ICMCC

the international council on medical & care compunetics

record access

22
May, 2013
Wednesday

RA Systems

Examples of records

  • UK:
    • EMIS Access
      Here is an example of access to the complete electronic GP record. This is available through the net once someone has registered in person at their GP practice. It is a pilot system at the moment (July 06) but is expected to go live by Jan 07. To see a test patient's notes, follow the instructions below:

      Practice ID number: 7399
      Access ID: 2558
      Password: HAUGTON1 (case sensitive)
      Click Sign in
      On the new page, click on "your medical record"
      For the next login use digits from this password: HAUGHTON;
      1=H; 2=A; 3=U; 4=G; 5=H; 6=T;7=O; 8=N (case sensitive)
      and then click "Submit".
      Click here for more screenshots (3 Mb).

    • PAERS
      Here is an example of a kiosk-based approach to access. The kiosk in the GP waiting room enables patients, authenticated by their fingerprint, to see their full GP electronic record via a touch-screen. Some of their health information is linked to Patient Information Leaflets to support understanding.

  • USA:
    • My EHR
      This Web site is provided as a free public service by the American Health Information Management Association (AHIMA).

Below you will find links to articles about various systems.

(sometimes only abstracts)

Smart Cards

Kela Medical Launches the First Interoperable Personal Health Card (pHR)

PR-USA.net

“Today, Kela Medical Inc., (”Kela”) launched the pHR card, a revolutionary technology developed to provide individuals and their healthcare providers with better access to individuals’ healthcare records while at the same time providing them with the protective security they want and deserve.
[ More ]

16 May 2011 | No Comments »
Categories: News, RA News, RA Systems, Record Access, Smart Cards | Country: | EHR: , | Tags: , , , , , ,

UK Patients Accessing Records with E-cards

“Westover Medical, a chain of primary healthcare clinics based in the United Kingdom, is launching an electronic card that patients can use to access their medical history.
Members of Westover can access their personal data by connecting the card to any computer and going through the provider’s secure website. Records will be password protected, and no data will be saved locally on the computer through which they are accessed, which the company says will help ensure patient confidentiality.
Westover is the first private healthcare provider in the UK to offer the e-card to its customers.”
Article
Healthcare Informatics, 2 June 2008

2 June 2008 | No Comments »
Categories: News, RA News, RA Systems, Record Access, Smart Cards, UK EHR | Country: | EHR: , | Tags:

Time for an NHS smart card?

“Recent correspondence on electronic patient records, including the editorial by McGilchrist and colleagues, seems to avoid facing up to a major philosophical difference in approach.
The Department of Health (abetted by the medical establishment) favours securing data centrally for logistic and research purposes. The issue of capacity (or otherwise) of individual people to give consent for this has been neglected. Furthermore, cost and safety concerns remain, along with the risk of system breakdown.”
Abstract
Prasanna de Silva, BMJ 2008;336:9 (5 January), doi:10.1136/bmj.39434.702477.3A

4 January 2008 | No Comments »
Categories: RA News, RA Systems, Record Access, Science, Smart Cards, UK EHR | Country: | EHR: , | Tags:

Start of the Test Phase for the Health Card in Germany

“It was a good idea, perfectly clear and so obvious. Many dangerous side effects could be prevented if each physician knew all drugs his patients are currently taking. So many unnecessary examinations could be avoided if physicians could inform themselves about all the examination results their colleagues obtained before them.” These are the arguments of the electronic health card’s advocates, and they are right. “If this health care data were collected and transmitted electronically and in a standardized way, millions of people could receive better and less expensive treatment” , is what the Financial Times Deutschland wrote in an otherwise critical comment on the introduction of the electronic health card in Germany.”
Article
e-Health News EU, 11 May 2006

24 August 2006 | No Comments »
Categories: News, RA Systems, Record Access, Smart Cards | Country: | EHR: ,

Are Cards Finally a Good Bet?

There’s no consensus on whether smart cards have a role to play in an increasingly connected industry.

