"Health Information Exchange in Oregon – Where We Are & Where We Are Going"
Moderator: Eric McLaughlin, Project Manager, Cognosante
Abigail Sears, Chief Executive Officer, OCHIN
Sharon Wentz, RN, Business Development Coordinator, CareAccord
Laurie Miller, RHIT, CCS-P, HISP Administrator, Gorge Health Connect
Paula Weldon, Project Manager, Jefferson Health Information Exchange
Healthcare related data is 20 times more valuable to hackers than financial data. Therefore, measurements need to be taken to safeguard privacy straight from the point of design of systems, procedures and data exchanges that involve the use of medical information.
In my presentation about the safety of healthcare data I explore steps that can be taken to safeguard information within the UK's National Health Service and other private healthcare providers.
For more information contact: Slideshare@marcusevans.com
Presentation delivered by Joseph H. Schneider, MD, MBA, FAAP, Vice President and Chief Medical Information Officer and Medical Director, Clinical Informatics, North Texas, Baylor Scott and White Health at the marcus evans National Healthcare CMO/CMIO Summit 2015 at the Ritz-Carlton Buckhead Atlanta.
Aami hitech mu impact on the future on HC ITAmy Stowers
Relate the components of The HITECH Act and Meaningful Use to health management technology
Identify whether existing systems meet requirements
Communicate technology needs and request feedback from end users for a smooth transition
Implement best practices to move people and systems forward under these new requirements
Healthcare related data is 20 times more valuable to hackers than financial data. Therefore, measurements need to be taken to safeguard privacy straight from the point of design of systems, procedures and data exchanges that involve the use of medical information.
In my presentation about the safety of healthcare data I explore steps that can be taken to safeguard information within the UK's National Health Service and other private healthcare providers.
For more information contact: Slideshare@marcusevans.com
Presentation delivered by Joseph H. Schneider, MD, MBA, FAAP, Vice President and Chief Medical Information Officer and Medical Director, Clinical Informatics, North Texas, Baylor Scott and White Health at the marcus evans National Healthcare CMO/CMIO Summit 2015 at the Ritz-Carlton Buckhead Atlanta.
Aami hitech mu impact on the future on HC ITAmy Stowers
Relate the components of The HITECH Act and Meaningful Use to health management technology
Identify whether existing systems meet requirements
Communicate technology needs and request feedback from end users for a smooth transition
Implement best practices to move people and systems forward under these new requirements
Personal connected health is currently characterized by limited thought leadership, insufficient coordination and collaboration, and a lack of awareness and understanding of the full potential by all stakeholders: public, providers, policymakers, industry and patients. The Personal Connected Health Alliance is defining the the field of personal connected health to inspire market and policy innovation, research and collective action for sustained adoption of personal connected health technology. The vision is better health and well being for all through increased personal responsibilities and connectivity as well as improved care delivery enabled by technology.
More and more health economies across the globe are deploying Electronic Health Records with some countries reaching full adoption by 2017. This means we, as healthcare marketers, now have a vital new channel to reach and educate decision makers.
Improving Care Coordination with Big Data, Analytics and Technology - Paul Co...Paul Brian Contino
Medical Informatics Update: Analytics and Tools for Care Coordination
IBM Thomas J Watson Research Center
October 16th, 2013
The 2013 edition of the Medical Informatics Update is a joint effort between IBM Research and the Columbia University Center for Advanced Information Management. The general chairs for this workshop are Dr. Shahram Ebadollahi and Dr. Georges Hripcsak.
The potential of a digital health ecosystemVelametis
Our idea of digital health ecosystems and their potential to deliver value to all stakeholders involved, is changing. The COVID-19 pandemic accelerated the need to improve remote care, engagement tools and interconnectivity, which are all necessary to support a functioning digital ecosystem.
In this opinion piece, we touch upon the basic components of a Digital Health Ecosystem and how it can be optimised with health technology.
Content overview:
What is a Digital Health Ecosystem?
Why Do We Need Digital Health Ecosystems?
The Pros and Cons
The Potential
Digital Health Ecosystems to Watch
Download here:
https://velametis.com/the-potential-of-a-digital-health-ecosystem/
A look at SxSW Health 2015 through the eyes of the online health ecosystemW2O Group
Presentation shared as a part of the Mayo Clinic Social Media Health Network's monthly webinar for April, 2015. A look at the trends and topics that captured the hearts and minds of the global online health ecosystem.
Should healthcare be more digitized? Absolutely. But if we go about it the wrong way... or the naïve way... we will take two steps forward and three steps back.
In this 90-minute webinar, Dale Sanders, President of Technology at Health Catalyst describes the right way to go about the technical digitization of healthcare so that it increases the sense of humanity during the journey.
The topics Dale covers include:
• The human, empathetic components of healthcare’s digitization strategy
• The AI-enabled healthcare encounter in the near future
• Why the current digital approach to patient engagement will never be effective
• The dramatic near-term potential of bio-integrated sensors
• Role of the “digitician” and patient data profiles
• The technology and architecture of a modern digital platform
• The role of AI vs. the role of traditional data analysis in healthcare
• Reasons that home grown digital platforms will not scale, economically
Most of the data that’s generated in healthcare is about administrative overhead of healthcare, not about the current state of patients’ well-being. On average, healthcare collects data about patients three times per year from which providers are expected to optimize diagnoses, treatments, predict health risks and cultivate long-term care plans. Where’s the data about patients’ health from the other 362 days per year?
