Archive for the ‘medical records’ Category

Dennis Quaid’s “Chasing Zero”

April 25, 2010 · Filed Under Why PM, general, medical records, policy issues, positive patterns, pt/doc co-care, reforming hc, trends & principles · 8 Comments 

Actor Dennis Quaid has produced an outstanding, informative, empowering and motivating CME* program, “Chasing Zero: Winning the War on Healthcare Harm.” It’s on the Discovery Channel. Part 1 is here.

This is the best-produced material I’ve seen to change how so much of the healthcare industry has its head in the sand about the possibility of change. It’s informative, but it goes beyond that, calling for our leaders to boldly step out and adopt improvements in process and technology that are proven to save lives.
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Insights on how the HITECH stimulus plan is working

April 22, 2010 · Filed Under Why PM, medical records, policy issues, reforming hc · 2 Comments 

In my previous post I noted that Vince Kuraitis and David Kibbe are running an excellent series, “Is HITECH Working?”* After a full year of increasing tensions, claims, and counterclaims, reading these posts has given me hope that it’s all panned out into something mortals can understand. (I’d been afraid to look!)

In a day or two I’ll be submitting the next entry in the series, on disruptive innovation – patient driven disruption. It’s a wonderful moment in our history when two of the best minds in health IT predict this is what’s coming.

But it means we have work to do. So if you’re into health IT, please catch up on this series – it’s clearly written: Read more


Save lives first, *then* compete: Simple Interop for Healthcare

April 22, 2010 · Filed Under Why PM, medical records, policy issues · 22 Comments 

This post is my own expression, not an official view of the Society for Participatory Medicine.

Vince Kuraitis and David Kibbe are running an excellent series, “Is HITECH Working?”* In last week’s entry they linked to this slide deck by Wes Rishel and David McCallie of IT consulting firm Gartner. See discussion before watching.

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Testimony submitted to the Meaningful Use workgroup (and an urgent call for citizen participation)

April 16, 2010 · Filed Under Why PM, e-pts resources, medical records, policy issues, pt/doc co-care, reforming hc · 13 Comments 

There’s an important call to action below. If you care about making healthcare more responsive to us, and less responsive to vendors, please read to the end. This is short.

Thanks to all of you who submitted comments on this week’s post, offering feedback. Here is the PDF I submitted today, which is being distributed to all members of the Meaningful Use workgroup.

Full text of original comments received here by the deadline were included in Appendix A, along with a link to that post so interested readers can see subsequent discussion and any later comments. Keep ‘em coming!

Want to know how cool this community is? We had several times more responses on this subject than were received by the similar post on The Healthcare Blog – and none of theirs had actual feedback! (Just the usual THCB kvetching.:–))

More importantly, consider how vital this work is. To quote from Matthew Holt’s post over there: Read more


Tell HHS: What’s the role of patient generated data in Meaningful Use?

April 14, 2010 · Filed Under Why PM, medical records, policy issues, pt/doc co-care · 23 Comments 

Next Tuesday Regina Holliday and I are among those testifying to the Health IT Policy Committee’s workgroup on Meaningful Use.  Please help me decide what to submit for my testimony.

My session is Panel 2:  Incorporating Patient-Generated Data in Meaningful Use of HIT. Questions:

a. What is the role of patient-generated data in improving health of individuals?  What is the evidence?

b. How can patient-reported data be integrated into EHRs and the clinicians’ workflow to improve care management?

c. How can future conceptions of personal health information platforms and information tools facilitate patient-centered care, including transparency, coordinated care, patient activation, while protecting patient privacy?
d. What is the role of the patient in ensuring data in EHRs is accurate?

e. What are your recommendations for meaningful use criteria for 2013 and 2015 that are achievable by a broad spectrum of providers?

What should they hear?  Comment please!

They always welcome additional thoughts beyond the specified questions, so fire away.


Second wave of comments on Health IT safety issues

March 16, 2010 · Filed Under Why PM, medical records, policy issues · 7 Comments 

Last month I posted the testimony I submitted to the Adoption/Certification Workgroup of the Health IT Policy Committee. (I urge interested parties to review the links to other resources in that post.) Today Paul Egerman, chair of that team, circulated a preliminary draft of recommendations from that meeting. Here is my response tonight, edited a bit for clarity.
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Is Your Healthcare Practice Patient-centered?

March 12, 2010 · Filed Under Why PM, medical records, trends & principles · 20 Comments 

Yesterday I was at a monthly TelePresence meeting of the Person Centered Health initiative, a group that started in Canada that’s closely aligned with the Society for Participatory Medicine. At this meeting, some expressed concern that the memes of “person-centered health,” “patient-centered healthcare,” “participatory medicine,” and the like are becoming so overused as to become meaningless. That is, practices and healthcare organizations are claiming to espouse these principles, when in reality they don’t practice that way. Put another way, they talk the talk but don’t walk the walk.

That’s just plain wrong. You shouldn’t get away with pretending to be patient-centered, any more than you should get away with pretending to be in love. So let’s get specific. Read more


VA data glitch mimics MIT’s

March 4, 2010 · Filed Under medical records · 4 Comments 

Bob Brewin writes today in NextGov that the VA discovered a glitch in a system interface that could display the wrong patient’s information under peak load circumstances. The VA handled it in an exemplary fashion: they immediately issued a safety alert and shut down the connection; the bug (a memory leak) has reportedly been fixed and the link will be live again Tuesday.

The glitch came to light when a doctor noticed that a female veteran had a prescription for erectile dysfunction. Hm. Read more


Testimony submitted to the Adoption/Certification Workgroup for its Feb 25 meeting

February 24, 2010 · Filed Under Why PM, medical records, policy issues, trends & principles · 12 Comments 

As I’ve noted recently, this Thursday I’m on a stakeholder panel at a meeting of the Adoption/Certification Workgroup, which is part of the Federal Health IT Policy Committee.

As noted in my previous post, this is a busy day, and each of us gets only 5-7 minutes to speak, followed by Q&A. We submit our testimony in advance. Below is mine. Additional reference material:

  • Panelist questions here
  • Rob Koppel’s March 2009 JAMA article here
  • RealPlayer webcast recording Koppel’s December lecture about the article here
  • I was alarmed by what I learned in that webcast, and wrote about it here

Click for a PDF of the testimony I submitted.


Panelist questions for ONC’s 2/25 hearing on EHR patient safety issues

February 20, 2010 · Filed Under medical records, policy issues, positive patterns, reforming hc, trends & principles · 15 Comments 

I wrote last Wednesday about some background material for a panel I’ll be attending Thursday, as part of the government’s process to encourage adoption of electronic medical records. In the current administration all such discussions are wide open to the public. Here are the questions we’ll be asked – I’d welcome your input. Read more


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