Hi Jon, Health Affairs is the most influential health policy journal in the world and its special issue is available for anyone to read at present - and the special issue offers a cogent discussion of the reasons why EHR implementation is vital for the improvement of health services.
It also provides excellent evidence of the success of some key innovators in 'making a difference" The presentation is actually a one hour video - easy to watch and explains - to a lay audience what it is all about. The web site is not obscure - it is the home of the largest health focussed philanthropic foundation on the globe - had $US Billions in assets and sponsors a lot of evolving health IT research So - be you lay or pro I have something for you! Cheers David ---- Dr David G More MB, PhD, FACHI Phone +61-2-9438-2851 Fax +61-2-9906-7038 Skype Username : davidgmore E-mail: [EMAIL PROTECTED] HealthIT Blog - www.aushealthit.blogspot.com On Wed, 14 Feb 2007 08:34:42 +1100, Jon Patrick wrote: > David, surely this is part of my point - you refer to material that is not > available to the general public - no matter how good it is it is cosseted away in > a powerpoint presentation on a remote web page in the USA. jon > > David More wrote: > >> Hi Jon, >> >> For a clear explanation go watch this presentation. >> >> ================================================= >> >> Saturday, February 03, 2007 >> *A Weekend Treat!* >> >> Just a short note to let everyone who has a moment on the weekend that the >> Robert Wood Johnson Foundation has posted a fabulous presentation on their web >> site entitled “Can Health IT Enhance the Pace and Power of Research? The >> Case for Rapid Learning Systems” dated Jan 23, 2007. The URL is: >> >> http://www.rwjf.org/newsroom/activitydetail.jsp?id=10195&type=3 <http://www.rwjf.org/newsroom/activitydetail.jsp?id=10195&type=3> >> >> Those involved in the roughly one hour presentation are described as follows: >> >> “Carolyn Clancy, director of the Agency for Healthcare Research and Quality >> joins national technology experts, including David Eddy and Lynn Etheredge, to >> showcase ways in which EHRs are making rapid advances in diabetes and cancer >> care, how rapid-learning capabilities will help accelerate personalized health >> care, and how, through rapid learning, doctors will do a much better job of >> advising patients. Also featured are John R. Lumpkin, M.D., M.P.H., RWJF senior >> vice president and director of the Health Care group and Joel Kupersmith, >> M.D., Chief Research & Development Officer, Veterans Health Administration. (HHS >> Secretary Michael O. Leavitt, originally scheduled, is unable to attend.)” >> >> This is a very serious cast and this presentation is by far the best way to >> gain an initial appreciation of the key contents of the Health Affairs special >> issue on Rapid Learning Health IT and its implications. >> >> I would highly commend this to all readers of my blog. >> >> David. >> >> or read the papers mentioned here: >> >> Saturday, January 27, 2007 >> *A Must Read Contribution from Health Affairs* >> >> As a service to those who are not on the Health Affairs mailing list I pass >> on the following alert. >> >> For the next few weeks or so the articles will be accessible from the URL >> below. Enjoy and learn! >> >> Health Affairs Online Theme Issue On Rapid Learning Through Health IT >> >> Today Health Affairs has published online a set of papers that discuss using >> electronic data to advance knowledge. Data gathered in electronic health >> records on the experience of millions of patients have the potential to >> dramatically accelerate clinical research and provide the nation with timely, >> urgently needed knowledge about the value of new medical technologies, >> researchers report. You can access the set of papers at: >> >> http://content.healthaffairs.org/cgi/content/full/hlthaff.26.2.w107/DC2 >> >> Highlights include: >> >> Lynn Etheredge on what a rapid-learning system would look like and how we >> might get there. >> >> David Eddy on how mathematical modeling can assist in medical decision >> making. >> >> Sean Tunis et al. on the federal government’s unique position to generate >> information. >> >> Joel Kupersmith et al. on the VHA’s electronic health records system. >> >> Paul Wallace on integrated health IT at Kaiser Permanente. >> >> Walter Stewart et al. on tools to help physicians bridge the gap between the >> knowledge they posses and the knowledge they do not. >> >> Plus Perspectives from a wide range of system stakeholders. >> >> This is important material that adds powerfully to the business case for the >> expanded implementation of Health IT both here and in the USA. >> >> David. >> >> ============================================== >> >> Cheers >> >> David >> >> ---- >> Dr David G More MB, PhD, FACHI >> Phone +61-2-9438-2851 Fax +61-2-9906-7038 >> Skype Username : davidgmore >> E-mail: [EMAIL PROTECTED] >> HealthIT Blog - www.aushealthit.blogspot.com >> >> >> On Wed, 14 Feb 2007 07:49:20 +1100, Jon Patrick wrote: >> >>> As a tax-payer I have always had a problem with the arguments for the >>> >> need for an EHR. I have never heard any case that convinced me that it would >> make a >> >>> difference. That is different to my ability to read between the lines >>> >> and draw on my IT competency to construct justifications. Unfortunately >> politicians or >> >>> the public can't draw on the same background. I think the medical >>> >> profession doesn't explain clearly nor simply enough the case. >> >>> For me what is missing is a plain English description of what would be >>> >> different for me the patient with my health care, not what would be >> different for the >> >>> physician. For example case studies that showed how a person's care >>> >> plan materially changed and saved their life because information was >> available which >> >>> would otherwise not be. Then you need to argue that such cases happen >>> >> often enough to warrant the public's engagement. You assume that the >> >>> public/politicians understand how you work but they only understand >>> >> you give them pills or cut them open and sew them up. >>> One of the problems with IT is that it is unseen for the most part. >>> >> Other medical machines and paraphernalia can be seen, touched, etc, hence it >> is self- >> >>> evident they do something useful. IT has to be justified by >>> >> understanding work practices and how they improve case outcomes by argument >> and clear exemplars. >> >>> It seems to me that some of the profession (e.g. GPCG members) have >>> >> moved from a knowledge intensive strategy (the historical nature of >> medicine) to a more >> >>> data intensive strategy wanting much more content about the patient, >>> >> and more timeliness of that data. An appreciation that this change matters >> for >> >>> sufficient enough patients in terms of their health outcomes has yet >>> >> to permeate the rest of society ( and maybe some of your profession). >> >>> I am spurred to write to this list on this matter as I have just >>> >> received an old draft of a political party's health policy and it suffers >> exactly from the >> >>> complaints I make above. If their advisors can't write a decent >>> >> convincing case what chance do the pollies have of engaging positively in >> Health IT. cheers >> >>> jon patrick >>> >>> Dr. Ken Harvey wrote: >>>> John Mackenzie wrote: >>>> >>>>> No. It's time to start a political campaign to gain funding for a >>>>> professional software development company to produce an open source EHR. >>>>> >>>> Given the forthcoming Federal election this concept could be timely. >>>> >>>> However, in order to be electorally (and politically) appealing it >>>> >> would need a one page outline on the expected benefits, why past history has >> failed to >> >>>> deliver adequately; why this proposal is more likely to succeed and >>>> >> how much it will cost. >> >>>> Perhaps people might like to jot down ideas under these headings (or >>>> >> others). >> >>>> Cheers >>>> Ken >>>> >>> >>> __________ NOD32 2057 (20070213) Information __________ >>> >>> This message was checked by NOD32 antivirus system. >>> http://www.eset.com >>> >> >> ------------------------------------------------------------------------ >> >> _______________________________________________ >> Gpcg_talk mailing list >> [email protected] >> http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk > > > __________ NOD32 2057 (20070213) Information __________ > > This message was checked by NOD32 antivirus system. > http://www.eset.com
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