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Health Transformation Blog
Author Archives: Robert Stegwee
Fostering broad uptake of innovation
Management of innovation in healthcare will be key to the future of healthcare systems. Especially the nationwide uptake of innovations requires creative strategic thinking and stamina. The US “meaningful use” program is one way to foster the uptake of IT in clinical practice. This financial incentive to start using electronic health records (EHRs) in a meaningful way, linked to contractual obligations to do so in the long run, definitely has provided a boost in the …
Research, standards and everyday life
Today I arrived in Oslo for the Medical Informatics Europe conference. Here the researchers in Medical Informatics meet every year to present the results of their projects, to network, and to keep up with what is going on in the world of Health IT. This year’s topic is User Centered Networked Health Care. It really preludes to what is seen coming to life in day-to-day healthcare as well. In an analysis of European policy …
How many languages do you speak?
Interoperability in IT leads to overloading of clinical messages with non-clinical content. This in itself is not the problem, but the way IT standards tend to overwhelm the clinician with information is. What language should we speak?
European Standards?
Recently, I attended my first plenary meeting of CEN TC251, the technical committee of the European Standards Organization (CEN) that focuses on health informatics. You might wonder: European standards for health informatics? What is European about health informatics? Over the years, CEN TC251 has published a number of standards that have found their way into several HIT projects and products around the world. Under the leadership of Kees Molenaar over the last five years, CEN …
Allow me to get personal …
Personal Health Records are being mentioned in several national programmes, but it is not clear what their purpose is. Until that is clear, one can have serious misgivings about the actual goal of national personal health records.
Want to mash-up your EHR with CDS?
Clinical decision support based on personal genomics is such a specialized area, that EHR systems need to mash-up with such systems in the cloud.
Will genetics send your EHR to the cloud?
Current developments in genetics testing related to clinical decision making will have severe implications on the size and complexity of EHR systems, well beyond the capability of individual vendors or hospitals.
EMR benefits, in theory and (Dutch) practice
EMR benefits identified in literature are shown in practice in ten Dutch hospitals. However, only two out of ten hospitals actually monitor and manage these benefits during the EMR implementation, thus lowering the chances of actually achieving the projected benefits.
