Health Informatics

Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap Draft Version – Office of the National Coordinator for Health Information Technology (ONC) – January 2015

Posted on February 2, 2015. Filed under: Health Informatics | Tags: , |

Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap Draft Version – Office of the National Coordinator for Health Information Technology (ONC) – January 2015

“…describes ONC’s broad vision and framework for interoperability. The concept paper is an invitation to all health IT stakeholders to join ONC in developing a defined, shared roadmap that will allow the nation to collectively achieve health IT interoperability as a core foundational element of better care, at a lower and better health for all.”

2015 Interoperability Standards Advisory – Office of the National Coordinator for Health Information Technology (ONC) – January 2015

Infographic – Shared Nationwide Interoperability Roadmap: The Journey to Better Health and Care – Office of the National Coordinator for Health Information Technology (ONC) – January 2015

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Federal health IT strategic plan sets stage for better sharing through interoperability – The Office of the National Coordinator for Health Information Technology (ONC) [US] – 8 December 2014

Posted on December 10, 2014. Filed under: Health Informatics | Tags: , |

Federal health IT strategic plan sets stage for better sharing through interoperability – The Office of the National Coordinator for Health Information Technology (ONC) [US] – 8 December 2014

“ONC is accepting public comments on a draft version of the Federal Health IT Strategic Plan 2015-2020. The due date for public comments is 5 p.m. on February 6, 2015. This Plan represents a coordinated and focused effort among 35+ federal departments and agencies to advance the collection, sharing, and use of electronic health information to improve health care, individual and community health, and research.”

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Health IT Enabled Quality Improvement: A Vision to Achieve Better Health and Health Care – Office of the National Coordinator for Health Information Technology [US] – 13 November 2014

Posted on November 17, 2014. Filed under: Clin Governance / Risk Mgmt / Quality, Health Informatics | Tags: , |

Health IT Enabled Quality Improvement: A Vision to Achieve Better Health and Health Care – Office of the National Coordinator for Health Information Technology [US] – 13 November 2014

Media release: Health IT Enabled Quality Improvement: A Vision to Achieve Better Health and Health Care – 13 November 2014

“This paper describes ONC’s vision for advancing the use of health IT to support transformational improvement in health care quality and value. It invites health IT stakeholders – clinicians, consumers, hospitals, public health, technology developers, payers, researchers, policymakers and many others – to join ONC in shaping the future with a renewed focus on health and care quality as the “why” that aligns with the “what” of interoperable health information systems.”

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Big Data and Public Health – POST Note – Parliament [UK] – 22 July 2014

Posted on August 1, 2014. Filed under: Health Informatics, Medical Records, Research |

Big Data and Public Health – POST Note – Parliament [UK] – 22 July 2014

“Patient health records and other large scale medical and administrative datasets are increasingly being considered as a valuable tool for the study and improvement of health. This POSTnote examines the sources of data, their current and potential uses for health improvement, and the legal and practical issues raised by data use for public health or research purposes.”

 

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Center for Evidence and Practice Improvement (CEPI) – AHRQ – [AHRQ = US Agency for Healthcare Research and Quality]

Posted on July 23, 2014. Filed under: Evidence Based Practice, Health Informatics, Preventive Healthcare, Primary Hlth Care | Tags: |

Center for Evidence and Practice Improvement (CEPI) – AHRQ – [AHRQ = US Agency for Healthcare Research and Quality]

CEPI consists of five divisions:

Evidence-Based Practice Center Program
U.S. Preventive Services Task Force Program
Division of Decision Science and Patient Engagement
Division of Health Information Technology
Division of Practice Improvement

CEPI is also home to AHRQ’s National Center for Excellence in Primary Care Research (NCEPCR)

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Promoting Patient Safety Through Effective Health Information Technology Risk Management – RAND – May 2014

Posted on July 14, 2014. Filed under: Health Informatics, Patient Safety | Tags: |

Promoting Patient Safety Through Effective Health Information Technology Risk Management – RAND – May 2014

Promoting Patient Safety by Managing Health IT Risks – Health IT Buzz – 10 July 2014

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Crafting a Next Generation IT strategy – Life as a Healthcare CIO – 9 July 2014

Posted on July 11, 2014. Filed under: Health Informatics |

Crafting a Next Generation IT strategy – Life as a Healthcare CIO – 9 July 2014

“During my 16 years as CIO, I’ve witnessed the transition from client server to web, from desktops to
mobile, and from locally hosted to cloud.

As Beth Israel Deaconess merges and acquires more hospitals, more practices and more care management capabilities, what are its strategic IT choices?

I will not even mention “best of breed”, because I think the industry has abandoned such a strategy as unworkable in an era when everyone needs access to everything for care coordination, population health, and patient/family engagement.

The choices are basically two

a. Single monolithic vendor application for everyone everywhere
b. Best of Suite – the smallest number of applications/modules that meet the need for business integration (defined in the graphic above)

It’s extremely popular among academic medical centers, ACOs, and healthcare systems to choose “A”, often at great cost.

BIDMC has a 30 year tradition of building and buying systems balancing costs, agility, and functionality.

As I plan for the next generation of IT systems, I favor “B” and believe I can achieve our business goals in shorter time, at lower cost, with less risk.

Here’s the thinking.”

… continues on the site

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Mental Health Dementia and Neurology Intelligence Network (MHDNIN) [UK]

Posted on July 8, 2014. Filed under: Health Informatics, Mental Health Psychi Psychol |

Mental Health Dementia and Neurology Intelligence Network (MHDNIN)

“The Mental Health Dementia and Neurology Intelligence Network (MHDNIN) analyses information and data and turns it into timely meaningful health intelligence for commissioners, policy makers, clinicians and health professionals to improve services, outcomes and reduce the negative impact of mental health, dementia and neurology problems.

The work of MHDNIN complements NHS England’s Strategic Clinical Network and includes mental health and wellbeing, dementia and neurology.

We are creating the MHDNIN to help commissioners, policy makers and clinicians collate information and data on three pathways through health services that affect millions of people in England. This information is also available to the public, service users and their families.”

… continues on the site

Intelligence network for mental health – eHealth Insider – 8 July 2014

“NHS England and Public Health England have launched a new mental health intelligence network to improve access to mental health data and help providers to work more collaboratively.

The Mental Health Dementia and Neurology Intelligence Network is hosted by Public Health England and co-sponsored by NHS England.

The network will collect mental health data from 13 different national agencies, including the Department of Health, the Health and Social Care Information Centre, and academic health science networks.

Dr Geraldine Strathdee, NHS England’s national clinical director for mental health, told EHI the launch of network should address concerns about a potential lack of mental health data.”

… continues on the site

 

 

 

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Capturing Social and Behavioral Domains in Electronic Health Records – Institute of Medicine – 2014

Posted on June 25, 2014. Filed under: Health Informatics, Public Hlth & Hlth Promotion | Tags: |

Capturing Social and Behavioral Domains in Electronic Health Records – Institute of Medicine – 2014

Institute of Medicine. Capturing Social and Behavioral Domains in Electronic Health Records: Phase 1. Washington, DC: The National Academies Press, 2014.

“Description

Substantial empirical evidence of the contribution of social and behavioral factors to functional status and the onset and progression of disease has accumulated over the past few decades. Electronic health records (EHRs) provide crucial information to providers treating individual patients, to health systems, including public health officials, about the health of populations, and to researchers about the determinants of health and the effectiveness of treatment. Inclusion of social and behavioral health domains in EHRs is vital to all three uses. The Health Information Technology for Economic and Clinical Health Act and the Patient Protection and Affordable Care Act place new importance on the widespread adoption and meaningful use of EHRs. “Meaningful use” in a health information technology context refers to the use of EHRs and related technology within a health care organization to achieve specified objectives. Achieving meaningful use also helps determine whether an organization can receive payments from the Medicare EHR Incentive Program or the Medicaid EHR Incentive Program.

Capturing Social and Behavioral Domains in Electronic Health Records is the first phase of a two-phase study to identify domains and measures that capture the social determinants of health to inform the development of recommendations for meaningful use of EHRs. This report identifies specific domains to be considered by the Office of the National Coordinator, specifies criteria that should be used in deciding which domains should be included, identifies core social and behavioral domains to be included in all EHRs, and identifies any domains that should be included for specific populations or settings defined by age, socioeconomic status, race/ethnicity, disease, or other characteristics.”

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Medical Device Data Systems, Medical Image Storage Devices, and Medical Image Communications Devices – Draft Guidance for Industry and Food and Drug Administration Staff – FDA – 20 June 2014

Posted on June 23, 2014. Filed under: Health Informatics, Health Technology Assessment | Tags: |

Medical Device Data Systems, Medical Image Storage Devices, and Medical Image Communications Devices – Draft Guidance for Industry and Food and Drug Administration Staff – FDA – 20 June 2014

Commentary on the guidance: FDA Encourages Medical Device Data System Innovation – FDA Blog – 20 June 2014

“Thanks to advances in digital health, doctors and their patients are more frequently using computer systems to collect medical data that can provide useful information on a patient’s health.

Some of these systems, referred to as “medical device data systems,” are off-the-shelf or custom hardware or software products that transfer, store, convert format, and display medical device data without modifying it, and without controlling or altering the functions or parameters of any connected medical devices.

Medical device data systems can collect and store data from a variety of other medical devices, including glucose meters, blood pressure cuffs, and weight scales. This data can be used at home to track certain information or it can be stored for a doctor to review at a later time.

Medical device data systems can be used in hospitals to collect information and data from other medical devices including bedside monitors and infusion pumps. This information can then be stored in a patient’s electronic health record for a more complete review of a patient’s total health.

In 2011, FDA issued a regulation down-classifying medical device data systems. Since that time, FDA has gained additional experience with these types of technologies, and has determined that these devices pose a low risk to the public.

Today, given the low level of patient risk, we are proposing a compliance policy under which medical device data systems should see their burdens reduced.

Why would we do that?”

… continues on the site

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The Peter Sowerby Commission report. Bringing together primary and secondary care data to improve patient care – Imperial College London – 17 June 2014

Posted on June 18, 2014. Filed under: Health Informatics | Tags: , |

The Peter Sowerby Commission report. Bringing together primary and secondary care data to improve patient care – Imperial College London – 17 June 2014

Foreword:

“Having the right information available is critical to providing good patient care. When several professionals and organisations are involved, sharing accurate information promptly is essential to integrating care for the individual patient. Analysing the data gathered while caring for patients is essential to auditing whether the best possible care is being provided, identifying how it could be improved and finding new treatments through research. It can also reveal how healthcare systems can be run more efficiently.

Many policymakers and clinicians consider better information sharing and more efficient use of the data in electronic health records (EHRs) to be important elements in providing safer and more effective healthcare that meets the twin challenges of financial constraints and increasing numbers of people with long-term illnesses due to an ageing population.

The relative absence in England of electronic patient records (EPRs) within hospitals, and the separation of hospital and general practitioner (GP) records have meant that clinicians do not always have the correct information available when treating a patient, and are therefore often unable to make relevant information readily available to clinicians in other organisations providing care. It has also limited the ability of the NHS and academic institutions to get the most from the information that is available about patients to improve their care, assess the impact of treatment or to identify how best resources can be used.

In February 2013 the Peter Sowerby Foundation, established by Dr Peter Sowerby, co-founder of EMIS, supplier of clinical information systems to GPs, hospitals and pharmacies in the UK, and his wife Ann announced a grant to the Institute of Global Health Innovation (IGHI) at Imperial College London. The purpose of the grant was to establish the Peter Sowerby Commission, with the objective of developing a strategy to bring together primary and secondary care data, and then through the Peter Sowerby Forum at IGHI to seek to ensure the proposals are implemented and to open new avenues for research to improve patient care. This report is the first output of that programme.

The Commission has found that much is going on to ensure clinicians have the right information available wherever patients are treated and to bring together the data locally, regionally, and nationally for audit and research purposes while preserving patient confidentiality. The recommendations of this report are aimed at making faster and more certain progress, raising standards of care in that process. We also need to look locally at how the NHS, universities and researchers can gather and make best use of the data to improve care now and in the future, forging ahead at a faster pace and more innovatively than can ever be achieved nationally.”

News release: NHS Trusts that misuse patient records must be penalised, says report – Imperial College London – 17 June 2014

” Electronic health records are essential to good care, according to a report by the Sowerby Commission, led by Imperial College London.

Four out of five doctors surveyed said sharing electronic records among those responsible for a patient’s treatment improves care and two out of three said it would enhance their ability to compare treatment with best practice.

But medical records are currently separated in siloes – hospital, GP and clinic – and there are technical and cultural barriers to sharing them, including a reluctance by doctors to give up control.

After a year long investigation, the Sowerby Commission, a group of experts established by the Institute of Global Health Innovation at Imperial College London with a grant from the Peter Sowerby Foundation, has concluded that there are major benefits to health from sharing records, first by ensuring all staff caring for a patient have access to details of their condition, medication and test results, and secondly to improve care for the whole population through audit and research – the results of which should be advertised to bolster public support.

