ICMCC » Record Access

Securing a Super-Portal for Records

Lodewijk — Mon, 03 Jun 2013 18:15:41 +0000

“New York state residents soon will be able to use a health information exchange’s portal to securely access all their records, rather than having to gain access from providers one-by-one, explains HIE leader David Whitlinger. The portal “will give patients access to their records just like all the clinicians have access,” says Whitlinger, executive director at [...]

Personal Health Record Use by Adolescents

Lodewijk — Thu, 16 May 2013 17:09:33 +0000

“In response to many questions about PHR use by adolescents, I asked Fabienne Bourgeois, the expert at Children’s Hospital Boston, to write this guest blog post - As more and more practices and hospitals are making patient portals available to their patients, providers of adolescent patients are encountering a major hurdle: how to handle confidential adolescent [...]

Are Patients From Mars and Health Care Professionals from Venus? – Part 1

Lodewijk — Tue, 07 May 2013 16:14:03 +0000

“It has been a little while I know. Sometimes though the patient in me rears its ugly head again and I have to get out of blogger mode and in to being a bowel transplant patient. That is kind of a long winded apology but The Churchill Hospital, Oxford has seem a little too much [...]

The Role of Patient Portals in the Future of Healthcare

Lodewijk — Sun, 05 May 2013 07:36:24 +0000

“As we get increasingly digital and Internet-savvy, more and more healthcare patient portals are cropping up, and thus, medical patients now have greater access to their health information than ever before. Patients can also be hands-on in supplying, questioning and correcting their data, which can help improve the accuracy of the data. Patient portals are seeing [...]

What’s e-health and what does it mean for you?

Lodewijk — Fri, 03 May 2013 15:49:14 +0000

“If you visit a doctor’s office or hospital and you usually see stacks of manila folders with labels on them and loads of paper inside. When a doctor wants to research more about a patient, it can take a while to sort through the file and decipher handwritten notes. Electronic health records are fast [...]

Electronic health records key to patient care quality improvement

Lodewijk — Thu, 25 Apr 2013 15:36:26 +0000

“A new Accenture (NYSE:ACN) survey reveals that almost two thirds of doctors surveyed in England (65%) believe that the introduction of electronic health records has improved the quality of patient care. A majority of doctors (86%) agree that electronic health records will become integral to effective patient care in the next two years, reflecting the Government’s [...]

Two thirds of doctors support introduction of electronic health records

Lodewijk — Wed, 24 Apr 2013 16:21:02 +0000

“Technology company Accenture has unveiled its latest research which has found that almost two thirds of doctors in England believe that the introduction of electronic health records has improved the quality of patient care. A majority – at 86% – also agree that these will become integral to effective patient care in the next two years, [...]

Why don’t first responders have instant access to EHRs?

Lodewijk — Fri, 19 Apr 2013 15:38:22 +0000

“Unfortunately, it often takes tragedies like this week’s Boston bombing to raise debate about how to respond to emergencies where an injured patient’s life may hinge on how many seconds it takes for them to receive medical care. In a trauma situation where a patient may be experiencing terror and confusion, or may be [...]

Patient EMR Access May Be The Biggest Cultural Shift

Lodewijk — Tue, 16 Apr 2013 07:48:17 +0000

“As most readers probably know, U.S. doctors are skittish about giving patients full access to their medical records. That fact was underscored by a recent Accenture study, which concluded that 65 percent of doctors think patients should only have limited access, and 4 percent feel patients should have no access. While I have no proof of [...]

Patient access to complex chronic disease records on the Internet

Lodewijk — Mon, 15 Apr 2013 18:26:28 +0000

Background Access to medical records on the Internet has been reported to be acceptable and popular with patients, although most published evaluations have been of primary care or office-based practice. We tested the feasibility and acceptability of making unscreened results and data from a complex chronic disease pathway (renal medicine) available to patients over the Internet [...]

Online Health Records for Patients Will Still Require Oversight

Lodewijk — Mon, 08 Apr 2013 17:18:20 +0000

“The incident helps illustrate a basic tenet about the move in the U.S. toward electronic health records: The patient is ultimately responsible for the accuracy and completeness of his health records. An analogy may be helpful here: Being able to pay your credit card online may ease the chore, but you’re still responsible for ensuring [...]

