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From an Op Ed ” Living with the Electronic Car ” in today’s Wall Street Journal: “A Toyota executive recently explained to a Congressional committee investigating claims of uncontrolled acceleration: ” We need to reduce the number of things we ask our customers to do correctly .” In fact, the exec was describing the essence of responsible engineering – though perhaps the balance in auto design has gotten out of whack.” Considering the feedback from physicians on the needless complexity of electronic medical records and other computerized medical devices for example at ” An Honest Physician Survey on EHR’s “, it seems the healthcare IT industry has yet to learn this simple lesson. I’m frankly not convinced there’s “anyone home” in this complexity-loving industry who could fathom such advice as a good business practice. It also seems that industry may not give a damn about such lessons, even in the most safety critical of environments, the intensive care unit, as long as profits are maintained.
Where you stood on the rules depended on where you sat. HIMSS represents software companies and hospitals, which badly want that sweet, sweet stimulus cash with as little hassle as possible. The Partnership represents patients, smart ones, and wants their interests in getting data treated as paramount.
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How much water will ONCHIT add to meaningful use?
Today the West Virginia State Bar announced that the West Virginia State Bar’s Unlawful Practice of Law Committee has released Advisory Opinion 10-001 , relating to questions from attorneys regarding its interpretation of Rule 8 of the West Virginia Rules of Admission to the Practice of Law, relating to admissions pro hac vice . Advisory Opinion 10-001 addresses the following issues: 1.
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West Virginia State Bar Issues Advisory Opinion 10-001 Clarifying Rule 8 Pro Hac Vice Admission
By Matthew Holt WebMD introduced a new series of Health 2.0 style forums last week called Health Exchange.
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WebMD–Nan Forte explains Health Exchange
By Denise Silber Miguel Cabrer, the founder of MEDTING, a global site for the exchange of medical information and images, will be a panelist at Health 2.0 Europe in Paris. Formerly CIO of Hospital Son Llatzer, the first digital hospital…
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A Web 2.0 Interview with Miguel Cabrer, CEO of Medting
In numerous national publications today, we are once again reminded that lowering the risk of diabetics for vascular events (MI/heart attack, CVA/stroke etc.) and death is far more complex than lowering measures such as cholesterol and blood pressure.
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Abbott’s TriCor Fails To Beat A Sugar Pill in Diabetics – And In Pharma’s Current Death Spiral, Forget About a Drug That Will
This WSJ article caught my eye: Third-Party Reviews of Devices Come Under Scrutiny at the FDA March 15, 2010 By ALICIA MUNDY and JARED A. FAVOLE WASHINGTON—When medical-equipment makers like Philips Electronics NV, Siemens AG and General Electric Co. need approval for some new devices, they don’t always have to start at the Food and Drug Administration
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Third-Party Reviews of Medical Devices Come Under Scrutiny at the FDA – Except Healthcare IT Medical Devices, Which Get Special Accommodation
If you are raising a family one of your biggest concerns should be if your family is safe. With Aetna family health insurance your family is. Aetna is a leading insurer of families across the United States providing health care benefits to people in Arizona, California, Connecticut, Delaware, Georgia Illinois and many more states.
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Aetna Family Health Insurance Can Help You During a National Disaster
Disclaimer: This information is in no way intended to be a substitute for modern medical care. Do not self-treat any medical complaint without the guidance of a licensed health care provider . August 7, 2000 The word perfume derives from Latin meaning “through smoke”, and indeed, the first perfumes were incenses used to sweeten one’s prayers for the gods
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Home-made Perfumes
Sometimes I think I have now seen every type of conflict of interest that could afflict health care, but then some amazing new variation on the theme comes along… Last year, the New York Times reported on an unusual deal between the New York City Health and Hospitals Corporation and a proprietary (for-profit) Caribbean medical school that attracts US citizens who were not admitted to US medical schools: New York City’s Health and Hospitals Corporation has signed a 10-year, $100 million contract with a profit-making medical school in the Caribbean to provide clinical training for hundreds of students at the city’s 11 public hospitals. The unusual deal, proposed by a member of the corporation’s board who has long worked for the Caribbean school, has been met by an outcry from New York medical schools fearing that clerkship slots will grow scarcer and that they might have to increase tuitions to compete
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City Hospital System Board Member Fined for Conflict of Interest Involving Proprietary, Off-Shore Medical School
Since its inception, the New England Healthcare Institute has been committed to the identification, assessment and promotion of valuable health care technologies with the potential to improve the quality of care while reducing cost. The Fast Assessment and Adoption of…
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Program Director Healthcare IT
A theme of my writings on this blog and on my teaching site for the past decade has been mismanagement of healthcare information technology by an industry and people who have been operating for many years far beyond their qualifications and competencies. Technology requiring the highest levels of biomedical-IT cross disciplinary expertise has most commonly been designed, managed, implemented, led and defended by amateurs [see note 1].