But there are also risks.”

… continues on the site

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Busting Bureaucracy: collaborative audit findings and recommendations – Health & Social Care Information Centre – May 2014

Posted on June 9, 2014. Filed under: Health Informatics |

Busting Bureaucracy: collaborative audit findings and recommendations – Health & Social Care Information Centre – May 2014

CoWs to bust bureaucracy – eHealth Insider – 9 June 2014

“Junior doctors spend 66% of their time accessing or updating patient notes, a report by the Health and Social Care Information Centre has found.

The Busting Bureaucracy report, which carried out audits in 16 NHS trusts, found that too much time is spent on collecting, finding and entering data.

For instance, one trust reported that computers on wheels has reduced ward round times by 45 minutes, however, perhaps not surprisingly, most trusts have problems with systems working in silos.

“The audit findings confirmed that in all organisations there are examples of technology being implemented without process change, resulting in similar or increased levels of burden and bureaucracy due to a mixed economy of digital and paper,” says the report.

85% of maternity units surveyed in the report, responded that they use “local or bespoke electronic systems, none of which are integrated with other trust systems.”

The report adds that 77% of trusts record data on paper and then transcribe it into the electronic system, and without paper and electronic systems being integrated with each other, technology in itself does not actually release clinical staff time.

The HSCIC launched the ‘Let’s Bust Bureaucracy Together’ campaign in October last year to transform the way the NHS thinks about managing burden and bureaucracy.”

… continues on the site

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Connecting Health and Care for the Nation: A 10-Year Vision to Achieve an Interoperable Health IT Infrastructure – Office of the National Coordinator for Health Information Technology – 5 June 2014

Posted on June 6, 2014. Filed under: Health Informatics | Tags: , |

Connecting Health and Care for the Nation: A 10-Year Vision to Achieve an Interoperable Health IT Infrastructure – Office of the National Coordinator for Health Information Technology – 5 June 2014

Media release: A Call To Action for a Nationwide Interoperable Health IT Infrastructure

 

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CERN openlab Whitepaper on Future IT Challenges in Scientific Research – 21 May 2014

Posted on May 26, 2014. Filed under: Health Informatics |

CERN openlab Whitepaper on Future IT Challenges in Scientific Research – 21 May 2014

the report

“This whitepaper describes the major IT challenges in scientific research at CERN and several other European and international research laboratories and projects. Each challenge is exemplified through a set of concrete use cases drawn from the requirements of large-scale scientific programs. The paper is based on contributions from many researchers and IT experts of the participating laboratories and also input from the existing CERN openlab industrial sponsors. The views expressed in this document are those of the individual contributors and do not necessarily reflect the view of their organisations and/or affiliates.”

 

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Review of the Personally Controlled Electronic Health Record – December 2013

Posted on May 19, 2014. Filed under: Health Informatics | Tags: , , |

Review of the Personally Controlled Electronic Health Record – December 2013

This section of the site contains information relating to eHealth.

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Redirecting innovation in US health care: options to decrease spending and increase value – RAND Health – 2014

Posted on May 6, 2014. Filed under: Health Informatics, Health Technology Assessment, Pharmacy | Tags: , |

Redirecting innovation in US health care: options to decrease spending and increase value – RAND Health – 2014

Extract:

“A leading cause of high and growing spending is new medical technologies. Previous studies aimed at reining in spending considered changing the ways in which existing technologies are used. Our work for this project focused on identifying promising policy options to change which medical technologies are created in the first place, with
these two related policy goals:

1. Reduce total health care spending with the smallest possible loss of health benefits.
2. Ensure that new medical products that increase spending are accompanied by health benefits that are worth the spending increases.

These goals reflect our definition of the “value” of a medical technology, which compares the increase in population health from using it to the extra spending attributable to its use. A medical product can have large health benefits for some patients and little or no benefit for others. Thus, a key issue for increasing value is improving the alignment between products and patients who will benefit from them.We define medical technology broadly to include all applications of knowledge to practical medical problems. However, in this study we focused more narrowly on medical products, specifically drugs, devices, and health information technology (HIT).”

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Capturing Social and Behavioral Domains in Electronic Health Records Phase 1 – Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records; Board on Population Health and Public Health Practice; Institute of Medicine (US) – 2014

Posted on April 28, 2014. Filed under: Health Informatics, Public Hlth & Hlth Promotion | Tags: , , |

Capturing Social and Behavioral Domains in Electronic Health Records Phase 1 – Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records; Board on Population Health and Public Health Practice; Institute of Medicine (US) – 2014

“Description

Substantial empirical evidence of the contribution of social and behavioral factors to functional status and the onset and progression of disease has accumulated over the past few decades. Electronic health records (EHRs) provide crucial information to providers treating individual patients, to health systems, including public health officials, about the health of populations, and to researchers about the determinants of health and the effectiveness of treatment. Inclusion of social and behavioral health domains in EHRs is vital to all three uses. The Health Information Technology for Economic and Clinical Health Act and the Patient Protection and Affordable Care Act place new importance on the widespread adoption and meaningful use of EHRs. “Meaningful use” in a health information technology context refers to the use of EHRs and related technology within a health care organization to achieve specified objectives. Achieving meaningful use also helps determine whether an organization can receive payments from the Medicare EHR Incentive Program or the Medicaid EHR Incentive Program.

Capturing Social and Behavioral Domains in Electronic Health Records is the first phase of a two-phase study to identify domains and measures that capture the social determinants of health to inform the development of recommendations for meaningful use of EHRs. This report identifies specific domains to be considered by the Office of the National Coordinator, specifies criteria that should be used in deciding which domains should be included, identifies core social and behavioral domains to be included in all EHRs, and identifies any domains that should be included for specific populations or settings defined by age, socioeconomic status, race/ethnicity, disease, or other characteristics.”

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A Robust Health Data Infrastructure – Prepared for: Agency for Healthcare Research and Quality – April 2014

Posted on April 17, 2014. Filed under: Health Informatics | Tags: |

A Robust Health Data Infrastructure – Prepared for: Agency for Healthcare Research and Quality – April 2014

Prepared by: JASON, The MITRE Corporation

Extract:

“The body of this report provides the details of an example software architecture that breaks the stranglehold of current stovepipe systems and facilitates migration to a software ecosystem, with a diversity of products and apps, that fosters innovation and entrepreneurship. JASON believes that now is time to define such an architecture, leveraging the opportunity to specify CMS Stage 3 Meaningful Use requirements to drive implementation. A fundamental precept of medicine is: “Above all, do no harm.” A software architecture that is broadly tolerant of different scales, input types, and sites for data storage and processing offers a sure pathway, and one that will be open to future innovation. Patients and health care providers will be in a position to choose which particular implementations within the architecture have the most utility for their needs.”

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COAG Standing Council on Health – 11 April 2014

Posted on April 14, 2014. Filed under: Health Informatics, Infectious Diseases, Research, Workforce |

COAG Standing Council on Health – 11 April 2014

Items discussed included:

Australian Health Management Plan for Pandemic Influenza

20th International AIDS Conference – Melbourne from 20 to 25 July 2014

Privately Practicing Midwives

Organ Donation targets

Integrated care

Multi-jurisdiction clinical trials

Medical Intern Training

Childhood Immunisation and Family Assistance Payments

Hospital Capacity Recording in Contemporary Healthcare

A National Framework for Communicable Disease Control

eHealth Implementation

National Blood Supply

Review of the National Registration and Accreditation Scheme (NRAS) for Health Practitioners

National Health Practitioner Ombudsman and Privacy Commissioner

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NLM [US National Library of Medicine] Eligible Hospital Clinical Quality Measure Value Sets – Value Set Authority Center Publishes Annual Update for 2014

Posted on April 14, 2014. Filed under: Clin Governance / Risk Mgmt / Quality, Health Informatics, Medical Records |

NLM [US National Library of Medicine] Value Set Authority Center Publishes Annual Update for 2014

“Eligible Hospital Clinical Quality Measure Value Sets

The National Library of Medicine (NLM) Value Set Authority Center (VSAC), in collaboration with the Office of the National Coordinator for Health Information Technology (ONC) and Centers for Medicare & Medicaid Services (CMS), has published the annual update for the 2014 Eligible Hospital Clinical Quality Measure (CQM) Value Sets. The update includes revised value sets to address deleted and remapped codes in the latest terminology versions, as well as new codes for addressing CQM logic corrections and clarifications. The Centers for Medicare & Medicaid Services (CMS) updates these electronic reporting specifications annually to ensure that the specifications align with current clinical guidelines and terminologies, and that they remain relevant and actionable within the clinical care setting.

The VSAC offers a Downloadable Resource Table, accessible from the Download tab on the VSAC Web page, that provides prepackaged downloads for the most recently updated and released 2014 CQM Value Sets, as well as for previously released versions. Access to the Value Set Authority Center requires a free Unified Medical Language System® Metathesaurus License. NLM also provides the Data Element Catalog that identifies data element names (value set names) required for capture in electronic health record technology certified under the 2014 Edition of the ONC Standards and Certification Criteria.”

… continues on the site

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Federal Agencies Update Eligible Hospital 2014 Clinical Quality Measures and Provide New Measure Development Testing Tool – Health IT Buzz – 3 April 2014

Posted on April 7, 2014. Filed under: Health Informatics |

Federal Agencies Update Eligible Hospital 2014 Clinical Quality Measures and Provide New Measure Development Testing Tool – Health IT Buzz – 3 April 2014

“The Centers for Medicare & Medicaid Services (CMS), the Office of the National Coordinator for Health IT (ONC), the National Library of Medicine (NLM) and the Agency for Healthcare Research and Quality (AHRQ) are leveraging emerging health IT in the Medicare and Medicaid programs to improve the quality of care available to beneficiaries. One step in helping to achieve this improvement is the regular updating of electronic clinical quality measure (eCQM) specifications.

The CMS updates ensure the specifications align with current clinical guidelines and code sets, and remain relevant and actionable within the clinical care setting. Updated specifications for the Eligible Hospital 2014 eCQMs finalized in Meaningful Use Stage 2 of the EHR incentive program are now available on the CMS website. Measure definitions, logic, data elements, human readable HQMF, version comparisons and value sets are available through the Value Set Authority Center and the United States Health Information Knowledgebase.

For Meaningful Use Stage 2, the certification of electronic health record (EHR) technology is necessary to ensure the accurate capture, calculation, and reporting of electronic clinical quality measures (eCQMs) and the electronic reporting of quality data to CMS. Data on these measures give invaluable feedback to providers on performance and clinician alignment with best practices. Preparing for quality measurement certification testing can be achieved through the use of the open-source software Cypress eCQM testing platform. The updated eCQMs will not be available in Cypress, nor in the ONC EHR certification program until sometime in the future.

Federal agencies continue to enhance and provide a number of tools and resources that support the technical implementation, testing, and use of electronic clinical quality measures for reporting and corresponding EHR certification. Bonnie, a new tool for testing electronic clinical quality measures, has been developed and is being released on April 3, 2014. Bonnie is designed to support measure developers in e-specification of clinical quality measures. Bonnie allows measure developers to do the following:

Independently load quality measure definitions from the Measure Authoring Tool (MAT)
Convert measure definitions into a format allowing execution of the measure logic
Rapidly craft synthetic test patients
Provide expected results for the test patients and evaluate if the defined logic behaves as expected, or deviates from the intent of the measure”

… continues on the site

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FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework – April 2014

Posted on April 7, 2014. Filed under: Health Informatics | Tags: , |

 

FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework – April 2014

 

Proposed Strategy and Recommendations for a Risk-Based Framework

 

“Health information technology (HIT) presents tremendous benefits to the American public, including greater prevention of medical errors, improved efficiency and health care quality, reduced costs, and increased consumer engagement However, if HIT is not designed, developed, implemented, maintained, or used properly, it can pose risks to patients.

 

Federal law passed by U.S. Congress in 2012 requires that the Food and Drug Administration (FDA), in consultation with the Office of the National Coordinator for Health Information Technology (ONC) and the Federal Communications Commission (FCC) develop and post on their respective web sites “a report that contains a proposed strategy and recommendations on an appropriate, risk-based regulatory framework pertaining to health information technology, including mobile medical applications, that promotes innovation, protects patient safety, and avoids regulatory duplication.”  This report fulfills that requirement.

 

The FDA, ONC, and FCC seek public comment on whether the focus areas identified in the report are the appropriate ones, and whether the proposed next steps will lead to an environment where patient safety is protected, innovation is promoted, and regulatory duplication is avoided.

 

The three agencies sought and collected public comment in a collaborative and transparent manner, which is reflected in the draft framework. Much of the draft framework is based on recommendations from the public, industry, a 2011 Institute of Medicine report on HIT and Patient Safety, and input from the FDASIA Working Group.

