With the Department of Justice announcement of the $155 million dollar eClinicalWorks settlement (including personal liability for the CEO, CMO and COO), many stakeholders are wondering what’s next for EHRs. Clearly the industry is in a state of transition. eCW will be distracted by its 5 year corporate integrity agreement. AthenaHealth will have to focus on the activist investors at Elliott Management who now own 10% of the company and have a track record of changing management/preparing companies for sale. As mergers and acquisitions result in more enterprise solutions, Epic (and to some extent Cerner) will displace other vendors in large healthcare systems. However, the ongoing operational cost of these enterprise solutions will cause many to re-examine alternatives such as Meditech...
usability
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EHR Vendors Focusing On Usability
Electronic health records (EHRs) have to be usable and useful by physicians and integrate with hospitals’ or practices’ other systems to benefit providers or else the money spent on them is just wasted. Read More »
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Enhancing Patient Safety And Quality Of Care By Improving The Usability Of Electronic Health Record Systems: Recommendations From AMIA
In response to mounting evidence that use of electronic medical record systems may cause unintended consequences, and even patient harm, the AMIA Board of Directors convened a Task Force on Usability to examine evidence from the literature and make recommendations. This task force was composed of representatives from both academic settings and vendors of electronic health record (EHR) systems. Read More »
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Epic To Open Source Code To OHSU
Epic Systems Corp. will help Oregon Health & Science University set up two laboratory installations of its EpicCare electronic health record on its servers for medical informatics education and research purposes. On the research side, the school will have access to Epic's source code. Read More »
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European Union's 5-year Roadmap for IT and Open Source
After months of preparation, the European Commission (EC) released its broad 5-year roadmap in early May for information and communications technology (ICT) policy, the Digital Single Market Strategy, or DSM. The plan is structured around three main pillars or goals, which include...
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Fax Technology is the Cornerstone of Interoperability. Here's Why.
Fax is the dominant information exchange technology in U.S. healthcare, outpacing secure direct messaging 25-to-1. Most of that is exchanged using inefficient and unsecure machines. With the emergence of cloud-based fax technology to facilitate secure system-to-system document transfer, the use of cloud fax needs to be part of every CTO's/CIO's digital strategy...The evolution of fax from paper-based to cloud transmission and storage - Cloud Fax Technology (CFT) - is a key step that enables providers to comply with HIPAA and other regulations. Further strengthening CFT as a key component in Healthcare Information Systems (HIS) is its evolution into Direct Messaging platforms, enabling the seamless exchange of Patient Health Information (PHI) between the diverse data and document management systems used by labs, pharmacies, doctor's offices, hospitals, and billing providers. CFT supports and contributes to the goal of interoperability...
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Four Takeaways from EHRA’s Health IT Usability Summit
On June 21, the Electronic Health Records Association held its second annual Shaping Usability of Health IT Summit. The event brought together more than 70 individuals, including physicians, EHR developers and even ONC Deputy Assistant Secretary for Health Technology Reform John Fleming. Mandy Long, chair of the EHRA Clinician Experience Workgroup and vice president of corporate operations at Modernizing Medicine, co-hosted the summit. In a recent phone interview, Long outlined a few key highlights of the event...
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Github To White House: Open Source Your HealthCare.gov Code And Let Us Help
Healthcare.gov has been referred to by the national press as “excruciatingly embarrassing,” “a poster child for the federal government’s technical ineptitude,” and “a mess.” [...] Silicon Valley’s technology entrepreneurs have described in recent interviews how they would have approached the project differently from the start. Read More »
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Halamka on What's Next for Electronic Health Records
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Halamka's Dispatch from HIMSS 2017
As I wrote last week, I expected 2017 HIMSS to be filled with Wearables, Big Data, Social Networking concepts from other industries, Telemedicine, and Artificial Intelligence. I was not disappointed. 42,000 of my closest friends each walked an average of 5 miles per day through the Orlando Convention Center. One journalist told me “It’s overwhelming. You do your best to look professional and wear comfy shoes!” After 50 meetings, and 12 meals in 3 days, here’s my impression of the experience...
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Halamka: What is the Optimal Future Role for ONC?
As Meaningful Use winds down and incentive dollars are fully spent, what is the optimal role for ONC going forward? Some pundits have suggested that ONC step aside and return all aspects of HIT policy and technology to the private sector. Others have suggested top down command and control of HIT including centralized governance to ensure interoperability. Harmony is when all parties feel equally good about the path forward. Compromise is when everyone leaves the table equally unhappy. Here’s my view about the future of ONC that includes points from both sides.
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Has EHR Usability Suffered For The Sake Of Adoption Speed?
The need for speed may have left truly meaningful use of electronic health records in the dust, says Larry Pawola, Professor at the University of Illinois at Chicago Health Informatics in a blog for The Information Daily. Read More »
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Healthcare Has Cost Problems, but IT and EHRs Do Not Have to be One of Them
I’m proud to lead a group of intelligent and energetic technology professionals committed to developing a robust healthcare IT system that is (1) easy for clinicians to use, (2) improves patient health and (3) doesn’t bankrupt hospital budgets. We think any sustainable system must have those three key requirements. And how is healthcare doing thus far? The EHRs available today are developing rapidly. Vendors are making frequent and impactful improvements to improve system usability. Clinicians are getting better at maximizing the contribution healthcare IT makes to patient health and safety. It’s not hard to see how healthcare IT can meet the first two requirements and broadly contribute to improved healthcare.
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Healthcare.gov: Code Developed By The People And For The People, Released Back To The People
This new flagship federal .gov website is "open by design, open by default." That's a huge win for the American people. Read More »
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Hi, Engineering, I’m UX. Let’s be friends
The relationship between user experience (UX) and engineering is a crucial factor when it comes to generating technical innovation. After spending a week at the SXSW Interactive festival earlier this year, I was struck by the number of missed opportunities to nurture this relationship or even understand it better. UX professionals and engineers just don’t talk, and when they do they usually speak different languages.
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How Apple Can Fix The Usability Problem In Healthcare
I want clinicians to buy more Apple products. I want Macbooks to replace your PCs. Other than promoting Apple and angering PC-lovers, why would I say this? Read More »
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