Patients Like Online Health Records Access, Study Says

Lodewijk — Thu, 04 Apr 2013 18:08:51 +0000

“When patients at the VA Medical Center in Portland, Ore., were given access to key parts of their electronic health records such as visit notes, lab results and discharge summaries, they believed that the ability to view their records helped them in many ways. They said they gained knowledge about their health, did a better [...]

Patient Experiences With Full Electronic Access to Health Records and Clinical Notes Through the My HealtheVet Personal Health Record Pilot: Qualitative Study

Lodewijk — Thu, 04 Apr 2013 17:59:00 +0000

BACKGROUND: Full sharing of the electronic health record with patients has been identified as an important opportunity to engage patients in their health and health care. The My HealtheVet Pilot, the initial personal health record of the US Department of Veterans Affairs, allowed patients and their delegates to view and download content in their electronic health [...]

Removing the red tape from patient records

Lodewijk — Tue, 02 Apr 2013 15:30:35 +0000

“Consumers have become accustomed to using smart phones for self-managing many aspects of their daily lives but still lack access to their own healthcare data. While many doctors capture volumes of patient data in their own repositories, it’s rare that patients ever have access to this information, separating them from their personal data. The introduction [...]

Physicians prefer a shielded EHR view for patients

Lodewijk — Sat, 30 Mar 2013 09:17:16 +0000

“Even as policymakers are pushing patient engagement, a new survey signals doctors may not be ready to relinquish control of their patients’ medical record. Eighty-two percent of U.S. physicians responding to a recent survey indicated they want patients to actively participate in their own healthcare by updating their electronic health records (EHRs). However, only 31 percent [...]

EHR Survey: Most Docs Say Full Patient Access Not a Good Idea

Lodewijk — Tue, 12 Mar 2013 17:46:34 +0000

“A new Accenture survey shows most U.S.-based doctors (82 percent) want patients to actively participate in their own healthcare by updating their electronic health records. However, only a third of physicians surveyed (31 percent) believe their patients should have access to their full health record. These findings were consistent among 3,700 doctors surveyed by Accenture [...]

Physicians would like patients to update their EHR, but full access? Notsomuch

Lodewijk — Sun, 10 Mar 2013 15:56:06 +0000

“More than half of physicians say allowing patients to update their electronic health records, through say, a patient portal, would be a good way to get consumers more engaged in their healthcare, which could help crack that great big $289 billion problem of adherence. And yet, only 31 percent say they should have full access [...]

Most U.S. Doctors Believe Patients Should Update Electronic Health Record

Lodewijk — Wed, 06 Mar 2013 19:01:11 +0000

“A new Accenture survey shows that most U.S. doctors surveyed (82 percent) want patients to actively participate in their own healthcare by updating their electronic health records. However, only a third of physicians (31 percent) believe a patient should have full access to his or her own record, 65 percent believe patients should have limited [...]

GPs not there on records access – survey

Lodewijk — Thu, 21 Feb 2013 20:19:57 +0000

“The overwhelming majority of GP practices are not ready to implement the government’s flagship NHS IT pledge to give patients online access to their records by 2015. An exclusive survey for eHealth Insider, conducted by doctors.net.uk, found that 43% of just over 1,000 GP respondents said “we haven’t started to address this yet” when asked how [...]

Postbedrijf maakt Zwitsers EPD

Lodewijk — Tue, 19 Feb 2013 17:24:44 +0000

“Ook in Zwitserland is men druk met het elektronisch patiëntendossier. Daar wordt de techniek ontwikkeld door Swiss Post. Het systeem, Vivates, wordt in het kanton Genève geïntroduceerd, na een succesvolle pilot in vier gemeenten. Ook het kanton Tessin gaat het patiëntendossier gebruiken en start dit voorjaar een pilot voor de discipline oncologie. Andere kantons geven [...]

What the new HIPAA means for digital health access

Lodewijk — Tue, 29 Jan 2013 17:11:37 +0000

“HIPAA is a valve, not a blockage.” At least, that’s what Office of Civil Rights (OCR) director Leon Rodriguez has said about the Health Insurance Portability and Accountability Act of 1996. Discussions of the national health information privacy and security act often revolve around the ways it limits access to patient health information, rather than [...]

