Google Health Canda? Your Health Records and EMR

I always wondered what would happen if Google Health decided to launch in Canada. Would there be an effect on the Canadian Healthcare system? Or would PIPEDA (Personal Information Protection and Electronic Documents Act) get in the way?

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About a year ago Google announced that it would launch a service to allow users to store their own health records on a secure website. There was a lot of discussion about what it would look like but the wait is over. A free public “beta test” version of Google Heath is now operational at google.com/health.

The service allows users to create an online profile that includes information about any medical conditions, test results, procedures, immunizations and medications. You’re also asked to enter in your height, weight, blood type and race. With this information, the service, in theory, could offer you tailored medical information as well as serving as a central hub storing your medical records.

Eventually the goal is for users to be able to import their health information from the secure websites of care providers. To that end, Google already has arrangements with Beth Israel Deaconess Medical Center in Boston and the Cleveland Clinic as well the online pharmacies from Longs Drugs, Walgreens, RXAmerica and Medco. A relationship with Quest Diagnostics allows users of its services to import their lab tests. Google also has a link to the American Heart Association’s heart attack risk assessment site so that you can get your customized risk assessment without having to retype your height, weight, cholesterol and other into the Heart Association’s site.

One nice feature is the drug interaction alert that lets you know about potential conflicts between drugs you take. Of course, you have to remember to enter all your drugs for that to work.

Because none of my providers are among Google’s initial partners, I had to enter all the information myself. Fortunately, it was easy to find because the health clinic I use most of the time has its own online service that stores this information. I’m pretty happy with what my provider offers but it’s an island of information. If, for example, I were to have a blood test done elsewhere, that information would not be on my provider’s site nor is there a way I could even type it in. Google is trying to solve that problem by creating a health record keeping system that is controlled by the user, not the health care provider. This is especially important for those of us who don’t belong to a health maintenance organization (HMO) because we might visit different physicians who are not affiliated with each other.

Clearly privacy is the number one concern when it comes to any online medical information service. Google’s health privacy policy states that “You control who can access your personal health information. By default, you are the only user who can view and edit your information.” You can, however choose to share your information with others. The company also promises not to “sell, rent, or share your information” and will let you delete your account or any information in it at any time.

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Can health care make voice interfaces viable?

One of the big surprises in my career, watching technology develop, has been the failure of voice interfaces. Chalk it up to accents and the complexity of English. Listen to a Southerner or a Scotsman and the problem becomes obvious. Better yet try listening to your kids.

The only way to make it work is to make it work. And thanks to the immense growth in military medicine, you have a platform on which this forcing can happen.

Nuance Communications says its Dragon NaturallySpeaking is now being used by over 6,000 clinicians, because it was mandated by the military as the preferred way to document care with its AHLTA system.Whatever you think of AHLTA or the military, the bottom line is you now have a complete voice-to-text interface for medical diagnosis, with 6,000 users and growing.

AHLTA consultants say the system is saving clinicians time, and enabling the creation of more complete medical records.

Nuance has now begun the process of transferring this experience into civilian medicine, which I hope means that interfaces for McKesson, Cerner and Microsoft are coming soon.Once we have a beachhead for spoken interfaces in medicine, perhaps we can expand it into other areas, and speech will finally take its rightful space as the right way to talk to a computer.

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Cardio clinic stresses technology

Dr. James Swan has transformed Rouge Valley Cardiology into an almost totally digital operation. In northeastern Scarborough, far from the bustle of downtown Toronto, a cardiology clinic has been doing pioneering work in software and image management for the past six years.

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Enabling Key Data Sharing in Clinical Settings

Intel Corporation today announced Intel® SOA Expressway for Healthcare, software that provides an efficient way to exchange healthcare information inside hospitals and with health information networks. The product will allow healthcare providers to more easily connect with one another so that each can provide better care while benefiting from reduced integration costs.

Until now, the sharing of patient information among healthcare network participants has been hindered by the steep costs and complexities of proprietary data and integration services. Based on Service Oriented Architecture (SOA), Intel SOA Expressway for Healthcare offers a cost-efficient solution to this problem by providing an efficient and scaleable way to translate, process and connect any data format across a healthcare network.

