Boston Physician Atul Gawande wrote The Checklist Manifesto in 2009 stressing that medicine should adopt “pilot’s checklists” to ensure that operating room teams are “ready for takeoff” before a scapel is ever opened. BIDMC implemented The Checklist Manifesto ideas in software in 2010. Here’s the “Time Out” done among all OR team members before a case beings - it includes a list of staff participating in the timeout, the agreed upon procedure, the verification of consent, appropriately marked operative site, patient identity verification, and best practices for prophylaxis...
electronic health records (EHRs)
See the following -
American Medical Association Finally On Board With EHR Views Expressed On This Blog Since 2004
It seems to have taken awhile, but organized medicine seems to finally be recognizing that today's commercial health IT is not quite the revolutionizing, transformative, plug-and-play panacea to healthcare's ills it is often touted as... Read More »
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AMIA Calls For Patient Access to Complete Health Information
AMIA has urged the federal government to repeal a regulation on unstructured EHR data that could help patients access their health information. At the 2016 ONC Annual Meeting, the American Medical Informatics Association (AMIA) has asked the federal government to repeal the prohibition on the use of unstructured data in order to help patients access all of their health information...
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AMIA: 10 Ways To Improve EHR Safety, Usability
In response to questions about efficacy and safety of electronic health records, the American Medical Informatics Association published a position paper in its journal outlining 10 ways to reduce errors, imcrease patient safety and improve efficiency. Read More »
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AMIA’s Doug Fridsma: Time for the Feds to Truly Open Up Patient Records to Fully Interoperable Data Use
Access to information and the ability to integrate and use information has changed how individuals book travel, find information about prices and products, and compare and review services. Information can empower individuals, but health care has lagged behind other fields. It is unconscionable that in 2016 most patients are unable to obtain their entire medical record unless they print it out. While progress has been made in the last several years to support patients’ access to their information through various electronic means, such as Blue Button and patient portals, this is not sufficient to make patients first-order participants in their care, their health and their research efforts...
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Amid adoption Inroads, Texas Looks To Statewide HIT
When the Texas Health and Human Services Commission (HHSC) last studied the state’s health IT landscape in 2009, there was fairly broad consensus about the potential benefits of IT, “but provider adoption rates accelerated slowly and many communities lacked the unified visions needed to create and sustain the infrastructure to share records between organizations' [...]. Read More »
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An Alternative Proposal for Certification
Some have suggested that my comments over the past few months about the Meaningful Use program, MACRA/MIPS, and Certification imply that we should just give up - throw out the baby with the bath water. That’s not what I’ve written.
Here’s a clarification. I believe MACRA/MIPS is the right trajectory - create a set of desirable policy outcomes, then enable clinicians to choose technology, quality measures, and process improvements that are relevant to their practice...
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An Appetite For Change In EMR Market
One of every four outpatient systems is eyed for replacement, says KLAS, which also looks at hospital space in wake of Cerner/Siemens deal ...
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An EHR Implementation of The Checklist Manifesto
An Epic Voyage
Several months ago, I wrote a blog post comparing customers’ experience with Epic with the Stockholm Syndrome. Read More »
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An interoperability update: Do we need more carrots and sticks?
Earlier this year, the ONC released the Trusted Exchange Framework and Common Agreement (TEFCA), which responds to a mandate included in 2016’s 21st Century Cures Act and lays out principles, terms and conditions on which to base an interoperability framework that healthcare organizations can embrace. “This means patients who have received care from multiple doctors and hospitals should have their medical history electronically accessible on demand by any other treating provider in a network that signed the Common Agreement,” said National Coordinator for Health IT Donald Rucker in a recent blog post. To achieve that goal, TEFCA is divided into parts A, the principles, and B, the terms and conditions, which is also where the rubber meets the road for many who live in the healthcare IT world...
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An Interview With The Most Powerful Woman In Health Care
Judy Faulkner might not be a household name yet, but in the health care industry, she’s simply known as Judy. She is the founder and chief executive officer of Epic Systems, a privately-held $1.5 billion (2012 revenue) company that sells electronic health records [...]. Read More »
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An Open Source Vision
A campaign is attempting to bring VistA, an open source IT system, to the NHS. Why should you consider it? Read More »
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Anatomy Of An Electronic Health Record Zero-Day
How a dangerous security flaw discovered in one of the most pervasive electronic medical record platforms in the U.S. was found and fixed before it could do damage Read More »
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Another NC Hospital Falls To Epic EHR Implementation Costs
Wake Forest Baptist Medical Center isn’t the only North Carolina hospital struggling with poor credit ratings and huge revenue gaps after attempting the installation of an Epic EHR system... Read More »
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Apervita Selected to Demonstrate Real-time Analytics for the Veterans Affairs’ Digital Health Platform
Apervita, Inc., the leading platform and marketplace for health analytics & data, today announced that Apervita participated in the US Department of Veterans Affairs (VA) proof-of-concept to demonstrate the power of real-time analytics to deliver higher quality, more efficient and flexible care as part of the Digital Health Platform (DHP) architecture. The VA’s DHP unlocks the enormous opportunity to integrate analytics for all patients and care providers, into a wide range of decision workflows and technologies, to provide the best care everywhere. In the proof-of-concept, Apervita acts as the real-time analytics engine to continuously execute pathways and guidelines and distribute resulting insights throughout the DHP and other platforms across the care continuum...
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