Usability and Clinical Decision Support Part 1: General Principles

By David Schlossman, MD, PhD, FACP, MMI, CPHIMS, Medical Oncologist/Board, Certified Clinical Informaticist, Missouri Cancer Associates/Boone Hospital Center

As far back as 1990, Dr. David Eddy wrote in the Journal of the American Medical Association (JAMA 263:1265-75), “The complexity of modern medicine exceeds the inherent limitations of the unaided human mind.” To overcome these limitations, the fundamental theorem of clinical informatics states: [human brain] + [information technology] > [human brain] alone. In other words, human intelligence supplied with the latest, most complete patient information and intelligently filtered, pertinent, organized clinical knowledge and biomedical information will make better clinical decisions and produce better outcomes than human intelligence left to its own devices. Systems designed to assemble a precisely calibrated mix of patient data and scientific information organized and displayed in a format which optimizes clinical decision- making are termed Clinical Decision Support Systems or CDSS. The HIMSS website has a nice introduction to the concepts and mechanisms of CDS.

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[INFOGRAPHIC] Information Security Is Everyone’s Shared Responsibility

Safeguarding information is everyone’s shared responsibility.  Now, in light of well-publicized and recent cyber attacks, the alarm has sounded for all healthcare organizations to take proactive steps to safeguard information. Continue reading

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Time for Action on 2015 Meaningful Use Reporting Period

As I’m sure many of you know by now, in early September, CMS and ONC issued a final rule offering providers flexibility to meet the Meaningful Use timeline for 2014.  The Flexibility Rule, as it’s being publicly referred, did not allow for similar flexibility for 2015, as all non-first year eligible providers are required to use 2014 Edition Certified EHR Technology  (CEHRT) for the full year in 2015.  The full 12-month reporting period for FY15 would be required to receive MU incentive payments and avoid Medicare reimbursement payment adjustments in 2017.

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A Payor Perspective on the Value of HIE

Two members of the HIMSS HIE Toolkit Task Force recently interviewed Marty Hauser, a CEO of a large, multi-hospital organization in the Midwest. Their discussion focused on impact value and operational benefits of health information exchange organizations (HIOs) to the healthcare insurance industry.

Health Information Exchange (HIE) is generally recognized as having two definitions, one as a verb and the second as a noun.

  • The verb “HIE” is the sharing action between two or more non-affiliated organizations with an executed business/legal arrangement that have deployed commonly agreed-upon technology with applied standards for the purpose of electronically exchanging health-related data between the organizations. Federal and state policies have been created to encourage the verb health information exchange, an approach supported under the State Cooperative Agreement Grants awarded by the Office of the National Coordinator for Health Information Technology, or ONC.

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Hero’s Welcome to Health IT at HIMSS15

HIMSS Veterans Career Services (VCS) is gearing up for HIMSS15.  The event will take place 12-16 April, 2015 at the McCormick Center in Chicago.  If you are unfamiliar with the HIMSS Annual Conference, you should know it is the largest health IT event in the industry and THE place where healthcare professionals, clinicians and executives from around the world gather to explore the value of health IT through education, networking and solutions while discovering new ways to advance innovation, make a greater impact and improve outcomes.

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The Un-intended Consequences of HIMSS Volunteer Involvement

Recently, I was preparing to moderate a HIMSS virtual briefing, as I typically do, and I was chatting with the speaker.  I thanked her for sharing her time, talent, and expertise with our audience.

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Successful EHR Implementation—Big Bang vs Phased Approach

EHRBy Cynthia Davis, MHSA, RH, and Marcy Stoots, MS, RN-BC

Part of the impetus in establishing large integrated health systems is to develop a coordinated approach to provide patient care efficiently and effectively with the patient as the center of focus. A common EHR is a key enabler to making this happen.

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Flip the Visit – Patient in Charge!

by Sri Bharadwaj
Sri is a Board member of HIMSS Southern California and consults with healthcare organizations across the nation.

The healthcare landscape is being changed by the technology-enabled connected patient. Wearables, remote monitoring devices and self-radiology is swapping the visit to the lab, the doc and the hospital. Patient engagement takes on a new meaning with physicians relying on patients for clinical data.

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Health IT Is Only a Portion of the Solution – Addressing Human Factors Are Key  

Many headlines appeared today citing the failure of health information technology in relation to a patient with Ebola being released from a US hospital. Continue reading

Posted in Blogging, Health IT, Health IT News and Developments, Patient safety, Value of Health IT | Tagged , , , | 1 Comment

The Perfect Storm of Social Media – Consumerization of Healthcare

by: Catherine Costa, RN, MTM

Remember when we thought mobile technology would never work in healthcare?  Cell phones were even forbidden in most care settings. Today, there are over 100,000 healthcare apps available; we have mobile-enabled our patient portals; and, arguably one of the most influential mobile companies in history, has a ‘direct to consumer’ (let’s say patient) strategy combining mobile apps with mobile peripherals (glucose monitors, EKGs, SpO2s, etc.).

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Posted in Blogging, Patient Engagement, Social Media | Tagged , , | Leave a comment