Blogs - Oncology EHR

CCHIT Expanding Certification Programs to Include Oncology

As of March 1st, CCHIT has announced that they will be expanding their certification program to both oncology and women's health. ASCO, of course, is very excited that they are looking at oncology. You can read the formal statement here.
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Added by Jeff Kan on March 2, 2010 at 12:52pm — No Comments

Field trip to see the EPIC EHR in action at Palo Alto Medical Foundation

I arranged to spend last Thursday afternoon with Peter Yu, at his El Camino Real office of the Palo Alto Medical Foundation (PAMF). PAMF has largely implemented EPIC as their EHR, and as Peter and I had an ASCO-related conference call scheduled, I was going to take the call with him and observe his EHR in action. The call was canceled, but he had three patients whom he had set up to see.

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Added by Douglas Blayney, M.D. on March 2, 2010 at 11:50am — 2 Comments

ASCO Update: Meaningful Use Summary

If interested, ASCO has released its own summary of CMS' meaningful use interim rule. We're also preparing our official comments in response to the interim rule, and will release that soon.
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Added by Jeff Kan on February 26, 2010 at 10:20am — No Comments

WiR 02.23.10

Well, I got my new Motion C5 freshly delivered from Taiwan, and it rocks! The solid state drive makes booting less tedious, and programs pop up quicker. A Intel Core 2 Duo processor and maximun RAM helps, too. Gone are the days when I go with low end tech; it's either time or money, and I'd rather spend the money than waste my time. Any desktop computer I build will have a solid state drive, though I may look at using a server at home instead. The screen on the new Motion C5 is quite a bit brigh… Continue

Added by David M. Urbanski, M.D. on February 23, 2010 at 10:12am — No Comments

Keynote address AMIA Annual Symposium November 2009

I finally got around to watching this video, and I think you will enjoy it. It is from the keynote address entitled "Health IT: Hope, Hype, and How to Avoid the Road to Hell" by Dr. Mark Smith, CEO of the California Healthcare Foundation, at the American Medical Informatics Association Annual Symposium in San Francisco in 2009. Dr. Smith does a high-level but thoroughly entertaining and witty overview of the possibilities… Continue

Added by Robert S. Miller, MD on February 17, 2010 at 2:07pm — No Comments

Data exchange and interoperability

this past week, HHS announced that $386 million had been awarded to 40 states to form health information exchanges (HIE). HIE will be responsible for facilitating the transfer of medical information between providers. HIE's, although state based, may come together to form regional exchanges.

This highlights one of the underpinnings of the Administrations's vision for health care reform as well as one of the greatest (hopefully not fatal) fla

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Added by Peter Paul Yu on February 14, 2010 at 12:25am — No Comments

The EHR's potential to be transformative

Here is a thoughtful blog post from Dr. David Kibbe on the The Health Care Blog. Read the comments in case you need a refresher on the acronym soup. Continue

Added by Robert S. Miller, MD on February 8, 2010 at 11:37pm — No Comments

Patients keeping their own medical records.

Should individuals keep their own records? There are good reasons for them to do so, especially if facing a complex disease requiring multiple doctors and treatment centers. Keeping a personal medical records file, although not yet a part of the average American's habits, may become more routine. Continue

Added by Dan Sussman on January 27, 2010 at 5:46pm — No Comments

Building Chemotherapy Order Sets

We're beginnning implementation of our Eclypsis CPOE in our Cancer Center (see here). Our system does not come with pre-built order sets, so we're in the process of building our own. We're trying to balance patient safety (no overdoses, missed meds, etc), efficiency (which I define as the fewest clicks by the ordering physician consonant with the safety goal), and teaching (making sure t… Continue

Added by Douglas Blayney, M.D. on January 19, 2010 at 1:00pm — 2 Comments

Greetings and Salutations!

A hearty "Hello" to the Oncology EHR community. I can't wait to become more than just a reader here, but I also want to link to my project site for Ankhos (www.ankhos.com). I am a software developer working closely with an Oncology MD and RN to create what we think is some awesome software. We are very excited about it and are blogging about our entire development process at ankhos.wordpress.com. Thanks and see you around, Nick Orlowski Continue

Added by Nicholas Orlowski on January 7, 2010 at 6:35pm — No Comments

Disaster Recovery and EHR design

Dear all, I am quite new in this aria and I have 5 very important questions for you as follows. For a national EHR system including all medical areas in a country where broadband Internet is in the childhood age and the population is about of 25 milions: 1) How critical is a disater recovery solution if the original site is cluster balanced in an active-active mode? (Please explain the reasoning.) 2) How fast must be the swiching between the production site and the disaster recovery site? (… Continue

