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Health IT in the Latino Community–From Concept to Practice January 24, 2012

Posted by gonzalezloumiet in American Recovery and Reinvestment Act of 2009, Health Care, HIT, Interoperability, Stimulus Plan, Technology.
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If you are planning to attend HIMSS 2012, make sure to stop by the HIMSS Latino Community Workshop.

Learn more here

New Statewide Health Data Network Will Improve Patient Care December 13, 2011

Posted by gonzalezloumiet in Data Integration, EMR, Health Care, Interoperability, NHIN, open source, Stimulus Plan, Technology.
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TALLAHASSEE, Fla. – Florida healthcare patients soon will receive more collaborative and streamlined care with improved safety, outcomes, privacy and efficiency thanks to the launch of a new, secure, cloud-based, statewide health information exchange (HIE) network.

Leaders from a new Florida company, HIE Networks, the Florida Hospital Association and the Florida Medical Association joined forces at a news conference to announce the creation of the Florida Health Data Network (FHDN), which will make patient medical records easily accessible to authorized healthcare providers.

FHDN is a statewide network developed, solely funded and operated by HIE Networks LLC, a private, physician-owned, national provider of integrated digital medical records technology.  Based in Tallahassee, Fla., HIE Networks grew out of its co-founders’ successful piloting of the Big Bend Regional Healthcare Information Organization (BBRHIO), a health information exchange network serving nine counties in North Florida which has been nationally-recognized as one of the top 12 regional HIEs in the country.

“One of the greatest challenges to providing efficient, cost-effective, high-quality health care is access to patients’ medical history by health care providers,” said Dr. Dan Kaelin, co-founder and Chief Medical Officer of HIE Networks.  “The Florida Health Data Network will change that forever.”

FHDN can connect hospitals, physicians, laboratories, pharmacies and insurers without geographic boundaries using “cloud” technology that allows for the networking and sharing of patient clinical records in a secure, fully integrated, health information exchange, said Allen Byington, co-founder and CEO of HIE Networks.

“The core HIE technology allows for providers, hospitals and communities to avoid bearing the high capital cost of acquiring and maintaining the initial technology, requiring only a modest monthly service fee,” said Byington. “Leveraging the FHDN technology, providers only have to fund their Electronic Medical Record (EMR) vendors’ interface cost and a small staff-training fee. Our goal is to significantly reduce the capital barrier to HIE adoption nationally.”

“By exchanging patient clinical records in a robust HIE network, physicians can eradicate inefficiencies, duplication of services and medical errors,” said Kaelin.

“Hospital emergency rooms can better provide prompt diagnosis and treatment.  Pharmacists can be certain that a new prescription doesn’t conflict with an existing one. Lab and radiology results can be shared and accessed instantly for prompt evaluation and treatment.  Patients have more knowledge and control of their treatments and procedures.  Elimination of duplicative testing and elimination of waste will help streamline treatment, reduce delivery costs, reduce errors and, most importantly, improve outcomes and save lives.”

“Another unique aspect and value of the FHDN,” said Byington, ”is that it is community-based, local-provider-driven and compatible with other local groups and networks – including BBRHIO and the Gulf Coast Health Information Exchange based in Manatee County – united under HIE Networks’ core HIE technology umbrella.”

The HIE Networks’ endorsements by the Florida Hospital Association (FHA), the Florida Medical Association (FMA) and other provider affiliations will help provide a trusted roadmap and pathway for providers to confidently address their HIE needs, says Byington. HIE Networks is the only endorsed HIE vendor for FHA and FMA.

“The Florida Hospital Association supports local-provider-driven health information exchange based on national standards,” said FHA President Bruce Rueben. “Hospitals, physicians and other healthcare providers collaborating to leverage health information exchange improve the coordination and quality of care for patients.  FHA is pleased to collaborate with HIE Networks and the Florida Medical Association in the expansion of patient-focused health information exchange.”