 

There are some areas of health IT oversight that will benefit from continued engagement, including clinical decision support IT and electronic health records. For that reason, the FDA is opening a docket to accept comments on the report. A link will be provided as soon as it is available. In the coming weeks the FDA will announce dates for a 3-day public meeting to discuss the report.”

 

Media release: Proposed health IT strategy aims to promote innovation, protect patients, and avoid regulatory duplication

 

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Security risk assessment – HHS Office of the National Coordinator for Health Information Technology (ONC) and Office for Civil Rights (OCR) – 28 March 2014

Posted on April 1, 2014. Filed under: Health Informatics, Medical Records | Tags: |

Security risk assessment – HHS Office of the National Coordinator for Health Information Technology (ONC) and Office for Civil Rights (OCR) – 28 March 2014

Press release: HHS releases security risk assessment tool to help providers with HIPAA compliance – HHS.gov – 28 March 2014

“A new security risk assessment (SRA) tool to help guide health care providers in small to medium sized offices conduct risk assessments of their organizations is now available from HHS.

The SRA tool is the result of a collaborative effort by the HHS Office of the National Coordinator for Health Information Technology (ONC) and Office for Civil Rights (OCR). The tool is designed to help practices conduct and document a risk assessment in a thorough, organized fashion at their own pace by allowing them to assess the information security risks in their organizations under the Health Insurance Portability and Accountability Act (HIPAA) Security Rule. The application, available for downloading at http://www.HealthIT.gov/security-risk-assessment also produces a report that can be provided to auditors.

HIPAA requires organizations that handle protected health information to regularly review the administrative, physical and technical safeguards they have in place to protect the security of the information. By conducting these risk assessments, health care providers can uncover potential weaknesses in their security policies, processes and systems. Risk assessments also help providers address vulnerabilities, potentially preventing health data breaches or other adverse security events. A vigorous risk assessment process supports improved security of patient health data.”

… continues on the site

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Integrating Electronic Health Records into Clinical Workflow: An Application of Human Factors Modeling Methods to Ambulatory Care – National Institute of Standards and Technology – March 2014

Posted on April 1, 2014. Filed under: Health Informatics | Tags: |

Integrating Electronic Health Records into Clinical Workflow: An Application of Human Factors Modeling Methods to Ambulatory Care – National Institute of Standards and Technology – March 2014

Extract from the executive summary:

“Adoption of Electronic Health Record (EHR) systems in hospitals and outpatient clinics is accelerating. EHRs can support and revolutionize the way information is used to provide high-quality and safe patient care. At the same time, however, issues with workflow integration have contributed to slow rates of EHR adoption in some settings, including ambulatory outpatient care. Workflow is a set of tasks, grouped chronologically into processes, and the set of people or resources needed for those tasks that are necessary to accomplish a given goal. Workflow analysis is an integral part of the early stages of the User-Centered Design (UCD) process. UCD is an approach to designing systems and employs both formative and summative methods in order to achieve systematic discovery of useful functions grounded in an understanding of the work domain.”

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A digitally-enabled health system – CSIRO – 26 March 2014

Posted on March 27, 2014. Filed under: Health Informatics | Tags: |

A digitally-enabled health system – CSIRO – 26 March 2014

“What will our healthcare system look like, once the full potential of the digital era is harnessed?

Australia’s health system faces significant challenges including rising costs, an aging population, a rise in chronic diseases and fewer rural health workers. Treasury estimates even suggest that at current rates of growth, and without significant change, health expenditure will exceed the entire state and local government tax base by 2043. We need to look at new ways to make the health system work smarter. Digital technologies and health service innovation promise that.

This report A Digitally-enabled Health System looks at how the Australian health system can reduce costs and deliver quality care.

Some of the technology identified in the report includes telepresence robots taking rural health workers on city rounds, wireless ID wristbands monitoring patients in real time, mobile health apps assisting with at-home rehab and smart software that knows what patients will be turning up to emergency departments, 6-12 months in advance.

This report outlines the major issues currently faced by Australian healthcare, and the digital remedies that could move our healthcare system forward.”

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ITU H.810 Interoperability design guidelines for personal health systems

Posted on March 27, 2014. Filed under: Health Informatics | Tags: , |

Continua Health Alliance 2014 design guidelines – first global interoperability standards ratified by the ITU – 26 March 2014

“Continua Health Alliance today announced the availability of its most recent 2014 Design Guidelines. Continua is an international non-profit multi-stakeholder group, and the leading organization convening global technology industry standards to develop end-to-end, plug-and-play connectivity for personal connected health. The International Telecommunication Union (ITU) is the United Nations specialized agency for information and communication technologies. The Design Guidelines are now available to the public as a free download from Continua and ITU.

Continua’s 2014 Design Guidelines are formatted to ITU specifications and feature: interface between personal area network (PAN), local area network (LAN) and touch area network (TAN) health devices and application hosting devices (AHDs) including NFC (near-field communication), INR (international normalized ratio) and Bluetooth LE (Low Energy) Glucose Meter; and consent enforcement via wide area network (WAN) and Health Record Network (HRN) health devices. The 2013 Guidelines were the first Guidelines approved by ITU as the global standards for interoperability for personal connected health.”

http://pchalliance.org/

http://www.itu.int/net/pressoffice/press_releases/2013/75.aspx

ITU H.810 Interoperability design guidelines for personal health systems

Summary
“Recommendation ITU-T H.810 defines the Continua Design Guidelines (CDG) which contain specifications to ensure the interoperability of devices used for applications monitoring personal health. It also contains additional design guidelines for interoperability that further clarifies these specifications by reducing the options in the underlying standard or specification, or by adding a feature missing in the underlying standard or specification. These guidelines focus on the following interfaces:
– TAN-IF – Interface between touch area network (TAN) health devices and application hosting devices (AHDs)
– PAN-IF – Interface between personal area network (PAN) health devices and AHDs
– LAN-IF – Interface between local area network (LAN) health devices and AHDs
– WAN-IF – Interface between AHDs and wide area network (WAN) health devices
– HRN-IF – Interface between WAN health devices and Health Record Network health devices.

This Recommendation is a transposition of the CDG developed and maintained by Continua Health Alliance.”

 

 

 

 

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How Electronic Patient Records Can Slow Doctor Productivity – Harvard Business School – 26 March 2014

Posted on March 27, 2014. Filed under: Health Informatics |

How Electronic Patient Records Can Slow Doctor Productivity – Harvard Business School – 26 March 2014

“Electronic health records are sweeping through the medical field, but some doctors report a disturbing side effect. Instead of becoming more efficient, some practices are becoming less so. Robert Huckman’s research explains why.”

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Igniting an Interoperable Healthcare System – March 2014

Posted on March 27, 2014. Filed under: Health Informatics |

Igniting an Interoperable Healthcare System – March 2014

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How Can You Protect and Secure Health Information When Using a Mobile Device? – Office of the National Coordinator for Health Information Technology – HealthIT.gov – March 2014

Posted on March 24, 2014. Filed under: Health Informatics | Tags: , , |

How Can You Protect and Secure Health Information When Using a Mobile Device? – Office of the National Coordinator for Health Information Technology – HealthIT.gov – March 2014

“Take Steps to Protect and Secure Information When Using a Mobile Device” Fact Sheet

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Health sector data protection audits highlight areas for improvement – Information Commissioner’s Office [UK] – 18 March 2014

Posted on March 21, 2014. Filed under: Health Informatics, Medical Records |

Health sector data protection audits highlight areas for improvement – Information Commissioner’s Office [UK] – 18 March 2014

“An Information Commissioner’s Office report today gives a snapshot of organisations providing secondary health care and how they are complying with the Data Protection Act.

The report summarises key findings from 19 audits carried out primarily with NHS Trusts by the ICO. The audits looked at how personal data is handled by the organisation, and fit alongside NHS information governance guidelines. The organisations voluntarily agreed to work with the ICO to identify good practice and, where necessary, improve procedures relating to the handling of personal data.

The Audits found:”

… continues on the site

 

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Creating nationally-consistent health information: engaging with the national health information committees – AIHW – 14 March 2014

Posted on March 19, 2014. Filed under: Health Informatics | Tags: |

Creating nationally-consistent health information: engaging with the national health information committees – AIHW – 14 March 2014

“This document provides guidance on engaging with the national processes responsible for health information and data standards. It has been developed to ensure data collected are consistent, accurate and useful for policy, planning and program management.”

ISSN 1833-1238; ISBN 978-1-74249-542-2; Cat. no. CSI 18; 28pp

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Evaluation of the information technology professionals in health care (“workforce”) program – summative report – March 2014

Posted on March 19, 2014. Filed under: Educ for Hlth Professions, Health Informatics, Workforce |

Evaluation of the information technology professionals in health care (“workforce”) program – summative report – March 2014

Presented to: Office of the National Coordinator for Health IT, Department of Health and Human Services, by University of Chicago

Extract from the executive summary:

“To help address the increasing and evolving demands of the current health care and policy environments, the Office of the National Coordinator for Health Information Technology (ONC) developed the Information Technology (IT) Professionals in Health Care Program (referred to as the “Workforce Program”). The Workforce Program was authorized under Section 3016 of the Public Health Service Act (PHSA), as added by Title XIII in Division A of the American Recovery and Reinvestment Act (ARRA) of 2009. The program’s primary goal is to rapidly and sustainably train a new workforce of health IT professionals to help providers implement and optimize electronic health records (EHRs) to improve health care quality, safety, and cost-efficiency.”

 

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Digital care services: harnessing ICT to create sustainable aged care services – Aged Care Industry IT Council (ACIITC) – March 2014

Posted on March 10, 2014. Filed under: Aged Care / Geriatrics, Health Informatics |

Digital care services: harnessing ICT to create sustainable aged care services – Aged Care Industry IT Council (ACIITC) – March 2014

Full text of the report

ACIITC is a collaboration of the two aged services industry peak bodies: Aged and Community Services Australia (ACSA) and Leading Age Services Australia (LASA).

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Electronic health record programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care – GAO [US] – March 2014

Posted on March 10, 2014. Filed under: Clin Governance / Risk Mgmt / Quality, Health Informatics | Tags: |

Electronic health record programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care – GAO [US] – March 2014

Government Accountability Office

“What GAO Recommends

GAO recommends that HHS develop a comprehensive strategy to better ensure the reliability of CQM data collected using EHRs and develop and use outcome-oriented performance measures to monitor progress toward goals. HHS agreed data reliability and performance monitoring are important but neither agreed nor disagreed with GAO’s reco

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Health Information Technology: An Updated Systematic Review with a Focus on Meaningful Use Functionalities – Office of the National Coordinator for Health Information Technology [US] – March 2014

Posted on March 5, 2014. Filed under: Health Informatics | Tags: , |

Health Information Technology: An Updated Systematic Review with a Focus on Meaningful Use Functionalities – Office of the National Coordinator for Health Information Technology [US] – March 2014

Structured Abstract

Objectives
The purpose of the project described in this report was to update previous systematic reviews focusing on the effects of health information technology (health IT) on key aspects of care, including health care quality, safety, and efficiency. This report provides our current understanding of the effects of health IT across a number of dimensions of care. Unlike reviews conducted prior to the introduction of the federal Meaningful Use Incentive Programs, this review focused specifically on identifying and summarizing the evidence relating to the use of health IT as outlined in the Meaningful Use regulations.

Data Sources
We performed a systematic search of the English-language literature indexed in MEDLINE from January 2010 to August 2013. We also searched the Cochrane Central Register of Controlled Trials, the Cochrane Database of Abstracts of Reviews of Effects, and the Periodical Abstracts

Database; and hand-searched personal libraries kept by content experts and project staff. We also asked content experts to identify evidence outside the peer-reviewed literature. Finally, a technical expert panel identified additional published articles and non-peer reviewed resources.

Review Methods
The systematic review was carried out in three stages by two health IT subject matter experts, with input from a panel of five nationally-known health IT experts. The reviewers used a webbased system to conduct the screening process. The first stage involved independent, dual-rater screening of articles based on their titles against a set of defined on the inclusion/exclusion criteria. The next stage involved screening each article at the abstract level using a standardized abstraction form. The final stage of the screening process involved a full text review and classification using a standardized abstraction form. Inclusion/exclusion or classification discrepancies between the two reviewers were resolved by consensus. We conducted multiple update searches using the same search terms through October 2013 using a computer-aided screening system that extends a previously described approach for facilitating systematic review updating.

