Government Technology - February 2008 - (Page 33)

ILLUSTRATION BY TOM McKEITH MAKINGHEALTH AS CONGRESS AND DOCTORS DITHER ON ELECTRONIC HEALTH RECORDS, INDUSTRY HEAVYWEIGHTS UNVEIL ANOTHER OPTION. CARE BY CHAD VANDER VEEN | TECHNOLOGY AND POLITICS EDITOR SOMETIMES TECHNOLOGY IS AS MUCH A PROBLEM AS IT IS A SOLUTION. In the health-care industry, electronic health records (EHRs) are causing plenty of headaches because of a lack of standards and disagreement on best practices. EHRs offer another opportunity to improve medicine, from neighborhood private practices to huge government organizations. But the promise comes with a curse familiar to other helpful technologies: People disagree about how exactly to implement electronic health records. Interoperability and standards issues have stalled progress toward the goal of seamlessly integrated health IT. However, personal health records (PHRs) could ﬁll some of the gap as the nation waits for Congress and the health-care industry to lead a uniﬁed effort. PHRs are nothing more than digital versions of a ﬁle folder ﬁlled with a patient’s health records, and are designed to let people be guardians of their own health information. Now, industry heavyweights such as Microsoft and Google are creating simpliﬁed services that might make it easier for citizens to collect and keep those records. Microsoft says its HealthVault PHR system already works with dozens of existing, stand-alone hospital EHRs, giving patients an online repository for electronic health information that is ready to use. Developments such as HealthVault may spur quicker adoption of industrywide standards and best practices. In the meantime, they offer a Band-Aid for citizens frustrated with the health-care industry’s inability to solve the problem on its own. The Contenders PHRs are, in effect, the antitheses of EHRs, which are systems that health-care providers build to electronically manage patient information. The U.S. Department of Veterans Affairs (VA), for example, has a huge and often-praised EHR system called VistA. The system manages the electronic health records of millions of veterans across hundreds of locations. Currently it’s only compatible within the VA system, though work is being done to expand VistA’s capa- bilities. It is the kind of health records management system the industry and patients desperately want to interoperate. On the other hand, PHRs are software applications that allow individuals to store and share their own health information. A PHR can be as simple as a Microsoft Word document, or like HealthVault, a Web site for users to securely upload, store and share their health records. The Internet has been abuzz lately with rumors of a Google PHR tool in the making. Although Google was contacted to discuss its rumored project called Google Health, company representatives offered only links to the ofﬁcial Google Blog. There are, however, interesting tidbits to be discovered here. In June 2007, Google announced the creation of the Google Health Advisory Council to help the company “better understand the problems consumers and providers face every day and offer feedback on product ideas and development” for managing health records. The Google Blog also publishes numerous entries written by high-level employees who hint at what Google Health might feature. 33 http://www.govtech.com

Table of Contents Feed for the Digital Edition of Government Technology - February 2008

Government Technology - February 2008 Contents Point of View Big Picture The Last Mile On the Screen Products Four Questions for... CSI Effect Bad Medicine Making Health Care Personal Cashing In GIS for Less Nabbing Speedsters First Person: Records Management Chatter Box Oregon Data Centers Go Green Products Two Cents Spectrum Up Close Personal Computing signal:noise Government Solutions - Spring 2008 Power Play Double Duty Cleaning House Twice Prepared Smart Move The Path to Success Foundation for Service

Government Technology - February 2008

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