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Access control in medical/clinical IT systems

Leo Baschy’s an access control and security specialist who is working on describing and designing systems that are easy to use but remain secure. One of the things that we all know about is that the more secure a system is with all its various levels of access control, the more difficult it is to assign the right controls. It takes special UIs and screens to make role assignments, permissions settings, and related configuration.

Shahid N. Shah

Physician IT Skepticism: Over at Last? Humbug!

There’s an interesting article at The Medical Blog Network about Physician IT Skepticism perhaps diminishing a bit. Having been in the physician IT game during the dotcom era I still have nightmares about how hard it was to convince docs to part with their money for absolutely nothing in return. We tried and tried to convince them to try our software that had only been used by a few docs and that they should trust us that it would work for them.

Shahid N. Shah

Could ADT’s Remote Monitoring Products become A Platform?

Tim at Medical Connectivity Consulting reports about ADT’s forthcoming Remote Monitoring Products. As I was reading it, I kept thinking that if it was not just a service that they provided but a platform for delivery of new HIT applications connected to patients at home, what types of applications would be most useful? I mean, if we had the ability to constantly monitor patients at home, what new and innovative kinds of new HIT applications could we develop?

Shahid N. Shah

Hospital to txt message its patients

Victor at HITSphere reports Hospital to txt message its patients. This is a great example of how simple tools like using email and now text messaging can save costs without introducing much new IT infrastructure. Of course, in the USA we’re still charged for text messages on our mobile phones but overseas they’re usually free (and consequently in heavier use).

Shahid N. Shah

HITSphere Health IT User Community site is live!

For the past month I’ve been talking to many readers, vendors, government folks, and other bloggers and based on their input I’ve put together an open, grass-roots, health IT and medical informatics community site. The HITSphere site, which has been just a single-page launch site for those wanting to get learn more about the health IT blogosphere, has been live for about a month and I’ve gotten great feedback. Oh, and lots of people are using the custom health IT specific search engine available on the HITSphere main page and it’s getting better results than Google alone (there’s even a comparison now).

Shahid N. Shah

Errors at the speed of light

Physician Executive published a nice article entitled Errors at the speed of light this past summer. It’s a good lesson, from a Physician’s point of view (Russell Davignon), of CPOE and EMR deployments. Russell started off talking about the existing state of the HIS: Some older physicians were not so enthused and my partner of 25 years, who was nearing 70 when he retired in 2000, still had not learned even the fundamentals of the Meditech system we used when he passed from the practice scene.

Shahid N. Shah

Windows Mobile: Development platform for health enabled Smartphones

Dr. Crounse, Healthcare Industry Director for Microsoft, writes about Windows Mobile: Development platform for health enabled Smartphones. He says: The cell phone, and particularly Smartphones running Windows Mobile, may be the perfect platform for applications such as remote medical monitoring, home screening tests, “lite” telemedicine visits, medication management, patient education and more. Software developers should take note of the tremendous potential for cell phones/Smartphones in healthcare. Government and insurers should be thinking about reimbursement mechanisms for the kinds of healthcare services these devices will enable.

Shahid N. Shah
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