McKinsey ranks industries based on their Digital Quotient (DQ), which is derived from a cross product of three areas: Data Assets x Data Skills x Data Utilization. Healthcare ranks lower than all industries except mining. It’s time for healthcare to raise its digital quotient, however, it’s a delicate balance. The current “data-driven” strategy in healthcare is a train wreck, sucking the life out of clinicians’ sense of mastery, autonomy, and purpose.
Healthcare’s digital strategy has largely ignored the digitization of patients’ state of health, but that’s changing, and the change will be revolutionary. Driven by bio-integrated sensors and affordable genomics, in the next five years, many patients will possess more data and AI-driven insights about their diagnosis and treatment options than healthcare systems, turning the existing dialogue with care providers on its head. It’s going to happen. Let’s make it happen the right way.
Data Governance Talking Points: Simple Lessons From the TrenchesHealth Catalyst
About 7 months ago, one of Health Catalyst's clients asked for a 90-minute cram course on data governance, including time for questions and answers. They were struggling, like so many other healthcare organizations, caught in the swing of extremes from too much to too little, while equilibrium eluded them. With a last-minute rush, Dale Sanders (President of Technology, Health Catalyst) fell back on his time in the Air Force and threw together a talking points paper to facilitate the conversation. At the end of the meeting, the client was effusive with their appreciation, using words like “incredibly insightful,” “brilliant,” and “hugely valuable.” Dale didn’t think it was that good, but their data governance function was “dramatically better,” and they were happy, so something worked.
Since then, Dale has used the same talking points in two other similar meetings, with similar feedback and results. It still doesn’t feel that great or insightful to him, but he's glad to flow with the feedback and share the same style in this webinar in the hope that it’s useful.
After viewing this webinar, Dale hopes that you will have some tactical ideas to assess your organization’s data governance strategy. Are you leveraging the data you have? What could improve?
By: Karsten Russell-Wood, Philips Hospital to Home
At Sherbrooke International Life Sciences Summit - 2nd edition | September 28/29/30 2015
www.sils-sherbrooke.com
Interoperability is one of the most critical issues facing the health care industry today. A universal exchange language is needed to assist health care providers in sharing health information in order to coordinate diagnosis and treatment, while maintaining privacy and security of personal data. Health Information Exchanges (HIE) allow for the movement of clinical data between disparate systems; they enable providers to electronically share health records through a network. This presentation provides an overview of HIE and the Meaningful Use requirement related to the exchange of clinical information as well as information about standards of exchange and the recommended "next steps" for providers.
Personal connected health is currently characterized by limited thought leadership, insufficient coordination and collaboration, and a lack of awareness and understanding of the full potential by all stakeholders: public, providers, policymakers, industry and patients. The Personal Connected Health Alliance is defining the the field of personal connected health to inspire market and policy innovation, research and collective action for sustained adoption of personal connected health technology. The vision is better health and well being for all through increased personal responsibilities and connectivity as well as improved care delivery enabled by technology.
More and more health economies across the globe are deploying Electronic Health Records with some countries reaching full adoption by 2017. This means we, as healthcare marketers, now have a vital new channel to reach and educate decision makers.
Improving Care Coordination with Big Data, Analytics and Technology - Paul Co...Paul Brian Contino
Medical Informatics Update: Analytics and Tools for Care Coordination
IBM Thomas J Watson Research Center
October 16th, 2013
The 2013 edition of the Medical Informatics Update is a joint effort between IBM Research and the Columbia University Center for Advanced Information Management. The general chairs for this workshop are Dr. Shahram Ebadollahi and Dr. Georges Hripcsak.
The potential of a digital health ecosystemVelametis
Our idea of digital health ecosystems and their potential to deliver value to all stakeholders involved, is changing. The COVID-19 pandemic accelerated the need to improve remote care, engagement tools and interconnectivity, which are all necessary to support a functioning digital ecosystem.
In this opinion piece, we touch upon the basic components of a Digital Health Ecosystem and how it can be optimised with health technology.
Content overview:
What is a Digital Health Ecosystem?
Why Do We Need Digital Health Ecosystems?
The Pros and Cons
The Potential
Digital Health Ecosystems to Watch
Download here:
https://velametis.com/the-potential-of-a-digital-health-ecosystem/
A look at SxSW Health 2015 through the eyes of the online health ecosystemW2O Group
Presentation shared as a part of the Mayo Clinic Social Media Health Network's monthly webinar for April, 2015. A look at the trends and topics that captured the hearts and minds of the global online health ecosystem.
Should healthcare be more digitized? Absolutely. But if we go about it the wrong way... or the naïve way... we will take two steps forward and three steps back.
In this 90-minute webinar, Dale Sanders, President of Technology at Health Catalyst describes the right way to go about the technical digitization of healthcare so that it increases the sense of humanity during the journey.
