News

VA absent among DHMSM bidders

The deadline has come for vendors and other entities to submit their proposals for the Defense Department's electronic health record system contract--but the U.S. Department of Veterans Affairs won't be part of the fray.

EHRs in NICUs could be refined to provide most relevant info

Electronic health records in neonatal intensive care units (NICUs) could be modified to synthesize the vast amounts of data available to assist in clinical decision making and offer variations based on clinician role, according to a new study in BMC Medical Informatics and Decision Making

Epic pushes back against interoperability critics

Electronic health record vendor Epic is going on the offensive after claims that it impedes data-sharing, according to an article in Politico.

Could AMA's increased pitch to feds on Meaningful Use backfire?

I think it's fair to say that for the American Medical Association (AMA), the gloves officially are off.

EHRs can 'significantly' improve the quality of clinical notes

Electronic health records can improve the quality of physicians' clinical notes, according to an article in the Journal of the American Medical Informatics Association.

Researchers: Both human error, EHR inadequacies led to Ebola misdiagnosis

A combination of human errors and electronic health record usability issues caused the misdiagnosis of the first Ebola patient in the United States, according to a new article in the online journal Diagnosis.

Study: EHR users incur greater administrative burden

Electronic health records increase physicians' administrative burdens rather than decrease them as expected, according to an article in the International Journal of Health Services.

AMA to CMS: 'Tsunami of rules' overwhelms doctors, hurts patients

The American Medical Association is doing its utmost to light a fire under the Centers for Medicare & Medicaid Services, this time warning CMS about the impending "tsunami of rules and policies" that threaten both physicians and patients.

New HHS initiative places heavy emphasis on EHR use

The U.S. Department of Health and Human Services continues to employ the strategy of encouraging the adoption of electronic health records without relying on the Meaningful Use program, this time by putting major emphasis on EHRs and interoperability into its new Transforming Clinical Practice Initiative.

Adding HIE, eRx data to electronic records improves prescription list accuracy

Combining medication history information from three sources improved accuracy and patient safety, according to a study published in the American Journal of Managed Care.

How long must providers wait for better EHRs?

David Blumenthal, former National Coordinator for Health IT and current president of the Commonwealth Fund, published a very insightful and thought provoking blog post last week about the fact that electronic health records are now the industry's "understandable but not wholly justifiable" scapegoat for many of the problems in healthcare. Among other things, he pointed to the human tendency to want to cast blame rather than take responsibility for mistakes, the fact that EHRs are "imperfect" systems, and that they're at the forefront of clinicians' minds, literally "in their faces" all day long. 

But there is one item in his article with which I don't agree.

 

EHRs help detect patients at risk of venous thromboembolisms

Electronic health records can help identify patients with pulmonary embolisms and deep vein thrombosis with "high accuracy" according to a new study in the Journal of the American Medical Informatics Association.

Survey: Mobile device access to EHRs boosts doc satisfaction

A majority of physicians are still struggling with interoperability, but mobile device users were happier overall with their systems, according to Software Advice's latest annual electronic health record UserView survey.

Ex-ONC head David Blumenthal on health IT: 'No going back'

Providers' tendency to blame their electronic health records for problems, as most lately exhibited by Texas Health Resource's initial announcement blaming its EHR system for the misdiagnosis of Ebola patient Thomas Eric Duncan, are "understandable but not wholly justifiable," according to David Blumenthal, former National Coordinator for Health IT and current president of the Commonwealth Fund.

Suggestions wanted, provided in improving EHRs to better screen for Ebola

The Ebola debacle at Texas Health Resources, and the possible role of the hospital's electronic health record system in the misdiagnosis of patient Thomas Eric Duncan, has spurred questions and action regarding how to improve EHRs in screening for the disease.

Study: MU program may not have been best ROI for feds

The Meaningful Use incentive program may not have been the best use of the government's money since the industry was already moving toward using electronic health records and would have met the same adoption goals just two years later, according to a new paper from the Cambridge, Massachusetts-based National Bureau of Economic Research.

Black Book: Nurse dissatisfaction with inpatient EHRs at all-time high

Poor workflow, communication issues and other problems with electronic health records have increased nurse dissatisfaction of inpatient systems to 92 percent, an all-time high, according to the latest report from Black Book Market Research.

THR Chief Clinical Officer testifies to Congress about EHR changes in wake of Ebola situation

Testifying before the House Energy and Commerce subcommittee on oversight and investigations on Oct. 16, Texas Health Resources Chief Clinical Officer Daniel Varga spoke about electronic health record documentation and updates made to the hospital's system in the wake of treatment for Ebola patient Thomas Eric Duncan, who died last week.

Groups want 'streamlined,' less restrictive MU program

Growing interoperability and usability concerns with electronic health records were the impetus behind a letter sent Wednesday to U.S. Department of Health and Human Services Secretary Sylvia Mathews Burwell by several healthcare associations and providers systems pushing for a revised approach to Meaningful Use.

Pollyanna ONC highlights interoperability mistakes made in the past

I presume that I'm not the only person who finds the occasional disconnect between the Office of the National Coordinator for Health IT's blog posts and the real data behind them amusing.