September 14th, 2009

MGG 023 PHR Follow Up with Lygeia Ricciardi

In this episode we pay a follow up visit to a previous show topic: Digital Medical Records, also known as your PHR or Personal Health Record. We interview Lygeia Ricciardi from Clear Voice Consulting, LLC in Washington, DC about this increasingly interesting and timely topic. She has some fantastic insight and we encourage you to tune in to this episode and share with us your thoughts, experiences and ideas regarding digital medical records and the products that best serve you and your health as a PHR.

Follow Lygeia on Twitter

Lygeia also writes for Project Health Design

Topics

  • What a PHR is, where and how you can establish a PHR such as health plans, health systems, employers and what functions they might have
  • The relationship between EMRs (or EHRs) and PHRs and how in the future they will be increasingly linked together in ways that benefit patients and doctors alike
  • How to choose a PHR, what to look for
  • Medical Identity Theft – what can you do to protect yourself? Learn about an “audit trail”
  • Potential benefits of PHRs and electronic health information like research, public health, quality improvement, genetic mapping
  • The US Government’s role in implementation and accountability regarding digital medical records
  • The future of remote health care using technology like video conferencing or mobile applications
  • Aggregating medical data and the implications and benefits it can provide
  • The affect of policies, politics and regulations on Health Information Technology

Tips

  • Ask your health care provider if or what kind of access you may already have to your information that might be able to be ported into a PHR of your choice
  • If you’re looking for a new doctor, ask ahead of time if they use digital medical records and if you might be able to use any of that information in your own PHR

Example: American Academy of Pediatrics Immunization Schedules

  • Be sure to consider portability of the data you input into a PHR; Can you take it with you or move it somewhere else?

Some PHRs To Check Out

Mayo Clinic Health Manager powered by Microsoft HealthVault

My PHR

23andMe - At-Home DNA Testing service

Google Health


August 10th, 2009

MGG 022 Baby 2.0 Tech

We’re gettin’ goo-goo geeky-ga-ga talking about technologies surrounding birth and parenting. It’s fascinating thinking about how far technology has advanced in this area of our lives — or hasn’t in some cases. We’ve gone from polaroid pictures to online web albums; from paper journals to websites and blogs. We’re curious to know what it was like when you were having kids? What kinds of tech was available for new moms and moms giving birth 10, 20 or 30 yrs ago? We want to know what was something you thought revolutionary for its time? It’s all about Baby 2.0 Tech and how we’re ga ga for baby gear — all this week on Moms Gone Geek.

Can you identify the musical reference to a John Hughes movie at the end of the show? What was the name of the movie, song title and artist?

Pay close attention to the lyrics and I bet you can guess the geeky reference it also points to. The answer is at the end of this post for attribution. Don’t cheat now!!

Special Guest

Pat Fauquet of MacMousecalls.com and Partner of Dr. Mac Consulting with Bob “Dr. Mac” LeVitus

Thanks for the awesome feedback to Freida, Jodi Spangler, and SwitchingGranny just to name a few.

Geeky Parenting Meme

Share with us something geeky you did or are currently doing as it relates to conception, pregnancy, parenting, grandparenting, etc.

For example, TheMacMommy used Apple’s iCal to track her fertility for both pregnancies. (Tip: don’t email your husband calendar invitations from your fertility calendar, it’s just not sexy.)

Uber Geeky Mom Allison Sheridan showed Melissa the spreadsheet (pre-Excel days!) she saved of her basal temperature when she was trying to conceive her daughter. What an adorable little memoir!

Baby Registries

Suggestions for Baby Registries

External Hard Drives for backing up all those precious memories and all the data our kids now generate

Products

Pumpin’ Pal

ItsBeen Baby Timer

Digi Time Capsule

Resources

BabyCenter

BabyNames.com

Babyname Wizard

Awesome Geeky Dads at DadLabs.com

Reviews

TheMacMommy Reviews Diaper Pails

TUAW Reviews Parenting Apps for the iPhone

iPhone/iPod Touch Apps

Baby Monitor

Baby Namer

My Baby (for saving your favorite baby names)

Pregnancy Kick Counter

Total Baby

Baby Tracker: Nursing

Baby Tracker: Diapers

Pregnancy Tracker

Special Thanks to Aaron Griffith of Baby Activity Logger for the iPhone.
TheMacMommy will be reviewing the app to report on later. Thanks for the review code!

For Fun

Lilypie Tickers

Lilypie Pregnancy tickers

Bonus Trivia Sound Clip Answer

The Song: “Full of Love
Written by Stephen Duffy and Roger Freeman
Performed by Dr. Calculus

The Movie: “She’s Having a Babydirected by John Hughes 1998

Babies Don’t Keep

Mother, O Mother, come shake out your cloth,
Empty the dustpan, poison the moth,
Hang out the washing, make up the bed,
Sew on a button and butter the bread.