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FDA Asks Hospitals to Report Safety Glitches in Digital Health Systems
Much of the ongoing health care reform debate has focused on unnecessary health care expenses—specifically, medical bills that rack up without demonstrably improving peoples' health. According to Peter Orszag, the director of the federal Office of Management and Budget, about $700 billion, or 5 percent of the U.S. gross domestic product, is wasted on unnecessary care, such as extra costs related to medical errors, defensive medicine, and just plain fraud
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Are most emergency room visits really unnecessary? – By Zachary F. Meisel and Jesse M. Pines – Slate Magazine
The current issue of the American Health Lawyers Association’s Connections magazine features an article I co-authored with fellow AHLA health lawyer, Jody Joiner , on the impact of social media use in health care. The article, Risky Business: Treating Tweeting the Symptoms of Social Media (PDF version) , is featured in the March 2010 issue of AHLA Connections (Vol.14, No
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AHLA Connections: Legal Implications of Health Care Social Media
The Office of the National Coordinator for Health Information Technology of HHS (the Department of Health and Human Services) has issued a proposed rule “RIN 0991-AB59 Proposed Establishment of Certification Programs for Health Information Technology.” The proposed rule is available in PDF at this link and more information is available from ONC itself at this link . I have written a response to the proposed rule that will be sent as a public comment to the Federal eRulemaking Portal ( http://www.regulations.gov/search/Regs/home.html ).
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On ONC’s "Proposed Establishment of Certification Programs for Health Information Technology"
The VA and DoD have been working for a number of years on interfacing the VistA EHR system and the military’s EHR, AHLTA (why anyone would want to interface to AHLTA in its present state is of concern to me, but…) [ Note: this is not to denigrate the military, and I am very thankful to all who serve and defend our country and freedoms. HIT problems seem unfortunately universal - ed. ] The interface attempt, likely done by the usual actors in the traditional “business IT” manner has resulted in the predictable: Glitch prompts VA to shut e-health data exchange with Defense NextGov.com By Bob Brewin 03/04/2010 The Veterans Affairs Department closed off access to the Defense Department’s huge electronic health record system on Monday because it found errors in some patients’ medical data clinicians downloaded from the Defense network, according to a departmental patient safety alert, which Nextgov obtained.
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VA / DoD EHR Interface Debacle: Will It Take the Luminosity Of A Dozen Supernovas To Shed Light On The Obvious About Healthcare IT?
At ” Bungled Brachytherapy, Computer Interfaces and Other Mysteries At The Philadelphia Veterans Administration Hospital ” at this link I reported on serious problems involving brachytherapy treatment of prostate cancer at the VA Medical Center in Philadelphia. One of the issues involved computer problems, in the form of failure to network a key computer involved in treatment evaluation. Now at the other end of the state, Pittsburgh, more prostate-related computer problems have occurred: Prostate cancer test interpretation flawed By Walter F
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Computers and Prostate Problems in Pennsylvania, East and West
Martin Memorial too mum: Hospital staff violated privacy of shark victim , an article from the Palm Beach Post. The article highlights the impact ubiquitous mobile devices with cameras are having on our society and the potential liability risks associated with the use/misuse of these devices by health care employees. The article indicates that various hospital employees took photos of a shark bite victim when he arrived in the emergency room.
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Lesson for Hospitals and Health Care Providers: Photos of Shark Bite Victim
In many posts on this blog, Roy Poses has lamented the fact that there are no personal repercussions for healthcare executives embroiled in malfeasance and scandals. He recently wrote : So, here we go again … To repeat, seemingly ad infinitum, these are just the latest in a now long parade of settlements and guilty pleas and criminal convictions, sometimes involving charges like bribery , fraud , or kickbacks , that serve as reminders of poor behavior by myriad health care organizations.
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FDA Criminal Division to Increase Prosecutions
The Office of the National Coordinator for Health IT held a meeting of the HIT Policy Committee , Adoption/Certification Workgroup on February 25, 2010. The topic was “HIT safety.” The agenda, presenters and presentations are available at this link . At this meeting FDA testimony was given by Jeffrey Shuren, Director of FDA’s Center for Devices and Radiological Health.
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FDA on Health IT Adverse Consequences: 44 Reported Injuries And 6 Deaths In Two Years, Probably Just ‘Tip of Iceberg’