Will physicians use an EMR? Will healthcare use an EHR? Will patients use a PHR? And will these forms of digital health records be massively adopted?
Moving from a paper to a digital record brings issues of interoperability and distinguishability. In a paper world, form, presentation and content have been understood for thousands of year. Paper [...]
If this equation has some validity, then the complexity of the health cloud may be inferred from the number of potential exchange transactions. Here the HIE (exchange transactions) term, a surrogate measure, will be replaced by interoperability. The equation is reformulated as:
Complexity = Entities × xHRs1 × Interoperability
In terms of a complexity scale, the lowest [...]
Patient X was contacted by his personal physician yesterday, he reports that his potassium is high. Patient Y is on three medications: the diabetes one, the blood pressure one and the cholesterol one. Patient Z has been vomiting and urinating blood for months and has had several tests performed with unknown results. These are common [...]
Got a Target flyer in the mail today—local store just remodeled.
But to get to our local store at 5837 Sunrise Blvd, Citrus Heights (A) the directions would have us start at 2911 Jamacha Rd, El Cajon (B).
Two articles about Twitter caught my attention this week. One about Twitter becoming “mainstream.” The other about how Twitter might be used as a communication tool by terrorist. Why would typed communications limited to 140 characters go mainstream and be a tool for terrorists? Because Twitter has successfully created both a social-economy and a currency [...]
Excellent essay by Welch:
Both presidential candidates need to challenge the conventional wisdom about preventive medicine. They should ask whether the path to a healthy society is the one that turns those who are well into patients anxious about their future. They should inquire whether more diagnoses will lead to more unnecessary treatment. And they should [...]
In the ER, when you hear an incoming paramedic unit give report on the phone/radio and the paramedic is barely able to reframe from laughing—something is up. Patient arrives via ambulance with a complaint of being 7 ½ years pregnant. Our pregnancy test is negative. Her response is, “they’re always negative.” Have you seen your [...]
Thirty year old female has heavy shelving fall on top of head causing a scalp laceration. Due to ER crowding, the patient is seen rapidly by the physician–in–triage and has CT head and neck ordered. She is then placed in the waiting room for two hours, without a cervical collar, waiting for an exam room.
Should [...]
Stark introduces Health–e Information Technology Act: bill sets deadline for standards for HIT system developments, creates incentives for adoption, and includes strong rules for privacy protection
Clear Standards and Deadlines to Spur Development of Health IT Systems
Codifies the Office of the National Coordinator for Health Information Technology (ONCHIT, present) within the Department of Health and Human [...]
Once you have conceptualized and started using your personal cloud, you have to protect the content. Protection should utilize a combination of both online and offline storage, and incremental and archival backups.
Email Flow/Backup
General Flow/Backup
All email (incoming/outgoing) starts in a Gmail account (first online storage) and is auto–forwarded (copied) to MobileMe (creating a second online storage)
All [...]
