Archive for June, 2008

Expectation of Privacy

Posted on June 26th, 2008 in Uncategorized | No Comments »

We have been working on adding additional features of Community Health Network’s Personal Health Record (PHR) and a question occurred to me.

What is the expectation of privacy a patient has about the data they enter into a PHR on a health care provider’s web site?

If we used the information to help with providing patient care, do we need to ask the patient’s permission before viewing the information?  Or is there an assumption that we can use the data because they have entered it into a health care organization’s PHR as long as we follow the requirements detail in HIPAA?

Google, Microsoft, Revolution Health and the other non-health care organizations offering PHRs do not need to follow HIPAA guidelines as far as I understand because the law was only written for health care entities.

I think I’m leaning to that we should ask for permission but it is not required for us to view it.  Or we should detail in the PHR terms of use that we can use the information to help provide patient care and that we will not sell the information.

What do you think?

Articles Worth Reading on June 26th.

Posted on June 26th, 2008 in Uncategorized | No Comments »

Here are some great articles I found this week.

Australian Students ditching Outlook for gMail

This is something I was really excited about, being a big fan of gMail and Google Apps for Your Domain in particular, and not a big fan of Outlook/Exchange. Basically one and a half Australian students just started using gMail. This is particularly interesting, as these students will enter the workforce familiar with a whole new set of tools.

http://www.techcrunch.com/2008/06/23/15-million-australian-students-dump-outlookexchange-for-gmail/

Patient Records Safeguarding

More on topic with health care, the article below from Ars Technica talks about safeguarding patient medical records, and extending it to cover things like Google Health and Microsoft’s HealthVault.

http://arstechnica.com/news.ars/post/20080625-privacy-security-and-health-it.html

FriendFeed and Brands

In the realm of branding and social networking, I found an interesting article on FriendFeed. Now, if I can only figure out what email address I used when I signed up, I’ll be happy.

http://bhc3.wordpress.com/2008/06/10/will-brands-figure-out-friendfeed/

Finally, some cool new web tools worth looking at:

Snapcasa – SnapCasa is a quick and free screen shot gatherer.

http://mashable.com/2008/06/03/snapcasa-quick-free-website-screenshots/

Embedding RSS with Google’s Ajax API

Google has apparently made embedding RSS super easy, and since I am working on a bunch of feed related projects, I will be all over this. At first glance it is cool, but I’d like to be able to jut add feeds directly. I’ll need to spend more time with it.

http://lifehacker.com/395354/google-makes-rss-embedding-easy

Thats it for today!

Physician Communications

Posted on June 25th, 2008 in Uncategorized | No Comments »

I’m blogging about physician communications, more specifically physician online communications using Internet technology. I am not a physician; my work responsibilities are highly interdependent and support the work flow and relationships of primary care and specialty care physicians. I have been working in the field of Internet technology and health care for the past 10 years and have been in health care for 25+ years. I’m employed in a large integrated health care delivery system in the Midwest, Community Health Network, Indianapolis IN. We don’t have all the answers. We strive to be one of the leading systems in the U.S. in the arena of inpatient and ambulatory care, electronic medical record utilization.

My intent is to share thoughts and ideas about our experiences related to physician communications using technology such as intranets, extranets, blogs, corporate and personal email, IM, texting, and new media techniques with streaming audio and video. From my preliminary investigations, I have found limited research on the web or blogosphere specific to this important topic. So my agenda is to put some content in play and begin to contribute to that void for any interested individuals or groups to benefit from benefit from. Please comment honestly, directly and respectfully.

Mobile Site!

Posted on June 24th, 2008 in Uncategorized | No Comments »

When creating a mobile website, several adjustments or considerations need to be made.  Obviously, you don’t just port your current website, optimized for a monitor, over to a mobile site.

You need to build the site as if you were building a site for dial-up users.  The download/upload speeds on smart phones are not yet comparable to the speed of a broadband connection.  Image sizes need to be minimized and html simplified.

The page layout needs to be more vertical than the page design for display on a monitor.  The user on a smart phone will be scrolling up and down to look at the page and the screen resolution is not very wide.  Also, the page length should be kept as short as possible to avoid long, endlessly scrolling pages.

