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by Neil Versel, FierceEMR
While dozens of media outlets picked up on a Kaiser Permanente-led study, published in the American Journal of Managed Care, about how a "bundle" of two low-cost medications could prevent heart attacks, nearly every report I saw missed out on one major detail of the report: The researchers would never have found a link without the help of EMRs and predictive modeling technology.
Kaiser mined its KP HealthConnect EMR--its name for the Epic Systems installation across all nine Kaiser regions--to find patients at risk for heart attack or stroke to participate in the study. Once the program started, the EMR helped Kaiser clinicians track their patients' adherence to the recommended treatment.
One of the authors, Dr. David Eddy, is the developer of the Archimedes Model, a computer-based simulator of human health, diseases, behavior and medical interventions. The Archimedes predictive modeling technology, combining mathematics and data mining, helped the researchers forecast which drug bundles would have the greatest effect on prevention of heart disease.
Yes, it's significant to know that the bundle of a statin and a blood-pressure-lowering medication cut the risk of heart attack and stroke by 71 percent in a study group already at high risk for heart disease. But isn't it much cooler to know that the drug combination was less the product of many rounds of trial and error, and more the result of a smart application of an EMR?
Safety TipHospital facilities built today do not include asbestos, but many older buildings still have asbestos components in them. Steam pipes, boilers and furnace ducts were often insulated with an asbestos blanket or asbestos paper tape because of their fireproof and insulating properties. Resilient floor tiles were made from vinyl asbestos. Asbestos cement was employed in roofing, shingles and siding materials. The hazard of this carcinogen increases when the fibers become airborne, and untrained contractors can inadvertently increase risks by cutting, tearing, sawing, scraping, or sanding asbestos materials. Elevated asbestos levels can occur in hospitals where old materials are damaged or disturbed. It is best to leave undamaged asbestos material alone if it is not likely to be disturbed. Inhaling asbestos fibers is known to cause mesothelioma and other diseases. Be sure to use an experienced asbestos removal contractor when you need to get rid of old materials that might contain asbestos. |