“The FMA conducted an exhaustive search among dozens of international, national, regional and local health information exchange vendors with the primary intent to identify and qualify a health information exchange solution that would preserve physician stewardship of sensitive personal health information for the benefit of our patients,” said Dr. Chris Pittman, chairman of FMA’s Health Information Technology Committee.  “The FMA identified several excellent vendor finalists; however, HIE Networks prevailed for several reasons: HIE Networks enjoys a multi-year track record as a proven and sustainable community-wide health information exchange model, has demonstrable and deployed solutions that meet physician and patient needs at the point of facilitating high-quality care, an ability to transmit electronic patient information at low cost to both physicians and patients and they are committed to local, provider-driven HIE that promises to preserve the time-honored physician-patient relationship.”

Byington stressed that security and privacy issues are paramount with FHDN.

“Robust HIE actually improves patient privacy by reducing unauthorized access to patient data,” said Byington. “With HIE, we can prevent records from being faxed to the wrong locations and know exactly when and who accessed a patient record.

“The key is that we’re not a monolithic statewide HIE organization, but a unifier, integrator and consolidator of local providers and HIE organizations,” added Byington. “We connect any provider or organization and build uniformity, consistency and accessibility as needed to share information across communities, regions and, ultimately, states.  We’ve also added Direct-enabled, secure messaging to FHDN; however, unlike other Direct messaging platforms, FHDN-facilitated messages can be automatically integrated as a part of the patient HIE clinical record rather than as a stand-alone, non-relational communication.”  Direct is a national, secure-messaging platform used by some physicians and other medical providers.  “With this capability, a single provider login is all that’s needed to access patient clinical records and send secure communications to those not yet participating in an HIE.”

HIE Networks’ FHDN currently has records for nearly one million unique Florida patients representing about 5 percent of Florida’s population. In addition, FHDN already processes more than 32 million messages and responds to more than 800,000 user queries.  Current community commitments are expected to increase FHDN’s records to about 12 percent of the state’s population by second quarter 2012.  “We expect that percentage to grow exponentially over the next year and beyond,” said Byington.

Nationally, the concept of an interconnected, private and secure electronic medical record (EMR) system is getting more attention, thanks in part to the 2009 American Recovery & Reinvestment Act (ARRA, also known as the stimulus bill) which set aside more than $20 billion for incentives to health care providers to deploy and use such systems.  During the past year, many more providers have come on board the EMR train, says Byington, and many more are finally starting to see the benefits of HIE.

HIE Networks’ strategic partnership with Über Operations – also a Tallahassee-based company – will address the large-scale integration requirements needed to program EMR interfaces of providers statewide and beyond. “Über Operations’ existing work with the Florida Department of Health and healthcare organizations throughout the nation position the FHDN to streamline the on-boarding and interfacing process for providers and trading partners,” said Byington.

“For the past seven years, we have focused on providing expert and innovative data integration services to both public and private healthcare organizations throughout the nation,” said Eduardo Gonzalez Loumiet, Managing Director of Über Operations.  “With this new network, we will be in a position to implement state-of-the-art technology to connect local providers, ultimately improving the health care of millions.”

HIE Networks grew out of the Big Bend Regional Healthcare Information Organization, which was profiled in a recent report on leading HIEs by the National eHealth Collaborative (NeHC).  In response to news of the launch of FHDN, Kate Berry, CEO of NeHC, said, “Today’s announcement is an impressive example of continued innovation in HIE with a relentless focus on what’s best for the patient.  The Big Bend team and its broader HIE Networks company are leveraging technology to bring low cost solutions to the market that will benefit patients by improving safety, quality, care coordination, and achieving cost savings.”  To view the NeHC report, go to www.nationalehealth.org/secrets-hie-success-lessons-leaders.

For more information about the Florida Health Data Network and HIE Networks, go towww.HIEnetworks.com, call (850) 702-0365 or email zach@HIEnetworks.com.  For more information about Big Bend RHIO, go to www.BigBendHealth.com.

