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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 > Oct 1, 2007 : Vol.10 No.19
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Patient Safety Institute Brings Its Pioneering Efforts to a Close
After 6 years of working to build a national healthcare clinical information exchange, the Patient Safety Institute (PSI) has chosen to close its doors. PSI recognized early that the most pressing problem facing regional health information organizations (RHIOs) would be the lack of a viable, permanent source of financial support. While public funding continues to be sought for these efforts, financial support has never been sufficiently available or with the necessary certainty to make RHIO’s successful. PSI chose an alternative model--a private sector self-funding model similar to that used in the financial services industry. Unfortunately, this did not work either.

One plank in the Partnership to Fight Chronic Disease's Public Policy Platform -- Accelerate improvements in the quality and availability of health information technology (HIT) throughout the health care system
Ideas for Change:

  • Provide incentives for providers to implement HIT improvements to improve the quality of care and help overcome cost barriers
  • Ensure that HIT is seamless across health care providers and settings
  • Encourage providers to use HIT in providing preventive and chronic health care and tracking quality of care
  • Facilitate American's ability to track their own health and to obtain information on conditions, treatment options, and quality through technology
  • Maximize use of HIT to expand consumer participation in clinical trials and health surveillance systems
  • Benefits and barriers to electronic laboratory results reporting for notifiable diseases: the New York City Department of Health and Mental Hygiene experience
    The completeness and timeliness of ELR were similar to, and sometimes better than, paper reporting for certain diseases. Incorporating electronic data into surveillance databases created new problems with data quality, shifted work demands, and required additional skills for data monitoring. ELR improved the handling of high-volume and time-sensitive diseases but did not completely automate reporting for diseases that required complicated assessments by staff.

    Intel, Wal-Mart, And Others Refocus To Get Worker E-Health Record System Running
    Dossia is starting fresh via a new partnership with Children's Hospital Boston, which is providing technological and strategic guidance to Dossia. The company will base its personal health record system on "the underlying capabilities" of Indivo, a system that Children's Hospital built for its patients in 1998. Among the appeal of Children's Hospital's Indivo to Dossia is that the open source system provides control over health record data to patients. That's the plan as the system is adapted for use by workers of Dossia-member companies, who also include British Petroleum, Pitney Bowes, Cardinal Health,Applied Materials, and the two latest founding members, AT&T and Sanofi-Aventis, who quietly joined the alliance several months ago, but publicly announced their participation only now.

    Designing PHRs for Living: Project Challenges Experts to Create Personal Health Record Technologies that People Want and Need in their Daily Lives
    Early Findings from Project HealthDesign:

  • Using PHRs for medical record keeping is only the tip of the iceberg.
  • The need to make day-to-day observations about mood, pain, etc. is consistent across all patient groups and lends itself to common approaches to record, store and analyze this data.
  • Successful PHRs and their applications need to mesh with the tools that consumers rely on in their everyday routines.
  • Medical identity theft remains problematic
    A list of policy recommendations that might reinforce – or require – more secure behavior among healthcare providers and prevent medical identity theft. These include:

  • Forcing patient notification for all breaches that result in any inappropriate release of medical information;
  • Create financial incentives to help smaller organizations protect data and notify patients of breaches, while stiffening penalties for providers who fail to do so;
  • Enforce existing laws and conduct more compliance audits;
  • Require vendors to prove appropriate privacy and security controls before they are eligible to participate in federal or state contracting;
  • Create a nationwide body similar to existing credit bureaus to assist patients after a medical identity theft. Such an organization would help to correct medical records affected by a theft.
  • eHealth Vulnerability Reporting Program
    Founded in May, 2006, the eHealth Vulnerability Reporting Program (eHVRP) is a collaborative of health care industry organizations, technology companies and security professionals. eHVRP’s mandate is to establish approaches and procedures that will help ensure eHealth systems are broadly and rapidly deployed with the highest levels of privacy and security.





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