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REL="nofollow">影音視訊聊天室</A>,<A HREF="http://134673.imm176.com/" REL="nofollow">辣妹視訊</A>Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-17788315936208245822009-04-08T09:43:00.000-07:002009-04-08T09:43:00.000-07:00Really a great work. We have to appreciate the au...Really a great work. We have to appreciate the author who has given us such clear details.<BR/>----------<BR/>Stellathomas<BR/><BR/><A HREF="http://www.hipaaguide.net" REL="nofollow">hipaa</A>Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-11749249465681426442008-04-02T12:22:00.000-07:002008-04-02T12:22:00.000-07:00I enjoy the blog, and this entry in particular. Re...I enjoy the blog, and this entry in particular. Reading between the lines, and seeing some other articles, I became concerned about what is entailed to connect to GoogleHealth, HealthVault, Dossia, etc. You expressed hope that they will converge on common standards, but that seemed to imply that they have already started out with divergent approaches, and that there is a need to "converge" which can prove difficult. Why not get all parties to the table to agree to use common standards now, before lots of non-interoperable PHRs come into existence? While this is free enterprise, can't national initiatives like AHIC or HITSP be leveraged to do this?Davidhttps://www.blogger.com/profile/13251393010554964308noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-39697694048293416852008-03-27T08:17:00.000-07:002008-03-27T08:17:00.000-07:00Good post John to see how BIDMC plans to work with...Good post John to see how BIDMC plans to work with these large consumer focused entities. <BR/><BR/>But what I would like to know is how will it be done. When I spoke to Google at HIMSS, they told they are developing a specific API into Cleveland's EPIC patient portal, is that what you will need to work out as well with Google, a custom API? This hardly seems scalable.<BR/><BR/>As for Microsoft, are you adopting their SDK/published APIs so consumer data can flow from PatientSite into their HealthVault account?<BR/><BR/>Any thoughts on this is most appreciated. As an aside, I'm an industry analyst presently doing research on the PHR market and publish over at www.chilmarkresearch.comJohnnysmoothhttps://www.blogger.com/profile/00425577121725301407noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-81675847695639964922008-03-24T14:59:00.000-07:002008-03-24T14:59:00.000-07:00Rennasauce asked: >>if Microsoft or Google were t...Rennasauce asked: >>if Microsoft or Google were to suffer a breach - and end users potentially lose personally identifiable information, is there any requirement for the companies to disclose the breach? <<<BR/><BR/>Some states do require that patients get notice of certain data security breaches. Also, patients might embed <A HREF="http://hack-igations.blogspot.com/2008/02/some-fear-law-will-not-accord-adequate.html" REL="nofollow">legal terms in their records</A> that require service providers to give notice of security breaches. [This idea is not legal advice, just something to think about.]Benjamin Wrighthttps://www.blogger.com/profile/11543639411820745571noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-35148893650787072952008-03-24T14:36:00.000-07:002008-03-24T14:36:00.000-07:00For an insightful read and to better understand Pr...For an insightful read and to better understand Privacy & Security Issues surrounding PHR's and where HIPAA comes into play, you might ping over to the World Privacy Forum ----> <BR/><BR/>Original publication February 20, 2008 at http://www.worldprivacyforum.org. <BR/>Document URL: http://www.worldprivacyforum.org/pdf/WPF_PHR_02_20_2008fs.pdfAnonymoushttps://www.blogger.com/profile/17932682515531929756noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-67800197499270478592008-03-24T09:19:00.000-07:002008-03-24T09:19:00.000-07:00From a privacy and security perspective, if Micros...From a privacy and security perspective, if Microsoft or Google were to suffer a breach - and end users potentially lose personally identifiable information, is there any requirement for the companies to disclose the breach? (I understand that the rules of HIPAA do not apply here.)Rennasaucehttps://www.blogger.com/profile/10509064341084687187noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-7811780436609826192008-03-05T21:19:00.000-08:002008-03-05T21:19:00.000-08:00I am ready to drink the Kool-Aid. How do I get in...I am ready to drink the Kool-Aid. How do I get in the queue to connect my 2M patients?<BR/><BR/>Will Weider<BR/>CIO<BR/>Ministry Health Care<BR/>candidcio.comAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-8001030309433530202008-03-03T09:28:00.000-08:002008-03-03T09:28:00.000-08:00To ensure the Privacy & Security of Personal Healt...To ensure the Privacy & Security of Personal Health Information, why not use a variation of theme of FIPS-201 and use a Biometric Authentication model? <BR/><BR/>The technology is available and affordable. Once my biometric ID is linked to my personal health record (Google / MS / EPIC et al) there will be no doubt WHO-is-WHO.