Archive for the ‘Electronic Health Records’ Category
The National Library of Medicine is saddened at the passing of Dr. Morris F. Collen, known around the world as “Mr. Medical Informatics,” on September 27, 2014. He was 100 years old. In addition to his wide-ranging contributions to medical informatics, Dr. Collen was a valued advisor to NLM. He was a member of the Lister Hill Board of Scientific Counselors from 1984 to 1987. He served on the Literature Selection Technical Review Committee, which advises NLM on the journals to be indexed in MEDLINE/PubMed, from 1997 to 2002, chairing the Committee from 2000 to 2002. He also contributed to NLM Long Range planning.
Morris Collen earned his bachelor’s degree in electrical engineering from the University of Minnesota and graduated from the University of Minnesota School of Medicine in 1938. His residency at the University of Southern California/Los Angeles County General Hospital took him to California, where he started what would become a legendary career at Kaiser (later Kaiser Permanente). He served as chief of medical services at Kaiser’s Oakland hospital from 1942 to 1952, and medical director the following year. From 1953 to 1961, Dr. Collen served as physician-in-chief at Kaiser Permanente (KP) in San Francisco.
During World War II, Dr. Collen was one of the first doctors to experiment with the use of a new wonder drug–penicillin–for the treatment of pneumonia in shipyard workers, at a time when most of the drug was shipped overseas for members of the armed forces. Dr. Collen’s interest in the use of computers as a way to improve medical care developed during a 1961 conference on biomedical electronics. Soon afterward, he founded Kaiser Permanente’s research division and created a prototype electronic health record fed by punch card into a huge IBM mainframe computer. The record included information from patient screenings and lab results. One of Dr. Collen’s major achievements at KP was the development of the multiphasic health checkup, which addressed the physician shortage of the 1950s, post-World War II. This series of procedures and tests, given to thousands of KP members, screened for conditions such as heart disease, diabetes, and cancer. Not only did these revolutionary tests save physicians’ time; they constituted a significant experiment in preventive care. Dr. Collen eventually automated the multiphasic health checkups, moving them onto a punch card system in 1964.
Electronic health records are in the headlines today, but their bloodlines run back to Dr. Collen. Kaiser Permanente’s early EHR system became internationally known because of his groundbreaking efforts. In fact, he predicted that the computer would have “the greatest technological impact on medical science since the invention of the microscope,” as noted in a 2008 Kaiser Permanente publication.
The National Library of Medicine has announced a new Value Set Authority Center (VSAC) tutorial, Updating Value Sets. The nine-minute tutorial is available as a link from the UMLS Video Learning Resources page, the NLM Distance Education Resources page, and is posted at the NLM YouTube site. Additional tutorials designed to assist users with VSAC and VSAC authoring tools are in development. NLM encourages comments about the tutorial and suggestions for further topics, which may be sent to NLM Customer Service.
The NLM Value Set Authority Center is developed by NLM in collaboration with Office of the National Coordinator for Health IT (ONC) and the Centers for Medicare & Medicaid Services (CMS) to provide searchable access to value sets that are used to define concepts used in clinical quality measures, and to support effective health information exchange and many other biomedical informatics applications and programs. Since October 2013, VSAC also offers the Authoring Tool that allows users to author value sets.
The National Library of Medicine (NLM) and the Association of Health Care Journalists (AHCJ) are pleased to announce the 2014 AHCJ-NLM Fellows. This year’s class features eight reporters and editors representing diverse media backgrounds and interests. The program, now in its sixth year, brings journalists selected by AHCJ to NLM for four days of training in use of NLM’s health information resources, such as PubMed, PubMed Health, Genetics Home Reference, TOXMAP, ClinicalTrials.gov, and MedlinePlus. The Fellows also receive briefings about health care issues, such as the adoption of electronic health records by patients and health care providers, as well as consumer health resources provided by the National Cancer Institute. New in 2014, the Patient-Centered Outcomes Research Institute (PCORI) will update the AHCJ-NLM Fellows about innovative health care issues, such as comparative effectiveness research.
The 2014 AHCJ-NLM Fellows are:
- Karen Bouffard, health care writer, The Detroit News. Bouffard was a 2013 National Health Journalism Fellow with the University of Southern California’s Annenberg School of Journalism.
- Matthew Glasser, health and medical producer, NBC Southern California. Glasser is an Emmy Award-winning journalist and was the co-creator and executive producer of NurseTV and Healthcare Heroes.