In addition, Intel has created a group of validated independent software vendors (ISVs) that provides best-of-breed capabilities to deploy a complete health network powered by the Intel SOA Expressway. Current validated ecosystem vendors include Apelon, Infotech Global (IGI), Initiate Systems, Oracle and Red Hat. Services provided by these vendors include controlled medical vocabulary translation, clinical patient portal applications, enterprise master patient index, clinical data repository and operating system support. The validated ecosystem helps complete next-generation SOA architecture for healthcare data interoperability.

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How this blog saved my life and saved me $100,000

A few months back, I told you about how my neck had gone bad, really bad. At that time, I was in the middle of a six-month dive into pain, alleviated only by gobbling unwholesome quantities of Percoset. Three weeks ago last Friday, I had an amazing surgery that relieved my pain and gave me a neck that feels 20 years younger.

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Motion Computing Licenses Wi-LAN Wireless Technologies

Motion Computing produces slate tablet PCs for mobile professionals in industries including healthcare, government, and field force automation. Motion is a mobile computing and wireless communications leader, combining world-class innovation and industry experience so individuals can use computing technology in new ways and places.

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Stepping up to improve health care

Engineering techniques can be used to eliminate inefficiencies in Canada’s health care system, as the work by a new Toronto research centre shows. In the modern race to innovate, the health care industry is lagging decades behind manufacturing and other service industries. Michael Carter is ready to launch a game of catch-up.

As head of the new Centre for Research in Healthcare Engineering at the University of Toronto, Dr. Carter’s job seems simple on paper, but a lot tougher to execute: Replace the isolated elements of the system with a more efficient, productive health care system that gets everyone pulling in the same direction and makes the best use of limited resources.

“Every time I go into a hospital, I’m looking at it with a different eye,” Dr. Carter says. “Everywhere I look I see opportunities for improving efficiency. … It’s not just cutting costs. It’s really important to have the system set up properly.”

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Windows 7 to arrive next year, says Bill Gates

You know, we should have paid a little closer attention to Microsoft’s decision yesterday to extend Windows XP sales to “June 2010 or one year after the general availability of Windows 7″ — if the company was really planning on shipping Windows 7 in 2010, that first date doesn’t make a lot of sense unless the plan is to ship Windows 7 much, much earlier. And hey — what’s Bill Gates doing telling investors this afternoon that Windows 7 will come “in the next year” and that he’s “super-enthused” about it? As far as we know, the official Windows 7 timeline hasn’t changed, so Bill might just talking about beta versions, but something’s clearly up Windows-wise in Redmond — perhaps Vista’s wow is not long for this now.

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Medical experts support battle cry for PET scanners

They’re considered a vital tool in diagnosing cancer and deciding how to treat it.

But in Ontario, cancer patients don’t have access to PET scanners — imaging technology around for almost 30 years but still considered experimental in this province. “If I was a cancer patient, I would definitely scream for this technology that will let you know if you’re a candidate for surgery, whether to remove your tumour, whether you need surgery plus radiation or if you need chemotherapy,” said Dr. Jean-Luc Urbain, citywide chief of nuclear medicine in London.

Urbain is welcoming a call by Conservative health critic Elizabeth Witmer, who plans to introduce a resolution at Queen’s Park calling on the government to make PET scans available to Ontarians.

“PET scans are available to patients pretty well throughout the world — in Europe, Africa, the Middle East, the United States and other provinces in Canada,” Witmer said in a phone interview. “But here in Ontario, if your doctor recommends a PET scan, you are forced to travel to the United States at your own expense.”

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Microsoft will extend life of Windows XP–again

MIAMI–As I predicted last week, Microsoft has decided to extend the life of Windows XP, although only for a limited class of machines.

Microsoft said on Thursday that it will continue to allow Windows XP Home edition to be sold for a class of computers it calls “ultra-low-cost PCs.” It’s a category that covers machines with slower processors, smaller screens, and in many cases flash memory for storage, rather than a traditional hard drive.

Microsoft will give PC makers the option of using Windows XP or Vista on ULCPC devices, said Michael Dix, general manager of Windows client marketing.

Still, the minimal hardware used in ULCPC systems might make Vista ill-suited to such a task. The decision to discontinue Windows XP might have driven even more device makers into the hands of Linux, hence the extension.

Overall, big-name computer makers are still scheduled to have to stop selling Windows XP for all other uses by the end of June. Mainstream technical support will continue to be available for Windows XP through April 2009, and more limited support will continue through April 2014.

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