via 121hm.com
To follow up on Joe Lassiter’s post from http://rxinformatics.com/content/can-texting-improve-care-patients
Here is a innovative service from an old buddy of mine. Check it out, while focused at Pharma, it was some lessons to learn.
http://rxdoc.org/the-checklist-manifesto-atul-gawande-on-the-d
For more information and some checklist references here is a link to my Pharmacoinformatics reference list where a “checklist” search has 31 references.
Somewhere between, or beyond, these two items lies Pharmacy Practice & Education.
- The Efficient MD – Life Hacks for Healthcare: Practicing Medicine in the Web 2.0 Era http://ff.im/-f6v97
- Wikis and blogs: consider the possibilities for education… [J Contin Educ Nurs. 2009] – PubMed result http://ff.im/-f6vg8
Thanks to @Berci via Twitter for both of these.
Here is a link to a interesting blog post on the use of the HL7 Standard, known as InfoButton.
http://www.thehealthcareblog.com/the_health_care_blog/2010/01/the-infobutton-standard-bringing-meaningful-use-to-the-patient.html It seems that this standard does not get the visibility and support from vendors that it deserves. If 80% of medication errors are due to knowledge deficient, then a link to information from an application is just what is needed. The blog post talks about the standard utility in PHRs. It has utility as a health practitioners context sensitive drug information tool as well. Ask your vendor to implement it as part of all of their applications. Anyone have experience in implementing and using this standard?
http://www.thehealthcareblog.com/the_health_care_blog/2010/01/the-infobutton-standard-bringing-meaningful-use-to-the-patient.html It seems that this standard does not get the visibility and support from vendors that it deserves. If 80% of medication errors are due to knowledge deficient, then a link to information from an application is just what is needed. The blog post talks about the standard utility in PHRs. It has utility as a health practitioners context sensitive drug information tool as well. Ask your vendor to implement it as part of all of their applications. Anyone have experience in implementing and using this standard?
Personal Technology from The Wall Street Journal
Kevin Clauson mentioned EverNote in his presentation at the MCM in Las Vegas in December. Here is a review from a noted tech commentator.
This software is terrific. I even pay for the premium version even though I do not use 500MB per month. It is THAT good.
The New feed section of this blog is my RSS feed from what I post to a public Pharmacy Informatics EverNote page.
http://www.evernote.com/pub/poikonen/PublicPharmacoinformatics
In my interaction with students and residents, I instruct them to go to this site for reference material.
Information Exchange Workgroup Meetings: January 2010. Focus on ePrescribing
For anyone interested in ePrecribing these presentations and write ups in the links below are very good. There is even is an MP3 file to listen to on your way home form work. The input from Virginia Halsey, from FirstDataBank, is excellent. I wish I could say the same for the input from the NCPA [link]. The National Community Pharmaicsts Assoc seemed to spend a lot of time on complaining on the overall funding, instead of solution orientated interoperability and RxNorm issues, that the Walgreens representative and Virginia did mention.
· Presenter Biographical Sketches [PDF - 614 KB]
· ePrescribing Today: Adoption Successes & Challenges – Part 1
- Peter N. Kaufman, DrFirst [PDF - 533 KB]
- Kim Dunn, University of Texas Health Science Center at Houston [PDF - 297 KB]
- Steven Fox, Blue Cross Blue Shield of Massachusetts [PDF - 89 KB]
· ePrescribing Today: Adoption Successes & Challenges – Part 2
- Casey Kozlowski, Walgreen's Chain Pharmacy [PDF - 98 KB]
- Virginia Halsey, First Data Bank [PDF - 471 KB]
- Jessica Kahn, Centers for Medicare & Medicaid Services [PDF - 563 KB]
- Jacob Reider, MD, CMIO, Allscripts [PDF - 65 KB]
· ePrescribing and Meaningful Use
- Chris Snyder, CMIO, Peninsula Regional Medical Center [PDF - 357 KB]
- Alex Krist, MD, American Academy of Family Physicians (member) [PDF - 256 KB]
- Marc Overhage, Regenstrief Institute [PDF - 55 KB]
- Chuck Frederick, eMD [PDF - 54 KB]
· Meeting Audio [MP3 - 28.4 MB]
John@Poikonen.NET ormailto: jp@rxdoc.org | (617) 329.1774 (Google Voice) | http://www.multiurl.com/la/RxInformatics
CMIO is a relatively new ‘throw away’ journal. It is worth a look. I have read it for the last few months and really like it. It is not a heavy scientific read. Most of the articles I have read are reasonable reviews with a good balance. For example, the current story may be of interest.
Nothing new for readers of this blog, but a good overview and well written piece.
survive the journey: My picks for the top 10 e-Patients you should be following on Twitter
2010 January 23
Saturday, January 23, 2010
My picks for the top 10 e-Patients you should be following on Twitter
In no particular order:
- @ePatientDave: Dave deBronkart said “Gimme my damn data” and hasn’t shut up since. Seriously, he was talking a long time before that, but for some reason, folks really listened when he posted about his experience trying to get his own data. (He’s also on the editorial team for the new Journal of Participatory Medicine)
- @TrishaTorrey: Every patient’s advocate, she has written a new book entitled “You Bet Your Life! The 10 MistakesEvery Patient Makes” which you can find on her blog. Trisha’s story about her own experiences echo so many.
