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Pilot Tests Use of Tablets To Get Medical Record-Sharing Consent

Posted on March 22, 2012 I Written By

Anne Zieger is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

A Western New York based program has begun testing whether patients can “meaningfully consent” to exchange of their medical data after going over a tablet-based application.

The pilot, which begins in September, will measure whether patients truly understand how their information will be shared. It’s being tested at a hospital and three clinics which already participate in the HEALTHeLINK HIE.  If the project, (which uses technology from APP Design) turns out well, the app will be made available as open-source software.

How does it work?  Well, in essence, patients are handed a tablet in the waiting room, work through an app allowing them to consent to as little or much sharing as they wish through the HIE, and along the way, learn enough to find out whether they’re well advised to do such sharing.

Patients will have the chance to do everything from share everything all the time, forbid all data exchanges, prevent certain organizations from seeing the data and allowing exchange only in emergencies.

By the way, the pilot tickles ONCHIT, which likes the idea of patients getting a better grip on what they’re consenting to when they agree to data exchange between providers.

I think it will take many more form factors and approaches before we’ve got this concept just right, but I’m with the ONC that this is a good issue to take on.  After all, if we’re honest, many of us would have to admit that we’re just waiting for the first lawsuit in which a patient is upset cause data went to that doc in addition to this hospital.

Regardless, it’s more than time that someone take on this issue. The issue of multi-layered patient data sharing over HIEs is a ticking time bomb otherwise.

Another Example Why Small EHR Companies Face Tough Challenges

Posted on May 27, 2009 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

No doubt many small EHR companies have been looking at themselves in the mirror long and hard and asking themselves how they’re going to survive this rough market. Not only did the HITECH act slow purchasing of EHR systems, but between “certified EHR” and “meaningful use” many are questioning where the small EHR vendor will fit into the EHR market.

I could (and probably will at some point) expound on each of the topics above, but I think that EHR vendors have an even more difficult challenge on their hands. The challenge comes in the form of incredibly large number of marketing dollars and splashy partnerships.

Here’s just one simple example of what I’m talking about. It was just announced that HEALTHeLINK, The Western New York Clinical Information Exchange, now has formal agreements in place with Allscripts, eClinicalWorks, McKesson, MedAppz, NextGen Healthcare Information Systems and Pulse Systems. [Hailing out of Buffalo, I’d love to meet up with the people at HEALTHeLINK sometime when I’m visiting family in the area.]

I’m not sure how much of an impact this particular partnership will have on EHR adoption in upstate New York. However, that’s not really my point. My point is that this is just one small example of a partnership that the “big boy” EHR companies are going to use to market their product. Consider that the marketing budget for these large EHR companies is quite possibly larger than some smaller EHR companies entire budgets. That’s pretty formidable.

I’m not saying that small EHR companies should close their doors and stop competing. In fact, I hope just the opposite happens. I’m all for innovation and the most innovative products usually come from small companies who have to be innovative to survive. I’m just saying that these small EHR companies better come ready to fight. It’s not going to be a pretty couple months in the EHR industry. Only the strong will survive.

Of course, all is not lost for small EHR vendors that survive. Assuming EHR implementation failure rates continue at their current dismal rates, then there will be a tremendous opportunity for a number of companies to take care of those who fail to implement unusable EHR systems.