Another iPhone EMR on Deck

Previously we noted that Life Record had released an electronic medical record (EMR) accessible by an iPhone. Yesterday we read of another EMR-iPhone release (Thanks to ZDNet) from the guys at ClearHealth.

According to the company’s original April 11th release

This native iPhone application allows a provider to connect to your clearhealth installation and view schedules, select/search patients, and view lab results. This is an ALPHA quality release and there are several known issues detailed below. We would love to have feedback on the general structure of the application, installation deployment problems, feature requests, etc.

The ZDnet story also reports that the company has a finished application and proof of concept with a live customer, the Clearview Cancer Institute in Huntsville, Alabama,

Making Medical Surveillance Transparent

The Berkman Center at Harvard hosted today live webcast by Chris Conley on issues related to transparency and digital surveillance as part of his project on the ethical implications of emerging technologies. Both topics are health care issues as well and I’ve covered them before on this blog in a number of posts. See for example here and here.

A brief description of the webcast lays out the challenge:

Government surveillance of Internet activities - like most law enforcement practices - is designed to prevent harmful activities through two mechanisms: by identifying persons who are planning or are likely to plan such activities, and by discouraging others from joining such groups or planning such activities. In the case of surveillance, these two mechanisms of preventing activity are often perceived as being in conflict: effective surveillance requires secrecy, whereas deterrence requires publicity.

What struck about his presentation was how similar some of his advice is (as to where we go with public disclosure of surveillance practices) to what we hear from health care advocates, that to the extent possible, it must be self-disclosing, conservative, and harmless in-and-of itself.

His presentation is definitely worth a look see.

Related articles

Quote of the Day on Obama

From the Daily Dish’s Andrew Sullivan on trying to fight the despair in following the twists and turns in the campaign:

The only way past this is through it. And it’s not just up to Obama; it’s up to those of us who see him as a vehicle for real change.

A Response to “China Asks: ‘My friends, What Do You Want From Us’ “

A response by Ann Lau (Visual Artists Guild) to ‘China Asks: My Friends, what do you want from us.’

When Empress Dowager paid indemnity to the eight nations, the U.S. used it for the first Chinese students to study abroad.
When Sun Yat Sen came to the U.S. as a fugitive, the U.S. opened her arms.
When China was invaded by Imperial Japan, the U.S. sent in the Flying Tigers.
When China put up the bamboo curtain, the Chinese risked the shark infected sea to escape to Hong Kong and then to the west.
When the Dalai Lama called Mao as his Big Brother, it was not enough; religion is the opium of the people.
With Communism, the Chinese suffered the greatest famine in the history of mankind.
Again, the west welcomed those refugees.
When China was facing economic collapse, it was those Chinese who left China who first went back to establish commerce.
When China needed investments, the IMF came to its aid.
With Capitalism, corruption went rampant and the Chinese floating migrants became second class citizens in their own cities.
With a billion people, China has great potential; why is their government afraid of them?
Tell me why blind legal expert Chen Guangcheng was sentenced to jail when he helped villagers to file class action against forced abortion and sterilization?
Tell me why Wu Lihong, a farmer who became an environmentalist, was sentenced to jail when he tried to save Lake Tai?
Tell me why farmer Jiang Jinzhu called on outside China to help when his land and mushroom farm was illegally torn down?
Tell me why Hu Jia was sentenced to three and half years in jail when he wrote an article on the internet?
Tell me why attorney Teng Biao was kidnapped when he tried to help Hu Jia?
Tell me why Baixing’s editor-in-chief, Huang Liangtian was fired when he reported too many stories on corruption and official land grabs?
Tell me why Zeng Jinyan is in house arrest with her baby when she only blogged on the environment and AIDS?
Tell me why the petitioners in Beijing crowd around the western press and beg them to listen to their stories?
With their own fellow citizens unjustly treated, where is the outrage?
Tell me what top Chinese intellectuals said in their open letter on the Olympics and why they send their letter to the west?
Tell me what top Chinese intellectuals said in their open letter on the Tibet issue and why they send their letter to the west?
Why do Chinese in China call on the west to highlight their injustice?
Why do Chinese in China want the western press to report on their grievances?
Why do Chinese in China even went in front of the U.S. embassy to bring attention to their plights?
Could it be that their own government is not listening?
The west can turn a blind eye and close their ears to those Chinese people who pleaded for their help just as their own government have done.
There is little the west can do except to merely echo the voice of the voiceless.
If we even refuse to do that, then what kind of people are we?

