U.S. bill proposes e-health records incentives
474078
(InfoWorld) - Doctors would get $3 for every patient signed up to use an electronic health record under terms of a bill introduced Thursday by U.S. Representative Patrick Kennedy, a Rhode Island Democrat. The Personalized Health Information Act would require that the U.S. secretary of Health and Human Services create a personal health record incentive program to help speed U.S. adoption of e-health records. E-health records can cut health-care costs by consolidating patient information and eliminating medical errors, such as prescription interactions, proponents say. U.S. President George Bush has called on the U.S. government and private health-care providers to work together to provide e-health records to all residents by 2014. Using e-health records would allow patients to avoid filling out forms found in nearly every doctor's office, Kennedy said. The records would allow health-care providers to send messages to patients, such as reminders that a child is due for a vaccine. Some e-health records allow patients to send e-mail to their doctors, schedule appointments online, or view test results. But e-health records have been slow to catch on, partly because doctors haven't embraced them. Kennedy's bill would give U.S. doctors $3 for each patient converted to an e-health record over three years. A spokeswoman for Kennedy didn't immediately have an estimate of how much the program would cost. E-health records "are a critical piece of the puzzle as we move forward in an effort to improve the quality and cost efficiency of the health-care system in this country," Kennedy said. The bill would empower patients to be better informed and would also improve communication between them and their health-care providers, he said. Several companies and organizations, including Microsoft, e-health record vendor Allscripts, and the American Heart Association, endorsed the bill. Patients' ability to access personal health records "is a critical starting point to improved health care," Peter Neupert, Microsoft's corporate vice president for health strategy, said in a statement.
231140
(InfoWorld) - Microsoft Chairman Bill Gates asked the U.S. Congress to pass a comprehensive privacy law this year, allowing consumers to control how their personal information is used. Gates repeated past Microsoft calls for a wide-ranging privacy law during a speech at advocacy group the Center for Democracy and Technology's (CDT) annual gala dinner Wednesday. A comprehensive privacy bill should allow consumers to control their personal data, should provide transparency about what their data is used for, and should notify them when their data has been compromised, Gates said. Gates said he believes the U.S. can achieve a balance between privacy and protecting the country against terrorists and other criminals. But the balance will not be an easy one to create, Gates said. While many U.S. residents would say they want as much privacy "as possible," law enforcement needs to be able to track criminals, Gates said. "These privacy issues are not as easy as you might think," he told the crowd. Gates hinted that some privacy protections can go so far that they become annoying to consumers. He talked about the Health Insurance Portability and Accountability Act (HIPAA), passed by Congress in 1996, which puts strict controls on the release of information. HIPAA too often asks patients to sign documents allowing the release of their medical records, he said. HIPAA is evidence "we don't always get it right the first time," Gates said. "All I know is I keep signing those forms." Another balance Congress needs to strike is between emerging technologies and privacy, said Senator Patrick Leahy, a Vermont Democrat and chairman of the Senate Judiciary Committee. Leahy also called on Congress to pass a privacy law. But a privacy law cannot restrict new technologies, Leahy said. "I don't want to stop the technologies, I want to protect our privacy," he during the gala dinner. "I think we can do both." The U.S. government spying on its residents is of particular concern, Leahy said. "I don't want to put a brake on technology, but on what my government can learn about me without letting me know," he said. Leahy and Gates both said they have great hopes for the future of the Internet. "The Internet is a great tool," Leahy said. "Let's keep it a free tool." The world is just at the beginning of the potential of the Internet coupled with personal computers, Gates added. Coming advances in storage, in bandwidth and in user-created content will make the Internet and even greater tool for democratic ideals, he said. "We're just at the very beginning," he said.
229073
A U.S. health insurance giant on Wednesday presented a proposal to reduce the number of Americans without medical coverage and said it was intended as a blueprint for U.S. policymakers.