Internet, un espacio cada vez más necesario para la Sanidad

Lodewijk — Tue, 29 Jan 2013 10:42:09 +0000

“Aunque con excepciones que confirman la regla, como el poco seguimiento del piloto de cita previa on-line en Cantabria, es un hecho que Sanidad e internet van cada vez más unidos. O, más bien, que la Sanidad ya no se concibe como tal sin la presencia de la red. Así demuestra cada estudio que ha [...]

Inviting patients to read their doctors’ notes: a quasi-experimental study and a look ahead

Lodewijk — Tue, 15 Jan 2013 15:39:47 +0000

BACKGROUND Little information exists about what primary care physicians (PCPs) and patients experience if patients are invited to read their doctors’ office notes. OBJECTIVE To evaluate the effect on doctors and patients of facilitating patient access to visit notes over secure Internet DESIGN Quasi-experimental trial of PCPs and patient volunteers in a year-long program that provided patients with electronic [...]

Computers are meaningless in health care without computable data

Lodewijk — Mon, 14 Jan 2013 18:42:49 +0000

“If this were a business concerned with bottom lines, cash flows and sustainability, this would be a good time to begin planning one of those posh executive retreats to evaluate current strategy. People would be feverishly working on pulling data for PowerPoint presentations, summarizing market research and deciding whether to select the vegetarian meal or [...]

Where Meaningful Use Stage 2 Is Most Likely to Trip You Up

Lodewijk — Fri, 11 Jan 2013 18:18:31 +0000

“Edward Rippel, MD, a solo internist in Hamden, Connecticut, has signed up nearly half of his patients to participate in a Web portal, linked to his eClinicalWorks electronic health record (EHR), that gives them access to their health records and allows them to message him securely. That isn’t a great percentage for a university community, he [...]

Download My Data: HL7 Releases Tool to Allow Patients to View Their Personal Health Information

Lodewijk — Wed, 09 Jan 2013 18:26:58 +0000

“Health Level Seven International (HL7), the Ann Arbor, Michigan-based global authority for interoperability and standards in healthcare information technology, has announced the release of a Continuity of Care Document (CCD) to Blue Button Transform Tool. The tool allows organizations to convert information already available in the existing HL7 CCD format into a Blue Button ASCII text [...]

Nova Scotia patients to manage health records online

Lodewijk — Thu, 27 Dec 2012 17:55:52 +0000

“Patients in Nova Scotia will soon be able to log on to a website to get test results, view medical records and book doctors’ appointments. A new pilot project announced by the provincial Health Department will allow about 3,000 patients and their doctors in the Halifax area to communicate through a web portal instead of [...]

Schippers: LSP is veiliger dan huidige systemen

Lodewijk — Fri, 21 Dec 2012 10:46:49 +0000

“Het Landelijke Schakelpunt is op veel punten veiliger dan de huidige systemen. Dat zegt minister Edith Schippers van VWS tijdens een debat vandaag over het de digitale uitwisseling van patiëntgegevens. Nog voor de Kerst zal Schippers komen met het wetsvoorstel voor de uitwisseling van patiëntgegevens. Deze wet zal gelden voor alle uitwisselingssystemen, dus niet alleen het [...]

Geen uitwisseling dossier zonder toestemming patiënt

Lodewijk — Thu, 20 Dec 2012 07:07:04 +0000

“De uitwisseling van medische patiëntgegevens via het Landelijk Schakelpunt (LSP) kan vanaf januari 2013 alleen nog met toestemming van de patiënt. Dat is volgens de eisen die het College Bescherming Persoonsgegevens (CBP) aan het LSP stelt. Dat stelt de Vereniging van Zorgaanbieders voor Zorgcommunicatie (VZVZ). Zoals bekend kunnen patiënten via hun huisarts of apotheek toestemming geven [...]

