November 2009

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Useful Links for EMR Users

  • AAFP - Health Info Tech
    American Academy of Family Physicians - Center for Health Information Technology
  • ACP Online Practice Management Centre
    Tools and Roadmap for EHR adoption from the American College of Physicians
  • Agency for Healthcare Research Quality
    AHRQ National Resource Centre for Healthcare IT
  • Alberta Physician Office System Program (POSP)
    Alberta Physician Office System Program (POSP)
  • AMIA 10x10 Program
    The program's goal is to train 10,000 clinicians and other health care professions in basic informatics by 2010
  • Blog - Wait Times
    Blog focused on reducing wait-times in Cambridge Ontario
  • BMC Medical Informatics and Decision Making
    BMC Medical Informatics and Decision Making is an open access journal publishing original peer-reviewed research articles in information management, systems and technology in healthcare and the study of medical decision making.
  • Bridges to Excellence
    Organization in the US supporting change towards a system that needs to be Safe, Timely, Effective, Efficient, Equitable, and Patient-centered (STEEEP).
  • C.O.M.P.E.T.E. Study
    Computerization Of Medical Practices For The Enhancement Of Therapeutic Effectiveness
  • California Healthcare Foundation
    iHealthbeat is a service of the California Healthcare Foundation. Requires registration, but there are some extremely good e-mail newsletters on EMR and information technology.
  • Canada Health Infoway
    Launched in 2001, Infoway and its public sector partners have over 100 projects, either completed or underway, delivering electronic health record (EHR) solutions to Canadians – solutions that bring tangible value to patients, providers and the healthcare system.
  • Canadian Healthcare Technology
    IT related health care publication for physicians and healthcare managers
  • CCHIT Certification Commission for Healthcare Information Technology
    Launched in 2006, the Certification Commission for Healthcare Information Technology (CCHIT) Certifies Ambulatory electronic health record (EHR) products in the US.
  • Centre for Global eHealth Innovation
    Joint effort of the University of Toronto and University Health Network (UHN)
  • Cientis Technologies
    Articles by Dr. Alan Brookstone - See Wired Clinic Series
  • CITL
    US - The Center for Information Technology Leadership
  • Coding & Classification
    Introduction to Coding and Classification systems in healthcare
  • DocsBoard.com
    Non Commercial Physician discussion forum started by Dr. Hugh Birt (PGY3 internal medicine resident NYC) and Dr. Mel Danson
  • E-Health Insider
    eHealth IT news from the UK
  • e-MS Project
    e-MS is a subset of patient data suitable for communication among primary health care practitioners and other health care providers in British Columbia
  • EGADSS
    EVIDENCE-BASED GUIDELINES AND DECISION SUPPORT SYSTEM
  • eHealth Blog
    eHealth Musings is a blog that tracks the commentary and discussion of Michael Martineau and Mark Douglas on issues relating to eHealth.
  • eHealth Initiative
    The eHealth Initiative and the Foundation for eHealth Initiative are independent, non-profit affiliated organizations whose missions are the same: to drive improvement in the quality, safety, and efficiency of healthcare through information and information technology.
  • eHealth Ontario
    eHealth Ontario has been established with the following priorities: Ensuring that Ontarians living with diabetes receive top quality care by providing electronic tools and information to manage their condition. Reducing medication errors through an e-prescribing system and eliminating hand-written prescriptions. Create an electronic health record by 2015, giving patients and providers the ability to securely access, share and use personal health information.
  • EHR Articles - Providers Edge
    Useful collection of EHR/EMR articles
  • Electronic Communication
    Electronic Patient Centered Communication Resource Center
  • EMR Update
    US-based EMR discussion forum. Contains some commentary from Canadian physicians and about Canadian EMR products
  • General Practice Computing Group
    Peak national body for GP informatics in Australian general practice
  • Group Practice Ontario
    Dedicated to addressing the issues, concerns and challenges facing Ontario Physicians in Group Practices
  • Health Level 7
    International Standards Organization
  • Healthcare Information Management & Communications Canada
    Published by HC&CC, Healthcare Computing & Communications Canada, Inc. The official journal of COACH and CHITTA
  • Healthcare IT Failure Examples
    Web site of Dr. Scot Silverstein - Medical Informatics specialist
  • Healthcare IT News
    Useful IT Information site from the US
  • HSC
    Center for Studying Health System Change (USA)
  • InfoClin
    Founded by Dr. Karim Keshavjee, InfoClin is committed to improving the success rate of EMR implementations in medical clinics
  • Integrating the Healthcare Enterprise
    Integrating the Healthcare Enterprise (IHE) Initiative
  • ITAC
    Information Technology Association of Canada
  • ITAC Health
    ITAC Health represents more than 120 Canadian ICT companies that are actively involved in the health sector in Canada.
  • Linuxmednews
    GNU/Linux And Open Source Medical Software News
  • New Media Medicine
    EMR News and Resources with discussion forum topics
  • OntarioMD.ca - Clinical Management Systems
    Clinical Management Systems - EMR systems available in Ontario that meet the Conformance requirements
  • Patient Safety Network
    AHRQ Patient Safety Network (PSNet) is a new American national web-based resource featuring the latest news and essential resources on patient safety. The site offers weekly updates of patient safety literature, news, tools, and meetings, and links to important research and other information on patient safety.
  • Physicians' Electronic Health Record Coalition
    US - The Physicians' Electronic Health Record Coalition (PEHRC). This health care coalition will assist physicians, particularly those in small- and medium-sized ambulatory care medical practice, to acquire and use affordable, standards-based electronic health records and other health information technology to improve quality, enhance patient safety, and increase efficiency.
  • PITO
    Physician Information Technology Office of British Columbia
  • Pulse+IT Magazine
    Pulse+IT is an Australian Healthcare IT Magazine
  • Technology for Doctors
    Information Technology Magazine for Canadian Physicians
  • The Informatics Review
    Online journal focusing on clinical computing and medical informatics
  • The Leapfrog Group
    US organization focused on improving patient safety
  • Tutorials - AAFP
    EMR, Networking and Implementation tutorials - US based, but very useful
  • UK - PHCSG
    The Primary Health Care Specialist Group (PHCSG) is concerned with all aspects of information technology affecting primary care.
  • WIHIR Home
    University of Waterloo Institute for Health Informatics Research

