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Electronic Health Record

Biggest Loser Again: The U.S. Healthcare System Takes Last Place for Healthcare Quality

Despite spending $8,508 per person on healthcare – more than any other country – the U.S. healthcare system placed dead last for overall healthcare quality in a new Commonwealth Fund report that compared the U.S. healthcare system’s performance with 10 other industrialized nations. Commonwealth has conducted four similar studies since 2004 and each time the U.S. has been ranked at the bottom of the pack. That’s one heck of a losing streak.

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Don’t Stop Believin’: Work to Avoid Confirmation Bias in Health IT

Why would anyone who is presented with hard evidence choose to believe otherwise?

What if those opposed to EHR use kept a log of what they expected to happen (e.g., less time with patients, increased work load) and compared it to a log of what was actually happening? They might have a different perspective and see they aren’t working longer hours. The same advice goes for those pushing for the implementation of new technology. You have to acknowledge what is actually happening – nurses working longer shifts – and compare it to what you hoped would happen. We have to be willing to change our views when faced with real-world experiences.

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The Secret Life of the SNOMED Code: Why Patient’s ‘Problem List’ is a Problem

In her debut on the blog, Mandi Bishop highlights how the one-to-many mapping of SNOMED codes could affect patient care and their medical history.

‘The purpose of the SNOMED problem list is to inform all providers in the patient’s care continuum of any active or chronic conditions needing assessment and monitoring. With the single-click application of any given SNOMED code to an entire population of patients, it is highly likely that some, if not many, patients will be incorrectly assigned. It is unlikely that the patient will be clinically educated enough to identify, let alone explain, the difference to the network of providers participating in his or her care.’

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karen_desalvo

New ONC Leader Karen DeSalvo Discusses Priorities, Current Health IT Landscape at HIMSS14

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.

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Should Physicians or Patients be Responsible for Health History Accuracy?

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.

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PGHD

Patient Generated Health Data: With Great Power Comes Great Responsibility

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.

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karen_desalvo

Health IT in 2013: A Year in Review

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.

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