EMR: electronic medical record
An electronic medical record for a patient at a particular site, providing such functionalities as e-prescribing, order/results management, work-flow tasking, communication and messaging  An EMR is NOT a paper record made electronic
EHR: electronic health record
The sum of a patient’s EMRs and other health- related information from multiple sites

CCR: Continuity of Care Record
Electronic core data set about a patient’s health-care status and treatment, current and historical

What is Pushing You toward EMRs?

• Patient safety?

• Quality improvement?

• Rising healthcare costs?

• Competitiveness?

• Consumer-driven care (participatory health)?

1. Internet resources
2. Personal health records

Evolution not only toward electronic medical record but also to computer-guided and -supported healthcare

What Can You Gain from EMRs?

• More timely, accurate, complete patient information

1. No longer practicing blindly
2. Point of care access to, capture of, transmission of patient information
3. Real-time, remote access

• Improved patient care

• Improved patient safety

• Improved outcomes

• Reduced costs of healthcare

1. Reduced wasteful duplication
2. Improved efficiency
3. Financial squeeze on physicians

• Reduced hassles

• Improved quality of life

1. For yourselves
2. For patients

How Can You Use EMRs for Quality Improvement?

Templates with guideline prompts.  Flow sheets, tables, summaries, etc. as decision aids.  Internal messaging and flags for coordination, self-reminders, goal prompts . Personalized results letters or handouts for patient education. Lab interface for results reporting. Advance scheduling for followup.  Queries to identify patients needing specific care leading to flags or outreach


Remember
EMRs differ for each application,  Different needs, benefits, and implementation paths for different domains/practices/individuals,  Sharing all information is not the goal,  Ask questions! Don’t assume!

more information About ERM & Electronic Prscribing : EHR Software, Practice Management Software, eRx

South Korea’s Digital Cube has launched its latest PMP: the i-Station E9. This iPod Touch look-alike comes with a 3-inch touchscreen, a FM tuner, accelerometer, video output, and support for many media formats including MP3, WMA, OGG, AVI, WMV, 3GP, and DAT. It even includes sound recording capabilities, G-sensor, picture browsing, and an ebook reader and video output, measuring 92×54×13mm, weighing 60g, with a 700mAh LI-ion battery, which supports 12 hours audio playback or 4 hours video playback. The 4GB version sells for about $115 and 8GB for about $132. get information here : Mobile Prices, laptop Price, Mobile Phone Review

(All you need is to say “yes”)

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Next time you find yourself lost despite having a map and satellite navigation, spare a thought for the unfortunate ant that must take regular trips home to avoid losing its way. Dr Markus Knaden, from the University of Zurich, will report that a visit back to the nest is essential for ants to reset their navigation equipment and avoid getting lost on foraging trips. “Knowledge about path integration and landmark learning gained from our experiments with ants has already been incorporated in autonomous robots. Including a ‘reset’ of the path integrator at a significant position could make the orientation of the robot even more reliable”, says Dr Knaden who will speak on Tuesday 4th April at the Society for Experimental Biology’s Main Annual Meeting in Canterbury, Kent [session A4]

Ants that return from foraging journeys can use landmarks to find their way home, but in addition they have an internal backup system that allows them to create straight shortcuts back to the nest even when the outbound part of the forage run was very winding. This backup system is called the ‘path integrator’ and constantly reassesses the ant’s position using an internal compass and measure of distance travelled. Knaden and his colleagues hypothesised that because the path integrator is a function of the ant’s brain, it is prone to accumulate mistakes with time. That is, unless it is regularly reset to the original error-free template; which is exactly what the researchers have found.

When they moved ants from a feeder back to a position either within the nest or next to the nest, they found that only those ants that were placed in the nest were able to set off again in the right direction to the feeder. Those left outside the nest set off in a feeder-to-home direction (i.e. away from the nest in completely the opposite direction to the source of food) as if they still had the idea of ‘heading home’ in their brains. “We think that it must be the specific behaviour of entering the nest and releasing the food crumb that is necessary to reset the path integrator”, says Knaden. “We have designed artificial nests where we can observe the ants after they return from their foraging trips in order to test this.”

What next? The group plan to study other ant species that live in landmark rich areas. “Maybe we will find that such ants rate landmarks more highly and use them, not the nest, to reset the path integrator”, explains Knaden.

