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Former Red Hat COO Helps Health Care Providers Work Together (Video)
Do you remember the worries about getting different health care software systems to work with each other as health care providers starting moving away from paper? It's still a problem, but Joanne Rohde's company, Axial Exchange, is working to cure that problem not only as an entrepreneur but also because she has personal reasons to see health care providers communicate better with each other. In a 2012 interview for Huffington Post, she said, "While I was working for Red Hat, I got very sick... I ultimately had to go to 10 doctors to be diagnosed. Going from doctor to doctor, I could not believe I had to start over each time. No one actually talks to each other I became convinced that if I had had all the information, I probably would have been able to figure it out faster." In fact, Joanne got so sick that she quit her job as Red Hat COO after four years with the company. Once she started getting decent treatment for her Fybromyalgia and started getting better, she decided to apply open source principles to health care IT -- and to start a new company to do it. Opensource.com talked with Joanne in September 2013, and in January 2014 she talked with Health Care Finance News for an article titled Patients key to reducing readmissions. A phrase Joanne seems to be using a lot lately is "patient engagement," which has become a major part of Axial Exchange's work to improve communications not only between different health care providers but also between those providers and their patients.
Update: 02/05 20:16 GMT by T : If you're seeing this post on beta.slashdot.org, note that we're still ironing out the details of video display here. You can view the video on tv.slashdot.org, instead. Please pardon our dust.
Upmod if you agree: Beta is shit. Keep it the way it is.
#fuckbeta #iamslashdot #dicemustdie
It is definitely worse. The screen real estate is not used very well.
But a very expensive and difficult to administer system made in India with no UX considerations requiring obsolete browsers and ultra expensive RDBMS licenses that small doctors offices can't afford is the way to go forward.
http://saveie6.com/
I know I'm one voice among many (and only have a 5 digit uid), but yeah. If there isnt an option to keep classic, then fuck this site.
Force the beta on me? I'll move along. It's garbage and there's no reason for garbage to be in my browser.
Reading TFA is bad enough, but assuming the comments are somehow related to it is adding insult to injury.
Confucius say, "Find worm in apple - bad. Find half a worm - worse."
Are they going with for same shit yahoo did just recently? I see many similarities. Did they bought the same engine, or what? Good lead by Win8...
Terrible new interface!
So we'll no longer get to read your comments about MyCleanPC and GNAA?
If I'm reading that right, that means we're all going to be forced into the awful new version whether we like it or not. Apparently Dice hasn't learned from the spectacular fall from grace that Digg had when they badly botched version 4 of their site, even when many users complained. The parallels here are clear, we the readers have been clear we don't like what we see. That Dice is willing to say "tough luck" anyway gives the best hint why Monster.com is the dominant job board and Dice is just a niche player. Users opinions matter, especially on a user-driven site.
Anyway, I wish Technocrat.net would come back.
Some places are already doing stuff like that. You also need money to get the ball rolling.
These folks even provide some of supporting the components (HAPI and SAML solution as open source SW).
This type of Electronic health record keeping has been partially introduced in the Netherlands, yet not without enormous backlash. There are, amongst others, concerts about privacy and knowledge of insurance agencies. See: http://en.wikipedia.org/wiki/E...
And of course, none of this ever happened before Obamacare. /sarcasm
is doctors speak for, "We don't know what the hell is wrong with you but you won't leave us alone, so heres a vague diagnosis to get rid of you"
Fuck it up it's stupid ass.
Mit der Dummheit kämpfen Götter selbst vergebens
Making it easier to shear info makes it easier to get on the black list.
I need a new news site.
But... the future refused to change.
Almost everything about slashdot UI is unideal. Look at that top bar. Whould you click on any of that?
But... the future refused to change.
