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At an interview of Barry Chaiken, MD, MPH, FHIMSS, former Chairman of the Board of health IT trade group HIMSS and chief medical officer of Imprivata , a company specializing in healthcare IT security, Chaiken pleads for the following special accommodations for Health IT relative to other medical sectors: … We’re still learning, in healthcare, about that user interface. We’re still learning about how to put the applications together in a clinical workflow that’s going to be valuable to the patients and to the people who are providing care.
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Barry Chaiken, MD, MPH: "Let’s be patient" with experimental devices that harm patients
The National Institute of Standards and Technology (NIST) has begun to address deficient clinical IT usability. A PDF with presentations on the topic from the recent NIST conference on HIT usability is here (warning: very large, 26 MB). There is a critical “meta-issue” that’s being ignored regarding usability, though, yet it is the elephant in the living room.
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The National Program for Healthcare IT in the U.S., and the Elephant in the Living Room
Over at the HIStalk blog (a blog whose owner remains anonymous, and who uses an ISP that does not reveal information that could be used to identify him, apparently out of fear of retaliation for controversial stories he posts), the following appeared: Monday Morning Update 7/12/10 From Holy Smoke : “Re: Cerner. Misidentification incidents have been reported with Cerner PowerChart and Millenium in hospitals in Indiana, Michigan, and others after a Cerner upgrade
A Denver Post article offered a brief glimpse into the health benefits of corporate leaders, on the unusual occasion of a former CEO now in legal fight for the health benefits in the style to which he had become accustomed: Poor Joe. He’s not getting the health-care benefits he was promised.
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Not Your Average Joe’s Health Plan
I present another health IT problem case from the FDA’s voluntary MAUDE ( Manufacturer and User Facility Device Experience ) database below. From FDA’s description of MAUDE: MAUDE data represents reports of adverse events involving medical devices.
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FDA MAUDE Database: Patient Outcome – Death
The Insurance Industry is catching on that EMR’s and other clinical IT are not exactly the cybernetic miracles they’re sometimes held out to be, for example as implied in this statement from HHS in the July 13, 2010 NEJM that- … EHRs will improve caregivers’ decisions and patients’ outcomes
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NORCAL Mutual Insurance Company: "Electronic Health Records: Recognizing and Managing the Risks"
And speaking of the costs of financial maneuvering by hospitals , the Wall Street Journal just reported on “Hospitals’ Wall Street Wounds,” Hospitals nationwide are tangling with Wall Street to get out of disastrous wagers that have complicated their financial problems.
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Hospitals’ Star-Crossed Financial Engineering
On June 15, 2010, the West Virginia Health Care Authority filed a Notice of a Comment Period on a Proposed Rule with the West Virginia Secretary of State amending West Virginia CSR 65-7, Certificate of Need Rule . According to the Summary and Statement of Circumstances filed with the Proposed Rule the “amendment clarifies the definition of “private office practice” for purposes of administering the Certificate of Need Program.
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WVHCA: Proposed Amendment to West Virginia CON Law Defintion of "Private Office Practice"
Ryan Brown , a health care attorney at Flaherty Sensabaugh Bonasso PLLC who specializes in medical malpractice defense, health care regulatory work and health care related employment issues wrote this summary of the West Virginia Patient Safety Act . In 2001, the West Virginia Legislature passed the Patient Safety Act (“PSA”), W.Va.
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What Health Care Employers Need to Know about the West Virginia Patient Safety Act
Last Friday the Office of National Coordinator for Health Information Technology (ONC) issued a final rule providing the details on how organizations can be authorized by ONC to test and certify EHR technology. ONC discusses the details the Temporary Certification Program . Certification is important because the Medicare and Medicaid EHR incentives under HITECH require the use of certificate EHR technology for eligible hospital and providers to recieve payments under the incentive program
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ONC Issues Final Rule for EHR Temporary Certification Program
The Substance Abuse and Mental Health Services Administration (SAMHSA) and the Office of the National Coordinator for Health Information Technology (ONC) announced last week the release of FAQs for Applying the Substance Abuse Confidentiality Regulations to Health Information Exchanges (HIEs) . Cover letter regarding the FAQs by Pamela S.
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SAMHSA and ONC: FAQs on Substance Abuse Confidentiality Regulations for HIEs
As a nurse with many years “in-the-trenches”, one of the most frustrating realities in the hospital is the inconsistencies associated with relatively standard spaces and work tasks. Two identically functioning rooms on the same floor such as a medication room can have unique features and inventory that force wasted motion …
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Widespread Workplace Organization – Taking 5S Strategies to the Next Level
Economist John Kenneth Galbraith stated, “Faced with the choice between changing one’s mind and proving that there is no need to do so, almost everyone gets busy on the proof.” These words ring loudly and clearly during Lean Healthcare Kaizen Events. During these rapid change sessions, Lean Healthcare Change-Agents are …
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The Power of “Yes, if” instead of “No, because”
Area business leaders gathered at the Beckley-Raleigh County Convention Center Thursday morning for an educational forum regarding the much-debated health care reform legislation.
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Health care reform focus of local forum
The first of 4 million $250 checks sent to some Medicare enrollees in the Part D prescription drug program should have arrived in mailboxes this week. Those checks are just the start of changes to Medicare because of health care reform.
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Health care reform changes starting in some Medicare coverage
The Iowa City Public Library is hosting a panel Wednesday that will discuss what the health care reform bill is already doing and what will be phased in soon.
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Health Care Panel discussion at Iowa City Public Library
Group Net LLC and Horizon Relief’s 1000 Bottles of Hope Work Together to Provide Financial Support to Those Affected by the Deepwater Horizon Oil Disaster BATON ROUGE, La., June 18 /PRNewswire-USNewswire/ — Group Net LLC, a health care service company specializing in prescription medication and pharmacy technology solutions, donated $1000 to Horizon Relief, an organization that provides …
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Health Care Organization Donates Funds to Gulf Coast Relief Organization
By GLENN LAFFEL, MD, PhD The best electronic health record on the planet isn’t going to help anybody unless a physician uses it. The HITECH incentive scheme should enhance the woefully poor EHR uptake rates among US providers, as should…
The Obama health care law will boost Medicaid costs for Ohio taxpayers by $1.45 billion over five years, according to a state analysis released to a newspaper.
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State Analysis: Health Care Law To Boost Ohio Medicaid Costs
Brian Peterson posts on a fascinating West Virginia Supreme Court of Appeals decision involving the use of social media between a juror and defendant and the issue of disclosure of such connections during voir dire .
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Reversal of Conviction Because Undisclosed MySpace Friendship Between Defendant and Juror