2010 brabus mercedes benz viano 1,  The Brabus Viano “Lounge Concept” is a limousine inside a van. This concept Mercedes van is loaded with gadgets and gear to make it a perfect vehicle for work and play. This luxurious van is a mobile office and movie theater on wheels. The plush interiors feature comfortable leather upholstery, a 32-inch LCD screen which serves as monitor too with a Sony Vaio notebook and wireless LAN network. The multimedia van promises plenty of on-board entertainment with a Sony Playstation 3, Dolby surround sound system, a refrigerator and a “Nespresso” coffee maker of the latest generation. There’s even a Vertu Constellation phone to complement the Viano Lounge interior.

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The other notable features include an electrically retractable partition window for complete privacy, emergency seats for bodyguards and other personnel. The Viano V8 is powered by a Brabus 6.1 eight-cylinder displacement engine with 426 hp and with a sprint time of 5.9 seconds from 0 to 100 km/h (62 mph) and an electronically limited top speed of 250 km/h (155 mph) the Brabus Viano V8 is said to be one of the world’s fastest vans. But it’s still a concept. We have also seen the Mobile Office SUV concept by LimousinesWorld and this Brabus Viano comes close to the luxury limousine.

Workers unions from France are not pleased with the transfer of military technology to Brazil recently agreed between Brazilian president Luiz Inácio Lula da Silva and his French counterpart Nicholas Sarkozy.

“There’s something which troubles us in this contract and is the fact that Brazil wants to have its own military air industry and that the agreement with Dassault, the French government and the Brazilian government includes the transfer of technology,” said Dominique Richard, a workers union leader from Dassault Aviation, France’s main aircraft manufacturer.

Dassault designed and builds the Rafale fighter-bomber which France is prepared to sell to Brazil.

On signing a major military hardware agreement with French president Sarkozy, Lula said he was inclined to choose the French fighter Rafale because France is prepared to transfer sensitive technology and would also allow them to be assembled in Brazil.

Brazilian Foreign Affairs minister Celso Amorim also revealed that France is prepared to authorize the sale of those aircrafts to other Latin American countries.

Meanwhile Brazil will continue to consider the French offer for the Rafale, together with Boeing’s F-18 Super Hornet and Sweden’s Saab, Gripen.

Union leader Richard told Brazilian daily Folha de S. Paulo that the agreement threatens Dassault Aviation jobs in France.

Brazilian Defense minister Nelson Jobim has repeatedly said that with French technology, Brazil plans to become the leading military hardware manufacturer in Latinamerica with the largest military-industrial complex in the region.

However from France, Dassault in an official statement denied that the military cooperation agreement reached between France and Brazil, which includes submarines and helicopters, would have a negative impact on French jobs.(by Newsroom)

The iPhone is an undisputed ruler in the mobile phone industry, extending which Sayn Design doesn’t want to leave a single stone unturned to send all in Apple’s favor. And the consequent product is the Apple iPhone 3G limited Diamond deluxe Gold Edition that comes wrapped in 24k gold, together with an integrated 18k Gold Sayn Design crown, which is decorated with 0.20 carat brilliant cut diamonds. Touting the German handcrafted tradition, the Apple iPhone 3G limited Diamond deluxe Gold Edition is further enhanced with 53 (50 carat) diamonds. Installed with all the basic features of the iPhone 3G and Sayn Design themes and background pictures, the limited edition luxury phone will come in a limited edition of 500, each of which will come wrapped in an exclusive wooden box.

A pulsating evening shower may shed fatigue from your tiresome day at work, if you are not one of those sophisticated souls who badly require a spa before going to the bed. Meeting the needs of both stylish and sturdy, the Hidrobox has come up with a contemporary shower head dubbed “Zenith” that creates a spa-like experience within your personal bathroom. For the ultra modern showerhead, apart from its basic range, is also available in a chromotherapy lighting option. In addition to this, the Zenith gives the users an option to choose from Circle, Oval and Quadra forms according to their individual needs. Finished with a solid material, “Scene,” the trendy shower heads not only look good but presenting an ergonomic design work ably as well. The Zenith shower heads with chromotherapy light are available in white and black shades, for $3995 and $4422 respectively.

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(CNN) — As the “B” in BRIC (one of the world’s fastest-growing economies alongside Russia, India and China), Brazil may very well owe its force to an emerging business and technology district in the heart of Sao Paulo, centered around an upscale avenue called Luis Carlos Berrini in the neighborhood of Brooklin.
The modern buildings of Morumbi in Brooklin line the Marginal highway along the Pinheiros River.

The modern buildings of Morumbi in Brooklin line the Marginal highway along the Pinheiros River.

