As usual there were a lot of things that happened during the week, and not all of it was pharmacy or technology related. Here’s a quick look at some of the stuff I found interesting.
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Telemedicine is one of those technologies that is either going to be unbelievably useful or a complete waste of time. Only time will tell. Recent articles like the one in Archives of Internal Medicine suggest that it may have a place in healthcare. Pharmacists may find telemedicine a useful tool for communicating with patients or physicians over great distances. I can see value in that.
While not specifically designed for pharmacy, the eDoc Telemedicine/EHR System is a cool piece of technology. For information to be useful it needs to be collected and made available at the point of care, which is exactly what this system does.
As usual there were a lot of things that happened during the week, and not all of it was pharmacy or technology related. Here’s a quick look at some of the stuff I found interesting.
Continue reading »
“After three months of rumors, details surrounding Epic Systems’ partnership with Apple for a mobile phone-based electronic health record (EHR) application have come to light: Just a few days ago, Epic System’s iPhone application, called Haiku, became available on Apple’s AppStore. Haiku provides authorized clinical users of Epic’s Electronic Health Record with secure access to clinic schedules, hospital patient lists, health summaries, test results and notes. Haiku also supports dictation and In Basket access. Haiku works on both the iPhone and iPod touch,” according to the app’s description on the AppStore.”
This is a very interesting turn of events as rumors regarding Apples new tablet entering the healthcare arena have been swirling around the internet. Could Haiku be the precursor to what we’ll see with the Apple tablet? I sure hope so.
Jan 062010
Medication reconciliation is defined by JCAHO as “the process of comparing a patient’s medication orders to all of the medications that the patient has been taking. This reconciliation is done to avoid medication errors such as omissions, duplications, dosing errors, or drug interactions.” The process should be fairly straight forward, but it is actually very difficult and time consuming.
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While not specifically related to pharmacy, this is very interesting. Stephen S. Hau, the founder of PatientKeeper in the 90’s, has created a new product called Shareable Ink. The product uses a digital pen on paper forms to capture handwriting. The information is transferred, via wireless connection, to a server where the information is digitized. The technology is not new per se, but the application to medicine in this way is.
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My post from yesterday about allergies spurred some great comments on Twitter from @omowizard and @psweetman. I read the discussion between @omowizard and @psweetman with great interest and wish I would have been awake to participate. Unfortunately I was already counting sheep when the conversation took place. The discussion also made me realize how difficult it is to carry on a serious conversation with the 140 character limit imposed by Twitter. What we need is a place where a conversation can extend beyond the 140 character limit. Oh, wait, we have that; friendfeed. I digress.
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I found an interesting article at EHR Bloggers that talks about the possibility of easy access to information via the internet resulting in difficult-to-treat patients and higher healthcare costs.
The concern raised in the NPR article describes the effect of information dissemination without context or interpretation – it happens anyway, with direct-to-consumer advertising in all forms of media, and it happens even faster with the Internet. And when patients, armed with these “facts” and the questions they raise, come to their physicians – the physician is often hard-pressed to put things into perspective. The result? Often, very-low-yield tests (or even unnecessary tests that raise the risk of harm through adverse events) and unnecessarily expensive treatments are agreed-to, simply because it’s the path of least resistance.
The problem isn’t with informed patients; it’s the model we’ve developed in our current healthcare system. The article speaks about limited time for physicians secondary to fee-for-service care. This is similar to what retail pharmacies have done with much of outpatient pharmacy services. Most retail pharmacists will tell you they spend more time fighting with insurance companies then they do talking with patients about their medications. One of the most enjoyable times of my pharmacy career was a short stint I spent working for a small independent pharmacy in San Jose. The owner/pharmacist that I worked with had a genuine interest in his patients, knew them by name and offered sound therapeutic advice. His patients appreciated his time and knowledge and were better informed to make important decision because of it.
The article goes on to offer some thought provoking ideas for closing the gap between our current healthcare model and well informed patients. It’s interesting stuff. If you have a moment I recommend you read the entire thing.
InformationWeek Healthcare: “The rollout is believed to be the nation’s largest EMR deployment to date, said North Shore LIJ CIO John Bosco. The health system serves five million people in the New York metro area, operating 14 hospitals, 18 long-term care facilities, five home-health agencies, dozens of outpatient centers, and a hospice network. Under the North Shore LIJ Electronic Health Record initiative, 1,200 staff physicians and 5,800 affiliated physicians will be offered subsidized EMR systems. EMR software will be provided by Allscripts and hosted using a cloud-based model by an unnamed Allscripts partner, Bosco said.” – The article goes on to say that North Shore LIJ will subsidize approximately 85% of the cost and allow physicians to keep any reimbursement earned under the ARRA. I’d say that is a pretty smart move on the part of LIJ. After all, getting physicians to use new technology is a difficult process. With this offer LIJ will get EMR use entrenched in the minds of approximately 7000 physicians in the New York area. It will be very interesting to see how things go over the next 5 years.
