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Health Informatics Forum - A Social Network for Health Informatics Professionals and Students. The Massachusetts HIE Procurement. I've written several blog posts about the Massachusetts HIE strategic and operating plan to implement a statewide backbone for connecting every stakeholder in the Commonwealth.

The Massachusetts HIE Procurement

All procurements have been done and we can now share the selection with the public. Here are the service providers we have chosen: The Gateway, Provider Directory, and PKI infrastructure will go live on October 15, 2012. The additional services will go live in December 2012. We believe that our System Integration vendor, Orion, has substantial US and international experience with Public HIE implementations. We have completed an analysis of every EHR deployed in Massachusetts and discovered that we can connect 80% of our stakeholders (including Long Term Care and Behavioral Health) by creating HIE interfaces for: Truly the perfect storm for innovation. Quantified Self Guide. Digifit The Digifit ecosystem is a full suite of Apple apps that records heart rate, pace, speed, cadence, and power of your running, cycling and other athletic endeavors.

Quantified Self Guide

Data can be uploaded to the well established training sites Training Peaks and New Leaf. The ecosystem is is split up into the Digifit™, iCardio™, iRunner™, iBiker™, iSpinner™ and iPower™ apps. To utilize the full functionality of the app you must purchase the Digifit Connect ANT+ dongle and and the purchase of an advanced functionality App. URL: Medical app regulations, device security share the spotlight at mHealth World Congress.

Journal of Biomedical Informatics - Healthcare in the pocket: Mapping the space of mobile-phone health interventions. Open Archive Abstract Mobile phones are becoming an increasingly important platform for the delivery of health interventions.

Journal of Biomedical Informatics - Healthcare in the pocket: Mapping the space of mobile-phone health interventions

In recent years, researchers have used mobile phones as tools for encouraging physical activity and healthy diets, for symptom monitoring in asthma and heart disease, for sending patients reminders about upcoming appointments, for supporting smoking cessation, and for a range of other health problems. This paper provides an overview of this rapidly growing body of work. We describe the features of mobile phones that make them a particularly promising platform for health interventions, and we identify five basic intervention strategies that have been used in mobile-phone health applications across different health conditions.

Graphical abstract Highlights Keywords Mobile phone; SMS; Consumer health; Human–computer interaction 1. In recent years, researchers have increasingly begun to use mobile phones as platforms for delivery of health interventions. 2. 3. The Colonoscopy Experience. Today, as Kathy finished her last radiation therapy appointment, I had my first screening colonoscopy - a right of passage for new 50 year olds.

The Colonoscopy Experience

Although a bit of a personal issue, I'm known for my transparency and I'm happy to share the experience so that others approaching 50 know what to expect. The preparation is the hardest part. Three days before the procedure, it's recommended that you reduce the quantity of high fiber foods you eat - fruits, vegetables, nuts etc. For me that was particularly challenging since my entire diet as a vegan (who tends to avoid white flour, white rice, and white sugar) is high fiber. I moved to soups and brown rice. At 7pm the night before the procedure, the real challenge begins. A few hours after the laxative, the intestinal rumbling begins. The procedure itself is the easy part. I received propofol, which works quickly and clears quickly. "Medications: MAC Anesthesia Pain rating: 0/10 Indications: Screening for colon cancer Done for another 10 years! ONC's Mobile App Contest Aims To Reduce Heart Health Risks.

National Coordinator for Health IT Farzad Mostashari has announced a new contest that seeks to spur the development of mobile applications that could help patients reduce their heart health risks, Modern Healthcare reports (Conn, Modern Healthcare, 7/29).

ONC's Mobile App Contest Aims To Reduce Heart Health Risks

The contest, called the "Million Hearts Risk Check Challenge," is part of the Million Hearts Initiative, a collaboration between HHS and health care industry stakeholders aimed at preventing heart disease and stroke (Viebeck, "Healthwatch," The Hill, 7/27). About the Contest The contest aims to encourage developers to build an app that would help consumers: Take a heart health risk assessment; Find places to get their blood pressure and cholesterol checked; and Use their heart health data to develop a personal health plan with their physician (Walker, Baltimore Sun, 7/27).

