The third version of the Fast Healthcare Interoperability Resources standards framework has been released by Health Level Seven International. "We expect that the FHIR specification will continue to evolve in the future as we [respond] to the interoperability needs of the robust FHIR implementation community," an HL7 blog post said.
Allscripts, athenahealth, Cerner, CPSI and Epic are among the top inpatient EHR vendors based on the number of hospitals that have implemented EHR systems, according to data from Definitive Healthcare. Also included in the list are McKesson, MEDHOST, Meditech, NextGen Healthcare and NTT Data.
The American College of Physicians published a position paper in the Journal of General Internal Medicine that voices concerns about how EHR development has failed to focus on capturing physician feedback and accurate patient data. The paper said EHRs should be involved in clinical reasoning for all patient encounters and help facilitate patient care, and that clinicians should ensure confidentiality of EHR data.
The Agency for Healthcare Research and Quality is requesting "scientific information submissions" that provide evidence that telehealth improves clinical and economic outcomes in acute and chronic care and whether these outcomes vary across telehealth consultation characteristics. The agency aims to promote effective telehealth use and remove barriers to its adoption, it said in a report.
Researchers with the University of California at Los Angeles have developed a test that uses a computer program to identify the type of cancer and its location based on data from a blood sample. "We built a database of epigenetic markers, specifically methylation patterns, which are common across many types of cancer and also specific to cancers originating from specific tissue, such as the lung or liver," professor Jasmine Zhou said.
New York has issued stringent regulations for data security in health care that in many cases exceed the requirements under HIPAA. The rules are based on corporate accountability, requiring a chief information security officer and substantial reporting requirements.
A revised version of the ONC's Safety Assurance Factors for Electronic Health Record Resilience, or SAFER, includes instructions for reporting abnormal test results and planning for electronic systems interruptions. The National Quality Forum, American Medical Informatics Association and health care providers were among the stakeholders who provided feedback for the update.
Health care companies increasingly recognize that they must leverage data from EHRs to improve the efficiency of clinical care and financial and supply processes, according to a Premier survey of 63 health care executives. More than half said they intended to focus on data integration or place more emphasis on analytics.
The increasing use of patient portals and health IT can benefit patients by identifying those at risk, monitoring vital signs, encouraging communication with providers, teaching patients methods to manage their own health and supplying links to health resources, according to one expert.
Epic and Nuance Communications partnered to create a solution that uses artificial intelligence to aid physicians in electronic note taking. The notereader employs AI capabilities from Nuance, a voice-and-language software company, to analyze notes and inform the user of missing or unclear information.
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