2017

Doctors should start watching more science fiction. Here’s why.

KevinMD

I often say that electronic health records (EHRs) is like Skynet in the Terminator. I expect to turn around from my screen someday, and Arnold will lift me by my throat saying, “You haff not been doing yuh meaningful use.” We practice in a time when EHR confounds us by freezing, crashing and chaining us continuously to our work, as we spend evenings and weekends on documentation. Read more. Your patients are rating you online: How to respond. Manage your online reputation: A social media guide.

Clocktree Telehealth Platform Popup Notification Update

Clocktree

You can now receive important Clocktree account notifications via popups! These popup notifications are small messages that appear in a corner of your device’s screen, whether you are logged into Clocktree or not. They will alert you to upcoming appointments or new secure messages. Since the popup notifications are securely sent, they can include sensitive information like the client’s name and profile picture, a feature that is not possible for email and text messaging.

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Data Driven Predictive Medical Devices: An Interview

Medical Connectivity

In 1987, James Gleick wrote the book Chaos which was a layman’s description of different instances where chaotic behavior was displayed in systems.

Why Wearable Technology Is Great For Patient Involvement

Duane Boise

We love being in control. There is something so satisfying in taking a situation into your own hands and attempting to bring about desired results. Not only is the process itself more rewarding, but you form more of an attachment to a situation if you are held responsible for it. And, similarly, you will strive to work harder to achieve the desired results since you are more invested in the process. Your health works in the same way.

The Top 5 Challenges You’ll Face When Scaling Telehealth Services Nationally

If you’re thinking about expanding your telehealth services to more states, whether it’s five or 50, we’ve outlined the top five obstacles you’ll need to plan for, to ensure you’re delivering an exceptional brand and clinical experience.

Dr. Nick van Terheyden and the Invisible Patient – Harlow On Healthcare

Health Blawg

As Chief Medical Officer at BaseHealth , Dr. Nick van Terheyden (aka “ Dr. Nick “) serves as the voice of the physician at the company. He provides strategic insights in product development and marketing as BaseHealth works to bring to market a predictive, evidence-based and data-driven population health management platform.

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More Trending

Five Digital Health Imperatives for Patient Safety

The Digital Health Corner

The most discussed issues in healthcare today are cost savings and access to care. There is no denying their rightful preeminence in the public discourse. Something which has received more attention in the past but has been surpassed by the aforementioned topics in both lay and healthcare policy press has been patient safety. Perhaps the best definition of patient safety is that of the World Health Organization.

A digital solution for sleep disorders

New Age Healthcare

Obstructive Sleep Apnea (OSA) is a disorder in which a person stops breathing during the night, perhaps hundreds of times. These gaps in breathing are called apneas. The disorder occurs when tissues in the upper throat collapse at different times during sleep, thereby blocking the passage of air. It most commonly affects middle-aged and older adults and people who are overweight. According to a recent study, 13% of Indians are under the threat of suffering from OSA.

4 Steps to Accelerate the Growth of Your Urgent Care Practice

eVisit

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Using HIPAA Compliant Text Messaging to Ease Patient Preparation

CareWire

Giving a patient a lengthy list of all of the things that they can and cannot do weeks before an upcoming surgery or operation is overwhelming. Begin to Ease Patient Preparation with text messaging. In the time leading up to a surgery, patients are likely becoming increasingly anxious and preoccupied by stress about the procedure, concerns about how they will complete day to day tasks afterward, and a myriad of other issues that they will have to work through prior to their procedure or surgery.

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Primary Care Is Dead. Long Live Primary Care!

The primary care system is failing patients and providers. Capacity shortages have led to long wait times and physician burnout. To fix the system, we must find innovative ways to boost capacity and meet patient-consumers’ shifting expectations.

Marc Chasin, MD, VP & CIO, St. Luke’s Health System, Chapter 1

Health System CIO

Three years ago, St. Luke’s had to take a pause in its Epic journey to make sure everyone was headed in the same direction. The detour, says CIO Marc Chasin, was well worth it. Rolling out Epic across an organization the size of St. Luke’s isn’t a project; it’s a journey that requires an enormous effort to stay on course. It also requires a lot of change, and when that becomes too much, leaders must be willing to hit pause.

