Search Results for ehr implementation

...over the same time period, and at worst, could show adverse results simply down to the 111 implementation timing. My background is not in statistics but I can recommend this MRC paper which provides guidance on development, evaluation and implementation of complex interventions to improve health: http://www.mrc.ac.uk/Utilities/Documentrecord/index.htm?d=MRC004871 Given the nature of most telehealth programmes in the UK, I would consider using the 'Stepped wedge design' (case study 6- page 22). This takes in to account the resource constraints in making telehealth available to a large population at once, without delaying the implementation of the intervention. I would also consider another... Continue Reading

Last fall/autumn (23 Oct), we noted that one company has developed the interesting tactic of going after users of health tech to gain fees. This was the curious case of one penny-stock company, patent holder and personal health record (PHR) developer MMRGlobal, sending out 250 letters per week to EHR/EMR users–practices, hospitals and notably pharmacies–to notify them of possible patent violations they were committing by using their contracted system, without licensing fees paid to MMR Global, and offering them licenses. As of late November the total was over 1,000. (FierceEMR, 28 Nov 12) The evident aim of this fishing expedition... Continue Reading

...prescriptions were issued to check on adverse drug reactions with 629 patients at family health practices in Quebec. The automated calls identified 46% of adverse drug reactions, with the most frequent events being non-compliance after three days (but 2/3 of patients did not comply) and new adverse symptoms after 17. iHealthBeat, HealthLeadersMedia……EHRs ‘underwhelming’ in pediatric practices. Only 19% met basic EHR definitions, with only 6% ‘fully functional’. Reasons why: EHR systems don’t typically have weight-based medication dosing features, automatic growth chart plotters, immunization tracking and catch-up immunization calculations. No wonder. Study published in Pediatrics with researchers from Seattle Children’s Hospital,... Continue Reading

It seems but yesterday that Telecare Aware readers were flagging up that the £3.2 million procurement by NHS North Yorkshire and York PCT (NYY) of Tunstall telehealth monitoring equipment (including ‘free’ implementation consultancy services but plus ongoing costs of £1.7m per year) looked too hasty, too large and too soon. But no, it is over two years since NYY PCT responds to Telecare Aware item: The £3+ million telehealth spend that has achieved…what? was published. So it gives editor Steve no pleasure at all to point you to the following article that appeared in the Yorkshire Post today: Telehealth revolution... Continue Reading

EHRs are rapidly becoming the Rodney Dangerfield of eHealth (‘I don’t get no respect’). No surprise to any doctor or clinical staff who uses them–but the realization has dawned that it has actually made charts more labor intensive. “I think we’ve sort of made the paper chart electronic, but what we’ve done almost nothing of is automation.” has to be one of the drollest quotes of the past few years (Dr. Donald Rucker, VP and chief medical officer of Siemens Healthcare USA). Instead of using computers to automate, EHRs make records even ‘stickier’. Hospitals like it because it helps capture... Continue Reading