Added by Catalin Gabriel Oprea on January 6, 2010 at 2:30am — No Comments

WiR 01.05.10

Well, it's been a busy few weeks, and holidays are never kind to physicians. However, I think some progress has been made. I now have a Gigabit connection with the kitchen after another visit from the electrician, and my cable and phone lines have whole-house surge protection. The down side is the electrical box is getting water from outside, and will have to be reworked. I've ordered a new Motion C5 with a solid state drive and 2 MB of RAM, and am looking forward to how that works at home and t… Continue

Added by David M. Urbanski, M.D. on January 5, 2010 at 7:08am — No Comments

CMS issues draft definition for "meaningful use" for EHR's

Many of you have been following this, but, today, one day shy of the 12/31/09 deadline, CMS issued its long-awaited proposed rule governing the incentive program for EHR's under the American Recovery and Reinvestment Act of 2009 (ARRA), most importantly putting forth the definition of "meaningful use" for EHR's - what the EHR and user must be able to "do" to qualify for the Federal incentive dollars. In addition, the Office of the National Coordinator for Health Information Technology (ONC) issu… Continue

Added by Robert S. Miller, MD on December 31, 2009 at 12:37am — No Comments

The complexity of using clinical data to measure outcomes and comparative effectiveness

So... I've been thinking about how to use our existing data repositories for measuring cancer outcomes and for comparative effectiveness. QOPI is a great start (here) -- it is oncologist-driven and adaptable; the measurement process is scalable and can be accomplished in private practices and in large cancer centers. Because data extraction is labor intensive -- taking about an hour per chart (… Continue

Added by Douglas Blayney, M.D. on December 29, 2009 at 11:00am — No Comments

WiR 12.15.09

Travel week is over. I was able to recover my iPod touch with a hard reset, but it syncs a little funny now. More importantly, I was able to reconfigure my router with minimal effort - don't forget to backup your routers configuration, it can save a lot of time if the router tanks! I uninstalled Norton on the hp, and installed McAfee, so everything is on the same page now. I still have to troubleshoot the wired connection between the basement and the ground floor. It may require a callback for t… Continue

Added by David M. Urbanski, M.D. on December 15, 2009 at 6:09am — No Comments

WiR 12.07.09

Picked up a motorola SURFboard eXtreme (?!? taken right off the box) Cable Modem SB6120 that supports DOCSIS 3.0, in anticipation of the Comcast upgrade coming down the road. Turning in the old cable modem will save me three bucks a month. About 3 years before it pays for itself, but I convince myself that I see some speed increase in getting around online. For some reason (new wiring, I think), I'm not getting a Gigabit connection in the kitchen, so I need to tinker with that a bit today. It lo… Continue

Added by David M. Urbanski, M.D. on December 7, 2009 at 4:35am — No Comments

WiR 11.29.09

The electrician came by, and now the ground floor is, in fact, grounded, and a new outlet graces the kitchen. Paid a price in chaos, as access to various nooks and crannies became an issue. A great time to down-size and consolidate! The hp TouchSmart is set up, but I find myself using keyboard and mouse despite the touch interface - old habits are hard to change. I realize I need to be better organized, and that my procedures and practices need to be codified. Hammurabi was right! Next up, picki… Continue

Added by David M. Urbanski, M.D. on November 29, 2009 at 5:14am — No Comments

Week in Review (WiR) 11.23.09

Built a "super PC" last week, and when I turned it on, it actually worked! It has an Intel Core i7 920 CPU, an ASUS P6T motherboard with 4 GB RAM, a Western Digital Velociraptor 150 GB HDD that I may double up on, and is liquid cooled with a Corsair H50. The video card is a Radeon 4650 1 GB. This past week saw the delivery of an HP Touchsmart 600t for my wife, upgrading from a poor little Dell C600 laptop that was on its last legs. She's happy so far, and it will let me play with the touch inter… Continue

Added by David M. Urbanski, M.D. on November 23, 2009 at 3:30am — No Comments

Free Online chemo order program--incorporation into EMR?

I stumbled on a free program: chemorders.com that I found very impressive-- Does anyone use it? After attending the EHR symposium and watching the demonstrations, the chemorders.com program is refreshingly user friendly. Includes dosing calculations, most frequently used chemotherapy regimens (including references) and generates: flow sheets, orders, patient consents and hand outs. Bob Miller commented on the use of opensource programs earlier---this is an interesting example. The key question… Continue

Added by Mary J Wilkinson on October 10, 2009 at 7:30am — No Comments

ASCO EHR Symposium Vendor Demonstrations

Day 2 of ASCO’s EHR Symposium is focused on the highlighted vendor demonstrations. This is one of the really useful parts of the Symposium. All of the vendors have been given the same case, which I have attached below. So it is really interesting to see every vendor present the same case. Every vendor has strengths and weaknesses and they all show up in these head to head comparisons. All of the vendors have incorporated QOPI guidelines into their records. Many of the vendors capture and automat… Continue

Added by Matt Gillman on October 7, 2009 at 11:54am — 1 Comment

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