tag:blogger.com,1999:blog-4384692836709903146.post1742852236076228792..comments2024-03-18T04:38:01.678-07:00Comments on Dispatch from the Digital Health Frontier: Cool Technology of the WeekJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-4384692836709903146.post-35622824708404296132008-03-11T04:17:00.000-07:002008-03-11T04:17:00.000-07:00In the case of Google, the patient is clearly the ...In the case of Google, the patient is clearly the steward because they gather the data from sources, apply privacy flags, and then transmit the data to others as they wish. No data flows without the patient taking action.<BR/><BR/>In the case of MA-Share/NEHEN, it's an opt in consent to send the summary to the next provider of care. The patient can say no.John Halamkahttps://www.blogger.com/profile/04550236129132159307noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-4708435134954492442008-03-10T13:11:00.000-07:002008-03-10T13:11:00.000-07:00"stewards of their own records" is vague from a pr..."stewards of their own records" is vague from a privacy perspective. One might say the policy enforcer is the steward. In one case, Google is clearly the steward. In the other, NEHEN is the steward. How does the patient control what records are available through NEHEN? Will I be able to accept Google and reject NEHEN?Adrian Gropperhttps://www.blogger.com/profile/14435645301228523460noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-24588588350965094392008-03-10T09:04:00.000-07:002008-03-10T09:04:00.000-07:00It's complementary. We also a pilot participant i...It's complementary. We also a pilot participant in Google Health, so patients will be able to be stewards of their own records in addition to this provider/provider exchangeJohn Halamkahttps://www.blogger.com/profile/04550236129132159307noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-61221326096648038482008-03-10T00:49:00.000-07:002008-03-10T00:49:00.000-07:00How do you think this compares with a consumer-own...How do you think this compares with a consumer-owned model of data sharing like Google Health? Is this an alternative or complementary approach?Chrishttps://www.blogger.com/profile/15112303362624873911noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-15677613339931498962008-03-09T11:29:00.000-07:002008-03-09T11:29:00.000-07:00A printed discharge document is also what Minute C...A printed discharge document is also what Minute Clinic provides to the patient. This prompted a brief comparison on my <A HREF="http://adrian.medcommons.net/2008/03/09/how-is-minute-clinic-like-childrens-hospital-of-boston/" REL="nofollow">blog</A>.Adrian Gropperhttps://www.blogger.com/profile/14435645301228523460noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-19464494027836324492008-03-08T18:08:00.000-08:002008-03-08T18:08:00.000-08:00Per Adrian's question - at present, the patient re...Per Adrian's question - at present, the patient receives a printed human readable copy of the CCD document at discharge.John Halamkahttps://www.blogger.com/profile/04550236129132159307noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-43193699053383797152008-03-08T12:34:00.000-08:002008-03-08T12:34:00.000-08:00I was expecting commentary on the iPhone SDk :(Goo...I was expecting commentary on the iPhone SDk :(<BR/><BR/>Good read though, very interesting.Unknownhttps://www.blogger.com/profile/17179628000946910261noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-80270519548739056522008-03-07T18:31:00.000-08:002008-03-07T18:31:00.000-08:00Now that there's a digital document, how does the ...Now that there's a digital document, how does the patient see a copy of the clinical summary that's being sent via email?Adrian Gropperhttps://www.blogger.com/profile/14435645301228523460noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-7484858305518708372008-03-07T08:42:00.000-08:002008-03-07T08:42:00.000-08:00We've elected not to try to maintain a community m...We've elected not to try to maintain a community master patient index. The physician attaches the summary to the right patient in their EHR.John Halamkahttps://www.blogger.com/profile/04550236129132159307noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-2370588360543674102008-03-07T08:14:00.000-08:002008-03-07T08:14:00.000-08:00Does the physicians office then match the patient ...Does the physicians office then match the patient record from the hospital with a record in their system, or is there a patient identifier that somehow is sent from the physician to hospital?davethttps://www.blogger.com/profile/01754795302797477444noreply@blogger.com