August 27,2014

2:30
This appeared a little while ago.Is the Electronic Health Record Defunct?by Jerome Carter on April 28, 2014 When building software, requirements are everything. And although good requirements do not necessarily lead to good software, poor requirements never do.   So how does this apply to electronic health records?   Electronic health records are defined primarily as repositories or archives of patient data. However, in the era of meaningful use, patient-centered medical homes, and accountable care organizations, patient data repositories are not sufficient to meet the complex care support needs of clinical professionals.   The requirements that gave birth to modern EHR systems are for building electronic patient data stores, not complex clinical care support systems–we are using the wrong requirements.Two years ago, as I was progressing in my exploration of workflow management, it became clear that current EHR system designs are data-centric and not care...

This is the initial part of the post - read more by clicking on the title of the article. David.
Categories: MedTech and Devices , All

August 26,2014

15:30

During my early years in pathology informatics, I was constantly reminded of the challenge of two hospitals merging with different LISs. The problem was usually resolved in one of two ways. The first was that the two merged hospitals continued to operate the their two different LISs but with some makeshift attempt to view lab results across the two institutions. The second and more common approach was to rip out one of the LISs and replace it with the brand running in the other. All of these previous problems of IT integration are now compounded in this era of complex and expensive EHRs. Here's an article discussing how M&A costs can be boosted significantly by IT integration demands (see: Hospital M&A Cost Boosted Significantly By Health IT Integration). Below is an excerpt from it:

Most of the time, hospital M&A is sold as an exercise in saving money by reducing overhead and leveraging shared strengths. But new data from PricewaterhouseCoopers suggests that IT integration costs can undercut that goal substantially.....[T]he cost of integrating the IT systems of hospitals that merge can add up to 2% to the annual operating costs of the facilities during the integration period, according to PricewaterhouseCoopers. That figure, which comes to $70,000 to $100,000 per bed over three to five years, is enough to reduce or even completely negate benefits of doing some deals. And it clearly forces merging hospitals to think through their respective IT strategies far more thoroughly than they might anticipated...[O]ther experts feel that PwC is understating the case...[One of them said that] IT integration costs can be much higher than those predicted by PwC’s estimate. “I think 2% being very generous,” ...[he said] “For example, if the purchased hospital’s IT infrastructure is in bad shape, the expense of replacing it will raise costs significantly.” Of course, hospitals have always struggled to integrate systems when they merge, but as PwC research notes, there’s a lot more integrate these days, including not only core clinical and business operating systems but also EMRs, population health management tools and data analytics.... And what if the merging hospitals use different enterprise EMR systems? Do you rip and replace, integrate and pray, or do some mix of the above? On top of all that, working hospital systems have to make sure they have enough IT staffers available, or can contract with enough, to do a good job of the integration process.

What are the reasons why two hospitals in the same city or region decide to merge? It's often a case of the stronger system absorbing the weaker one (see: Some Hospitals Experiencing Financial Distress and Even Bankruptcy). Of course, lurking in the background of all potential hospital mergers is always the notion that substantial savings can be achieved. Such savings, at least in the past, were anticipated with the creation of single IT and HR units. Consolidated labs were often also under consideration. However, this article (and past experience on my part) suggests that the anticipated IT savings are often illusory. This point is well illustrated by the excerpt above.

Added to this IT stew is the challenge of converting the previous LIS or EHR database of the abandoned systems to the systems used by the dominant hospital partner in the merger. I know of one company, Ellkay, that specializes in such structured conversions. Below an interesting quote from the home page of another data migration company, Informatica. Of course, hiring consultants to supervise data migration activities will only add to the hospital merger costs discussed above.

Gartner has reported that 80 percent of data migration projects fail to meet expectations, running over time and budget. This is in large part due to common misconceptions about the migration data, including electronic health record data: it complies with a standardized format; users have captured it in expected fields; and it's all valid and of high quality. But the reality is, complex patient, member, and provider data exist in various formats, anticipated data is missing, and data quality is inconsistent. When healthcare organizations hand-code or write one-off processes to migrate legacy data from electronic health records and applications, they are doing so to move millions of pieces of data, likely spot-checking only a small subset. As a result, data are moved into a new application with minimal review.