Where is the mother whose house is so shocking?
She’s up in the nursery, blissfully rocking.

Oh, I’ve grown as shiftless as Little Boy Blue,
Lullabye, rockabye, lullabye loo.
Dishes are waiting and bills are past due
Pat-a-cake, darling, and peek, peekaboo

The shopping’s not done and there’s nothing for stew
And out in the yard there’s a hullabaloo
But I’m playing Kanga and this is my Roo
Look! Aren’t his eyes the most wonderful hue?
Lullabye, rockaby lullabye loo.

The cleaning and scrubbing can wait till tomorrow
But children grow up as I’ve learned to my sorrow.
So quiet down cobwebs; Dust go to sleep!
I’m rocking my baby and babies don’t keep.

- Ruth Hulbert Hamilton


August 3rd, 2009

MGG 021 Google Juice

We’re drinkin the Google Juice! It’s so yummy and refreshing! Won’t you join us? We discuss GTD with Google IMAP and CalDAV along with the myriad of apps and products that go good with Google. What the heck are we talking about? Listen to this episode to find out more and get your fill of geeky goodness!

Everything AND the Sync

What is IMAP?

This Nuevasync hack predated Google Sync, but you might want to take a look at it for comparisons. BusyMac was another tool that predated Google Sync, but it costs $25.(whatever blows your skirt up, if you think it’s easier!)

Getting Started with CalDAV Support for Syncing Google Calendars iCal and iPhone or iPod Touch

Syncing Google’s Mail and Calendar Products:

Household CTO Tools of the Trade

As part of my “Nesting” phase during this pregnancy, I became very determined to find a way to easily sync the communications and scheduling information my husband and I share between several devices. Those devices being: our iPod Touch (a.k.a. “The Practice iPhone” or the “Gateway Drug to the iPhone”), MacBook Pro and my husband’s PC at work. Between the two of us, we manage several work and personal email accounts and calendars. Now with children added to the mix, they’ll also have their own calendars for scheduling information like school activities and doctor appointments. I wanted a solution that would enable us to easily see the same information no matter which device was accessed for emails and calendars. I also wanted the ability to read as well as modify each others’ calendars.

Google Calendars

click to enlarge image Fig. 1

For example, our first son now has his own Google account with calendar. He’s only 3, so we manage it for him and share that calendar between all of us. Some time after the baby is born, I’ll likely set up an account for him so I can easily manage his doctor appointments. For the time being, a secondary calendar will work fine. We also have another secondary calendar dedicated to our activities and events — things we do together as a family. This calendar is then shared with other family members like my mother-in-law.

Either my husband or I have the ability to modify each others’ calendars so that any changes made are synced no matter which computer or device is accessed. When my husband is at work, he can easily log in to his Google account and check all our calendars to see what appointments I’ve scheduled here at home. Since he doesn’t have time to make phone calls during the school day at work, if I schedule a doctor’s appointment for him, I can put it directly onto his calendar for him to see and email him a reminder. He’s already entered his work activities so that makes it much easier for me to book appointments when needed and make sure there are no conflicts. If he has an activity that needs to happen after school like a social or after-school meeting with a parent, he can enter it on his calendar while at work and then I will see it when I log in.

Accomplishing Sync Zen

Mail Setuo

click to enlarge Fig. 2

Let’s start with Apple Mail. Here is an example of how I’ve configured my Mail application to manage several accounts at once. (See Fig. 2 and 3) Log in to your Gmail account. Click on Settings in the upper right, then click on Forwarding POP/IMAP and then click the radio button to “Enable IMAP.” You’ll need to do this before you set up accounts in Mail.

Using IMAP with Gmail

click to enlarge Fig. 3

Follow the instructions from Google on how to configure your Mail application. Be careful when reading Google’s instructions for Recommended IMAP Client Settings. I got a little confused and frustrated in the beginning when my messages wouldn’t delete when I deleted them by pressing the delete button on the keyboard or by clicking the delete icon in the tool bar. Manually dragging each message to the Trash folder was annoying. Turns out you just have to ignore the information where it talks about deleting messages off the server. Basically, just leave the Mail trash settings as they are.

Mail vs Gmail

click to enlarge Fig. 4

Google does not explain how to make the Inbox, Draft, Sent and Trash Mailboxes in Mail act as one — or at least not where I saw in the instructions. (See Fig. 4) For that part, I followed the advice found at 5ThirtyOne by Derek Punsalen. Thanks Derek! Here is an excerpt from his instructions: Properly sort Drafts, Deleted, and Sent mail in Apple Mail

Highlight ‘[Gmail] Sent Mail’ in the sidebar and select ‘Mailbox’ (menu bar) > ‘Use This Mailbox For’ > ‘Sent’.