ONC Offers Resources To Help Contestants Promoting the Winning Apps The contest opened July 27, and submissions are due Oct. 31 (ONC Challenge website, 7/27). Access to Personal Health Records boost patient loyalty. Patients who engage regularly with a personal health record are significantly more likely to remain members of a health plan, a three-year study of Kaiser Permanente patient retention suggests.

Access to Personal Health Records boost patient loyalty

The study of 394,214 Kaiser Permanente Northwest members, published online in the July issue of the American Journal of Managed Care, found that members who used Kaiser's personal health record were 2.6 times more likely to stay with Kaiser. PHR use was the third strongest predictor of retention, following membership tenure and illness burden, and was especially noticeable among newer plan members.

Kaiser's PHR is linked to its electronic health record system, according to the article, "Association Between Personal Health Record Enrollment and Patient Loyalty. " The authors say they believe their study is the first to document the association between patient loyalty, as measured by member retention, and access to an online integrated PHR. Infographic-Mobile-Technology. A Database of All Medical Knowledge: Why Not? - David A. Shaywitz.

Physicians won't become obsolete any time soon, but the comprehensive integration of everything we know about well-being could revolutionize medical care.

A Database of All Medical Knowledge: Why Not? - David A. Shaywitz

Hannibal Hanschke/Reuters The progress of modern applied science has been defined by a series of outrageously ambitious projects, from the effort to build the first atomic bomb to the race to sequence the human genome. For scientists and engineers today, perhaps the greatest challenge is the structure and assembly of a unified health database, a "big data" project that would collect in one searchable repository all of the parameters that measure or could conceivably reflect human well-being. This database would be "coherent," meaning that the association between individuals and their data is preserved and maintained. A recent Institute of Medicine (IOM) report described the goal as a "Knowledge Network of Disease," a "unifying framework within which basic biology, clinical research, and patient care could co-evolve. " Time For Biopharma To Jump On The “Big Data” Train? By David Shaywitz, MD In a piece just posted at, I discuss what I see as the next great quest in applied science: the assembly of a unified health database, a “big data” project that would collect in one searchable repository all the parameters that measure or could conceivably reflect human well-being.

Time For Biopharma To Jump On The “Big Data” Train?

I don’t expect the insights gained from these data will obsolete physicians, but rather empower them (as well as patients and other stakeholders) and make them better, informing their clinical judgment without supplanting their empathy. I also discuss how many companies and academic researchers are focusing their efforts on defined subsets of the information challenge, generally at the intersection of data domains. I observe that one notable exception seems to be big pharma, as many large drug companies seem to have decided that hefty big data analytics is a service to be outsourced, rather than a core competency to be built. Personal Health Record Handbook Designed To Energize Providers - Healthcare - The Patient. To light a fire under clinicians, a new guide from the Agency for Healthcare Research and Quality extols the virtues of interactive PHRs and outlines steps for successful implementation.

Personal Health Record Handbook Designed To Energize Providers - Healthcare - The Patient

Is A Personal Health Record In Your Future? (click image for larger view and for slideshow) In a move that prepares primary care practices for a future in which the use of interactive personal health records (IPHRs) will be the norm rather than the exception, the Agency for Healthcare Research and Quality (AHRQ) recently released a guide that offers tips on implementing the technology. IPHRs will be a critical tool for clinicians to monitor patients' vital signs and prevent the onset of illness or a worsening of an individuals' medical condition, said the agency. The handbook is based on the lessons learned from implementing an IPHR at 14 different physician practices that use electronic health records (EHRs) from three different vendors. -- Colon cancer screening increased from 53% to 72%. More Insights. mHealth Congress: Social media, games provide ‘digital fireplace’ for health community. GPs to ‘prescribe’ apps for patients.

