Archive for the ‘healthcare’ Category

Incentives for meaningful use of IT for Health Records Monday, July 26th, 2010

The U.S. government has finalized the rules to explain what is meant by meaningful use of Electronic Health Records that enable healthcare providers to claim incentive payments from the government. The programs fall under the Health Information Technology for Economic and Clinical Health Act, or the “HITECH Act”. Under the act, eligible professionals and hospitals that adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology will be eligible for the payments under Medicare and Medicaid EHR.

The programs will begin in 2011. The overall aim of the programs is to improve the quality, safety and efficiency of patient healthcare, and is being established by the Centers for Medicare & Medicaid Services (CMS).

An initial rule for the program was published and over 2000 comments were received on it by CMS by the last date of March 15, 2010. On July 15, 2010, the final rule was released. A fact sheet on the final rule has been published at CMS website. The fact sheet provides the background and highlights the relevance of EHR. Basically, EHR makes a patient’s health information available when and where it is needed instead of being locked in one office or another.

Information Technology for Society: Tele-Medicine in Operation Saturday, July 10th, 2010

The website next billion.net describes itself as a community of business leaders, social entrepreneurs, NGOs, policy makers, and academics who want to explore the connection between development and enterprise. An article dated July 8, 2010 reports on the use of mobile devices for healthcare delivery in remote locations.

The article titled “Hand-held Doctors and Mobile Premium Payments: How Technology Can Improve Insurance for the Poor” includes the story of one village woman who supplemented the meager income of her household by making and selling bread in her village. One day she felt unwell, and had a suspicion that she had contracted malaria. Meeting the nearest doctor would have meant a two-hour bus ride and loss of a day’s earnings just for the trip, at the same time spending money for the bus ride.

It so happened that the woman’s village had a CARE facility and she had been enrolled by her CARE-trained neighbor into a health insurance program. CARE Foundation trains Village Health Champions (VHCs) to provide healthcare at the village doorstep. VHCs are trained to ask the right questions, record basic medical symptoms and vital statistics, and identify emergency symptoms.

The VHCs are also provided with a hand-held terminal that has a built-in clinical decision support system. With the knowledge-base thus available, the VHCs can even provide medical advice and order prescriptions. In the above case, the VHC contacted a remote CARE doctor who recommended treatment through an SMS prescription, which was dispensed from the VHC’s medical kit.

Read the story in more detail at next billion blog.

Health Information Technology at The George Washington University Hospital Sunday, June 20th, 2010

Representatives from several Federal Agencies including Food and Drug Administration, Health Resources and Services Administration, National Institute of Standards and Technology and Office of the National Coordinator for Health Information Technology spent nearly two hours taking a first-hand look at the implementation of health information technology and electronic health records system at The George Washington University Hospital, which is nearest to the White House.

The visit was hosted by three entities, the hospital, The College of Healthcare Information Management Executives (CHIME) and Healthcare Information Management Systems Society (HIMSS) Federal Health Community in conjunction with National Health Information Technology Week.

One of the mission goals of The George Washington University Hospital is to implement advanced medical technology to provide world class service to patients. CHIME has a membership that includes more than 1,400 Chief Information Officers and over 70 healthcare IT vendors and professional services firms. The HIMSS Federal Health Community is a networking platform and community that works to foster cross-agency information sharing through monthly educational teleconferences focused on federal health IT initiatives.

The Federal agency visitors witnessed demonstrations of GW Hospital’s Emergency Department information systems, Radiology PACS (Picture Archiving and Communication System), order management and nursing documentation systems, as well as physician documentation and workflow. Insights into their operation were provided by clinicians who shared how the systems helped them in patient care and by IT analysts who explained how the systems worked.

Read the press release at PRWeb.

Information Technology for Epidemic Control Wednesday, May 12th, 2010

Information technology has led to globalization of people, with international travel increasing to unprecedented levels. Such free travel also brings with it the danger of spreading infectious diseases all over the world, wherever it starts. The spread of H1N1 influenza was an illustration of this danger.

