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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. 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. 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. 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.

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

Health IT Attracts Venture Capital. Patient Engagement as a Two-Way Street Part 3 – Recommendations. 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.

Changing Policies Changes Practices: Patient Access and Input to Their Health Record

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. 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.

Why health and medical apps should be certified

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. 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. 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! North Carolina HIE adds Direct messaging capabilities. The North Carolina Health Information Exchange (NC HIE) has expanded its reach with the implementation of Orion Health Direct Secure Messaging, offering healthcare organizations another way to safely share health data between physicians and facilities.

NC HIE officials tout this as the latest milestone toward the HIE's development of a robust exchange that connects providers, hospitals and public health departments throughout North Carolina. NC HIE already relies on Orion Health HIE, powered by Orion Health's Rhapsody Integration Engine, Clinical Data Repository and Clinical Portal, as the technology backbone for the statewide exchange. [See also: Rural Indiana hospital adopts Direct messaging technology.] [See also: Albany pilot aims for direct results with Direct Project.] Since going live with Orion Health HIE in April 2012, NC HIE has supported real-time access, exchange and analysis of health information.

Federal CTO Todd Park taps the private sector to drive innovation. Collaborating on Privacy in the Identity Ecosystem: Process and Opportunity. It’s hard to talk about the National Strategy for Trusted Identities in Cyberspace (NSTIC) without someone asking about privacy. This is for a good reason: while the Identity Ecosystem called for in the NSTIC has the potential to generate numerous benefits for individuals, businesses and organizations, a poorly designed Identity Ecosystem could allow for new forms of tracking or increased demands for identification.

The good news is that privacy is baked in from the start in NSTIC. In fact, privacy is one of the four guiding principles upon which NSTIC is grounded. The Strategy is specifically focused on building in privacy from the ground up, enabling ways for individuals to only transmit the information necessary to complete a transaction, rather than having to share everything about themselves.

Seeking Application Developers for the Million Hearts Risk Check Challenge. Can we really prevent a million heart attacks and strokes in the next five years? IHE PCC and IT Infrastructure Call for Proposals. Greetings IHE Community and Industry Partners, Facebook May Grant Researchers Access to Study Data. Cool Technology of the Week.

Former ONC chief Blumenthal to lead Commonwealth Fund. David Blumenthal, MD, who was the national coordinator for health IT from 2009 to 2011, has been appointed president of the Commonwealth Fund. He will succeed Karen Davis, effective Jan. 1, 2013. 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.