March, 2015

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Explaining Blood Sugar Swings to the Uninitiated

Insulin Nation

'Integrated Diabetes Services (IDS) provides detailed advice and coaching on diabetes management from certified diabetes educators and dieticians. Insulin Nation hosts a regular Q&A column from IDS that answers questions submitted from the Type 1 diabetes community. Q: My 4-year-old was diagnosed with Type 1 a little over a month ago. I am just curious about what it physically feels like for her to experience highs and lows.

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Dr. Roy Schoenberg Applauds the FSMB’s Licensure Compact

American Well

Recently, the Federation of State Medical Boards (FSMB) has been working to develop its Interstate Medical Licensure Compact, which will make it easier for physicians to deliver care to patients across state lines. Our CEO, Dr. Roy Schoenberg, shares his thoughts: The post Dr. Roy Schoenberg Applauds the FSMB’s Licensure Compact appeared first on American Well.

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Hospitals’ Soft Underbelly: The Capital Conundrum [Snippet]

E-CareManagement

Hospitals’ Soft Underbelly: The Capital Conundrum. Tax-exempt hospital systems without fortress balance sheets and top quartile operating performance will be capital constrained in the future healthcare economy, even if tax-exempt debt continues be cheap and accessible. Stating the obvious: operating a hospital is a capital intensive activity.

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Final Regs Issued On ACA Wraparound Coverage

ACA Times

Final regulations on employer-provided wraparound coverage under the Affordable Care Act were issued by the IRS and Departments of Health and Human Services and Labor. Wraparound coverage is employer-sponsored coverage that may be offered to employees for whom the employer’s primary coverage is unaffordable and who obtain individual coverage through the federal or state marketplaces.

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HIPAA Compliance: Can Your Organization Avoid Costly Government Penalties and Fines?

Colington Consulting was established in 2013 and helps organizations achieve HIPAA compliance and ensures clients stay current with the latest enforcement trends. We provide a full range of HIPAA compliance services and consulting. What separates us from our competitors is our knowledge of HIPAA compliance regulations and their application to each of our client’s particular scenarios and requirements.

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Searching for an ATNA Audit Record Repository

Healthcare Exchange Standards

I have received more than a few requests lately for a listing of the Implementations (vendors or open-source) of the ATNA "Audit Record Repository". I was hoping that a simple internet search on " IHE Integration Statement ATNA Audit Record Repository " would be enough, but that seemed to fail. Mostly digging up articles about ATNA, not about available implementations.

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“Researchers Finally Test Dietary Cure for Type 1”

Insulin Nation

'In honor of April Fool’s Day, Insulin Nation is taking a day off from covering real news on Type 1 to bring you some fake news. Enjoy! (Use the zoom function on the upper right if the text is too small for you.).

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Dr. Roy Schoenberg Applauds the FSMB’s Licensure Compact

American Well

Recently, the Federation of State Medical Boards (FSMB) has been working to develop its Interstate Medical Licensure Compact, which will make it easier for physicians to deliver care to patients across state lines. Our CEO, Dr. Roy Schoenberg, shares his thoughts: The post Dr. Roy Schoenberg Applauds the FSMB’s Licensure Compact appeared first on American Well.

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Apple ResearchKit is Open Source, But is it “Open”?

E-CareManagement

For now, the answer is “we don’t know”. But… the question is very important and worth tracking over the coming months. Let’s not assume that open source will equate to “open”. (more…). Table of contents for the series--The Patient Digital Health Platform (PDHP) Ecosystem Patient Digital Health Platforms…A First Take Will Apple’s Strategic Beachhead Be Doctors, Not Patients?

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RAND Study Supports Use of Individual Mandates

ACA Times

RAND Corp. analysts who looked at the likely effects of eliminating the Affordable Care Act’s individual mandate determined that the likely result would be an increase in premiums and a reduction in enrollments by individuals. Using a sophisticated model based on economic theory, the researchers looked at the likely effects eliminating the law’s and tax credits and tinkering with other provisions of the law, to see how they would affect the propensity of young adults to buy insurance coverage.

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The Secret to Supercharging Your Organizations Communications

Effective collaboration among all care team members is critical to delivering better patient outcomes. A key element to achieving effective collaboration is through the implementation of a clinical communication and collaboration platform. In a fast-paced, high-stress and critical environment, people tend to do whatever gets the job done. Therefore will scramble and use the systems, people, or processes around them to get an outcome more quickly - which can often be at the expense of quality.

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What is MHD beyond XDS-on-FHIR?

Healthcare Exchange Standards

I have been working on a Profile in IHE now for three years. It normally doesn’t take this long, but in my case I had the good luck of being the in the right place at the right time. I saw the tidal wave of “HTTP RESTful” coming, felt it strongly back when I was on “The Direct Project” creating a sub-optimal solution. At that time, IHE only had the XDS solution, which is based on Web-Services using SOAP, SAML, and ebRegistry.

