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Opinion: Do Electronic Medical Records Save Money?

Opinion: Do Electronic Medical Records Save Money? | #HITsm | Scoop.it

Editorial in The New York Times: Experts have long argued that computerized patient records will save the health system money by helping doctors reduce the number of redundant or inappropriate tests they order. A new study published in Health Affairs, disputes that, suggesting that office-based physicians who have access to electronic records of patient care are actually more likely to order additional imaging tests and laboratory tests than doctors who rely on paper record.


The study did not explore why. But its leader, Dr. Danny McCormick, an assistant professor at the Harvard Medical School, suggested that the ease of ordering tests and receiving results by computer may encourage doctors to order more tests than they would if they had to get results by phone and interpret blurry fax images.


The study’s authors argue that previous research that showed savings were done at leading medical centers with sophisticated technology. Many doctors’ offices buy off-the-shelf systems, primarily for billing purposes, that may not be able to track down redundancies or lack software to help doctors decide if a test is appropriate.


We still believe that widespread adoption of electronic medical records will improve care and reduce costs. It is also clear that many office-based physicians will need help in making the transition. No matter how adept doctors become with computerized records, they will need to be pushed to rein in excessive use of tests.

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20 Questions for Health IT #9: Health Tech & the Elderly

20 Questions for Health IT #9: Health Tech & the Elderly | #HITsm | Scoop.it
How can healthcare technology better serve the aging population? One in 5 Americans will be senior citizens by 2030, and we are all living longer.
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20 Questions for Health IT #8: Health IT Startups

20 Questions for Health IT #8: Health IT Startups | #HITsm | Scoop.it
Question from Hubert Zajicek, MD, executive director of Health Wildcatters: 'What trends do you see among health IT startups?'
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Is the average patient ready for telehealth? (Infographic)

Is the average patient ready for telehealth? (Infographic) | #HITsm | Scoop.it
iTriage infographic presents new research on people's awareness and use of telehealth and telemedicine services.
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20 Questions for Health IT #4: Joint Clinician/Patient EHR

20 Questions for Health IT #4: Joint Clinician/Patient EHR | #HITsm | Scoop.it
Bernadette Keefe, MD, asks 'How can an electronic health record (EHR) combine the formal record from clinicians with the patient’s ongoing chronicling of their health status?'
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FHIR Catching On as Open Healthcare Data Standard

FHIR Catching On as Open Healthcare Data Standard | #HITsm | Scoop.it
Fast Healthcare Interoperability Resources (FHIR) from standards development organization Health Level Seven is gaining momentum as an open healthcare data standard.
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20 Questions for Health IT #1: Personal Health Information Exchange

20 Questions for Health IT #1: Personal Health Information Exchange | #HITsm | Scoop.it

In what ways will personal health information exchange change patient engagement through individual ownership of the health record?

 

The first question in a month-long discussion on issues affecting health IT. Read more at the link and please contribute to the discussion!

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Focusing on Fun and Interactivity Can Improve Health Outcomes

Focusing on Fun and Interactivity Can Improve Health Outcomes | #HITsm | Scoop.it
Interactivity may be the secret to getting patients engaged. Doing is infinitely more interesting than being talked at or just handed information.
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The High Cost of the Sweet Life, by @leonardkish

The High Cost of the Sweet Life, by @leonardkish | #HITsm | Scoop.it
As we move toward digital health, the relationships between spending, environment, and other health determinants are becoming clear.
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HIMSS Rocks the Global Center for Health Innovation

HIMSS Rocks the Global Center for Health Innovation | #HITsm | Scoop.it
HIMSS Innovation Center at the Global Center for Health Innovation is a technology showcase for all– health IT companies, healthcare professionals and consumers.
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Assuring High Availability in Healthcare Interfacing

Assuring High Availability in Healthcare Interfacing | #HITsm | Scoop.it

High availability is a term used in the software industry to indicate that the application is available and running as expected a high percentage of the time. Availability is measured in percentage of up time for the system. For example, if a system has a 24-hour expected processing time and is down 17.5 hours per year, it has a 99.8% availability.

In a modern, connected healthcare environment, high availability is absolutely critical, yet there are still occasions – both planned and unexpected – that cause downtime.