<BR/><BR/>Add a MoC smart card appliance to the mix with EMV capabilities and viola! <BR/><BR/>No Fuss, No Muss, No Mas.<BR/><BR/>JNFAnonymoushttps://www.blogger.com/profile/17932682515531929756noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-65092837085596579392008-03-01T08:46:00.000-08:002008-03-01T08:46:00.000-08:00John - I'd certainly find this useful. I'm ready t...John - I'd certainly find this useful. I'm ready to participate in a trial as soon as it's available to consumers.<BR/><BR/>Excellent post that makes some relevant connections no one else is mentioning - the ability to enhance med compliance and help prevent interactions as per JCAHO Patient Safety Goals, for instance.Jen S McCabehttps://www.blogger.com/profile/12280837167883024960noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-38749941977290404742008-02-29T14:26:00.001-08:002008-02-29T14:26:00.001-08:00This comment has been removed by the author.Chris Scarborohttps://www.blogger.com/profile/00147594274831853331noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-87814785358418200692008-02-29T14:26:00.000-08:002008-02-29T14:26:00.000-08:00I listened to Eric Schmidt’s talk Thursday morning...I listened to Eric Schmidt’s talk Thursday morning and saw the demo at the Google booth Tuesday at HIMSS. The technology looks great even though you can tell the product isnt quite ready for “prime time” – it crashed during the demo we witnessed.<BR/><BR/>Is the goal to eventually allow for the uploading of diagnostic images from sources such as PACS? That’s a tremendous amount of potential storage, which leads to the question of ‘what’s in it’ for Google, considering Schmidt stated Google would not advertise on the site or charge for the service.<BR/><BR/>Overall, I was extremely excited about the potential of the technology, and hope this will increase the continued path towards truly interoperable system standards. I noticed the initial pilots are scheduled for extremely large institutions. I’d be interested to see some testing in more rural areas to study the rate of adoption and the potential benefits provided in less progressive communities.Chris Scarborohttps://www.blogger.com/profile/00147594274831853331noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-61015771861182456132008-02-29T12:16:00.000-08:002008-02-29T12:16:00.000-08:00John: The World Privacy Forum argues that because...John: The World Privacy Forum argues that because Google and Microsoft are not HIPAA "covered entities", the legal privacy available for the records they manage is less. I believe WPF overstates the problem. The law of privacy affords patients (and records managers like Google) many options. For example, to address the privacy fears associated with Google health records, patients might directly embed legal terms and conditions in their records. <A HREF="http://hack-igations.blogspot.com/2008/02/contracts-for-patient-privacy.html" REL="nofollow">http://hack-igations.blogspot.com/2008/02/contracts-for-patient-privacy.html</A>Benjamin Wrighthttps://www.blogger.com/profile/11543639411820745571noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-88656081308477189252008-02-29T07:19:00.000-08:002008-02-29T07:19:00.000-08:00A few thoughts on the value to clinicians 1. The ...A few thoughts on the value to clinicians <BR/><BR/>1. The patient will be able to combine data from many sources - hospitals, clinics, and pharmacies - to create a comprehensive medication list, which can be used for medication reconciliation. Since this reconciliation is a joint commission requirement, the clinicians will really benefit from having a multi-institutional consolidated medication list<BR/><BR/>2. Our experience with PHRs is that better communication leads to less malpractice assertions. Using a PHR to keep the patient informed and education about their health could reduce legal expenses and time for clinicians<BR/><BR/>3. Finally, it's important to know that patients can control the flow of information using Google/Microsoft tools, but cannot alter information provided by a lab/pharmacy/doctor etc. Thus, they can keep their medications private but cannot change the dose of a medication history record provided by a pharmacy.John Halamkahttps://www.blogger.com/profile/04550236129132159307noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-53344073380391883822008-02-29T05:58:00.000-08:002008-02-29T05:58:00.000-08:00I know Bill Clinton, and you are no Bill Clinton (...I know Bill Clinton, and you are no Bill Clinton (I am happy to say!)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-11609053517252439672008-02-29T04:28:00.000-08:002008-02-29T04:28:00.000-08:00John:Can you comment about the Google/Microsoft ap...John:<BR/><BR/>Can you comment about the Google/Microsoft approaches from a clinician's point of view. I can understand some of the value to patients (although that value is limited unless multiple sources can be uploaded and coordinated). However, I can't envision the use from a clinician's standpoint with concerns over the validity, currency and trusted source of the data. Thanks.Doughttps://www.blogger.com/profile/14830543514753462561noreply@blogger.com