About HIE Networks, LLC

HIE Networks is a leading provider of local health information exchange (HIE) services, with secure, standards-based exchanges that create and operate efficient, effective and sustainable health information networks at the local and regional levels. By acting as a region’s single reference point for patient records, HIE Networks allows hospitals, physicians and medical practices, laboratories, pharmacies and insurers to collaborate and streamline patient care, thereby improving the safety, outcomes, privacy and efficiency of healthcare services in their local communities. The HIE Networks service mix includes practice consultation, social architecture, legal structure, hardware support, software implementation, networking, integration, training and support.

About Big Bend RHIO

Big Bend RHIO is a federally-recognized 501(c)(3) not-for-profit that has deployed BigBendHealth.com, a first-of-its-kind health resource that brings with it economic benefits, a connected workforce, improved medical care and a breakthrough in exchange of clinical records. It serves as an essential communication resource for health care in the Capital region, with many resources offered in one place. BigBendHealth.com is the largest active regional HIE in Florida with millions of records for over 500,000 unique patients in the system and processing over 600,000 new clinical messages a month. BigBendHealth.com initiatives involve every major component of North Florida’s local healthcare system from physicians’ offices to HMOs to hospitals, laboratories and pharmacies. BigBendHealth.com is a partner in the delivery of safer, more cost-effective healthcare, placing its community at the head of the line for federal and state research dollars and making Tallahassee a model for other communities seeking to control the cost and improve the quality of local healthcare. BigBendHealth.com is anchored in Tallahassee, Fla., and serves nine counties in the Big Bend area of the Florida Panhandle, including Gadsden, Franklin, Jefferson, Leon, Liberty, Madison, Wakulla, Taylor and Dixie counties.

About Über Operations

Founded in 2004 in Tallahassee, Fla., Über Operations is a leading provider of health care IT services. They have provided integration services for well-known organizations, including the Florida Department of Health, Texas Department of State Health Services, Mercy Hospital of Miami, National Cancer Institute, Trinity Health, Association of Public Health Laboratories, and the University of Washington. Über Operations’ team members are experts in various technologies, such as Rhapsody, Cloverleaf, Mirth,  PHINMS, Direct, and NwHIN CONNECT, to name a few. Über Operations is nationally recognized by the Association of Public Health Labs (APHL) and the CDC as their choice to architect, develop, host, and support the PHLIP RnR health information exchange hub. Über Operations was named “Health Innovators” by Florida Trend Magazine in 2011. For more information on Über Operations please visit www.UberOps.com

ELSM work for the Florida Dept of Health = Completed! June 17, 2011

Posted by gonzalezloumiet in APHL, HIT, Interoperability, open source.
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Over the last 3 years, we have been working on the CDC and Association of Public Health Laboratories (APHL) – Public Health Laboratory Interoperability Project (PHLIP). From the APHL web site: “PHLIP aims to establish reliable laboratory data exchange between state public health laboratories and the Centers for Disease Control and Prevention by fostering collaboration in IT and laboratory science. The collaboration is intended to extend beyond the founding partners (APHL and CDC) to include all relevant public and private entities.”  One of the subprojects and use cases is called ELSM, which stands for: Electronic Laboratory Surveillance Message.

Each state public health lab is asked to send their influenza results to the CDC via the RnR Hub (managed by Uber Operations and LabPoint) and in a specific format based on the PHLIP Influenza Message Guide. The lead integration engineer on this project was Frans de Wet. He worked closely with the team at the Florida Bureau of Laboratories, LabWare (lab info management system) and the assistance teams from the APHL and the CDC. After months of development and testing, the Florida Dept of Health was advised that they could be transitioned to “full production“, which was a major accomplishment for all involved.

Technology used:


Mirth in action 

The team is still heavily involved in several PHLIP initiatives like maintaining the RnR Hub, the ETOR Salmonella Project, LIMSi Project, Pandemic Influenza Project, and the ELC HITECH Project.