The topics Dale covers include:
• The human, empathetic components of healthcare’s digitization strategy
• The AI-enabled healthcare encounter in the near future
• Why the current digital approach to patient engagement will never be effective
• The dramatic near-term potential of bio-integrated sensors
• Role of the “digitician” and patient data profiles
• The technology and architecture of a modern digital platform
• The role of AI vs. the role of traditional data analysis in healthcare
• Reasons that home grown digital platforms will not scale, economically
Most of the data that’s generated in healthcare is about administrative overhead of healthcare, not about the current state of patients’ well-being. On average, healthcare collects data about patients three times per year from which providers are expected to optimize diagnoses, treatments, predict health risks and cultivate long-term care plans. Where’s the data about patients’ health from the other 362 days per year?
McKinsey ranks industries based on their Digital Quotient (DQ), which is derived from a cross product of three areas: Data Assets x Data Skills x Data Utilization. Healthcare ranks lower than all industries except mining. It’s time for healthcare to raise its digital quotient, however, it’s a delicate balance. The current “data-driven” strategy in healthcare is a train wreck, sucking the life out of clinicians’ sense of mastery, autonomy, and purpose.
Healthcare’s digital strategy has largely ignored the digitization of patients’ state of health, but that’s changing, and the change will be revolutionary. Driven by bio-integrated sensors and affordable genomics, in the next five years, many patients will possess more data and AI-driven insights about their diagnosis and treatment options than healthcare systems, turning the existing dialogue with care providers on its head. It’s going to happen. Let’s make it happen the right way.
Data Governance Talking Points: Simple Lessons From the TrenchesHealth Catalyst
About 7 months ago, one of Health Catalyst's clients asked for a 90-minute cram course on data governance, including time for questions and answers. They were struggling, like so many other healthcare organizations, caught in the swing of extremes from too much to too little, while equilibrium eluded them. With a last-minute rush, Dale Sanders (President of Technology, Health Catalyst) fell back on his time in the Air Force and threw together a talking points paper to facilitate the conversation. At the end of the meeting, the client was effusive with their appreciation, using words like “incredibly insightful,” “brilliant,” and “hugely valuable.” Dale didn’t think it was that good, but their data governance function was “dramatically better,” and they were happy, so something worked.
Since then, Dale has used the same talking points in two other similar meetings, with similar feedback and results. It still doesn’t feel that great or insightful to him, but he's glad to flow with the feedback and share the same style in this webinar in the hope that it’s useful.
After viewing this webinar, Dale hopes that you will have some tactical ideas to assess your organization’s data governance strategy. Are you leveraging the data you have? What could improve?
By: Karsten Russell-Wood, Philips Hospital to Home
At Sherbrooke International Life Sciences Summit - 2nd edition | September 28/29/30 2015
www.sils-sherbrooke.com
Interoperability is one of the most critical issues facing the health care industry today. A universal exchange language is needed to assist health care providers in sharing health information in order to coordinate diagnosis and treatment, while maintaining privacy and security of personal data. Health Information Exchanges (HIE) allow for the movement of clinical data between disparate systems; they enable providers to electronically share health records through a network. This presentation provides an overview of HIE and the Meaningful Use requirement related to the exchange of clinical information as well as information about standards of exchange and the recommended "next steps" for providers.
Josephine Briggs, MD
Director
National Center for Complementary and Alternative Medicine
National Institutes of Health
Opening Keynote "Research in an IT Connected World: Building Better Partnerships – NIH and Health Care Systems"
The era of ‘Big Data’ has arrived for biomedical research, bringing with it immense challenges as well as spectacular opportunities. NIH is establishing major programs with the potential to transform the future of US biomedical research by building the capacities necessary for these challenges. These programs will strengthen research partnerships with health care systems and the IT networks that support them.
The Big Data to Knowledge (BD2K) initiative, to be launched in 2014, will implement a set of recommendations from the Data and Informatics Working Group to the Advisory Committee to the Director. Investments are planned to meet scientific needs to manage and utilize large complex datasets, including strengthening training, and investing in improved analysis methods and software development and dissemination. NIH is also evaluating strengthening data and software sharing policies, and the potential creation of catalogs of research data, and data/metadata standards.
The Common Fund’s Health Care Systems (HCS) Research Collaboratory program has the goal to strengthen the national capacity to implement cost-effective large-scale research studies by engaging major health care delivery organizations as research partners. The aim of the program is to provide a framework of implementation methods and best practices that will enable the participation of many health care systems in clinical research. Research conducted in partnership with health care systems is essential to strengthen the relevance of research results to health practice. Seven demonstration projects, currently in a feasibility phase, are developing detailed methods to implement rigorous randomized studies of questions of major public health impact. These studies, and the IT infrastructure that will make them possible, will be described in detail.
iHT2 Health IT Summit Atlanta 2013, Michael Matthews, Chief Executive Officer, MedVirginia, Central & Eastern Virginia's Regional Health Information Exchange , Case Study “Health Information Exchange: State and National Updates”
Semantic Interoperability in Health Information ExchangeTomasz Adamusiak
Presented at HIMSS14 Annual Conference & Exhibition, February 26, 2014, Orlando, FL.
http://www.himssconference.org/Education/EventDetail.aspx?ItemNumber=25331
Meaningful Use certification requires several large vocabulary standards for representing clinical facts in health information exchange. This presents unique challenges for semantic interoperability such as information loss in translating from and to internal data dictionaries, semantic drift, dealing with legacy content (e.g., ICD-9) and clinical information reconciliation.
