{"id":10759,"date":"2011-11-25T23:14:47","date_gmt":"2011-11-26T04:14:47","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=10759"},"modified":"2011-11-25T23:24:48","modified_gmt":"2011-11-26T04:24:48","slug":"ehr-data-spurs-real-time-evidence-based-medicine-nejm-health-it-exchange","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2011\/11\/ehr-data-spurs-real-time-evidence-based-medicine-nejm-health-it-exchange.html","title":{"rendered":"EHR data spurs real-time evidence-based medicine (NEJM \/ Health IT Exchange)"},"content":{"rendered":"<p><a href=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2011\/11\/nejm-logo.gif\" data-rel=\"lightbox-image-0\" data-rl_title=\"\" data-rl_caption=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-10761 alignleft\" title=\"\" src=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2011\/11\/nejm-logo-300x50.gif\" alt=\"\" width=\"300\" height=\"50\" srcset=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2011\/11\/nejm-logo-300x50.gif 300w, https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2011\/11\/nejm-logo.gif 482w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>Wow. Todd Park, Chief Technical Officer at HHS, ought to be jumping out of his skin with joy at this one.<\/p>\n<blockquote><p>This time,\u00a0<a href=\"http:\/\/en.wikipedia.org\/wiki\/House_(TV_series)\"><em>House, M.D.<\/em><\/a>\u00a0fans, it\u00a0<strong><em>was\u00a0<\/em><\/strong>lupus. The article\u00a0<a href=\"http:\/\/www.nejm.org\/doi\/pdf\/10.1056\/NEJMp1108726\">\u201cEvidence-Based Medicine in the EMR Era\u201d<\/a>\u00a0published in the Nov. 10 issue of the\u00a0<em>New England Journal of Medicine<\/em>\u00a0might have read like a\u00a0<em>House<\/em>\u00a0television script, but it was a real-life glimpse of what the most optimistic health IT advocates are hoping\u00a0<a href=\"http:\/\/searchhealthit.techtarget.com\/tip\/How-BI-enhances-evidence-based-decision-making-in-health-care\">will become commonplace<\/a>\u00a0in U.S. health care:\u00a0<a href=\"http:\/\/searchhealthit.techtarget.com\/healthitexchange\/CommunityBlog\/evidence-based-medicine-and-the-business-of-health-care\/\">Mining EHR data to arrive at treatment decisions.<\/a><\/p><\/blockquote>\n<p><a href=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2011\/11\/HealthITExchange_headerLogo.png\" data-rel=\"lightbox-image-1\" data-rl_title=\"\" data-rl_caption=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-thumbnail wp-image-10767\" title=\"\" src=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2011\/11\/HealthITExchange_headerLogo-150x68.png\" alt=\"\" width=\"150\" height=\"68\" \/><\/a>In a Health IT Exchange piece (on TechTarget)\u00a0<a href=\"http:\/\/searchhealthit.techtarget.com\/healthitexchange\/healthitpulse\/ehr-data-spurs-real-time-evidence-based-medicine\/\">EHR data spurs real-time evidence-based medicine<\/a>, Don Fluckinger summarizes (and dramatizes, accurately) this early specimen of care being transformed &#8211; beyond the literature &#8211; by looking at past records. Faced with a 13 year old lupus patient with a complex problem (see article for details)&#8230;<\/p>\n<blockquote><p>In four hours, they did a retrospective study of similar patients in the hospital\u2019s data warehouse&#8230;, and decided to move ahead with the treatment based on the previous results of 98 [similar patients] &#8230; The authors said they will never know if they made the \u201ccorrect\u201d decision, but they did know that \u2014 in absence of randomized trial research to support their decision \u2014 they acted on the evidence of the best data available, coupled with their experience.<\/p>\n<p>\u201cOur case is but one example of a situation in which the existing literature is insufficient to guide the clinical care of a patient,\u201d the authors wrote. &#8230;<\/p><\/blockquote>\n<p><!--more-->What are we waiting for, people?? \u00a0Imagine if doctors were able to access <em>all <\/em>of our records, or at least those of us who opt in, so <em>your <\/em>doctors (your kids&#8217; doctors, your mom&#8217;s) can go beyond the limitations of peer reviewed literature &#8211; and <em>provide better care. Make better use of their training and experience.<\/em><\/p>\n<p>So often we&#8217;re all hampered because the ideal information doesn&#8217;t exist. When the information <em>does <\/em>exist, isn&#8217;t it a tragedy to limit the quality of care because the frickin&#8217; data is isolated in silos?? Let&#8217;s connect &#8217;em! Health information exchange! Aggregate! Summarize! Analyze!<\/p>\n<p>Let&#8217;s get to work! <em>Data liberaci\u00f3n<\/em>, as Todd says!<\/p>\n<p>Congrats to these Stanford docs &#8211; and thanks yet again to @ICMCC for spotlighting this in their excellent daily newsletter. This was in their <a href=\"http:\/\/articles.icmcc.org\/2011\/11\/21\/10-most-read-articles-week-13-november-2011\/#more-22720\" target=\"_blank\">10 Most Read<\/a> for the week of 11\/13.<\/p>\n<p>p.s. And now let&#8217;s see House welcome contributions from engaged patients and families, bringing in the results of <em>their <\/em>research!<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Wow. Todd Park, Chief Technical Officer at HHS, ought to be jumping out of his skin with joy at this one. This time,\u00a0House, M.D.\u00a0fans, it\u00a0was\u00a0lupus. The article\u00a0\u201cEvidence-Based Medicine in the [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"give_campaign_id":0,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[367,7,3586,2],"tags":[],"coauthors":[],"class_list":["post-10759","post","type-post","status-publish","format-standard","hentry","category-medical-records","category-positive-patterns","category-research-issues","category-trendsprinciples"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>EHR data spurs real-time evidence-based medicine (NEJM \/ Health IT Exchange) - SPM Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/participatorymedicine.org\/epatients\/2011\/11\/ehr-data-spurs-real-time-evidence-based-medicine-nejm-health-it-exchange.html\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"EHR data spurs real-time evidence-based medicine (NEJM \/ Health IT Exchange) - SPM Blog\" \/>\n<meta property=\"og:description\" content=\"Wow. Todd Park, Chief Technical Officer at HHS, ought to be jumping out of his skin with joy at this one. This time,\u00a0House, M.D.\u00a0fans, it\u00a0was\u00a0lupus. 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