14:35

About 10 months ago, we added Healthcare IT Central to the Healthcare Scene family of healthcare IT websites. It’s been a really amazing addition to the network and I’ve been amazed at the thousands of people that have been able to find health IT jobs thanks to Healthcare IT Central. I love blogging because you get the direct interaction with readers, but there’s a really amazing feeling that comes when you play some small role in helping someone find a job.

The other great part about the addition of Healthcare IT Central is the related Healthcare IT Today career blog. If you’re not reading that site, we just added it to our Healthcare Scene email subscription lists so you can receive the latest posts in your email inbox.

Just to give you a little flavor of the type of content we’ve been posting on Healthcare IT Today, we asked the questions, “Has There Been an EHR Consulting Slow Down?” and “Who’s More Satisfied – Full Time Health IT Professionals or Health IT Consultants?” Plus, we even posted really interesting data like a look at the Epic Salary and Bonus structure. Then, since it is a healthcare IT career website, we cover things like LinkedIn tips and LinkedIn as a professional or personal profile.

If you’re someone looking for a healthcare IT job or looking for a better healthcare IT job, we have hundreds of health IT jobs available. You might also check out Cordea Consulting, ESD, and Greythorn that recently posted jobs with us.

If those jobs aren’t your style we have other jobs like this Sales Account Executive at EHR vendor, gMed, or these system analyst jobs at Hathaway-Sycamores Child Family Services and Pentucket Medical.

If you’re an employer looking for amazing healthcare IT professionals, you can register for the site and post your jobs or search our database of over 12,000 active health IT resumes.

Hopefully some of these health IT career resources are helpful to readers of EMR and HIPAA. One thing that’s universal in healthcare is the need to find a job or hire the right talent. Hopefully we’re doing are part to help both sides of the coin.

14:19
As I noted in last week’s post, I’ve recently returned from a Healthcare Executive Leadership Summit in Washington, D.C., sponsored by McKesson . Among some of the other invited keynote speakers at the event was Adam Gale, CEO of KLAS . For those of you...(read more)
Source: HealthBlog
9:42

It is apparent as we move toward value-based care and payments, that health care is dependent on so much more than what we would consider care. It’s not all up to the provider nor up to the individual patient, there’s a wide network of costs and influences from genetics to nutrition.

As we move toward digital health and digital payments, the relationships between spending, environment, and other health determinants are becoming clearer, affecting the choices we make at any moment. Behavioral choices are often driven by the social determinants of health, the cultural and economic contexts (including geography) of our day-to-day decisions.

Many things, of course, influence health and outcomes and our need for care, including, genetics, behavioral choices (smoking, drugs, alcohol, unprotected sex, obesity, preventative care, exercise, taking prescribed medications, sugar intake and nutrition), access to care, capabilities to care for oneself and many other risks.

While we tend to think in terms of science and individuals controlling outcomes, that’s at the very least a bit of hubris on the part of science. Zip codes were recently declared better at predicting outcomes than genetic codes (hat tip to Cyndy Nayer).

And these social influences are becoming better understood, because we are getting better at measuring them, with access to better data, as a byproduct of ubiquitous connectivity (although extent of connectivity is often correlated with zip code as well). We often assume that it’s all up to the individual, but most of what we do is a combination of many things including marketing, education, costs, and culture. As we spend more time online, those influences become both greater and more measurable. Tremendous value will be seen once we understand these decisions and why people make them, including social, economic and geographic influences in the context of vast networks of influences.

The impact numbers of personal choice and behavior related to health and health care spending, when you dig in, are pretty staggering, and perhaps, devastating for our financial outlook.

