Monday, November 9, 2009

personal HIT

Hello Health, a national franchise of clinics he is building where patients can e-mail, text, or videochat with doctors over a secure website.

This web 2.0 company leverages information technology to establish strong doc-patient care relationships.

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Agency for Healthcare Research and Quality has a
Health IT Adoption Toolbox and a
detailed workflow analysis PDF.

Saturday, November 7, 2009

Complexity slows adoption

One does not discover new lands without consenting to lose sight of the shore for a very long time."
--André Gide


"A complicated transition" in USA Today.

Experts say there are many reasons for the slow pace of change to electronic health and medical record systems.

A patient's medical history is far more complex than a person's financial statement, for example, says John Halamka, chief information officer at Harvard Medical School. An electronic medical record could have 65,000 pieces of information — from blood test results to images from a CT scan.

Most hospitals have no real financial incentive to create electronic records.

Electronic medical records don't increase the amount that insurance companies reimburse hospitals for care, he says. In some ways, inefficient hospitals — which perform duplicate X-rays when the first set can't be found — can actually make more money, because they can charge for each new test.

Along with the incentives planned for Medicare and Medicaid, the Department of Health and Human Services' health care technology office is developing standards for electronic records, so that hospitals and doctors will be able to exchange information, Halamka says.

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"A bad mood can help you think more clearly," By Andrew Nusca.