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I’m speaking at NIH Clinical Center on Why Meaningful Use (MU) and EHRs are Insufficient for Evidence Based Medicine (EBM) and Comparative Effectiveness Research (CER)

If you’re in the DC area near NIH please join me tomorrow as I lead a discussion on why MU is insufficient for EBM and CER. Here are the details: When****: 3:30 – 5:00 PM, Thursday, February 9, 2012 Where****: NIH Clinical Center (Building 10 North), Hatfield Room 2-3330 Abstract****: Comparative Effectiveness Research (CER), which is being rechristened “Patient-Centered Outcomes Research” (PCOR), is all about using clinical outcomes research comparing different interventions and strategies to prevent, diagnose, treat and monitor health conditions.

Shahid N. Shah

Do’s and Don’ts of Telemedicine

This is the next post in my series of Do’s and Don’ts Healthcare IT. As we all know, some of our most important citizens live in rural settings, small cities, the countryside, or remote areas. These areas have smaller populations and less direct access to vital healthcare resources. In the past 15 years or so we’ve made some great strides in remotely accessible healthcare; these offerings, called telemedical tools, provide important clinical care at a distance.

Shahid N. Shah

Do’s and Don’ts of mobile/mHealth strategy for hospitals and HCPs

I recently wrote, in Do’s and Don’ts of hospital health IT, that you shouldn’t make long-term decisions on mobile app platforms like iOS and Android because the mobile world is still quite young and the war between Apple, Microsoft, and Google is nowhere near being resolved. A couple of readers, in the comments section (thanks Anne and DDS), asked me to elaborate mobile and mHealth strategy for healthcare professionals (HCPs) and hospitals.

Shahid N. Shah

MU attestation vendor data available for analysis

In case you haven’t seen it, MU attestations data is now available on Data.gov and it includes analyzable vendor statistics. The data set merges information about the Centers for Medicare and Medicaid Services, Medicare and Medicaid EHR Incentive Programs attestations with the Office of the National Coordinator for Health IT, Certified Health IT Products List. This new dataset enables systematic analysis of the distribution of certified EHR vendors and products among those providers that have attested to meaningful use within the CMS EHR Incentive Programs.

Shahid N. Shah

Do’s and Don’ts of hospital health IT

Last year I started a series of “Do’s and Dont’s” in hospital tech by focusing on wireless technologies. Folks asked a lot of questions about do’s and dont’s in other tech areas so here’s a list of more tips and tricks: Do start implementing cloud-based services. Don’t think, though, that just because you are implementing cloud services that you will have less infrastructure or related work to do. Cloud services, especially in the SaaS realm, are “application-centric” solutions and as such the infrastructure requirements remain pretty substantial – especially the sophistication of the network infrastructure.

Shahid N. Shah

Preparing for EHR implementation with the AHRQ Health IT Toolkit for Workflow Assessment

One of the most important activities you can undertake before you begin your EHR implementation journey is to standardize and simplify your processes to help prepare for automation. Unlike humans, which can handle diversity, computers hate variations. Before you begin your software selection process, get help from a practice consultant to reduce the number of appointment types you manage, reduce the number of different forms you use, ensure that your charting categories (“Labs”, “Notes”, etc.

Shahid N. Shah

Healthcare Cloud definitions should be based on NIST’s definitions

As most of my regular readers know, I work as a technology strategy advisor for several different government agencies; in that role I get to spend quality time with folks from NIST (the National Institute of Standards and Technology), what I consider one of the government’s most prominent think tanks. They’re doing yeoman’s work trying to get the massive federal government’s different agencies working in common directions and the technology folks I’ve met seem cognizant of the influence (good and bad) they have; they seem to try to wield that power as carefully as they know how.

Shahid N. Shah

To make physicians more productive, focus on IT and tools for their supporting staff first

Productivity loss and workflow disruptions are commonplace as our industry gets on the Meaningful Use bandwagon and is starting to adopt EHR systems at a slightly more rapid pace than in previous years (things aren’t really as rosy as many think, but the pace is picking up). The reason we have productivity loss is that we focus changing the behaviors of our most expensive resources too early in our automation journeys – we go after doctors first.

Shahid N. Shah

Join me for my EHR usability webinar on November 30 at 1:00p

I met researchers from Macadamian, a global UI design and innovation studio that has been doing some great work in the health IT usability space, at the recent EHR Usability Symposium held at NIST a couple of months ago. I was immediately impressed by their work so when they asked me to work with them on presenting NIST’s new Usability Criteria for Health IT and EHR Software document, I welcomed the opportunity.

Shahid N. Shah
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