Results
The systematic review identified 12,678 titles, and through the screening process, we identified 236 studies meeting the eligibility criteria: assessing the effect of health IT on healthcare quality, safety, and efficiency in ambulatory and non-ambulatory care settings. Approximately 77 percent of studies reported positive or mixed-positive findings. The effects of health IT are thought to be sensitive to the particulars of the IT system itself, the implementation process, and the context in which it is implemented, and therefore generalizations across systems and contexts must be made cautiously. Nevertheless, analyses found that neither study setting (ambulatory vs. nonambulatory), nor recognition as a health IT leader, nor commercial status were significantly associated with outcome results. However, studies of efficiency were significantly less likely to report positive results than studies of safety or quality, and studies that evaluated e-prescribing and multifaceted health IT interventions were significantly less likely to report positive results than studies of more targeted clinical decision support or computerized physician order entry interventions. Studies of multifaceted health IT interventions and studies of efficiency have structural challenges that make conclusive results more difficult to obtain than more studies of more narrowly targeted health IT interventions assessing quality or safety outcomes

Conclusions
Overall, a majority of studies that evaluated the effects of health IT on healthcare quality, safety, and efficiency reported findings that were at least partially positive. These studies evaluated several forms of health IT: metrics of satisfaction, care process, and cost and health outcomes across many different care settings. Our findings agree with previous health IT literature reviews suggesting that health IT, particularly those functionalities included in the Meaningful Use regulation, can improve healthcare quality and safety. The relationship between health IT and efficiency is complex and remains poorly documented or understood, particularly in terms of healthcare costs, which are highly dependent upon the care delivery and financial context in which the technology is implemented.

We identified two broad themes in this review. First, the published literature on health IT is expanding rapidly, driven primarily by studies of commercial health IT systems. Second, much of the health IT literature still suffers from methodological and reporting problems that limit our ability to draw firm conclusions about why the intervention and/or its implementation succeeded or failed to meet expectations, and their generalizability to other contexts. Studies of health IT must be designed, conducted, and reported in ways that allow stakeholders to understand study results and how they can replicate or improve on those results.

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Standards and Certification Regulations – Office of the National Coordinator for Health IT (ONC) – 21 February 2014

Posted on February 25, 2014. Filed under: Health Informatics | Tags: , |

Standards and Certification Regulations – Office of the National Coordinator for Health IT (ONC) – 21 February 2014

“The 2015 Edition Proposed Rule begins ONC’s shift to a more incremental and frequent approach to publishing proposed and final rules that respond to stakeholder feedback more effectively, make “bug fixes” and regulatory improvements, and enhance interoperability.

The proposed rule will be published in the Federal Register on February 26, 2014. ONC will accept comments on the proposed rule through April 28, 2014. The final rule is expected to be issued in summer 2014.”

ONC Fact Sheet: Voluntary 2015 Edition EHR Certification Criteria (“2015 Edition”) Proposed Rule

News release: Next edition of electronic health record technology certification criteria issued – 21 February 2014

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Digital First: Clinical Transformation through Pathology Innovation – NHS England National Pathology Programme – 14 February 2014

Posted on February 18, 2014. Filed under: Health Informatics, Pathology |

Digital First: Clinical Transformation through Pathology Innovation – NHS England National Pathology Programme – 14 February 2014

“The Digital First report highlights innovation in the use of digital systems and processes used in pathology across the country. Systems and processes which have an impact on the quality of care the NHS provides to patients; such as early diagnosis to prevent premature mortality; the care and management of long term conditions and making results visible and easy to interpret for patients.

Pathology services and commissioners are encouraged to download the report to see some of the innovation highlighted in this document.

The National Pathology Programme is developing a common language for pathology information. The National Pathology Programme works with the Health & Social Care Information Centre (HSCIC) to produce a National Laboratory Medicine Catalogue (NLMC) which will deliver robust, comprehensive, nationally consistent and comparable information on pathology services.”

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A strategy for the Health and Social Care Information Centre 2013 – 2015 – 4 February 2014

Posted on February 5, 2014. Filed under: Health Informatics |

A strategy for the Health and Social Care Information Centre 2013 – 2015 – 4 February 2014

Full text

“The strategy covers four main areas:

Promoting trust through secure and interoperable services
Delivering the national technology services
Providing information to support better care
Supporting the wider economy

It also discusses how we can become a high-performing organisation with an international reputation.

HSCIC Chair Kingsley Manning said, ‘Our strategy is not prescriptive but enabling. Our objective is to build a data and information eco-system that encourages innovation in service provision, removing and reducing the barriers to service redesign, placing the individual at its centre.

‘The strategy provides a framework for ensuring that one of the UK’s greatest assets, our huge system for collecting and using health and care data, can be fully employed to improve the care of individuals, provide services for the wider community and improve the economic well-being of the nation.'”

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Analysis: three IT procurement problems worth solving – NextGov Tech Insider – January 2014

Posted on January 31, 2014. Filed under: Health Informatics, Health Systems Improvement |

Analysis: three IT procurement problems worth solving – NextGov Tech Insider – January 2014

“The arduous process that small technology vendors must go through in order to contract with government agencies is preventing government innovation when we need it most. As the CEO of 12-person tech firm that recently went through the process, I have experienced this first hand.

While a partnership with the federal government is unusual for a company of our size, we got lucky. We were introduced early on to an internal advocate who saw the value of our solution to transform paper backlogs into digital data at the Food and Drug Administration — performing weeks of manual entry in hours to update a critical drug safety database. As we learned, even with a strong advocate, the procurement hurdles were significant. After getting proof of concept in two short weeks, it took two more months to prepare the paperwork for a security authorization to operate (ATO) and five months for a stop-gap contract. Even after clearing the original paper jam, we are without a contract to handle the additional demand that is now flooding our way.

So where should government begin when thinking about how to streamline the process? Here are three observations:”

… continues on the site

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Leading the information revolution in cancer intelligence: why the National Lung Cancer Audit is the key to transforming lung cancer outcomes – Roy Castle Lung Cancer Foundation – January 2014

Posted on January 30, 2014. Filed under: Health Informatics, Knowledge Translation, Oncology |

Leading the information revolution in cancer intelligence: why the National Lung Cancer Audit is the key to transforming lung cancer outcomes – Roy Castle Lung Cancer Foundation – January 2014

Report

 

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Peer J – Affordable, open access, publishing now available to biological and medical science researchers – JISC – 28 January 2014

Posted on January 30, 2014. Filed under: Health Informatics, Research | Tags: , |

Peer J – Affordable, open access, publishing now available to biological and medical science researchers – JISC – 28 January 2014

“From today UK universities will be able to centrally fund their researchers’ publication plans for biological and medical sciences journal PeerJ following an agreement with Jisc. This will allow authors to publish articles in the award winning journal for free, for life.

PeerJ is open access and affordable for both researchers and their universities. It provides academics with two open access publications: PeerJ (a peer-reviewed academic journal) and PeerJ PrePrints (a ‘pre-print server’). Both cover the whole of the biological and medical sciences and the PeerJ journal peer-reviews content only for scientific and methodological soundness.

Carolyn Alderson, acting head of licensing at Jisc Collections said: “The PeerJ tag line is: “Your Peers, Your Science. Academic Publishing Is Evolving” and we are delighted to be part of the enabling process for UK authors and institutions to participate in this new way of working.”

PeerJ’s pioneering new model was recognised in 2013 by the Association of Learned and Professional Society Publishers when it was awarded the “Publishing Innovation” of the year. This model is increasingly relevant as the importance of open access comes to the fore in research funding policy.
Neil Jacobs, head of scholarly communications Jisc said: “UK institutions can now give their authors an advantage as open access grows, as it inevitably will, with the forthcoming Higher Education Funding Council for England’s Research Excellence Framework. As well as being innovative, PeerJ is a first class publication option. It provides authors with a great publishing service, visibility for their research and significant impact.”

With the new arrangement institutions pre-pay for publication plans and individuals take advantage of that pre-payment when they come to publish. As a result institutions now have an easy, frictionless, and cost-effective way to provide their faculty with a world class open access publication option.
Peter Binfield, co-founder and publisher of PeerJ said: “we are excited to be offering our publication plans through Jisc. With this arrangement, UK institutions are now able to easily purchase a publication package that is tailored to their needs and which will provide large numbers of their faculty with the lifetime ability to publish their open access articles.” ”

… continues on the site

 

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A memorandum of understanding between the US Department of Health and Human Services, The Secretary of State for Health, NHS England, and The Health and Social Care Information Centre – 21 January 2014

Posted on January 28, 2014. Filed under: Health Informatics |

A memorandum of understanding between the US Department of Health and Human Services, The Secretary of State for Health, NHS England, and The Health and Social Care Information Centre – 21 January 2014

“Purpose
This Memorandum of Understanding (MoU) sets out the framework for the intended working relationship between NHS England, the Health and Social Care Information Centre (HSCIC), and the US Department of Health and Human Services (HHS). It has been developed with the contributions of representatives from each organisation and describes a programme of collaboration with objectives set around sharing common values across health information technology (HIT) and health data. In doing so,the programme of collaboration should leverage the strengths of each Participant and identify opportunities to improve the health IT economy as well as the health and well-being of the population.

All Participants recognise the importance ofinformatics as a key enabler of health and social care provision and improvement. In particular, the Participants recognise the importance of the development of clinical outcome indicators, standards harmonisation and increased interoperability, open data initiatives, advancing Health IT adoption, and priming their respectivemarkets for innovative new Health IT products and services.”

… continues

US and UK working to strengthen use of health IT for better patient care – 23 January 2014

“As the use of health information technology (health IT) grows in both the United States and the United Kingdom, HHS Secretary Kathleen Sebelius and U.K. Secretary of State for Health Jeremy Hunt today signed a bi-lateral agreement for the use and sharing of health IT information and tools. The agreement strengthens efforts to cultivate and increase the use of health IT tools and information designed to help improve the quality and efficiency of the delivery of health care in both countries. The two Secretaries signed the agreement at the Annual Meeting of the HHS Office of the National Coordinator for Health Information Technology.”

… press release continues

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NHS Safe Staffing: Not just a number – Policy Analysis Centre – 21 January 2014

Posted on January 22, 2014. Filed under: Health Informatics, Workforce | Tags: , |

NHS Safe Staffing: Not just a number – Policy Analysis Centre – 21 January 2014

Tony Hockley & Sean Boyle

“Our analysis highlights the risks to patient care when hospital ward staffing falls short of the roster. Despite developments in electronic rostering hospitals have resisted using automated systems to track their staff. Recent unannounced hospital inspections have found serious staff shortfalls against rosters. This worrying feature of NHS care sometimes reveals itself in payroll overspends that find their way into the public domain. Staffing accounts for the bulk of NHS costs, so that minor failures have significant financial implications. In this report we highlight the potential benefits of implementing robust systems to track the deployment of hospital staff in real time, to patients, to the workforce, and to hospital management.”

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Australian IT project failures spark new ICT governance standard – SMH – 14 January 2014

Posted on January 22, 2014. Filed under: Health Informatics |

Australian IT project failures spark new ICT governance standard – SMH – 14 January 2014

“The frequent failure of major IT projects across the country such as the Queensland Health payroll debacle has spurred Standards Australia to release an updated standard for IT governance.

The 24-page long standard was developed by the Standards Australia Technical Committeeand aims to guide leaders during major IT projects.

“The standard was prepared due to continuing failures of major IT projects to deliver expected value. The aim was to bring home the need for action from boards and senior business executives who are responsible for the overall governance of the organisation,” said Standards Australia chief executive, Dr Bronwyn Evans.

“If organisations want to obtain maximum value from their investment, governance of IT projects should not be left to the IT department alone.”

…. continues on the site

AS/NZS 8016:2013 : Governance of IT enabled projects

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CCIO network launches 12-point plan – eHealth Insider – 20 January 2014

Posted on January 21, 2014. Filed under: Health Informatics |

CCIO network launches 12-point plan – eHealth Insider – 20 January 2014

“The CCIO Leaders Network has released a Vision and 12-point plan for chief clinical information officers, to improve the quality of clinical information across the NHS.

The plan calls for the appointment of a senior responsible clinician for information in a wide range of organisations, and argues that this is a vital step for establishing a robust ‘post-Francis’ regulatory regime.

Robert Francis QC’s second report on the scandal at Mid Staffordshire NHS Foundation Trust, released last year, called for more transparency in the health service and the government response has made ‘fiddling’ health data a crime

The CCIO Leaders Network plan sets out the steps that the Secretary of State for Health, NHS England, the Care Quality Commission, National Institute for Health and Care Excellence and others need to take to avoid clinical data problems.

It says the CQC should include information quality measures in its inspection criteria and urges NICE to produce a cross-cutting quality standard on clinical information and establish core standards and metrics for the collection and use of information.”

… continues on the site

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SAFER Guides – Safety Assurance Factors for EHR Resilience – Office of the National Coordinator for Health Information Technology – 15 January 2014

Posted on January 16, 2014. Filed under: Health Informatics, Patient Safety | Tags: , , |

SAFER Guides – Safety Assurance Factors for EHR Resilience – Office of the National Coordinator for Health Information Technology – 15 January 2014

“The SAFER guides consist of nine guides organized into three broad groups. These guides enable healthcare organizations to address EHR safety in a variety of areas. Most organizations will want to start with the Foundational Guides, and proceed from there to address their areas of greatest interest or concern. The guides identify recommended practices to optimize the safety and safe use of EHRs. The content of the guides can be explored here, at the links below, or interactive PDF versions of the guides can be downloaded and completed locally for self-assessment of an organization’s degree of conformance to the Recommended Practices. The downloaded guides can be filled out, saved, and transmitted between team members.”