Information technology itself has provided solutions to the new dangers. For example, people all over the world can access portals like Healthmap.org and see not only what diseases are prevalent in which country (and how serious the problem is) but also report any missing disease outbreaks.

Healthmap describes themselves along the following lines: “HealthMap brings together disparate data sources to achieve a unified and comprehensive view of the current global state of infectious diseases and their effect on human and animal health. This freely available Web site integrates outbreak data of varying reliability, ranging from news sources (such as Google News) to curated personal accounts (such as ProMED) to validated official alerts (such as World Health Organization). Through an automated text processing system, the data is aggregated by disease and displayed by location for user-friendly access to the original alert. HealthMap provides a jumping-off point for real-time information on emerging infectious diseases and has particular interest for public health officials and international travelers.”

Healthmap org is reported to have collected more than 87,000 reports from both informal and official sources during the two major waves of the H1N1 pandemic. Healthmap uses Google Maps technology and sources its news from various agencies such as proMED Mail, WHO, Google News and Wildlife Disease Information Node.

Information Technology for Healthcare: A Pilot Project in USA Monday, May 10th, 2010

The Federal Government is funding the Beacon Communities program. One of the pilot programs is the Southern Piedmont Community Care Plan in Concord that will receive $15.9 million for its planned work with Medicaid recipients in Cabarrus, Rowan and Stanly counties.

The funding will help improve health care coordination for patients with diabetes, heart disease, hypertension and asthma. A health record data bank will be created linking patients and care providers. Patients and their relatives will be able to self-manage through patient portals on the Internet.

Care managers will be able to refer to the health record data bank for post-discharge planning.

In addition to improving healthcare, the Beacon projects are also expected to improve the employment scenario. Dozens of new jobs will be created in each community and the jobs will pay $70,000 a year. The pilot projects are estimated to generate 1,100 jobs up front.

The pilots will also accelerate the development of a nationwide health information technology infrastructure that is estimated eventually to employ tens of thousands of people.

According to Vice President Joe Biden, “These pioneering communities are going to lead the way in bringing smarter, lower-cost health care to all Americans through use of electronic health records.” He continued that doctors across the country will one day be able to coordinate patient care with the stroke of a key.

Read the news release at Salisbury Post.

Retraining IT Technicians to Help the Elderly use Telehealth Technology Thursday, April 1st, 2010

The Health and Wealth Care Initiative for Vermont and New Hampshire is seeking a $1.75 million grant, which it will match with $750,000, under the American Recovery and Reinvestment Act to retrain IT workers. These will be people who are familiar with older computer systems, who will now be trained to work with “cloud computing” where applications and data reside on the Internet instead of on local computers.

The retrained IT workers will then act as mentors to elderly people helping them use telehealth systems. Telehealth systems link patients to their healthcare providers over the Internet. Digital devices can transmit patient data to the healthcare provider and patients receive guidance and treatment remotely.

The retrained IT workers will help the aged to use devices like the Apple iPad that combines a phone and computer. Elderly patients living in rural areas can benefit greatly from the new initiative, its proponents argue. It will also create new employment opportunities to IT workes whose skills might be outdated.

One incidental benefit claimed for the initiative is that patients are more honest in answering health questions over the computer as against face-to-face consultations with their physicians.

Read the news at fosters.com

Electronic Medical Records Offer Demonstrable Benefits Saturday, March 27th, 2010

If patients have to complete fresh paper forms every time they see a new doctor, chances of errors are high. Patients can easily forget the names of drugs and its dosages, dates of illnesses and surgeries and even some old ailments and treatments. The results will be incomplete medical records.

The entries on the paper forms can also be illegible, in addition to being inaccurate and incomplete. As a result, doctors will be working with inadequate background details.

On the other hand, if the patient opts for an on-line medical records sytem, entries can be made just once and it will remain there. Any time the person visits a new doctor an up-to-date record can be printed out and presented to the doctor.