“In 2003, executives at Queens (N.Y.) Health Network rolled out an initiative to use smart cards to fill in the information gaps at its two emergency departments.
The cards are “smart” by virtue of embedded microprocessors that can store 64 kilobytes of data, more than enough storage room to house patient identity, insurance and basic health information. To date, Queens Health has distributed more than 14,000 cards.”

Bill Briggs, Health Data Management, February 2006

Article

24 August 2006 | No Comments »
Categories: News, RA Systems, Record Access, Science, Smart Cards | EHR: | Tags: ,

Smart cards–the key to trustworthy health information systems

“Some 20 years after they were first developed, “smart cards” are set to play a crucial part in healthcare systems. Last year about a billion were supplied, mainly for use in the financial sector, but their special features make them of particular strategic importance for the health sector, where they offer a ready made solution to some key problems of security and confidentiality. This article outlines what smart cards are and why they are so important in managing health information. I discuss some of the unique features of smart cards that are of special importance in the development of secure and trustworthy health information systems. Smart cards would enable individuals’ identities to be authenticated and communications to be secured and would provide the mechanisms for implementing strong security, differential access to data, and definitive audit trails. Patient cards can also with complete security carry personal details, data on current health problems and medications, emergency care data, and pointers to where medical records for the patient can be found. Provider cards can in addition carry authorisations and information on computer set up.”

Roderick Neame, BMJ 1997;314:573 (22 February)

Article

24 August 2006 | No Comments »
Categories: RA Systems, Record Access, Science, Smart Cards | EHR:

Kiosk

Are health care kiosks the next big medical technology?

Eva Marie Stahl, Oh My Gov!

“You can skip the Vegas strip for finding the latest in health technology this year, as one of the coolest new technologies is right here in Boston.
[ More ]

4 March 2009 | No Comments »
Categories: Kiosk, News, RA Systems, Record Access | Country: | EHR: , | Tags:

Study reports on use of “touch screen” health kiosks

“Drinking in pregnancy, healthy eating, and rashes are the three health subjects most on the minds of users of the new NHS “touch screen” health kiosks.
The first detailed study of the use of the screens also shows that location is vital, with sites at docks, such as Liverpool and Dover, getting more users a day than screens in hospitals, and supermarkets attracting more users than health centres and pharmacies.”

Roger Dobson, BMJ 2003;326:184 (25 January)

Article

24 August 2006 | No Comments »
Categories: Kiosk, News, RA Systems, Record Access

An evaluation of the use of NHS touch-screen health kiosks: a national study

“Provides the first exploratory analysis of the use of NHS touch-screen information kiosks located throughout the UK. It examines, through a one month snapshot of the transactional logs of the kiosks, their use and makes comparisons between the types of organisation in which the kiosks are housed. Details of over 120 kiosks and nearly 47,000 user sessions and 310,000 page views were used for the comparison. The kiosks are proving popular, although some use appears to be of a cursory and seemingly unproductive kind. Surprisingly significant differences between kiosk locations were found. This early research reported here is part of an ongoing study of how users obtain health information by interacting with different digital platforms: kiosks, the Internet, and digital television. Comparisons are made between the results of this study and a similar study conducted by the authors on commercial health kiosks, those of InTouch With Health.”

Nicholas D.; Huntington P.; Williams P., Aslib Proceedings: new information perspectives, Volume 54, Number 6, December 2002, pp. 372-384(13)

Abstract

24 August 2006 | No Comments »
Categories: Kiosk, RA Systems, Record Access, Science | EHR:

Determinants of Health Kiosk Use and Usefulness: Case Study of a Kiosk Which Serves a Multi-Cultural Population

“329 patients in a multi-cultural surgery in Nottinghamshire, England used a touch-screen health information kiosk in the practice and then filled in an online questionnaire after they had searched the system. This questionnaire sought background information on the patient’s age, gender, country of birth and employment status as well as data on the use and usefulness of the kiosk. Ease of kiosk system use was found to be significant in determining both use and satisfaction variables. Older users and those not born in the UK were less likely to find the system easy or very easy to use. Employment status was also found to impact on kiosk use; both UK born and non-UK born skilled workers were found to use the kiosk more as compared to other groups.
These findings help identify user populations who are good targets for information kiosks as well as the most effective ways to provide consumer health information via kiosk.”