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System framework for research studies – eHealth Insider – 15 January 2014

Posted on January 15, 2014. Filed under: Health Informatics, Research |

System framework for research studies – eHealth Insider – 15 January 2014

The National Institute for Health Research has launched a local portfolio management system framework to help manage research studies for researchers and NHS trusts.

From April 2014, 15 hosts around the UK supporting the research networks are contractually obliged to provide an IT system to support clinical research.

Richard Corbridge, chief information officer at the NIHR clinical research network, told EHI that the ‘Local Portfolio Management System, Systems of Choice’, or LPMS SoC for short, aims to get rid of silos and support the research journey from beginning to end by an information system.”

… continues on the site

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Public Health England and NHS Improving Quality announce changes to the End of Life Care Co-ordination Information Standard – 10 January 2014

Posted on January 14, 2014. Filed under: Health Informatics, Palliative Care | Tags: , , |

Public Health England and NHS Improving Quality announce changes to the End of Life Care Co-ordination Information Standard – 10 January 2014

“The standard specifies the core content to be held in Electronic Palliative Care Co-ordination Systems (EPaCCS), or paper-based care co-ordination systems. Evidence is emerging that the standard improves care co-ordination, supporting more people to die in their place of choice (What we know now 2013, PHE National End of Life Care Intelligence Network).

Some changes have been made to the standard following feedback from implementers and key stakeholders and these have recently been published by the Information Standards Board for Health and Social Care. They include:

new data item to record consent status
data item to record actual place of death moved to core data set
data item to record date of death
subset of codes now specified for the disability data item
additional codes for the data item on informal carer, prescription of palliative care medication and formal carers involved in care
data item for main informal carer to be mandatory for completion
removal of non-specific codes for primary end of life care diagnosis
removal of Liverpool Care Pathway (LCP) from the data item that records ‘End of Life Care Tools in Use’ ”

… continues on the site

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eHealth Strategy for Ireland – December 2013

Posted on January 10, 2014. Filed under: Health Informatics |

eHealth Strategy for Ireland – December 2013

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Digital health: working in partnership – Healthcare [UK] – 18 December 2013

Posted on December 20, 2013. Filed under: Health Informatics, Telehealth |

Digital health: working in partnership – Healthcare [UK] – 18 December 2013

“Many healthcare providers see that digital health offers a fresh approach to healthcare. Telecare, telehealth, mobile healthcare and similar services all offer more efficient and effective healthcare delivery with the patient or service user at the core.

This publication sets out why the UK is at the forefront of digital health. It includes case studies of how UK health providers are working in partnerships around the world to provide expertise to individual countries and healthcare systems.”

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A Blueprint for eHealth in NSW – NSW Health – 18 December 2013

Posted on December 19, 2013. Filed under: Health Informatics | Tags: |

A Blueprint for eHealth in NSW – NSW Health – 18 December 2013

“A Blueprint for eHealth in NSW sets out the NSW Government’s principles and directions for using information and communication technology (ICT) to drive improvements in health and medical care in NSW over the next five years.”

Media release

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National Health IT Plan Update 2013/14 – NZ Ministry of Health – 26 November 2013

Posted on December 18, 2013. Filed under: Health Informatics |

National Health IT Plan Update 2013/14 – NZ Ministry of Health – 26 November 2013

“This publication updates the National Health IT Plan, which was published in 2010, and describes the priorities for IT investment in 2014 and beyond.

It describes the work that needs to be done to achieve the Government’s eHealth vision of all New Zealanders having electronic access to their own core health information.

Four priorities are identified for IT investment: electronic medication management, national clinical solutions, regional information platforms, and community-based integrated care initiatives.”

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New Australian standards: Online delivery of health documents – Standards Australia – 16 December 2013

Posted on December 17, 2013. Filed under: Health Informatics | Tags: |

 

New Australian standards: Online delivery of health documents – Standards Australia – 16 December 2013

 

Media release

 

“Standards Australia has today published three Australian Standards and an Australian Technical Specification that provide the means for healthcare providers to exchange documents securely via the internet.”

 

The four new documents include:
AS 5550 E-health web services profiles;
AS 5551 E-health XML secured payload profiles;
AS 5552 E-health Secure Message Delivery; and
ATS 5546 E-Health Endpoint Location Service

 

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The Clinical Digital Maturity Index – NHS England – 5 November 2013

Posted on December 13, 2013. Filed under: Health Informatics |

The Clinical Digital Maturity Index – NHS England – 5 November 2013

“The Clinical Digital Maturity Index (CDMI) has been developed by EHI Intelligence in partnership with NHS England. It is a unique benchmarking tool that enables NHS Trusts to better understand how investing in, then effectively using, information technology can achieve better patient outcomes, reduce bureaucracy, improve patient safety and deliver efficiencies.

The CDMI was launched on 5 November 2013 , as an initial baseline analysis specifically created as a means of putting insight into the hands of clinicians, senior managers and boards, as to the alternative road maps that exist to secure clinical digital maturity at an organisational and systematic level.

The baseline CDMI was created using information that EHI Intelligence had obtained directly from NHS Trusts. As a first step, Trusts will be invited to self-validate the information held within the tool. The breadth of data analysed will increase in time to include more points of care (for example in community services) and to ensure that new capabilities are added as the digital landscape evolves.

NHS England has agreed with EHI Intelligence to make the CDMI available to NHS Trusts free of charges. Trusts are invited to register with the EHI Intelligence service here through which they will be able to access the CDMI collated report alongside individual Trust profiles.”

… continues on the site

News release: NHS England launches Clinical Digital Maturity Index to improve patient safety – 5 November 2013

“NHS England and EHI Intelligence have today announced the launch of the Clinical Digital Maturity Index (CDMI), a benchmarking tool that enables NHS hospitals to better understand how investing in, then effectively using information technology can improve patient safety and outcomes, reduce bureaucracy, and deliver efficiencies.

The levels of digital capability in the NHS is variable and the CDMI will help NHS Trusts see where they are in terms of digital capability and monitor progress over time. The index, free to all NHS organisations, will help them rate their own technical capabilities, such as e-prescribing and e-referral, and identify where progress can be made.

The CDMI also delivers on NHS England’s commitment to develop and publish a Clinical Digital Maturity Index in Putting Patients First: The NHS England Business Plan 2013/14 – 2015/16 to drive the move to digital records, prescribing and referrals by March 2015.

NHS England has partnered with EHI Intelligence to develop the CDMI, which is based on EHI’s existing tool and uses information obtained directly from NHS Trusts, to provide the learning and information completely free of charge to all NHS organisations, saving the NHS about £1.6m.”

… continues on the site

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Mental health: measuring progress against the strategy – UK – 12 December 2013

Posted on December 13, 2013. Filed under: Health Informatics, Mental Health Psychi Psychol |

Mental health: measuring progress against the strategy – UK – 12 December 2013

“Mental health outcomes information, from a variety of sources, is now being published in one place.

For the first time, information about progress on the objectives of the government’s mental health strategy is brought together and published in one place.

The new mental health dashboard brings together information from a wide range of sources. It shows progress against objectives in the ‘No health without mental health strategy’ and gives a clear, concise picture of mental health outcomes.

The dashboard covers:

mental health services
mental wellbeing of the whole population
physical health of people with mental health problems
people’s experience of care
experience of stigma and discrimination.

The main purpose of the dashboard is to bring together the best information available on mental health to help improve outcomes. It draws on existing, publicly available information and provides links to the original data sources.”

… continues

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Health Information Workforce Report – Health Workforce Australia – October 2013

Posted on December 13, 2013. Filed under: Health Informatics, Workforce | Tags: , |

Health Information Workforce Report – Health Workforce Australia – October 2013

“Executive summary

Health Workforce Australia (HWA) received requests from the National e-health Transition Authority (NeHTA) and the Australian Health Informatics Education Council (AHIEC) to undertake a study of the health information workforce.

Following release of a discussion paper which proposed a methodology for conducting the study, a detailed workforce analysis was carried out. The stated objectives of the study were to:

• Define the health information workforce including its composition.
• Provide an analysis of the workforce.

Human Capital Alliance (HCA) were engaged to carry out the initial study. Following this, HWA built upon HCA’s work and conducted its own stakeholder consultations on the future strategic direction of the health information workforce.”

… continues

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Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program – Agency for Healthcare Research and Quality (ACHS) – August 2013

Posted on December 11, 2013. Filed under: Chronic Disease Mgmt, Clin Governance / Risk Mgmt / Quality, Health Informatics | Tags: , |

Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program – Agency for Healthcare Research and Quality (ACHS) – August 2013

Extract from the executive summary

“A large and growing number of clinical services are delivered in ambulatory care settings such as physician offices, hospital-based outpatient clinics, and public health and other types of clinics. Patients seen in ambulatory settings vary widely in terms of health status and the types and severity of illnesses. Ambulatory care is often logistically complex, depending upon coordination and exchange of information both within and across organizations to address patients’ interrelated medical care and social support needs. Ambulatory care providers must also help patients navigate effectively and efficiently through the health care system to achieve optimal outcomes, in accordance with patient preferences. Appropriate implementation and use of health information technology (IT) systems such as electronic health records (EHRs), personal health records (PHRs), and health information exchange (HIE) systems can support the delivery of ambulatory care. These systems can provide clinicians with information and decision support, engage patients and support self-management, and facilitate communication among clinicians and between clinicians and patients.

In 2007, the Agency for Healthcare Research and Quality (AHRQ) launched the Ambulatory Safety and Quality (ASQ) program to foster research on how to improve the safety and quality of ambulatory health care in the United States. This report is the fifth in a series of reports highlighting findings and lessons from the health IT-focused ASQ program initiatives. It summarizes the experiences and findings from those initiatives, organized according to key aspects of ambulatory care that can be supported and improved through the use of health IT.”

… continues

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Sharing Health Information: Toward better, safer care – NZ Ministry of Health – 26 November 2013

Posted on December 10, 2013. Filed under: Health Informatics |

Sharing Health Information: Toward better, safer care – NZ Ministry of Health – 26 November 2013

“This publication showcases examples of information technology (IT) innovation and use within the health and disability sector.

It looks at the increasing use of connected electronic systems which provide clinicians and consumers with relevant information when it is needed at the point of care.

For example, the booklet looks at a patient’s experience of using an online portal, and how clinicians are benefitting from improvements to the way patient information and radiology images are shared.”

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International Profiles of Health Care Systems, 2013 – The Commonwealth Fund – 14 November 2013

Posted on November 27, 2013. Filed under: Evidence Based Practice, Health Economics, Health Informatics, Health Mgmt Policy Planning, Health Policy | Tags: |

International Profiles of Health Care Systems, 2013 – The Commonwealth Fund – 14 November 2013

S. Thomson, R. Osborn, D. Squires, and M. Jun, International Profiles of Health Care Systems, 2013, The Commonwealth Fund, November 2013.

“This publication presents overviews of the health care systems of Australia, Canada, Denmark, England, France, Germany, Japan, Italy, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States. Each overview covers health insurance, public and private financing, health system organization and governance, health care quality and coordination, disparities, efficiency and integration, use of information technology and evidence-based practice, cost containment, and recent reforms and innovations. In addition, summary tables provide data on a number of key health system characteristics and performance indicators, including overall health care spending, hospital spending and utilization, health care access, patient safety, care coordination, chronic care management, disease prevention, capacity for quality improvement, and public views.”

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The technology horizon: Preliminary review on technologies impacting the future health and social care workforce – Centre for Workforce Intelligence [UK] – October 2013

Posted on November 13, 2013. Filed under: Health Informatics, Workforce | Tags: , |

The technology horizon: Preliminary review on technologies impacting the future health and social care workforce – Centre for Workforce Intelligence [UK] – October 2013

“This paper considers five types of technology:

therapeutic technology – technologies used in the treatment of disease and injury, including pharmacological, surgical and psychological therapies
diagnostic technology – technologies for identifying diseases and other conditions
enabling technology – technologies that mitigate the impact of disease or disability
preventive technology – technologies that reduce the risk or severity of illness and injury
organisational technology – technologies supporting alternative health and social care delivery configurations and organisational design.

This report has been prepared in conjunction with the University of Manchester, a partner of the CfWI horizon scanning programme. It is based on simple interpretation and extrapolation of trends, and does not intend to predict the future.”

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Clinical ICT Systems in the Victorian Public Health Sector – Auditor General – 30 October 2013

Posted on November 5, 2013. Filed under: Health Economics, Health Informatics |

Clinical ICT Systems in the Victorian Public Health Sector – Auditor General – 30 October 2013

“Under the provisions of section 16AB of the Audit Act 1994, I transmit my report on the audit Clinical ICT Systems in the Victorian Public Health Sector.