Dr. Sean Rogers
Medical Director
Bend Memorial Clinic
Case Study "Using Health IT for PCMH, Accountable Care and Population Health"
Learning obectives:
∙ Discuss how Bend Memorial transitioned to the patient-centered medical home delivery model
∙ Understand the key healthcare IT solutions toward population health management
∙ Identify key technologies and registries for patient outreach and patient engagement
∙ Discuss the quality and outcomes achieved for Bend Memorial (reduced admissions, reduced ED visits, and enhanced chronic care management)
An overview of our favorite hypnotherapy quotes.Like many people, I seek inspiration in the thoughts and words of others. So much wisdom is created over a lifetime of experience that I wish people could bottle it up and pass it along directly to others.
What does the future look like? Is it a dark space where we’re suffering from varying degrees of techamphetamine or are we heading towards a Utopian fantasy of abundance and harmony?
Understanding that our basic human needs and wants barely change, we explore the future state of a range of topics; from our need for physical sustenance through to our age-long fascination of transcending the limitations of our biology.
Looking at the future from a human perspective, our potential for greatness is teetering on a fine line between darkness and hope. We’re banking on the latter.
WTF - Why the Future Is Up to Us - pptx versionTim O'Reilly
This is the talk I gave January 12, 2017 at the G20/OECD Conference on the Digital Future in Berlin. I talk about fitness landscapes as applied to technology and business, the role of unchecked financialization in the state of our politics and economy, and why technology really wants to create jobs, not destroy them. (There is a separate PDF version, but some readers said the notes were too fuzzy to read.)
ODF III - 3.15.16 - Day Two Morning SessionsMichael Kerr
Slide presentations delivered during morning sessions of Day Two of the California Statewide Health and Human Services Open DataFest - March 14 - 15, 2016, Sacramento, CA
In search of a digital health compass: My data, my decision, our powerchronaki
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/
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.
Consumerism, Innovation and Best Practices to Thrive in the Future of HealthJustin Barnes
May 1, 2019 University of Toronto, Dalla Lana School of Public Health, The Institute of Health Policy, Management and Evaluation (IHPME) Keynote speaker Justin Barnes, a health innovation strategist and co-founder of Health Innovation Think Tank, will provide yet another integral perspective focused on the ways in which we can scale up and implement evidence-based changes in health care technology on a global scale. Having testified before Congress on more than twenty occasions delivering statements on virtual care, alternative payment methods, consumerism, connected health and the globalization of healthcare, Justin offers thought leadership for the university, the healthcare community as well as other key stakeholders.
Consumer Driven Health – IHPME Research Day
Looks to the Future of Health Care
The trend towards consumer driven health, whether it be mobile apps, wearable devices, or easy access to electronic health records, is changing the landscape of our health care system and the way we think about care.
Emerging Standards and the Disruption of HIE 1.0Jitin Asnaani
Emerging standards in health information exchange, driven by the ONC and others, are going to change what health IT customers (hospitals, physicians, labs, etc) are going to pay for. This is an overview of those new standards, and my perspective on the implications for health technology companies, particularly EHR and HIE vendors.
Big data is more than just a buzzword in healthcare. It's the promise of being able to extract, cull, and interpret medical data to directly benefit population and individual health. learn more about the benefits of big data, roadblocks to leveraging it's potential, how Meaningful Use enablesbig data, what types of cross-country collaboration projects are advancing the use of big data on an international scale, big data's impact on patient privacy and much more! Special thanks to Mandi Bishop for her time on the podcast.
I was asked by the US Commerce department to attend and present at a roundtable that took place in Sofia, Bulgaria on February 27th. This roundtable included people from president's office, National Healthcare Fund, Patient Groups and key vendors. Bulgaria had many efforts to kickstart eHealth. This was an overview of US legislation and lessons learned as well as a look forward into healthcare innovation trendds
This Webinar is the second of a three-part series synthesizing successful practices to engage hard-to-reach populations into HIV primary care. Lessons are drawn from SPNS population-specific initiatives, and speakers will offer insights relevant to a wide range of audiences, from clinicians to social workers. Presenters discussed the use of data to improve inreach.
Jane Herwehe, DeAnn Gruber, Betsy Shepard, and Debbie Wendell; Louisiana Public Health Information Exchange (LaPHIE)
Peter Gordon, MD; New York-Presbyterian Hospital/Columbia University
Jesse Thomas; RDE Systems
Information systems for health decision making - a citizen's perspectiveErdem Yazganoglu
We make health decisions everyday. We get our information from the Internet. As a society we are investing large amounts of funding for the health information systems. In this presentation, I tried to look from the perspective of a citizen and tried bringing a different perspective.