The patient-oriented system can also be tailored to doctors’ practices. The front end will look like the doctor’s or hospital’s Web site, and patient records can be updated either by the patient or the doctor.

The medical records created electronically can also travel with the patient, being transferred to a new hospital or doctor if the patient moves residence, for example.

The American Recovery & Reinvestment Act encourages such meaningful use of electronic technology by providing incentives to healthcare professionals and organizations. The new funding program is expected to enhance the spread of electronic health records.

Read more details at JournalGazette.

Security of Cloud Technologies Wednesday, March 10th, 2010

Google and others are promoting cloud computing, under which applications and data are stored on the Internet cloud. For clients of cloud computing such as users of Google Apps, this provides the opportunity to focus on their core business instead of worrying over information technology incidentals such as installing and configuring software, upgrading it and attending to data security and backup issues.

Cloud computing service providers will attend to all the incidental issues. Users simply start using the application they want, which can be in as quick as a few minutes. Users can also access the applications and data from anywhere with an Internet connection.

However, users have not yet got all that comfortable with entrusting their data to the cloud service providers. A recent Data Management Healthcheck 2010 survey by BridgeHead Software reports that only 6.5% of the respondents reported having used the cloud to store their data.

The healthcare industry will have to cope with huge volumes of data as it adopts IT more aggressively. Cloud storage of the data can save huge amount of headache typically associated with managing such data volumes. The data must be stored safe from unauthorized access, backed up regularly to ensure that a copy is available in case the original is lost and quickly reconstructed in case a data loss incident occurs.

The major concern of survey respondents about cloud storage was regarding the security and availaibility of the data. The data generated by the industry is highly confidential and the companies are committed to protecting patient data.

Despite such concerns, experts anticipate that the cloud will increasingly be the preferred destination for data storage, backup and archiving. Read the story at: eHealthServer.

Penn State University to Anchor a 1,700-mile Broadband Network Tuesday, February 23rd, 2010

Under The American Recovery and Reinvestment Act, funding was awarded to Keystone Initiative for Network-Based Education and Research. The $99 million federal stimulus grant is intended to create a 39-county broadhband network.

The funding will enable building a high-speed, fiber optic, 1,700 mile-long cable network, covering areas that have poor broadband access now.

Spokesman for Penn State, one of the anchor insitutions in the Keystone Inititative, said that the completed network will allow all their campuses to be connected at very high speeds. The network will support research and distance education at the universities, and enable connections with remote clinics for health care institutions.

The spokesman added that by working together with other institutions, it was possible to come up with a much stronger proposal for funding.

The network has been compared to a broadband highway with “exit ramps” where electronics systems will be based to serve as access points to the network. The proposal is to provide 13 core nodes and 45 to 50 local ones. It could reach more than 2 million households and 200,000 businesses.

Read the story about Funding for New Broadband Network.

Advancing Use of Healthcare Information Technology and Employment Sunday, February 14th, 2010

Health and Human Services Secretary Kathleen Sebelius and Labor Secretary Hilda Solis announced on February 12 a total of nearly $1 billion in Recovery Act awards to help health care providers use health information technology (IT) and train workers for the health care jobs of the future.

The health department award of over $750 million is aimed at building capacity for widespread and meaninful use of IT in healthcare. It will assist healthcare providers to adopt and use electronic health records (EHR) in a meaningful way to improve the quality and efficiency of healthcare for Americans. The goal of the awards is to help over 100,000 hospitals and primary care physicians by 2014.

$386 million of the grant will help states to facilitate Health Information Exchange (HIE) and $375 million will go to non-profit organizations for developing regional extension centers (RECs) to aid health professionals implement and use health information technology.

The Department of Labor grant of over over $225 million will help train 15,000 people in healthcare, IT and other high-growth-potential job skills. Grant recipients have already identified roughly 10,000 job openings over the next two years in areas like nursing, pharmacy technology and information technology and the grants will fund training programs to equip people to tap such openings.

While training will be offered at local community colleges, employment services will be available through DOL’s career centers.

Read the full news release at: Recovery Act Announcement