Patient ID Best Practices Needed

Lodewijk — Thu, 20 Dec 2012 06:37:23 +0000

“A federal advisory panel will recommend that the Office of the National Coordinator for Health IT quickly develop and disseminate best practices for verifying the identify of patients who access their records through a provider’s web portal. The HIT Policy Committee’s privacy and security tiger team will complete its recommendations for best practices at its Jan. [...]

Better access to patient records is essential to make the NHS a safer place

Lodewijk — Tue, 18 Dec 2012 16:31:36 +0000

“Two weeks ago one of our patients, a 59-year-old woman with a diagnosis of vascular dementia and epilepsy, living alone with the daily support of carers, had been treated in hospital after an apparent fall. She was back home, but required further supplies of her new medications. Wynn, her domiciliary carer, came to the pharmacy to [...]

GP contract to reward records access

Lodewijk — Tue, 11 Dec 2012 19:39:25 +0000

“The Government’s proposed GP contract changes will include new payments for GPs who offer patients online access to their health records. One of the extra services to be commissioned from GP practices is called ‘improving online access to services’ and involves enabling patients to book appointments, order prescriptions and see test results online as well as [...]

Manitobans able to request eChart health records be hidden: Ombudsman

Lodewijk — Sat, 08 Dec 2012 09:07:31 +0000

“You can’t opt out of electronic health records in Manitoba, but you can request your personal health information be hidden. That’s according to a new guide to eChart from the Manitoba Ombudsman’s office.” Article SUN News, 7 December 2012

Online access leads to increased usage

Lodewijk — Wed, 05 Dec 2012 09:55:01 +0000

“A US study has found that patients with online access to their health records and email communication with their doctors use significantly more health services than those without access. The study, published in the Journal of the American Medical Association, assessed health care utilisation by users and nonusers of Kaiser Permanete’s online patient access system, MyHealthManager.” Article Rebecca [...]

Association of Online Patient Access to Clinicians and Medical Records With Use of Clinical Services

Lodewijk — Wed, 05 Dec 2012 09:48:07 +0000

Context Prior studies suggest that providing patients with online access to health records and e-mail communication with physicians may substitute for traditional health care services. Objective To assess health care utilization by both users and nonusers of online access to health records before and after initiation of MyHealthManager (MHM), a patient online access system. Design, [...]

Healthcare CIOs Must Walk Fine Line Between Doctor Access and Patient Privacy

Lodewijk — Thu, 16 Aug 2012 14:34:13 +0000

“Healthcare CIOs are struggling to balance the needs to doctors and patients as they work out the governance of electronic medical records. While healthcare providers need access to information on a fast and flexible basis, patient privacy must also be preserved. Glenn Mamary, CIO of Hunterdon Healthcare System, in, Flemington, N.J., says he has worked out [...]

Saskatchewan’s EHR to Improve Access to Lab Results

Lodewijk — Thu, 16 Aug 2012 14:24:32 +0000

“Orion Health, a leader in electronic health records (EHR) and healthcare integration solutions has implemented its Orion Health Clinical Portal to eHealth in the province of Saskatchewan. The portal is enabling healthcare providers to access patient laboratory results with greater speed and accuracy anywhere in the province. The solution supports the Saskatchewan Lab Results Repository [...]

Guide exults virtues of patient access to GP records

Lodewijk — Sat, 14 Jul 2012 15:01:47 +0000

“A guide to personal health records (PHRs) released by the the Patient Information Forum (PiF) has highlighted the challenges that practices face in reaching the government’s target of giving every patient access to their GP records by 2015. A PHR is a patient-controlled copy of all the health information stored about them by health and social [...]

Who Owns Patient Data?

Lodewijk — Fri, 13 Jul 2012 15:04:52 +0000

“The notion of ownership is inadequate for health information. For instance, no one has an absolute right to destroy health information. But we all understand what it means to own an automobile: You can drive the car you own into a tree or into the ocean if you want to. No one has the legal [...]

ONC: Access to personal health information getting easier, barriers remain

Lodewijk — Thu, 12 Jul 2012 14:52:44 +0000

“An informed patient is a healthy patient. Having access to personal health information (PHI) helps patients manage their health better, make informed decisions, improve their likelihood of positive outcomes and contributes to lowering system-wide healthcare costs. Despite the benefits and the capability in the form of personal health records (PHRs), barriers still prevent access to [...]

