I hate being a patient. I have to admit that, although I write about health care, I am typically what can be described as a care-avoider. My exposure to the health care system has mostly been through my professional life or through the experiences of friends and family. The last few days, though, I unexpectedly had an up-close-and-personal experience as a hospital inpatient. I want to share some thoughts from that experience. Now, granted, any perceptions I gained are those of one person, in one hospital, in one medium-sized mid-western city. Nonetheless, I offer what I consider the Good, the Bad, and the Ugly of the experience...
health information technology (HIT)
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The Case For Improving Health Data Liquidity
Kristine Martin Anderson | Government Health IT | September 17, 2012
While some disagree on the right approach to transform our healthcare system, most will agree that patients must remain at the core. In order to deliver on the promise of more affordable, convenient care, healthcare decision makers should look at every decision with the patient at the center. Read More »
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The Costly Darkside Of EMR Implementations
Edmund Billings | HIT Consultant | January 3, 2013
Dr. Billings explores the costly darkside of EMR implementations significant maintenance, development and consultancy costs after implementing an EMR system Read More »
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The Cure Project Aims To Give Providers A Place At The HIT Table
Tom Sullivan | Government Health IT | March 4, 2013
Anyone wondering where the #EHRbacklash hashtag might be headed may have found some clarity at HIMSS13. The man behind the Twitter hashtag, Mosaica Partners vice president Bob Brown, along with Steven Waldren, MD, senior strategist for the American Academy of Family Physician's Center for Health IT, are spreading word about The Cure Project. Read More »
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The Dubious Promise Of Digital Medicine
Chad Terhune,Keith Epstein andCatherine Arnst | Bloomberg Businessweek | April 22, 2009
GE, Google, and others, in a stimulus-fueled frenzy, are piling into the business. But electronic health records have a dubious history Read More »
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The EMR Use Rule: An Open Letter To Massachusetts Physicians
Hayward K. Zwerling | The Health Care Blog | May 27, 2013
Last summer, the Commonwealth of Massachusetts enacted legislation that will fundamentally alter the physician-patient relationship by giving politicians the right to specify the processes that must occur during an office visit. The relevant law is Section 108 of Chapter 224 of the Acts of 2012, which reads as follows: Read More »
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The Era of Epic
John D. Halamka | Life as a Healthcare CIO | July 24, 2013
In the Boston marketplace, Partners Healthcare is is replacing 30 years of self developed software with Epic. Boston Medical Center is replacing Eclipsys (Allscripts) with Epic. Lahey Clinic is replacing Meditech/Allscripts with Epic. Cambridge Health Alliance and Atrius already run Epic. Read More »
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The Evolving Landscape of Health Information Exchange
By Noam H. Arzt, Ph.D. | January 11, 2018
The original vision for nationwide health information exchange was a “network of networks” model where local HIEs would interact HIE-to-HIE to form a virtual national network. But notice that many of the new initiatives are essentially solving a different problem: they are enabling point-to-point connections across a wider geography and set of clinical sites. This seems more like a large, single national network rather than leverage of more distributed organizations or implementations. Only time will tell if these private sector initiatives will collaborate, converge or compete. And only time will tell of the limitations of ONC’s ability to influence and provide leadership will creates gaps or provide new opportunities for innovation.
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The Evolving Role of Open Source Software in Medicine and Health Services
By David Ingram, and Sevket Seref Arikan | March 12, 2014
In this article, we highlight the barriers to progress and discuss the dangers of pursuing a standardization framework devoid of empirical testing and iterative development. We give the example of the openEHR Foundation, which was established at University College London (UCL) in London, England, with members in 80 countries....We argue that such an approach is now essential to support good discipline, innovation, and governance at the heart of medicine and health services, in line with the new mandate for health commissioning in the United Kingdom's National Health Service (NHS), which emphasizes patient participation, innovation, transparency, and accountability. Read More »
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The Flaws Of Electronic Records
Jay Hancock | Philly.com | February 19, 2013
Drexel University's Scot Silverstein is a leading critic of the rapid switch to computerized medical charts, saying the notion that they prevent more mistakes than they cause is not proven. Read More »
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The Future of AHRQ’s Health Services Research
Michael Berkwits | The Journal of the American Medical Association | August 19, 2015
Both houses of Congress will have to resolve their differences to pass a 2016 federal budget bill, which then goes to President Obama for his signature or veto. In the meantime, AHRQ Director Richard Kronick, PhD, sat down with JAMA to talk about the agency’s work and its relationship with other federal health research entities. The following is an edited transcript of that conversation...
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The Future Of Health Care Access
John A. MacDonald, Anita M. McGahan, and Will Mitchell | Stanford Social Innovation Review | October 18, 2013
Traditional health care is a hands-on, brick-and-mortar affair. But across the developing world, a wave of technology-driven innovation signals the emergence of a compelling new model. Read More »
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The Gary And Mary West Foundation And West Health Institute Create New Center For Medical Interoperability To Improve Patient Safety And Lower Costs Of Health Care
Press Release |
West Health Institute (WHI), The Gary and Mary West Foundation (GMWF) |
September 18, 2013
The Gary and Mary West Foundation has provided initial grant funding to the Center for Medical Interoperability, Inc. The Center, a newly formed, independent nonprofit organization, will be led by hospitals and health systems to drive rapid, widespread and sustained interoperability of medical technology to improve patient safety and lower health care costs. [...] Read More »
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The Golden Age Of Health Informatics?
Mark Braunstein | InformationWeek Healthcare | November 19, 2013
So much attention is paid to the problems in the trenches that it is easy to forget just how far we've come in the past few years. It was only 2008 when the oft-cited DesRoches NEJM survey showed that 4 percent of physicians had a clinically active electronic medical records system (my term for what they called fully functional EMRs). [...] Read More »
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The Good, the Bad, and the Ugly in Health Care
By Kim Bellard | February 21, 2017
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The HITECH Era in Retrospect
John D. Halamka, M.D. and Micky Tripathi, Ph.D. | The New England Journal of Medicine | September 7, 2017
At a high level, the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 accomplished something miraculous: the vast majority of U.S. hospitals and physicians are now active users of electronic health record (EHR) systems. No other sector of the U.S. economy of similar size (one sixth of the gross domestic product) and complexity (more than 5000 hospitals and more than 500,000 physicians) has undergone such rapid computerization...
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