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STANFORD, CA – Data mining and electronic health records helped researchers at some of the country’s most prestigious universities discover a dangerous of a common drug combination.

A widely used combination of two medications may cause unexpected increases in blood glucose levels, according to a study conducted at the Stanford University School of Medicine, Vanderbilt University and Harvard Medical School. Researchers were surprised at the finding because neither of the two drugs – one, an antidepressant marketed as Paxil, and the other, a cholesterol-lowering medication called Pravachol – has a similar effect alone.

The study relied on an adverse-event reporting database maintained by the U.S. Food and Drug Administration and on sophisticated electronic medical records used by each of the three participating institutions. They used data-mining techniques to identify patterns of associations in large populations that would not be readily apparent to physicians treating individual patients.

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BUDAPEST, Hungary – Large populations, geographic disparities and legacy infrastructure problems can derail national health IT projects. Estonia suffers from none of these factors.

The Baltic state implemented a national EHR in 2009 at a cost equivalent to €7.50 (roughly $10 USD) per citizen.

Madis Tiik, CEO of the Estonian E-Health Foundation, who managed the project, described the short path to a fully integrated EHR network currently used by 47 pecent of the country's residents.

Launched in 2009, the EHR is built on Estonia's X-Roads network, Tiik told attendees of eHealth Week 2011. X-Roads is a secure gateway service architecture that hosts 3,000 e-services available to Estonian citizens. In January 2010, the eHealth Foundation launched a companion health insurance system for claims, reimbursement and prescription management.

"In many countries, I have seen that the task is to integrate the healthcare system," said Tiik. "There is also the concept of the personal health record. In Estonia, we decided that all this functionality will be in our national EHR."

All end-users of Estonia's EHR system can access their full personal health records. There's nothing a physician can see that a patient cannot. And with nearly half the country's residents using the system within two years of its launch, the project appears viable for the long term.

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WASHINGTON – Two former U.S. senators, one a Republican, the other a Democrat, do not have to cross the aisle to work together. Tom Daschle, the Democrat who represented South Dakota from 1987 to 2005, and Bob Bennett, the Republican who represented Utah from 1993 to 2011, pretty much see eye to eye these days – at least on the subject of health information technology.

Healthcare information technology is a topic that is front and center at the Bipartisan Policy Center, which was founded by Daschle along with other former senators – George Mitchell, Bob Dole and Howard Baker. Bennett joined the center as a senior fellow this past February.

[See also: Daschle withdraws from nomination for HHS Secretary.]

On April 26, Daschle and Bennett joined the nation’s new healthcare IT chief Farzad Mostashari, MD, on a panel that explored the challenges of converting the nation’s healthcare system from one that is mired in paper to one that is digital and interoperable.

Daschle described the U.S. healthcare system today as one that is not a system at all. “We have a marketplace and a collage of systems,” he said. “What we have is a 21st century operating room and a 19th century administrative room,” he told an audience gathered at the nation’s capital to hear the three men speak.

Daschle said there are too many “stovepipes” in healthcare. It’s hard to find the right data at the right time, he said, and healthcare is the least transparent of all the sectors of the economy. “If you can’t see it, you can’t fix it,’ he said.

On the fix-it end of it, Daschle sounded hopeful.

“We are at the most transformational time in our nation’s history as it comes to health,” he said.

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DENVER – HealthGrades, a website for patients researching and selecting physicians, announced Wednesday the launch of a new Web-based tool that empowers physicians and practice administrators to take control of their online reputation.

The free, secure Web application encourages ongoing physician engagement to verify and modify the information HealthGrades makes public in more than 750,000 online physician profiles. The HealthGrades Physician & Provider Portal is being officially unveiled at this week’s American Medical Group Association (AMGA) annual conference in Washington D.C.

“As a physician, I understand the professional challenge doctors face in managing online information,” said Rick May, MD, HealthGrades vice president, accelerated clinical excellence. “But public reporting is here to stay and will likely only increase in scope. It is time physicians leveraged the power of the Web to benefit their patients and their practice. As the most heavily trafficked physician search site, HealthGrades is uniquely positioned to help.”

HealthGrades’ enhanced Portal is designed to enable physicians to take control of their online reputation, offering them the opportunity to respond publicly to patient satisfaction ratings, and assisting doctors in actively attracting the most appropriate patients. For example, adding customized and detailed information about medical areas of expertise, and a brief description of practice style helps patients better match with the right physician who meets their specific needs and expectations.

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SACRAMENTO, CA – California Connects, a federally funded program designed to increase broadband access among underserved communities for improved access to resources like healthcare information, celebrated its official launch Wednesday at American River College in Sacramento.

Officials said the debut of the program marks the start of a multi-year effort to address California's digital divide and help increase the number of broadband Internet users throughout the state by more than 61,000 people.

[See also: Obama gives HIT the nod in State of the Union speech.]

California Connects will involve intensive training and outreach to expand Internet usage in communities that still have limited access, with an emphasis on the Central Valley, where there is still a high concentration of residents not using the Internet. The program aims to provide thousands of underserved Californians with online tools and training to enhance their lifelong learning ability, improve their economic and healthcare status and advance their general quality of life.

[See also: Studies: Health IT has big impact on rural and minority communities.]

California Assemblywoman Susan Bonilla (11th District) joined California Community Colleges Chancellor Jack Scott, Los Rios Community College District Chancellor Brice Harris, and Foundation for California Community Colleges President Paul Lanning to commemorate the launch of the program, made possible by a $10.9 million grant from the Broadband Technology Opportunities Program (BTOP) administered by the U.S. Department of Commerce's National Telecommunications and Information Administration (NTIA).

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