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Obama Administration advocates digitizing patients' records

According to a recent New York Times article, Tech Companies Push to Digitize Patients' Records,  demand to computerize patients records has skyrocketed and the Obama Administration has committed $19 billion to encourage hospitals and doctors move into the digital age.
 
"To proponents, electronic health records, when thoughtfully set up and deployed, are a modern tool to improve care and help curb costs. They hold a patient's health history, medications, lab tests and, when connected to databases, treatment guidelines. The potential benefits include fewer unnecessary tests, reduced medical errors and better care so patients are less likely to require costly treatment in hospitals."



NTR Lab joins ORACLE PartnerNetwork

NTR Lab has extensive experience developing complex information systems based on Oracle. Now our competence is confirmed by official Partnership.
"Oracle is the largest business software company in the world, with more than 320,000 customers including 100 of the Fortune Global 100."  


19-Aug-2008

Patient information in a digital world

Accessibility of patient health information is a very sensitive issue and security is the greatest impediment to the overall penetration of information technology in the healthcare system.
In his New Year message on the NHS, UK Prime Minister Gordon Brown stood up for the need for available patient information pointing out that not only can patients with long-term and chronic conditions play a more active role in managing their own condition, but also healthy people benefit from information regarding potential health risks and prevention methods.

Some doctors have already turned the ideas into reality. Dr. Amir Hannan, from Hyde, Chesire, enables more than 300 patients to view their records over the internet. They can see their full consultation record and use websites such as www.labtestsonline.org.uk and www.besttreatments.bmj.com to find out more.

Another GP who has given his patients Internet access to their records is Dr. Richard Fitton from Derbyshire; he sees it as an opportunity to provide more health information than possible in a typical ten minute consultation.

The popularity of such patients' networking communities as Patient Information Forum (PiF), Patient Opinion and Horsesmouth proves people want to be involved and educated about their health. Sharing their experiences, patients themselves create medical knowledge. The pool of information, experiences and ideas can give a patient confidence to question a doctor when discussing conditions and treatment, although some might scare themselves with an inaccurate self-diagnosis,

Additionally, the UK government has invested in help lines (NHS Direct and NHS24) offering self-care advice for cases when an immediate appointment with a professional is not possible.

However, technology-based patient support systems in no way replace personal interaction with a professional, nor are they meant to do so. But a cost-effective way to deliver the right information to the right place and at the right time would be of enormous value to the conventional healthcare system and technology can provide the means.
 
 


4-Apr-2008

Microsoft Certified Partner status obtained by NTR Lab

On March 14, NTR Lab became a Microsoft Certified Partner, an industry benchmark for software developers. It's a major achievement of the company guaranteeing our technical expertise and adding a competitive edge.

In order to qualify, we
  • supplied the required number of references; and
  • completed special training and passed Microsoft-developed certification exams.
NTR developers now have the proven ability to deliver solutions featuring Microsoft products.

As NTR CEO Nick Mikhailovsky says: "We have long neglected any formal certifications assuming that the quality of the work we do speaks for itself. However, considering the increasingly comparative IT market and  the substantial increase of our services to blue-chip corporations, we believe that Microsoft certification will fortify our position as a credible and competent player in the software development outsourcing market."


5-Feb-2008

National Programme for IT. Survey results

A survey for the Times of London newspaper by Doctors.net.uk, a medical network website, at the end of 2007 asked 11 questions regarding attitudes towards the National Programme for IT (NPfIT). The findings revealed mixed feelings about it.

The 640 respondents expressed their support for NPfIT, with 70% saying they were confident that centrally available patient data will improve patient care; however, 80% of GP respondents and 77% of consultant respondents said they were not confident or very worried. The low level of confidence should be addressed by clearly demonstrating to both medical staff and patients just how secure electronic healthcare systems really can be.
 
78% of consultants and 53% of GPs agree that care would be improved, but only 29% of respondents thought that the medical profession was prepared for the transition to electronic records while 66% said it wasn't and 5% weren't sure. More than half of the respondents did not believe that local NHS organizations were prepared to protect patient data privacy.

Although the focus of the article was on EMR security, one commenter points out cases of outrageous security breaches by hospital staff. For example
  • no IDs were required when they visited a hospital to discuss the software the LSP was testing despite their walking unescorted through patient areas;
  • medical records left out and accessible during visiting hours;
  • no proof of identity requested when visiting a GP even when the patient was a stranger; and
  • doctors discussing test results in public.
In fact, medical privacy and security relies on the discretion and efforts of the people involved - doctors, hospital staff, insurance personnel, etc. Whether it's the current paper system or the coming electronic medical records there will be cause for concern as long as security and privacy are low priority and only receive lip service from these groups.
 


1-Nov-2007

E-Health Insider's Healthcare IT Careers Forum

E-Health Insider's Healthcare IT Careers Forum is to take place at the Hotel Russell, London, on 30 November 2007. The aim of the forum is to help healthcare IT professionals to find out about new jobs, training, education and networking opportunities.
 
Free seminars will help you improve your interview techniques, polish up your CV and discover new development pathways. A range of exhibitors from the NHS and independent sector will be there to talk about the opportunities available in their organizations.
 
You can register for this event for free at http://www.eventsforce.net/HealthCareersForum.
 


25-Oct-2007

A new era in healthcare interoperability

 Integration and interoperability are considered essential elements in digital healthcare systems development; however, integration is no longer about incorporating only local administrative and clinical systems, but includes a variety of remote systems, too. Phil Birchall, Director of Healthcare Business Development at InterSystems, says that NHS Trusts and others involved in healthcare have entered "a new era of interoperability, based on more complex business-critical needs."
 
