EHRs, PHRs, & ARRA
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Presentation given in NYC on March 29, 2010 addressing future trends in healthcare IT adoption, with focus on EHRs, PHRs, HIEs and federal stimulus funding.
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![EHRS, PHRs & ARRA Where We’ve Been, Where We’re Going Presentation at: IT & the Future of Managed Care: The Next Wave March 29, 2010, New York, NY By: John Moore, Managing Partner [email_address]](https://image.slidesharecdn.com/moorecrgnycmar10fnl-100330144448-phpapp01/85/EHRs-PHRs-ARRA-1-320.jpg)
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This conference aimed to: (1) identify the various ways in which law and ethics intersect with the use of big data in health care and health research, particularly in the United States; (2) understand the way U.S. law (and potentially other legal systems) currently promotes or stands as an obstacle to these potential uses; (3) determine what might be learned from the legal and ethical treatment of uses of big data in other sectors and countries; and (4) examine potential solutions (industry best practices, common law, legislative, executive, domestic and international) for better use of big data in health care and health research in the U.S.
The Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School 2016 annual conference was organized in collaboration with the Berkman Center for Internet & Society at Harvard University and the Health Ethics and Policy Lab, University of Zurich.
Learn more at http://petrieflom.law.harvard.edu/events/details/2016-annual-conference.Reducing Health Care Costs by Pulling IT into Healthcare Organizations
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Three digital health companies will change pharma
Pharma must change the ways it deals with physicians and patients. These three digital health technology companies will revolutionize the way Pharma does business.
Strategies by which Personal Health Record Vendors Increase Market Share
Highlights of research:
*Usage more than doubled from 2.7% in 2008 to 7% in 2009. However, current users are not those who can use it the most (elderly, chronically ill, low-income)
*Top barriers to use: privacy concerns, lack of physician support of phr use, patients not compelled to use phr (associated solutions offered)
*Conclusions: Though many varying opinions, very little data to support clear concensus of direction of PHR industry. However, companies such as Google and Microsoft are continuing with PHR product.
*Recommendations: PHR vendors should parter with fitness/medical device products and charge interface fee, Generate revenue through advertisements on home page of PHR record, Partner with insurance companies, hospitals, physician offices, employers as preferred PHR vendor.
Please review poster for more details including differences between Google and MS Health Vault, a fee-based PHR model and risks.
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A discussion of the ethical challenges inherent to digital health, for clinicians, researchers, and patients.
HealthcareUnbound
The document discusses how close various healthcare technologies are to reaching a "tipping point" of widespread adoption. It analyzes segments like remote patient monitoring, disease management programs, and personal health records. While some areas like mobile health show promise, most segments are still fragmented with no clear leader. Google Health is called a "wildcard" that could potentially dominate personal health records by automatically populating records. The biggest future tipping points are predicted to be mobile telehealth and technologies that support "hospital at home" models.
Trends in Personal Health Information Mgmt
The document discusses different models for managing personal health information (PHI) including stand-alone consumer applications, employer/health plan sponsored platforms, provider sponsored platforms, and a potential utility service model. It notes that internet-based PHI platforms are evolving rapidly and that data liquidity and incentives to share data will be paramount for their success. Web-based PHI solutions that can compile data from various sources will likely dominate the market.
Przybysz, reinhardt ph rgroupproject_fall_2012
The document discusses the Personal Health Record (PHR), which allows individuals to manage their own health information in order to better participate in their healthcare. A PHR contains health history, medications, allergies, immunizations and other medical data from individuals and providers. PHRs provide benefits like increased patient involvement, but also have barriers like usability, privacy and reliability concerns. The selection of a secure and standards-based PHR is important for managing personal health information.
How to do Business in Health IT
This document provides tips for doing business in healthcare IT. It summarizes recent trends in the industry including increasing venture capital funding and electronic health record adoption rates. It also outlines challenges healthcare CIOs face such as security issues, implementing healthcare reforms, and retaining their position. The document advocates becoming a healthcare thought leader by getting certified, blogging, joining industry associations, and understanding the clinical side of healthcare.
