EHR

Electronic Health Records

This blog is the first of a series of extracts from a long paper on Electronic Health Records that I have been maintaining and revising since 2008. It’s been shared on a limited basis and has benefit from review and input by a number of individuals,  particularly fellow members of the BCS Primary Health Care Specailists Group…

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Time for Zero-Tolerance

I heard the blindingly obvious statement at the recent Intellect stream of BCS HC2013 Conference in Birmingham that “If you give people software that makes their life easier then adoption is not a problem” Given the clear truth of this statement, I wonder why so many “designing” and procuring NHS IT Systems manage to deliver…

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The power of information and digital technology to transform the NHS

I believe passionately in the power of information and digital technology to transform the way we deliver health and care, indeed I consider it essential if we are the meet the growing demands the health and care system faces within the resources likely to be available. We need to mobilise information to help us redesign…

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A Paperless NHS

Given the usual scant regard to the commonly accepted meaning of words that seems to be the norm in the NHS – “Paperless” is something that we now have in the majority of general practices and that many have had for some years and I’m really enthusiastic about the desire from the centre to drag the rest…

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Patient record access – A spur to innovation

I’ve been involved in one of the working groups which are part of the RCGP-Led Online Patient Access Project,  which has been funded by DH to help deliver on the Government’s promise to deliver online access for all to their GP records and a range of associated transactional services by 2015. As part of this…

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Standards are a barrier to innovation?

In a world where we are forced to reducing complex messages to sound bites this is mine on standards in health care IT: “Standards are a barrier to innovation”.  Of course this is a gross over simplification and in reality standards have an essential part to play in achieving the full potential of health IT…

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Future Funding of GP Computing

I’ve have heard Katie Davis (no relation), the new head of the DH Informatics Directorate, speak twice in the last few days and on both occasions she has stressed the Government’s desire to create a vibrant market for the suppliers of Health IT systems. This is very much to be welcomed. Current arrangements for the…

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Lessons from GP Computing

UK GP computing leads the way globally in the application of clinical computing at the point-of-care and for many years was the only example of the widespread implementation of clinical computing at the couch-face. It is interesting to examine why GP computing was, and still is, much more successful than clinical computing elsewhere in the…

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In Summary

Record summaries can play an important role in the facilitation of clinical communication, but only with careful thought, which is often lacking, as illustrated by the sad tale of the English Summary Care Record (SCR) and the happier tale of the Scottish Emergency Care Summary. The first thing to understand about a “summary record” is…

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Medication Repository Anyone?

I was writing this piece when I read Ian McNicoll’s stimulating blog piece “EastendEHRs? – Dr Leggs’ Diary”   Ian talks about community medication records, very much the theme of this piece. It seems to me that a shared medication record is the single most useful thing that could be provided in any health community…

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