Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-11-03 Thread Thomas Beale
On 29/10/2010 17:18, pablo pazos wrote: Hi Thomas, My opinion is the grade of adoption of a standard depend in some aspects of goverment agencies, in some of the industry and some of the academy. DICOM is a good example of an open standard heavily supported by the industry, that's the point

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-11-02 Thread Thomas Beale
On 29/10/2010 17:18, pablo pazos wrote: Hi Thomas, My opinion is the grade of adoption of a standard depend in some aspects of goverment agencies, in some of the industry and some of the academy. DICOM is a good example of an open standard heavily supported by the industry, that's the

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-30 Thread Hugh Leslie
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Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-30 Thread pablo pazos
Hi Hugh, I think that there is beginning to be serious industry penetration in many parts of the world. We are seeing this in the Asia Pacific region as well as many countries across Europe. Do you have any concrete examples? I mean, do you know who is working on what? As I say, we

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-29 Thread pablo pazos
Hi Thomas, My opinion is the grade of adoption of a standard depend in some aspects of goverment agencies, in some of the industry and some of the academy. DICOM is a good example of an open standard heavily supported by the industry, that's the point of it success. Can't be OpenEHR a

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-28 Thread Grahame Grieve
In all other industries, the quality of standards is measured initially against public safety and then against criteria of effectiveness and economic qualities. it seems you mean, by market testing. If not, do you have an example? In all other industries that i know of, standards are

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-28 Thread Grahame Grieve
And none of your examples are vertical industry IT standards. Mark Bezzina for Stds Australia pointed out to me that IT vertical standards are a totally different thing to every other kind of standard. You're trying to portray Health IT as some kind of bizarre exemption, in that things are

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-28 Thread Tim Cook
On Thu, 2010-10-28 at 21:25 +1100, Grahame Grieve wrote: You're trying to portray Health IT as some kind of bizarre exemption, in that things are totally done in a weird way. But I don't think it's an exemption: I think most IT verticals have the same problem, which is that standards are

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-28 Thread Tim Cook
On Thu, 2010-10-28 at 12:13 +0100, Thomas Beale wrote: I would certainly agree with this last statement for e-health - and it is a terrible way to do research. I have not encountered it in any other IT area, though. Might want to re-think that one Tom. Can we start with DARPA? :-) --Tim

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-28 Thread Thomas Beale
On 28/10/2010 12:22, Tim Cook wrote: On Thu, 2010-10-28 at 12:13 +0100, Thomas Beale wrote: I would certainly agree with this last statement for e-health - and it is a terrible way to do research. I have not encountered it in any other IT area, though. Might want to re-think that one Tom.

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-27 Thread Thomas Beale
On 25/10/2010 21:59, William Goossen wrote: Interesting comment Thomas, I think official standards have nothing to do with obsession, but with governments that have a legal obligation to ascertain some equality on markets, regulations, and ensuring free access and opportunities for all.

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-27 Thread Thomas Beale
On 27/10/2010 21:10, Grahame Grieve wrote: In all other industries, the quality of standards is measured initially against public safety and then against criteria of effectiveness and economic qualities. it seems you mean, by market testing. If not, do you have an example? well yes and no.

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-25 Thread Karsten Hilbert
On Sat, Oct 23, 2010 at 05:26:48AM +0100, Derek Meyer wrote: I don't claim that all old information is useless. My hypothesis is that clinical care generates vast amounts of information, and very little of this vast amount is useful.? Make that ... at any one time. a) converts real

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-25 Thread Thomas Beale
Sorry, I was not clear enough. I meant: if it could be shown that certain patters over time corresponded to certain morbidities, then in new patients (as yet undiagnosed) these patterns could be detected early on. - thomas On 24/10/2010 21:30, Karsten Hilbert wrote: On Sun, Oct 24, 2010 at

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-25 Thread Ricardo Correia
Dear all, I have spent some time studying how doctors used an EPR using log data (Determinants of frequency and longevity of hospital encounters` data usehttp://www.biomedcentral.com/1472-6947/10/15/abstract ). I must say that some of our results were not so expected, namely the difference on the

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-24 Thread Thomas Beale
I think that the 'pebbles nuggets' characterisation is probably right, although I don't think anyone knows what the balance is, i.e. at what point it ceases to be worthwhile to trawl back in time. The trouble is you get patients like a 12 yo child with a history of chronic tonsilitis that is

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-24 Thread Karsten Hilbert
On Sun, Oct 24, 2010 at 11:58:31AM +0100, Thomas Beale wrote: I think that the 'pebbles nuggets' characterisation is probably right, although I don't think anyone knows what the balance is, It isn't even easy to (sometimes not even possible) to know what are the pebbles and what are the

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-23 Thread Derek Meyer
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Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-22 Thread Shannon Tony (Leeds Teaching Hospitals NHS Trust)
Late last year I said I would work on some material to help explain openEHR in the wider context of healthcare change during 2010. It has taken me longer that I originally planned but I've recently shared some articles online towards that end. http://frectal.com/book/ The articles explore

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-22 Thread Derek Meyer
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Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-22 Thread William E Hammond
Tony, I agree thanks for the work and for sharing. W. Ed Hammond, Ph.D. Director, Duke Center for Health Informatics Derek Meyer dmeyer at

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-22 Thread Tim Cook
On Fri, 2010-10-22 at 17:12 +0100, Derek Meyer wrote: Tony, This is very impressive piece of work. Every since I first came across openEHR I have intuitively felt that it is closer to the 'solution' than more static attempts at standardization. So why is progress so slow? I've appplied

Articles on Healthcare, Complexity, Change, Process, IT and the role of openEHR etc

2010-10-22 Thread Thomas Beale
Hi Derek, it is very simple. Not being an official standard has been a real problem for government agencies, obsessed with official standards. - thomas beale On 22/10/2010 17:12, Derek Meyer wrote: Tony, This is very impressive piece of work. Every since I first came across openEHR I