People could soon be directed to free or cheap apps by their GPs to allow them to monitor and manage their health more effectively. At an event held today, showcasing the best ideas for new and existing health smartphone apps, the Health Secretary Andrew Lansley said: “So many people use apps every day to keep up with their friends, with the news, find out when the next bus will turn up or which train to catch. I want to make using apps to track blood pressure, to find the nearest source of support when you need it and to get practical help in staying healthy the norm.

“Information about your health is a service – just like the GP surgeries, Walk-in Centres and hospitals that millions of people access every week. With more information at their fingertips, patients can truly be in the driving seat. “Innovation and technology can revolutionise the health service, and we are looking at how the NHS can use these apps for the benefit of patients, including how GPs could offer them for free.” Health IT Attracts Venture Capital.

Patient Engagement as a Two-Way Street Part 3 – Recommendations. About me -- David K.

Patient Engagement as a Two-Way Street Part 3 – Recommendations

Tao Education:- Washington University in St. Louis, M.S., D.Sc., Biomedical Engineering- Harvard University, B.A. PhysicsEmployment:- Siemens Healthcare and SMS which it acquired, since 1977- Post-graduate research at Washington University in St. LouisHIT and Standards Organizations:- ONC Standards and Interoperability Framework initiatives including Transitions of Care, Provider Directory- The Direct Project: various workgroups- Multi-state EHR/HIE workgroup- EHR Association: Standards and Interoperability workgroup- CCHIT: co-chair Interoperability workgroup and Foundation workgroup- HITSP: Care Management and Health Records workgroup; Internal Review Team- HL7: EHR workgroup Disclaimer The opinions and comments expressed on this blog are my own, and do not necessarily reflect the views and positions of my employer nor the organizations in which I actively participate.

Changing Policies Changes Practices: Patient Access and Input to Their Health Record. One of the promises of health IT is to provide patients easier access to their health information. This is a focus of ONC’s consumer e-health efforts and CMS’ meaningful use regulations. But this isn’t a new policy for HHS. In fact, we have ensured that patients have had a right to access their health information since 2002. In 2000, patient access was one of the very first issues I worked on at HHS, as part of the drafting of the HIPAA Privacy Rules.

There was a patchwork of state laws that addressed patients getting copies of their records, but there was no consistent right for patients to have access to their health records. Shortly after the HIPAA Privacy Rules were published (but before they became effective), I explained the new rules at a conference of physicians. Over time, those expectations have changed. Now, the conversation has gone beyond patient access. For example, if I weigh myself every day: Can I send this information electronically to my provider? For More Information. Mapping the AMIA Clinical Informatics Core Content into the OHSU Biomedical Informatics Curriculum. Prescribable Mobile Apps Huge Threat for Pharma. Why health and medical apps should be certified. A draft of standards for a health and medical app certification program was released recently by Happtique. As a matter of disclosure I am proud to have been the Chair of the panel that drafted these standards.

The standards are in draft form and are open to public comment until August 17, 2012. While some might say that these standards add even more barriers to the commercial adoption of these technologies, there are substantial reasons for the need of such certification. 1. Consumers, patients, and healthcare providers want reliable, safe apps. 2. 3. 4. 5. While none of the above justifications for app certification are definitive, common wisdom and historical perspective dictate that some or most are accurate or plausible. David Lee Scher is a former cardiologist and a consultant at DLS Healthcare Consulting, LLC. How the iPhone Might Disrupt The Medical Device Industry.

By Dr. Wes Doctors wanting to determine a patient’s atrial fibrillation burden have a myriad of technologies at their disposal: 24-hour Holter monitors, 30-day event monitors that are triggered by an abnormal heart rhythm or by the patient themselves, a 7-14 day patch monitor that records every heart beat and is later processed offlineto quanitate the arrhythmia, or perhaps an surgically-implanted event recorder that automatically stores extremes of heart rate or the surface ECG when symptoms are felt by the patient. The cost of these devices ranges from the hundreds to thousands of dollars to use.

