tag:blogger.com,1999:blog-4384692836709903146.post5462644868735939792..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: The Launch of Google HealthJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger30125tag:blogger.com,1999:blog-4384692836709903146.post-77270656241626907432009-06-16T12:52:47.137-07:002009-06-16T12:52:47.137-07:00Does anybody know of a blog dedicated to tracking ...Does anybody know of a blog dedicated to tracking Google Health New Applications? We're trying to conceptualize an Hawaii<br />Connected Care System and Google Health PHR plus future applications<br />could be very helpful to our mission of helping baby boomers to age in place. IT innovators welcomed!<br /><br />Recep Deniz MD<br /><br /><a href="http://www.doktortr.net/" title="DoktorTR.Net - Tıp Sitesi" rel="nofollow">DoktorTR.Net</a>Football Matcheshttps://www.blogger.com/profile/00341831327324203736noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-80773138800513751162009-05-24T13:02:14.553-07:002009-05-24T13:02:14.553-07:00琳賽蘿涵懷孕|馮媛甄寫真|郭開源blog|范文芳李銘順|康乃狄克鬼屋事件 plus|李猶龍mv|徐
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HREF="http://popblog.tvbs.com.tw/blog/038221988/" REL="nofollow">花蓮租車</A>,<A HREF="http://popblog.tvbs.com.tw/blog/038221988/" REL="nofollow">花蓮旅遊</A>,<A HREF="http://hualientour.blogspot.com/" REL="nofollow">花蓮租車</A>Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-89554692770233811062008-10-26T09:51:00.000-07:002008-10-26T09:51:00.000-07:00As a patient, sharing medical records with Google ...As a patient, sharing medical records with Google makes me nervous.<BR/><BR/>While it's clear various privacy safeguards in place, the future often holds surprises. Government demands for information, security lapses, and technology failures all create the possibility of serious privacy breaches.<BR/><BR/>In theory, it's a great idea, in practice I believe the risks outweigh the benefits.<BR/><BR/>I write a blog for ZDNet on IT failures, so my perception is based on hard observation of many situations where good intentions have failed to prevent disaster.<BR/><BR/>Michael Krigsman<BR/>ZDNet: <A HREF="http://blogs.zdnet.com/projectfailures" REL="nofollow"><BR/>http://blogs.zdnet.com/projectfailures</A>mkrigsmanhttps://www.blogger.com/profile/18353835220572799387noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-24439179807060848402008-09-28T08:00:00.000-07:002008-09-28T08:00:00.000-07:00Hi Frank - both of your comments got through.What ...Hi Frank - both of your comments got through.<BR/><BR/>What are you talking about? I'm a patient and PatientSite user, and my primary physician has access to it. He's right in the system.<BR/><BR/>Some of my doctors elect not to be in PatientSite. I don't like that but I can live with it, and it's certainly not PatientSite's doing.<BR/><BR/>Also, I gave my login info to others I trust, so they just log in and look at everything the same I do. Would that accomplish what you need?e-Patient Davehttps://www.blogger.com/profile/11608258246509102466noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-27902434917810333152008-09-28T07:28:00.000-07:002008-09-28T07:28:00.000-07:00DEAR JOHN, ARE PRIMARY PHYSICIAN'S EVER GOING TO...DEAR JOHN,<BR/> ARE PRIMARY PHYSICIAN'S EVER GOING TO BE ALLOWED ACCESS TO THE PATIENT SITE. WHAT ARE THE ATTENDING PHYSICIAN'S WORRIED ABOUT?frankbhttps://www.blogger.com/profile/00472583292411793408noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-60810512140902507442008-09-28T07:25:00.000-07:002008-09-28T07:25:00.000-07:00DEAR JOHN, ARE THE RESIDENT PRIMARY PHYSICIAN'S,...DEAR JOHN,<BR/> ARE THE RESIDENT PRIMARY PHYSICIAN'S, EVERY GOING TO TO BE ALLOWED ON THE PATIENT SITE.frankbhttps://www.blogger.com/profile/00472583292411793408noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-63779525623399267292008-07-09T06:44:00.000-07:002008-07-09T06:44:00.000-07:00Dear John, I sent you an invitation as speaker to ...Dear John, I sent you an invitation as speaker to Andicom 2008.<BR/>Did you recieve it? are you considering it?<BR/>Please let me know.<BR/>Best regards,<BR/>NICOLAS RUEDAUnknownhttps://www.blogger.com/profile/04572977403659317466noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-12830286554634355222008-07-07T13:14:00.000-07:002008-07-07T13:14:00.000-07:00To: John HalamkaI just came across this blog and G...To: John Halamka<BR/>I just came across this blog and Google Health. I have reviewed the links you provided. As an individual who has worked in politics and in the legal field and who is earning a degree in medicine and will be working in the medical field I have many concerns with Google Health and other online medical records storage systems. I can certainly see the upside to an individual having all of their medical records available for easy access. However, knowing the invasive, continually changing face of the courts and legislative process, I can also see looming in the distance the "big brother" computerized control of an individual's life including courts and legislative members giving rights to employers, schools, financial institutions and others who claim the "right to know" a person's medical history before they make a decision to hire, accept, or