And of course, none of this ever happened before Obamacare. /sarcasm
Actually, that kind of run around was very rare before Obamacare. The biggest problem pre-Obamacare, when there was a problem, was dealing with the billing after treatment. Obamacare (will create & is creating) doctor shortages, long wait times for doctor visits, tests and treatments, sick people routinely dying while waiting for diagnosis and treatment, intrusive government probing into lifestyles, far more denials of services than existed before Obamacare, bureaucratic indifference by all healthcare staff, covered treatments being decided by political correctness not medical necessity and, ultimately, a bankruptcy of the entire society. Obamacare is an effing disaster. Everything that critics said about Obamacare is coming true. That's why Obama is violating the law by granting temporary waivers to try to finesse the political backlash long enough for Obamacare's destruction to run its course.
And of course, none of this ever happened before Obamacare. /sarcasm
Actually, that kind of run around was very rare before Obamacare. The biggest problem pre-Obamacare, when there was a problem, was dealing with the billing after treatment. Obamacare (will create & is creating) doctor shortages, long wait times for doctor visits, tests and treatments, sick people routinely dying while waiting for diagnosis and treatment, intrusive government probing into lifestyles, far more denials of services than existed before Obamacare, bureaucratic indifference by all healthcare staff, covered treatments being decided by political correctness not medical necessity and, ultimately, a bankruptcy of the entire society. Obamacare is an effing disaster. Everything that critics said about Obamacare is coming true. That's why Obama is violating the law by granting temporary waivers to try to finesse the political backlash long enough for Obamacare's destruction to run its course.
Oh shut up.
Obamacare does nothing of the sort. Remember, the system was imploding long before Obama was a twinkle in the Democratic National Committee's eye. High costs, fragmented care. Bizarre, complicated regulations.
The EHR drive was thought up about 10 years ago. Nice idea, too bad that the Feds put too much emphasis on micromanaging and not near enough emphasis on getting everybody to talk to each other (or actually deciding that it was a good idea, if you're idea of a good time is to have the government see ALL of your medical issues on one screen. ....).
So unplug your Obamacare enema and grow up. We have enough issues without idiots like you.
And, to stay on topic, the Beta sucks.
Faster! Faster! Faster would be better!
I'm of the opinion that, alongside making it easier for medical providers to exchange information, it needs to be standard for the patient to get that information in a standard form that they can keep and give to medical providers directly. I know a lot of the data's complex, but in most cases it's written down in free-form text in the notes in the file and most other physicians can grok what the notes say. It should be feasible to have a standard XML format (UCSD allows me to download my record in a standard XML format already, so there's at least a starting point somewhere) that doctors can generate from their own notes and records and just give to the patient (adding it to a file on the patient's USB flash drive, or e-mailing to the patient to integrate themselves), and when the patient goes to another doctor they can just give them a copy of that XML file and preso, the doctor has the full record even if they can't exchange data with any of the patient's other doctors.
As far as integrating new entries into the patient's file, it's not that complicated. It's a sequence of records each of which has a creation timestamp, no need to look deeper inside each record, and new records are just inserted into the sequence at the correct point to keep the creation timestamps in the record in order. I can write a C++ or Java or C#/.Net program to do that, the basic logic'd take me an afternoon and the GUI part maybe another day or two. A webapp that'd take two or more XML files in and give you back a single merged file would take a bit longer, mostly to secure it against attack, how much longer depending mostly on whether you're leaving storage up to the user or storing a copy of their file for them (with the attendant work to keep personal information from walking off). That's assuming the file's for interchange with providers, formatting records for display and manual entry of records would be where the hard work would be and most providers already have computer systems they use for their own records that already handle those tasks.
Obamacare does nothing of the sort
Yes it does - to people in the exchanges. That's how you can directly tell what it is doing, because health care is much easier for those not using exchange plans.
"There is more worth loving than we have strength to love." - Brian Jay Stanley
or actually deciding that it was a good idea, if you're idea of a good time is to have the government see ALL of your medical issues on one screen.