According to Simons Chase at LBS.co, via Forbes’ Dan Munro last year:

“Consumption of junk food (for example a Twinkie or a sugary drink) is akin to a financial exchange where short-term gains are privatized and long-term costs are socialized in the form of horrific health outcomes. The metabolic donkeys – consumers – pay relatively little money and turn a blind eye to the health consequences of their food choices – instead hoisting the fantastic profits of companies like Monster and opting for a shortened, diseased life.”

Read 2 Perspectives On Food Innovation: Sodastream vs. Monster Beverage

In the Forbes article, Munro estimates that sugar may be costing the U.S. healthcare system $1 trillion. That’s 25% of healthcare’s overall $4 trillion. Estimates are that Americans eat 70 lbs of sugar a year. Even at a rather high price of $1 a pound (commodity prices are around 15 cents per pound), that’s only about $25 billion that we spend on sugar as a country for the ingredient itself (certainly we pay much more for it when it comes in a soda or Monster beverage, or myriad of other products). So the costs of sugar to the healthcare system are on the order of 40 times higher than the price of sugar itself. Sugar, or a cigarette, is very small down payment on future health costs.

Prices and financial incentives are too often left out of the equation because we haven’t found the right mix. Offering salads at McDonald’s might not work, we don’t go to McDonald’s for salads, wrong context. Low-income women, on the other hand, might be incentivized to buy and eat vegetables, and at least in limited contexts, we do see that vouchers like this can work.

Carolyn Dimitri, an applied economist at New York University, tested whether farmer’s markets vouchers would not only encourage low-income women to buy and eat more vegetables using vouchers and measuring with surveys. They found that vouchers not only encouraged the purchasing, but also the consumption of more vegetables.

According to Pacific Standard’s write-up of the article, “..this suggests that disadvantaged families may eat fewer vegetables not because of preferences or education but because of access…(and possibly) economic scarcity and its psychological effects.”

To truly understand the health system, not just the healthcare system, we’ll need to understand decisions and incentives around food. Patient engagement has direct effects on health outcomes and health spending, as has been shown many times. How closely tied is nutrition to outcomes? Certainly it’s more long-term, but we need to understand correlations and causations much sooner.

Could providers or payers benefit by providing nutritional vouchers? Is there an app or technological solution that works for reducing sugar intake?

This is one area of mobile health and app development we hear little about, despite the fact that diabetes, prediabetes, and metabolic syndrome affect more than 40% of Americans, or over 100 million people. These are Americans that will have long-term health consequences and costs.

Why aren’t we doing more to help? Is it just too hard? Is our sugar addiction just too strong? What will Apple do now that they are including Healthkit in IOS8? What can Stikk do to improve on sugar intake?

This may be one of the most difficult, but also one of the most valuable, quests in healthcare.

Who else stands to benefit from reducing the $1 trillion in sugar-related health spending? How quickly can nutritions steer some of that money, much larger than that spent on sugar, toward better health and better nutritional decisions?

Moving just a little bit of the money we spend on sugar and on sugar-related diseases will pay enormous dividends in quality of life and cost of care. At VivaPhi, we’re rolling with the Center of Health Engagement, driving new incentive programs to drive better engagement and better health. Have an idea for how to create these kinds of incentives for healthier choices? We want to hear them.

Categories: News and Views , All
6:00
HIMSS Europe6 - 7 October 2014, Rome, Italy (HIMSS Europe CIO Summit).
7 - 8 October 2014, Rome, Italy (The European Telemedicine Conference).
HIMSS Europe has announced that the Italian Presidency of the Council of the EU will co-locate the 'Conference on eHealth' with the European Telemedicine Conference. The Conference will focus on the national guidelines adopted in Italy for a comparison with other countries. Particular attention will be paid to ethical, legal, security and transferability of best practices in Telemedicine beyond national and regional boundaries.
4:40
PCEHR Review Consultation Submission - DG More - August 2014 IntroductionThe following submission has been prepared to offer some commentary and input to the process now underway, being facilitated by Deloitte, to ascertain stakeholder views on the Personally Controlled Electronic Health Record System (PCEHR) and the recommendations  of the recently undertaken PCEHR Review which was commissioned by the Federal Health Minister in September 2013 and released publically in May 2014. Author Of DocumentThis document is authored by Dr David G More MBBS BSc(Med) PhD FANZCA FCICM FACHI. I have had over 20 years involvement, in one form or another, in the area of Health Information Technology (e-Health) and been a contributor to many projects in the area including a role in the development of the 2008 National E-Health Strategy and discussions on the 2014 Update.I am reasonably well known in Health IT circles as the author of a blog on Health IT (www.aushealthit.blogspot.com) which has...