Information+Integration ? Innovation an HL7/EFMI/HIMSS @eHealthweek2015 in Rigachronaki
Join us to explore “Interoperability in action: information + integration = innovation?” and engage in lively debate on how rethinking interoperability standards and continuing education can bridge divides, change cultures, and open markets!
Perspectives from health management, industry, government, health education, and standardization exemplify challenges and opportunities for liberation of data that can drive desired social and technological innovation.
This is a call for action to explore how the partnership of HL7, EFMI and HIMSS can catalyze the equation “information + integration = innovation” to bridge divides, change culture and open markets.
Similar to HIMSS Oregon Spring Conference - HIE (20)
The proposed Trusted Exchange Framework supports ONC’s goals of achieving nationwide interoperability:
Patient Access - Patients must be able to access their health information electronically without any special effort;
Population-level Data Exchange - Providers and payer organizations accountable for managing benefits can receive population level health information allowing them to analyze population health trends, outcomes, and costs; identify at-risk populations; and track progress on quality improvement initiatives; and
Open and Accessible APIs – The health information technology (health IT) community should have open and accessible application programming interfaces (APIs) to encourage entrepreneurial, user-focused innovation to make health information more accessible and to improve electronic health record (EHR) usability.
2015 Edition Proposed RuleModifications to the ONC Health IT Certification ...Brian Ahier
Presentation to April 7, 2015 Health IT Policy Committee:
2015 Edition Proposed RuleModifications to the ONC Health IT Certification Program and 2015 Edition Health IT Certification Criteria
Remarks to Public Forum on National Health IT PolicyBrian Ahier
On February 4, 2010 there was a public forum on the rollout of national HIT policy under HITECH, including "meaningful use," EHR certification, and HIE. Aneesh Chopra, at the time serving as Chief Technology Office (CTO) of the United States made some remarks.
FTC Spring Privacy Series: Consumer Generated and Controlled Health DataBrian Ahier
Increasingly, consumers are taking a more active role in managing and generating their own health data. For example, consumers are researching their health conditions and diagnosing themselves online. Consumers are also uploading their information into personal health records and apps that allow them to manage and analyze their data, and utilizing connected health and fitness devices that regularly collect information about them and transmit this information to other entities.
The movement of health data outside the traditional medical provider context has many potential benefits; however, it also raises potential privacy concerns. The seminar will address questions such as:
What types of websites, products, and services are consumers using to generate and control their health data, and how are consumers using them?
Who are the companies behind these websites, products, and services, what are their business models, and what does the current marketplace look like?
How can consumers benefit from these companies’ websites, products, and services?
What actions are these companies taking to protect consumers’ privacy and security?
What do consumers expect from these companies regarding privacy and security protections?
Do consumers differentiate between these companies and those that offer traditional medical products and services that are covered by HIPAA?
What restrictions, if any, do advertising networks and others impose on tracking of health data?
On February 19, 2014, the Federal Trade Commission staff hosted a seminar on Mobile Device Tracking.
The speakers discussed how retailers and other businesses have been tracking consumers’ movements throughout and around retail stores and other attractions using technologies that identify signals emitted by their mobile devices. While the technologies differ, many work by identifying and collecting the MAC address – which is unique to a particular device – broadcast when a mobile device searches for Wi-Fi networks. Companies can use these technologies to reveal information about consumers including the path taken throughout a location, length of time in one location, whether a visitor is new or returning, and the frequency of visits to a location. According to media reports, major retailers in the United States are using or have tested the technology in their stores in order to gain insights into the behavior of their customers.
In most cases, this tracking is invisible to consumers and occurs with no consumer interaction. As a result, the use of these technologies raises a number of potential privacy concerns and questions.
Big Data and VistA Evolution, Theresa A. Cullen, MD, MSBrian Ahier
Presentation to Open Source Electronic Health Record Alliance (OSEHRA) Architecture Work Group by Theresa A. Cullen, MD, MS
Chief Medical Information Officer
Director, Health Informatics
Office of Informatics and Analytics
Veterans Health Administration
Department of Veterans Affairs
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
1. HIMSS OREGON – Spring Conference 2013
Health Data Exchange in
What’s Going On?
www.ochin.org
Presented by:
Abby Sears
CEO
Spring Conference 2013
Data Exchange in Oregon:
What’s Going On?
www.ochin.org
Presented by:
Abby Sears
CEO
2. Agenda
• Beyond EHR:
– Who is OCHIN?
– What we do
• An Awakening: Clinical vs. Claims Data
• HIE: Short-term vs. Long-term
Clinical vs. Claims Data
term
3. Who is OCHIN?
• Our goal is simple: to provide solutions to promote
access to quality, affordable health care for all.
• One of the nation’s largest and most successful
Health Information Networks
• Oregon’s Regional Extension Center (REC)
• NEW! Oregon Health Network• NEW! Oregon Health Network
Our goal is simple: to provide solutions to promote
access to quality, affordable health care for all.
