David Raths's blog

‘OpenNotes Is Not a Project, It’s a Movement’

September 17, 2013     David Raths
At Consumer Health IT Summit, Tom Delbanco, M.D., of Beth Israel Deaconess Medical Center talked about the patient safety potential of patient and family participation in reading and creating care team's notes.

Engaging Physicians With Data for Successful ACOs

September 16, 2013     David Raths
Dr. James Barr, chief medical director for Optimus Healthcare Partners and medical director of the Atlantic Health Systems ACO, talked about how he transformed his own family practice but also about how the ACO model and its analytics infrastructure can engage physicians in a high-performance network.

Online Tools Support Shared Decision-Making

September 10, 2013     David Raths
Shared decision making is a burgeoning field involving a combination of personal interaction and digital technology. This year's Third Annual Shared Decision Making Summit, to be held Sept. 19-20 in Boston, will feature case studies of organizations that are enhancing outcomes with shared decision making.

N.J. REC Transitioning to Sustainability

September 5, 2013     David Raths
NJ-HITEC is setting itself up to be the outreach and education arm of the ACOs as they spring up across the state. It also offers services around patient-centered medical homes, registries, and PQRS reporting.

Stage 3 Future is Already Here; It’s Just Not Evenly Distributed

September 2, 2013     David Raths
We are regularly reminded that Stage 3 of meaningful use will shift the focus from EHR deployment and data exchange to the health outcomes improvement the technology is designed to enable. But of course some organizations are already past the implementation phase and are working on realizing those outcome improvements. That Stage 3 future is already here; it’s just not evenly distributed.

Report: Kansas HIEs Struggle with Secondary Use Policy Questions

August 28, 2013     David Raths
KHIN and LACIE have tried but failed to reach agreement about secondary use of data, according to a story on the Kansas Health Institute web site. Although sharing data would be valuable for providers in the state and the technical details around exchange have been worked out, it is not happening yet.

In HUP Operating Rooms, Dashboards Pull Together Data from Disparate Systems

August 13, 2013     David Raths
To improve communication and begin providing an integrated view of all their operating room data, hospitals are turning to surgical information system vendors with new display solutions. For instance, the Hospital of the University of Pennsylvania (HUP) in Philadelphia has installed LiveData’s OR-Dashboard in all seven of its cardiovascular operating rooms.

Resource-Challenged Community Hospitals Can Move From Reporting to Actionable Intelligence

August 9, 2013     David Raths
Even smaller hospitals are starting to use electronic surveillance to access critical data in their EHRs and know whether or not best-practice care procedures are being delivered while patients are still in the hospital.

Mostashari’s Greatest Hits

August 6, 2013     David Raths
I often found myself impressed with the way Dr. Farzad Mostashari could bring the focus of conversations about e-health regulations or standards development back to the larger picture of improving care and patient engagement, and he did so in a way that seemed inspirational to those doing the heavy lifting in this field.

Is There a Role for EHR Simulation in Medical Training?

July 9, 2013     David Raths
After creating a simulation of their Epic EHR, researchers at Oregon Health & Science University are studying the number and types of errors clinicians miss when reviewing simulated cases in the ICU. Over-sedation was the least-recognized error (16%) and only 32% of the participants recognized inappropriate antibiotic dosing. Could making simulation a regular part of training improve these numbers?
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