http://www.amia.org/content/podcasts
This website is a good source of getting into the thick of things with current topics in informatics. check the one on meaningful use and meaningful uselessness out. Comment on it...
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The Meaningful Use or Meaningful Uselessness podcast was interesting. The podcast raised some points that I might want to think about with my EMR research project. One of those is how can the designs of EMRs be proven to have meaningful use? I think that the commentators had some smart ideas about creating meaningful use measurement systems with with EMRs. Greater standardization of workflows between hospitals and other medical centers could help with measuring of the meaningful use of EMRs. The meaningful use that EMRs could bring to workflows could be more easily tracked in each step of workflows with consistant methods than in ones with inconsistant methods. It seems likely that standardization efforts could be effective if a few specific pieces of workflows in a few hospitals and other medical centers were attempted to be standardized at a time. Standardizing those specific pieces among a few hospitals and other medical centers would be a helpful starting place for a larger standardization effort.
ReplyDeleteI like listening to many podcasts. Anyone who is interested in a Biotech podcast should check out: http://www.twit.tv/FIB . Some interesting episodes of the show include discussions about the Human Genome Project and other Biotech topics.
-Nate
This podcast was great. In a matter of 1 hour, this panel has reviewed the many questions and concerns around implementing EMRs. Meaningful use if just one of the topics they discuss in the podcast. We have been tracking the Meaningful Use definitions at Banner and this is definitely guiding the strategic goals and visioning for the next 2-3 years. Banner has been deploying for the past 4 years (across 22 facilities) and has estimated the millions of dollars to be lost if deploying an EMR with meaningful use is not in line with the timelines being set by the government. The meaningful use definition, although not completely settled, is making all major healthcare organizations jump through expensive hoops to avoid financial cuts (HIT Act) but unfortunately some organizations are not as prepared and will be reacting with a knee jerk response times which will ultimately end up in a disaster. Deploying an EMR is not just turning on the technology. Establishing workflows and adopting new ways to provide improved care and interoperability with community physicians and hospital clinicians should be, and I believe is, the goal but it's early in development, mostly due to a lack of standardization. To just install the software and let the users go to it would be insanity and this has been seen over many failed EMR installations in the past 10 years. Success of deploying any EMR, regardless of the meaningful use definition, absolutely requires thoughtful engaged leaders with the courage to upset the norms of healthcare and change how we deliver medicine. Thinking outside of the box, using technology to augment clinician decisions, providing efficiency and improving patient safety and outcomes should be part of the meaningful use but these are hard to measure and would definitely be hard to monitor and regulate from a regulatory body perspective. Is it the intent of the government to regulate and monitor EMR deployments to see if they have met the requirements of “Meaningful Use” ? If so, I’m sure it will entail yet another branch of informatics. Debbie Carter
ReplyDeleteI am glad you guys enjoyed it
ReplyDelete-Kanav
It is also important to keep on checking this for a good overview of the fields.
ReplyDelete-Kanav