Applied Bimatics - An Informatics & eHealth Blog

I am a clinician with a passion for informatics. This blog is about my eHealth journey exploring interoperability in Electronic Medical Records (EMR/EHR), Patient Safety, Pharmacovigilance, Data Analytics, Clinical Research and Bioinformatics in a clinical context. Comparing Canadian, Indian and Middle Eastern healthcare systems and services. Join our open facebook group here: https://www.facebook.com/groups/clinical.bioinformaticians/


Coming soon to a living room near you: home-based imaging?

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In the not-so-distant future, patients bearing imaging-capable smartphones will put doctors’ offices out of business. Oh, the docs themselves will still have jobs. But many will be working from home.

So says the cardiologist and healthcare futurist Eric Topol, MD, author of the influential bestseller The Creative Destruction of Medicine.

Speaking at a gathering of the Healthcare Financial Management Association in Las Vegas this week, Topol displayed diagnostic-quality images of himself acquired by ultrasound at his home.

“130 million ultrasounds are done in the U.S. per year,” he said. “Why shouldn't they be done during the physical exam with modern digital equipment, saving a $100 billion a year?”

Healthcare Finance covered the session: 

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By David Pearson

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How HIPAA applies to the burgeoning world of mobile health

The federal regulatory environment has not kept pace with the progress of mobile health, which is driven by consumers who expect to have all sorts of information, including health data, on their phones.

By Bill Siwicki

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An Ontological Model of the Practice Transformation Process

Publication date: Available online 10 May 2016
Source:Journal of Biomedical Informatics
Author(s): Arun Sen, Atish P. Sinha
Patient-centered medical home is defined as an approach for providing comprehensive primary care that facilitates partnerships between individual patients and their personal providers. The current state of the practice transformation process is ad hoc and no methodological basis exists for transforming a practice into a patient-centered medical home. Practices and hospitals somehow accomplish the transformation and send the transformation information to a certification agency, such as the National Committee for Quality Assurance, completely ignoring the development and maintenance of the processes that keep the medical home concept alive. Many recent studies point out that such a transformation is hard as it requires an ambitious whole-practice reengineering and redesign. As a result, the practices suffer change fatigue in getting the transformation done. In this paper, we focus on the complexities of the practice transformation process and present a robust ontological model for practice transformation. The objective of the model is to create an understanding of the practice transformation process in terms of key process areas and their activities. We describe how our ontology captures the knowledge of the practice transformation process, elicited from domain experts, and also discuss how, in the future, that knowledge could be diffused across stakeholders in a healthcare organization. Our research is the first effort in practice transformation process modeling. To build an ontological model for practice transformation, we adopt the Methontology approach. Based on the literature, we first identify the key process areas essential for a practice transformation process to achieve certification status. Next, we develop the practice transformation ontology by creating key activities and precedence relationships among the key process areas using process maturity concepts. At each step, we employ a panel of domain experts to verify the intermediate representations of the ontology. Finally, we implement a prototype of the practice transformation ontology using Protégé.

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Telepharmacy software helps free up workflow, lets pharmacists focus on patients

Getting pharmacists involved in patient-centric activities, including being part of clinical care teams, is a little easier thanks to telepharmacy technology. When Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire, needed to optimize its pharmacy workflow with the goal of improving patient care, it turned to PowergridRx, a cloud-based HIPAA–compliant telepharmacy platform from San Francisco-based PipelineRx.

By Anthony Vecchione

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HL7 posts new FHIR test version tuned for clinical decision support, complex queries, genomics data

Dubbed release candidate number 3, the latest incarnation of the emerging interoperability standard also brings advancements for workflow, eClaims, CCDA profiles and provider directories. 

By Tom Sullivan

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Data Privacy in Cloud-assisted Healthcare Systems: State of the Art and Future Challenges

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The widespread deployment and utility of Wireless Body Area Networks (WBAN’s) in healthcare systems required new technologies like Internet of Things (IoT) and cloud computing, that are able to deal with the storage and processing limitations of WBAN’s. This amalgamation of WBAN-based healthcare systems to cloud-based healthcare systems gave rise to serious privacy concerns to the sensitive healthcare data. Hence, there is a need for the proactive identification and effective mitigation mechanisms for these patient’s data privacy concerns that pose continuous threats to the integrity and stability of the healthcare environment. For this purpose, a systematic literature review has been conducted that presents a clear picture of the privacy concerns of patient’s data in cloud-assisted healthcare systems and analyzed the mechanisms that are recently proposed by the research community. The methodology used for conducting the review was based on Kitchenham guidelines. Results from the review show that most of the patient’s data privacy techniques do not fully address the privacy concerns and therefore require more efforts. The summary presented in this paper would help in setting research directions for the techniques and mechanisms that are needed to address the patient’s data privacy concerns in a balanced and light-weight manner by considering all the aspects and limitations of the cloud-assisted healthcare systems.



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The child’s perspective as a guiding principle: Young children as co-designers in the design of an interactive application meant to facilitate participation in healthcare situations

Publication date: June 2016
Source:Journal of Biomedical Informatics, Volume 61
Author(s): Anna Stålberg, Anette Sandberg, Maja Söderbäck, Thomas Larsson
During the last decade, interactive technology has entered mainstream society. Its many users also include children, even the youngest ones, who use the technology in different situations for both fun and learning. When designing technology for children, it is crucial to involve children in the process in order to arrive at an age-appropriate end product. In this study we describe the specific iterative process by which an interactive application was developed. This application is intended to facilitate young children’s, three-to five years old, participation in healthcare situations. We also describe the specific contributions of the children, who tested the prototypes in a preschool, a primary health care clinic and an outpatient unit at a hospital, during the development process. The iterative phases enabled the children to be involved at different stages of the process and to evaluate modifications and improvements made after each prior iteration. The children contributed their own perspectives (the child’s perspective) on the usability, content and graphic design of the application, substantially improving the software and resulting in an age-appropriate product.

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The Kindred PHR

The Kindred PHR is the latest version of MyOSCAR PHR with a new and improved UI.

The post The Kindred PHR appeared first on NuChange.



By Bell Eapen

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Charitable rads bring medical imaging to the far reaches of the developing world

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Lacking hospitals, rural villagers in India needed a mobile imaging clinic to screen women for cancers and osteoporosis. Absent a medical school, the islanders of Cape Verde off the coast of Africa needed trained radiologists and techs to show people how to take and read x-rays.

And, armed with donated imaging equipment but untrained in its use, folks in Laos just needed someone to show them how.

Enter Rad-Aid International, the medical aid organization based in Chevy Chase, Md., whose mission is to increase and improve radiology resources in the developing and impoverished countries of the world.

“You can't get to other areas of healthcare without radiology,” Daniel Mollura, MD, the radiologist who launched the work eight years ago, tells the Baltimore Sun.

The newspaper published a feature article on the group May 2. Read the whole thing: 

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By David Pearson

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About Me

As a Dermatologist and Informatician my research mainly involves application of bioinformatics techniques and tools in dermatological conditions. However my research interests are varied and I have publications in areas ranging from artificial intelligence, sequence analysis, systems biology, ontology development, microarray analysis, immunology, computational biology and clinical dermatology. I am also interested in eHealth, Health Informatics and Health Policy.

Address

Bell Raj Eapen
Hamilton, ON
Canada