UPDATED May 19, 2008: I do get some hostile responses to this post. Readers often do not realize that I also posted the initial document here.

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Quote of the Day on Obama

From one of my favorite blogs, Andrew Sullivan’s Daily Dish:

I’ve been struck by how calm Obama seems in the face of all this Clinton drama. It helps to recall that he never expected this to be easy or anything but extremely close. And he’s still ahead. And still the overwhelming favorite. Against the biggest brand in Democratic politics as a freshman senator. WIth a little perspective, the calm makes more sense.

Obama’s the only grownup in the room when it comes to this election.

World Health Care Congress 2008 Conference Tweets Now Online

If you missed my Twitter fest at this year’s World Health Care Congress Conference, you are in luck. I put all those Tweets in an Evernote public website here. You can search the site by almost any word in these tweets.

The Exhibition Hall is Where the Action Is

(Cross Posted at the World Health Care Blog)

At this year’s World Health Care Congress the exhibition hall is where the action is at. This the real health care frontier, where policy wonks, academics, researchers, health executives engage THE PRIVATE SECTOR. You know what I mean. It’s the crossroads where universes collide in that markety sort of way. Where simple eye contact, far from being regarded with suspicion, is universally recognized as an invitation to a conversation, first about nothing, and then about the pitch. It’s a demilitarized zone where the Left can mingle with the Right, where socialist single payer dudes can mix it up — in a friendly way of course — with health care’s fat cat marketeers. An essential seeding arena where ideas find capital; and capital finds ideas. Certainly the alcohol helps.

The wealth of sponsors and exhibitors at this conference is impressive. Want to talk with people who are in the business of — don’t hold your breath — EMRs, PHRs, RFIDs, HINs, HIS, UM, DM, PM, ETCs, DMEs, PCHC, HSAs, P4Ps, HMOs, PPOs, IROs, PROs not to mention URAC, NCQA, HIPAA and generally anything IT — well you’ve come to the right place (that is, if you can understand the acronymic esperanto that dominates the health care discourse nowadays!)

Anyway, my point is, don’t ignore or miss the tango going on with the kids in the hall. The future of health care may depend on how well we learn to dance with each other.

Engaging Transparency Sessions at WHCC

(Cross posted at the World Health Care Blog)

The WHCC conference sessions on transparency in healthcare are demonstrating that this movement is way more than a passing fad. As all stakeholders in the healthcare system — private institutions, government agencies, health plans, employers, group practices, research organizations, online service companies — are all getting in the mode of how to open up the black boxes in healthcare to consumers and payers of all stripes.

What’s fascinating is is to witness not just the measures, programs and politics unfold, but also the evolution of the questions that are being asked. Reed V. Tuckson, MD, UnitedHealth Group observes, for example, that the question of what is the best hospital is morphing into the question of what is the best hospital for me and my particular medical condition.

Robin Downey, a Senor Vice President with Aetna argues that once consumers ‘get it’ about the usefulness of healthcare information, they just want more and more. With her health plan, the black box they are opening, is “what is it going to cost me to be a covered by Aetna?” This is not just about co-pays, and premiums, but also about what Aetna is paying to their contracted doctors and hospitals. So they are starting to disclose Aetna’s actual negotiated rates with their provider network. And people are surprised wondering if they are giving away their bread and butter, that is, proprietary information that they have spent considerable money to develop.

The bar for transparency is rising, and the market place is responding. Hang on.

WHCB: World Health Care Congress Day One — The Video!

Day one of the 2008 5th Annual World Health Care Congress really took off. I twittered the experience of the conference which you can review at my Twitter site. And you can read a number of fine blog posts on the event by myself and others at the World Health Care Blog. But wait there’s more! I took my Flip, my Macbook Pro and put together a little video of day one which may give you another feel for the conference.

WHCB: George P. Shultz Enters the Healthcare Debate

George P. ShultzImage via Wikipedia

Washington, DC - I’m going to be attending the 2008 5th annual World Health Care Congress for three days starting tomorrow. I’ll be blogging here and at the World Health Care Blog, as well as sharing interesting insights from the speakers on Twitter. The who’s who of healthcare officialdom will be in town including folks like George P. Shultz, former US Secretary of State talking about his new book (co-authored with Stanford’s John B. Shoven) — “Putting Our House in Order: A Guide to Social Security and Health Care Reform”.

Read my entire post over at the World Health Care Blog.