The demand is growing for advanced solutions, such as order communications, results reporting, e-prescribing, radiology/PACS (picture archiving and communication systems) integration, e-referral and discharge summary. The deployment of such solutions requires that real-time data exchange be performed in person by the clinical staff and that means that IT must be an integral part of patient-care delivery.
 
 Additionally, healthcare organizations are being forced to respond to nationwide business initiatives, such as electronic referrals, demographic service integration, electronic prescription transfer, doctor2doctor record transfers, links with social services as well as new e-health applications, such as telecare (healthcare initiatives provided by phone), requiring still more interaction with other institutions and systems. Sites running their own local patient administration systems interfaced to local clinical and departmental applications also need to interact with national applications, including the Spine Personal Demographic Service and England's Choose and Book.
 
Every country is gearing up to furnish cost-effective healthcare to an increasingly aging population and innovative IT as a major player in meeting modern healthcare challenges. 


24-Aug-2007

Public holidays 2008

The Russian government has approved date changes in following Russian holidays:
 
the Day of Spring and Labor         May 1 and 2 but we're working May 4;
the Day of Russia                          June 12 and 13 but we're working June 7;
People's Unity Day                        Nov. 3 and 4 but we're working Nov. 1.
 
Be sure to check our complete holiday schedule
 


10-Jul-2007

Hybrid EMR

A poll by QuadraMed shows that, in spite of privacy concerns, once there was a good understanding of the benefits of electronic medical records the majority said that EMR would increase the quality level of care they receive; the efficiency of the overall healthcare system; and the likelihood that they would choose a doctor or hospital using EMR.
 
Since the transition to electronic medical records is an inevitable necessity in order to improve the healthcare system, one way to mitigate the associated fears, is the idea of "hybrid" medical records.
  
In an article by Richard Pizzi, Associate Editor at Healthcare IT News, hybrid medical records is defined as including both paper and digital files and is suitable for "those healthcare institutions unwilling or unprepared to make a complete transition to electronic medical records."
 
The transition to EMR is burdened by risk, work slow-downs and excessive inconvenience due to the enormous amount of current and legacy hard copy data in medical institutions.
 
Raymond Gensinger, Jr., MD, currently Deputy Medical director at Hennepin County Medical Center in Minneapolis, says, "A hybrid record is a kind of risk mitigation strategy..." He said there are two types of hybrid record: a combination EMR and paper chart, and an EMR with document imaging, pointing out that the latter option fits best if an institution hopes to become completely electronic sooner rather than later." At the same time, it eliminates the need for maintaining a paper chart, along with its associated storage and cost issues.
 
Not everyone agrees. "Andrew Mellin, MD, vice president of advanced clinical technology at San Francisco-based McKesson Healthcare, claimed that the "big bang" approach would mean a much faster return on productivity in the hospital..."You must have strong leadership for the big bang transition to work," Mellin concluded. "It has to be a priority from the very top.""
 


4-Jul-2007 

Offshore software developing companies in Russia pursue partnerships

According to an article by Wayne Rash, posted in eweek.com on June 22, 2007, "The Russian software development industry is working to move away from traditional outsourcing models, relying more on becoming partners with overseas companies and touting talent and innovation over cheap labor"... According to Valentin Makarov, president of the Russoft Association, "When you come to Russia, the question is, 'What is your problem?'... this approach is different from that used in most of the rest of the world, where programmers simply code to a specification and provide no input into whether the specification makes sense. You create a joint team."

Unlike many IT companies in India, China or South America, the Russians are looking for stable, long-term relationships, which are more sustainable due to the industry's low turnover. "I call it team-sourcing," Makarov said. "You have a team dedicated to solving just your problems."

A distinctive feature of Russian programmers is their initiative in applying creative thinking to define a problem and a solution, adding exploratory work and personal input to the typical development process.

Additionally, Russians are more appealing to Western clients because of their cultural alignment to the West. Alex Adamopoulos, general manager and senior vice president of Exigen Services, in Boston, says, "There's a strong collaborative effort as part of the [Russian] culture. This [country] is very results-oriented rather than task-oriented. That also leads to a more successful engagement. These are people who solve business problems."

Russian software developers have strong engineering, software and electronic skills, and are especially good at the Agile Alliance methodology, social networking technology and embedded systems.

Dmitry Loschinin, president of Luxoft, in Moscow, summed up saying, "Companies looking for commodity programming for well-defined tasks might do better in India or elsewhere. But for new development, or systems where you need to put a lot of things in place before you start coding, Russian talents can contribute to success."

 


21-Feb-2007 

McKinsey on outsourcing to Russia

The authors of a recent McKinsey research suggest that the potential of outsourcing to Eastern European countries is overlooked, despite the obvious advantages: low wages, strong technical education, low risk and cultural/geographical proximity to Western Europe. However, McKinsey estimates that offshoring activity to these countries could triple in the next three years. (Outsourcing to Eastern Europe in the McKinsey Quarterly).
 
 
A PDF version of the article is available here


19-Feb-2007

ZDNet on outsourcing to Russia

To the point: ZDNet's discussion of recent trends and perspectives of outsourcing in Russia, with official information from deputy IT minister Dmitry Milovantsev, facts about Russian education and a fabulous photo gallery of Russian sights.



11-Oct-2006

NTR acquires Synergo

October 1, 2006 - Tomsk, Novokuznetsk. NTR's Siberian Information Systems division in Tomsk has acquired Synergo, its Novokuznetsk partner company. The two companies have successfully completed several projects since they started working together in early 2006.

The new unit will specialize in accounting and business management solutions, primarily for local customers, and development projects for international clients. Konstantin Davkaev will continue to head the Novokuznetsk office; the current eight-person staff is projected to grow to 30 people by the end of 2007.




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