Tag: himss

Highlights of HIMSS 2012 – @EricTopol: Creative Destruction of Medicine


Last week all the people involved in healthcare technology – clinicians, care providers, technologists, administrators and solution providers  convened in Vegas for the annual HIMSS trade show and conference to share best practices, latest innovations in medicine and technology.

HIMSS 2012 was by far the best HIMSS I have ever attended as I had an opportunity to check out more sessions on innovation and meet some innovative vendors in wireless and HIE space. I also had a chance to listen to Dr. Eric Topol’s speech on Creative Destruction of Medicine, which was the icing on the HIMSS cake this year.  “HIT x.o – Beyond the Edge” sessions were by far the best and were truly beyond the edge in showcasing the grass root innovations thats happening at the intersection of medicine and technology.

Of all the sessions, Dr. Eric Topol‘s speech on Creative Destruction of Medicine stands out the best as he laid out how wireless technology and consumer driven wireless technology is transforming medicine and bringing medicine out of its cocoon in terms of technology and innovation. If you didn’t make it to HIMSS 12 this year, you can still view Dr. Topol‘s speech he gave at TEDMED couple of years ago and read his latest book on the same subject, which is available for sale now.  If you are interested in intersection of biology and technology Topol’s book is a great place to start.

HIMSS Webinars on Meaningful Use


HIMSS provides six part webinar on Meaningful Use and implications.

1. Overview of Meaningful use final rule

http://www.himss.org/content/files/MU_Overview_Slides.pdf?src=winews20100728

2. Implications of Meaningful Use on Hospitals:

http://www.himss.org/content/files/Implications_of_MeaningfulUse_in_Hospitals_072810.pdf?src=winews20100728

Key highlights from #2 above,

  • CCHIT not grand‐fathered as an ATCB, previously certified products must be re-certified – work on the vendor side and I cant gauge the impact
  • Key Applications Needed to Meet Stage 1 Meaningful Use Requirements
    •  Core HIS System with Clinical Data Repository
    •  Clinical Documentation
    •  Clinical Decision Support
    •  Computerized Physician Order Entry
    •  Medication Management
    •  ED System or module

Source: HIMSS

EMR (eletronic medical record): does it exist in Ontario ?


Electronic Medical Record as defined by HIMSS Analytics is an application environment composed of the

  • clinical data repository
  • clinical decision support
  • controlled medical vocabulary
  • computerized order entry
  • provider order entry
  • pharmacy and
  • clinical documentation applications

This environment supports the patient s electronic medical record across inpatient and outpatient environments, and
is used by healthcare practitioners to document, monitor, and manage health care delivery within
a care delivery organization (CDO) like a hospital / clinic / doctor’s office and imaging centers.

The data in the EMR is the legal record of what happened to the patient during their encounter at the CDO and is owned by the CDO.

If you still have confusion between EHR and EMR, please refer to this document published by HIMSS Analytics which explains the difference and does a good job.

So where is Ontario in terms of EMR implementation compared to the United States. slide_0026_full

Proceedings from Ontario HIMSS meeting


Switching gears to information technology in healthcare, I attended the annual general meeting of Ontario chapter of HIMSS. It was great to meet friends and see some familiar faces in the industry and listen to interesting education sessions from the status of Electronic Medical Record(EMR) adoption in healthcare provider settings to a pilot chronic disease management project in Barrie, Ontario

The meeting was held in the lovely Sunnybrook Estates, which always enthralls me as I am a big fan of historic places and buildings.

Sunnybrook Estates
Sunnybrook Estates

Coming back to the sessions, most of the session was webcast and archived and you can find the webcast in the links below.

  • John Hoyt, Vice President Healthcare Organizational Services, HIMSS, who gave us the FIRST view of HIMSS Analytic results specific to Ontario

http://alex2.sunnybrook.ca/Mediasite/Viewer/?peid=804b861b7ecf43b2b143ae50217fab82

  • Trina Noonan, North Simcoe Muskoka Community Care Access Centre, who presented on an exciting project CHRIS-Procura Integration Project, she hopes to present a first year update at our AGM 2010

http://alex2.sunnybrook.ca/Mediasite/Viewer/?peid=590034bd85624cf4836e66a04ff024a4

  • Lee Miller, Director IT North Simcoe Muskoka CCAC and Florann Shaw, We Care, gave us a glimpse of the technology used to monitor patients’ health status remotely

http://alex2.sunnybrook.ca/Mediasite/Viewer/?peid=f5880304fe2f447a84edc8d69e7bf969

  • Shelley Cameron, Barrie and Community Family Health Team who presented on a very successful Telehomecare chronic disease management pilot project with great potential.

I am going to elaborate on two specific sessions, especially the following sessions.

  1. John Hoyt, VP at HIMSS, who showed, for the first time, the status of EMR adoption in Ontario hospitals
  2. Shelley Cameron on telehomecare chronic disease management pilot project, which had very successful outcomes and has huge implications for chronic disease management in Ontario

Next time, I hope to see you at the Sunnybrook Estates and stay tuned for further posts on the two above.

Healthcare a brewing crisis for a long time!


In most parts of the world one thing that’s common across the board for every country is that they always have a health care crisis.

My definition of crisis comes from Wikipedia’s definition of crisis and tend to take the meaning of “testing time”.

From the view, East or west, first world or third world,  almost all the countries are facing some sort of health care crisis and governments, businesses,  Not-for-profit organizations, individuals are all involved in working on a solution.

For example, to name a few crisis’ in brewing in coutries, here is a breif list.

  • In America – 46 million(about 1/6th) of the population is uninsured, with the highest spending in health-care as % of GDP(see image) and poor adoption of IT in health care.

Healthcare Spending as % of economy, Source:The Economist

  • In Canada (where I live), where its public health care, though most of the population thinks that we have the best health care the crisis is in supply of capacity and demand, efficiency of patient care, which results in a some unacceptable level of wait times for care
  • In India, where I grew up, the crisis is totally different as Health Insurance is not prevalent, affordable health care for Indian population is an oxymoron, big gap in health care infrastructure and the list goes on
  • In UK and other European nations, I would presume they are dealing with capacity and efficiency issues and its a learning curve that I have to take to understand more in detail on the health care crisis in Europe

In this blog I attempt to look at various solutions that are being proposed or worked at either by government, not-for-profit organizations or private enterprises towards continuous improvement in health care delivery across the world.

Stay tuned for more!

Thanks,