Archive for the ‘Uncategorized’ Category

Two more weeks of testing

May 2, 2010

The past two weeks have been very busy. I have been on-site at the office of Carolina Oncology Specialists working with the doctors, nurses and staff who will be using Ankhos, and there is a lot of work to be done. Two of the major improvements which have come from this most recent week have been:

Regimen creation UI: While the regimen framework has been fully able to represent and create the complicated chemotherapy regimens designed by the doctors, the UI is not yet ‘easy to use’  in this regard. The doctors and I spent some more time hashing out ideas and hopefully the next iteration will be better.

We are trying to focus more on the vocabulary of the user. For instance, being able to program “once a week for three weeks, skip a week and then a fourth treatment” is more natural to a MD than specifying “Days 1,8,15,29″ for a treatment. We need to figure out how to fit that into a UI.

FTP file dump ingest:  I was able to set up the web server and get the automatic file ingest working. The lab machines are currently set up to dump a file each time a patient has their blood drawn.  This folder has never been emptied.  Ever. This means around 64 thousand files are in each of these folders (multiple machines * multiple office sites = multiple folders)
My original script simply looped through the files in the directory in Python determining, by the modification date of the file, which files to ingest. I quickly learned that this was entirely too slow. What I ended up having to do was perform a ‘ls’ or ‘dir’ command on the directory using the Python subprocess package and let the filesystem do the sorting for me. I’m sure there is a log(n) process in there somewhere, because it certainly made the ingest time acceptable.

So little Internet, so much to do

April 9, 2010

I’ve been moving this whole week and have been away from my computer and the Internet.  As refreshing as it has been, I haven’t been able to keep up with posts this week.  Next week we should have tons to talk about though…

Next week we are having our beta tests in-office in North Carolina (My new state of residence).  I can’t wait for a wider audience for complaints and criticisms. I love encountering ideas I had not thought of before, and hopefully we’ll coax a lot of those out of our users in these tests.

See you next week (Now, with 20% more Internet!!!)

EMREHRAG!

February 24, 2010

EMR and EHR Acronyms are Great. I listened in on a teleconference yesterday on the meaningful use guidelines and I thought I’d share the list of acronyms they were using. As for the call, there were no surprises.

A/I/U –Adopt, implement or upgrade
CAH –Critical Access Hospital
CCN –CMS Certification Number
CDS –Clinical Decision Support
CMS –Centers for Medicare & Medicaid Services
CY –Calendar Year
EHR –Electronic Health Record
EP –Eligible Professional
eRx –E-Prescribing
FFS –Fee-for-service
FY –Federal Fiscal Year
HHS –U.S. Department of Health and Human Services
HIT –Health Information Technology
HITECH Act –Health Information Technology for Electronic and Clinical Health Act
HITPC –Health Information Technology Policy Committee
HIPAA –Health Insurance Portability and Accountability Act of 1996
HPSA –Health Professional Shortage Area
IFR –Interim Final Rule
MA –Medicare Advantage
MCMP –Medicare Care Management Performance Demonstration
MITA-Medicaid Information Technology Architecture
MU –Meaningful Use
NPI –National Provider Identifier
NPRM –Notice of Proposed Rulemaking
OMB –Office of Management and Budget
ONC –Office of the National Coordinator of Health Information Technology
PQRI –Medicare Physician Quality Reporting Initiative
Recovery Act –American Reinvestment & Recovery Act of 2009
TIN –Taxpayer Identification Number

Webfaction, I love you

January 14, 2010

I have a few pet projects that I keep on a public website. I recently switched to Webfaction and have loved every minute of it so far. They have detailed documentation for setting up different applications as well as ‘…for dummies’ installers for anything you can think of: django, ruby, etc. I highly recommend them. SSH access from the get-go, too. (not all providers allow that by default) They have a public status blog which shows their users what problems are occurring (if any) and what they are doing to fix it.  A little explanation of a problem and a description of efforts to fix it go a long way to customer satisfaction.

This blog is not updated often, if you get my drift…

Oncology EMR requirements, the official version

January 7, 2010

I picked this article up today from the Journal of Oncology Practice. It explains in great detail the types of things we are trying to accomplish with Ankhos.  If you have 15 minutes to read and a burning desire for a well-written article on oncology practice safety, give it a read.


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