Open source personal health records (PHRs) and EMRs

I routinely get asked about online health records that can be private labeled. Here are some of the options for open source health records management: ClearHealth MirrorMed FreeMed OpenEMR VistA Office If any of you out there would suggest others, let me know. While independent EMRs and EHRs functions are useful, the most important feature of any product in this space is its support for interoperability. As such, make sure that whatever you choose has some support for standards:

Neotool is a company I like a lot — they have a great set of products and they know the HL7 space. I’ve met the folks at HIMSS a few times and they’ve always impressed me. Recently I was pleased to find out that they were starting a corporate blog but I was afraid it might be a glossy brochure-style blog. Now, after having read their blog entries for a little while I’m happy to say that they’re adding real value to the HIT Blogosphere — their postings are informative, practical, and provide some great advice without either promoting or advocating their own products.

HHS released an interesting RFI recently. Here’s the summary: Advances in medicine, biomedical science, and technology present opportunities for enabling health care practices to be increasingly patient-specific by taking into account individual differences in health states, disease processes, and outcomes from interventions. Often referred to as personalized health care, the desired impact of these types of health practices is improved effectiveness and safety of medical practices. These health benefits may be manifested through new approaches for predicting disease risk at an early time point, enabling preemption of disease processes prior to full manifestation of symptoms, analyzing the effectiveness of different interventions in specific populations based on their genetic makeup, and preventing the progression of disease and the related complications.

Many health plans, hospitals, and even physician offices are putting patient data on the web to help connect to consumers. Many of us are also using service providers (SaaS, ASP, etc) to manage our data. All of these things are great and many of us have thought about the security implications: don’t put things on laptops, keep data from traveling onto USB drives, etc. Lots of thought goes into security these (though probably not as much as is really required).

Many of my younger colleagues often ask about what some of the most important leadership aspects are for technical managers like team leads or architects. There are no hard and fast rules but here are some things I’ve learned over the years: Make Decisions. This is one of the most important aspects of leadership — just making a decision and not analyzing for weeks or months. No amount of evidence or information will ever “be enough” and at some point you’ll need to make a decision.

The National Institute of Health Commercialization Program (NIH-CAP), designed to assist promising life science companies bring their technologies to market, is a nation wide program funded by NIH and managed and executed by Larta. The Larta Institute invited me to talk to this season’s group about my thoughts on Healthcare IT, Media, and Training. Here’s what I told them. Healthcare Industry Fallacies I started with a brief discussion about how selling to the healthcare community is very hard but not for the reasons they might think.

I stumbled upon OrganizedWisdom.com, a collaborative health information community, a few weeks ago and was intrigued by their premise of allowing people to “share their health wisdom” in an easy to use manner. It combines professional and user-generated health content with social networking technologies to help people make the most informed health decisions possible. I thought it was such a great idea that I reached out to Unity Stoakes, President and co-founder of OrganizedWisdom.

For years technology strategists like myself have been working with business folks and C-Suite executives complaining that “you IT guys are too techie” or “you guys just get don’t understand the business”. Many CIOs and architects have been relegated to obscurity because of this perception. In the days when computers were new and technology was not integral to the business, it was ok that the “business guys” were frustrated with the “geeks” if they talked tech but those days are long gone.

Forrester’s healthcare and life sciences group has a new report out called The Role of the Web in Hospital Marketing. Here’s the executive summary: Hospital marketers are waking up to the new requirements put on them by the emergence of consumer-directed health plans, the growth of health consumerism, the chronic shortage of nurses, and escalating competition among providers. These execs are moving beyond printed brochures and highway billboards and investing more heavily in their Web sites.

Back in February I posted about Podslurping and recommended coming up with some policies and procedures to help prevent it. This week Edward Lansink saw that original article and pointed me to his whitepaper called “Pod slurping: an easy technique for stealing data” which discusses the problem with uncontrolled use of iPods, USB sticks and flash drives on your network. Edward’s company has done a nice job capturing the problem domain (which is growing by the minute) and how to use tools like the ones his company makes to get it somewhat under control.

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