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CIO Unplugged

Embrace the Cloud

Published October 20, 2009 4:59 PM by Edward Marx
The views and opinions expressed in this blog are mine personally, and are not necessarily representative of Texas Health Resources (THR) or its subsidiaries.

Friends of mine recently returned from a trip abroad. The advanced wireless infrastructures found in these third-world countries both astounded and pleased them. By unintentionally leapfrogging the technological revolution, these cities had bypassed the incremental advancements of the last 30 years and gone straight from laggard to leader. Societies that have not had a telephony infrastructure, for example, are suddenly delivering the highest per capita cellular subscribers.

Leapfrog advancement. Can we do it in health care IT? I believe we need to.

Does the fact that we trail our non-healthcare peers by 5-10 years embarrass you as much as it does me? Do you realize that we think of EHR as advanced when in fact it's an application that's been around since the ‘90s? We have various excuses for our delay of advancement, and some are valid. But they don't change the reality. We are behind.

We do nevertheless have an opportunity.

Cloud -- it's clearly the future of both software and hardware. And consistent with the past, it draws both resistance and hesitance, which perplexes me. We act as guardians, but have no basis for such. We pontificate more than we lead while the people we serve need us to advance.

I'm tired of employing self-depreciating humor to cover the glaring technology gap whenever I speak to non-healthcare audiences. I'm ready to leapfrog and bridge the gap using technology as a key lever. So let's embrace the cloud.

Lead!

 

Editor's note: Mr. Marx encourages your interaction through this blog. (Use the "add a comment" function at the bottom of each post.) You can also connect with him directly through his profile pages on social networking sites LinkedIn and Facebook, and you can follow him via Twitter - User Name "marxists."

3 comments

The concept of instant access to information sounds fantastic, yet leaves me questioning the security of that information. Is the government in favor or opposed to the concept: will this create yet more stringent HIPAA requirements?

Recent family health issues have reminded me how beneficial it would be to review the data from afar to provide support to the family member in a crisis, helping suggest some questions to ask while translating the physician report to the layman as only family can.  Getting THRs MyChart up and running would benefit families in my situation. The whole cloud concept can sure benefit many individuals to be more productive and informed.

Mike Eckhard, ITS - RN, Clinical Analysist, THR November 2, 2009 11:29 AM
Allen TX

Ed, your point is well made.  What needs to be fostered right now is a sense of urgency attitude within the health care IT community that is simultaneously supported by the excecutive/senior management of all the medical facilities within the United States.  With the governmental compliance mandates and relatively short time frame ahead, a scary number of hospitals, clinics, and practices of all types will be sorely lagging in their efforts to be where they should be right now.

Frank Saltzburg, Voice - Communications Consultant, 941-926-1645 October 31, 2009 3:22 PM
Sarasota FL

Recent articles in Wired magazine (“Medical Records: Stored in the Cloud, Sold on the Open Market” www.wired.com/threatlevel/2009/10/medicalrecords) and the New York Times (“When 2+2 Equals a Privacy Question www.nytimes.com/2009/10/18/business/18stream.html?_r=3) report that some medical records software companies sell patient information contained in their databases. The “de-identified” data is sold to pharmaceutical companies for research purposes.

Both articles note that independent researchers have successfully “re-identified” supposedly scrubbed data by comparing individuals’ records (fields such as birthday, ZIP code, gender) to publicly available information from government sources, such as voter registration rolls and insurance commission reports.

Have you ever been approached by a vendor to sell “anonymous” patient data? If so, what was your response?

Frank Irving, , Editor ADVANCE for Health Information Executives October 22, 2009 1:54 PM
King of Prussia PA

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