Team Members (Uber Operations):
Other Team Members:
  • APHL
  • CDC
  • LabWare

Uber Ops To Lead Florida In PHLIP ETOR Salmonella Project February 12, 2011

Posted by gonzalezloumiet in American Recovery and Reinvestment Act, APHL, Data Integration, Health Care, HIT, Interoperability.
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February 12, 2011 – Tallahassee, Florida – The Uber Operations team will be leading the Florida Department of Health in the Public Health Laboratory Interoperability Project (PHLIP) – Electronic Test Order & Result (ETOR) Salmonella project.

The ETOR Salmonella project will facilitate the orders of Salmonella tests by a state public health agency/lab to the CDC. The test order will flow through the CDC Public Health Laboratory Interoperability Solutions and Solution Architecture (PHLISSA) infrastructure. Once the test is resulted in the CDC’s Laboratory Information Management System, Starlims, the result message will flow out through PHLISSA and back to the state public health agency/lab. The Florida RnR Hub will have a key role as the states will use this for message transport facilitation. Other states involved in the project are Iowa and Utah. The project is sponsored by the Association of Public Health Laboratories.

The project kicked off this past week. We look forward to leading Florida and will update this blog post as we progress throughout the year.

 

Uber Operations To Manage Florida & Texas ELC Projects September 7, 2010

Posted by gonzalezloumiet in CDC, Florida Dept of Health, Interoperability.
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Update: October 1, 2010

TALLAHASSEE – September 7, 2010 – Team members from Uber Operations will participate in the State of Florida and Texas CDC ELC Project.

Official Project Name: Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) Infrastructure and Interoperability Support for Public Health Laboratories Project.

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Project Background:

On February 17, 2009, the President signed the American Recovery and Reinvestment Act of 2009 (ARRA). This statute includes The Health Information Technology for Economic and Clinical Health Act of 2009 (the HITECH Act) that sets forth a plan for advancing the appropriate use of health information technology to improve quality of care and establish a foundation for health care reform. The public health focused activities being advanced under ARRA cover activities intended to carry out the Department of Health and Human Services (HHS) responsibilities to support meaningful use of electronic health records through two way communications between clinicians and national, state, and local public health entities. These activities focus on enhancing capabilities to advance one of the potential policy priorities of meaningful use for 2011, to “improve population and public health,” by conducting two distinct projects:

· Interoperability of Electronic Health Records (EHRs) and Immunization Registries

· Electronic Laboratory Reporting between Public Health and Clinical Care

While public health programs are already working in the above two areas, additional efforts are needed to enable public health programs to exchange electronic data with clinical care. Investing in these areas will allow for the more rapid advancement towards meaningful use of EHRs as intended by ARRA. The public health system is a key component of our nation’s healthcare system and without such a link to the clinical care system, the nation’s health care system is not complete. The activities outlined in these two projects will create an information sharing environment between clinical care and public health practitioners and is expected to lay part of the foundation for meaningful use of EHRs by bringing critical laboratory information and treatment history (vaccine registries) to the clinician’s desktop.

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Purpose:

The purpose of the Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) cooperative agreement is to assist state public health agencies in improving surveillance for, and response to, infectious diseases by (1) strengthening epidemiologic capacity; (2) enhancing laboratory capacity and practice; (3) improving information systems; and (4) developing and implementing prevention and control strategies. The focus of the activities is on naturally occurring infectious diseases and drug-resistant infections. ELC aims to enhance the ability of public health agencies to identify and monitor the occurrence of known infectious diseases of public health importance; detect new and emerging infectious disease threats, identify and respond to disease outbreaks; and use public health data for priority setting, policy development, and for prevention and control. Specifically within the Health Information Systems/National Electronic Disease Surveillance System (NEDSS) component of ELC, a key goal is to develop direct electronic data exchanges between sources of data (such as health care providers or laboratories – i.e., clinical care) and public health agencies.

