What if, in the midst of a crisis, the CDC could distribute a SMART app to emergency departments as easily as a software developer submits an app to the Apple App Store?
Apple may have just tightened privacy requirements for developers who build apps on its HealthKit platform. But a broad assessment of the industry, published online last week in JAMIA, found that the iTunes and Google Play stores have a long way to go before such policies are readily discoverable and digestible to app users.
A report on “Public Preferences About Secondary Uses of Electronic Health Information” has just been published by a group of researchers led by Dr. David Grande at UPenn’s medical school. The publishing journal, JAMA Internal Medicine, also invited SMART Co-Director Zak Kohane to comment. His remarks appear in “Secondary Use of Health Information: Are We Asking the Right Question?“ and may be read in their entirety by enlarging the image on the right. (A subscription is required to access the articles’ full texts.)
Continue reading “Kohane Commentary on Grande et al Findings”
Just published in interactive Journal of Medical Research: “Scalable Decision Support at the Point of Care: A Substitutable Electronic Health Record App for Monitoring Medication Adherence”
One of our fellow travelers on the ONC’s interoperability journey is Query Health. Like the SMART platform architecture, Query Health defines a standard framework for looking at medical record data. While SMART focuses on a single-patient view of that data, Query Health is designed to ask questions about a broad swath of patients so that clinical quality trends can be observed.
Continue reading “Query Health: Interoperability for Population Data”
AMIA members, if you missed the symposium in Chicago but want to learn more about the SMART team’s presentations, our materials are now published in the Proceedings. (If you are not an AMIA member, you will have access to a limited number of pages.)
Apps to display patient data, making SMART available in the i2b2 platform
Building the SMART Platforms Ecosystem: Toward an Apps-Based Health Information Economy
Supporting Population Queries and Clinical Trials in i2b2 with SMART
Integrating Substitutable Medical Apps, Reusable Technologies (SMART) in the i2b2 Platform
Mandl and Kohane in the NEJM
Mandl and Kohane in the New England Journal of Medicine: Escaping the EHR Trap — The Future of Health IT [PDF]. It is a widely accepted myth that medicine requires complex, highly specialized information technology (IT) systems. This myth continues to justify soaring IT costs, burdensome physician workloads, and stagnation in innovation — while doctors become increasingly bound to documentation and communication products that are functionally decades behind those they use in their “civilian” life.
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].
Murphy, S. N., Weber, G., Mendis, M., Gainer, V., Chueh, H. C., Churchill, S., and Kohane, I. Serving the enterprise and beyond with informatics for integrating biology and the bedside (i2b2). J Am Med Inform Assoc 2010;17:124-30
Weitzman E.R,, Kaci, L., and D., Mandl K. Sharing Medical Data for Health Research: The Early Personal Health Record Experience. J Med Internet Res 2010;e14
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