I come across hundreds of news items a day when selecting the ones that should be posted on the ICMCC Newspage. And sometimes these articles raise questions.
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ICMCC Blog
Observations 3 February 2010: Questions
Previous Entries
Guest: If Air Travel Worked Like Health Care
Back in September, Jonathan Rauch of the National Journal wrote a terrific (fact-based!) send-up of our archaic, arcane, not-customer-centric healthcare system, titled “If Air Travel Worked Like Health Care.” I wish I’d known about it then, but I only learned of it recently, because a couple called “The New Altons” have made a great home-brew video of it, and posted it in YouTube.
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Observations 15 January 2010: Numbers; again
I hate it when I have to repeat myself, it brings memories of those classic vinyl records and the needle hanging in the same groove. Nevertheless, it seems necessary.
What inspired me to come back to something I have written about before is the title of an article in today’s e-Health Europe, Half of European doctors use web video. I know, Mr. Hoeksma wants to attract readers and has the decency to be a bit more realistic inside the article.
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The Goal of HIT
At the beginning of the 2nd decade of the 21st century I would like to share some thoughts with you on my idea about the goals of HIT.
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Automation in Homecare
Working on an paper on automation in homecare I came across a number of older papers that I would like to share with you.
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Observations 17 December 2009: Patient Data Again
There is a lot to write about with all the EHR studies appearing the last couple of days. And I will do so in due course. For now I would like to react to 2 blog articles that were published yesterday,
Health IT: What We Can Learn From Toys ‘R’ Us and Patient control over patient data in electronic health records: A work in progress.
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Health IT: To Good to Be True?
The Obama administration has made Electronic Medical Records and Health Information Technology a centerpiece of its Health Reform proposals, suggesting that millions of dollars can be saved from fraud, abuse and waste. Administration officials also contend that we may also be able to significantly improve the qualtiy of healthcare through eHealth and other technology solutions. While the promise and potential are certainly real, the administration would do well not to oversell the prospects, at least in the short term, and avoid “reinventing the wheel” by learning from those who have gone before.
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Grateful
From the very first days of ICMCC I have stressed the importance of the delivery of information.
The ICMCC Record Access Portal was a first major effort to make information on a specific subject accessible. This was soon followed by the ICMCC News Page, which intended to become an important source on medical and care ICT news and science articles.
Keeping track
The ICMCC News Page is becoming more and more a source of information on medical and care ICT, not just the place for the latest news.
The site also has a large database with scientific articles, at the moment included in the News Page, but soon to be presented as a separate part of the ICMCC website.
The U.S. Democratic Healthcare Reform Bill Proposal
At the ICMCC News Page we try to stay out of politics as much as possible. We try to give a good overview of new developments in Health Information Technology, covering both news and scientific articles. Interesting debates are mentioned, we try to give overviews of outcomes of conferences.And we try to make our coverage as international as possible.
The reason why we stay out of politics is because we are an independent organisation. Of course we do have our own opinion on certain subjects, especially when compunetics (the social, societal and ethical implications of the use of computing and networking) are involved. And we will be the first to vent those opinions.
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Journal of Participatory Medicine; congratulations!
On 21 October I was in hospital with a severe cellulitis, with sometimes sky-high fever and as only participatory aspect making an arm available for the much needed antibiotics drip. Although I am home when writing this I am far from recovered as all this (i.e. 3 serious still open wounds in my left leg) comes on top of my neuropathy problems from the cancer 3 years ago and 4 different antibiotics per day make my head spinning 24/7.
Nevertheless, 21 October 2009 was also the day that the new Journal of Participatory Medicine was launched. And I wanted, as soon as I could, to congratulate the editors and authors with this achievement. The Launch Issue offers a large variety of interesting articles, showing the intentions and goals of the journal. Of course we at ICMCC will follow the Journal and link to those articles that are related to health information technology as we have been doing so far with over 150 journals.
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Health 2.0 from a distance, once more
The fall edition of the Health 2.0 Conference is behind us. And, as usual, I have not been there. You can find a summary of blogposts about the San Francisco edition on the ICMCC News Page.
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Meaningful use, where is the patient?
In March this year the issue of meaningful use appeared in the USA EHR implementation discussion. The ICMCC News Page has an extended overview of meaningful use related articles. In the beginning the discussion was descriptive, not defining.
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1 Hospital = 220 patients times 15 seconds = 55 minutes saved per day
What wouldn’t we gain in health care if we did the obvious but unusual? For example, collaborating with medical equipment manufacturers in addition to better teamwork?
Imagine the tangible and less tangible profits if a patient spent 15 seconds less in an MRI scanner or radiation treatment device?
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Observations 29 September 2009: Kennedy takes the wrong turn on EHR
“People Can Opt Out of Listing STDs, Abortions in Gov’t-Mandated Electronic Health Records, Patrick Kennedy Says” was the heading of an article in the US CNS News from September 28.
