Search Results for ehr implementation

VA networks breached from overseas; 20 million records affected (US)

...far more sinister nature. According to former VA Chief Information Security Officer Jerry Davis (now at NASA), the attacks continue from these countries, and according to Subcommittee Chairman Rep. Coffman, may include China and Russia. Testimony and evidence also revealed that those responsible for informing Secretary Shinseki may have understated the problem. The VA has certainly been taking its lumps with a Magic 8 Ball of late, with a derailed joint EHR project with the Department of Defense and wrangling on who’s leading integration [TTA 3 April; iHealthBeat]. VA Systems Hacked From Abroad, Was VA Secretary Misled About Breaches? (HealthcareInfoSecurity)... Continue Reading

Is Silicon Valley-style thinking right for healthcare?

...specific problem (or in Clayton Christensen’s terms ‘a job to be done’) and then being gratified when you do, actually, find a way to change the world and yes, you make some money for your investors. The Epic EHR started quite modestly. Silicon Valley observers are onto the hype cycle there– “the contrast between grandiose ambitions and disappointing delivery.” You should be too. If you’re in health tech, steer clear of the hypesters and the cocktail parties. In fact, be more like Dr. Shaywitz’s colleagues at MIT, understanding “the limitations of your work and the enormity of the unanswered questions... Continue Reading

May Telecare LIN newsletter published (UK)

This edition concentrates on the changing telehealth and telecare context: the publication of the Care Bill in England along with plans to integrate health and social care services over the next five years and the NHS Mandate’s extensive programme of NHS changes until March 2015. Pressures continue on health and care services. These will all have an impact on telecare, telehealth and digital health implementation. In the meantime, Scotland is just getting on with its programme… May newsletter (PDF) News listings/links supplement (PDF).... Continue Reading

Healthcare IT–New York’s Next Big Thing

...outlined the long curve to implementation that characterizes health tech. It takes 4-6 weeks just to get in touch with a targeted healthcare executive…4-8 weeks to a meeting…4-8 weeks to a proposal and more time for a decision….legal review can be 6 months…and then there’s implementation. This can mean, as your Editor queried, that other companies innovate around you while you are still getting business (the Zeo to FitBit/Jawbone UP upending), but as Mr. Loncar noted, you can ‘moat’ your product by innovating while this is all happening. The fast pace is hard; Mr. Krein noted the number of companies... Continue Reading

The law of ‘UFCs’

...Wall’ discussion below look like an argument over a penny poker game. Combine a high TCO (total cost of ownership) with a fuzzy ROI and throw in a few big UFCs such as reduced admissions/patient volume, inaccurate charging for services and declining reimbursement, and it’s ‘The Poseidon Adventure’ for many smaller, on-the-edge health systems resulting in Chapter 11. This analysis, though about an EHR implementation (Epic) at MaineHealth–a Cadillac when a Chevy would have done–is worth reading and dissecting. What Is The Opposite Of Health IT Return On Investment? HIT Consultant Hat tip to Ellen Fink-Samnick of ‘Ellen’s Ethical Lens’... Continue Reading

ROI in telemedicine and telehealth? Outlook unclear.

...that’s just three letters. Of course, EHR implementation continues to be the Rodney Dangerfield of health tech, with HITECH Act ‘Meaningful Use’ interoperability goals and patient platforms only spottily achieved despite years of generous past, present and future incentive payments. Yet one ATA presenter seriously advocated the addition of telehealth/telemedicine to MU standards, recommended that Health and Human Services become the authority and to add panels for Federal standards and policy in telemedicine as there are for health IT. Adding telehealth and telemedicine to the MU scramble will surely speed implementation ;-) (See above) Why not MU for telemedicine? (HealthcareITNews)... Continue Reading

HealthSpot, Netsmart ally for telemedicine kiosks

HealthSpot, which debuted its staffed telemedicine/telehealth Stations at CES 2013 (and this Editor previewed at CES New York in November), is partnering with behavioral health EHR/practice/clinical case management software provider Netsmart to add that capability to its kiosk consults. Announced at ATA yesterday, the MedCityNews article is sketchy on exactly how this will be integrated–will it be an option or will select kiosks be dedicated to behavioral health only–but this is likely a first for telementalhealth (another term in our lexicon!) Kiosk placements can be especially useful in rural areas which have a paucity of mental health/psychiatric providers (see TTA... Continue Reading

Surgical telemonitoring – the next milestone for telemedicine?

The first in a series of real-time reports from American Telemedicine Association annual conference in Austin, Texas, by James Barlow, Imperial College London. The ATA conference has just included an interesting session on surgery as the next milestone for telemedicine. While telesurgey has long been an area of interest in remote care, pressures in the health system and developments in technology are combining to create new opportunities for supporting surgeons in their work. But many of the familiar implementation challenges are also looming large. So what were the reflections from the panel and discussion? The consensus was that we need... Continue Reading

Prediction: big data saving big money

...means, versus terminology slung like hash, endless conferences, the word ‘Hadoop’ and that worried look on your HIT department head’s face, John Loonsk, MD helps to define it in language even this Editor can understand. Start with “Specifically, big data tools facilitate pulling together great amounts of available data to support an objective whether those data were recorded specifically and narrowly for that objective or not.” Whew. Policy and implementation challenges to achieving big data outcomes (part 1) HealthcareITNews Big Data when wayward a Big Problem: 763,000 patients at Adventist Health System’s Florida Hospital Celebration Health ER (ED) over nearly... Continue Reading

Wireless health care: ‘the sky’s the limit’

Wireless/mobile health tech in and out of the hospital is profiled in this special report from iHealthBeat (California Health Care Foundation): Sotera Wireless’ ViSi Mobile Systems (a wristlet which uses chest and thumb sensors to track multiple vitals including heart rate, respiration rate and skin temperature, and sends the data to Palomar Medical Center’s EHR); startup MedSensation’s robotic Glove Tricorder with temperature sensors and ultrasound pads for diagnosing breast cancer; and the Qualcomm Tricorder X Prize to push reliable health diagnostics into the home for 15 diseases. Another reason is the Deloitte estimate of all wireless health devices generating $22... Continue Reading