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Wednesday, September 7, 2011

Another "Use Case"

NORTH KINGSTOWN, RI, Sep 07, 2011 (MARKETWIRE via COMTEX) -- Improved outcomes for patients is believed to be an important benefit of using electronic health records, yet few physicians can cite specific instances where such software has made a life-saving difference. Dr. Shankar Santhanam of Lawrenceville, NJ, is a notable exception. He recently used the Amazing Charts electronic health record (EHR) system to save a patient's life by following the evidence-based, decision-support recommendations offered by the software...
Story link here.

Anecdotal, to be sure. Nonetheless...

And, how about this, from The Health Care Blog?
The Cleveland Experiment


There have been a number of research studies published that question the value of Electronic Health Records (EHRs), particularly as it pertains to improving quality of care and ultimately outcomes. Chilmark has always viewed these reports with a certain amount of skepticism. Simple logic leads us to conclude that a properly installed (including attention to workflow and thorough training) of an enterprise software system such as an EHR will lead to a certain level of standardization in overall process flow, contribute to efficiencies and quality in care delivery and ultimately lead to better outcomes. But to date, there has been a dearth of evidence to support this logic, that is until this week...

Electronic Health Records and Quality of Diabetes Care

NEJM | August 31, 2011 | Topics: Health IT, Quality of Care
Randall D. Cebul, M.D., Thomas E. Love, Ph.D., Anil K. Jain, M.D., and Christopher J. Hebert, M.D.

One commenter was unimpressed:
The study is flawed by selection bias and investigator bias. This report simply reaffirms that wealthy and educated people are more compliant and achieve better outcomes. The pro HIT bias of the NEJM and the ONC is more than evident.


Apropos of that, see
Natural Language Processing Coming to HIM Depts.

Natural Language Processing technology can take transcribed text, structure it into computable data, and apply SNOMED CT and other terminologies or codes for richer data abstraction and analysis.

During an educational session at the American Health Information Management Association annual convention, Oct. 1-6 in Salt Lake City, two NLP experts will walk through the technology and its potential. They'll cover tagging and preparing data for electronic health records meaningful use reporting, identifying caps in ICD-10 coding, and tools needed for data mining, among other issues. "We want the audience to walk away understanding how NLP works," says Dee Lang, vice president of product management and strategy at Precyse Solutions, Wayne, Pa...

...Educational session 7142, "Driving Your Organization to Meaningful Use with Data Analytics," is scheduled on Oct. 3 at 4:45 p.m. More information is available at

See also the Praxis article "Why Templates Don't Work."

More to come...

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