- Sarah Karlin, senior writer, The Pink Sheet and The Pink Sheet DAILY. Karlin formerly was the FDANews’ congressional and generic drugs editor.
- Kimberly Leonard, health reporter and producer, U.S. News & World Report. Leonard was a health reporter with the Center for Public Integrity prior to joining U.S. News & World Report.
- Cheryl Platzman Weinstock, freelance health/science writer, who specializes in women’s health issues. Weinstock’s work frequently appears in the New York Times, Women’s Day, and the Oprah Magazine. She contributed to the New York Times’ Pulitzer Prize-winning coverage of 9/11.
- Marie Powers, staff writer, BioWorld Today. Powers was part of the BioWorld Today team, which received the Best Daily Publication award in 2013 and 2014 from the Specialized Information Publishers Association.
- Cindy Sharp, health and medical reporter, Associated Press Television and Online Video. Sharp previously worked for MSNBC and Tribune Broadcasting.
- J.K. Wall, health care reporter, Indianapolis Business Journal, and The Dose, a blog on health care finance. Wall worked as a business reporter at The Indianapolis Star before joining the Indianapolis Business Journal.
The National Library of Medicine Value Set Authority Center (VSAC), in collaboration with the Office of the National Coordinator for Health Information Technology (ONC) and Centers for Medicare & Medicaid Services (CMS), has published the annual update for the 2014 Eligible Professional Clinical Quality Measure (CQM) Value Sets. The update includes revised value sets to address deleted and remapped codes in the latest terminology versions, as well as new codes for addressing CQM logic corrections and clarifications. The Centers for Medicare & Medicaid Services (CMS) update these electronic reporting specifications annually to ensure that the specifications align with current clinical guidelines and terminologies, and that they remain relevant and actionable within the clinical care setting.
The VSAC offers a Downloadable Resource Table, accessible from the Download tab on the VSAC Web page, that provides prepackaged downloads for the most recently updated and released 2014 CQM Value Sets, as well as for previously released versions. Access to the Value Set Authority Center requires a free Unified Medical Language System® Metathesaurus License. NLM also provides the Data Element Catalog that identifies data element names (value set names) required for capture in electronic health record technology certified under the 2014 Edition of the ONC Standards and Certification Criteria. The NLM update of the VSAC coincides with the CMS posting of the official updated 2014 Eligible Professional Clinical Quality Measures.
The following resources are available to help health care providers and vendors navigate the 2014 CQMs:
- NLM: Value Set Authority Center (VSAC) Provides downloadable access to all official versions of vocabulary value sets contained in the 2014 Clinical Quality Measures.
- AHRQ: United States Healthcare Knowledge Database (USHIK) Agency for Healthcare Research and Quality’s Web site with 2014 eCQMs and other health information technology resources. This site provides a number of formats for viewing, downloading, and comparing versions of eCQMs and their value sets.
- CMS: eCQM Library Guidance for understanding and using Eligible Hospital and the Eligible Professional Clinical Quality Measures.
- ONC: Clinical Quality Measure Feedback System ONC encourages the EHR technology developer and user communities to provide feedback regarding the implementation, structure, intent, and data elements pertaining to CQMs.
- Questions? Contact NLM Value Set Authority Center Help.
The National Library of Medicine (NLM) Value Set Authority Center (VSAC), in collaboration with the Office of the National Coordinator for Health Information Technology (ONC) and Centers for Medicare & Medicaid Services (CMS), has published the annual update for the 2014 Eligible Hospital Clinical Quality Measure (CQM) Value Sets. The update includes revised value sets to address deleted and remapped codes in the latest terminology versions, as well as new codes for addressing CQM logic corrections and clarifications. The Centers for Medicare & Medicaid Services (CMS) updates these electronic reporting specifications annually to ensure that the specifications align with current clinical guidelines and terminologies, and that they remain relevant and actionable within the clinical care setting.
The VSAC offers a Downloadable Resource Table, accessible from the Download tab on the VSAC Web page, that provides prepackaged downloads for the most recently updated and released 2014 CQM Value Sets, as well as for previously released versions. Access to the Value Set Authority Center requires a free Unified Medical Language System® Metathesaurus License. NLM also provides the Data Element Catalog that identifies data element names (value set names) required for capture in electronic health record technology certified under the 2014 Edition of the ONC Standards and Certification Criteria. The NLM update of the VSAC coincides with the CMS posting of the official updated 2014 Eligible Hospital Clinical Quality Measures (eCQMs).
