Jen’s Posterous

Health Management Rx 

Will New Certification Body Be Christmas Present to HIT Vendors? Search for CCHIT Alternative Continues

The Certification Commission for Health Information Technology, which has been the group providing a seal of approval for electronic medical record products since 2006, will continue to be the certification body for health IT systems at least until December when the U.S. government finalizes its definition of "meaningful use" of e-health products.

After the meaningful use definition is finalized, multiple organizations will be allowed to perform testing and certification of products for meeting the evolving criteria and standards of U.S. and Health and Human Services health IT certification rules. Vendors would need certification from only one certification body.

From: "HIT Certification Committee Still In Play -- Health IT -- InformationWeek"

Loading mentions Retweet

Comments [0]

Microchoice in Healthcare Decision-Making: Patients are ALREADY Doing it...

Patients decide whether to seek care and whether to comply with a physician’s prescriptions.

From: "The Missing Focus in the Health Care Debate: Both sides are asking the wrong questions."

Loading mentions Retweet

Comments [0]

Yoga For Crazy People - The Rumpus.net

From @twilson650. I love how the instructor actually starts 'real-laughing' at about 40 seconds in...

Loading mentions Retweet

Comments [0]

FDA Public Health Notification: Potentially Fatal Errors with GDH-PQQ* Glucose Monitoring Technology

FDA Public Health Notification: Potentially Fatal Errors with GDH-PQQ* Glucose Monitoring Technology

* glucose dehydrogenase pyrroloquinoline quinone

Date: August 13, 2009

Dear Healthcare Practitioner:

This is to alert you to the possibility of falsely elevated blood glucose results when using GDH-PQQ glucose test strips on patients who are receiving therapeutic products containing certain non-glucose sugars. These sugars can falsely elevate glucose results, which may mask significant hypoglycemia or prompt excessive insulin administration, leading to serious injury or death. The following provides background information on this problem, a summary of fatality reports FDA has received, and recommendations to reduce the risk. This problem can occur wherever these products are used including in-patient and out-patient healthcare facilities, and at home.

Loading mentions Retweet

Comments [1]

EHRs Save Lives - An n=421 Quant Study from Kaiser Colorado

An EHR program that cut cardiac deaths by 73 percent has also kept patients healthy two years later, according to a new study.

The Kaiser Permanente program in Denver linked coronary artery disease patients and teams of pharmacists, nurses, primary care doctors and cardiologists with an electronic health record to help keep the patients healthy two years after they left the program by keeping them in touch with their caregivers electronically, according to a randomized study.

The study, which was funded by the American College of Clinical Pharmacy, is published in The American Journal of Managed Care this month. It is the first randomized study to evaluate a follow-up system for patients discharged from a cardiovascular risk reduction service, researchers said.

The Clinical Pharmacy Cardiac Risk Service at Kaiser Permanente Colorado combines Kaiser Permanente's HealthConnect EHR with patient outreach, education, lifestyle adjustments and medication management.

The two-year randomized trial of 421 patients found that patients discharged from the program kept their lipid and blood pressure levels at controlled, healthy levels by receiving electronic reminders.

From: "Study places EHRs at core of saving cardiac patients' lives | Healthcare IT News."

Loading mentions Retweet

Comments [1]

Got it! Google Health Users Only Link if You Install Ringful iPhone App

See screenshots...issue is resolved thanks to Google's quick work and support from the Twittersphere, which enabled me to track the issue all the way back to installation last night of an iPhone app that has a linking function to my Google Health profile. 

First and foremost, I was wrong...This is NOT a Google Health issue (per se) - it's a permissions/linked profile issue with an app (this one happens to be iPhone app). The issue is related to that app's 'opt out' process rather than 'opt in.'

The app DOES have a linked profile text page as part of the signup process, and linking commences even if you haven't entered any data in your journal via mobile interface.

Another important note, even if your profile (or profiles, since you can now create multiple profiles as a Google Health user) is linked in Google Health to any internal or external app, engine, or build (and you can have more than one) then you can delink by going to the "Settings" (top nav) "Profile" page (sub nav). 

Another important note...Linked accounts, including app engine builds, will NOT appear in your "See Who Has Access" tab on the right nav. Again, this info is stored in the Settings tab on the top nav.

