patient-generated data
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AMA Call To Action On Health Records Should Tell Doctors To Heal Themselves
The American Medical Association (AMA) is one of the most powerful and well-known institutions in this country. Opposition from the AMA helped to bury hopes for universal healthcare back in the Harry Truman presidency, and now the AMA maintains a stranglehold on Current Procedural Terminology (CPT) codes and therefore on any innovation in reporting medical services. So when the AMA puts out a press release titled AMA Calls for Design Overhaul of Electronic Health Records to Improve Usability, describing the serious usability problems of EHRs, and announcing the release of their “solution” white paper titled Improving Care: Priorities to Improve Electronic Health Record Usability, headlines get made and policy-makers start to stir. Can a snap of the fingers by the AMA bring the EHR industry in line? Read More »
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Data Crisis: Who Owns Your Medical Records?
We’ve all encountered issues with our medical records. Whether getting a copy for a second opinion, finding major mistakes, or changing health care providers, our access to this important set of data has been fraught with difficulties. But that’s in the past tense—it’s getting worse. Sadly, your medical records are the property of hospitals, doctors, and health systems. Except in New Hampshire, where ownership rights are assigned to the patient, no other states recognize the individual’s right of control and ownership of their medical data...
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Epic and Other EHR Vendors Caught in Dilemmas by APIs (Part 2 of 2)
The first section of this article reported some news about Epic’s Orchard, a new attempt to provide an “app store” for health care. In this section we look over the role of APIs as seen by EHR vendors such as Epic. Dr. Travis Good, with whom I spoke for this article, pointed out that EHRs glom together two distinct functions: a canonical, trusted store for patient data and an interface that becomes a key part of the clinician workflow. They are being challenged in both these areas, for different reasons...
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Interoperability Hurdles Impede ACOs
For accountable care organizations, a lack of interoperability between their health information technology systems and those of providers outside their ACO is the No. 1 challenge they face, cited by 79% of respondents to a survey of 68 ACOs by group purchaser and performance-improvement company Premier and health IT collaborative eHealth Initiative...
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O'Reilly Report Explores Open Solutions to Health IT
Although many programmers and public interest advocates come to the concepts of free software, standards, open data, and transparent institutions out of idealism, modern businesses and governments are being driven to these same solutions out of the practical need to meet high expectations with diminishing resources. The ways in which the health care field has been incrementally adopting these paths are the subject of a new report, written by me and released by O'Reilly Media, called The Information Technology Fix for Health: Barriers and Pathways to the Use of Information Technology for Better Health Care. Read More »
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Open Source EHRs: Will They Support Clinical Data Needs of the Future? (Part 1 of 2)
Open source software missed out on making a major advance into health care when it was bypassed during hospitals’ recent stampede toward electronic health records, triggered over the past few years by Meaningful Use incentives...As Meaningful Use ramps down and clinicians have to look for value in EHRs, can the open source options provide what they need?
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Patient Engagement Via mHealth Will Be Key To Stage 3 Meaningful Use
With the Meaningful Use Stages 1 and 2 rules focused on electronic health records, healthcare industry observers are starting to look ahead to Stage 3 and its implications for mHealth. Read More »
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The Blockchain Interview with Jason Goldwater
There are three, initially, that it has the potential to solve. First is access to data. The way that systems have been set up in hospitals or large integrated physician networks is that the data will either reside in a centralized server or now the trend is to reside it in a cloud. That’s fine and that certainly has been effective, but you’re talking about a large consolidation of data in a centralized location. Blockchain is very different because it is what is known as distributed ledger technology...
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VA Blazes Trail For Mobile Medical Technology
One assumption made about big bureaucracies is they're Luddites, always behind the times. That's not exactly the case for the Veterans Health Administration, the healthcare arm of one of the largest federal bureaucracies, the Veterans Affairs Department. Read More »
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VA Pilot Brings Together mHealth And EHRs For Better Care
Through its focus on mobile technology and patient-centric features like the Blue Button Initiative, the Department of Veterans Affairs (VA) has proven itself a leader in the difficult task of getting patients to engage with their providers on a meaningful level. In July, the VA announced the beginning of the Family Caregiver Pilot, which paired seriously wounded veterans and their caregivers with iPads, pre-loaded with a suite of health management tools. Read More »
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