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API mania misses the point on healthcare interoperability

Import Immunity

I recently decided to stop participating in the ONC “Architecture, Services and APIs” workgroup. I have an incredible amount of respect for the people running the group, but I also believe that the momentum at ONC right now is just wrong. My plan was to just go quietly into the night, but looking through the recently-released Meaningful Use 3 requirements convinced me that I really ought to put this out there.

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6 Possible Ways to Stop Type 1

Insulin Nation

'In their annual report, the Diabetes Research Institute Foundation recently highlighted their Top 6 research breakthroughs in 2014: Better Islet Coating. Dr. Alice Tomei, DRI assistant professor of surgery and cell transplantation, successfully demonstrated a viable way of coating insulin-producing islet cells. A study provided evidence that Dr. Tomei’s team had devised a way of encasing islet cells in thin, uniform capsules that would protect the cells during transplantation.

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Avizia Startup Tech Finalist in DC Inno’s #DCTechMadness

American Well

Over the past several years, the District has been fortunate to be the home of a large base of rising, high-potential tech companies. DC Inno’s March #DCTechMadness competition. These tech companies continue to grow and innovate in a city who’s backdrop of stark monument lights and legislative authority otherwise defines it. Major corporate entities like Living Social and BlackBoard once set the tone, but today more so than ever before, we are witnessing an emerging startup scene that is reinter

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Ambiq’s neuralSPOT HeartKit™ enables Real-Time Heart Monitoring AI Applications

Ambiq®, a leading developer of ultra-low-power semiconductor solutions that deliver a multifold increase in energy efficiency, introduces HeartKit, its latest addition to neuralSPOT. This optimized AI model enables running various real-time heart monitoring applications to help users and their healthcare providers quickly identify any irregular events to take necessary actions.

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Kevin Groskreutz, Division CIO, Hospital Sisters Health System, Chapter 1

Health System CIO

HSHS’ transition from independent model to managing 14 hospitals Enabling IT to “engage a new business model.” Overseeing ancillary systems & telehealth System CIO Ray Gensinger — “He brings a lot of energy to the organization” Hospitals on Meditech & Epic “We’re discussing a single EHR strategy.” Telehealth & remote monitoring — “Preliminary results have been very positive” Transformation is word that tends to be misused, but in the case of Hospital Sisters Health System, it’s an

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Study Says ACA Has Not Overwhelmed Doctors’ Practices

ACA Times

A new report shows that a year after the Affordable Care Act’s coverage expansion provisions took effect, physicians have not experienced a sharp increase in visits by new or sick patients. The report was prepared by Athenahealth, Inc., which provides office management software systems to medical practices, and was funded by the Robert Wood Johnson Foundation.

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A Way To Stop Binge-Eating for Lows

Insulin Nation

'You are standing in your kitchen staring blankly, hands shaky, vision blurry, feeling confused and panicked as you try to decide what to eat or drink. You proceed to consume everything in sight as fast as humanly possible to treat the low. This is followed by the inevitable blood sugar rebound that sends your numbers skyrocketing, and you need to bolus for all the excess carbs you ate.

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How to Safely Go Beast-Mode in Your Type 1 Workout

Insulin Nation

'We asked professional field hockey player Tim Atkins to share how he balances Type 1 diabetes with his training regimen. Here’s what he had to say: Nutrition plays an extremely important role in performance for all elite athletes, and more so for athletes with diabetes. The major source of fuel for active muscles is carbohydrates, which gets stored in the muscles days before exercise.

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The 2023 Behavioral Health Industry Report

This report explores current issues in the behavioral health industry in 2023. Topics covered include quantitative statistics describing the overall increase in behavioral health issues, the impact of psychologist and staff burnout, how HIPAA compliance is once again at the top of our minds & much more!

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Nasal Glucagon Treatment Succeeds in Trials

Insulin Nation

'According to a T1D Exchange article, researchers presented positive results in clinical trials of a new glucagon nasal powder at the Advanced Technologies & Treatments Diabetes conference in Paris, France. Locemia Solutions is developing the new treatment option, dubbed for now simply as Glucagon Nasal Powder. The powder proved equally as effective as injectable glucagon in recent preliminary clinical trials.

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6 Tips for Traveling with Type 1 Diabetes

Insulin Nation

'I’m watching for my stop on a rickety train in rural Hungary, but there are no signs and I can’t understand the announcements. This isn’t the time to worry about my blood sugar levels. I’ve had Type 1 diabetes for over 30 years, and it hasn’t stopped me from doing anything or going anywhere. I’ve traveled throughout Europe, Japan, Mexico, Southeast Asia, China, and the U.S.