One of the nation’s largest and most successful
etworks
Oregon’s Regional Extension Center (REC)
NEW! Oregon Health NetworkNEW! Oregon Health Network
4. What we do
• We are a nonprofit organization that touches 4,500
physicians with:
• Hosted Services & Solutions
• Connectivity (Network Services)
• Consulting• Consulting
• Research
• Federal and State Program Management
• Outreach and Communications
• Thought Leadership
• Advocacy
• And more…
organization that touches 4,500
Connectivity (Network Services)
Federal and State Program Management
Outreach and Communications
5. What we do
Connect communities through the advancement andConnect communities through the advancement and
adoption of telemedicine and long
study of clinical and operational workflows
Enable providers, staff, and leadership
improvement goals and system
study of clinical and operational workflows
Install and optimize a wide range of Health IT products
programs for vulnerable patient populations
adoption of telemedicine and long
programs for vulnerable patient populations
Participate in robust information exchange
members, across care regions, and with state and federal
agencies
Implement innovative clinical and health science best
practices via practice-based research
Combine data from disparate data systems: GL, clinic,
claims, social
Connect communities through the advancement andConnect communities through the advancement and
and long-distance health
study of clinical and operational workflows
Enable providers, staff, and leadership to achieve quality
improvement goals and system optimization through the
study of clinical and operational workflows
a wide range of Health IT products
programs for vulnerable patient populations
and long-distance health
programs for vulnerable patient populations
Participate in robust information exchange among
, across care regions, and with state and federal
Implement innovative clinical and health science best
research
from disparate data systems: GL, clinic,
6. A New Future: High quality care, anywhere
Then (& Now)…
• Core operational
infrastructure systems
operate in siloes
• Decision and
policymakers not focusedpolicymakers not focused
on broader context
• Health IT used only by
those with money &
resources
• Health IT viewed as
optional
A New Future: High quality care, anywhere
The FUTURE of IT
• Core operational
infrastructure systems
are fully integrated
• Decision and policymakers
use clinical data for broaderuse clinical data for broader
context
• High quality transformative
Health IT and data is
available to all
• Health IT is a core
requirement
7. If you were to design tomorrow
would it look like
If you were to design tomorrow – what
8. The Health Neighborhood
• Data Integration
• Technical Integration
• Workflow Integration
• Health Print
– Medical
– Behavioral
– Social– Social
• Health Home
– Accountability
– Member activation
– Care coordination
The Health Neighborhood
9. HIT: Short-term (1-3 years)
• There is no one, “out-of-
• What exists
– No EHR solution is perfect and/or incorporates required
mental, dental, patient engagement, reporting needs, etc.
• What’s needed (at this point
– Leverage what exists to design an interim HIE solution to– Leverage what exists to design an interim HIE solution to
get HCPs to the next phase of coordinated care
• Beware of vendors that sell “proven”
• Build for the future with trusted
3 years)
-the box” solution
No EHR solution is perfect and/or incorporates required
mental, dental, patient engagement, reporting needs, etc.
What’s needed (at this point-in-time)
Leverage what exists to design an interim HIE solution toLeverage what exists to design an interim HIE solution to
get HCPs to the next phase of coordinated care
Beware of vendors that sell “proven”
solutions
Build for the future with trusted
partnerships
12. HIT: Short-term (1-3 years)
• What OCHIN is doing
– Piloting “transitional” infrastructure with
and share with others
• EHRs with Mental Health
• Incorporating claims & clinical data into new workflows and
reporting
– Business Intelligence/Analytics: Reporting solutions– Business Intelligence/Analytics: Reporting solutions
– Piloting national HIE approaches that are sustainable
3 years)
Piloting “transitional” infrastructure with CCOs to replicate
Incorporating claims & clinical data into new workflows and
Business Intelligence/Analytics: Reporting solutionsBusiness Intelligence/Analytics: Reporting solutions
Piloting national HIE approaches that are sustainable
13. HIE: Long-term (3+ years)
• Industry is coming; Get ready to support and plug
into a national HIE/IT infrastructure
– What exists/what is under development?
– What’s really needed?
– How to prepare
» Cloud computing is coming to healthcare» Cloud computing is coming to healthcare
» National broad reaching solutions that are not regional
term (3+ years)
Industry is coming; Get ready to support and plug
into a national HIE/IT infrastructure
What exists/what is under development?
Cloud computing is coming to healthcareCloud computing is coming to healthcare
National broad reaching solutions that are not regional
14. So Who is OCHIN
We provide solutions to promote access to quality,
affordable health care for all.
Innovatively applying technology
Research to improve health outcomes and deliver costs effective care
Hosted solutions
Professional services
e provide solutions to promote access to quality,
affordable health care for all.