Today in my clinic, a patient brought me her atrial fibrillation burden history on her iPhone and it cost her less than a $10 co-pay. For $1.99 US, she downloaded the iPhone app Cardiograph to her iPhone. Every time she feels a symptom, she places her index finder over the camera on the phone, waits a bit, and records a make-believe rhythm strip representing each heart rhythm. Was it perfect? From Nursify to Visit Minder: Seven iPhone Apps We’d Like to See. By David Sack, MD I read a few months ago that the number of available iPhone apps had exceeded a million, with new apps now appearing that are intended to help sort through the mountain of other apps. We have reached the age of meta-apps.

Parenthetically, I have always loved that “meta”concept. In college, when people asked why I majored in philosophy despite the fact that I was pre-med, I explained that my intention was to become a metaphysician. In any case, there are now many thousands of medical apps, and the number seems to be growing arithmetically! So here are, in no particular order, 7 apps I would like to see: 1. 2. 3. 4. iNterrogator. 5. Here’s how it would work: You have your pateint punch in a few passwords that will be safely stored by Google, enter a few items off the history, physical and labs, and poof! 6. ePocrates Translate (apologies to ePocrates). 7. These suggestions are meant to be at least partly tongue-in-cheek. David M. North Carolina HIE adds Direct messaging capabilities.

Federal CTO Todd Park taps the private sector to drive innovation. Collaborating on Privacy in the Identity Ecosystem: Process and Opportunity. Seeking Application Developers for the Million Hearts Risk Check Challenge. IHE PCC and IT Infrastructure Call for Proposals. Facebook May Grant Researchers Access to Study Data. Cool Technology of the Week. Former ONC chief Blumenthal to lead Commonwealth Fund. Venture Capital Funding for Health IT Reaches $293M for Q2 2012. Health Content Advisors - Health Content in Perspective Blog. Our Cancer Journey Week 31. The Privacy of Your Digital Self. Big Changes Are Ahead For The Healthcare Industry, Courtesy Of Big Data. The Real Promise of Mobile Health Apps.

#HIT100 2012 list revealed. Google Reader - The EHR Guy's Blog. HIE markets evolve, shifting priorities to actionable data. Health Information Exchange: It Should Just Work. ONC Challenges Americans to Find Out What’s In Your Health Record?! Personalized Medicine – Processing Millions of Health Data Points. Health Data Exchange Market Is Changing. Video: National Workshop to Advance the Use of Electronic Data in Patient-Centered Outcomes Research. Guide exults virtues of patient access to GP records - News - Practice Business. Patient Engagement as a Two-Way Street Part 2 – “Getting to Know You” AMIA Board white paper: definition of biomedical informatics and specification of core competencies for graduate education in the discipline. ONC launches video challenge to spur PHR use. Patient Engagement Needs to be a Two-Way Street.

NCATS Offers $110M for Clinical and Translational Science Centers. Untitled. ONC video challenge: 'What's in your health record?' White House Rural Council’s Health IT Initiative Helps Community Colleges Tailor Programs to Workforce Needs. SCOTUS: Individual mandate is a tax, constitutional. An Error Occurred Setting Your User Cookie. National Cancer Informatics Program — NCIP. NCIP Launch Meeting Attendees — NCIP. Patient generated data. The 8th Pillar of the Patient Centered Medical Home.

Blog. Summer is for Standards. Summer is for Standards. What User Authentication to use? What User Authentication to use? What User Authentication to use? 6 reasons today's heath IT systems don't integrate well. Convergence: CEDD, CIMI, IHE, FHIR, hData, HL7, mHealh and ONC. Tweaked FDA bill removes hurdle to medical app guidance.

Patient-Generated Health Data

HIT Standards. PCAST HIT Report Links. DS4P_Agenda_20120620_V2. Data+Segmentation+Implementation+Guidance_consensus_posted. Meaningful Consent. Geisinger, Merck To Use IT in Initiative To Boost Treatment Adherence. AARP and Microsoft HealthVault Connect Personal Health Records. Health IT a quantum leap from other industries.