Eduardo Gonzalez Loumiet of Uber Operations will be managing the projects. For more information, please contact Eduardo at: eduardo@uberops.com

About Über Operations:
Founded in 2004 in Tallahassee, Florida, Über Operations is a leading provider of health care IT services. They provide the integration services for several large private and public organizations, including: Florida Department of Health, Texas Department of State Health Services, Mercy Hospital of Miami, Mayo Medical Labs, Association of Public Health Laboratories, and the University of Washington. Über Operations team members are experts in various technologies, such as Orion Health’s Rhapsody, Cloverleaf, Mirth, LabWare, PHINMS, and NHIN CONNECT, to name a few. Über Operations is nationally recognized by the Association Public Health Labs (APHL) and the CDC as their choice to architect, develop, host, and support the PHLIP RnR health information exchange Hub. For more information on Über Operations please visit
www.ÜberOps.com .

Health Care Industry Moves Slowly Onto the Internet April 6, 2009

Posted by gonzalezloumiet in CDC, GE HEALTHCARE, HIMSS, IBM, Influenza, Internet, Interoperability, Mayo, Obama, Open Health Natural Language Processing Consortium, open source.
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April 5, 2009, 1:35 pm
By Steve Lohr

The health care industry, a well-known laggard in information technology, is where most of corporate America was a decade or more ago in adopting Internet-style computing. There are innovators, intriguing experiments and lots of interest, but the technology hasn’t yet gone mainstream.

Still, the direction is now clear, and only the pace of the shift is in question. The Obama administration’s plan to spend $19 billion to hasten the adoption of electronic health records that can share data across networks — “interoperable,” in techspeak — will only give more impetus to the shift toward Internet-style computing. And there is plenty of evidence of the emerging transition being demonstrated and announced this week at the health information technology’s big annual conference and trade show in Chicago, sponsored by the Healthcare Information and Management Systems Society, or HIMSS.

One good example of the trend is a joint project, announced on Sunday, between the Centers for Disease Control and Prevention and GE Healthcare. The project will deliver individually tailored public health alerts to electronic health records in doctors’ offices. The goal, for example, is to have an alert pop up on a physician’s screen that a certain patient, based on location, age and perhaps occupation, might be at risk for an influenza outbreak that is nearing a certain community or for contracting a food-borne illness.

“Public health mostly deals with problems now as broadcast communication, with warnings to the general population,” said Dr. Charles Safran of the Harvard Medical School, who is also a senior scientist at the CDC’s Center for Public Health Informatics. “This changes that communications paradigm from broadcast to targeted.”

The project, Dr. Safran said, was evidence of a broader shift at the CDC and in public health, especially under the head of the CDC’s informatics center, Dr. Leslie Lenert. “There is a real emphasis on developing Internet services for public health,” Dr. Safran said. “Public health is coming of age as far as this technology is concerned.”

No one is suggesting that everything moves online. Instead, the Internet shift means a technical transition to Web-based capabilities and open standards, and also a more collaborative style of work in health care technology.

For example, the researchers at Mayo Clinic and I.B.M. are launching a Web site for collaboration in the tools used for searching records and data stores of all kinds in medicine. The new project is the Open Health Natural Language Processing Consortium.

The application of natural language processing — simply, understanding human language — to medicine is becoming increasingly important as more patient and research information is moving to digital form instead of paper. But much of that information, like doctors’ clinical notes, is not in traditional databases. So natural language processing tools, developed for medical terms, will be crucial for researchers looking for clues to disease patterns and trying to improve decision-support tools for doctors.

Both Mayo and I.B.M. will put medical research tools into the natural-language project. The goal, they say, is for a large share of the estimated 2,000 researchers and developers working on clinical language systems worldwide to contribute to the project, and to benefit.

“By making it an open-source initiative, we hope to enable wide use of natural-language processing tools so medical advancements can happen faster and more efficiently,” said Dr. Christopher Chute, a bioinformatics expert at Mayo.

SOURCE: http://bits.blogs.nytimes.com/2009/04/05/health-care-industry-moves-slowly-onto-the-internet/?pagemode=print

Capsule Demonstrates Connectivity Leadership at IHE North America Connectathon 2009 March 19, 2009

Posted by gonzalezloumiet in Capsule, IHE, Interoperability.
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Capsule Will Participate in HIMSS Interoperability Showcase in April
MarketWire
updated 9:00 a.m. ET, Thurs., March. 19, 2009

ANDOVER, MA – Capsule (www.capsuletech.com), the leading provider of medical device connectivity, announced its successful participation at the IHE (Integrating the Healthcare Enterprise) North America Connectathon held on February 23-27 in Chicago.

