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GHIT Notebook

September 27, 2007

Googling for health care
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September 27, 2007

Unhappy Trails to You
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September 27, 2007

Will NHIN Stop Privacy Erosion?
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September 27, 2007

The Legacy of Santa Barbara
The post-mortem on the Santa Barbara RHIO shows the technology case was placed before the business case. Will the NHIN plan follow suit?   Read Story | Read Comments

September 27, 2007

Mike Leavitt Blogs!
A new blog has debuted -- by the man -- in this case, a web log written with HHS Secretary Mike Leavitt's very own fingers.   Read Story | Read Comments

September 27, 2007

Letters: Safety Prone
Safety processes can minimize impact of health care labor shortages ...   Read Story | Read Comments

September 27, 2007

Microsoft launches new era in HIT development
There will be many people who will argue with that headline, but in my opinion, Microsoft's launch today of its Common User Interface (CUI) toolset for healthcare applications marks a major step forward for the use and usability of those applications, and will come to be seen as the beginning of IT standardization in healthcare.   Read Story | Read Comments

September 28, 2007

Webcast: Outlook for ePrescribing
Alaska recently become the 50th state to make electronic prescribing a legal way for its pharmacies to do business. Given that e-prescribing is an application that could open the e-health floodgates, this is a significant landmark in the development of a national health information network.   Read Story | Read Comments

September 28, 2007

UK Report Reflects Success, Doubts Over e-Health
Recent stories here in the US have talked about how the push for adoption of electronic health records has slowed, at least temporarily, while doctors ...   Read Story | Read Comments

October 1, 2007

Webcast: David Brailer Looks Ahead
Former Bush health IT chief David Brailer talks about the impact of government and industry on health care IT and how 2007 will be seen as the beginning of a shakeout in the health IT market.   Read Story | Read Comments

February 7, 2008

Candidates on Health IT: Bromides or Beliefs?
Most of the 2008 presidential candidates cite health IT as a key aspect of their plans to solve the health care crisis. But a lack of specifics raises questions about the ultimate worth – and sincerity – of their promises.   Read Story | Read Comments

October 12, 2007

Webcast: Minnesota's big plans
Cal Ludeman, Minnesota’s Human Services commissioner and chairman of Gov. Tim Pawlenty’s Health Cabinet, explains how the state has managed its e-health expansion and what the future holds.   Read Story | Read Comments

October 16, 2007

Dem candidates to pump money into health IT
Leading Democratic party presidential candidates see large health IT investments as critical to health care streamlining but patient privacy advocates feel left out of their plans.   Read Story | Read Comments

October 22, 2007

Republican hopefuls see health IT as competition lever
McCain, Giuliani, Romney focus on health IT’s impact on business first, access to health care second.   Read Story | Read Comments

October 30, 2007

Next president faces skeptical HIT crowd
The HIT community is not optimistic of next administration’s ability to manage the minutiae of health IT reform.   Read Story | Read Comments

November 5, 2007

Katrina Plus 2: Still starting over
After Katrina, New Orleans was supposed to become a civic health IT showcase. So two years later, why is a regional HIE stalled?   Read Story | Read Comments

November 12, 2007

The mountain cure
With the team at Utah's Intermountain Healthcare, Dr. Brent James has built a public-minded hospital system that is quality-based, data-driven and IT-dependent.   Read Story | Read Comments

November 16, 2007

Study shows HIPAA hinders research
Institute of Medicine study of HIPAA impact on research gives one more twist to rising debate on health care and patient privacy   Read Story | Read Comments

November 16, 2007

To the Editor: Raising the bar on EHRs
"Health IT systems need to keep getting better for a long time -- that's why we raise the bar on certification." -- CCHIT chairman Mark Leavitt.   Read Story | Read Comments

November 26, 2007

Picking up the check for EMRs
A year ago, reforms to Stark and anti-kickback rules promised to spur growth of EMR systems. But now that's unlikely, say experts.   Read Story | Read Comments

December 3, 2007

News analysis: e-prescribing heats up
Amid a flurry of policy pronouncements, it seemed as if someone had decided to declare last week “e-Prescribing Week” in Washington.   Read Story | Read Comments

December 6, 2007

Are EMRs really the next big thing?
Predictions about the value of electronic medical records range from rosy optimism to those who believe physicians are being encouraged to board a train that is accelerating way too fast.   Read Story | Read Comments

February 14, 2008

Health Care Providers Restless for Mandate
Executives eye future health care Internet but say government should mandate standards for interoperability now.   Read Story | Read Comments

December 21, 2007

CalRHIO's Holmquest: Service-Oriented Architect
In this webcast, CEO Don Holmquest talks about CalRHIO's decision to operate as a health IT utility and its move to finish consensus-building and get to market with health IT services.   Read Story | Read Comments

January 6, 2008

Security and privacy: Hot items in 2008
Most big losses of health care data have stemmed from stolen laptops or misplaced disks. But as online theft becomes easy money, criminals will increasingly target health care systems as a rich source of identity and other data.   Read Story | Read Comments

January 16, 2008

The problem with EMRs
Scot Silverstein, an adjunct faculty member in health care informatics and IT at Drexel, is passionate about health IT but believes the current fervor for EMRs resembles the “irrational exuberance” of the dotcom era. In this GovHealthIT webcast, he explains why.   Read Story | Read Comments

February 21, 2008

Persona non grata?
Despite their stake in the national health information network, consumers are often overlooked by health IT planners. But the health information community avoids end-users at its own risk.   Read Story | Read Comments

February 27, 2008

What's more important, privacy or security?
For states, privacy can be both a barrier and a requirement for setting successful policies for secure health information exchange.   Read Story | Read Comments