Highlight ‘[Gmail] Drafts’ in the sidebar and select ‘Mailbox’ (menu bar) > ‘Use This Mailbox For’ > ‘Drafts’

Highlight ‘[Gmail] Trash’ in the sidebar and select ‘Mailbox’ (menu bar) > ‘Use This Mailbox For’ > ‘Trash’

Highlight ‘[Gmail] Spam’ in the sidebar and select ‘Mailbox’ (menu bar) > ‘Use This Mailbox For’ > ‘Junk’

Setting Gmail Folders

click to enlarge Fig. 5

If you’re like me and are managing multiple accounts in Mail, you’ll need to repeat those instructions for each folder in each account. I took these instructions a little further and manually dragged — what Gmail calls “labels” which are actually displayed as folders in Mail — to the parent [Gmail] folder in Mail. This is also referred to as an IMAP Path Prefix in the Mail Account Preferences. I achieved it by manually dragging those folders and it was much easier than trying to figure out what to type exactly in the account configuration.

Next, let’s take a look at Google Calendar, Apple’s iCal and the iPod Touch/iPhone Calendar layouts. The colors are consistent. Whatever changes I make on one device are immediately synced to the others.

Following Google’s instructions, I was able to set up several calendars in our separate Google accounts and then manage them in iCal and on the iPod Touch using Google’s CalDAV Calendar Sync. Similar to Gmail, while logged in to your Google Calendar (or anyone else’s), you’ll need to click on Settings in the upper right, then Calendars from the tabs at the top. Once on that page, you’ll need to edit the Sharing Settings for each calendar you set up and also in each account you have access to (See Fig. 6). For my family and I, my husband and I each have access to each others’ as well as Lucian’s Google accounts. I went in to each of their calendars and shared them with myself and gave myself the ability to “make changes and manage sharing.”

Once you have your Google Calendar settings configured, you’re ready to set things up in iCal Preferences.

click to enlarge Fig. 6

Here is what that may look like. (See Fig. 6) Once you have added the “Delegates” you can then make changes, edits, additions, etc. in iCal and they will all be reflected in Google’s web UI (user interface). You’ll notice the individual calendars appear in the left sidebar in iCal. I don’t like the fact that there is a parent for each item. It’s kind of redundant to have to click another triangle down to get to the calendar, but it is what it is for now.

Now let’s move on to configuring the iPod Touch/iPhone. This is where it gets a little tricky. In addition to Google’s instructions on configuring the settings for the iPod Touch/iPhone, you’ll also want to read this article on how to set up the secondary calendars. Google Calendars Sync Both Ways, Including the Secondary Calendars (Special thanks to Allister Jenks for this link!)

click to enlarge Fig. 7

For example, on our iPod Touch, I have added all of the accounts for myself, Lucian, and Nate — both Gmail and Google Calendars. I’ve found it’s really pointless to use POP mail accounts because it’s a pain to have to delete messages on different devices.

click to enlarge Fig. 8

Within my own Google Calendar, I have 2 secondary calendars that I share with Nate and Lucian. One is for my freelance consulting (TheMacMommy) the other for our family activities. I also plugged in the calendar for Moms Gone Geek that I share with Naomi for scheduling. Once they are all added and configured, it’s easy to see them all at the same time and see where conflicts and scheduling might overlap because everything is a different color. I LOVE color-coding everything! It just makes things so much easier to see when you have limited concentration and lots of dis…

click to enlarge Fig. 9

This all seems like a lot of work, and it was, but when you view it in the List view on the iPod Touch or iPhone, it’s all nicely color-coded and cohesive and flows nicely. It was worth all the work and tinkering. I feel much better now! :)

I hope you’ve found this helpful. Remember, you can right-click on the images and load them into another page to see them larger. I blurred out some of the information I didn’t feel comfortable sharing, but I think you get the picture. Ha ha! Picture!! Get it?!!

This concludes my review of how Google Juice does a body good by managing all of your communications as the Household CTO. I hope it’s just as tasty for you!


July 27th, 2009

MGG 020 Online Medical Records: Hip HIPAA Hooray?

