Health Information Technology

July 25, 2008July 31, 2008 | Leave the first comment

Video: “Goin’ Live” – West County Health Centers, Sonoma, California

Jonah Froelich, MPH, California Healthcare Foundation’s resident expert on health information technology sent this along to me and I wanted to post it. It shows the spirit of health professionals who are changing the way they practice because they want to perform better for their patients. Scenes like this are happening all over the United …

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July 2, 2008July 2, 2008 | 1 Comment so far

A Web Services based Electronic Health Record, OnCall, from the Laboratory of Computer Science

While at Massachusetts General Hospital last week, as a guest of The Stoeckle Center for Primary Care Improvement, I was invited to meet the team at the Laboratory of Computer Science based at MGH. The Lab of Computer Science produces the OnCall series of clinical web portals, which are a front end to the Computer …

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April 2, 2008April 16, 2008 | Leave the first comment

Breakthrough

Apple’s newest advertisement. It’s sort of a metaphor for health care, if you watch closely….

March 28, 2008 | Leave the first comment

The PCHIT Blog is Moving!

The PCHIT blog is moving to its new home at the Center for Information Therapy next week. We’ll post a link to the new blog here, and then automatically redirect all traffic to the new site. This blog was started along with the initiative in October, 2007, and will, as planned, move to a site …

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March 27, 2008October 3, 2010 | 1 Comment so far

“Do you have time to show Ted our personal health record system?” – The system of patient and family centeredness at Medical College of Georgia

Imagine that you are going to launch a new program, like patient access to their medical record online, and a visitor from another institution asks for a tour of the work in progress. Then imagine that it isn’t a member of the staff that does the demo – it is one of your patients. I …

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March 26, 2008March 26, 2008 | Leave the first comment

“There’s Always Something to Do Better” – Medical College of Georgia, home of patient and family centered care

The quote in the post comes from Roslyn Marshall, RN, Nurse Manager of the 3West Inpatient (Neurology and Neurosurgery) unit at Medical College of Georgia, in Augusta. Images: Click on any to see larger Just as with several other organizations I have visited, I did not imagine that I would be heading to Augusta, Georgia …

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March 25, 2008May 11, 2008 | Leave the first comment

“In a couple weeks, you’ll be able to see this, too” – Ending where I began, at Institute for Family Health

It’s interesting that it worked out the way it did, but the last organization I am visiting on my PCHIT journey is the organization I started at, Institute for Family Health. I didn’t plan it this way, it just happened. This time, though, things are different. IFH now has a physician champion for its online …

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March 25, 2008March 25, 2008 | Leave the first comment

At the Home of Patient and Family Centered Care

In Augusta, Georgia, a national epicenter for Patient and Family Centered Care, as featured on “The Remaking of American Medicine.” It’s a really impressive place. I’ll be blogging more about it soon. Nothing provides more energy than patient empowerment.

March 23, 2008November 4, 2008 | Leave the first comment

Live! from Staten Island – Innovation in patient-centered care

When I found out that Sal Volpe, MD, Mat Kendall, and the PCIP team were going to be talking about their work in the community where Sal practices, I knew I wanted to come and experience it. We started with Sal allowing me to experience the trip from Manhattan to Staten Island, which can take …

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March 23, 2008March 23, 2008 | Leave the first comment

“A Process, Not a Souvenier” – Sharing After Visit Summaries with DC Primary Care Association

The quote in the title is from Mark Snyder, MD, Associate Medical Director, Information Technology, Mid-Atlantic Permanente Medical Group, who once again, volunteered to demonstrate how Kaiser Permanente improves medical care for patients using the latest technology. This happened at Kaiser Permanente North Capitol Medical Center, which takes great care of a community that includes …

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March 23, 2008March 23, 2008 | Add to 2 Comments

What does giving patients access to their health records have to do with safety?

Patient Safety and the “Just Culture”: A Primer for Health Care Executives, Prepared by David Marx, JD, for Columbia University under a grant provided by the National Heart, Lung, and Blood Institute A lot. There’s an interesting discussion underway at e-paients.net, about a recent case in Minnesota, which I was asked to (and did) comment …

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March 20, 2008 | Leave the first comment

Congratulations, Institute for Family Health!

New York Times Company : Press : Press Release : The New York Times Company Announces Ten Semifinalists for the Second Annual Nonprofit Excellence Awards The Institute for Family Health – dedicated to the development of innovative ways to provide primary health care services to underserved urban populations based on the family practice model of …

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March 13, 2008April 3, 2008 | Add to 4 Comments

A mini-tour of MiVia

Yesterday, I wrote a post about my visit to Sonoma, California, and the health care that MiVia is enabling. Heidi Stovall then gave me a tour of the application, and allowed me to take screen shots of it to post here. All of the information in the screen shots are not from real patients, so …

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March 12, 2008April 3, 2008 | 1 Comment so far

“Because Everyone Wants to Belong” – MiVia, a community’s personal health record system

Imagine that you were working internationally and had a serious stomach ache and needed to see a doctor. When you went into the medical clinic, the doctor asked you what medicines you were taking and what the status of your medical conditions were. What if you didn’t know or couldn’t tell them because you were …

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March 11, 2008April 3, 2008 | 1 Comment so far

A Medical Home enabled by technology in Sonoma, California

While in the Bay Area, I had the opportunity to visit with Jason Cunningham, DO, at the Sebastopol Community Health Center in Sonoma, California. The Sebastopol Community Health Center is part of the Redwood Community Health Coalition, which is embarking on an ambitious electronic health record project, using the eClinicalWorks application. Jason is a Board …

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March 10, 2008April 3, 2008 | Leave the first comment

Sharp HealthCare – Getting Ready for the Future in San Diego

Our week in California was a very productive one, in addition to our time at the Health2.0 Conference, because we visited several innovative practices in San Diego and the Bay Area. One of those is Sharp HealthCare, which bills itself with the following (impressive) credentials: Sharp HealthCare is San Diego’s health care leader with seven …

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March 5, 2008 | Leave the first comment

Health2.0 Wrapup

What can I say, it was a great conference with lots of energy. There’s a more just-in-time review of events on my own blog for people to take a look at. Josh will also post his experiences here. In the meantime, here’s a picture of him on one of the reactor panels.