This is the initial part of the post - read more by clicking on the title of the article. David.
Categories: MedTech and Devices , All
2:30
The drivers of the PCEHR Program are keen to have results included in the PCEHR. There have been some recent articles that bear on this issue.First we have:Study: Many patients don’t understand electronic lab resultsAuthor Name Jennifer Bresnick   |   Date August 21, 2014   |   More and more patients may be accessing their personal health information online through patient portals thanks to Stage 2 of meaningful use, but only slightly more than half of patients, on average, were able to decipher electronic lab test results on their own, says a study from the University of Michigan.  Patients who scored on the lower end of numerical and health literacy tests were twice as likely to express confusion when shown a hypothetical blood glucose test result, said study author Brian Zikmund-Fisher, associate professor of health behavior and health education at the U-M School of Public Health. The researchers recruited more than 1800 adults to take an online test,...

This is the initial part of the post - read more by clicking on the title of the article. David.
Categories: MedTech and Devices , All

August 25,2014

19:44

Lab industry observers have long suggested that that the 23andMe business model ultimately involved selling anonymized client genomic data to the deep-pockets pharmaceutical industry (see: 23andMe as an Example of "Big Bang" Market Disruption23andMe Builds Online Sarcoma Research Community). This model required abundant capital up-front to attract clients with a relatively low lab testing cost. At some point, it's even possible for these costs to drop to zero but this might arouse suspicion and reveal more about the business model than was necessary. At any rate, a recent article discussed a new relationship between Pfizer and 23andMe to study the genetics of inflammatory bowel disease (IBD) (see: Pfizer, 23andMe Team up to Study Bowel Disease). Below is an excerpt from the article:

Pfizer is teaming up with DNA testing company 23andMe to study the possible genetic underpinnings of inflammatory bowel disease, a hard-to-treat ailment that affects an estimated 1.4 million Americans. Under the agreement, Silicon Valley-based 23andMe will map the DNA of 10,000 patients who have forms of the disease, which include Crohn's disease and ulcerative colitis. Patients will submit saliva samples using 23andMe's at-home collection kit and then fill out online questionnaires about their disease and symptoms. The companies hope to identify genetic similarities among patients with the disease, which could eventually guide development of new targeted drugs ....The cause of inflammatory bowel disease is unknown, though many scientists suspect genetics play a role....Financial terms of the agreement were not disclosed. 23andMe....has penned two similar deals with drugmakers Genentech and Janssen Pharmaceuticals (see: 23andMe and Genentech Expand Cancer Study). The agreement brings Google-backed 23andMe one step further into the medical mainstream, after a widely publicized dispute with federal health regulators last year. In November, the Food and Drug Administration ordered 23andMe to stop marketing its health-related genetic tests, warning that erroneous results could cause customers to seek unnecessary or ineffective medical care. The agency said that even after numerous meetings and email exchanges with the company, government regulators still had no assurance that the firm has analytically or clinically validated its technology....Still, the FDA sanctions haven't stopped the company from partnering with other parts of the federal government. Two weeks ago the National Institutes of Health signed a $1.4 million agreement with 23andMe to access the company's DNA database to research rare diseases.

I got the sense from this article that 23andMe will proactively seek cell samples from "10,000 patients" with IBD. Their current company database may already include individuals who have self-declared that they have this disease but some of these data will be unreliable. So the question arises as to how 23andMe will identify and obtain samples from these 10,000 patients. The company would probably need to seek them from clinics, hospitals, or physician offices in order to obtain cell samples from patients with well documented disease. 