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Observations 30 August 2009: Theft
THERE IS NO REASON TO CARRY AROUND ELECTRONIC HEALTH RECORDS, ESPECIALLY NOT IN BULK.
Many stories have been published about breaches in EHR security, hospitals hacked, USB sticks lost, laptops stolen. During the almost 3 years that I am maintaining this news page I did not pay much attention to it as I am convinced that security problems during the paper days were more frequent and much more common. Files got lost in the mail, were found in dumping places, were accessible to anyone with a key to the storage room (if locked at all; or in a storage room, for that matter).
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Observations 28 August 2009
I see many news articles and scientific publications pass by every day. And sometimes you come across an article that makes you think that it is not only right to the point, it is also showing you the way. This article that I want to mention now was also a reminder and an eye opener as it just once more made it clear to me what I have known for years, over 3 years ago it was a major aspect of a Worldbank presentation at the WHO at which I had the honour to participate, the immense importance of mobile phones and the fact that they will be the most important asset in the development of (health)care in developing countries.
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Observations 14 August 2009: e-Consults, are they safe?
Gathering the news items for the ICMCC News Page I came across this anonymous post “It’s a Virtual World Out There – The New Dawn of Telemedicine“. And one remark triggered my need to react and post this observation:
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Observations: Three Years as Chemo Patient
It is three years ago today that I started chemotherapy for a B-cell plasmablastair non Hodgkin cd20 negative. More details you can find here. You can also read there why I publish much less on this blog than I would like.
The treatment turned me from a cancer patient into a chemo patient as I seem unable to recover from the therapy.
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Observations: EHR, the experience of an English practice
During the 2007 ICMCC event, Dr. Amir Hanan presented this excellent paper called: “Towards a “Partnership of Trust“”. Dr. Hannan, see here a guest article on the ICMCC Blog by Bettine Pluut, is strongly convinced of the benefits of EHRs and the patient’s access to it. You can find a whole series of Record Access videos produced by him on the ICMCC Record Access Portal.
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Books
Handbook of Digital Homecare
Yogesan, K.; Bos, L.; Brett, P.; Gibbons, M.C. (eds)
Springer, 2009
Medical and Care Compunetics 5
Lodewijk Bos; Bernd Blobel; Andrew Marsh; Denis Carroll (eds)
Series on Health Information Technologies 137, IOSPress, 2008
Publications
Lodewijk Bos, Andy Marsh, Denis Carroll, Sanjeev Gupta, Mike Rees,
Patient 2.0 Empowerment
in: Proceedings of the 2008 International Conference on Semantic Web & Web Services SWWS08, Hamid R. Arabnia, Andy Marsh (eds), pp.164-167, 2008
Lodewijk Bos, Denis Carroll, Andy Marsh,
The Impatient Patient,
in: Medical and Care Compunetics 5, L. Bos et al (eds), IOS Press 2008 (PubMed)
Lodewijk Bos,
Medical and Care Compunetics - the Future of Patient-Related Care,
in: Medical and Care Compunetics 4, L. Bos and B. Blobel (eds.), IOS Press, 2007 (PubMed)
Brian Fisher, Richard Fitton, Lodewijk Bos,
WHO recommendation on record access (draft),
in: Medical and Care Compunetics 4, L. Bos and B. Blobel (eds.), IOS Press, 2007 (PubMed)
Thierry Chaussalet and Lodewijk Bos,
The ICMCC second conference on "Medical and Care Compunetics"
, in: IJMI, Volume 75, Issue 9, September 2006, Pages vii-viii (PubMed)
Lodewijk Bos, Swamy Laxminarayan and Andy Marsh,
The Information Paradigm,
in: Medical and Care Compunetics 2, L. Bos et al (eds.), IOS Press, 2005 (PubMed)
A. Marsh, S. Laxminarayan and L. Bos,
Healthcare Compunetics,
in: Medical and Care Compunetics 1, L. Bos et al (eds.), IOS Press, 2004 (PubMed)
Blog
Observations 3 February 2010: Questions
I come across hundreds of news items a day when selecting the ones that should be posted on the ICMCC Newspage. And sometimes these articles raise questions.
[ More ]
Guest: If Air Travel Worked Like Health Care
Back in September, Jonathan Rauch of the National Journal wrote a terrific (fact-based!) send-up of our archaic, arcane, not-customer-centric healthcare system, titled “If Air Travel Worked Like Health Care.” I wish I’d known about it then, but I only learned of it recently, because a couple called “The New Altons” have made a great home-brew video of it, and posted it in YouTube.
[ More ]
Observations 15 January 2010: Numbers; again
I hate it when I have to repeat myself, it brings memories of those classic vinyl records and the needle hanging in the same groove. Nevertheless, it seems necessary.
What inspired me to come back to something I have written about before is the title of an article in today’s e-Health Europe, Half of European doctors use web video. I know, Mr. Hoeksma wants to attract readers and has the decency to be a bit more realistic inside the article.
[ More ]

