Tgk1946's Blog

May 4, 2017

New directions for EHR?

Filed under: Uncategorized — tgk1946 @ 7:20 pm

I haven’t detected any upswing in the current pushing citizens to MyHR. There are subtle indicators that tides (for integrated records) may be swinging in another direction.

1. This US medico makes general points that would be relevant here, in ‘Information blocking’ is a shameful practice in the electronic health record industry.

That doesn’t make sense to me. I have an iPhone and my neighbor has an Android, but we can still communicate. My bank account is with TD Bank and I regularly get my money from Citizens Bank ATMs; communication seems to be working there. Why in 2017 must all doctors be on the same system to communicate and share information?

2. Ross Gittins in Budget 2017: What’s in store for Medicare and healthcare? either doesn’t know about MyHR or couldn’t see its relevance for coordinating data.

But first we need much more information about what happens in general practice, so sensible targets can be set for improved performance.

3. Health confronts ghosts of failed govt IT projects in Medicare payments rebuild brought back memories of those interactions in Senate Estimates over NEHTA when Jane Halton was subtly pointing at the States and asking, quietly, “Where is the money coming from?”

4. Stephen Duckett couldn’t identify a central role for MyHR.

5. Joe Biden on His New Cancer Initiative

“I was stunned at what wasn’t being done. The lack of cooperation, the lack of sharing data. That’s how it all started,” he said. “You all don’t play well in the sandbox,” he added, addressing a crowd filled with bio-pharmaceutical executives, investors, and scientists.

6. Does big data today keep the doctor away?

For instance, at UCSF Health, we literally have billions of clinical records over almost a million patients that must hold the keys to practice better medicine. If you think about it, the average clinical trial to prove efficacy of an intervention is practically limited to the order of hundreds of patients because of time and monetary constraints. Therefore, our modern health systems allow for the largest clinical trials most appropriately powered for rapid discovery of novel medical interventions. I think that building clinical grade apps based on this big data allows us to immediately deliver the innovative discovery power of our health systems to the hands of physicians and their patients.

New drugs on the PBS: what they do and why we need them

 

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