- @thyroidmary: Mary Shomon is THE foremost patient advocate for those of us with thyroid problems. She has kept all of us who use the dessicated T3/T4 combos for thyroid replacement in the loop with the shortages and how to find/get it.
- @accarmichael: Co-founder of Cure Together and a chronic pain survivor, Alexandra Carmichael and her partners are making huge strides documenting patient data and tying it all together. YOU can make a difference by joining and entering your data. And you will learn something from it, too, I promise.
- @cushings: If you want to keep up with what is happening in the “Cushing’s Help” world, and with everything anyone is doing related to Cushing’s, Mary O’Connor is the woman to follow. Founder and owner of the cushings-help.com website and message boards, this woman has done more for Cushing’s awareness, support, and education than anyone.
- @SusannahFox: Susannah keeps up with what is happening with technology and healthcare. A PewInternet researcher, she tweets very valuable information. I’m not sure she is technically an e-patient, but close enough! Everyone is at some point in life.
- @gfry: Gilles Frydman is not a prolific tweeter. But boy, when he has something to say, it’s worth hearing. ACOR founder and on the editorial board of the new Journal of Participatory Medicine, he is a strong advocate for patients.
- @jensmccabe: I can’t keep up with her because she runs circles around the rest of us, but Jen is an up-and-coming entrepreneur/e-patient eager to solve new problems that we deal with as patients, and taking a new look at old problems. She also has an interesting perspective on numerous health issues. Although I give her a hard time on her numerous blogs/posts, I have the utmost admiration and respect for her. Keep an eye on her. She’s going to effect change.
- @ReginaHolliday: Regina’s bio on twitter “Regina Holliday is a medical advocate muralist. She is using paint and brushes to promote health reform and patient’s rights” does not do justice to who she really is. To really understand, read her story. I hope to meet her some day. She is telling the world how it really is.
- @carlosrizo: MD turned e-patient and entrepreneur, Carlos is first and foremost an e-patient. In fact, I often forget he is a doctor. I think he does, too, when tweeting things such as “Rehearsing my health’s “elevator pitch” for my doctor’s appointment today. When 15 min is all I have (sadly) every minute counts.” He gets it.
If you aren’t familiar with the term “e-Patient” then http://e-patients.net/ has a lot of wonderful information. The wikipedia definition says, “e-patients are increasingly active in their care and are demonstrating the power of the Participatory Medicine or Health 2.0 / Medicine 2.0[1]. model of care. They are equipped, enabled, empowered, engaged, equals, emancipated and experts.” My favorite definition comes from @gfry, though:
Great List — following all of them now!
Here is a really good book review with alternative views. I tend to lean to the side of Marcia Angell, living in a socialist dream world in the confines of Havid Yaad.
For a time I worked for a former VP of Merck. He indicted that regardless what the annual report says the margins for brand name drugs are in the high 90% range. At one point he did a hour long tie-rate on the subject with graphs filling up an entire white board. It was a classic.
In a related story today – Kudo’s to Partners Healthcare and The Brigham for sticking to their principles in giving a physician an ultimatum: stop speaking for Pharma or quit the hospital. He quit. Of course making $99,375 in three months is decent pay, if you can get it. Here is a link to the story.
For a free copy of the report/review below use the code “TRUEFREE”. Thanks to the bloger/tweeter superstar BERCI.
The Truth About the Drug Companies: What To Do About It
By John Mack (Bio)
By John Mack (Bio)
SUMMARY
You can’t go to a pharma industry conference these days without hearing at least one expert speaker recommending that pharma executives read the book “The Truth About the Drug Companies: How They Deceive Us and What to do About It,” written by Marcia Angell, MD, former editor in chief of The New England Journal of Medicine. It’s not often that you see pro-industry pundits recommend a book that “tears pharma a new one,” as some would say.
Richard Vanderveer, Chairman & CEO, V2 GfK and an advisory board member of this newsletter said “This book has a lot of buzz going for it. Industry executives should read it defensively and be ready to answer questions at cocktail parties. I am a firm believer in counteracting bad press.”
This review includes several point-counter point views regarding Angell’s arguments by pharmaceutical and healthcare experts, including members of the PHARMA-MKTING online discussion group.
The article includes the following sections:
- Kudos from Pundits
- What Are Her Points?
- Research vs. Marketing
- Education vs. Marketing
- Tough Years Ahead?
Faculty Development: Integrated Technology into Nursing Education and Practice Initiative
2010 January 21
Nursing informatic practice is ahead of pharmacy informatics. Therefore this significant grant from HHS may foretell pharmacy education development.
The purpose of this initiative is to provide support to nursing collaboratives for faculty development in the use of information and other technologies in order to expand the capacity of collegiate schools of nursing to educate students for 21st century health care practice.
https://grants.hrsa.gov/webExternal/SFO.asp?ID=D168962E-C136-4B71-9874-B2441064BC92
Description
Link to Full Announcement