This audit reviewed clinical ICT systems in eight Victorian public health services and examined whether they have been appropriately planned and implemented and whether expected outcomes and benefits are being realised.

I found that poor planning and inadequate understanding of the complex requirements of designing and implementing clinical ICT systems meant that the Department of Health has delivered the HealthSMART clinical ICT system to only four Victorian health services and at a cost of $145.3 million. Some clinical ICT systems have issues that potentially affect patient safety and need to be closely monitored and resolved by the department and relevant health services.

Outside the HealthSMART program, other clinical ICT systems that have been incrementally developed with strong clinician engagement enjoy wide acceptance and support from end users. Although their functionality is not directly equivalent to the HealthSMART system, these other systems have involved significantly less capital and ongoing expenditure.”

Victorian Auditor-General slams HealthSmart implementation – Pulst+IT – 1 November 2013

Victoria abandons health IT centralisation – Pulst+IT – 29 October 2013

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Emergency Department Patient Deaths Memphis VA Medical Center Memphis, Tennessee – Healthcare Inspection – Dept of Veterans Affairs, Office of Inspector General – 23 October 2013

Posted on November 5, 2013. Filed under: Emergency Medicine, Health Informatics, Patient Safety |

Emergency Department Patient Deaths Memphis VA Medical Center Memphis, Tennessee – Healthcare Inspection – Dept of Veterans Affairs, Office of Inspector General – 23 October 2013

Deaths at VA hosptial blamed on poor EHR use – Government Health IT – 1 November 2013

“Three recent deaths at the Memphis VA Medical Center emergency department could probably have been prevented with better communication, documentation and layout design, according to an investigation by the Veterans Administration Inspector General.

After receiving an anonymous complaint describing potential inadequate care incidents at the Memphis VA Medical Center’s 22 bed ED, the VA OIG reviewed committee minutes, relevant documents, and the electronic health records of the patients, and largely substantiated the claims, finding physicians missing nurse notes and EHR alerts, and a poor ED design leaving some patients only partly monitored.”

… continues on the site

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Better Health Together – Canada Health Infoway: New Survey Reveals Canadians Want Access to Digital Health Tools – 23 October 2013

Posted on October 25, 2013. Filed under: Health Informatics, Patient Participation | Tags: |

Better Health Together – Canada Health Infoway: New Survey Reveals Canadians Want Access to Digital Health Tools – 23 October 2013

“Ninety-six per cent of Canadians think it’s important that the health care system make use of digital health tools and capabilities, and 89 per cent feel it is important that they personally have full advantage of digital health tools and capabilities, according to a new survey by Harris/Decima, released by Canada Health Infoway (Infoway).

Other key findings from the Harris/Decima report include:

86 per cent of Canadians agree that digital health will provide health information to a care team in an emergency situation
86 per cent of Canadians believe it is important that their doctors use electronic medical records
90 per cent of Canadians who access their own health information online describe the experience as positive

Every day, more of Canada’s health care system goes digital. It’s a private, secure and effective way to make health care better, for all of us. Today, patients like Alexa Thompson use digital health to help manage their care and wellness.”

… continues on the site

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Data Warehouse Governance Programs in Healthcare Settings: A Literature Review and a Call to Action – Academy Health – 2013

Posted on October 22, 2013. Filed under: Health Informatics, Research |

Data Warehouse Governance Programs in Healthcare Settings: A Literature Review and a Call to Action – Academy Health – 2013

lliott, Thomas E.; Holmes, John H.; Davidson, Arthur J.; La Chance, Pierre-Andre; Nelson, Andrew F.; and Steiner, John F. (2013) “Data Warehouse Governance Programs in Healthcare Settings: A Literature Review and a Call to Action,” eGEMs (Generating Evidence & Methods to improve patient outcomes): Vol. 1: Iss. 1, Article 15.
DOI: 10.13063/2327-9214.1010

“Abstract

Purpose Given the extensive data stored in healthcare data warehouses, data warehouse governance policies are needed to ensure data integrity and privacy. This review examines the current state of the data warehouse governance literature as it applies to healthcare data warehouses, identifies knowledge gaps, provides recommendations, and suggests approaches for further research.

Methods A comprehensive literature search using five data bases, journal article title-search, and citation searches was conducted between 1997 and 2012. Data warehouse governance documents from two healthcare systems in theUSA were also reviewed. A modified version of nine components from the Data Governance Institute Framework for data warehouse governance guided the qualitative analysis.

Results Fifteen articles were retrieved. Only three were related to healthcare settings, each of which addressed only one of the nine framework components. Of the remaining 12 articles, 10 addressed between one and seven framework components and the remainder addressed none. Each of the two data warehouse governance plans obtained from healthcare systems in theUSA addressed a subset of the framework components, and between them they covered all nine.

Conclusions While published data warehouse governance policies are rare, the 15 articles and two healthcare organizational documents reviewed in this study may provide guidance to creating such policies. Additional research is needed in this area to ensure that data warehouse governance polices are feasible and effective. The gap between the development of data warehouses in healthcare settings and formal governance policies is substantial, as evidenced by the sparse literature in this domain.”

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ICTs and the Health Sector: Towards Smarter Health and Wellness Models – OECD – October 2013

Posted on October 16, 2013. Filed under: Health Informatics | Tags: , , |

ICTs and the Health Sector: Towards Smarter Health and Wellness Models – OECD – October 2013

“The future sustainability of health systems will depend on how well governments are able to anticipate and respond to efficiency and quality of care challenges. Bold action is required, as well as willingness to test innovative care delivery approaches.

The greatest promise for transformational change is in applications that encourage new, ubiquitous, participatory preventive and personalised smart models of care. A whole new world of possibilities in using mobiles and the Internet to address healthcare challenges has opened up. The potential of mobile devices, services and applications to support self-management, behavioural modification and “participatory healthcare” is greater than ever before.

A key hurdle is, however, the big data challenge, dealing with the exponentially accelerating accumulation of patient data – all of which must be mined, stored securely and accurately, and converted to meaningful information at the point of care. In order to fully exploit the new smart approaches to care, acceptance, privacy and usability issues will also have to be carefully considered.”

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A Unified Approach for the Evaluation of Telehealth Implementations in Australia – Institute for a Broadband-Enabled Society – September 2013

Posted on October 9, 2013. Filed under: Health Informatics, Telehealth | Tags: |

A Unified Approach for the Evaluation of Telehealth Implementations in Australia – Institute for a Broadband-Enabled Society – September 2013

ISBN 978 0 7340 4865 3

Extract from the executive summary:

“This paper was produced as part of a one year study, funded by the University of Melbourne
interdisciplinary seed grant. This paper will firstly provide a conceptual framework that incorporates the
key dimensions, criteria and measures that need to be considered in the evaluation of telehealth
implementations in Australia.”

 

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Info standards site launched – eHealth Insider – 30 September 2013

Posted on October 1, 2013. Filed under: Health Informatics |

Info standards site launched – eHealth Insider – 30 September 2013

by Rebecca Todd

“A new website dedicated to information standards in health and social care has been launched today.  [ info standards ]

The site has been developed by the Health and Social Care Information Centre, NHS England, the Department of Health and other commissioning partners.

It is aimed at information standards professionals across health and social care and provides a single location for all information standards, along with supporting material such as e-learning, implementation guidance and case studies.”

… continues on the site

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Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance – AHRQ – September 2013

Posted on October 1, 2013. Filed under: Clin Governance / Risk Mgmt / Quality, Health Informatics | Tags: |

Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance – AHRQ – September 2013

Roper RA, Anderson KM, Marsh CA, Flemming AC. Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. (Prepared by Booz Allen Hamilton, under Contract No. HHSA290200900024I.) AHRQ Publication No. 13-0059-EF. Rockville, MD: Agency for Healthcare Research and Quality. September 2013.

“This report examines the intersection of health IT and quality measurement, reflecting the expectation that health IT-enabled quality measurement can make quality improvement possible. It is presented to share information, stimulate discussion, assist communication among stakeholders, facilitate understanding, and to provide guidance on potential infrastructure enhancements that could be pursued, individually or collectively. Five appendixes to this report summarize the input received as well as catalog the efforts of many organizations who are engaged in efforts to improve quality through health IT.”

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Mobile Medical Applications: Guidance for Industry and Food and Drug Administration Staff – FDA – 25 September 2013

Posted on September 25, 2013. Filed under: Health Informatics | Tags: , , , |

Mobile Medical Applications: Guidance for Industry and Food and Drug Administration Staff – FDA – 25 September 2013

Extract from the introduction:

“The Food and Drug Administration (FDA) recognizes the extensive variety of actual and potential functions of mobile apps, the rapid pace of innovation in mobile apps, and the potential benefits and risks to public health represented by these apps. The FDA is issuing this guidance document to inform manufacturers, distributors, and other entities about how the FDA intends to apply its regulatory authorities to select software applications intended for use on mobile platforms (mobile applications or “mobile apps”). Given the rapid expansion and broad applicability of mobile apps, the FDA is issuing this guidance document to clarify the subset of mobile apps to which the FDA intends to apply its authority.

Many mobile apps are not medical devices (meaning such mobile apps do not meet the definition of a device under section 201(h) of the Federal Food, Drug, and Cosmetic Act (FD&C Act)), and FDA does not regulate them. Some mobile apps may meet the definition of a medical device but because they pose a lower risk to the public, FDA intends to exercise enforcement discretion over these devices (meaning it will not enforce requirements under the FD&C Act). The majority of mobile apps on the market at this time fit into these two categories.

Consistent with the FDA’s existing oversight approach that considers functionality rather than platform, the FDA intends to apply its regulatory oversight to only those mobile apps that are medical devices and whose functionality could pose a risk to a patient’s safety if the mobile app were to not function as intended. This subset of mobile apps the FDA refers to as mobile medical apps.

FDA is issuing this guidance to provide clarity and predictability for manufacturers of mobile medical apps.”

… continues

Commentary on this:

FDA outlines rules for medical apps on phones, tablets – The Hill – 23 September 2013

FDA Updates Guidance on Mobile-Software Apps – The Wall Street Journal – 23 September 2013

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Professionalizing the Nation’s Cybersecurity Workforce?: Criteria for Decision-Making – National Academies Press – 2013

Posted on September 19, 2013. Filed under: Health Informatics, Workforce | Tags: |

Professionalizing the Nation’s Cybersecurity Workforce?: Criteria for Decision-Making – National Academies Press – 2013

Authors:  Committee on Professionalizing the Nation’s Cybersecurity Workforce: Criteria for Future Decision-Making; Computer Science and Telecommunications Board; Division on Engineering and Physical Sciences; National Research Council

“Description
Professionalizing the Nation’s Cybersecurity Workforce? Criteria for Decision-Making considers approaches to increasing the professionalization of the nation’s cybersecurity workforce. This report examines workforce requirements for cybersecurity and the segments and job functions in which professionalization is most needed; the role of assessment tools, certification, licensing, and other means for assessing and enhancing professionalization; and emerging approaches, such as performance-based measures. It also examines requirements for the federal (military and civilian) workforce, the private sector, and state and local government. The report focuses on three essential elements: (1) understanding the context for cybersecurity workforce development, (2) considering the relative advantages, disadvantages, and approaches to professionalizing the nation’s cybersecurity workforce, and (3) setting forth criteria that can be used to identify which, if any, specialty areas may require professionalization and set forth criteria for evaluating different approaches and tools for professionalization. Professionalizing the Nation’s Cybersecurity Workforce? Criteria for Decision-Making characterizes the current landscape for cybersecurity workforce development and sets forth criteria that the federal agencies participating in the National Initiative for Cybersecurity Education—as well as organizations that employ cybersecurity workers—could use to identify which specialty areas may require professionalization and to evaluate different approaches and tools for professionalization.”

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Patient Consent for Electronic Health Information Exchange – Office of the National Coordinator for Health Information Technology

Posted on September 19, 2013. Filed under: Health Informatics, Medical Records, Patient Participation | Tags: , , |

Patient Consent for Electronic Health Information Exchange – Office of the National Coordinator for Health Information Technology

“Electronic health information exchange (eHIE) — the way that health care providers share and access health information using their computers — is changing rapidly. One way some providers share and access information is through a third-party organization called a health information exchange organization (HIE).

HIEs help route information among various participating providers. In some HIEs, a provider can send out an electronic broadcast query that asks all provider participants whether they have information on a specific patient.

As eHIE increases, patient trust in HIEs must be ensured and patients may more often be asked to make a “consent decision.” This consent decision concerns the sharing and accessing of the patient’s health information through an HIE for treatment, payment, and health care operations purposes. When patients are asked to make consent decisions, we encourage providers, HIEs, and other health IT implementers to help patients make the consent decision meaningful.

Implementers can enable meaningful consent by ensuring they consider the key parts displayed in the image to the right.”