I get all of my medical care done at the VA. Last year, I needed to visit a neurologist. When I did, there was no need for me to fill out a ream of forms including my medical history and a list of medications I'm taking because all of their records are already computerized. As part of my treatment, I received yet another prescription and the doctor told me that before she'd decided which of several possibilities to select, she'd checked to see what I was already taking to make sure there weren't any interactions to be concerned about. Yes, I do think it's a good idea for the government to be able to see all of your medical issues on one screen, at least if you're going to a government-run facility for your care, as I am. YMMV, and probably does.
Good, inexpensive web hosting
I hope that something like a 'greasemonkey' script can be made to combat this if Dice keeps pushing this abomination.
This is one of those times when I kinda wished I had learned some programming when younger. As it is now, I would not even know where or how to start on something like the above, much less actually be able to complete it.
Oh well, I guess that is one to add to my near future projects list.
Down With Slashdot BETA!!! I've been around the corner and seen the oliphant; you can only abuse me from your perspecti
doctor shortages, long wait times for doctor visits, tests and treatments, sick people routinely dying while waiting for diagnosis and treatment, intrusive government probing into lifestyles, far more denials of services than existed before Obamacare, bureaucratic indifference by all healthcare staff, covered treatments being decided by political correctness not medical necessity and, ultimately, a bankruptcy of the entire society
Sorry, but for a very large fraction of the country, much of what you're complaining about was already a reality before the ACA. This is especially true for the people who can't even afford treatment to begin with. I don't want to have to defend the law on its merits, because both the concept and the implementation have serious problems. But I find most of the right-wing whining ludicrous, because it idealizes a system that was already a hugely expensive disaster. (It also ignores the fact that the genesis of the ACA was originally a conservative plan.)
When AxialExchange first launched, it appeared to be open source. They released an Apache Licensed project called axial360 (see Google Code), but it hasn't seen a commit since 2010. There web site has no information about the actual technologies they use. Anyone have the scoop?
There isn't a secret government panel that these plans consult when determining eligability for treatment.
Jeebus effing Christ. Obamacare gives a panel chaired by the HHS Sec. the authority to define the details of the healthcare plans the purchase of which "allow" citizens to be in compliance with the law. Dumbass. The panel is not secret although I imagine the identities of the people on the panel will not be widely publicized. If your family members don't already know this, then they are completely incompetent at their jobs.
Obamacare does nothing of the sort.
Obamacare does nothing of what sort? Obamacare completely disrupts the healthcare delivery system in the U.S. by injecting government mandates, regulations and new taxes into every aspect of health ins. It won't save money. It won't increase access to healthcare. It kills jobs. It decreases freedom. It decreases disposable income. It harshes on doctors. It dictates coverage terms with one-size-fits-all plans defined by the government.
The healthcare system had problems before Obamacare, most of them caused by government interference, but it was nowhere near imploding. The Dems crisis-mongered the healthcare system in order to create the excuse to completely fuck up a system which 85% of people were satisfied with. There were much simpler and more effective ways to deal with the problems of healthcare delivery in the U.S. that didn't involve screwing up the entire existing system.
The EHR drive was thought up about 10 years ago
Nah, the first attempt to standardize EHRs was made during the Clinton admin. and you can see how well the government managed that. Compare the incompetent and ineffectual effort to standardize EHRs with the effort by industry groups to define standards. The industry groups don't always get it right, but they do a much better job than the government does.
So unplug your Obamacare enema
Obamacare is giving every non-wealthy American Citizen a metaphorical enema. That's the problem. Eventually, you are going to find that out, if you are an American. Well, maybe not if you work in some cushy government job.
Update: 02/05 20:16 GMT by T : If you're seeing this post on beta.slashdot.org, note that we're still ironing out the details of video display here. You can view the video on tv.slashdot.org, instead. Please pardon our dust.