394787
The federal government would charge affluent seniors more for drug coverage and require doctors and hospitals to use electronic medical records under proposals released by the Bush administration yesterday to corral rising spending in the Medicare program.
452377
Doctors in Massachusetts would be able to access patients&#39; records from any hospital or clinic in the state by computer under an initiative announced Monday.
39020
An improved ability to share medical records electronically via IT systems is still many years away, according to health care industry officials who testified at a U.S. House hearing.
446609
Digital patient records could become building blocks in a nationwide biomedical computer network for assembling and distributing up-to-the-minute studies of disease.
42846
U.S. lawmakers on Tuesday proposed requiring sex offenders to register their e-mail and instant messaging addresses with law enforcement authorities in a bid to protect children using popular social Internet sites like MySpace.
195609
By ACHIM SCHMILLEN  DO YOU REMEMBER every Web site you visited, every e-mail you sent, and every word you Googled during the last two years? Probably not, but your Internet service provider might  especially if a proposal currently popular in Washington becomes law.
764856
Two of America's largest health insurance trade groups released on Wednesday a model for personal online health records, a step toward the larger goal of making electronic health records available to all U.S. residents by 2014.
480305
(InfoWorld) - Computerization of health care record keeping remains both a need and a challenge, said IT and health care dignitaries at an IBM-sponsored conference in San Jose, Calif. on Monday. IBM's New Paradigms for Using Computers 2007 workshop focused on health care interfaces. Previous years' workshops have covered such topics as Web 2.0 and mobile computing. "Health care is moving in the direction of computerization, but there's so many difficult issues in the user interface in particular that have not been addressed," said John Barton, manager of Interaction Science at IBM. Right now, health care is plagued by bad interfaces, said Paul Tang, vice president and chief medical officer at the Palo Alto Medical Foundation in Palo Alto, Calif. "It's really driving under the influence of terrible interfaces," he said. Tang cited studies that estimated 44,000 to 98,000 deaths per year in the United States resulting from medical mismanagement in hospitals. Patient safety would be enhanced by having better information available, he stressed. Information is fragmented. "There's almost no way a single individual could put this stuff together," but health depends on it, he said. Rather than just throwing computers at what are now paper processes, ethnography would help in figuring out what information is needed, said Tang.Â  At Palo Alto Medical Foundation, a Web site, PAMFOnline, provides patients and health care persons access to the same records. Patients can enter information and access data like test results. But patients can only add to personal, not official, health records, Tang said. About 45 percent of the foundation's patients are signed up. Should they choose, patients can pay $60 year to send messages to their doctors via the site, said Tang. He said he did not expect to ever see a centralized national health record database because of public concerns over privacy and security. "To put all information into one database just puts too much at risk," Tang said when interviewed after his presentation. Introduction of electronic health records is a nice way to make doctors and nurses more efficient, but it takes more time to use a computer than paper, said speaker Jakob Bardram, a professor at the IT University of Copenhagen who has been involved in health care. Paper records will not go away, he said. It is easier, however, to retrieve information on computers than on paper, Bardram said. Hospital persons need to be able to move about the building and enter information on different systems rather than being consigned to a single terminal for data entry, he said. PDAs, for their part, are not much of a solution because they do not have batteries that will have last a full seven-hour shift, said Bardram. "I think [PDAs] have a hard time in hospitals," Bardram said. But PDAs are being used in hospitals, he said. He urged development of middleware or operating systems that support mobility in hospitals and extend to health care workers' homes. Through a concept dubbed "Activity Roaming," health care workers could move between different computers and systems. A middleware platform has been developed for this, but it has not been deployed yet, said Bardram. IBM efforts in health care have included work on standards such as HL7 (Health Level 7) as well as participation in the Nationwide Health Information Network. The company is seeking to connect islands of information, such as patients, clinics, and hospitals. Also the event, Barbara Bennett, a health care business and transactional lawyer, said the IT industry has no clue what it means to delve into health care because health care is heavily regulated and IT has had little of this "It's overwhelming" to people used to a business has been essentially unregulated, Bennett said. She listed key legal risks to watch for in developing products for health care: * Privacy and security, including overlapping federal and state laws. * FDA regulations that govern how medical devices, including software, can packaged, labeled, marketed, and sold. * Medicare reimbursement, in which products must be reimbursable if they are to be sold. * Fraud and abuse, in which influencing patient or physician choices can be seen as an attempt to steer health care product referrals. This factor can affect a product design and sales strategy. * Malpractice. Technology can be seen by users as potentially causing mistakes rather than preventing them.
