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Design of Health Technologies lecture 2 comments

This lecture covers topics related to the design of health technologies, including EMR initiatives, EMR products, and research challenges. It also includes information on telemedicine and its potential obstacles, target populations, and new opportunities.

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Design of Health Technologies lecture 2 comments

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  1. Design of Health Technologieslecture 2 comments John Canny8/31/05

  2. Administrivia Course Home page: http://www.cs.berkeley.edu/~jfc/healthtech/ Course swiki: 2nd link from above or: http://kettle.cs.berkeley.edu/health05 The swiki is a user-editable web site. Readings and project assignments will be posted there. Please post interesting links related to class topics there.

  3. Executive order 13335 (April 2004) Createda national health IT coordinator. Tasks are: To advise on standards for health IT Incentivize adoption of EHR (Electronic Health Records) by 2014 The EHR system should 1. Inform clinical practice 2. Interconnect clinicians 3. Personalize care 4. Improve population health.

  4. EMR initiatives Most large HMOs are in the midst of large EMR initiatives. Kaiser Permanente: “In-house” system called HealthConnect. Took a decade to develop and $3.3 billion. Built on many modules from Epic http://www.epicsys.com/. Target is full migration by 2006. In 2004 HealthConnect migration consumed 25% of K-P capital expenditure! K-P is lobbying congress for national adoption of HealthConnect.

  5. EMR initiatives Sutter Health: Also building a system based on Epic’s technology. Their expected costs are about 1.2 million for IT infrastructure over the next 10 years. Also shooting for a system-wide EHR system by 2006.

  6. EMR products A quick web search discovered 227 EMR software vendors. Its often acknowledged that none of these vendors has a “best-of-breed” system across the board. So many customers do some mix-and-match, a la Kaiser.

  7. Research Challenges Common vocabularies – data schema – everything is an exception - Data creation process during examination Data entry – legibility – devices Forward compatibility of data representation Data representation (media types) – migration from legacy records – and forward Privacy confidentiality – proprietary standards better? Storage and transfer (size of images)

  8. For Next Time Telemedicine: (volunteer?) Two readings from Telemedicine Journal: Questions: What are some obstacles to using telemedicine for various conditions (asthma, diabetes, hypertension,…)? What populations would be good to target? (Elders, children, low-income,…)? What new opportunities (techology-driven or otherwise) are there? Please look for other interesting articles on the topic – J. Telemedicine is available online from campus machines.

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