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More peripheral brain sharing

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Some time ago, there was an active discussion on the best peripheral brain.  Evernote and Springpad were discussed.  SpringPad has had a new release that made it much nicer, however, Evernote still seems like it is the winner.

Here are some products that are building on Evernote’s popularity that I have been using that are very nice that you might enjoy.

  • Zendone – a todo app (yes, another one) that has the best integration to Evernote and Google Calendar around.
  • Postach.io – flipping cool blogging app integrated into Evernote.  In 10 minutes I had this blog up and running based on Evernote notes.
  • PharmD.co (no ‘m’) is what I may keep to post some rants and raves around pharmacy, fyi.

And… If you are a ASHP member you might want to check out this post on how your dues are being spent.

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Journal of the American Pharmacists Association March-April 2013 | Vol. 53. No. 2

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Lots of really terrific articles in JAPHA in this edition.  It is making AJHP look informaticly challenged.  Thanks to Jerry Farhni (again) for a great find.

Here is just a sampling of the articles in innovations in pharmacy practice:

http://www.japha.org/issue.aspx?journalid=63

Special Feature: Innovations in pharmacy practice

Iulia D. Ursan, BA; Ligia Chiu, BS; Andrea Pierce, BS; et al.

J Am Pharm Assoc.    doi: 10.1331/JAPhA.2013.12217

Chrystian Pereira, PharmD; Anusha McNamara, PharmD; Lindsay Sorge, PharmD; et al.

J Am Pharm Assoc.    doi: 10.1331/JAPhA.2013.12207

Wesley Nuffer, PharmD; Steven M. Smith, PharmD, MPH; Katy Trinkley, PharmD; et al.

J Am Pharm Assoc.    doi: 10.1331/JAPhA.2013.12200

Jonathan Newsome, PharmD

J Am Pharm Assoc.    doi: 10.1331/JAPhA.2013.12188

Greg L. Alston, PharmD; Jennifer A. Waitzman, PharmD, BCACP

J Am Pharm Assoc.    doi: 10.1331/JAPhA.2013.12199
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Jerry Fahrni’s Presentation – Evolution of practice in a age of information

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http://www.slideshare.net/JFahrni/evolution-of-practice-in-an-age-of-information-20563161

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Medical Student at UVM working on a SMS Text based solution for pharmacies

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First, a couple of qualifiers.  My wife is a UVM graduate and I love most things Vermont.  That would also include Larry Weed, skiing and maple syrup.  Second, my view of the Pharmay HIT collaborative is that it is too much too late.  They have over complicated solutions to problems with their single minded focus on the PP-EHR.  I like the Acum Razer principle that states with competing hypotheses, the one with the fewest assumptions wins. The solution explained below has a lot less assumptions. Oh, one more: Who could not love Bill Clinton?  His speeches at the ASHP and HIMSS meetings this year were stunning.  Of course, the great interview with Steven Colbert.

Luke Neil, a UVM Medical School recent graduate, is enabling pharmacies to communicate with patients with something they already have – via text messages.  It turns out that there are more people with SMS enabled phones than access to running water.  He is building a platform to enable pharmacy to patient communication and codify the data for reporting.   More information can be reviewed here <link>.  There are not a lot of details and searching did not produce a lot of information.  So, questions remain.  It states that he is looking for pharmacies to partner with them, so it might be a good opportunity for someone.

At Clinton Global Initiative University, Neill’s commitment was selected for recognition prior to a panel discussion on “Ensuring Medication Safety” as an exemplary approach to addressing a global public health challenge.   How cool that they have a medication safety panel.  Next up the Colbert Galactic Initiative.

Luke Neill, Sam Meyer, Matthew Perry

 

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HIMSS 2013

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The annual HIMSS conference this year was in New Orleans, LA.  While there has been much chagrin regarding the city’s ability to support 35,000 or so tech executives and salesmen, it went relatively well.  I arrived on Monday morning, just in time to witness the opening of the exhibit floor.

HIMSS 2013 exhibit floor

The convention center is well suited to such a large exhibit floor, with each person’s feet receiving the brunt of the abuse.  There has been great coverage of the event by many members of the IT community, so please review at your leisure.

From a pharmacist’s perspective, HIMSS is a fantastic experience.  It shows us the vision technology has for healthcare, and places where informatics pharmacists have the opportunity to contribute.  The best theme update was patient engagement in my opinion.  As a community healthcare IT is finally moving in the direction of designing systems to this outcome.  Many of the early systems focused on capturing data for documentation and billing, but lacked the tools to help the healthcare team include the patient in the process.  Based on my observations at HIMSS, we are headed in the right direction.  I did my best to get by every EHR vendor’s booth and get a quick tour of their medication use technology.  Probably the coolest I saw was Siemens’ ability to suggest standard doses based on those most commonly ordered in a health system.

Pharmacists have an opportunity to contribute at any point in the medication use process.  Of course this includes ordering, verifying, preparing, distributing, administering, and monitoring.  However now that EHRs include all facets of care this extends to medication reconciliation, all pharmacy to provider interactions (such as refill requests), information exchange (interfaces or interoperability) and reporting.  As a very well written post by a colleague pointed out, pharmacy might currently be searching for a future.   While our role as members of the healthcare team might be uncertain, we are medication use experts and have a great deal of knowledge to contribute in the healthcare informatics space.

Health Information Exchanges were also growing like weeds, yet the question of business sustainability in the current environment remains to be seen.  Alere had a pretty cool iPad app to review information from HIEs.  My apologies for not getting by a booth that had other great HIE products.

Another huge theme was data analytics and add-on services for EHRs to improve productivity.  A number of companies recognize the importance of extracting meaningful information, and their was no shortage of methodologies to accomplish the task.  Add-on solutions were also abound, providing applications that targeted specific EHR process pain points.  I can’t wait to see where healthcare IT moves in the coming years.  It is truly an exciting field to be involved in!

 

 

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Connected Health via devices

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Jerry Fahrni’s weekly Saturday Morning Coffee is a good read for you all.  Recommended.
Here is a great find by him.

http://www.slideshare.net/RockHealth/rock-report-sensors-9962927

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Google Glass for Pharmacy Practice?

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I am watching the developments of Google Glass with intense interest.

The possibilities in pharmacy practice is mind blowing.

Here is just a glimpse from a post shared by @jfahrni

http://rgrosssz.wordpress.com/2013/02/23/28/

and this http://mhealthinsight.com/2012/04/05/google-project-glass-creates-a-pair-of-google-goggles-can-you-see-the-healthcare-opportunities/

 

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Medsnap

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This app looks very cool.  Anyone using it?  I can see some workflow issues, but if it works as advertised this can be very useful.

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A Medication Use System Architecture

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I am doing dome prep work for education requirements for Chief Clinical Informatics Officers.
This slide from a presentation by Allen Flynn is just awesome!

Image

Posted via email from RxDoc.Org

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Direct to prescriber advertising ?

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Viagra and Cialis ads coming to an EHR near you.  Let’s hope no EHR vendor makes ads a required part of their EHR. 

Posted via email from pillguy’s posterous

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