For me, the most interesting part of the article is that while 23andMe seems to be still feuding with the FDA, the company has also cut a deal with the NIH to provide access to its DNA database by the agency. If the company database contained potentially erroneous results, why would be NIH be willing to purchase access to it for $1.4M? It's possible that this question can be answered in a relatively simple way. As noted above, the FDA's beef with 23andMe is simply that "erroneous results could cause customers to seek unnecessary or ineffective medical care." In other words, the FDA believes that it is protecting consumers. In comparison, the NIH is buying access to the 23andMe DNA database which it believes to be scientifically sound. If this speculation is correct, it seems to me that 23andMe should be able to generate a report for its clients that is not erroneous nor leads them to incorrect conclusions. Here is how I summed all of this up in a note of November 2013 about how the company might be able satisfy the FDA (see: The Dispute between the FDA and 23andMe; What's Really Going On?)

In the end, I suspect that 23andMe will need to print a strong warning label on its reports to the effect that the test results have little medical significance and must not be used to make any important diagnostic or treatment decisions by consumers without confirmation by a CLIA-certified lab and a qualified physician. I don't think that such a warning will hurt its business and consumers will continue to have access to interesting and useful genetic screening test results.

14:35

Clinical alarm safety can be hard to achieve, and once attained, a struggle to maintain. There are so many challenges:

  • False/positive and non-actionable alarms;
  • Optimizing default alarm limits across patient populations and for individual patients;
  • Spread out nursing units with high patient-to-nurse ratios;
  • Numerous alarm notification methods – audible signal amplification, monitor techs and alarm notification systems;
  • And the constant threat of complacency and alarm fatigue.

The inaugural Clinical Alarm Safety Symposium, November 20-21, 2014, will delve into these issues and more to provide attendees with actionable information that can be later applied in your institution to ensure continued clinical alarm safety.

Topics Include

  • Methods for researching and analyzing alarm sources and settings in your institution
  • Reducing nuisance and non-actionable alarms
  • The role of monitoring techs in addressing alarm fatigue
  • The role of alarm notification systems in improving the reliability and timeliness of alarm notification
  • The impact of house-wide patient monitoring on alarm management and response
  • Noise associated with medical device alarms and the resulting impact on patients and staff
  • The impact of decentralized nursing stations and private rooms on alarm notification
  • A sample project plan for assessing and optimizing the clinical practice of alarms: data collection, analysis, optimization and ongoing management
  • A sample project plan to conform to the Joint Commission’s National Patient Safety Goal on Alarms
  • Optimizing policy on alarm limit defaults and the process defined to adjust defaults per patient
  • Using alarm data analytics as a management tool for patient safety, workload balancing and staffing
  • Key requirements for alarm notification systems: capabilities, performance and usability
  • The role and key requirements for mobile devices for alarm notification applications
  • The technology management life cycle for alarm notification systems
  • IT and Biomedical/Clinical Engineering governance best practices for alarm notification systems
  • The role of rapid response teams in alarm notification

The symposium also includes exhibitions from sponsoring and supporting organizations.

Call for Speakers

Speakers are actively being sought for this symposium. Please note that due to limited speaking slots, preference is given to hospitals and research centers, regulators, and those from academia. Additionally, vendors/consultants who provide products and services to these companies and institutions are offered opportunities for podium presentation slots based on a variety of Corporate Sponsorships.

Those interested in nominating speakers or submitting a presentation proposal themselves may contact the program chairperson (email) or TCBI.

Meeting Overview

The symposium will be held at the Hyatt hotel at Dulles International Airport in Herndon, Virginia. More details on the event can be found here.

The symposium is produced by The Center for Business Innovation (TCBI) and is scheduled for a full day November 20th and with a morning session until noon on the 21st. The afternoon of the 21st, will include one or more optional half day workshops (which will be available at an additional cost separate from the symposium).

To my knowledge, this is the first event dedicated to alarm safety since the Medical Device Alarms Summit in 2011. With the first milestone recently past for compliance to the Joint Commission’s NPSG on Alarms, the time is now for health care providers to gather together to share best practices and lessons learned.