February 27, 2008

The year of the HIE
States seem to have moved beyond thinking about whether health information exchanges are worthwhile to what to do to make them work.   Read Story | Read Comments

March 3, 2008

Will consumers mold public sector HIEs?
As commercial health information portals ramp-up, they will rush to meet consumer demands and preferences. And while public sector exchanges now show few signs of being patient-focused, they will inevitably follow suit.   Read Story | Read Comments

March 6, 2008

Peel: Congress should stop pandering to health data miners
Most health IT systems were built either in ignorance or defiance of both medical ethics and the very strong laws in every state requiring informed consent before sensitive personal health information is disclosed.   Read Story | Read Comments

March 11, 2008

Health IT and the disadvantaged
State public health agencies are often the only health care option for much of the nation’s poor and disadvantaged. And it is in this area that government investment in health IT will show some of its greatest returns and rewards.   Read Story | Read Comments

March 21, 2008

Lessons from our neighbor to the north
The U.S. is facing a crisis in the quality and cost of our health care services. Luckily, we have a model to follow directly to our north in Canada.   Read Story | Read Comments

March 31, 2008

What nurses want
Amidst a nursing shortage and slow progress on health IT adoption, frontline caregivers are calling on IT developers and policy-makers to re-shape clinical IT to their needs.   Read Story | Read Comments

April 7, 2008

DOD's rocky road to clinical reporting
The military is finally beginning to extract knowledge from its massive database of electronic medical records   Read Story | Read Comments

April 17, 2008

Brooklyn bridges
The Brooklyn Health Information Exchange aims to unite the health landscape of the borough, a captivating place to visit but a challenging arena in which to practice medicine.   Read Story | Read Comments

April 28, 2008

Coordinate less, achieve more
The Office of the National Coordinator for Health IT has made considerable progress in health IT. But for all of its accomplishments, ONC should postpone about half of its projects that are not "foundational," says Vanderbilt's Mark Frisse.   Read Story | Read Comments

May 5, 2008

Virginia Beach: Pretty good health privacy
The city’s home-grown Secure Messaging Application enables employees to send health-related files securely in a way that meets HIPAA standards and is intuitive to use.   Read Story | Read Comments

May 12, 2008

Will health IT budgets get whacked?
Most state health IT investments should escape potential belt-tightening, but even modest health IT budgets could be sacrificed should state revenues remain anemic.   Read Story | Read Comments

May 15, 2008

‘Treaty’ smoothes NHIN friction
A new legal concept could prove to be the grease that keeps the wheels of the Nationwide Health Information Network rolling along friction-free.   Read Story | Read Comments

May 21, 2008

Who’s hacking your PACS?
In the military’s IT-enabled clinics, an X-ray machine is a network appliance — and must be considered a potential threat to information security.   Read Story | Read Comments

May 27, 2008

Taking privacy personally
For the Health Privacy Project’s Deven McGraw, solving health IT’s privacy puzzle hits close to home.   Read Story | Read Comments

June 2, 2008

Undivided attention
In Chicago, DOD and VA are attempting the unprecedented: Building an integrated health services center that treats active-duty service members and veterans as one.   Read Story | Read Comments

June 4, 2008

Letter to the editor: Gaming Medicaid
Wisconsin has figured out how to prevent gaming of pay-for-performance-based Medicaid programs with an automated system that relies on a third-party to calculate results.   Read Story | Read Comments

June 9, 2008

The great public health mashup
Public health agencies are combining their geospatial information with third-party datasets to create new views into the health care landscape.   Read Story | Read Comments

June 10, 2008

Dead reckoning
A national registry for death certificates could spell big savings for states -- if physicians would only use it.   Read Story | Read Comments

June 16, 2008

Op Ed: Lessons of NIH’s stolen laptop
The purpose of the federal mandate on data protection is not compliance, but to consider end-point security at the enterprise level. For instance, ask what needs to be protected: the health record on a device – or the device itself?   Read Story | Read Comments

June 19, 2008

Health IT for kids
Spurred by government, industry, advocacy groups and children’s hospitals, pediatric care is emerging as a focus of health IT   Read Story | Read Comments

June 23, 2008

Health IT turns to children's health
Spurred by government, child health care providers and advocacy groups, pediatric care is emerging as a focus of health IT.   Read Story | Read Comments

June 23, 2008

EHRs go beyond medical treatment
Social Security Administration project shows how health IT might be used to streamline agency requests for copies of clients’ medical records.   Read Story | Read Comments

June 30, 2008

Share and share alike
DOD and VA have tools for sharing nearly all primary care records, but achieving true data interoperability across the departmental divide remains elusive.   Read Story | Read Comments

July 4, 2008

DOD-VA office plots health record sharing
Managers say new joint program office will bring continuity of experience and management to protracted efforts to connect defense and veterans' health systems.   Read Story | Read Comments

July 21, 2008

Next stop for health care traveler
New NCVHS chairman Harry Reynolds says with the advent of “new and more complex” systems such as personal health records and the National Health Information Network, the Committee must confront health policy as a continuum, not a set of fixes.   Read Story | Read Comments

July 29, 2008

Two approaches to medical device safety
Europe and U.S. offer contrasting strategies for ensuring the safety of new medical technology. As the E.U. tightens oversight, the U.S. seeks to tap the power of data surveillance.   Read Story | Read Comments

July 30, 2008

Health IT meets the genome
Government-sponsored scientists and policy-makers have started down a path that may ultimately link genetic information and electronic health records.   Read Story | Read Comments

August 5, 2008

Community-grown health IT
At a time when many organizations are installing commercial EHRs, a dozen Michigan counties have adopted customized solutions that rely on a hosted approach, collaborative design, and open source mind-set.   Read Story | Read Comments