work with an individual. This will be especially true if the USA turns over to a socialized healthcare system such as exists in England, Canada and many other countries. I can tell you that over my lifetime of almost six decades the invasion of personal privacy and individual rights has reached levels not imagined in generations past. While Google is going great work in many areas, I can see that this new work will be subject to court and legislative rulings that demand Google turn over all records, as Google already caveats in the current links that I reviewed. There is no reassurance that can be provided that will cover all of the needs of an individual because companies that provide services are themselves open to external control, and therefore they cannot provide assurance of control that they themselves do not have. There are many countries who already have universal electronic medical record documentation and the full effects of who will have access to that information are continuing to be played out in nations around the world. However, it is clear that this is an enormous risk for the rights of the individual in a myriad of venues.Unknownhttps://www.blogger.com/profile/05699938493936875156noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-42238895417727466542008-07-07T13:07:00.000-07:002008-07-07T13:07:00.000-07:00This comment has been removed by the author.Unknownhttps://www.blogger.com/profile/05699938493936875156noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-4745728255215840362008-06-20T06:53:00.000-07:002008-06-20T06:53:00.000-07:00I think the challenge for PHRs, Google Health, Mic...I think the challenge for PHRs, Google Health, Microsoft HealthVault is the consumer perception of privacy, not whether it is HIPAA compliant. Should physicians and healthcare organizations promote the adoption of these sites as part of the patient enrollment and care process, then they will be successful. John, is this something you have plans to implement in your organization?Steve Rothschildhttps://www.blogger.com/profile/16482599898483324027noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-36552882226284290032008-06-13T14:39:00.000-07:002008-06-13T14:39:00.000-07:00The technology is attractive. Issues regarding pri...The technology is attractive. Issues regarding privacy are significant and there are obviously no guarantees. However, HIPPA itself is doublespeak. HIPPA is more about how little privacy one actually has with their PHI—if you read the fine print. So going to Google may not be so much of a privacy threat in the end. However, the hype saddens me. This technology is accessible only to those who are in a position to have access (i.e. people who are reasonably well-off economically), to those who have Insurance...and assumes we will really see/feel tangible benefits from a closer link to providers/suppliers of healthcare. So, very cool technology with all the right buzz words and standards acronyms. No reason to believe that health care itself will improve or that access to providers will improve.Barbarahttps://www.blogger.com/profile/04702518547262097174noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-40260855952788683502008-06-11T15:15:00.000-07:002008-06-11T15:15:00.000-07:00Does google at some point plan to tie up with Insu...Does google at some point plan to tie up with Insurance companies too such as Aetnas and Cignas of the world to obtain benefit info, claims info, etc. Also in such cases would google provide a product to extract information normalize it and send it to the Google Health Account or is it the responsibility of individual service providers to convert the data into GOOGLE CCR implementation format and send it to them.Nick's musingshttps://www.blogger.com/profile/04368035243050229549noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-23347690987608019342008-06-07T18:52:00.000-07:002008-06-07T18:52:00.000-07:00We're looking forward to future applications of G...We're looking forward to future applications of Google Health as they may apply to our mission at www.mauiagewave.com to build an Hawaii connected care system. IT innovators welcomed!Peter Durksonhttps://www.blogger.com/profile/13784231143028245280noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-35806343215485984472008-06-07T18:45:00.000-07:002008-06-07T18:45:00.000-07:00Does anybody know of a blog dedicated to tracking ...Does anybody know of a blog dedicated to tracking Google Health New Applications? We're trying to conceptualize an Hawaii<BR/>Connected Care System and Google Health PHR plus future applications<BR/>could be very helpful to our mission of helping baby boomers to age in place. IT innovators welcomed!