VA’s innovative personal health record program finds private sector takers

Lodewijk — Fri, 06 Jul 2012 10:16:41 +0000

“Sure the Internet had its roots with U.S. military researchers. But it’s not often that innovative ideas come from the government. An exception to that in the healthcare industry appears to be the Blue Button program, and how the private sector is embracing it. The federal Blue Button initiative was launched in 2010 to allow veterans to [...]

Clipboard: Who should have access to mental health records?

Lodewijk — Fri, 22 Jun 2012 08:47:49 +0000

“Liz Kowalczyk writes in today’s Globe about how the issue of protecting people’s privacy as electronic health records are more widely used is complicated by mental health information. Kowalczyk tells the story of a patient whose medical records at Massachusetts General Hospital included more then 200 pages of detailed notes from her psychiatrist. The patient was [...]

Avec le DMP, le patient devient acteur de sa santé

Lodewijk — Wed, 20 Jun 2012 08:10:05 +0000

“Au-delà de la coordination qu’il permet entre professionnels de santé, le Dossier Médical Personnel donne au patient un droit de regard inédit sur sa santé. En cela, il est le symbole le plus visible d’une nouvelle conception du patient. Entre revendication d’un droit fondamental à l’information et « patient empowerment »*, le DMP et la [...]

The government seeks patient voices again – this time about info WE put in the record

Lodewijk — Tue, 19 Jun 2012 18:14:39 +0000

“Numerous times in the past two years this blog and this Society have contributed significantly to the Meaningful Use regulations that have substantially changed the landscape, the outlook, for patients who want to be engaged in their care. SPM Policy Chair David Harlow has led several projects to compile members’ views into a unified response. [...]

Yes, you do have a right to your health records

Lodewijk — Wed, 13 Jun 2012 15:31:13 +0000

“Lest anyone forget — including the American Hospital Association, which wants to take 30 days post-discharge to supply copies of medical records to patients — HIPAA explicitly gives patients the right to access their own records. This is not new. The HIPAA privacy rules have been in force since 2002. Yet, far too many patients [...]

Can EHRs improve healthcare in the US?

Lodewijk — Sat, 09 Jun 2012 15:52:09 +0000

“It’s an iconic scene from Gladiator where Maximus turns to the Coliseum crowd and asks them, “Are you not entertained?” The reason I remember it (other than its appearance on some of my favorite hip hop albums) is because of two recent surveys that show general dissatisfaction with the healthcare industry among providers and patients [...]

Health Data Summit at the White House

Lodewijk — Fri, 08 Jun 2012 10:47:59 +0000

“I was honored to participate in the Patient Access to Health Data Summit at White House on June 4, 2012 as a kick off event to the the Health Data Initiative Forum. The meeting was a moderated discussion among an invited group of participants including developers, health plans, providers, EHR vendors, VCs, government representatives, [...]

Can you handle being the first to know your own test results?

Lodewijk — Fri, 08 Jun 2012 10:42:31 +0000

“There’s a push-pull happening right now in the evolution of health care and it’s all about you. The question under debate is simple: can you handle being the first to know your own test results? Are you smart enough to read the results? And are you emotionally capable of handling the situation? Do you need someone next [...]

Embedding online patient record access in UK primary care: a survey of stakeholder experiences

Lodewijk — Thu, 07 Jun 2012 16:25:20 +0000

OBJECTIVES To explore the integration of online patient Record Access within UK Primary Care, its perceived impacts on workload and service quality, and barriers to implementation. DESIGN Mixed format survey of clinicians, administrators and patients. Telephone interviews with non-users. SETTING Primary care centres within NHS England that had offered online record access for the preceding year. PARTICIPANTS Of the 57 practices initially [...]

Are Patients About To Lose Control Over Their Medical Information?

Lodewijk — Thu, 07 Jun 2012 09:49:44 +0000

“During the Super Bowl two years ago, a commercial aired featuring a doctor questioning his patient, a man in boxer shorts sitting on an exam table, about whether he’d been tested for cortical spreading depression. The patient begins to say he doesn’t remember, and suddenly flood lights go up. The patient is surrounded by doctors [...]