Electronic Health Records (EHR, EMR)

Sheldon Razin nominated a slate of new directors in an attempt to end what he says is the ambulatory IT vendor's "stagnation."

With Google Health and Apple both reported to be, respectively, closing down and scaling back their healthcare efforts, it's worth asking just how disruptive consumer technology companies can be in this hugely complex and fragmented industry.

Half of telehealth visits were done by video at peak, and BIDMC staff expect telemedicine to continue at the current volume of 20% of all ambulatory care visits. The CMIO, CIO and CTO of the Boston health system tell the story of the build.

Dr. Robert Bart sat down with Healthcare IT News to discuss UPMC's 1.25 million telemedicine visits in 2020, the value of robotic process automation, SDOH integration, the future of precision medicine and other leading-edge topics.

The solution will be integrated with the agency's existing EMR system.

In another incident, a former employee in New York is accused of electronic health record snooping – potentially affecting more than 10,000 patients.

The longtime health IT leader, who has served in top roles at Google Health and Geisinger, will take the reins October 1. William Zollars has been appointed chairman of Cerner's board of directors.

Johns Hopkins Medicine has developed a tool aimed at automatically identifying patients likely to need telehealth technical assistance. According to an editorial in the Harvard Business Review by four members of the Johns Hopkins team, the tool is embedded in the health system's Epic electronic health record.   "The tool can be used by either a central IT support team or by frontline clinical and front desk staff, so they can proactively reach out to patients in need of assistance," wrote the Johns Hopkins team.   WHY IT MATTERS   When telemedicine appointments skyrocketed during the COVID-19 pandemic, the Johns Hopkins team struggled to support patients who needed extra assistance.   Clinical and front desk staff usually called each patient before a telemedicine visit to help make the process more seamless, but they also said it was difficult to take on this extra work while still performing other job duties.   For that matter, some patients said they didn't need extra assistance and found the process disruptive and unnecessary.   In response, the Johns Hopkins team developed what they called an automated "video visit technical risk score" tool in their Epic EHR.   The score (which increases based on the risk a video visit will be unsuccessful) is based on patients' digital health interactions, such as the patient not having an active account in MyChart, not having completed the system's eCheck-in process in the previous seven days and not having had a video-visit appointment in the past three months. "The score is automatically calculated based on stored EHR data and displayed as a column that can be added to a provider’s or clinic staff member’s schedule views," read the Harvard Business Review article. A central IT support team or frontline clinical and front desk staff can use the tool to proactively reach out to patients in need of assistance.    Johns Hopkins is currently using the tool as part of a pilot project to improve patient support.   "Outside of this pilot program, most of our clinic sites have chosen to continue to rely on their clinical support and front desk staff to support telemedicine visits. From what we have learned anecdotally, using the risk score has improved the efficiency of these teams," wrote the team.   THE LARGER TREND   Even as telemedicine use has expanded, advocates have emphasized the importance of ensuring it does not widen the health gap.   In addition to broadband access, experts have pointed to digital health literacy as a social determinant of health, due to the increasing reliance on the Internet for services.   "There have been issues with who is able to use virtual health," said Brigham and Women's Hospital General internal medicine division chief Dr. David Bates during a WEDI Quest for Health Equity event in February.   ON THE RECORD "Harnessing EHR data to identify patients likely to experience difficulties in accessing video visits is another important step in tapping the potential of these systems to provide a more individualized approach and make the best use of health care systems’ resources," wrote the Johns Hopkins team in Harvard Business Review. Kat Jercich is senior editor of Healthcare IT News. Twitter: @kjercich Email: kjercich@himss.org Healthcare IT News is a HIMSS Media publication.

This marks the first implementation of the popular unified healthcare information system across the Medcare network of hospitals and health centres in the United Arab Emirates.