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Getting Beyond Economics
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| It is a given that the adoption of health information technology (HIT) by
| health care providers has the potential to effect quantum leaps in the
| quality and level of health care, medical research and public health. That
| means increased efficiency, safety and efficacy. Although the economic cost
| of implementing the electronic health record (EHR) is frequently cited as a
| major barrier to adoption, many have expressed concerns about matters of
| patient privacy, the need to protect the confidentiality of physician-patient
| communications (a sine qua non of high-quality patient care), and
| interference with workflow, among others, as reasons not to embrace a
| universal EHR.
|
| [...]
|
| What's more, because of the open-source nature of its license, the code is
| freely available, and users may make improvements without running afoul of
| copyright restrictions. Certification by the Commission for Certification of
| Health Information Technology (www.cchit.org) was announced on May 1. The
| implications of open-source WorldVistA and other open-source EHR systems (see
| www.openehr.org) are huge.
|
| [...]
|
| In many ways, the discussion of open source in EHR systems mirrors what is
| occurring in the current debate about electronic voting.
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http://health-care-it.advanceweb.com/editorial/content/editorial.aspx?CC=170503
Recent:
Open source software for health investigated
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| Open source software is creeping into health systems around the world, but is
| yet to seriously challenge incumbent proprietary software, according to
| experts.
|
| Otago University health informatics lecturer Muzaffar Malik says core open
| source medical software, such as clinical information system OpenVista, is
| being used in several countries.
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http://www.stuff.co.nz/stuff/dominionpost/4842073a27483.html
Getting Electronic Health Record Standards Right
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| As of this writing, $20 billion of that amount is included in the current
| House draft of the Economic Stimulus bill called for by the new
| administration. The full cost of EHR implementation, including private
| expenditures, has been estimated to be $156 billion over five years, not
| including $20 billion in operational costs. With such a price tag, the
| promise of EHRs had best be realized, or the new administration will have
| some significant explaining to do.
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http://www.consortiuminfo.org/standardsblog/article.php?story=20090204070214423
Rewiring the VA
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| Much of the attention of the healthcare industry over the past several weeks
| has been focused on Washington and the various proposals before Congress to
| boost the faltering economy, including spending billions of dollars
| subsidizing health information technology.
|
| [...]
|
| The question is whether the Veterans Health Information Systems and
| Technology Architecture, or VistA—the clinical information system that powers
| the VA health system—will wither or bloom in the months and years ahead. It’s
| an issue that has implications not only for millions of veterans but also
| millions of other potential users of open-source and proprietary versions of
| VistA, both in the private and public sectors in the U.S. and abroad.
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http://www.modernhealthcare.com/apps/pbcs.dll/article?AID=/20090202/REG/901309967&nocache=1&nocache=1&nocache=1
'Rockefeller Amendment' for Studying Open Source in Stimulus Bill
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| About page 701 of the stimulus bill is a provision for studying Open
| Source: "...(A) the current availability of open source 6 health information
| technology systems to Fed7 eral safety net providers (including small, rural
| 8 providers); 9 (B) the total cost of ownership of such sys10 tems in
| comparison to the cost of proprietary 11 commercial products available; 12
| (C) the ability of such systems to respond 13 to the needs of, and be applied
| to, various pop14 ulations (including children and disabled indi15 viduals);
| and 16 (D) the capacity of such systems to facili17 tate interoperability...'
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http://linuxmednews.com/1233670177
GNUmed Live CD 0.3.9 released
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| A new GNUmed live CD is out. With the help of this CD one can test drive
| GNUmed without altering the currently running environment such as operating
| system. No installation necessary.
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http://linuxmednews.com/1232437244
Conficker seizes city's hospital network
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| Staff at hospitals across Sheffield are battling a major computer worm
| outbreak after managers turned off Windows security updates for all 8,000 PCs
| on the vital network, The Register has learned.
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http://www.theregister.co.uk/2009/01/20/sheffield_conficker/
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