March 4, 2008April 3, 2008 | 1 Comment so far

“What about one to many or many to many?” at Health 2.0

Josh and I are in San Diego this week for the Health 2.0 Conference, and to interact with innovative California health care organizations. I think we are two of the few people in the U.S. that did not attend HIMSS last week. However, we are two of the few people in the U.S. who are …

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March 4, 2008September 16, 2008 | Add to 4 Comments

We Want it; We Don’t Want it; and Google

Legal and Policy Analysis: Personal Health Records: Why Many PHRs Threaten Privacy, World Privacy Forum 2008 Survey of Health Care Consumers, Deloitte Center for Health Solutions Actually we do want access to our own health information. The title is a reference to three things: 1. Personal Health Records, why PHRs May Threaten Privacy, published by …

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February 29, 2008June 6, 2008 | Add to 3 Comments

“Our patients, not my patients” – UNITE HERE Health Center, New York City

The quote is from Abigail Chen, MD, who I shadowed yesterday as I was shown UNITE HERE’s implementation of the Ambulatory ICU (you can read more about the A-ICU concept here). Before I get to that though, I arrived in the morning with my usual level of interest in both seeing how patients benefit from …

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February 28, 2008 | Leave the first comment

A few more hoshin kanri tools; Common Examples of HIT Failure; Infamous Chartjunk

iCal Reply Checker | John Maisey – A little tweak for my own CIO to work with exchange clients Five whys – Quick guide to using the Five Why’s technique to get to root cause in strategy deployment Fishbone diagrams – Handy guide to using this hoshin kanri tool Common Examples of Healthcare IT Failure …

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February 27, 2008 | Add to 2 Comments

PCHIT Personas: Special Report

Note: This post was previously published, but is being reposted today to tie together the special report, which is now published on this site in its entirety. To see all of the parts together, click on this link. Welcome Tyriece, Lisa, and Ted Eytan, MD, Belair-Edison Clinic, Baltimore Medical System This is a compendium of …

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February 27, 2008April 3, 2008 | Leave the first comment

PCHIT Personas: Vulnerable Population

In many, if not all, of the sites we visited, the question of disparate access to PCHIT was raised. The same question has been raised with regard to EHR’s as well. In its report, the Expert Consensus Panel (see Electronic Health Records Still Not Routine Part of Medial Practice, Robert Wood Johnson Foundation, 3:27): (The …

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February 26, 2008April 3, 2008 | Leave the first comment

A Different Kind of Patient Access to HIT at Queens Health Network

As I mentioned in my previous post, I was beckoned to the borough Queens, NY, shortly after my presentation at the United Hospital Fund. Despite the snow, the trip wasn’t that difficult (in fact, Rachel’s advice to stop and get shoe covers made all the difference in the world). It was, of course, well worth …

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February 25, 2008November 4, 2008 | Leave the first comment

New York’s Primary Care Information Project – Moving Ahead

As part of our visit last week, Josh and I made sure to stop in at New York City’s Primary Care Information Project. As today’s press release indicates, PCIP is demonstrating success in promoting electronic health record use among New York City physicians. There is a component of this work that involves implementation of the …

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February 23, 2008April 10, 2008 | 1 Comment so far

We did it! Thanks Affinity Health Plan and Urban Health Plan!

The expression of happiness in the title is a reflection of the milestone that this was in this journey. It was the first time that we went to the Gemba (“the factory floor”) with health plan leaders and delivery system leaders together, to talk about patient centered health information technology. We were guided by Urban …

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February 22, 2008 | Leave the first comment

Access Thermometers: Latest Internet & Cell Phone Use Data

We just love Susannah Fox’s thermometer analogy for Internet access. It’s no longer an on/off switch. Here are the latest ones, to assist understanding of access in various populations. My conclusion is that Internet access is relatively robust across the population spectrum, at least from the perspective of making patients’ own health information available to …

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February 22, 2008 | 1 Comment so far

Burger King Internet Kiosks, New York City

Josh spotted these and asked me to snap a photo or two. We noticed these at multiple Burger King restaurants in New York City. Yet another place for patients to gain access to their health care information – if it is made available to them. And that’s beginning to happen here. It was a great …

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February 22, 2008November 4, 2008 | Leave the first comment

“Take this with you and show it to your significant other” – A Conversation with Sal Volpe, MD

A little bit behind on blogging this week, and a little out of order because we’re back in New York City, working with some of the stars we began our journey with. The quote comes from a conversation I had with one of those individuals, Sal Volpe, MD, who now as part of his process …

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February 20, 2008January 8, 2009 | Leave the first comment

PCHIT Personas: Health Plan

The Library of Congress, General view of one of the classification yards of the Chicago and Northwestern Railroad, Chicago, Ill. (LOC), January 1, 1940. Sites visited Individuals from various health plan organizations The persona of a typical health plan has been challenging to discern in the first 90 days. The integrated health plan / delivery …

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