« Collaboration amongst Physicians and other Provider Groups | Main | Why do EMR Implementations Fail? »

Comments

Alan Brookstone

As a further development regarding the use of Personal Health Records, the following article was published in the San Francisco Chronicle. Privacy is definitely becoming an issue in the US setting.

Companies may claim to respect your privacy. For example, a personal health records site may sell marketers the ability to advertise to diabetics, and you may be one of them. When you go to your personal record, you will see ads, discount coupons and articles targeted to diabetics. The marketers who pay for them will not know your name -- or they won't until you make a common mistake. To obtain your identity, advertisers will try to entice you to click onto their Web sites. Once there, your personal information may end up anywhere. One click can result in an irretrievable revelation of your medical status to another company that profits by reselling personal data.

Physicians may not be able to compete with the barrage of highly-tailored advertising "advice." Advertising messages are likely to be more frequent and more personalized than instructions from professional caregivers. Consumers are on the Web every day, but they see their health professional infrequently. The limited face time between physician and patient may not allow the physician much of an opportunity to counteract the tailored ads and articles written to promote particular products. Objective medical advice may be overwhelmed by pure marketing.

Link: The negative side to Personal Health Records.

David Chan

The scenario painted in this article applies not only to personal health records systems (PHR), but also to any centralized data repository (ASP based EMR, pharmanet, pathnet etc..). That's why there is a real distinction between a PHR which is controlled and owned by patients themselves and one which is essentially a portal view of EMR data owned by a provider or government agency. In terms of cost of implentation, the Open Source approach, and the distributive nature of the (PHR) database should have an ecological advantage over the proprietary and profit driven systems.

The point of all this is the central question: is PHR good for our patients' health? If the answer is YES then we should do it, and we should do it with the most cost-effective solution.

David

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