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Categories: All , MedTech and Devices
14:26

One of the most popular battles discussions we’ve had on this site since the beginning is around client server EHR software versus cloud EHR software. It’s a really interesting discussion and much like our US political system, most people fall into one camp or the other and like to see the world from whatever ideology their company approaches.

The reality I’ve found is that there are pros and cons to each side. Certainly cloud has won out in most industries, but there are some compelling reasons why cloud hasn’t taken hold in many parts of healthcare.

With that in mind, a client server EHR vendor asked me to list out the reasons why someone should go with a Cloud EHR over client server. Here’s my off the cuff responses:

No IT Support Needed beyond desktop support – This is a big benefit that many like. Plus, they add in the cost of the server, the cost of the local IT person and so they see it as a huge benefit to go with cloud software

Automatic Updated Software – Not always true with the cloud, but they like that the software just updates and they don’t have to go around updating software. Of course, this also has its downsides (ie. when an update happens automatically and breaks something)

Small Upfront Cost – Most Cloud solutions are billed on a monthly charge with little to no upfront cost. We could argue the accounting pieces of this and whether it’s really any better, but it feels better even if many cloud providers require the 1-2 year commitment. In some large organizations this type of payment plan is better for their accounting as well (ie. depreciation of equipment, etc)

More Secure – Obviously this could be argued either way, but those that believe cloud is more secure believe that a cloud provider has more resources and expertise to make their cloud secure vs an in house server where no one might have expertise

More Reliable (backup/disaster recovery) – Similar to the secure argument as far as expertise and ability to provide this reliability

Single Database – There are cool things you can do with data when every doctor is on one database and one standard data structure.

Available Everywhere – At home, office, hospital, etc. (Yes, this can be done by many client server as well, but not usually with the same experience).

I’m sure that a cloud EHR provider could add to my list and I hope they will in the comments. As I was making the list, I wondered to myself if a client server EHR vendor could provide all of the benefits listed above. Let me go through each.

No IT Support Needed beyond desktop support – Some EHR vendors will do all the IT support for the user. Plus, it’s a little bit of a misnomer that you need no IT support with a cloud hosted EHR. You still need someone to service your network and computers. More importantly though, most client server EHR vendors are offering a hosted EHR option which basically provides this same benefit to a practice.

Automatic Updated Software – More and more client server vendors are moving to this approach for updates as well. This is particularly true when they offer a hosted EHR environment where they can easily update the EHR. It’s a different mentality for client server EHR vendors, but it can be done in the client server environment.

Small Upfront Cost – We’ve seen this same offer from almost all of the client server EHR companies. It’s a hard switch for EHR companies to make the change from large up front payments to reoccurring revenue, but I’m seeing it happening all over the industry. The only exception might be the big hospital EHR purchase. In the ambulatory EHR market, I think everyone offers the monthly payment option.

More Secure – This is one that could be argued either way. Either one could be more secure. Client Server vs Cloud EHR doesn’t determine the security. A client server EHR can be just as secure or even more secure than a cloud EHR. I agree that generally speaking, cloud EHR is probably more secure than client server, but that’s speaking very broadly. If you care about security, you can secure a client server EHR as much or more than a cloud EHR.

More Reliable (backup/disaster recovery) – Similar to secure, you can invest in a client server infrastructure that is just as reliable as a cloud EHR. It’s true that a cloud EHR vendor can invest more money in redundant systems usually. However, a client server EHR vendor that hosts the EHR could invest just as much.

Single Database – This is the one major challenge where I think client server has a much harder time than a single database cloud EHR provider. Sure, you can export the data from all of the client server EHR software into a single database in order to do queries across client server EHR installs. A few vendors are doing just that. So, I guess it’s possible, but it’s still not happening very many places and not across all the data yet.

Available Everywhere – This can be done by client server as well, but the experience is often a subset of the in office experience. Although, this is rapidly changing. Bandwidth and technology have gotten so good, that even a client server install can be done pretty much anywhere on any device.

