In my 7/24/2012 post, I observed that exchanging uncoded lab results is the state of the art.
Why worry? SMART is pushing to enable third-party apps on disparate health IT systems, and codes are the glue holding meaning together. Without coded data, apps can’t tell a Hemoglobin A1c measurement from a monocyte percentage!
In the USA we have substantial infrastructure to promote the flow of coded data. So where do things break down?
Introducing another partner in our mission to bridge the doctor-developer-designer divide: Fjord. This digital service design consultancy’s New York office will be helping the SMART team create an open-source, web-based, interactive pediatric growth chart application. Embracing a design-led approach to clinical end-user needs, this collaboration aims to develop a new way to present pediatric growth charts so they can be easily read, understood, and shared among clinicians and other medical professionals, as well as used in communication with parents.
The collaboration will start with an immersive phase of interviewing pediatric and medical informatics specialists to help establish current content, context, and usage of the pediatric growth chart. This targeted usability research will surface insights and understanding of how pediatric growth charts are actually used and how they should be changed to enhance their utility for different clinical and communication purposes. The Fjord team will then create detailed designs that will be tested and refined with clinicians and parents.
After the design has been completed, the Fjord and SMART Project teams will collaborate to complete a full development, implementation, and launch of the design, resulting in an end-to-end web app experience to be introduced to, and shared with, the medical and clinical informatics community.
At last week’s Redwood MedNet HIE Conference, I had the chance to attend an “Interoperability Exhibition” demonstrating the data exchange capabilities of several EHRs. Two themes emerged around clinical summary export. I’ll focus on CCDs (Continuity of Care Documents), but the themes apply to CCRs (Continuity of Care Records) as well:
Today’s post focuses on #1. In a future post, I’ll investigate the interplay between certification and meaningful use to understand where LOINC codes disappear to.
Next Tuesday and Wednesday, July 24-25, the i2b2 Academic Users’ Group will host its second annual conference at the Joseph B. Martin Conference Center in Boston. Wednesday’s 9:30-10:00 a.m. segment will be a demonstration of the patient-centered view and app bundle developed using the SMART i2b2 cell. The full agenda of the conference, which will be preceded by an NLP workshop, can be found on the i2b2 website.
The SMART team is pleased to announce a new partnership that will break down barriers between developers, designers, and doctors. Sermo, the largest online physician community in the United States, will connect us with their network of over 130,000 members for feedback on SMART apps as they are created.
“We are excited to be working with the SMART project,” said Jon Michaeli, VP, Marketing and Membership. “It’s no secret there are major obstacles associated with the implementation and widespread adoption of an efficient IT infrastructure in the US healthcare system today. Physicians in the Sermo community are constantly exchanging war stories, from how EMR incompatibilities cripple their work streams to how they compromise rather than improve patient care. This project presents a great opportunity for them to share their opinions with leading researchers and technologists who are well positioned to make a difference.”
An example of the kind of insights that Sermo has gathered from its members is the Physician Sentiment Index™ (PSI), conducted annually since 2010 along with athenahealth, a cloud-based physician software and billing firm. The 2012 PSI was just released in June.
iHealthBeat, July 12, 2012 — Andy Oram
On Wednesday, Health 2.0 and the Office of the National Coordinator for Health IT launched a contest — called the SMART-Indivo App Challenge — inviting developers to create consumer-focused health applications, Healthcare IT News reports. SMART — which stands for Substitutable Medical Apps, Reusable Technologies — is one of four Strategic Health IT Advanced Research Projects funded by ONC. Indivo is a personal health record platform…
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Healthcare IT News, July 12, 2012 — Erin McCann
SAN FRANCISCO – On Wednesday, officials at the Office of the National Coordinator for Health Information Technology (ONC) and Health 2.0 announced the launch of a collaborative venture that aims to spur health information technology innovation among software developers. The Investing in Innovation (i2) Initiative competition seeks to foster the use of technology to drive improved health outcomes, officials say, driving patient participation in their own health and wellness data…
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The SMART-Indivo App Challenge is now Live!
This contest is a call to developers to build an Indivo app that provides value to patients using data delivered through the SMART API and Indivo-specific extensions. The top 3 submissions will win cash prizes, with the top one taking home $10,000 and the opportunity to exhibit at an upcoming conference.
We look forward to seeing what innovative ideas are enabled by Indivo and its integration with SMART, so check out the contest details, read the Indivo Documentation, visit the Indivo Sandbox, and start hacking!
HANDI–the Healthcare App Network for Development and Innovation–will host a meeting on the SMART platform and OpenEHR on Wednesday, July 11.
This meeting will include expert presentation of the two technologies and an opportunity to explore their further use in the UK and/or possible collaboration at a global level.
Registration is required, and remote seats are still available.
Among the attendees of last week’s Indivo conference was Andy Oram, who writes regularly about the societal effects of Internet policy and technical innovation. His piece in the O’Reilly Radar summarizes Monday’s talks and explains the significance of the “historical” SMART-enabled Indivo v2 release. It also mentions Tuesday’s hackathon, shown below, where developers tried their hands at app creation and integration.
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