Medical Records. Everyone has them. Have you ever had to go on a hunt for your shot records from decades ago because an employer or school required them? How did that work out for ya? Trying to keep track of and remember all of your family’s medical information can be a daunting task. If you’re like most of us, you’ve got a stack or stacks of papers scattered throughout the house — or in one room if you’re really organized! We’re on the lookout for an easier, more efficient way of keeping this information organized and safely accessible when needed.Whether you’re a single person or managing a family with multiple records, or traveling with the military, is an online medical record-keeping service for you? Fast, easy, secure, reliable and compliant is what we’re aiming to find out about services currently available for medical record-keeping. Anything that will help make managing a family easier and more efficient is what we’re all about, so this is what we’re discussing this week on Moms Gone Geek.

Special Note: When Googling information on this topic use the following terms and acronyms: PHR (Personal Health Records) or PHRM (Personal Health Records Management).

There are a lot of applications and services out there for managing your personal medical records at home on your computer, up in the cloud for online access or both — so much that it’s overwhelming. We’ve reviewed just a few that we’ll discuss here, but please give us some feedback on services, methods and apps you’ve tried and liked.

Melissa reviews and discusses the current state of EMR for public and private sectors and what you should consider before investing the time and effort into the task of electronically documenting your medical records for the family.

What You Need to Know About Privacy in Medical Records

Understanding HIPAA Privacy for Consumers

Articles on Healthcare Reform in Politics and Technology Concerning EMR

State Privacy Laws May Undercut Electronic Medical Records (via ars technica)

Obama: We need EMRs; NAS Report: Be Careful What You Ask For (via ars technica)

NY Times reports: “Our experience here is that it’s just hard,” Dr. Mostashari said. “It’s not impossible.”

Personal Consumer Services & Applications for Managing Yours and Family Records

Polka

iPhone app for Polka Health
(called My Health on website)

Google Health

Review Notes

  • Google Health is currently only available in the United States. Polka is available for registration outside U.S., however, all records are stored in the US where US privacy terms apply. (Probably a good thing?)
  • Use Google Health at your own risk understanding that transmission to third parties, for example, a prescription service, is governed by THOSE sites, their technologies and security methods. You’re safe with Google, but you open a hole when you share with third party services, so be sure to thoroughly review their privacy and protection policies as well before sharing information.
  • Section 4 Use of Your Information in the Google Health TOS states: ” Google is not a “covered entity” under the Health Insurance Portability and Accountability Act of 1996 and the regulations promulgated thereunder (“HIPAA”). As a result, HIPAA does not apply to the transmission of health information by Google to any third party.”
  • Polka discloses the following in their Privacy Statement under Use of Contact Information (emphasis is our editorial): “In addition, we may use your contact information to market to you, and provide you with information about, our products and services, including but not limited to our Service. If you decide at any time that you no longer wish to receive such information or communications from us, please follow the unsubscribe instructions provided in any of the communications.”
    • Furthermore, they also state in their Information Sharing and Disclosure regarding Service Providers: “We engage certain trusted third parties to perform functions and provide services to us, including, without limitation, hosting and maintenance, customer relationship, database storage and management, and direct marketing campaigns. We will share your personally identifiable information with these third parties, but only to the extent necessary to perform these functions and provide such services, and only pursuant to binding contractual obligations requiring such third parties to maintain the privacy and security of your data.”

    These are just some things to consider when signing up for these services. Both services are extremely similar in their TOS and Privacy Statements, just worded slightly differently. Polka clearly states they may use your information for direct marketing campaigns which may be kind of disconcerting no matter how carefully your information is closely guarded. It may be that Google Health does the exact same thing in a different way, but they have not chosen to word like this. As always, use at your own risk and know your mileage may vary.

    Another thing to look for when deciding if a particular service or application is right for you is what kind of continued support you can reasonably expect. If a service loses focus or goes belly-up, where does your data go? There have been applications released in the past few years, but when I went to their site for a review, the information was grossly outdated or the link had a bad address. Look for services that have a large following, lots of reviews (and positive ones at that) and also look at their help or support section. Check to see what, if any kind of exporting features exist. If you’re able to export your data into a PDF or text file, at least you’ll have a backup in case the service fails your expectations. Think carefully about sharing your digital information with third party partners or affiliates. Do the same kind of homework on them as well. Review their privacy policies and TOS.

    It would be a good idea to have a printed hard copy of the most important emergency medical information in your wallet near your ID because what good is digital data on your phone if your device is either locked or too cumbersome to access by hospital staff? Think of a mobile app as a handy way for YOU to access the information you need at the time you need it, but don’t think of a mobile app as something to be accessed by emergency personnel. Research in public forums concludes that most EMTs will not be checking your mobile device for information in a crisis situation so do not count on an app to assist in saving your life. Google Health does have a print wallet-sized feature and I thought that was handy and a good idea.

    For you non-Google supporters (we still love you) there are other PHR web services out there, but we’re only going to list a couple:

    Microsoft HealthVault

    PassportMD