Electronic Health Record (EHR)
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iPads and Health Care—Health IT Managers Slow Down Physicians' Clinical Adoption
Doctors are using iPads in huge numbers for personal life project management. 80% of doctors are excited about using them in clinical practice. But when it comes to clinical applications, don’t confuse physicians’ desire for mobility with their current use of iPads in everyday practice.
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Is an Open Source EMR (OpenEMR) the Right Choice for Medical Practices?
Being the lead developer of OpenEMR, the world’s most widely deployed open source electronic medical record (EMR) system, I field calls on a daily basis from people who want to implement it. As part of the due diligence to discover and deliver the best possible outcome for the client, we give them a set of different implementation options that they can consider. The options range from a basic OpenEMR implementation at their offices, to a far more advanced and feature-packed “cloud” solution called BlueEHS.
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Is DoD's EHR modernization bound to fail?
...some are saying the system, the most expensive EHR investment of its kind, is bound for failure, while others suggest the contract itself should be delayed pending further review. Thomas J. Verbeck, a CIO and a retired U.S. Air Force brigadier general, recently wrote that sharing data is essential for the DoD because it will speed healthcare delivery and save lives, as well as reduce healthcare costs, prevent medical errors and avoid unnecessary testing. "But the DoD's plan will fail," Verbeck wrote in The Fayetteville Observer. "That's because most of today's EHR systems, including the bidder finalists, are designed only to work within their own system.
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Is EHR Dissatisfaction Driving Future Investments In HIT?
Capital investments in health information technology and telecommunications continue to account for the largest portion of health system expenditures and are expected to remain sizeable through 2017, according to a survey of C-suite executives by Premier, Inc...
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Is Open Source Tolven the "Dark Horse" of Health IT Platforms?
Is there perhaps a “dark horse” in the EHR field, just poised to challenge the overhyped, slow, clumsy, and expensive leaders of the EHR heat? All the troubles with lack of interoperability and usability of proprietary EHRs have suddenly put the spotlight on what may be the EHR dark horse, the open source Tolven Platform.
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Is The 1.5+ Trillion Dollar HITECH Act a Failure?
Hopefully, the public statements made by President Obama and Vice President Biden will lead to a public debate over the monumental problems that the HITECH Act and proprietary EHR vendors have caused the American people. While the press continues to report the figure of $35 billion as the cost of implementing EHRs, that figure does not tell the entire story. Perhaps the next step is to provide accountability and transparency. That would start with firm numbers regarding the real costs of EHR implementations forced on an unprepared healthcare system by the HITECH Act.
- The Future Is Open
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Is the EHR Market Saturated?
“Hey, the EHR market is saturated, we don’t really think there is any play left there,” this comment came from a reputable venture capitalist (VC) in the healthcare industry. And I sat there wondering what it is that he is talking about. Every single day I am taking calls from doctors who want an EHR that suits them, and they are willing to pay for it.
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Is the Grace Hopper Open Source Day 2015 a Turning Point for Open Health and Humanitarian Open Source Projects?
One of the most significant efforts to help open health and humanitarian open source apps seen to date will be taking place tomorrow in Houston, Texas. The event is the Open Source Day 2015, part of the annual Grace Hopper Celebration of Women in Computing (GHC) a conference designed to bring the research and career interests of women in computing to the forefront. The full-day Code-A-Thon is focused on “coding for humanitarian causes in a dynamic, collaborative environment.” This day will give “women from around the world the chance to learn how to contribute to the open source community, regardless of their skill or experience level.”
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Is the Partners Epic EHR Selection Bad for Health IT Competition?
Close to three years after equating Epic EHR customers to hostages, a former CEO of Beth Israel Deaconess is now raising questions about legal implications of Partners HealthCare choosing Epic Systems as its EHR vendor for its sprawling health system. "What we are seeing here is a remarkable reinforcement of mutual self-interest in the behavioral patterns of the two entities," Paul Levy writes on his blog, Not Running a Hospital.
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IT Blamed In Athens GA Cerner EHR Debacle
Who's to blame when EHR implementations go south? There's often enough fault to go around. But when the fallout is bad enough, sometimes self-interested parties are all too ready to point fingers. In late May, we covered the story of a $31 million Cerner rollout at Athens Regional Health System in Georgia that didn't go as planned.
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It’s About Time: Open APIs Finally Burst Onto Healthcare’s Sluggish Scene
In the midst of the struggles that we face with interoperability, efforts that support open API use may well hold the keys to the HIT Kingdom...
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JAMIA: Is Doing Away with RHIOs Good for NwHIN?
An article published in the Journal of the American Medical Informatics Association on Jan. 21, questioned whether the federal government’s shift away from regional health information organizations (RHIOs) in favor of information exchange is best for the Nationwide Health Information Network (NwHIN).
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JASON Task Force Says Stage 3 Must Be Less Stringent
Meaningful use stages 1 and 2 have failed to foster interoperability "in any practical sense." That's the contention of Micky Tripathi, CEO of the Massachusetts eHealth Collaborative, and David McCallie, senior vice president of medical informatics at Cerner, co-chairs of ONC's joint HIT Policy and Standards Committee JASON task force...
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Jean Piaget & the Usability of Healthcare Software
The usability of healthcare software, or lack thereof, has been a topic of discussion for several years. The problem has become so widespread that the American Medical Association (AMA) has recently issued a framework for improving the ease of use of EHRs that, in part, includes the reduction of 'cognitive load.' Piaget’s theories can be applied to understanding some of the reasons why many EHRs are just too hard to use. They can provide guidance for finding ways to reduce the cognitive workload that so often hinders the user experience of EHR systems. Read More »
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Joe Conn-DoD Should Make Right Decision and Adopt VistA
I think what's needed now remains as obvious as it has for decades, which means Shinseki and Panetta got it only half right, because they were half wrong. There should be one EHR for the military and the VA, but it shouldn't be the just dispatched Frankenstein's EHR that was to be built out of custom-made and off-the-shelf parts. It should be VistA. The VA has a demonstrably superior EHR system, so the Defense Department brass should swallow their bureaucratic pride and adopt it. Read More »
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