Iteration 11112011v4
Star* Cunningham founded 4D Healthware after working for IBM managing a $180M telecommunications portfolio. 4D Healthware will create a mobile app to serve as a personalized health hub for users, providing medical information, medication reminders, secure storage of health records, and social networking support. The app aims to address limitations of current health apps such as usability issues and lack of customized medical information. Revenue will come from app downloads and licensing fees from hospitals and researchers.
In search of a digital health compass: My data, my decision, our power
Knowledge is power. Despite extensive investments in digital health technology, navigating the health system online is challenging for most citizens. Also for eHealth, the “Inverse Care Law” proposed by Hart in 1971, seems to apply. Availability of good medical or social care services and tools online, varies inversely with the need of the population. The low adoption of eHealth services, and persistent disparities in health triggers a call for multidisciplinary action.
Barriers and challenges are not to be underestimated. Culture, education, skills, costs, perceptions of power and role, are essential for multidisciplinary action. This comes together in digital health literacy, which ought to become an integral part to navigate any health system. Patients living with an implanted device or coping with persistent, chronic disease such as diabetes, as well as citizens engaged in self-care, caring for an elderly relative, a neighbor, or their child with illness or deteriorating health, need a digital health compass.
The panel will engage the audience to elaborate on a vision for this personal, digital health compass and drive advancement in health informatics and digital health standards. The transformative power of health data fueled by targeted digital health literacy interventions can be leveraged by open, massive, and individualized delivery. This way, digital health literate, confident patients and citizens join health professionals, researchers and policy makers to address age-related health and wellness changes to shape the emerging precision medicine and population health initiatives.
From a panel in the eHealthweek 2016. http://www.ehealthweek.org/ehome/128630/hl7-efmi-sessions/
EMR Intro
An Introduction to the Health Information Technology for Economic and Clinical Health Act -- HITECH and electronic medical records -- part of the economic stimulus package.
Introduction to EMR
The document discusses the origins and requirements of the Health Information Technology for Economic and Clinical Health (HITECH) Act, which provides $19.2 billion in incentives for healthcare providers to adopt electronic medical records (EMRs). The act requires EMRs to be certified and demonstrate meaningful use, though these terms are still being defined. While some hospitals have implemented basic EMR functions, full integrated systems have only been adopted by 1.5% of US hospitals. The challenges of implementing complex EMR systems that can exchange and integrate data both within and between healthcare organizations are discussed.
HIPAA and E-Mail: Protecting PHI
Topics:
-How is the role of messaging evolving within the healthcare community?
- What best practices should healthcare providers take to comply with regulations and plan for the future.
Aman Quadri - Future Trends with Health and Wellness.
About Aman: I would say that one particular industry cannot define my work or where my passion lie, but currently I am immersed in Blockchain, Healthcare, and Cryptocurrency.
How a healthcare management system (hms) is improving hospitals and clinics
A healthcare management system (HMS) improves hospitals and clinics in several key ways:
1) It integrates and organizes the large amounts of data that healthcare organizations need to track, including clinical, financial, patient, and other medical data.
2) It allows doctors to access patient medical histories and test results digitally through electronic medical records, improving diagnosis and care.
3) It enhances the patient experience through online appointment booking, health assistance, and access to their own health records.
4) It automates administrative and documentation tasks through robotic process automation to reduce errors and improve efficiency.
Mental health: the prefect subject for app use
This document discusses the potential for mobile apps in mental healthcare. It notes that mental health issues affect 1 in 4 people in the UK and cost the economy £105 billion per year. Apps have potential to help close treatment gaps by providing evidence-based therapies digitally like CBT. However, there are challenges around evaluating the thousands of existing mental health apps and ensuring user safety. The document outlines examples of current NHS apps for medication tracking, peer support, and improving access to services. It envisions a future with more user-led digital tools that blend technology with traditional care to provide long-term support and rapid learning.