“There’s been a transformation from a sleepy outpost in Sao Paulo to perhaps the city’s most dynamic area in terms of new growth, new buildings and new companies,” observes Bill Hinchberger, the founding editor of Brazilmax, an online travel guide to Brazil.

Of course, this transformation didn’t happen overnight. Development began in the 1930’s, from a quaint rural outpost to a middle-class residential neighborhood of predominantly single-family, chalet-style homes of German and British expatriates, alongside a favela.

The commercial growth of Brooklin — named after the now-defunct New York trolley-car line which terminated in that neighborhood — began with the general movement of banks from Rio de Janeiro to Brazil’s biggest city near the country’s newly established (yet diplomatically dull) capital of Brasília in 1960.

In the following decades, more brands and businesses moved over from Rio to Sao Paulo, hotels took over vacant lots, and the favela was razed to make way for more office buildings.

While residential (as well as dining and nightlife) development has been slow to develop in comparison, the influx of outsiders and renewal of generations has resulted in a stimulating mix of new residents and commuters.
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“Since the development of the late 1990’s, Berrini is becoming the fourth downtown of Sao Paulo, after Centro, Paulista (a symbol of the 20th century city) and Faria Lima [in neighboring Pinheiros],” says Hinchberger, who lived in Brazil from 1986 to 2008, most of that time in Brooklin.

Today, the region around Avenida Berrini hosts a quorum of high-technology multinational firms and their executives, including AT&T, HP, LG Electronics, Microsoft, Nokia, Oracle, Philips, Samsung, Sun Microsystems, and even Coca-Cola and Pepsi.

But perhaps more telling is the shift of headquarters of Brazil’s largest and internationally renowned media conglomerate, Globo, from its traditional home in Rio to its new stronghold in Brooklin, Sao Paulo.

Other Brazilian media and IT giants such as Terra Internet and Abril have also set up shop on Avenida Berrini, with a slew of software start-ups filling in the side-streets.

So is Berrini set to be Brazil’s own up-and-coming Silicon Valley?

“I think it’s overblown to call it a Silicon Valley,” responds Hinchberger.

“Brazil has a problem in terms of IT with fairly restrictive laws on the importation of hardware, which just makes everything more expensive. The price of any computer is about twice as much as in the U.S. Even local manufacturers don’t charge cut-rate prices, because they know they can get a free ride [on the market rates].”

But if general access to hardware hinders distribution, Hinchberger agrees that software for Web and mobile development is soaring.

This should come as no surprise, given that Brazil is the world’s fifth-largest country in both area and population, and ranks fifth worldwide in number of mobile phone and Internet users.

Mobile mecca

With a population of 190 million, Brazil registered over 152 million mobile phones (of which 3.2 million 3G devices) as of February 2009, resulting in a market penetration rate of 80 percent, according to the Brazilian telecommunications portal Teleco.

Teleco also reports that Brazil’s four major carriers — Vivo, TIM, Claro and Oi — together hold 91 percent of the market.

And let us not forget, Sao Paulo is the world’s fourth-largest city, as well as Brazil’s biggest and richest megalopolis.

Among the foreign companies with their foot in the door of this exploding online and mobile market is the year-old start-up Nimbuzz — headquartered in the Netherlands, with its first overseas office in Sao Paulo — which offers a free, mobile solution for instant messaging, VoIP calling, file sending and social networking through existing platforms.

“Nimbuzz is located about five minutes from Avenida Berrini,” says Marcelo Calbucci, Nimbuzz’s Brazilian marketing analyst.

“Many direct-to-consumer companies (D2C), operators, Internet companies and general technology companies are located around Berrini, so the location has helped in meeting new opportunities and building business relationships more frequently, with companies that relate directly to Nimbuzz’s core business.”

But while some 152 million Brazilians may have a mobile handset, a staggering 80 percent of them use a pre-paid phone card, making the public’s investment in mobile services a challenge.

Nimbuzz, however, remains optimistic about evolving mentalities, as the company’s Berrini branch focuses on shifting Brazilians’ already buzzing online activity to their handheld devices.

“The online social habits of the Brazilian population match Nimbuzz features, mainly with Orkut and MSN, but with good participation also from Skype, Facebook, Twitter, MySpace and others,” says Calbucci.

Just around the corner from the Nimbuzz office is Brasigo, another year-old start-up, which offers an online space for Brazilians to interact and share with each other, beginning with a user-generated question-and-answer service.

Like Nimbuzz, the company may be starting small, but unlike global models such as Yahoo! Answers, Brasigo has the advantage of being born and raised in Brooklin(by Cherise Fong, For CNN)