Google's timely and personal response on this issue today was absolutely phenomenal, and on a Sunday afternoon, in the middle of the GTUG Campout. 

Thank you to Google, the GTUG Campout organizers, Google Health staff for your quick work here. I will be happy to continue to provide access and feedback on how to improve the Google Health user experience, starting with the demo of some nifty stuff our teams worked very hard to build this weekend. 

Google, you are doing us proud and following the "don't be evil" ethos to a T here. Thank you again. I remain committed to helping you open source personal health control over the modification and sharing of #myhealthdata, when and where and to whom I want to share it (or not!). 

Jen S. McCabe
@jensmccabe

CEO/Founder: Contagion Health 
CoFounder: NextHealth (NL)

Consulting/Chief Patient Advocate (social media): 
OrganizedWisdom Health

LinkedIn: Jen McCabe 
Skype: jenmccabe

iPhone: 301.904.5136 
Dutch Mobile:  +31655585351

jennifermccabegorman@yahoo.com


       
Click here to download:
Got_it_Google_Health_Users_Onl.zip (601 KB)

Loading mentions Retweet

Comments [5]

Google PHR Users - Please Check Your Account. NOW.

Axial Exchange appspot (Google App Engine hosted service) LINKED to my Google Health PHR profile WITHOUT MY CONSENT today.

Check out this early screenshot and my commentary/analysis on Twitter (@jensmccabe).

All the more depressing development since I literally slept on Google's floor last night hacking with two teams building Android stuff to improve the consumer experience and increase control over #myhealthdata to demo TODAY at the Googleplex, in less than 3 hours.

Come on Google. You just let down one of your biggest advocates, and have very little time left to redeem yourself before I become one of your most vocal critics.


Jen S. McCabe
@jensmccabe

CEO/Founder: Contagion Health 
CoFounder: NextHealth (NL)

Consulting/Chief Patient Advocate (social media): 
OrganizedWisdom Health

LinkedIn: Jen McCabe 
Skype: jenmccabe

iPhone: 301.904.5136 
Dutch Mobile:  +31655585351

jennifermccabegorman@yahoo.com


     
Click here to download:
Google_PHR_Users_-_Please_Chec.zip (347 KB)

Loading mentions Retweet

Comments [2]

WTF?! Can I get fries with that?

Comments [0]

The CCHIT Open-Source Certification Body Alternative We've All Been Waiting For?

A conference for open-source enthusiasts is kicking off today in Houston.

Organizers are billing FOSSHealth, which stands for Free and Open Source Software in Healthcare, as an “unconference” for people who want to see the latest open-source projects available. Open-source initiatives by Medsphere Systems Corp., Misys, Sun Microsystems and WorldVistA are expected to be presented, according to the agenda.

Fred Trotter, a programmer and co-founder of the Liberty Medical Software Foundation, will introduce the conference. The not-for-profit foundation promotes the use of open-source health information technology. Bill Vass, president and chief operating officer of Sun Microsystems Federal—a Sun Microsystems subsidiary that manages federal government business—and chief technology officer for global accounts and industries at Sun Microsystems, will deliver a keynote about the company's efforts in the project aimed at tying health systems into the national health information networking using free software called Connect.

Maybe not. Look at sponsoring companies, then compare to roster of firms with reps on working groups at CCHIT.

However, if you're interested in data portability/standards in healthcare, keep an eye on FOSSHealth.

Loading mentions Retweet

Comments [1]

..."The Language of Health Ought to be Inclusionary"...


Inuktitut can help communicate important unifying concepts in healthcare that may elude us in English. I was reminded of the bonding power of Inuktitut by our new kisaut ("anchor" or "oneness") fellow, Jen McCabe Gorman. Inuktitut is a language of inclusiveness. English can be divisive. Inuktitut is an aggregating language - pronouns, verb tense, and emotional cadence get mixed together to form one block or phrase. And the language of health ought to be inclusionary.

From Neil Seeman's essay: "How Do You Say "Health" in Inuktitut?" Longwoods Publishing

If you're working on NLP for healthcare, semantic web technologies, or creating new ontologies for PHRs, please consider 'meaningful use' of inclusionary language a vital design element.

Loading mentions Retweet

Comments [1]