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Epic defends interoperability bona fides | Healthcare IT News

Epic defends interoperability bona fides | Healthcare IT News | #HITsm | Scoop.it
In testimony before ONC's Health IT Policy Committee on Aug. 15, Epic President Carl Dvorak made his case that the EHR giant is far more engaged with data sharing than some critics would contend.
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Health Information Exchange in Tornado Alley, via HIMSS

Health Information Exchange in Tornado Alley, via HIMSS | #HITsm | Scoop.it

Emergency management and clinical crews providing treatment to victims need medical records and health information fast, often making a hospital or clinic’s decision to participate in HIE a true matter of life and death.  With health data safely stored digitally in a data center, data can be transferred in real time.  The continuity of care for patients does not have to be delayed or medical history considered unknown when determining which treatments to provide, because in many cases, the data is already available before the patient walks in the door.

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A $10,000 blood test?!? Yes, really.

A $10,000 blood test?!? Yes, really. | #HITsm | Scoop.it

Imagine walking into a hospital and being charged more than $10,000 for a blood test to check your cholesterol level. And going to another hospital in the same state and being charged $10 for the exact same blood test. That’s what a team led by a University of California San Francisco researcher found when it looked at the prices California hospitals charge for 10 common blood tests.

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Health IT Interoperability Requires Industry Collaboration - InformationWeek

Health IT Interoperability Requires Industry Collaboration - InformationWeek | #HITsm | Scoop.it
For data and systems interoperability to become widespread, both government and private stakeholders must clear roadblocks.
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Answer to 20 Questions #6: Optionality vs Extensiblity from Grahame Grieve

If 2 applications don’t share the same set of use cases, then there won’t be any interoperability between them, or it will be fitful – like pasting content between word and a browser and vice versa – it kind of sorta works. Most of the time, but you’ll often have to manually fix it for things that didn’t work how you wanted it to. In these cases, the choice of optionality vs extensibility is moving deck chairs around on the titanic, and there’s not much you can do. Read more...

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20 Questions for Health IT #6: Optionality vs Extensibility in Standards

20 Questions for Health IT #6: Optionality vs Extensibility in Standards | #HITsm | Scoop.it
What effect is the large selection of standards and technology in the health IT domain having on interoperability? Do we need to eliminate optionality and focus more on extensibility?
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A day at Burning Man, visualized through health tracker data (in 3 charts)

A day at Burning Man, visualized through health tracker data (in 3 charts) | #HITsm | Scoop.it
Here's a glimpse of a day at Burning Man as seen through my health tracker, the Basis, which records movement, heart rate, activity, and sleep.
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20 Questions for Health IT #2: The Interoperability Blame Game, via @DonFluckinger

20 Questions for Health IT #2: The Interoperability Blame Game, via @DonFluckinger | #HITsm | Scoop.it
Don Fluckinger asks 'Who's to blame for the lack of interoperability, vendors or providers?' Share your thoughts on the blog or via #20HIT on twitter.
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Announcing '20 Questions for Health IT' Beginning Sept. 2

Announcing '20 Questions for Health IT' Beginning Sept. 2 | #HITsm | Scoop.it

Beginning Tuesday, Sept. 2., we will begin publishing one health IT topic per day from 20 different individuals with a deep understanding of the topic. The author of each question was generous enough to stick her or his neck out and pose a short answer to the question in the hopes it will encourage further discussion in the comments section and also on Twitter using the #20HIT tag.

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Create Interoperability with any EHR, via @CorepointHealth

Create Interoperability with any EHR, via @CorepointHealth | #HITsm | Scoop.it

A modern healthcare environment demands that an interface engine do more than just connect one point to another.

The role of the interface engine must meet the requirements of a new generation of productive, connected, and efficient healthcare environments. Explored are the five major areas where the role of an interface engine is applicable within a modern healthcare environment. Read more...

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Under The Hood Of Apple's New Health Care Framework

Under The Hood Of Apple's New Health Care Framework | #HITsm | Scoop.it
What does HealthKit actually do, anyway?
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When Patients Read What Their Doctors Write

When Patients Read What Their Doctors Write | #HITsm | Scoop.it
Patients are more satisfied with their care when doctors share their medical notes. But letting patients see what doctors put in medical records has long been taboo. That's starting to change.
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Looking Through the Google Glass

Looking Through the Google Glass | #HITsm | Scoop.it
A look at the diverse startups offering Google Glass solutions, including the big-name health systems giving them a test drive.
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Fix the Handful of U.S. Hospitals Responsible for Out-of-Control Costs

Fix the Handful of U.S. Hospitals Responsible for Out-of-Control Costs | #HITsm | Scoop.it
A small number of hospitals are responsible for nearly 80% of the excess payments for common Medicare procedures.
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For Big-Data Scientists, ‘Janitor Work’ Is Key Hurdle to Insights - NYTimes.com

For Big-Data Scientists, ‘Janitor Work’ Is Key Hurdle to Insights - NYTimes.com | #HITsm | Scoop.it
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