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Dr. Barry Chaiken—June 26, 2008

21st Century Medicine Using 20th Century IT

According to a survey, published online by the New England Journal of Medicine on June 18th, 2008, of over 2,700 physicians, just 17% of respondents are using EHRs in their ambulatory care practice. This contrasts with more than 90% of similar physicians in the Netherlands, Australia, New Zealand an...
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Dr. Barry Chaiken—May 9, 2008

DHC 2008: Pre-Conference Themes and Variations, Data Management and Retention

Jim Prekop, CEO of Teramedica, led a discussion on data retention of clinical information. A key issue to understand from end-users is their wants versus their needs. Any discussion must focus on both technology, and its capabilities, and basic ROI. Rules engines/algorithms help organizations manage...
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Dr. Barry Chaiken—May 9, 2008

DHC 2008: Pre-Conference Themes and Variations, Business Intelligence and Health Analytics

Business intelligence is used regularly in other industries to management processes and people, but is now just beginning to be used in healthcare. The development of EMRs help collect structured clinical information that can form the basis for analysis, but healthcare is just at the infancy stages ...
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Dr. Barry Chaiken—May 9, 2008

DHC 2008: Pre-Conference Themes and Variations, Data Transfer, Access and Security

John Steindorf of CapData and John Barlo of Sun Microsystems raised concerns about security and privacy, suggesting that keeping the information centralized provided a better approach to protect data. If data is accessed through a thin client (e.g., data stored centrally), none of the data is put at...
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Dr. Barry Chaiken—May 7, 2008

DHC 2008: Pre-Conference Themes and Variations, Server Virtualization

At the DHC2008 Pre-Conference, Austin Park, CTO, PDS, discussed the key concerns associated with server virtualization. Key points of the discussion were as follows: To understand ROI you need to baseline before you make changes Proper deployment planning and setting expectations are critical to...
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Dr. Barry Chaiken—May 7, 2008

DHC 2008: Pre-Conference Themes and Variations, Phishing and Website Security Breach

This year’s Digital Healthcare Conference held at the Fluno Center in Madison, WI focuses on issues top-of-mind of provider organization senior executives. This is my 6th year as chairperson of the conference. Prior to the conference, interactive sessions led by vendor representatives explo...
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Dr. Barry Chaiken—May 1, 2008

Genetic Testing: An Example of Personalized Medicine and Its Burden

Personalized medicine promises to offer patients unique diagnostic and treatment services focused on the individual. For several years the BRCA test has been used by physicians treating women with a past medical history or family history of breast cancer. The test has proved useful due to the high i...
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Dr. Barry Chaiken—April 17, 2008

Chasing Online Health Data Technology

In two previous blogs I talked about issues related to online electronic health information. One focused on Google’s and Microsoft’s efforts to build online personal health records, and the other addressed advertising supported electronic medical records. It seems this issue of online he...
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Dr. Barry Chaiken—April 7, 2008

Ad Supported EMRs: Bad Idea

While earning my MPH, I took a healthcare economics course with Marc Roberts, a political economist at the Harvard School of Public Health. I distinctly remember learning about the importance of advertising in a market economy. He told us to look at advertising as a means to gather more information ...
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Dr. Barry Chaiken—April 4, 2008

Blame Privacy Breach on Processes Not People

March 24th marked the day of one more privacy breach of someone’s healthcare records. Nothing unusual there except one of the 3,000 electronic patient records on the laptop stolen from the trunk of a car belonged to Congressman Joe Barton (TX), ranking Republican on the Energy and Commerce com...
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