Tom Krohn, an attendee to the recent Health IT Meeting at Harvard (“ITdotHealth II”), is the business lead for the Eli Lilly Clinical Open Innovation team. Leading up to the meeting, he wrote about the ways his team’s approach aligns with SMART.
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Inflexible, Big-Box EHRs Endanger the QI Movement
The Hospitalist, September, 2012 — Win Whitcomb
In “The Lean Startup,” author Eric Ries notes that in its early stages, his gaming company would routinely issue new versions of their software application several times each day. Continuous deployment—the process Ries’ company used—leveraged such Lean principles as reduced batch size and continuous learning based on end-user feedback to achieve rapid improvements in their product…
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Moving Health IT Innovation forward: A vision for substitutable components
Eli Lilly Clinical Open Innovation, September 4, 2012 — Tom Krohn
In the March 2009 edition of the New England Journal of Medicine, Drs. Kenneth Mandl and Isaac Kohane of Harvard Medical School introduced the idea of a health information technology platform that works more like the iPhone than a traditional system. Entitled “No Small Change for the Health Information Economy,” the paper suggests a simplified platform approach where innovation is spurred through substitutable components…
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Semantic Web for Health Care and Life Sciences Summer School August 27-30
Next Monday-Wednesday, August 27-30, the W3C will host a “Summer School” at the MIT CSAIL Stata Center for those interested in learning about the Semantic Web as applied to Health Care and Life Sciences.
Visit the wiki of the event, also known as the HCLS Hackathon, or download the flyer (PDF).
Also be sure to register.
Webinar on SMART-Indivo App Challenge: Slides Posted
As Health 2.0 News recently reminded the community, the SMART-Indivo App Challenge is underway.
On August 7, a webinar provided an in-depth review of the challenge and allowed interested participants to ask questions to the challenge hosts. Slides from the webinar are available on the challenge website and hosted on Slideshare.
Advance registration for the challenge is recommended. Final submissions are due on September 28, 2012. The first place team will be awarded with $10,000. The second and third place teams will receive awards of $2,000 and $1,000, respectively.
New SMART Partner: Fjord
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.
Clinical summary export: What is a CCD for?
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:
- “What is a CCD for?” Providers use EHRs to generate the patient summary records they share with patients and other providers. But it’s unclear what (exactly) should go into these documents, and whether/how the provider should have a say.
- “Where are the codes?” Even though certified EHR products are capable of generating CCDs with appropriate codes (LOINC-encoded labs, for instance), this doesn’t mean that providers’ systems are configured to do so. The demonstrations I saw exchanged CCDs with uncoded labs!
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.
Continue reading “Clinical summary export: What is a CCD for?”
SMART i2b2 “Patient-centered View” and App Bundle to Be Presented July 25
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.
New SMART Partner: Sermo Online Physician Community
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.
ONC, Health 2.0 Open Contest for Consumer-Focused Health Apps
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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