Innovatively applying technology
Research to improve health outcomes and deliver costs effective care
19. ● No-cost Direct Secure Messaging services through 2013● No-cost Direct Secure Messaging services through 2013
● Registration Process enhanced with a “Bulk upload” capability for
individual and delegate accounts
● 2.0 Deployment anticipated → Provider Directory Admin Privileges
22. Vision: ScalableTrust and Policy
Wsctrust.org
● 8 Core states, 7 satellite states
● Creating policies and procedures that lay groundwork
for safe interstate transfer of health information
● Pilot work: Oregon, California, Alaska
Vision: ScalableTrust and Policy
Framework that eliminates barriers to HIE
23. HIMSS/ONC Interoperability Showcase March 2013
Coordinating Care Across State Lines
Creating trusted HISP communities
Managing community membership
Distributed Provider Directories
26. “In 2007, the Oregon Legislature passed
POLST (Physician Orders for Life-SustainingTreatment)
Registry: Form submission to the Registry
“In 2007, the Oregon Legislature passed
Senate Bill 329 (State Health Fund Board), and
in 2009 passed HB 2009 as part of Oregon's
health care reform efforts, enabling Oregon to
launch the nation's first 24-hour electronic
POLST Registry on December 3, 2009. First
responders and providers are able to call the
registry from the field and be informed of a
patient's POLST orders.”
27. “Embrace a model of information symmetry, in
which the patient and the clinician are partners,
collaborating around the patient’s health.”
“Information is freely exchanged because
hoarding information bestows no power and runs
counter to the common goal.”
“How can patients be expected to take care of
themselves if they don’t have access to their own
health information?”
“In the U.S., patient have been guaranteed
access to their medical records since the HIPAA
Privacy Rule became effective in 2003, although
not always without friction and burdensome
costs.”
33. GHC has Board representation from:
• Columbia Gorge Community College
• Providence Hood River Hospital
• Mid-Columbia Medical Center
• One Community Health (La Clinica Del Carino)• One Community Health (La Clinica Del Carino)
• Mid-Columbia Surgical Specialists
• Mid-Columbia Center for Living
• North Central Public Health District (Wasco,
Sherman, Gilliam Counties)
• Hood River County Public Health Department
34.
35. Health Resources and Services
Administration - 2009
• Network Development Grant
• GHC intends to use this planning year to
establish the governance structure of the
network in greater detail through a strategicnetwork in greater detail through a strategic
planning process which includes refining a
mission statement and identifying key
strategic goals for group.
36. Grouped Resources - 2010
• Governance
By-laws and officers
• HRSA Technical Assistance
Member expectationsMember expectations
Deliverables
ID Stakeholders
• Community Needs Assessment
EHR utilization
Workforce training
Connectivity
37. Grouped Resources - 2011
• Electronic Health Records: A Tutorial
– Dr. Michal Kirshner, DDS, MPH - Oregon Tech
• Crucial Conversations- Board Retreat
– Vital Smarts: Crucial Conversations 2-day training– Vital Smarts: Crucial Conversations 2-day training
workshop
• Non-Profit Status
– Organized as a 501(c)(3)
• ONC and Oregon HITOC
– Workgroup and Panel Positions
• The Direct Trust- Original Seating Board position
38. Direct Trust
• Non-profit, competitively neutral, self-regulatory entity created by and for
Direct community participants.
• Establishing and maintaining a national Security and Trust Framework (the
“Trust Framework”) in support of Directed exchange.
– A set of technical, legal, and business standards for Directed exchange
– Expressed as policies and best practices recommendations, which members of– Expressed as policies and best practices recommendations, which members of
DirectTrust agree to follow, uphold, and enforce.
• Leveraging the Trust Framework for a Direct Trusted Agent Accreditation
Program, DTAAP, with EHNAC, for HISPs, CAs, and RAs, as well as their
clients.
• Complementary and subject to, as well as supportive of, the governance
rules, regulations, and best practices for the Direct Project and the NwHIN,
promulgated by HHS and ONC, and the mandates of the HITECH act.
39. Direct Project Pilot - 2011
• Demonstrated one of the 1st Direct Project pilots
• Pilot used Medicity HISP services to demonstrate
these use cases:
– summary care records and results between PCP and– summary care records and results between PCP and
specialists
– transmitting PCP referrals and summary care records to
hospitals
– sending discharge information from hospitals back to
referring PCPs
• http://www.gorgehealthconnect.org/directproject/
40. Grouped Resources – 2012
• The Dalles Google Data Centers Grants Fund
of Tides Foundation to introduce participants
to HER. 77% pursue HIT Information/Training
– HIT Workforce Development Curriculum
– OpenEMR
– My HealtheVet- Blue Button
• Oregon Connections Telecommunications
Conference
• iNexx Deployment
41. Here today! The Developing Three-Party Approach:
Federated Identity Management
Identity
(Verification)
Relying
Relying
Party
ATM Example
10
Identity
Provider Relying
Party
Subject
(Bank A)
(ATM Card) (ATM Card)
(Bank B)
Relying
Party
(Bank C)
(Bank D)
42. GHC -Federated Model
• Participating organizations in a Federated HIE
retain control of their healthcare information
and responds to queries when information is
requested, likewise sent.requested, likewise sent.
• A Centralized HIE collects information from
participating organizations and stores the
information in a centralized place to provide
access.