David Nicholas, Paul Huntington, Peter Williams and Prit Chahal, Libri, 2001, vol. 51, pp. 102–113

Article 

24 August 2006 | No Comments »
Categories: Kiosk, RA Systems, Record Access, Science | Country: | EHR:

Internet Based

A cyber medical center

“This paper describes the design and implementation of a Cyber Medical Center (CMC) using web technology. The intention is to overcome the inefficiency of the traditional filing system for patients’ medical records, which are considered to be time and space consuming. Another objective is to enhance the interaction between the user – the patient in this case – and the medical center personnel – the doctors and staff. This task is achieved by developing a cyber medical center interfaced with the Internet to provide direct public access. The traditional filing system is replaced by a database system for maintaining the electronic medical records of all patients in the medical center. The doctors or staff can either view the medical records or update them through the Intranet/Internet. This system has been successfully developed, implemented and tested on the Intranet platform. It will be available in a university medical center for practical use.”

A.R. Al-Ali, A.O. Abdul Salam, L. Al-Zohlof, M. Manna and R. Zakaria, Computer Methods and Programs in Biomedicine , Volume 80, Supplement 1 , December 2005, Pages S85-S94

Article

24 August 2006 | No Comments »
Categories: Internet Based, RA Systems, Record Access, Science | EHR: | Tags:

An Internet-Based Patient-Provider Communication System: Randomized Controlled Trial

Background: Internet-based interactive websites for patient communication (patient portals) may improve communication between patients and their clinics and physicians.
Objective: The aim of the study was to assess the impact of a patient portal on patients’ satisfaction with access to their clinic and clinical care. Another aim was to analyze the content and volume of email messages and telephone calls from patients to their clinic.
Conclusions: Portal group patients demonstrated increased satisfaction with communication and overall care. Patients in the portal group particularly valued the portal’s convenience, reduced communication barriers, and direct physician responses. More online messages from patients contained informational and psychosocial content compared to telephone calls, which may enhance the patient-physician relationship.”

Lin C, Wittevrongel L, Moore L, Beaty BL, Ross SE, J Med Internet Res 2005;7(4):e47, 5 August 2005

Article

24 August 2006 | No Comments »
Categories: Internet Based, RA Systems, Record Access, Science | EHR:

On the Road to Paperless Resident Records

“Berlasco Court Caring Centre has set for itself the ambitious goal of phasing out paper-based records. To achieve this goal they have implemented a web-enabled, point of care clinical information system. This case study reports on the implementation of this system as Berlasco endeavour to realise their goal.”

Australian Government Department of Health and Ageing, December 2005

Report

24 August 2006 | No Comments »
Categories: Internet Based, RA Systems, Record Access, Science | Country: | EHR: | Tags:

A cross-platform model for secure Electronic Health Record communication

“During the past decade, there have been many regional, national and European projects focused on the development of platforms for secure access and sharing of distributed patient information. A platform is needed because present local or enterprise-wide information systems are typically not intended for cross-organisational secure access of patient data. Most of the present secure platforms are local or regional. Commonly used platform types in the health care environment vary from secure point-to-point communication systems to internet-based portals. This paper defines an enhanced cross-security platform which makes it possible for different kinds of local, regional, and national health information systems to communicate in a secure way. The proposed evolutionary way interconnects regional or national security domains with the help of a cross-platform zone. A more revolutionary model based on peer-to-peer Grid like networks and dynamic security credentials is also discussed. The proposed evolutionary model uses cross-domain security and interoperability services to ensure secure communication and interoperability between different security domains. The platform supports both communication defined beforehand and adhoc dynamic access to distributed electronic health records (EHRs). The internet is proposed as the “glue” between different regional or national security domains.”

Pekka Ruotsalainen, International Journal of Medical Informatics, Volume 73, Issue 3, 31 March 2004, Pages 291-295

Abstract

24 August 2006 | No Comments »
Categories: Internet Based, RA Systems, Record Access, Science | Country: | EHR: