Presentation on Meaningful Use and EMR in Research
January 25, 2012
Last week I was invited to present to a medical school class on bioinformatics. My topic included EMR data standards, meaningful use and the use of EMR data in research. The session was very interactive and not totally captured in the slides. The challenge was presenting to medical students who are used to group activities, case studies and a research-based curriculum.
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Who Owns Your Data?
January 23, 2012
In a radio interview from Inside the Media, Hugo Campos, an e-Patient with an implanted defibrillator (ICD), talked about his desire to have the data from his device. His logical argument is that the device is now part of his body and so he should have the right to the data from the device. So far he has been unsuccessful in getting his provider or the manufacturer to assist him with this. While rights to one’s own health data is becoming a reality through the Affordable Care Act and Meaningful Use and through initiatives like the Blue Button, device data is new territory. One could argue that the data is too complex for the lay person to analyze but that is the same argument which was made not so long ago about medical records in general. With the growth of apps and health information on the web, complex medical data is becoming more accessible.
This new territory needs more discussion. See the comments on the podcast page. Also, you can follow Hugo on the ICD Users blog.
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Mobile Devices, Patient Self-monitoring and Clinical Workflow
January 11, 2012
This is the topic of my new blog post on HealthWorks Collective. Already received lots of traffic on Twitter and lots of views. Would like to see more about mobile standards in health care from Motorcycle Guy and others.
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What am I working on? Check my Bookmarks
January 7, 2012
I am glad that Delicious is still around and being enhanced. I have used it for years to organize and tag my bookmarks. Now with almost 1200 bookmarks and several hundred tags, I often search my links to find a resource for a presentation or article. Recent links include:
- West Wireless Health Institute which has a good handle on new care delivery models
- Secondary Uses Service, description and and access. | The NHS Information Centre - glad to see the National Health Services is utilizing EMR data for quality and research
- National Center for Advancing Translational Sciences or NCATS - the new NIH center replacing the NCRR which inlcudes the Clinical and Translational Science Awards which I am now a part of
- A post on O’Reilly Radar - Epatients: The hackers of the healthcare world
- Eye on FDA - the new FDA blog
- CIRD – Partners HealthCare Clinical Informatics R & D
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2012 Predictions for Health IT
January 2, 2012
Like others (see Daniel Kraft) , I have my own opinions about what trends will be most influential for health IT in 2012.
- Big Data and real-time analytics and decision support – IBM Watson and Explorys are in this space, others will follow and adoption will grow enabled by cloud computing, NOSQL/Hadoop and natural language processing
- Continued focus on EMR adoption as more health systems pursue meaningful use. This will again be the main focus at HIMSS as well as other conferences
- Social media in health care will continue to grow among patients as the e-Patient movement continues to gain in strength and public awareness and as advocates like the Reshape Innovation Center find creative uses to influence the future of health
- Mobile health and apps usage will expand but what is needed is a way to integrate personal health information, such as, PHRs and apps that promote wellness and disease management. For health care professionals, apps and mobile devices need to be integrated into clinical workflow rather than being an adjunct or distraction
- Research will be further enabled by EMR data as more academic medical centers develop data warehouses for research and quality studies and as initiatives like QueryHealth make it possible to combine data across systems and states using health information exchange and other tools
There are many more but these are the primary one’s I will be following.
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2012 Predictions – Analytics
December 29, 2011
There are many top 10 predictions for 2012 out there. I could probably add my own for eHealth and mHealth.
These 10 Business Intelligence Trends for 2012 from Tableau Software apply to healthcare as much as any business.
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Year in Review – 2011 Accomplishments
December 27, 2011
In addition to having a great year traveling and presenting, I had additional accomplishments:
- Appointed as the Co-director for Biomedical Research Informatics for the Clinical and Translational Science Collaborative, an NIH funded program through the Case Medical School
- Joined the Editorial Board of Tech Now Briefs of the American Association of Medical Colleges
- Invited to contribute to a theme issue on social media for Frontiers from the American College of Healthcare Executives
- Became a featured blogger for HealthWorks Collective
- Appointed as a reviewer for HIMSS 2012 abstracts – a new role for me
- Authored chapter on eResearch to a book on medical informatics to be ePublished in 2012
- Celebrated 30 years as an employee at Cleveland Clinic
- Leading a project to develop a clinical data warehouse for research
- Approaching 1000 connections on LinkedIn (969)
- 2881 followers on Twitter
- Klout score hovering around 42
- Invited to be on the advisory board of a health related startup
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Year in Review – Travel
December 26, 2011
It was a big year for traveling to conferences:
- February – HIMSS Annual Conference in Orlando – spoke at the Social Media center twice and presented on a panel on social media
- March – AMIA Clinical Research Informatics Summit in San Francisco. Two podium presentations (CKD Registry and REDCap business model) and two posters
- April – attended TEDx Maastricht in the Netherlands and a side trip to UMC Radboud in Nimegen.
- April – ACRT meeting (Association for Clinical Research Training) in Washington, DC – panel presentation on REDCap.
- May – Patient Experience Summit at Cleveland Clinic with Enoch Choi presenting
- June – consulting at a hospital in Michigan on data warehousing
- September – Medicine 2.0 Congress in Palo Alto, CA. Poster presentation
- October – American Association of Medical Colleges meeting on Big Data in Washington, DC
- October – Clinical and Translational Science Awards Informatics meeting at the National Institutes of Health. Bethesda, MD – poster presentation
- October – Panel at Case Medical School, Cleveland on Social Media in Clinical Trials
- November – Senior Workers Conference in Minneapolis, MN – presentation on Social Media and Electronic Medical Records
- December – Center for Health Services Research and Policy at MetroHealth Medical Center, Cleveland, on Disease Registries using EMR Data
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Distracted Doctors – Living in an App World
December 19, 2011
The NY Times article on how devices are distracting doctors certainly rings true as hospitals push patient safety and preventing data breaches. New devices, specifically smart phones and tablets (especially the iPad) are becoming pervasive in hospitals and outpatient settings often outside of the control of hospital IT departments. Medical schools as well attempt to increase awareness of the risks while evaluating the advantages of these devices.
One aspect of smart devices yet to be addressed is, does the app model in iOS and Android devices fit with medical practice. Part of the purpose of integrated EMRs is to bring all of the information to the user in one place. This increasingly includes CPOE and embedded clinical decision support tools. But an app model requires the user to jump from one app to another to acquire the information needed. This is a classic dilemma of an integrated application/portal (EMR) versus a better user experience (apps). Which works best for physician workflow? When will EMRs look more like apps?
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Recently Published – Article for the American College of Healthcare Executives
December 16, 2011
I have an invited article in the current issue of the ACHE Frontiers theme issue on social media in healthcare. My article is titled, “Brand Awareness and Engagement: A Case Study in Healthcare Social Media.” With the help of my colleagues at Cleveland Clinic in Marketing, Communications and CME, I present an overview of some of the successful uses of social media Cleveland Clinic has deployed including the standard Twitter, Facebook and LinkedIn sites plus a very active YouTube channel with over 800 videos. Online chats and some new blogs for heart care and rheumatologist are also discussed.
Among the many uses of social media here, I personally think how patients and families engage with a large, academic medical center through Facebook demonstrates engagement best – they use it as a vehicle to show how grateful they are for the medical care and kindness of our physicians and nurses.
This publication is primarily for members of the ACHE but can be purchased. The five articles are a great overview of social media in healthcare currently and could provide a helpful introduction to healthcare leaders in your institutions.