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Many digital health solutions lack evidence: How physicians can help

KevinMD

Technology makes this an exciting time for health care. Not only are technological advances making health care better, they’re also making it more affordable. To get a taste of the potential of where health and technology are going, you only need to look as far the recent Fortune article titled, “ Prepare for a Digital Health Revolution ," or to search through the more than 300,000. Read more. Your patients are rating you online: How to respond.

Telemedicine Technology is Helping Florida Residents Affected by Hurricane Irma

Clocktree

During a time of such chaos and destruction in Florida, it has been extremely hard to provide healthcare access to those in need. Within the last three days Florida Hospital has incorporated telehealth technology into their system of care. This platform now enables those who are unable to travel or prevented from reaching their usual services and care providers a virtual care option. Florida Hospital has been using eCare to reach so many affected by hurricane Irma.

FDA Busy With Software

Medical Connectivity

Since connectivity runs on software, and some medically related software is a medical device, and medical devices are regulated by the FDA, those involved in connectology must pay at least some attention to what the FDA is saying about the subject of medical software that is not an inherent part of some other medical device.

Big Idea: Primary Care Automation

Healthcare automation that gives primary care providers more time with their patients—and less on screens—can improve care for patients, increase satisfaction for providers, and deliver positive bottom-line results for system leaders. Download this guide to learn how to optimize automation and keep the patient-provider relationship at the heart of the healthcare experience.

How Emergency Medical Services Are Advancing And Why That’s Important

Duane Boise

As technology continues to advance past one’s wildest dreams, it should come as no surprise that many fields are adapting and developing at a rapid pace as well – mostly for the sake of keeping up with the times. This trend is no exception in the medical field, where new technologies, drug trials, and other various treatments are pitched and introduced frequently. Although, it is important to note that these techniques are not put into practice quite as often.

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Dr. Rob Lamberts, Direct Primary Care, and the Future of Healthcare – Harlow on Healthcare

Health Blawg

I spoke recently with Dr. Rob Lamberts – @doc_rob on Twitter – about EHRs and direct primary care. I first met Doc Rob through our involvement in the late lamented Grand Rounds (the notable medical blog carnival – you can find some editions here ). You should read his blog, Musings of a Distractible Mind , and perhaps you will be able to divine the origins or meaning of his deep interest in llamas.

A Front Row Seat for the Future of Technology-Enabled Health and Wellness

The cHealth Blog

The 2017 Connected Health Conference (CHC) is right around the corner, after months of planning, organizing and confirming a terrific lineup of speakers and events. I am delighted that we’ll be gathered at the Seaport World Trade Center in Boston October 25-27. It is a must-attend event if you are in any way interested in the growing field of digital health.

Type 1 Diabetes Risk May Come Down to Gut Bacteria Counts

Insulin Nation

Diabetes researchers have long noticed that labs have different rates of success breeding mice to have the equivalent of Type 1 diabetes. At first, many scientists attributed this to poor management of genetic drift in some labs, but this theory didn’t hold up. If you transferred a group of mice from a lab with a lower rate of diabetes to a lab with a higher rate, the transferred group would soon exhibit the same rate of diabetes found in the new surroundings.

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Virtual Front Door or Brick Wall? Care Pathways in Healthcare

Are you offering your patients a virtual front door or a brick wall? Today, 85% of healthcare visits start online. If your patients don’t have a way to access care virtually, you’re losing them to Dr. Google. Clear care pathways that start online ensure your patients get the best care they need while staying loyal to you.

Who Owns a Physician’s Smartphone?

33 Charts

In 1994 when I was a first year gastroenterology fellow cell phones were expensive and scarce. When I was on call I stayed close to the house and my personal land line phone. If I was paged out at dinner I used a pay phone or begged the hostess to borrow the house phone. So we petitioned our division chief to buy a cell phone for fellow use during weekend call. It was only for emergencies when we couldn’t access a pay phone.

