upcoming HITSP webinars

HITSP -Health Information Technology standards.

The Healthcare Information Technology Standards Panel (HITSP) is identifying the standards that will support the exchange of healthcare information across the United States

Please click here (PDF) for upcoming webinars

I would like to hear from HIEs, EHR vendors and others if these standards will gain traction.

Upcoming webinar – WellStar and Google: Maximizing Return on Information

Thought I would share an upcoming webinar sponsored by Google

As healthcare companies produce, store, and consume more and more business information, volume grows and the investment needed to manage complexity increases. Yet much of this content remains difficult to manage and access. Fulcrum Research claims that 80% of enterprise content is unstructured (stored in things like Word docs and .pdfs, as opposed to structured data bases, CRM systems, etc.), and Forrester Research asserts that content volume is growing at a rate of 200% annually. At this rate, the volume of data stored in many organizations reaches the point of “too much information” – in other words, where the levels of information actually interfere with productivity rather than contribute to it.

October 1, 2009

10:00am PST

Register here

Cloud based EHRs – a response to PracticeFusion

In response to Dr Rowley’s posting

Note: I attempted to comment in the EHRBloggers blog but there were technical glitches with the “word” verification (used to prevent spamming) thus I am writing my comment here

Dr Rowley,
Thank you for your well crafted insight into the benefits of ‘cloud’ oriented EHRs, especially for solo practitioners who may not wish to invest in in-house hardware, software and associated maintenance.
Some responses:
1. Is a solo practitioner or very small medical practice, likely to have the high bandwidth internet connection required for SaaS based EHR?

2. Like any other SaaS solution, does the Dr’s practice grind to a halt because an Internet connection is down (due to the fault of the ISP or any other conditions beyond his control) and the physician cannot request an EMR for a patient?

3. The ‘care co-ordination’ you write about sounds wonderful, my question is what technical standards exist for medical practices to exchange EMR data ? Or is the ‘care co-ordination’ you write about restricted to medical practices that use the PracticeFusion cloud?

Looking forward to the ongoing conversation

EMR or EHR, what’s the difference

I hear the terms EMR (Electronic Medical Record) and EHR (Electronic Health Record) bandied about interchangeably.
So what is the difference.
Based on some reading I offer the following:

EMR – An electronic record of a person’s health related information that is gathered and managed from a single organization
EHR- An electronic record of a person’s health related information that is gathered and managed from a many organizations.

So my EMR is generated by my family physician and his/her nurse, but my EHR includes medical information from visits to specialists as well, perhaps even dentists and podiatrists. An EHR vendor thus needs to provide interfaces that allow data to be easily interchanged. In this regard I am starting to read about LOINC and HL7, though I understand the latter to be somewhat outdated.

Protecting confidential patient information in an EHR

I wonder if HIPAA suffices to protect patient information?

Especially if the patient data is stored in “the cloud” by a SaaS EHR vendor.

I blogged earlier about patient concerns as voiced on NPR

And here is a report from the UK:

“A study of how healthcare organisations manage personal data”

http://www.cqc.org.uk/_db/_documents/Info_governance_FINAL_PDF.pdf