The Connectathon is the healthcare IT industry’s largest interoperability testing event. For the second year in a row, at the Connectathon, Capsule was able to demonstrate that with its Open Architecture Connectivity Solution it could successfully support IHE Patient Care Device (PCD) profiles and connect all other vendors patient care devices to leading Electronic Medical Records (EMR) and Clinical Information Systems (CIS).

“We are proud to have again had a successful demonstration at such an important testing event for our industry,” said Mark Morwood, Vice President of Product Management at Capsule. “One of the main reasons Capsule is selected as a medical device connectivity provider for hospitals time after time is because we have proven we can integrate hundreds of different medical devices to any EMR, CIS or Alarm and Event Management System. At this year’s Connectathon, we were able to demonstrate again that we can integrate any device in our library and have it become IHE compliant.”

Capsule will be showcasing its IHE compliant connectivity solution at the HIMSS Interoperability Showcase at the HIMSS09 Annual Conference from April 5-8, 2009 and encourages attendees to stop by and learn how Capsule successfully connected to all other vendors at the Connectathon using PCD (Patient Care Device) profiles and how Capsule’s solution can make any medical device or enterprise system IHE compatible.

Capsule will be demonstrating its solution at its company Booth #2212 in the main hall, and also at the HIMSS Interoperability Showcase during all open show hours. In addition, Capsule will be presenting in the HIMSS Interoperability Showcase Theater on Sunday, April 5th at 5:15 p.m. inside Booth #7750 and in the New Solutions Theater on Monday, April 6th at 3:15 p.m.

About Capsule’s Connectivity Solution

Capsule’s Open Architecture Connectivity Solution, featuring DataCaptor(TM), delivers the largest device interface library available with over 400 different types of medical devices supported, such as patient monitors, ventilators, infusion pumps, and anesthesia machines. The solution automatically converts the medical device data to HL7 or XML format and integrates it with any Electronic Medical Record (EMR), Clinical Information System (CIS), or Alarm and Event Management system improving clinical documentation, enhancing workflow and saving thousands of nursing hours.

About Capsule

For more than 10 years, Capsule has been the world’s leading, award-winning provider of solutions for medical device connectivity. The company has established market leadership through its 510(k) cleared software and medical grade hardware products, its unique expertise in device protocols and firmware, and through its strong partnerships with major medical device manufacturers and HIS companies. Capsule’s solutions are proven, with over 350 installations at leading healthcare facilities worldwide. Its technology is secure, with the largest device driver library available in the industry — over 400 and growing. In 2008, Frost & Sullivan recognized Capsule’s contribution and honored the company with the Global Technology Leadership Award. Deloitte also acknowledged Capsule for its stellar revenue growth and presented the company with the Deloitte Technology Fast 50 and Fast 500 EMEA Awards. For more information, please visit the company’s Web site at http://www.capsuletech.com/ or contact the Company’s U.S. Marketing & Public Relations at 978-482-2337.

Contact: Kerry Metzdorf for Capsule 978-463-2575 Email Contact
© MarketWire 2009
URL: http://www.msnbc.msn.com/id/29772390/

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New York State health IT strategy may be model for the nation March 11, 2009

Posted by gonzalezloumiet in EMR, Health Care, Interoperability, New York, Stimulus Plan, Technology.
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100 percent of HEAL NY programs still exist, Weill Cornell Medical College study finds
NEW YORK (March 10, 2009) — Health information technology programs implemented in New York state are active and functioning a full two years after being established, and could serve as models for new federal initiatives, according to a study by investigators at Weill Cornell Medical College.

“Programs such as these could transform the way health care is delivered nationally and locally,” says senior author Dr. Rainu Kaushal, chief of the Division of Quality and Clinical Informatics and associate professor of pediatrics, public health and medicine at Weill Cornell Medical College.