Seriously??! What is wrong with you douches? Why would you push^H^H^H^Hforce this on people when things don't even work... No post button... Sorry... This doesn't work correctly... Sorry, you can't see a video (not that I could care LESS ABOUT A *&%$#@ VIDEO!! )... WTF??!
crap, Crap, CRAP, CRAP!, CRAP!!, CRAPP!!!
What happened to you, dear /. ???!
RIP, my darling... May you find peace... :( Sniff... Sniffle....
As long as it's been, I guess it's time to finally say... "Good, riddance, /." :(
The technological hurdles aren't the real problem. The real problem is getting agreement by all stakeholders on what needs to be done. The revelations of the NSA's and IRS's nefarious activities hasn't increased the likelihood that cooperation is to be soon forthcoming.
I'm going to ask you to imagine a different world, techno-vampire. In this world, the VA system doesn't exist. Instead, you receive a very generous government voucher that you can spend at whatever healthcare facility you chose. Spurred on by competition to supply the best care at the best price to veterans, private facilities provide you with far better care than what you currently receive and taxpayers don't pay nearly as much to allow you to do so. All I'm saying is that the government doesn't have to do something in order for that something to get done. In most cases, the government is the problem, not the solution.
you mean you have mail systems that aren't running SSL/TLS end-to-end?
I'm not even sure what that's supposed to mean.
Have you ever looked at an SMTP mail header? It's not uncommon for an email to pass through three or four (or more) networks controlled and owned by different entities. There's really no such thing as "end-to-end" in email. It's a whole bunch of independent legs, controlled by different parties.
Of course you can do content encryption, but the fact that it hasn't been widely adopted -- despite being available for years -- should tell you something....
Can you name the people on the Florida BCBS panel who routinely denied care to policyholders before the ACA kicked in?
You can't? Really? So how is the new insurance worse?
So Anon, you want the VA to be run by civilian cost-cutters instead of the dedicated people who work for the government? If you've heard of "veterans preference" influencing federal hires, you won't be shocked at the many male nurses you see at your regional V.A. medical center. See, most of them were Army medics who used the new G.I. bill to go to college. And they are very, very solicitous of their fellow vets.
You can enjoy your "private enterprise is always better than government" fantasy if you like, as long as you don't force me to share it.
"I know some Repubs were tossing some of the ACA's ideas around, but it wasn't conservatives who were doing so."
Really? The ultra-conservative Heritage Foundation dreamed up Romneycare, as they probably call the stupid ACA hybrid care plan in Mass., and they did it to placate Birchers, who have morphed into teapers.
Right wing whackos back then were scared of something they called "Hillarycare," which was essentially setting up national health care.
Thinking of which... you know that under the British and Canadian systems -- and really, *all* the national health care setups, you are still free to go to a private doctor and a private hospital if you like (and can afford it).
Yeah, right. What she says is *dead* on. Before I relocated here, I had a *really* good, actual family practitioner, who did *everything*. Now, I've got four? five? different doctors, and allegedly they're my "team" (for values of team approaching zero as a limit). I had to rant to make sure doc #3 talked to my "primary care". and they appeared to be annoyed.
They're all friggin' "specialists" who have no interest whatever in the human being in front of them, only in the one subset of that person's body that they're "specialists" in.
The first problem she'll have is getting the jerks to talk to each other.
mark
A) VERY few EHR/EMR systems are capable of talking to one another. It is not "still" a problem. It is a very fundamental problem, caused by a Federal Government deciding to offer a candy free-for-all to data companies under the guise of physican reimbursement for Meaningful Use of Certified EHR systems.... then the Government deciding "eh, we'll write the interchange standards later." B) Much better to have a patient fill out new paperwork with every provider every time, than to input data entered incorrectly elsewhere that ends up killing a patient, no? So you *still* would have to verify your information and why would a provider trust you'll really look at all that paperwork in review. You write it now, you wrote it now. C) It's a system solution to a human problem - ensuring accurate information and not just convenient or timely information.