Applications need to keep this rule in mind also.  The forms should only contain a few fields of data entry because it is more difficult to enter data on a phone than a keyboard and the load times will be slower.

The most important consideration, I feel is to make sure that what you put on a mobile makes sense for the user to use.  An obvious example is that you wouldn’t put an application on a mobile site that requires the user to print a page.  Less obvious is applications that can be built with all the other requirements in mind, but don’t consider whether the user will use them or not, don’t consider the process.  We can build a mobile site that has the full features of our Find a Doctor application, including the ability to compare physicians and request appointments, but we realized that a patient would not be doing that on their phone.  A patient would be looking up a doctor’s phone number, location, office hours, etc.

So that’s what we built:  http://mobile.eCommunity.com.

Take a look at the site and see if you agree or disagree with what I’ve said here, or have comments about the site.

More Updates for Community Hospital South

Posted on June 19th, 2008 in Uncategorized | No Comments »

I just uploaded some new video from the Community Hospital South Groundbreaking, last night we pushed out the actual ceremony footage, and today introduced a new video album featuring employee videos about the new facility.

Check out the site at http://eCommunity.com/south and click on “Videos” area.
Here is a YouTube playlist featuring the Community Hospital South videos:

All in all, I think the new website is probably the best work we’ve done, and I am excited to do some of this for our other facilities.

Never Violate the Back Button

Posted on June 18th, 2008 in Uncategorized | No Comments »

We just made an update to the Find a Doctor application on eCommunity.com, basically an update to correct some application flow issues.  One of the major issues was our attempt to stop users from using the back button because it was causing issues with the session and search results of the application.  It was causing several unintended effects like not being able to come back to a profile page or leave a profile page each occurred in a different set of circumstances.

Shouldn’t have done this in the first place.

Attempting to stop back button use is a major usability must-not-do.  There are many articles and books and web pages discussing this usability problem.  Probably the most famous is Jakob Nielsen’s “The Top Ten Web Design Mistakes of 1999” which still applies today.

I recently read his book “Prioritizing Web Usability” (written with Hoa Loranger) which was published in 2006 and many of the usability problems that he wrote about in 1999 are still relevant today and relevant for the future.  It shows how timeless design issues can be and that developers who don’t understand the past are doomed to repeat design mistakes of earlier developers.

New website for Community Hospital South launched!

Posted on June 17th, 2008 in Uncategorized | No Comments »

Since Maggie beat me to posting about the new site for The Indiana Heart Hospital, I am going to get in on announcing the new Community Hospital South website.

This site was launched at the end of the day yesterday, and the groundbreaking ceremony is happening today. I am particularly proud of this site, and we have recieved some great feedback so far. The site will be updated tomorrow with videos of today’s groundbreaking event, and will be featuring a blog in the future to update patients, visitors, and employees with news about the project.
What makes me most excited is that South is using a new template and framework that we will be rolling out to the rest of eCommunity in the future.
It’s been a crazy couple of weeks, but we launched two new sites, which is a great feeling!

New Web site for The Indiana Heart Hospital

Posted on June 12th, 2008 in Uncategorized | No Comments »

We have redesigned and reorganized the Web site for The Indiana Heart Hospital. We will continue to build it out and add more functionality over the next week. Take a look and let us know your comments!

www.HeartHospital.com

P.S. Coming soon…a new Web site to commemorate the Next Evolution of Community Hospital South. Look for it around the groundbreaking on June 17 at www.eCommunity.com/south

EnTwined

Posted on June 7th, 2008 in Uncategorized | No Comments »

I was reading my month old copy of Wired today and they had an article about Twine which is a Semantic Web software to filter and provide users based on their browsing history and bookmarks. It’s the type of application that I have been discussing in my last few posts.  And it supports what I’ve been writing about.

I visited the site to sign up and they are only accepting applications for the beta release which is disappointing.  I wanted to use this site.

I read some of the articles on the press page and some of them were extremely intriguing discussions of Web 3.0 and the Semantic Web.