The following additional resources are available to help health care providers and vendors navigate the 2014 CQMs:
MedlinePlus Connect now supports queries using ICD-10-CM codes. Upon receiving a problem code request with an ICD-10-CM code, MedlinePlus Connect returns relevant, patient-friendly health information from MedlinePlus, Genetics Home Reference, and other reliable health resources. MedlinePlus Connect will continue to support ICD-9-CM and SNOMED CT codes for problem code requests.
Learn more on the MedlinePlus Connect Web application documentation and Web service documentation webpages!
March 2-8, 2014, is Patient Safety Awareness Week, established by the National Patient Safety Foundation (NPSF), which supports “Creating a world where patients and those who care for them are free from harm.” The National Library of Medicine (NLM) supports the work to keep patients and healthcare providers free from harm by making available quality health information. Following is information from the NLM MedlinePlus Patient Safety health topic Web page that describes actions patients can take:
You can help prevent medical errors by being an active member of your health care team. Research shows that patients who are more involved with their care tend to get better results. To reduce the risk of medical errors, you can:
- Ask questions if you have doubts or concerns. Take a relative or friend to your doctor appointment to help you ask questions and understand answers.
- Make sure you understand what will happen if you need surgery.
- Tell your health care provider(s) about all the medicines you take, including over-the-counter drugs and dietary supplements. Tell them if you have any allergies or bad reactions to anesthesia. Make sure you know how to take your medications correctly.
- Get a second opinion about treatment options.
- Keep a copy of your own health history.
The Office of the National Coordinator for Health Information Technology (ONC) has released the Safety Assurance Factors for EHR Resilience (SAFER) Guides. These guides are a suite of tools that include checklists and recommended practices designed to help health care providers and the organizations that support them assess and optimize the safety and safe use of EHRs. Each SAFER Guide has extensive references and is available as a downloadable PDF and as an interactive web-based tool.
The release of the SAFER Guides marks an important milestone in the implementation of the HHS Health IT Patient Safety Action and Surveillance Plan, which was issued in July 2013. The SAFER Guides complement existing health IT safety tools and research developed by the Agency for Healthcare Research and Quality (AHRQ) and ONC. AHRQ’s Patient Safety Organizations (PSO) have explicitly identified health IT as a high priority area because of the enormous impact EHRs are having on patient safety right now. PSOs are charged to help their members improve patient safety, and the SAFER Guides give them an evidence-based tool to do so.
Rigorously developed by leading health IT safety and informatics researchers and based on the latest available evidence, expert opinion, stakeholder engagement, and field work, each SAFER Guide addresses a critical area associated with the safe use of EHRs through a series of self-assessment checklists, practice worksheets, and recommended practices. Areas addressed include:
- High Priority Practices
- Organizational Responsibilities
- Patient Identification
- Computerized Physician Order Entry (CPOE) with Decision Support
- Test Results Review and Follow-up
- Clinician Communication
- Contingency Planning
- System Interfaces
- System Configuration
The National Library of Medicine has released an enhancement to MedlinePlus Connect, NLM’s service for patient portals and electronic health record (EHR) systems. MedlinePlus Connect makes it easy for EHRs to link to targeted information for patients from MedlinePlus, using their existing coding for diagnoses (problem codes), medications, and laboratory test results.
The latest enhancement provides responses to one code system for problems, SNOMED CT, to information from NLM’s Genetics Home Reference (GHR) web site. GHR is the NLM’s web site for consumer information about genetic conditions and the genes or chromosomes related to those conditions.
With this new enhancement, MedlinePlus Connect can respond to requests for information related to SNOMED CT codes with information from MedlinePlus and from GHR. Currently this feature is available only for English SNOMED CT requests.
The Office of the National Coordinator for Health Information Technology’s (ONC) Office of the Chief Privacy Officer (OCPO) has released its second web-based security training module, CyberSecure: Your Medical Practice. This latest game focuses on disaster planning, data backup and recovery, and other elements of contingency planning. Contingency planning helps providers and staff prepare for power outages, floods, fires, or weather related events such as hurricanes or tornadoes. These events can damage patient health information or make it unavailable. Planning for these events can help ensure that patient health information is protected and that patient information can be accessed when the disaster is over. This training module uses a game format that requires users to respond to privacy and security challenges often faced in a typical small medical practice. Users choosing the right response earn points and see their virtual medical practices flourish. But users making the wrong security decisions can hurt their virtual practices.
October is National Cyber Security Awareness Month, and is an opportunity for ONC to remind providers about the need to create contingency plans to assure a safe and secure cyber environment. Contingency Planning is also required by the HIPAA Security Rule.