If implemented correctly, information technology (IT) systems — including electronic health records — have the potential to improve quality of care, increase efficiency and cost savings, reduce medical errors, and enhance continuity of care.

“Ideally, a doctor treating a patient will have access to the patient’s entire medical history at the point of care,” says lead researcher Dr. Lisa Kern, assistant professor of public health and medicine and the Nanette Laitman Clinical Scholar in Public Health–Clinical Evaluation at Weill Cornell Medical College. “For example, I’m better able to avoid an adverse drug event if I know what the patient’s cardiologist prescribed the patient yesterday.”

The findings were published in the March 10 issue of Health Affairs, a special themed issue on health information technology. Dr. Kaushal and Dr. Kern represented New York state at a briefing in Washington, D.C., held the same day to coincide with the release of the journal issue.

The federal government is poised to pour $19 billion into health information technology as part of the new economic stimulus package.

At present, New York state is substantially ahead of the game, with approximately $250 million allocated for health information technology and, specifically, electronic health records that can connect to other health IT systems through the statewide health information exchange network, or “interoperable” health IT. The Healthcare Efficiency and Affordability Law for New Yorkers Capital Grant Program (HEAL NY) is the largest state-based investment of its kind, surpassing the next largest state program by a factor of eight. Currently $160 million in HEAL NY funds have been granted and $230 million in private sector dollars committed to health IT infrastructure, bringing New York’s current investment to $390 million.

Dr. Kaushal and Dr. Kern direct HITEC (Health Information Technology Evaluation Collaborative), a multi-institutional academic collaboration formed to evaluate New York state health IT initiatives.

The authors conducted a longitudinal survey of the 26 grantees that were funded under the first phase of HEAL NY, starting in 2005. Each grantee consisted of a consortium of health care institutions in a given community. The grantees had received a total of $53 million for this phase of the project. The authors also assessed the implications of New York’s health IT strategy on the grantees approach and progress.

“Over the past two years, the grantees have been involved in developing and implementing statewide policy solutions, technological building blocks, and clinical capacity as part of New York’s health IT infrastructure,” says Lori M. Evans, Deputy Commissioner, New York State Department of Health, Office of Health Information Technology Transformation, who is responsible for leading New York’s health IT strategy. “I think this has made a big difference in the progress and success of our grantees — innovating from the bottom up and following statewide policies, standards and technical specifications from the top down.”

“Two years into the program, 100 percent of grantees were still in existence and functioning and all were still implementing interoperable health IT systems,” says Dr. Kern. This is in contrast to national trends, where 25 percent of regional health information organizations (RHIOs) nationwide do not survive their first year.

Eighty-five percent of the communities studied were still actively pursuing health information exchange, and more than one-third met the formal criteria for a regional health information organization, an information-technology model that connects hospitals, doctors’ offices, pharmacies and laboratories.

One-third of grantees had actual users for their systems.

“New York state is leading the nation in health IT,” Dr. Kaushal says. “These successes could help shape the federal government’s approach to health IT.”

“The Department of Health applauds the authors and the Health Information Technology Evaluation Collaborative (HITEC) on their article in Health Affairs,” says Ms. Evans. “HITEC is responsible for evaluating New York’s health IT agenda and providing short-cycle feedback every step of the way as well as longer-term contributions to the literature. This piece in particular provides positive evidence that health information exchange and electronic health record adoption, as a means to an end, can progress statewide through a balance of common policies and technical approaches and local innovation and market variation.”

###

Funding for the study was provided by the Commonwealth Fund.

Co-authors included Yolanda Barron, M.S., Dr. Erika L. Abramson and Dr. Vaishali Patel, all of Weill Cornell Medical College.

Workforce Development Essential to Obama’s Health Care IT Initiative March 4, 2009

Posted by gonzalezloumiet in Data Integration, Interoperability, Obama, Stimulus Plan, Technology.
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Julian L. Alssid and Jonathan A. Leviss
Posted March 3, 2009 | 04:52 PM (EST)

The American Recovery and Reinvestment Act includes more than $19 billion over the next two years to move the U.S. health care system toward widespread adoption of information technology systems. The assumption is that broad implementation of a modern health care information technology system could save the U.S. $80 billion annually.

