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e-journal of the Association of Medical Directors of Information Systems and The Improve-IT Institute

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Home > Archive > Jul 1, 2007 : Vol.10 No.13
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PROOF will test, showcase doctor?s office IT
Plans are afoot to launch Western Canada?s first physician I.T. laboratory, a site where companies, doctors and other healthcare professionals, hospitals and government planners can test and demonstrate various types of computerized solutions for physicians and patients.

The Value of Information Technology-Enabled Diabetes Management
Free report from the CITL: Their analysis demonstrates that all forms of ITDM improve processes of care, prevent development of diabetic complications, and generate cost-of-care savings. Technologies used by providers seem to be the most effective in improving the lives of patients with diabetes, and diabetes registries appear to be the most effective of all. Based upon the current evidence, our analysis indicates that patient-centered technologies offer the least potential for benefit. We believe that an integrated provider-patient platform, which adds patient-centered technologies to a registry and reminder system, would add benefits beyond a registry alone.

Encoding a clinical practice guideline using guideline interchange format: A case study of a depression screening and management guideline
This study contributes to the body of knowledge regarding creation of CIGs and the use of GLEE as an evaluation tool for the encoded CIG in GLIF format for a depression CPG. CPG representation using GLIF3 and its evaluation by GLEE are useful methods to prepare nursing CPGs for implementation in a DSS.

The Extent and Importance of Unintended Consequences Related to Computerized Provider Order Entry
We found that hospitals experienced all eight types of unintended adverse consequences, although respondents identified several they considered more important than others. Those related to new work/more work, workflow, system demands, communication, emotions, and dependence on the technology were ranked as most severe, with at least 72% of respondents ranking them as moderately to very important. Hospital representatives are less sure about shifts in the power structure and CPOE as a new source of errors. There is no relation between kinds of unintended consequences and number of years CPOE has been used. Despite the relatively short length of time most hospitals have had CPOE (median five years), it is highly infused, or embedded, within work practice at most of these sites.

Implementing the NHS information technology programme: qualitative study of progress in acute trusts
Interviewees unreservedly supported the goals of the programme but had several serious concerns. As before, implementation is hampered by local financial deficits, delays in implementing patient administration systems that are compliant with the programme, and poor communication between Connecting for Health (the agency responsible for the programme) and local managers. New issues were raised. Local managers cannot prioritise implementing the programme because of competing financial priorities and uncertainties about the programme.

How to avoid an e-headache
A comment on the above article: The scope and boldness of the National Health Service's Connecting for Health initiative are unprecedented. While nations worldwide have set health information technology as a high priority to combat medical errors and increase efficiency, England has outlined the most courageous goal of this kind, aiming towards a national electronic health record service. Implementing systems nationwide, or even regionally, is extremely difficult, yet England is making admirable progress and essential iterative adjustments.

Google names new advisory group on health
Google has formed an advisory council, made up of healthcare experts from provider organizations, consumer and disease-based groups, physician organizations, research institutions, policy foundations, and other fields. The mission of the Google Health Advisory Council is broadly to help them better understand the problems consumers and providers face every day and offer feedback on product ideas and development.





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