<BR/>www.mauiagewave.comPeter Durksonhttps://www.blogger.com/profile/13784231143028245280noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-22512228515868827072008-05-23T15:44:00.000-07:002008-05-23T15:44:00.000-07:00The interesting advantage over Patientsite that Go...The interesting advantage over Patientsite that Google Health may develop is that it is a development platform which thousands of programmers can extend. I expect hundreds of new applications over the next 6 months that will enable patients to get decision support, graph/chart their data, and connect to home health devices like blood pressure cuffs/exercise machines. The utility of Google Health will be measured by the number the patients who decide to use it based on the value add of these new applicationsJohn Halamkahttps://www.blogger.com/profile/04550236129132159307noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-15963248734164816512008-05-22T16:41:00.000-07:002008-05-22T16:41:00.000-07:00Its not quite right to say that Google is entirely...Its not quite right to say that Google is entirely unregulated. The Federal Trade Commission will enforce Google's privacy policy, for example. <BR/><BR/>However, Google is not subject to a variety of other requirements and protections that apply to HIPAA "covered entities." For example, Google need not comply with any standards for user authentication, which could be a real issue given the weak authentication process used by gmail.David Szabohttps://www.blogger.com/profile/16284237960228227697noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-3128292412189121852008-05-22T12:51:00.000-07:002008-05-22T12:51:00.000-07:00If I already extensively use PatientSite and have ...If I already extensively use PatientSite and have all of my health records at BIDMC, what would I gain from moving it all to Google Health? I can access PatientSite from afar and even email my providers. Any advantage other than the input from a pharmacy?Unknownhttps://www.blogger.com/profile/07438357179724974681noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-51564298366805656702008-05-21T11:33:00.000-07:002008-05-21T11:33:00.000-07:00John, the Google privacy policy may be stronger th...John, the Google privacy policy may be stronger than HIPAA on paper -- well, on the screen -- but it's effectively toothless, because users have little recourse should their personal data be compromised. Check out the Google Health TOS, which near as I can tell explicitly limits Google's liability in such cases.<BR/><BR/>I'm increasingly convinced that the lack of HIPAA (or HIPAA-like) privacy protections is going to be a major stumbling block for PHR adoption -- at least for anyone not eligible for Medicare, and thus beyond the reach of insurers' medical underwriters.<BR/><BR/>I've gone into more detail about <A HREF="http://industry.bnet.com/healthcare/2008/05/21/seven-reasons-google-health-is-overblown/" REL="nofollow">the shortcomings of Google Health</A> over at BNET.David Hamiltonhttps://www.blogger.com/profile/08966183699278412598noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-62496554712247205932008-05-21T07:45:00.000-07:002008-05-21T07:45:00.000-07:00Will Google publish their content catalogs, such a...Will Google publish their content catalogs, such as their condition list, immunization list, procedure list, medication list, etc?<BR/><BR/>Do those items have formal relationships to standards such as SNOMED, RxNorm, etc?JGFhttps://www.blogger.com/profile/14580785981874040314noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-21349739555418104562008-05-21T07:24:00.000-07:002008-05-21T07:24:00.000-07:00John, even with the Google document you mentioned ...John, even with the Google document you mentioned many people will have remaining questions about the protection of data privacy in the Google PHR. The issue is important enough to impact negatively the deployment of the PHR in the near future, IMO.<BR/><BR/>Google will need to be seriously pro-active about these issues if it wants people to embrace the new service and use it. What are the actions that Google intends to take in order to allay our fears?Unknownhttps://www.blogger.com/profile/16776267069259528557noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-46248616969146086162008-05-21T06:08:00.000-07:002008-05-21T06:08:00.000-07:00HIPAA was created for provider organizations. Goo...HIPAA was created for provider organizations. Google has had to implement privacy policies that are as strong or stronger than HIPAA, since HIPAA does not apply to a third party, non-provider, which acts as a steward of patient data. Here's the detailed comparison of HIPAA to Google's policy.<BR/><BR/>http://www.google.com/health_hipaa.htmlJohn Halamkahttps://www.blogger.com/profile/04550236129132159307noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-66158890737047154702008-05-21T04:18:00.000-07:002008-05-21T04:18:00.000-07:00Hi Sharon - are you a real commenter or was that j...Hi Sharon - are you a real commenter or was that just a spam link-drop? You pasted in one of my sentences and just dropped a link that seems to go to nothing relevant.e-Patient Davehttps://www.blogger.com/profile/11608258246509102466noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-15763048815623878682008-05-20T23:11:00.000-07:002008-05-20T23:11:00.000-07:00Hi I am Sharon, I just can't see the upside of han...Hi I am Sharon, I just can't see the upside of handing the Google your data when there's not a stitch of assurance (other than "trust us, really") that it'll be protected.<BR/>My link <A HREF="http://www.themedica.com" REL="nofollow">Themedica.com</A>Unknownhttps://www.blogger.com/profile/00594531257663161868noreply@blogger.com