Expand the Reach of Your Urgent Care With Telemedicine

eVisit

Parsing eCW’s $155M payment to the government

Docnotes

UPDATE: Here are the public records for the case. More details there about the original complaint. Excerpt: @eClinicalWorks to pay $155M fine: [link]. But what’s it mean? Certification.

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Going Big: How An Innovation Stack Helped Launch A Successful Telemedicine Program

Health System CIO

By applying a structured, scalable approach, NewYork-Presbyterian was able to build NYP OnDemand from a concept into one of the most comprehensive telehealth programs in the country, says Daniel Barchi. Columns Featured Innovation Telemedicine Blog Daniel Barchi NewYork-Presbyterian

Convenience Care Is Here, and It's Eating Your Lunch

Patients want high-quality care that is accessible and affordable. If they can’t get it from you, direct-to-consumer healthcare services make it easy for them to get it somewhere else. Give them the ability to consume your services just like they consume everything else in their lives: on their phones or computers, quickly, and where it’s convenient for them.

Is there a future for robot-assisted surgery?

KevinMD

Recently, there was a fascinating article in the Wall Street Journal regarding robot-assisted surgery. It reported the results of two articles published in JAMA that demonstrated that robotic-assisted surgery cost more and took longer without achieving superior results to laparoscopic surgery on average. With this, my LinkedIn account lit up. Here are several of the comments that came through: “I've come to assume that robotic surgery is better. Read more.

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Telemedicine Is Gaining Popularity In Schools

Clocktree

Today there is a rising number of children in the US affected by asthma and diabetes. School nurses are treating a wider range of issues than ever before. Even though this increase is known, only 40% of elementary schools in the US have a full time nurse on staff. The use of telemedicine can expand the reach of school nurses and their ability to care for a wider range of illnesses. Having telemedicine access in schools could change the way chronically ill children are educated.

FDA Guidance on Software Changes

Medical Connectivity

On October 25, 2017 the FDA released its guidance on "Deciding When to Submit a 510(k) for a Software Change to an. Existing Device". A draft of this guidance was released in August 2016 and I commented on that draft here. The scope of what was changed is not easy to discern, especially since the draft is no longer directly available and the URL for the final guidance is the same as that for the previous draft.

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The Fight For A More Mobile-Centric Patient Experience

Duane Boise

Since a very young age, no one looks forward to going to the doctor’s office. Whether it’s for a routine check up, a scheduled visit due to an illness, or a quick procedure, we have always dreaded walking into that waiting room. While we may not be anxious about an exam or a shot like we were as children, adults still detest having to schedule that appointment, but for many other reasons.

Stop Creating Disloyal Patients

90 percent of patients feel no obligation to stay with a healthcare system that doesn’t offer digital tools. What can you do in the face of such a sobering statistic? Patient-facing telehealth options that allow patients to get virtually instantaneous care privately, securely, and from anywhere can keep your patients from seeking care from the easiest, nearest, and cheapest provider.

FDA and Digital Health Regulation

Health Blawg

The FDA had a digital health banner day on December 7, announcing one final guidance and two draft guidance documents (with a 60-day comment period). Collectively, these guidances cover a range of digital health issues, and it is worth reading FDA Commissioner Scott Gottlieb’s statement about them as well as each individual document: Clinical and Patient Decision Support Software (CDS and PDS) (Draft).

What makes an effective care manager – two key traits.

CareWire

Care managers play a vital role in patient engagement, treatment plan adherence, and more – what tools can help them to perform these vital tasks more efficiently? Care managers organize patient care , handle insurance matters, investigate treatment plans for patients, and so much more during the course of their day.

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Trooper with Type 1 Helps Motorist with Diabetes During Bad Hypo

Insulin Nation

Dennis Huntley was in trouble, and it wasn’t because of the police lights flashing behind his car. Huntley, who has diabetes, was pulled off on the side of the road of the New Jersey turnpike on a August day because he was suffering from a dangerous bout of hypoglycemia. His meter read 47 mg/dL, and he had called 911. A call went out to the New Jersey State Police, who arrived quickly, but it would still take time for paramedics to reach him.

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