The enormity and severity of the West African Ebola epidemic that began in 2014 is hard to fathom. Over 10,000 people died with hundreds of thousands deeply affected by loss. In treating any medical condition, information is needed to provide adequate care, but when it’s an epidemic so severe, so dangerous and so fast-moving, it’s required more than ever. Ebola creates enormous barriers for patient care. It’s communicability means those who directly treat patients within the “Red Zone” must take extreme precautions. The lack of knowledge about who is infected and what constitutes effective treatment — not to mention the swift and severe toll it takes on the human body — makes caring for those affected extremely difficult...
interoperability
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Federal Health Officials Call For New Quality Measurement Framework
Federal health officials are calling for a new framework in quality measurement, as the U.S. healthcare system prepares for what is hoped to be a new era of accountability. Read More »
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Feds Release Latest Version Of Connect
The federal government has released its latest version of the open source Connect software platform for advanced health information exchange. Read More »
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Feds To Open Data Access In A Big Way
One aspect of the feds' new Open Data Policy presents both an opportunity and a challenge. It specifically calls for improved interoperability as a way to advance open data implementation. "Right now, standards setting for interoperability seems to be nobody's job -- and the federal government has the opportunity to take the lead here," said Hudson Hollister of the Data Transparency Coalition. Read More »
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Feds: You Don't Need Permission To Innovate
Many front-line federal workers have long expressed their frustrations about working in an agency or office culture that stifles innovation. But government is now entering a new era where feds no longer have to file a memo to their boss with a new idea, only to receive the dreaded response, “But we’ve always done it this way.” Read More »
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Few U.S. Hospitals Can Fully Share Electronic Medical Records
Less than one in three U.S. hospitals can find, send, and receive electronic medical records for patients who receive care somewhere else, a new study suggests. Just 30 percent of hospitals had achieved so-called interoperability as of 2015, the study found. While that’s slight improvement over the previous year, when 25 percent met this goal, it shows hospitals still have a long way to go, researchers report in Health Affairs...
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FHIR And The Future Of Interoperability
There is growing interest in the health care information technology community in an emerging data exchange technology known as FHIR (pronounced “fire”)...
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FHIR App Provides Precision Medicine Support at Point of Care
FHIR is helping to power a new precision medicine oncology app that brings clinical decision support to the point of care. Two of the most intriguing trends in healthcare may be able to work together to bring advanced clinical decision support directly to the point of care, suggest researchers who developed a FHIR-based precision medicine application that integrates with electronic health records...
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Fighting Ebola with Open Source Collaboration
Fixing The Background Technologies On Which Health Apps Depend
Developers are flocking to health IT with the laudable goals of making a difference in people’s health (and earning some money in the process). The complex and balkanized field presents numerous barriers to entrepreneurs breaking into the space...
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For mHealth To Succeed, We'll Need Standards
Do you FitBit? It’s a question that’s on the lips of millions of consumers, given that the device manufacturer captured a whopping 67 percent of total wearable fitness trackers sold in 2013...
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Former ONC Leaders Cite Challenges in Maximizing EHR Benefits
Four former national coordinators for health information technology have penned a perspective on achievements made in using electronic health records under the HITECH Act and where providers and the HIT industry still must go to continue past progress. The law spurred rapid progress toward digitizing the industry, which now is at an inflection point, say the authors, who include Vindell Washington, MD, Karen DeSalvo, MD, Farzad Mostashari, MD, and David Blumenthal, MD. EHRs have primed the industry to now achieve several positive results, including improving clinical guidelines, and sharing patient data seamlessly and securely...
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Forza open-source: Italian military to adopt LibreOffice
The Document Foundation’s Italian subsidiary, LibreItalia, said Wednesday that the Italian Ministry of Defense has agreed to adopt LibreOffice, the open-source productivity suite, in October, and that it will create its own online training courses for the new software by the end of 2016. The move was prompted, in part, by an Italian law that mandates the consideration of open-source alternatives to proprietary software for government use, which was originally passed in June 2012. LibreItalia and the military’s IT staff will release the educational material to the public at large under the Creative Commons license.
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Fridsma: Meaningful Use Causing 'Real Fatigue'
"Interoperability is hard in the concrete,” Doug Fridsma, MD said, “it is impossible in the abstract.” Fridsma, former chief scientist at ONC and now CEO of AMIA, said on Wednesday at RSNA's 100th annual meeting in Chicago that the key is enabling the free flow of information of all types — from lab results to medications to imaging data — within and between healthcare organizations of all shapes and sizes...
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From Data Silos to Black Holes...the Story of America's Healthcare System?
The scary thing about black holes is that their gravity inexorably drags in everything within its reach. Unless you are very far away or have sufficient escape velocity, you will get pulled in, and, once you are sucked in, you are never getting out. We call it our "healthcare" system, but usually what we mean is medical care. It treats illnesses, it puts us under the care of medical professionals, it turns us into patients. A doctor's visit begats prescriptions, and perhaps some testing. Testing leads to procedures. Procedures lead to hospital stays. Hospital stays lead to....you get the idea. What we might once have thought of as "health" -- or never thought about at all -- becomes "health care," a.k.a. medical care. And once you transform from a person, whose health belongs to you, to a patient, your health is never quite your own again. You've been sucked into the medical care black hole.
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From Fitbit To The Newsfeed: Curating Patient Records In The Internet Era
...Everyone seems to think that the end game for humanity is a single database that has all care documented in it. Picture that historic perforated printer paper – only digital...
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