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The dismantled National Programme for IT in the NHS – House of Commons Committee of Public Accounts – report – published 18 September 2013

Posted on September 19, 2013. Filed under: Health Economics, Health Informatics | Tags: |

The dismantled National Programme for IT in the NHS – House of Commons Committee of Public Accounts – report – published 18 September 2013

Summary

“Although the National Programme for IT in the NHS (the National Programme) has been dismantled, it in effect remains in place with separate component programmes which continue to incur significant costs. The Department of Health (the Department) has been negotiating with CSC for around two years to re-set the contract to provide the Lorenzo care records system to trusts in the North, Midlands and East of England. Its negotiating position is weak. The Department’s statement on the benefits expected from the National Programme showed that most of the benefits are yet to be delivered. There is a risk that some of these benefits may never materialise. Unless the Department acts on the lessons of the failed National Programme it is unlikely to deliver the new vision of a paperless NHS by 2018.”

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Regulation of medical software and mobile medical ‘apps’ – TGA – 13 September 2013

Posted on September 17, 2013. Filed under: Health Informatics, Health Technology Assessment | Tags: , |

Regulation of medical software and mobile medical ‘apps’ – TGA – 13 September 2013

“Software is becoming increasingly important in medical devices; however, its rapid evolution, particularly in relation to mobile technology, presents new and complex challenges for the TGA and regulatory agencies internationally.

The following is intended to provide guidance on the regulatory arrangements pertaining to medical software and mobile medical apps by addressing some questions frequently put to the Therapeutic Goods Administration (TGA).

Are medical software products considered to be medical devices?

A software product is considered a medical device if it fits the definition in section 41BD of the Therapeutic Goods Act 1989.”

… continues on the site

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Achieving interoperability: what’s happening out there? – Association for the Advancement of Medical Instrumentation (AAMI) – 2013

Posted on September 17, 2013. Filed under: Health Informatics | Tags: |

Achieving interoperability: what’s happening out there? – Association for the Advancement of Medical Instrumentation (AAMI) – 2013

a special compilation of aaMi interoperability articles and resources

“Interoperability is a popular word in the world of medical devices, and many believe it is the answer to some of healthcare’s thorniest problems. This article takes a close look at what three healthcare facilities are doing today with one very important piece of the interoperability puzzle: the integration of device data into electronic medical records (EMRs).”

AAMI interoperability site

AAMI News – FDA Recognizes Interoperability, Cybersecurity Standards – Sept 2013

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New Convergent Medical Terminology subsets available – NLM – 11 September 2013

Posted on September 16, 2013. Filed under: Health Informatics | Tags: , , , |

New Convergent Medical Terminology subsets available – NLM – 11 September 2013

“Five additional subsets from Convergent Medical Terminology (CMT) are now available for download from the UMLS Terminology Services (UTS) by UMLS licensees.
The Hx of FHx of subset includes 1,058 concepts for medical and family medical history problem lists.
The Injury (part 1) subset includes 2,150 concepts for injuries problem lists.
The Ortho Extrem subset includes 7,018 concepts for orthopedics (extremity fractures) problem lists.
The Ob Gyn subset includes 1,306 concepts for use for obstetrics and gynecology problem lists.
The Skin Respiratory subset includes 2,856 concepts for skin and respiratory problem lists.
The Ortho NonExtrem subset includes 385 concepts for orthopedics (non-extremity fractures) problem lists.

For more information about CMT, see Kaiser Permanente Opens Access to CMT to Support HHS Health IT Goals Frequently Asked Questions.”

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HIPAA privacy and security toolkit: Helping your practice meet new compliance requirements – American Medical Association – 9 September 2013

Posted on September 10, 2013. Filed under: Health Informatics |

HIPAA privacy and security toolkit: Helping your practice meet new compliance requirements – American Medical Association – 9 September 2013

“The American Medical Association (AMA) today announced a new toolkit to help physicians navigate the sweeping new revisions to the federal privacy and security rules for health information that go into effect on September 23, 2013.

The Department of Health and Human Services issued a final rule last January that revises and extends required safeguards for protected health information established under the Health Insurance Portability and Accountability Act (HIPAA) of 1996. The rule expands the individual rights of patients, including tightening requirements on physicians when patient information is breached. The result is that physician practices could face more legal scrutiny and higher fines in case of an information breech.”

… continues on the site

AMA HIPAA site

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Benefits of high-speed broadband for Australian households – Deloitte Access Economics for the Department of Broadband, Communications and the Digital Economy – September 2013

Posted on September 4, 2013. Filed under: Health Informatics |

Benefits of high-speed broadband for Australian households – Deloitte Access Economics for the Department of Broadband, Communications and the Digital Economy – September 2013

ISBN:   9780642754523 (PDF)   9780642754516 (Print)

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Building a Foundation of Electronic Data to Measure and Drive Improvement – ONC – August 2013

Posted on August 22, 2013. Filed under: Health Informatics | Tags: , |

Building a Foundation of Electronic Data to Measure and Drive Improvement – ONC – August 2013

Using Electronic Health Records and Other Health IT Tools to Measure and Improve Quality of Care: Lessons Learned from the Beacon Communities – News – 19 August 2013

“Using electronic health records and other health IT tools to improve quality measurement for better patient care is essential to support ongoing quality improvement efforts.

Today ONC released a new issue brief by AcademyHealth entitled “Building a Foundation of Electronic Data to Measure and Drive Improvement.” It highlights the importance of data in measuring and improving care.”

… continues

 

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Findings and Lessons From the Improving Quality Through Clinician Use of Health IT Grant Initiative – AHRQ – released August 2013

Posted on August 19, 2013. Filed under: Clin Governance / Risk Mgmt / Quality, Health Informatics | Tags: , |

Findings and Lessons From the Improving Quality Through Clinician Use of Health IT Grant Initiative – AHRQ – released August 2013

“This report summarizes the extent to which the projects addressed the areas of interest of the IQHIT initiative and identifies practical insights regarding the use of health IT to improve clinical decisionmaking and care coordination in the ambulatory setting. It presents illustrative project findings in an effort to inform research discussion and provide guidance to other entities implementing health IT systems that help clinicians improve the quality of patient care. As the researchers continue to disseminate findings from these projects, additional lessons may become evident.”

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Beacon Nation Learning Guides – A Learning Guide describes a promising IT-enabled intervention that can be deployed in a community to accelerate health care transformation

Posted on August 6, 2013. Filed under: Health Informatics |

Beacon Nation Learning Guides – A Learning Guide describes a promising IT-enabled intervention that can be deployed in a community to accelerate health care transformation

Improve Hospital Transitions and Care Management Using Automated Admission, Discharge and Transfer Alerts – May 2013

Strengthening Care Management With Health Information Technology – July 2013

Capturing High Quality Electronic Health Records Data to Support Performance Improvement – July 2013

More in preparation.

 

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EHR contracts: key contract terms for users to understand – Prepared by Westat for The Office of the National Coordinator for Health Information Technology – 25 June 2013

Posted on August 6, 2013. Filed under: Health Informatics | Tags: , , |

EHR contracts: key contract terms for users to understand – Prepared by Westat for The Office of the National Coordinator for Health Information Technology – 25 June 2013

“This document explains a few key EHR contract terms and what you need to know about them. Understanding these terms may help you select an appropriate EHR system and protect your practice or organization from business and patient safety risks that may arise when you rely upon EHRs for critical aspects of your operations. It should help you make sure that your EHR system does what you expect and that you have ways to manage issues as they arise. If you misunderstand these terms you may not be able to rely on your contract to help prevent disruptions to your practice.”

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National definitions for elective surgery urgency categories – AIHW – 31 July 2013

Posted on August 1, 2013. Filed under: Health Informatics, Surgery | Tags: , |

National definitions for elective surgery urgency categories – AIHW – 31 July 2013

proposal for the Standing Council on Health

“In 2012, the Australian Institute of Health and Welfare and the Royal Australasian College of Surgeons worked together to develop national definitions for elective surgery urgency categories, at the request of the Standing Council on Health. The development of the national definitions resulted in a package of six integrated components proposed for adoption. This report presents the proposed definitions and components.”

ISBN 978-1-74249-465-4; Cat. no. HSE 138; 77pp.

Media release: Consistent definitions for elective surgery urgency categories released in new report

 

 

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Exemplar HIE Governance Entities Program – HealthIT.gov – updated content July 2013

Posted on July 30, 2013. Filed under: Health Informatics |

Exemplar HIE Governance Entities Program – HealthIT.gov – updated content July 2013

“On December 20, 2012 ONC released the Exemplar Health Information Exchange Governance Entities Program (Program) Funding Opportunity Announcement. Two existing governance organizations, DirectTrust and the New York eHealth Collaborative on behalf of the EHR|HIE Interoperability Workgroup, received cooperative agreements with ONC to:

develop and adopt policies, interoperability requirements and business practices that align with national priorities
overcome interoperability challenges
reduce implementation costs and
assure the privacy and security of health information exchange.

This work will support and advance the efforts of these existing governance entities which will benefit consumers and providers by allowing health information to flow securely between unaffiliated healthcare organizations.”

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NHS Hospital Data and Datasets: A Consultation – NHS England – 22 July 2013

Posted on July 25, 2013. Filed under: Clin Governance / Risk Mgmt / Quality, Health Informatics, Patient Safety | Tags: |

NHS Hospital Data and Datasets: A Consultation – NHS England – 22 July 2013

News:  NHS England and the Health and Social Care Information Centre launch a consultation on hospital data to raise standards and improve patient safety

“NHS England and the Health and Social Care Information Centre (HSCIC) today published NHS Hospital Data and Datasets: A Consultation to explore how better extraction of information from hospitals’ data systems could help raise standards, improve safety, and reduce inequalities in patient care.

The Hospital Data and Datasets Consultation asks for views on what information should be extracted from hospitals in future to support the commissioners of health care services, and how to minimise any extra burden on hospitals.

The potential new data requirements being consulted upon include extracting information about tests and investigations performed, nursing care delivered, and medicines prescribed.

High quality data will underpin the transformation of the NHS, ensuring that it becomes truly patient centred and clinically led. Collecting and sharing accurate information with providers, commissioners, patients and the public will help to assess safety issues and identify areas where outcomes and patient experience can be improved.”

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Spending on health and social care to 2015-16 [Parliamentary Briefing] – Nuffield Trust – 11 July 2013

Posted on July 24, 2013. Filed under: Health Informatics | Tags: , |

Spending on health and social care to 2015-16 [Parliamentary Briefing] – Nuffield Trust – 11 July 2013

“This briefing examines the key issues underlying debates on health funding, the decisions taken on NHS spending over this Parliament and the 2015-16 Spending Round period, and the closely linked issue of spending on social care.

It aims to link these fiscal decisions to their implications for access, quality, sustainability and efficiency.

The first section of the briefing examines how spending in the NHS faces upward pressure from internal factors at the same time as its budget is under downward pressures from outside, leading to a gap.

The second looks at how the Government is trying to bridge this gap and how deeper changes may be needed to achieve a long-term solution, while the third looks at the urgent situation facing social care funding in the context of the reforms contained in the Spending Round and Care Bill.”

 

 

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Health Provider Broadband Connectivity: A review of technical requirements – University of Melbourne Institute for a Broadband-Enabled Society – June 2013

Posted on July 11, 2013. Filed under: Health Informatics |

Health Provider Broadband Connectivity: A review of technical requirements – University of Melbourne Institute for a Broadband-Enabled Society – June 2013

ISBN 978 0 7340 4846 2

Project team:
Health and Biomedical Informatics Centre, University of Melbourne:
Cecily Gilbert
Kathleen Gray
Fernando Jose Martin-Sanchez
Department of Computing and Information Systems, University of Melbourne:
Shanika Karunasekera
Department of Management and Marketing, University of Melbourne
Vikram Bhakoo
Australian Centre for Health Innovation:
Susan Harrison
Frank Smolenaers
Joanne Egan

“Executive Summary

This review reports the findings of a literature review on data connectivity practices and requirements of healthcare organizations.

It forms the initial work of a joint project between the University of Melbourne and the Australian Centre for Health Innovation. The study is exploring the changes that may be necessary for Victorian healthcare organizations to enable more integrated planning and better coordinated provision of data connectivity arrangements so they can take advantage of high capacity broadband infrastructure.

The literature survey gathered over 70 documents describing technical requirements for ehealth computer applications, drawn from scientific, government, academic and industry sources. Analysis of the studies revealed a diverse array of settings, methodologies and themes. Experimental or laboratory-based examples of network architectures figured widely, as did pilot studies set in limited real-world environments. Where a study described a clinical scenario, technical specifications were not always stated.

Overall, this survey found insufficient strong documentation to guide organizations adopting broadband-enabled health services. This suggests that further empirical study is required so that the answers to these questions will be revealed.”