43. • Resilient awarded 12 month, $2M
grant to pilot innovative solutions for
both healthcare and education
National Strategy for Trusted Identities in
Cyberspace
National Strategy for Trusted Identities in
Cyberspace
• Signed by the President in 2011
• Create new Identity Ecosystems
to assure security and privacy
Identity Ecosystems
both healthcare and education
• Trust Network will connect over
15 nationally recognized leaders for
identity, policy and online content
• Goal is to commercialize solutions
and capabilities for rapid adoption by
public / private sectors
• Pilot grants and an adoption
requirement for .Gov websites
44. Goals of the NSTIC Pilot
Healthcare: Patient-Centered Coordination of Care (PCC)
Enable trust for sensitive healthcare transactions on the Internet
Provide secure, multifactor, on-demand identity proofing and authentication
across multiple sectors, at national scale
Implement an identity ecosystem encompassing patients, physicians and
staff which facilitates coordinated care through secure, HIPAA-compliant
access to:access to:
Electronic referral and transfer of care messaging
Advanced, on-demand decision support service
Commercialize solutions and underlying capabilities, beyond Year 1
EXCHANGE PARTNERS
La Clinica del Carino and San Diego Beacon Community
45. Healthcare: Patient-Centered Coordination of Care
Highlights of Pilot
• Populations of seasonal agricultural
workers from SD work and received
care in Oregon too
• Identity matching and policy
enforcement enables coordination
• Enable NwHIN Direct messaging
across HIE platforms and state lines
• Novel, cloud-based decision support
available to doctors in both states
Pilot Sites & HIE Software:
Decision Support Partners:
• On-demand, privacy-preserving
authentication and authorization
• Commercialized identity matching,
secure messaging & cloud-based
decision support can scale rapidly
Identity & Attribute Providers:
Advisors on Governance / Protocols / Policy: Principal Investigator
Dr. David Hartzband, D.Sc.
CTO, Resilient Network
Systems
47. Two Key Questions We’re Trying to Address
For Online Transactions
• “Who are you?” (Identification)
– Assigning attributes to individuals (or companies, or
devices)
• Name, address, age, status (e.g., student or faculty), company, authority, credit rating, gender,
model number, serial number, etc.
• A one-time (offline or online) process called “identity proofing”
– Issuing a credential
16
– Issuing a credential
• Drivers license, passport, ATM card, UserID, digital certificate, smart card, etc.
– Typically a one-time event
• “How can you prove it?” (Authentication)
– Verifying that the person online is the person previously
identified
– Correlate a person to a credential (drivers license, UserID,
etc.) via an authenticator (e.g., picture, password, etc.)
48. Moving Forward
Connected at the HISP
• Connected with Jefferson HIE
• NSTIC connect with San Diego Beacon• NSTIC connect with San Diego Beacon
• Working to connect with Care Accord
• Provider needs
– Workforce training – workflow
• Explore network needs and infrastructure
49. GHC- Accreditation Forerunner
The Electronic Healthcare Network Accreditation
Commission (EHNAC), a non-profit standards
development organization and accrediting body, hasdevelopment organization and accrediting body, has
partnered with Direct Trust to create a national
accreditation program for:
• Health information “trusted agent” service providers,
• Health information service providers (HISPs),
• Certificate authorities (CAs) and
• Registration authorities (RAs)
50. Connecting Southern OregonConnecting Southern Oregon
HIMSS Oregon 2013 Spring ConferenceHIMSS Oregon 2013 Spring ConferenceHIMSS Oregon 2013 Spring ConferenceHIMSS Oregon 2013 Spring Conference
April 22,April 22,April 22,April 22, 2013201320132013
Paula Weldon
Project Manager, JHIE
51. To create an environment where
patients get the highest quality
health care at the lowest cost
because everyone involved inbecause everyone involved in
their care is connected through
a secure, user-friendly and
efficient source of information
that follows the patient.
54. Asante Health System
◦ Three Rivers Community Hospital (Grants Pass)
◦ Rogue Regional Medical Center (Medford)
Sky Lakes Medical Center (Klamath Falls)
Providence Health and ServicesProvidence Health and Services
◦ Providence Medford Medical Center (Medford)
Mid-Rogue IPA (MRIPA)
Primary Care and Specialty Clinics in Medford,
Grants Pass and Klamath Falls
55.
56.
57.
58. Phase III Considerations
◦ Data de-identification
◦ Reporting parameters
◦ Acceptable use of aggregate data
59. State of the Art technology to protect patient
data
Federal and State compliant policies and
procedures that protect patient rights and
control access to information based on needcontrol access to information based on need
to know
User training to reinforce appropriate use
Monitoring usage to ensure patient privacy
Sanctions for misuse
60. Non-Profit Corporation
Multi-Stakeholder Decision-Making
◦ Hospitals
◦ Physicians & Independent Physician Associations
Primary Care and Specialists
◦ Health Plans and CCOs◦ Health Plans and CCOs
◦ Community Health Agencies & Clinics
◦ Community Organizations & Patient Advocates
Board and Committees
◦ Providers
◦ Patients
◦ Governance and Policy
o Finance
o Technology
61. Ensuring that all participants have representation in
the decision-making process, including:
◦ Definition of services and functions
◦ Definition of policies governing data use
Equitable participation in the cost to implement
and maintain the HIEand maintain the HIE
◦ Move to next phase only when adequate revenue to support
Focus on workflow change to support use
Focus on growing data sources
◦ Hospitals and health care facilities
◦ Physicians and other health care providers