Health data standards are part of almost every discipline and industry. Within healthcare, there are standards from laboratory and radiology procedures to network protocols. With…
Electronic Health Record
This year’s HIMSS Annual Conference and Exhibition saw Karen DeSalvo, the new National Coordinator for Health Information Technology, take the stage and it was clear we are entering a new era under her leadership. She recognizes that we are at a pivot point in the history of health IT and sees the need for everyone to take a breath and possibly find some better ways to reach some of our goals. Brian Ahier discusses his first impressions and shares a comprehensive, one-on-one video interview he conducted at the conference.
“We are again at a time of great change. The doctors of medicine long have been revered like priests of old; scribes copied their words…
Jennifer Thew, RN, provides a personal story about medical errors that illustrates the need for better patient involvement in their care, which begins with ownership of patient data. The future possibility of patient-generated health data being incorporated into the patient’s actual medical record, per meaningful use proposals, poses many difficult questions such as, ‘Who needs to accept responsibility here?’ A great post that needs your comments.
Will giving patients the privilege to capture and record their own health data, and have it incorporated into the EMR, be the first step to a future where patients are responsible (and held accountable through the documentation) for carrying out and documenting their physician’s orders? Will patients be penalized for failing their responsibility?
These questions, and more, will arise as we enter Meaningful Use Stage 3, which contains a provision allowing just that — the ability of the patient to input their data into their medical record. Let’s discuss this game-changing topic.
Brian Ahier takes a look back on 2013 and the significant developments in health IT. According to Brian, we made some great progress in 2013 on EHR adoption, which is really all about data capture and the digitization of health data. Technologically speaking, we are finally beginning to drag the healthcare industry kicking and screaming into the 21st Century. And we’re making strides in interoperability, or data sharing. HIE infrastructure is in place and the policy framework will continue to drive adoption – the business case for sharing data is even more pressing as new payment and care delivery models continue to spring up.
“There is a lot of excitement around big data, but it’s really a means to a bigger end. It’s a tool for researchers and administrators and clinicians to answer important questions using a more complete picture of health care than has ever existed — and then apply those answers to improve care and control costs. The real excitement isn’t about big data, it’s about the innovation it can support.”
Data is a powerful thing. It may show that an algorithm is contributing to successful outcomes or it can also show that it’s having detrimental effects on patient outcomes. Those in charge of the algorithms have to investigate why that is and update the algorithm to improve the outcomes.
Part 4 of Angela’s quantified self series explores a platform that enables users to design health “projects” for tracking across all devices, the RWJF’s Project Health Design, and a proposed standards-based model for patient-generated health information that helps integrate with EHRs. Each of these projects are fascinating and illustrate the speed self-tracking technology is progressing.
I’m a big Pinterest fan. When I meet someone who doesn’t have a Pinterest account I tell them, “Good! It will suck away all your…