reading

Iron Bow’s uncertain future with $258 million VA Home Telehealth contract

Iron Bow Technologies’s setback with their VA contract confirmed. Iron Bow, which partnered last year with Vivify Health to provide telehealth services to the US Department of Veterans Affairs, received an unfavorable ruling on the US country of origin of the Vivify Health system that essentially stops the contract implementation. Under Title III of the Trade Agreements Act of 1979, Federal suppliers must produce their products in the US or substantially transform the components in such a way that it becomes a product of the US. US Customs and Border Protection (CBP), Department of Homeland Security (DHS), makes this determination.... Continue Reading

Rounding up opportunities for showcasing–and funding–your health tech startup (US)

...finals are scheduled after Mardi Gras in March during New Orleans Entrepreneur Week March 20-23. Full details at NOLAHI.com, with a summary of the individual challenges below: The Diabetes Care Challenge – Create a digital tool that supports diabetic health maintenance. Presented by Blue Cross and Blue Shield of Louisiana and Ochsner Health System The Navigator Challenge – Use technology to replicate the function of a navigator to enhance patient-centered care, without adding FTEs. Presented by Tulane Health System The Inter-Operability Challenge – Eliminate errors, fraud, and misinterpretation plus increase inter-operability via the implementation of technologies such as blockchain. Presented... Continue Reading