EHR

presented by Dr Sam Heard

Senior Visiting Research Fellow,
University College London
 
When: 12pm - 1pm - Tuesday 11th May
Where: Victoria University of Wellington, Old Govt Buildings, Lecture Theatre 2.
 
To book contact rowena.Cullen@vuw.ac.nz
 

Hello,This is my discussion thread for the HLTHINFO728 (Health Informatics) Assignment 1 on Disruptive Technology. After doing some reading I cam across Google Health, which launched a few years ago.  It is a way for people to post their health records online.  It allows people to input their health information and email a link to their profile so that others can access it.  Its intended goal is to be anelectronic health record.  The goal is to improve and coordinate care for patients.  Companies like Cerner have not been happy with Google Health.  It's a free profile that individuals/patients can access and make available to friends/family and their physician(s). 

Papers in the march edition of HCIRO has been oublished online at :http://www.hinz.org.nz/journal

Innovation and Openness - Is There Room for Both?

This paper is based on the HINZ 2010 presentation and coauthored by Werner Van Huffel from Microsoft.

Hi,
My name is Harish.  I have started my journey on my PG studies this year after a (some what) long absence from academic study.  As part of my "Principles of Health Informatics" paper, I am required to write an essay on "Disruptive IT" in Health.  Disruptive in the "good" sense, wherein, it brings about drastic changes to improve the services provided to the masses at low cost.
I happened to be browsing the Herald online when this caught my attention:
http://www.nzherald.co.nz/technology/news/article.cfm?c_id=5&objectid=10...

Over-the-coffee-cup conversations that attempt to solve all the worlds problems (or at least the ones worth solving) are not uncommon.   Recently the theme of the centralised EHR has resulted in much caffeine intake.  A number of us have worked on large centralised EHRs and almost universally the feeling is one of "I wouldn't do it that way again".  Very few jurisdictions can afford to spend significantly on EHR programs and centralisation is a significant driver to cost bloat.  Furthermore, practical experience shows that centralisation drives complexity, and leads to less that successful implementations.  I've started to capture some of the ideas on other approaches in my blog (at http://wildfauve.blogspot.com/2010/02/what-centralised-ehr.html).  Grab a coffee and join the discussion. 

Seminar Monday 29th March 12 – 1pm
 
Guest Speaker: Dr Karen Monsen, PhD, RN Assistant Professor, at the University of Minnesota
A public health nursing and informatics specialist, her research focuses on nursing interventions and outcomes using informatics datasets and methods.
 
Some of her recent projects include data mining and trajectory analyses of intervention data.
Meaningful use of standardized terminologies to support the Electronic Health Record
Content will include:
• Incorporating standards within the electronic health record
• Engaging researchers and practitioners in meaningful use of EHR data
• Omaha System exemplars: practice standards, data, research, translation
 
Venue: Room 730-211, Tamaki Campus, University of Auckland Use Gate 1, Morrin Road, Glen Innes.
All welcome.
No Charge
 

VA and kaiser have started sharing limited data from EHRs based on standards developed by Nationwide Health Information Network (NHIN). They believe that it will lay foundation for the lager implications across the industry where lessons from two advanced but diverse delivery systems can contribute to learning more about interoperability. http://www.fcw.com/Articles/2009/11/30/VA-Kaiser-Permanente-share-digital-patient-data.aspx
Does that have any implications for NZ?

Not sure if non-IEEE members can access this http://spectrum.ieee.org/blog/computing/it/riskfactor/electronic-health-records-are-worth-it-or-not, but I think its ok to cut and paste the final paragraph
"

The evaluation and selection of health informatics standards, particularly the ones related with architecture and interoperability is a "hard" problem...We have performed a literature review and an environmental scan on this issue within the scope of a report comissioned by HISAC (Health Information Strategy Action Committee):
Strategic Directions for Health Informatics Content Interoperability in New Zealand. Auckland: The National Institute for Health Innovation; 2008 Oct 9.