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Author Archives: Hal Amens
New Medical Role: Tracker

Two recent news stories caught my eye. One is about a pharmaceutical package produced by Proteus Biomedical, a U.S. company, that will be on the market in the UK this fall. A patient’s medication will be shrink wrapped for each dose. As an example, the first package in the morning may include four pills for medication and an additional pill. When the patient opens the package and swallows all five pills the fifth one is activated by liquid in the… read more >
Improve Healthcare by Removing Obstacles

There are two ways to improve a process. The most common is to figure out how to do itdifferently. The other is to remove the obstacles that keep it from working as well as it should in its current form. Doing it differently is more dramatic but often more costly and almost always more difficult to implement because it requires more changes and there is a natural human tendency to resist change. Some examples: Elderly patients have to deal with… read more >
Posted in Health Research, Patient Safety, Public Health
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Take Your Medicine

In today’s complex world simple solutions can still be effective. Widespread press coverage of an article published in the Nov. 14 online edition of the New England Journal of Medicine, to coincide with its presentation at the American Heart Association annual meeting in Orlando, Florida. reported that less than half of patients discharged after a heart attack take their prescribed medications. Patients’ adherence rates ranged from 36% to 49% if they had to make a co-pay of $10 to $25. … read more >
Posted in EMR Research, EMR Usage, Health Research
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EMRs Redefine ‘Available Research Data’

Traditional research almost always starts with a statement about a problem or opportunity, collects relevant data, and then analyzes the data to derive a solution or a strategy. The definition of “relevant data” is derived from the study’s opening statement and scoped by available resources. The rapid evolution of integrated, cloud-based electronic medical record (EMR) systems offers an alternative approach to the data step. You still need a statement about a problem or opportunity to provide guidance and scope for… read more >
Posted in EMR Research, Health Research
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EHR Tracking for Drugs and Devices

Cloud-based, integrated electronic health records (EHR or EMR) systems provide a new paradigm for the collection and use of data for long term research about drugs and devices after FDA approval — commonly referred to as Phase IV testing. The new paradigm is particularly relevant for drugs and devices for chronic diseases and conditions because long term use may lead to adverse events that do not occur during the shorter term testing required prior to FDA approval. The significance of… read more >
Posted in EMR Research
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