This year at HIMSS in Las Vegas there was no shortage of talk about the “lack of usability” in EHRs. In the final HIMSS16 show daily (Thursday March 3, 2016) there were four articles (“When EHRs cause Harm,” “5 UX steps to Healthy Clinical apps,” “Nurse: We face severe IT usability problems,” and “The leading health IT issues? Poor usability and missing safeguards”) that addressed some aspect of EHR usability...Over the past few years we’ve worked with a number of EHR vendors on improving the usability of their solutions. We’ve noticed a number of items that seem to common to many of the systems, and this list contains some of the most common and highest priority usability issues that should be avoided in your EHR designs.
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The Curious Case Of Blue Button
Ken Congdon | Healthcare Technology Online | July 2, 2012
While it may not be the answer to all HIE and patient engagement challenges, Blue Button does prove one thing — there is a large contingent of patients out there that want control and access to their health records...Rather than dwell on its perceived weaknesses, the health IT industry would be wise to consider the progress Blue Button has made and improve upon the concept. Read More »
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The EHR Has No Clothes
Barry Saver | Health Affairs Blog | June 20, 2012
Medical students returning from rotations at Veterans’ Administration Hospitals often rave about how good VistA is – something I have never heard with any other EHR. While I have not used it in clinical care, I have examined the demonstration client available on the web and been impressed by the simple, clean interface – quite unlike most other EHRs I have used or seen. Read More »
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The High Cost Of An EHR Implementation
Gabriel Perna | Healthcare Informatics | September 4, 2014
...You don’t want to make a false move because it could end up costing you—in the wallet and in the metaphorical mind...This is why I have a new appreciation for CIOs and IT leaders in healthcare...
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The Importance of High Quality Data for Artificial Intelligence Reliability
By Lindsay Westervelt | December 8, 2021
Artificial Intelligence (AI) is a hot topic right now in medical practice. Though there are many reasons why AI solutions have become so popular, one of the biggest reasons is that AI has the potential to reduce clinical burnout and fatigue by improving Clinical Decision Support in electronic health record (EHR) systems. To understand how this can be achieved, we must first understand what AI is and how it works...For Healthcare, AI and Machine Learning algorithms must rely on copious amounts of granular, high-quality data.
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The New Rules of Healthcare Platforms (Part 4): APIs Enable the Platforming of Healthcare
By Vince Kuraitis, Brendan Keeler, and Jody Ranck | May 17, 2023
Recent regulations have mandated the use of HL7 FHIR APIs (application programming interfaces) to share health data. The regs apply to healthcare providers, payers, and technology developers who participate in federal programs. Many incumbent healthcare organizations are viewing these mandates as a compliance burden. That’s short-sighted. We recommend a more opportunistic POV. APIs facilitate the sharing of health data across different devices and platforms. By adopting APIs, healthcare organizations can transform themselves from traditional service providers into powerful platforms that can connect patients, providers, and other stakeholders in new and innovative ways.
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The Open Patient: Advocating for Open Access to Medical Data
By Rikki Endsley | July 26, 2016
Steven Keating had always been interested in data and learning about things, which is why he volunteered to do a research scan when he was a student. The scan revealed an abnormality. In 2014, the abnormality had grown into a massive tumor. Soon he learned that there were many barriers keeping him from accessing his own data. "And that's what I've been sharing, which is this question: How come as a patient we're last in line for our own data? How come my doctors and my university researchers can see my tumor genome and I can't?"
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The Patient-Data Pipeline: The Missing Juncture of Flow and Connectivity in Healthcare IT Systems
By Thanh Tran | February 23, 2016
Part of today’s complexity in healthcare stems from the way our healthcare IT systems have emerged. There are multiple entry points for patients into the healthcare system, from a relationship with a primary care physician to the sporadic, disconnected and random interaction with emergency departments, urgent care and wellness clinics. Based on current technology and the overall nature of the beast, it is highly doubtful that a single point of entry into the healthcare delivery system will ever occur and is actually less important than the quality and cost of the care delivered. The key is the understanding of how patients’ data flows through healthcare IT systems and building an infrastructure that optimizes that flow of data and information.
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The Postmodern EHR: What are the Enablers?
By Tomaž Gornik | January 29, 2016
Traditional monolithic EHR architectures focus on stability and standardization at the expense of agility. Along with innovation, cloud based deployment and integration of things, agility is the main differentiator when describing the requirements of application architecture for the Postmodern EHR. Achieving agility is impossible for the vast majority of healthcare applications today as they are an inseparable mix of code for user interface, decision logic, workflows and data definitions. New architectures promote agility and reuse by turning the applications inside out and layering the four types of programming into portals, rule engines, process engines and XML data. Let’s look at some examples, layer by layer:
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The Postmodern EHR: The Data Layer
By Tomaž Gornik | May 4, 2016
This second approach entails defining a data layer, which is the most important aspect of the Postmodern EHR architecture from my previous post. Why is this the most important layer? Most healthcare organizations are beginning to realize that their data is more valuable than their applications. Data has become a key asset, since good data is key to improving outcomes, managing chronic disease and enabling population health management. And it needs to be managed for the lifetime of the patient. Which application is going to last that long? What happens to health data when we switch applications?
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The Postmodern EHR: What can Health IT Learn from the Evolution of the ERP Market?
By Tomaž Gornik | December 22, 2015
It seems the pattern is clear. From best of breed to integrated (mega)suite to a new world of innovative, agile, mostly cloud based and multivendor solutions. This is what Gartner calls “Postmodern”. According to Christensen, disruption like this becomes possible when the established players start exceeding the requirements and expectations of their customers, providing only sustaining innovation – i.e. adding more and more features to their products. This is what was happening in the personal productivity space with the Office products. Similarly, the ERP market today has well defined requirements and this allows the newcomers to disrupt, meeting the base expectations and adding innovation and agility while lowering costs.
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The Real Power Of Telehealth: Building Large Networks
Tom Sullivan, | Government Health IT | June 17, 2014
...The vision is to “get access locally when needed, regionally if more important, and globally to access world experts,” Darkins, who leads the VA’s national telehealth programs, said here at the Government Health IT Conference and Exhibition on Tuesday...
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The REAL X-Ray Spex: New 'Terahertz' Scanner Lets Mobile Phones See Through Walls - And Through Clothes
Rob Waugh | Daily Mail | April 19, 2012
A hi-tech chip allows a phone to 'see through' walls, wood and plastics - and (although the researchers are coy about this) through fabrics such as clothing. Doctors could also use the imagers to look inside the body for cancer tumours without damaging X-Rays or large, expensive MRI scanners. Read More »
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The Social Return on Data
Staff Writer | Bloomberg Businessweek | February 23, 2012
You don’t normally find serial entrepreneurs working for the U.S. government. But Todd Park, who co-founded three companies by the time he was 36, believes he can help make Americans healthier. Read More »
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The Top 5 EHR Usability Problems and How to Fix Them
By Bennett Lauber | March 14, 2016
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The Unhealthy Side Effects of Meaningful Use
Michael Koriwchak | Wired EMR Practice | July 13, 2012
There are also no established EMR implementation strategies for medical practices. Implementing a complex EMR system into a busy medical practice is like replacing an aircraft’s engines while it is still flying. During implementation there can be no reduction in patient volume and no errors in patient care. Information technology is the only medical technology that has been given a “free pass,” with apparently no need to prove itself the way we prove the worthiness of new drugs, medical devices and surgical procedures.
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