This is only true, however, if technological investment is accompanied by strategic investment in human capital.

We are just beginning to understand what it takes to build an effective national (or even local) integrated health IT system and most health care technology leaders agree that we do not have sufficient or appropriately skilled workers for the current projects underway. A recent analysis of the U.S. workforce estimates that almost 40% more health care IT staff and professionals are needed at U.S. hospitals for broad adoption of health care IT. This estimate does not include the staff at technology vendors or consulting firms, which provides critical support for most hospital-based IT initiatives.

Hospitals are not banks, or insurance agencies, or hotels. Health care’s unique workflows — including many physicians and nurses sharing computers in a busy emergency room, the challenges of maintaining working hardware in an intensive care unit, and the vast realm of data accessed to care for a sick human being — require novel technologies and processes that cannot be easily translated from other industries.

The uniqueness of healthcare’s IT needs are re-validated every time an IT worker, vendor, or consultant tries to enter health care after demonstrating success in another industry — and then fails. Examples of promising solutions that stalled in health care include: voice recognition for dictation (hospitals can be very noisy); mobile computers (nurses move constantly and can’t carry heavy items or push bulky stands); 8 am to 5pm help desk support (health care runs 24/7); or implementation plans that do not recognize the organizational culture of hospitals (physicians usually are not employees).

Physicians, nurses, and other health care providers routinely learn new skills and adopt new technologies, so there exists an infrastructure of programs to train providers on how to use new technologies. What is missing, however, is a parallel training track for a sufficient workforce to develop, implement, manage, and support advanced information technologies in hospitals, doctors’ offices, and other health care venues.

As the new Administration calls on the Department of Health and Human Services to put in place interoperability guidelines for health care IT, it must also call on the Office of the National Coordinator for Health Information Technology (ONC) to find the best way to train a workforce to develop and manage this new technology.

The American Recovery and Reinvestment Act includes provisions to assist educational institutions “to establish or expand medical health informatics education programs, including certification, undergraduate, and master’s degree programs for both health care and information technology students…” It also calls for “resources needed to establish a health information technology workforce …including education programs in medical informatics and health information management.” What remains unclear, however, are the exact skills and expertise necessary for this health information technology workforce, a subject regularly debated by experts at all major health information technology conferences.

To ensure the investments in a national health care technology infrastructure create the needed workforce, the ONC should undertake a nationwide analysis — one that looks at the skills and knowledge health care IT employers should seek in their workforce, how workers should develop these skills or gain this knowledge, and how rapidly this workforce could be expanded to support initiatives that will constantly evolve with new technologies. The ONC should collaborate with the American Medical Informatics Association, American Health Information Management Association, Healthcare Information Management and Systems Society, and other professional organizations whose members have led and supported technology efforts across the US and the world.

The stimulus package’s $19 billion in IT and $250 million to prepare workers for careers in the health care sector are laudable first steps, but both become high risk investments if we do not take care to identify workforce training and educational needs and ensure that technological investments are accompanied by appropriate workforce training investments every step of the way.

Julian L. Alssid is the executive director of Workforce Strategy Center, a nonprofit organization that seeks to strengthen the nation’s economy by producing a prosperous and globally competitive workforce.

Jonathan A. Leviss, MD, is the Chief Medical Officer at Sentillion, Inc., and practices internal medicine at the Thundermist Health Center in Rhode Island.

SOURCE: http://www.huffingtonpost.com/julian-l-alssid-and-jonathan-a-leviss/workforce-development-ess_b_171556.html?view=print

Health Information Technology for Economic and Clinical Health Act or HITECH Act March 2, 2009

Posted by gonzalezloumiet in EMR, Health Care, Health Record Bank (HRB), HIT, HITECH, Interoperability, Obama, Technology.
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Download: http://waysandmeans.house.gov/media/pdf/110/hit2.pdf

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