Search Results for ehr implementation

‘Green Houses’: a better model for senior living (US)

...news is the backing of the Green House Project by the prestigious and well-funded Robert Wood Johnson Foundation and NCB Capital Partners. The Project provides the model and guidance to independent organizations for organization, implementation and certification of these homes. MedCityNews was wowed by it (Wall Street Journal link does not work, however). See the video from RWJF on what they saw as ‘a catalyst for significant social change’. Green House Project website RWJF page on their support of this ‘force multiplier’. What if you added non-intrusive health tech to these homes? The opportunities could be as varied as the... Continue Reading

Pondering the squandering of taxpayer money on IT projects (US)

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/02/gimlet-eye.jpg” thumb_width=”150″ /]The Gimlet Eye has been in Observation Mode this week. But this handful of Dust-In-Eye necessitates a Benny Goodman-style Ray on another US governmental ‘fail’. When it comes to IT, the government admits… Agencies Have Spent Billions on Failed and Poorly Performing Investments Exhibit #1: FierceHealthIT summarizes five big ones out of a 51-page Government Accountability Office (GAO) report focusing on the inefficiency of agency IT initiatives–just in healthcare. Veterans Affairs (VA) VistA EHR system transitioning to a new architecture: terminated October 2010 at a cost of $1.9 billion VA-Department of Defense (DOD) iEHR integration: as previously... Continue Reading

The doctor’s dilemma: I hate my EHR, but is it worth the ‘rip and replace’? (US)

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/07/doctor_pulling_hair.jpg” thumb_width=”150″ /]Will this doctor be able to replace his hair? Confirming EHR misery for doctors, this article in Healthcare Technology Online gives more details on the Black Book Rankings’ 2013 State of the Ambulatory EHR Market report that we presented back in February when early findings were released. Out of their 17,000 users from solo practitioners to 100+ doctor practices, 31 percent of respondents were dissatisfied enough with their EHR to consider making a change with 18% seeking to change systems within the next year. Poor usability led the reasons why. But there’s 84 percent plus queasiness about... Continue Reading

VA distributing iPads to Family Caregivers (US)

...Request Web App Pilot, facilitates appointment setting via mobile or desktop PCs for a separate test group of 600 veterans and was launched at the Washington, D.C. VA Medical Center and VA Palo Alto (California) Health Care System. According to EHR Intelligence, if successful it will be rolled out to all patients at these two VA centers with a system rollout in the future–complicated by the fact that every VA center has a different scheduling system. Meanwhile, VA’s VistA and the DOD’s AHLTA still don’t talk to each other. VA integrates mHealth into daily care, gives iPads to vets (EHR... Continue Reading

3millionlives and the EHR moneysuck (UK and US)

When editor Donna passed an item from iHealthBeat to me, her comment was “Just as the DOD and VA are fighting over systems, maybe VA can make a few pounds selling VistA to the NHS!” Well, it’s much more interesting than that! The iHealthBeat item is about a £285,000 ($430,000) exchange programme – of “leaders, staff and ideas” – to see what people from NHS England and the Veterans Health Administration (VA) could learn from each other about digital records and technologies. (This follows the scandalously expensive collapse in 2011 of the NHS’s attempt to develop its own national electronic... Continue Reading

Samsung speeding hospital EHR/workflows (US)

Much has been made of iPad/iPhone dominance in the US hospital/clinician setting, but Samsung is interestingly going after blockages–not heart ones, but workflow and data integration systems. This brief Technorati article on their pilot with Olympic Medical Center (OMC) in Washington state notes how Samsung is working with them and others on digitization (such as cloud services and touch screen monitors) which help to speed physician dictation and chart completion, as well as soon speeding secure interoperable access to patient records. The article unfortunately is short on Samsung-specific details. Now if hospitals and practices work with Samsung on this, can... Continue Reading

The data-EHR integration hurdle spanned?

The fifth of the Five Big Questions (FBQs)*–how data is integrated into patient records–may have finally been answered by Partners HealthCare. They have integrated patient remote monitoring data directly into their EHR, viewable by clinicians alongside patient charts–and also portaled to the patient. The integration was designed by Partners’ Center for Connected Health and includes data sent via Alere Connect (formerly MedApps) from various blood pressure, weight and blood glucose devices. CCH is also introducing mobile connectivity through Qualcomm Life’s 2net hub. Partners HealthCare’s EHR interestingly is an in-house system, but they are transitioning their records to Epic. Dr. Joseph... Continue Reading

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