Chapter 1The Transforming World of Health Information Manageme
Chapter 1
The Transforming World of Health Information Management
The Case for an Enterprise
Solution
The St. Rita’s Case
Who appointed the EIM team?
CIO Joan Morton
Why was EIM the team appointed?
Sort out the root causes of data integrity issues at St. Rita’s
Determine the feasibility of developing an enterprise division to assure data integrity
The St. Rita’s Case
The initial members of the EIM team
Denise – HIM professional
Bob – Business analyst
Linda – Decision support analyst
Val – Project manager
Shirlee – Clinical analyst
Monte – Systems analyst
The St. Rita’s Case
The EIM team’s charge
Study St. Rita’s data problems
Recommend new ideas and improvements
Assess feasibility of an EIM division
Develop an action plan to implement improvements
Enterprise Information Management
Enterprise information management (EIM)
A set of functions used by organization to plan, organize, and coordinate people, processes, technology, and content for managing information as a corporate asset that ensures data quality, safety, and ease of use.
Data Governance
Data governance (DG)
A specific EIM function that supports coordination among all other EIM functions by establishing data standards, policies, procedures, and accountabilities that span the entire organization.
Definition of
health information
Definition of Health Information
Definition dependent upon the context
Information about health science and health-related issues published by an authoritative source
For example, journals, magazines, web sources
Secondary patient-related data
For example, aggregated data in registries
Primary patient-related data
For example, specific patient data used for healthcare delivery
Electronic Health Records:
Differing Definitions
EMR – Electronic medical record
Electronic record
Health-related information about an individual
Is created, gathered, managed, and consulted by authorized clinicians and staff within one healthcare organization
National Alliance for Health Information Technology
Electronic Health Records:
Differing Definitions
EHR – Electronic health record
Electronic record
Health-related information about an individual
Conforms to nationally recognized interoperability standards
Is created, gathered, managed, and consulted by authorized clinicians and staff across more than one healthcare organization
National Alliance for Health Information Technology
Electronic Health Records:
Differing Definitions
PHR – Personal health record
Electronic record
Health-related information about an individual
Conforms to nationally recognized interoperability standards
Is drawn from multiple sources
Managed, shared, and controlled by the individual
National Alliance for Health Information Technology
Complexity of data flow and retrieval
Clinic Appointment and Visit Example
Healthcare Data Flow Across Users
Healthcare Information Exchanges (HIEs)
Federal-state collaboration
Enable and expand secure electronic movement and use of ...
Personal Health Records
Personal health records (PHRs) have the potential to improve health outcomes but face challenges regarding interoperability, security, and privacy. PHRs could allow individuals to manage their own healthcare by communicating with providers and accessing health information. However, PHRs currently lack standardization and the ability to exchange information between different systems. Addressing issues such as determining security protocols, exchanging data between health information exchanges, and clarifying legal policies will help realize the full benefits of PHRs. Widespread adoption also requires resolving questions over who pays for and controls PHR data. Further research is needed to understand how to best design PHRs and incentivize their use.
AMDIS CHIME Fall Symposium
Why should we care about integrating data? What should we be trying to achieve? Population Health. The Softer, Human Side of Being “Data Driven” not “Driven By Data." The New Era of Decision Support in Healthcare. Top 10 Challenges To Integrating External Data.
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EHRs, PHRs, & ARRA
- 1. EHRS, PHRs & ARRA Where We’ve Been, Where We’re Going Presentation at: IT & the Future of Managed Care: The Next Wave March 29, 2010, New York, NY By: John Moore, Managing Partner [email_address]
- 3. While Consumers Increasingly Go Online for Health Info… Now One of the Top Activities on the Net
- 4. Few Manage Health Records on Net Source: Forrester Research Q2’08 Survey n= 5,242 Today, Meager 3.3% iManage PHI
- 10. “Convergence” Personal, Actionable, Connected Value: About Me, By Me, With Me, For Me
Editor's Notes
- What is it Anytime/anywhere/any device SPIME (space & time) Personal Actionable Engaged Who is Customer All consumers How many use it Tens of millions When 2010-20??