742011
The Identity Cards Bill, published today, seeks to create by 2010 a system of ID cards with embedded chips that carry personal information and biometric identifiers.
615126
A proposed law would require companies to keep detailed data about peopleâs Internet and phone use.
182992
The Food and Drug Administration on Wednesday approved an implantable computer chip that can pass a patient's medical details to doctors, speeding care.
517264
The U.S. Department of Defense and Department of Veterans Affairs still aren&#39;t able to share complete electronic health records of military members and veterans despite working on a project for nine years, employees of the two agencies told a congressional committee Wednesday.While the two agencies have begun to share some text records, including discharge summaries and emergency-room reports, it won&#39;t be until 2008 before they can share vital signs of patients, laboratory data, and family histories, said Dr. Gerald Cross, principal deputy undersecretary of health in the VA&#39;s Veterans Health Administration.Officials from both agencies told the U.S. House of Representatives Veterans Affairs Subcommittee on Oversight and Investigations they&#39;re making good progress, but issues remain. &quot;The work to make data computable between two different health-care systems is very complex and requires complete standardization of data,&quot; Cross said.And the U.S. Government Accountability Office (GAO) has yet to see a comprehensive plan from the two agencies to share e-health records, added Valerie Melvin, director of human capital and management information systems issues for the GAO. The GAO has issued multiple reports since 2001 calling for VA and DOD to improve their health records sharing, she noted.The agencies have made progress on short-term projects to share data between some health-care centers, she said.&quot;These exchanges are limited, as significant work still remains to achieve the long-term goal of a comprehensive electronic medical record,&quot; Melvin said. It&#39;s unclear how a number of ad hoc projects will fit into an e-health record program, she said.Lawmakers stressed the importance of getting a record-sharing program in place as wounded military members come back from wars in Iraq and Afghanistan and will get medical service from both agencies. &quot;This is a critically important issue,&quot; said Rep. Harry Mitchell, an Arizona Democrat and subcommittee chairman. &quot;Thousands of our servicemen and women require and will continue to require significant medical care.&quot;While lawmakers called for the agencies to move faster, the GAO noted some progress. The agencies have developed repositories for health data and are starting to populate them with data, a GAO report said. Seven DOD and VA sites are using an interface to the data repositories, the report said.&quot;Much work&quot; remains before the e-health records sharing system is fully operational, the report said.The DOD and VA effort has been plagued by several setbacks in the past nine years. An interface for a data repository was delayed for more than a year at one point, and in July 2002, the agencies split the project into two initiatives after multiple delays.In July, after nine years of work, the two agencies awarded a contract for a consultant to conduct a feasibility study for a common inpatient health record system.Together, the two agencies have spent more than $1.8 billion on health records initiatives since 1998, according to the GAO.But officials from both agencies expressed optimism. Asked if they could share all data within a year, three officials from the DOD and one from the VA said they expect that to happen.&quot;We are all working toward the same end -- to provide the highest-quality care to our nation&#39;s heroes, past and present,&quot; said Dr. Stephen Jones, the DOD&#39;s principal deputy assistant secretary for health affairs.
748206
Blue Cross &amp; Blue Shield of Massachusetts plans to spend about $50 million to electronically link doctors, hospitals, and other healthcare providers in three Massachusetts communities, allowing them to share and access patients' medical records.
570403
Google Health will let people create a profile that includes information about medications and medical records.