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Cybersecurity Framework – National Institute of Standards and Technology (NIST) [US] – 2 July 2013

Posted on July 9, 2013. Filed under: Health Informatics | Tags: , |

Cybersecurity Framework – National Institute of Standards and Technology (NIST) [US] – 2 July 2013

Media release

“The Framework will consist of standards, guidelines, and best practices to promote the protection of critical infrastructure. The prioritized, flexible, repeatable, and cost-effective approach of the framework will help owners and operators of critical infrastructure to manage cybersecurity-related risk while protecting business confidentiality, individual privacy and civil liberties.”

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Health Information Technology: Patient Safety Action & Surveillance Plan – [US] Office of the National Coordinator for Health Information Technology (ONC) – 1 July 2013

Posted on July 3, 2013. Filed under: Health Informatics, Patient Safety | Tags: , |

Health Information Technology: Patient Safety Action & Surveillance Plan – [US] Office of the National Coordinator for Health Information Technology (ONC) – 1 July 2013

“This Health IT Patient Safety Action and Surveillance Plan (the “Health IT Safety Plan” or “Plan”) addresses the role of health IT within HHS’s commitment to patient safety. Building on the IOM committee’s recommendations, the Plan leverages existing authorities to strengthen patient safety efforts across government programs and the private sector—including patients, health care providers, technology companies, and health care safety oversight bodies. Importantly, the Plan outlines specific and tangible actions through which all stakeholders can fulfill their shared obligation to increase knowledge of the impact of health IT on patient safety, and maximize the safety of health IT and health IT-assisted care.”

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Opportunities for Action: A Pan-Canadian Digital Health Strategic Plan – Canada Health Infoway – 26 June 2013

Posted on June 28, 2013. Filed under: Health Informatics | Tags: , |

Opportunities for Action: A Pan-Canadian Digital Health Strategic Plan – Canada Health Infoway – 26 June 2013

“Refreshed Strategic Plan Focuses on Next Steps in Canada’s Digital Health Journey

Canada Health Infoway (Infoway) today released Opportunities for Action: A Pan-Canadian Digital Health Strategic Plan. The plan, which details the health care priorities that digital health solutions can best support over the coming years, has identified key opportunities for action.

“This refreshed strategic plan was developed by Canadians, for Canadians,” said Richard Alvarez, President and CEO of Infoway. “It represents how digital health is evolving in step with the health care system to meet the needs of Canadians, and sets out how Infoway and our jurisdictional partners can focus on improving the patient experience through digital health solutions.”

The strategic plan was developed in consultation with more than 500 Canadians, clinicians, government and health care administrators, national associations and digital health vendors, who were asked to identify priorities that health IT could best support. Six broad themes emerged describing health care priorities over the next several years, and from these themes, five opportunities for action were developed:

■Bring care closer to home
■Provide easier access
■Support new models of care
■Improve patient safety
■Enable a high-performing health system

Much of Infoway’s work over the past decade has concentrated on digital health investments in electronic health records and point-of-care systems for clinicians. These include solutions that securely house critical data including patient drug information, diagnostic images and lab test results, resulting in billions of dollars in health system efficiencies, improvements in access, and gains in quality of care.”

… continues on the site

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Health workforce information review – Department of Health, England – 31 May 2013

Posted on June 18, 2013. Filed under: Health Informatics, Workforce |

Health workforce information review – Department of Health, England – 31 May 2013

“The Health and Social Care Act 2012 introduced new arrangements for commissioning healthcare services, including a new system through which education and training is planned, commissioned, funded and delivered. The process of securing, analysing and managing information, both about the current health workforce and about future workforce needs, will be fundamental to this.

This report sets out findings and recommendations from a review of the arrangements for handling health workforce data and intelligence. A supporting document provides links to best practice and toolkits on information governance.

Health Education England will take forward the implementation of the recommended actions, publishing further details during 2013 to 2014.”

Includes:
Workforce Information Architecture in the Reformed NHS Landscape:Recommendations for handling health workforce information.
Workforce Information Architecture: Sources of Information on Information Governance for All Providers of NHS-funded Services
Workforce Information Architecture: The Workforce Minimum Data Set Explained

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Information Governance and Risk Stratification: Advice and Options for CCGs and GPs – NHS England – 14 June 2013

Posted on June 18, 2013. Filed under: Health Informatics | Tags: , , |

Information Governance and Risk Stratification: Advice and Options for CCGs and GPs – NHS England – 14 June 2013

“Key points

 Risk stratification tools can help determine which people in a population are at high risk of experiencing outcomes, such as unplanned hospital admissions, that are simultaneously: undesirable for patients; costly to the health service; and potential markers of low-quality care.
 Also known as predictive risk models, these tools are used widely in the NHS, both for:
o analysing the health of a population (“risk stratification for commissioning”); and
o targeting additional preventive care interventions, such as the support of a community matron, to high-risk patients (“risk stratification for case finding”).
 The Health and Social Care Act 2012 has complicated the legal landscape relating to risk stratification (see page 10).
 In this paper, we:
o explain the information governance issues relating to risk stratification
o provide a checklist of steps that GP practices, CCGs, and other organisations involved in risk stratification should undertake to comply with the law (see page 13)
o describe a range of options (options A to F) that t CCGs can use in order to conduct risk stratification legally (see page 17)”

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Review of the final benefits statement for programmes previously managed under the National Programme for IT in the NHS – National Audit Office – 6 June 2013

Posted on June 13, 2013. Filed under: Health Informatics | Tags: , |

Review of the final benefits statement for programmes previously managed under the National Programme for IT in the NHS – National Audit Office – 6 June 2013

Media release

“The National Audit Office has reported the results of its review of a statement by the Department of Health of costs and benefits of the programmes previously managed under the National Programme for IT in the NHS.

The NAO report, published as a memorandum for the Committee of Public Accounts, finds the Department took a structured, logical approach to measuring and reporting costs and benefits. The Department forecasts that benefits will slightly exceed costs over the whole life of the systems, £10.7 billion compared with £9.8 billion.

There is, however, very considerable uncertainty around whether the forecast benefits will be realised. Around two-thirds (£6.6 billion) of the total estimated benefits are forecast to arise after March 2012. For three programmes, 98 per cent of the total estimated benefits were still to be realised. Some £2.5 billion (26 per cent) of the total costs are also forecast to arise after March 2012.

There is a range of risks to the realisation of future benefits. In particular, for some programmes, future benefits rely on the successful deployment of a set number of systems at a set time. Experience over the last ten years suggests this will be challenging to achieve, particularly in the case of the local care records systems.”

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Strengthening Health Information Infrastructure for Health Care Quality Governance: Good Practices, New Opportunities and Data Privacy Protection Challenges – OECD – 30 May 2013

Posted on June 6, 2013. Filed under: Health Informatics, Research | Tags: |

Strengthening Health Information Infrastructure for Health Care Quality Governance: Good Practices, New Opportunities and Data Privacy Protection Challenges – OECD – 30 May 2013

“Privacy-respectful uses of data for health, health care quality and health system performance monitoring and research must become widespread, regular activities. This report is about the progress OECD countries have made in the development and linkage of health and health care data and in the development and use of data from electronic health record systems for statistics and research.”

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ePrescribing joint statement – Canadian Medical Association and the Canadian Pharmacists Association – December 2012

Posted on May 29, 2013. Filed under: Health Informatics, Pharmacy |

ePrescribing joint statement – Canadian Medical Association and the Canadian Pharmacists Association – December 2012

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Exam Room Computing & Patient-Physician Interactions – American Medical Association Report – 2013

Posted on May 17, 2013. Filed under: Health Informatics, Patient Participation |

Exam Room Computing & Patient-Physician Interactions – American Medical Association Report – 2013

“At the 2012 Annual Meeting, the American Medical Association (AMA) House of Delegates referred to the Board of Trustees Resolution 701-A-12
“Effect of Computers in the Exam Room on Patient-Physician Communication” (Medical Student Section) Resolution 701-A-12 asked:

That our American Medical Association study the effect of electronic devices, including but not limited to computers and tablets, in the exam room on doctor-patient communication with an emphasis on alternatives and modifications that might improve the physician-patient relationship.

Anticipated Benefits & Undesired Consequences”

… continues on the site

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Best Care at Lower Cost: The Path to Continuously Learning Health Care in America – Committee on the Learning Health Care System in America, Institute of Medicine – 2013

Posted on May 14, 2013. Filed under: Evidence Based Practice, Health Economics, Health Informatics, Health Mgmt Policy Planning | Tags: , |

Best Care at Lower Cost: The Path to Continuously Learning Health Care in America – Committee on the Learning Health Care System in America, Institute of Medicine – 2013

ISBN-10: 0-309-26073-6    ISBN-13: 978-0-309-26073-2

“America’s health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation’s economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost.

The costs of the system’s current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009–roughly $750 billion–was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances.

About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care.

This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.”

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Strengthening Health Information Exchange: Final Report HIE Unintended Consequences Work Group – 18 September 2012

Posted on May 13, 2013. Filed under: Health Informatics | Tags: , |

Strengthening Health Information Exchange: Final Report HIE Unintended Consequences Work Group – 18 September 2012

Prepared for: The Office of the National Coordinator for Health Information Technology, Prepared by: Westat, Rockville, Maryland

Authors: Julie J. McGowan, Ph.D., FACMI, FMLA Gilad J. Kuperman, MD, Ph.D., FACMI Lois Olinger, MA Cynthia Russell, MSN, RN

Extract from the Executive Summary:

“This report describes the deliberations of Health Information Exchange Unintended Consequences Work Group (HIE UC WG), a subgroup of Unintended Consequences Technical Expert Panel (TEP), which was chartered by ONC. The HIE UC WG consisted of the authors of this report and 5 other experts selected for their knowledge and experience with HIE.

The charge to the HIE UC WG was to (i) develop a framework to categorize the kinds of UCs that can occur from the use of HIE, and (ii) develop a list of approaches that could be used to mitigate the risks of UCs from HIE. The HIE UC WG prioritized UCs that relate directly or indirectly to clinical care or that impact organizations or providers engaged in HIE. Because of other work that was being done by ONC, the HIE UC WG did not directly address unintended consequences related to privacy and security risks as they impact patients outside the care setting.”

“The results of the HIE UC WG are presented in this report and are summarized in Table 1 which lists mitigating interventions by project implementation phase. There are seven categories of unintended consequences:
(i) Incomplete, inaccurate or untimely data provided by HIE,
(ii) Problems related to data presentation, including data overload,
(iii) Heterogeneity of use of HIE,
(iv) Patient perceptions or concerns about HIE,
(v) Reputational and financial risks to organizations and providers engaged in HIE,
(vi) Vulnerability to technically related unintended consequences, and
(vii) Unintended consequences of administration of HIE.”

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Development of nationally consistent subacute and non-acute admitted patient care data definitions and guidelines – AIHW – 2 May 2013

Posted on May 8, 2013. Filed under: Chronic Disease Mgmt, Health Informatics, Health Mgmt Policy Planning, Health Policy | Tags: , , , |

Development of nationally consistent subacute and non-acute admitted patient care data definitions and guidelines – AIHW – 2 May 2013

“In August 2012, the Independent Hospital Pricing Authority engaged the Australian Institute of Health and Welfare to develop nationally consistent definitions and business rules for subacute and non-acute admitted patient care and care types for implementation in national hospital datasets. The data element for ‘care type’ was revised to include a definition of subacute care. It also clarified that subacute care: is delivered under the management of or informed by a clinician with specialised expertise in the care type; be evidenced by an individualised multidisciplinary management plan that is documented in the patient’s medical record; and reflect both the characteristics of the patient and the expertise of the treating clinician.”

ISBN 978-1-74249-422-7; Cat. no. HSE 135; 84pp

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A National Telehealth Strategy for Australia 2013 – 2018 – The Australasian Telehalth Society – April 2013

Posted on May 7, 2013. Filed under: Health Informatics, Telehealth | Tags: |

A National Telehealth Strategy for Australia 2013 – 2018 – The Australasian Telehealth Society – April 2013

“Health systems worldwide face sustainability pressures and challenges, leading to widespread reform agendas including ‘new models of care’ and ‘enabling technologies’. Australia must deliver health care to a varied population spread from dense urban and regional settings to sparse rural or remote areas, creating access and quality differentials. With appropriate high level direction driven by a National Strategy, Telehealth can play a significant role in enabling the changes required to respond to these needs. In this discussion paper we argue that the directions to be set by a National Strategy for Telehealth should be targeted, purposeful and efficient in nature. Based on input obtained from a multi-sectoral roundtable discussion, we propose a set of key strategies and corresponding operational plan elements, which we believe can help advance the development of a full National Strategy for Telehealth in Australia.”

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White House Summit on Achieving eHealth Equity – Office of the National Coordinator for Health Information Technology (ONC) [US] – April 2013

Posted on May 6, 2013. Filed under: Health Informatics | Tags: , , |

White House Summit on Achieving eHealth Equity – Office of the National Coordinator for Health Information Technology (ONC) [US] – April 2013

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