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Monthly Archives: June 2011

Why Say No to Paper Medical Records?


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Why should doctors and patients across the US should “just say no” to paper charts?

  • Illegible handwriting on medical documents kills 7,000 people a year.3.2 billion prescriptions are sent annually – the majority still written on paper.
  • Managing paper charts, from transcriptions to labor needed to pull and re-file charts, costs medical practices $116,375 a year on average.
  • Paper charts are vulnerable to being lost, stolen or destroyed in a disaster. EMRs make patient records securely accessible anywhere, anytime when needed.
  • Physicians using Practice Fusion’s EMR save valuable time by charting digitally. Dr. Lynn McCallum, a family physician in Redding, CA, says charting in real-time saves her two to three hours a day.
 
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Posted by on June 24, 2011 in medical

 

Emerging Technologies and The Future of Healthcare: Video


Dr. Kent Bottles spoke at CPM’s 2011 Client Symposium on emerging technologies and the future of healthcare. Hear some of his thoughts on mobile health, social media strategy, computer simulation and other emerging technologies that have the potential to change the face of healthcare.

 
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Posted by on June 24, 2011 in medical

 

The Future Of Medicine


Meaningful use of ever increasing medical data, mobile monitoring devices, personalized medicine, Telemedicine, HCSM and lots more! The future of medicine is going to be mind blowing.

Daniel Kraft offers a fast-paced look at the next few years of innovations in medicine, powered by new tools, tests and apps that bring diagnostic information right to the patient’s bedside.

 
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Posted by on June 22, 2011 in medical

 

U.S. and Global Survey of Health Care Consumers 2011: Key Findings


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In the United States, three in four (75 percent) consumers say the recent economic slowdown has impacted their health care spending.

In an effort to save money, 36 percent of prescription medication users say they asked their doctor to prescribe a generic drug instead of a brand name drug.

Between 4 in 10 and 5 in 10 respondents experienced an increase in household spending on health care in the past year with the exception of the United Kingdom (22 percent), Canada (29 percent) and China (37 percent).

Consistently throughout the 12 countries surveyed, many consumers see their health care systems as wasteful, with redundant paperwork, individuals not taking responsibility for their own health, and defensive medicine being the top causes of wasteful spending.

Less than one in five consumers surveyed say they maintain a personal health record (PHR) electronically, with the exception of consumers in China where one in three have such a record.

Consumers are open to alternative approaches to traditional health care, such as visiting retail clinics or traveling outside their local community for care.

 
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Posted by on June 21, 2011 in medical

 

Medical Simulations in Emergency Medicine : Study


Using virtual reality or simulations in medical training can be a wonderful tool. Especially in medical situations which are difficult to replicate with possibilities of making errors during training. A recent prospective observational study on use of virtual simulation technology in emergency medicine is revealing of the open acceptance of such tools by young medical professionals.
Twenty seven EM residents of the Ohio State University completed mock oral examinations in a traditional format, conducted face to face with a faculty examiner. All residents were invited to participate in a similar case scenario conducted via Second Life for this study. The examinee managed the case while acting as the physician avatar and communicated via headset and microphone from a remote computer with a faculty examiner who acted as the patient avatar. Participants were surveyed regarding their experience with the traditional and virtual formats using a Likert scale.
None of the examinees had used SL previously. SL proved easy for examinees to log into (92.6%) and navigate (96.3%). All felt comfortable communicating with the examiner via remote computer. Most examinees thought the SL encounter was realistic (92.6%), and many found it more realistic than the traditional format (70.3%). All examinees felt that the virtual examination was fair, objective, and conducted efficiently. A majority preferred to take oral examinations via SL over the traditional format and expressed interest in using SL for other educational experiences (66.6 and 92.6%, respectively).

View Full Article with Supporting Information (HTML) ACADEMIC EMERGENCY MEDICINE 2011; 18:559–562 © 2011 by the Society for Academic Emergency Medicine

Do check out eMedsimulations , an innovative medical eLearning company from Rhode Island with development center in Mumbai, India.

Also See:

Learning in a Virtual World: Experience With Using Second Life for Medical Education

The results of this pilot suggest that virtual worlds offer the potential of a new medical education pedagogy to enhance learning outcomes beyond that provided by more traditional online or face-to-face postgraduate professional development activities.
 
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Posted by on June 18, 2011 in medical

 

When HIPAA applies to mobile applications


 

The HIPAA Rules only apply to HIPAA “covered entities” and their “business associates.” They do not apply to health care consumers or to other types of entities. Covered entities include health plans (including employer-sponsored group health plans), entities known as health care clearinghouses (which convert health care claims and other administrative transactions into or from a standard format), and health care providers — but only if the health providers electronically conduct certain transactions, such as submitting claims to health plans electronically. A business associate is an entity that handles “protected health information” on a covered entity’s behalf, such as a health information exchange organization sharing health information on behalf of a health care provider, or a pharmacy benefit manager operating a health plan’s prescription benefit.

Additionally, the HIPAA rules only apply to “protected health information,” information that identifies an individual and that relates to an individual’s physical or mental health, health care services to the individual, or payment for such health care services.

 

 
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Posted by on June 18, 2011 in medical

 

Next Step in EMRs: Automated de-identification of free-text medical records


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Text-based patient medical records are a vital resource in medical research. In order to preserve patient confidentiality, however, the U.S. Health Insurance Portability and Accountability Act (HIPAA) requires that protected health information (PHI) be removed from medical records before they can be disseminated. Manual de-identification of large medical record databases is prohibitively expensive, time-consuming and prone to error, necessitating automatic methods for large-scale, automated de-identification.

 

We have developed a pattern-matching de-identification system based on dictionary look-ups, regular expressions, and heuristics. Evaluation based on two different sets of nursing notes collected from a U.S. hospital suggests that, in terms of recall, the software out-performs a single human de-identifier (0.81) and performs at least as well as a consensus of two human de-identifiers (0.94). The system is currently tuned to de-identify PHI in nursing notes and discharge summaries but is sufficiently generalized and can be customized to handle text files of any format. Although the accuracy of the algorithm is high, it is probably insufficient to be used to publicly disseminate medical data. The open-source de-identification software and the gold standard re-identified corpus of medical records have therefore been made available to researchers via the PhysioNet website to encourage improvements in the algorithm.

BMC Medical Informatics and Decision Making

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Posted by on June 17, 2011 in medical