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Why Teens with Type 1 Should Consider Psychotherapy

Insulin Nation

'Over coffee, I and a group of other D-mothers started sharing stories of our teens with Type 1. Two of the moms recounted frightening tales of risk-taking behavior and aggression, influenced by high blood glucose levels. Parental efforts to help the teens manage their disease had been completely rebuffed. It was the kind of conversation that strikes fear in the heart of any parent of a pre-teen child with Type 1.

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Why We Hack Our Diabetes Devices

Insulin Nation

'The FDA is charged with overseeing the product safety of medical devices. Diabetes device manufacturers spend millions developing pumps and continuous glucose monitors (CGMs). So why would home programmers want to hack into their CGMS and pumps? As patients, our relationship to diabetes devices is both special and frustrating. Picture a sci-fi movie of a dystopian future where we have devices attached to us that must be refilled, serviced, and touched all the time if they are to keep us alive.

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Patient Engagement & Cultural Competence Training Roadmap: A Guide to Reducing Staff Burnout

Speaker: Dr. Mauvareen Beverley, Patient Engagement and Cultural Competence Specialist

If you’re a healthcare provider, chances are you have experienced symptoms of burnout yourself or have colleagues who are currently facing extreme career dissatisfaction. One of the many ways to partially alleviate burnout is active patient engagement. By engaging with patients to understand their needs and preferences, healthcare providers can develop treatments tailored to the individual patient.

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Blood Sugar Bingo

Insulin Nation

'Do you label your bouts of low or high blood sugar? In her book, Too Sweet , the Not-So-Serious Side to Diabetes , Laura Kronen lists the 12 different low blood sugars and 12 different high blood sugars she’s experienced. We decided to take it one step further by creating these handy BINGO cards based on her idea to help you track the times when your blood sugar levels fell out of bounds.

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The Apple Watch Launch: 4 Things to Know

Insulin Nation

'Apple is expected to launch its smartwatch today, most likely with its HealthKit platform included. For months, the diabetes community has been speculating about the watch’s capabilities and what the HealthKit platform could do for daily diabetes self-care. Some have even hoped the watch would be able to monitor blood glucose readings without bloodletting, although there is no indication it is designed for this.

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Researchers Test Drawn-on Blood Glucose Sensors

Insulin Nation

'Quick Hit. Daytime doodling may one day become a medical necessity for people with Type 1 diabetes. Researchers at the University of California San Diego have developed a ballpoint pen that can draw blood glucose sensors directly onto skin. While the ink is still a long way off from being approved for daily use, it has accurately measured blood sugar levels in lab conditions, according to a Fierce Medical Devices article.

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Prepping for Job Medical Screenings with Type 1

Insulin Nation

'Part 4 of 4 in a series on diabetes and workplace law. One of the landmark diabetes work discrimination cases, Rodriguez v. Conagra , centered on an illegal pre-employment medical exam for a potential employee with diabetes. Here’s a primer for how to successfully navigate a fitness-for-duty pre-employment medical exam: Diabetes may be considered a disability, but there is a limit to what kinds of employer accommodations are considered “reasonable” for a job.

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How to Battle Layoffs: The Career Star Accelerator Bootcamp

Facing layoffs in your organization? Support your team members' career transition with Career Star Accelerator Bootcamp: Custom Resume & LinkedIn Revamp + 6 Weeks of Career Coaching. Our certified resume writers will create job search-winning resumes and LinkedIn profiles while they work with a career coach to learn unique strategies to stand out, attract the right employers, automate their job search, and land their dream job.

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Students with T1D Benefit from School-Day Breaks

Insulin Nation

'Quick Hit. A new Canadian study provided evidence that a school schedule might impact daily blood glucose control for children with Type 1 diabetes. The study found that students with Type 1 diabetes who had three 45-minute breaks during the school day maintained better blood glucose control than those who received only two 45-minute breaks, according to a Healio report.

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Why Teens with Type 1 Should Consider Psychotherapy

Insulin Nation

'Over coffee, I and a group of other D-mothers started sharing stories of our teens with Type 1. Two of the moms recounted frightening tales of risk-taking behavior and aggression, influenced by high blood glucose levels. Parental efforts to help the teens manage their disease had been completely rebuffed. It was the kind of conversation that strikes fear in the heart of any parent of a pre-teen child with Type 1.

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15 Ways to Save Money on Diabetes Care

Insulin Nation

'At Insulin Nation, we often get asked about how to find assistance to pay for diabetes treatment. The team at Integrated Diabetes Services put together a small guide of resources, which they were gracious enough to share with us. (In alphabetical order). The Bureau of Primary Health Care (also called the Hill-Burton Program) offers professional medical care for people regardless of their insurance status or ability to pay.