Healthcare Informatics Magazine, June 18, 2012 — Gabriel Perna
A recent piece by two Boston Children’s Hospital informatics researchers in the New England Journal of Medicine, Kenneth Mandl, M.D. and Isaac Kohane, M.D., made the argument that EHR vendors are holding back innovation in the health IT industry. This controversial opinion comes from the duo’s belief that many vendors have failed to adopt basic Internet-era sources for their systems such as private cloud-based storage and secure communication protocols, as well as modern consumer technologies such as word processing and search engines…
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Author: Administrator
HIT Expert Contends That EHR Vendors are Curbing Innovation (Part 1)
Healthcare Informatics Magazine, June 15, 2012 — Gabriel Perna
In a recent piece for the New England Journal of Medicine, two Boston Children’s Hospital informatics researchers, Kenneth Mandl, M.D. and Isaac Kohane, M.D., make the argument that EMR and EHR vendors are holding back innovation in the health IT industry. Many vendors, the duo insists, have failed to adopt basic Internet-era sources for their systems such as private cloud-based storage and secure communication protocols, as well as modern consumer technologies such as word processing and search engines…
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The EMR Race is Over, Long Live EMR Extender Tools!
Change Doctor, June 15, 2012 — Lyle Berkowitz
I’ve been increasingly talking about the concept that the EMR race is over, and that EMRs now serve as the infrastructure and platform upon which innovative companies will develop “EMR Extender Tools“, in areas such as: Physician Productivity (e.g. healthfinch), Decision Support (e.g. Zynx), Business Intelligence (e.g. DrEvidence), and Patient Outreach (e.g. Healthloop). This seems to resonate well with mature EMR users since they often feel like the….
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EHR design: A mold in need of breaking
FierceEMR, June 13, 2012 — Marla Durben Hirsch
Editor’s Corner: Apparently I struck a nerve with last week’s commentary on making the transition to electronic health records. The editorial generated quite a few comments, and every one of them were against EHRs. They’re expensive, become a crutch for the lazy or less-trained, and deter from direct patient-physician communication…
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Fierce Q&A: EHR vendors propagating a myth about their products
FierceEMR, June 13, 2012 — Marla Durben Hirsch
Electronic health record system vendors are “entrenched” in a legacy mindset that hampers innovation, preferring to propagate the myth that EHRs require specialized IT systems in order to protect their prices and block new entrants into the industry, according to an article published this week in the New England Journal of Medicine. EHRs can and should be redesigned and adopt modern…
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UK Collaborators Build SMART Proof of Concept at NHS Hack Day
The UK’s National Health Service held its first NHS Hack Day on May 26-27, a weekend marathon of disruptive innovation, largely inspired by the open source culture and hackathon trend in the US. One of the 14 teams to submit an app at the end of the session used SMART, implementing a portion of the SMART API to expose the HES dataset. The result was a modest data grid and radar chart for patient problems (image below). But the strategic ramifications, said co-developer Rob Tweed, are far-reaching. “The technology clearly works and is applicable to use in the UK just as in the US. This is a set of wheels that the NHS can avoid re-inventing.”
The demo app has also added momentum to a specific goal that Tweed and colleague George Lilly are helping us realize: to SMART-enable VistA, the open source EHR created at the US Dept. of Veterans Affairs. The two will be presenting on just that topic next Tuesday, June 5, at the 25th VistA Community Meeting in Fairfax, VA. Their talk will follow shortly after Lead Architect Josh Mandel presents an overview of the SMART architecture.
How SMART is your health IT system?
EHR Intelligence, March 27, 2012 — Kyle Murphy
Over the past few weeks, a debate has broken out between a team of researchers and the National Coordinator for Health Information Technology, Farzad Mostashari, over the former’s findings in a recently published study in Health Affairs. Dr. Mostashari used his government-hosted blog…
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SMART platform ‘promising’ for EHRs
FierceEMR, March 21, 2012 — Marla Durben Hirsch
The Substitutable Medical Applications, Reusable Technologies (SMART) platform appears to be a “promising approach” to improve electronic health records now that phase one of the project has been completed, according to its developers. The creators report this week in the Journal of American Medical Informatics Association that unlike current proprietary EHR systems, the SMART platform operates as a standard base platform to which users can add or subtract modular third-party applications, similar to the methodology used by iPhone or Android…
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How do You Promote Open App Development in Health IT?
Healthcare Informatics Magazine, March 20, 2012 — Jennifer Prestigiacomo
After attending a presentation at the HIMSS12 eCollaboration Forum, “Platform Innovation in an ‘Open’ Environment,” I got really excited for the upcoming SMART open app challenge. For those who are unfamiliar with the SMART Health App Challenge, it was started by a research team at Children’s Hospital of Boston and Harvard Medical School that launched a prize to encourage innovative app developers to build open platform apps that benefit patients and providers. The $5,000 prize was funded from the Office of the National Coordinator for Health IT….
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In JAMIA: The SMART Platform: early experience enabling substitutable applications for electronic health records
The team has published a technical paper on the SMART platform in JAMIA: The SMART Platform: early experience enabling substitutable applications for electronic health records [PDF].
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