Conclusion
Looking through this list, it makes a great case for why client server EHR software is going to be around for a long time to come. There’s nothing on the list that’s so compelling about cloud hosted EHR software that makes it a clear cut winner.

As I thought about this topic, I tried to understand why cloud’s been the clear cut winner in so many other areas of technology. The answer for me is that in our lives portability has mattered a lot more to us. In healthcare it hasn’t mattered as much. Plus, new client server technologies have been portable enough.

Long story short, I’m a fan of cloud technologies in general, but if I were a provider and a client server technology provided me more features, functions, better workflow, etc, than a cloud EHR, I wouldn’t be afraid to select a client server EHR either.

Also worth clarifying is that this post outlines how a client server EHR can provide all of the same benefits of a cloud EHR. However, just because a client server EHR can provide those benefits, doesn’t mean that they do. Many have chosen not to offer the above solutions. Although, the same goes for cloud EHR as well.

What do you think? Are there other reasons why cloud EHR technology is so much better than client server? Is there something I’ve missed? I look forward to reading your comments.

6:00
A Finnish-Swedish research group at the Institute for Molecular Medicine Finland (FIMM), University of Helsinki, and Karolinska institutet, Stockholm, has developed a novel "man and machine" decision support system for diagnosing malaria infection. This innovative diagnostic aid was described in PLOS One scientific journal.
6:00
AppleApple® has released its iOS 8 SDK, the biggest developer release ever with more than 4,000 new APIs, giving developers the ability to create amazing new apps like never before. iOS 8 allows developers to further customize the user experience with major extensibility features like Notification Center widgets and third-party keyboards; and introduces robust frameworks such as HealthKit and HomeKit.
4:00
Acute kidney injuries that contribute to tens of thousands of deaths in England every year could soon be avoided due to the launch of a ground-breaking project at Western Sussex Hospitals NHS Foundation Trust and the support of Patientrack, a real-time patient vital signs, early warning and alerting system.
2:30
Here are a few I have come across the last week or so.Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General CommentQuite an interesting week - even excluding the excitement of legal letters etc.Good to see a review of what Telstra is up to as well as useful analysis of what we need from e-Health Standards.The article on the use of evidence based guidelines is important. This is something e-Health applications should be integrating as fast as they can to assist in this domain.The exploitation of the Heartbleed issue as regards health records is an important canary in the coalmine I suspect.-----http://www.businessspectator.com.au/article/2014/8/19/technology/just-what-doctor-ordered-telstraJust what the doctor ordered for TelstraHarrison Polites August 19, 2014 Telstra’s glowing results may have stunned...

This is the initial part of the post - read more by clicking on the title of the article. David.
Categories: MedTech and Devices , All

August 24,2014

9:08
First I had this e-mail.  Quoted with permission but not attributed .The e-mail is referring to the poll that is running on the blog from 24 August, 2014.“With respect to your latest Poll, the BCG Papers and EHealth Strategy (2004) unfortunately midwifed NEHTA into existence.  Based on their constituted 2yr review, it doesn't take too much super sleuthing to localise where the Governance issues are to the appalling lack of ehealth progress tragically observed to be missing over the past decade.The past 10-year direct cost to the Taxpayer consumed by NEHTA is distasteful enough let alone the unfathomable "opportunity cost" their unabated incompetence has been on the healthcare system and ehealth sector of Australia.And They Don't Care!Deloitte in 2008 and now the PCEHR Review (2013) both recommended dissolving/winding down NEHTA and yet somehow miraculously they still keep on trucking and consuming Tax Dollars.  If you look at the names on NEHTA's Board and its...

This is the initial part of the post - read more by clicking on the title of the article. David.
Categories: MedTech and Devices , All
3:11

The new classification goes into effect in 45 days.  In 2008 HHS received a petition to make this change and at that time the drugs were left as a Schedule III.   A year later the DEA made the request once again to be re-evaluated.  image

The change was made due to the extreme abuse of the pain killers and the fact that they are addictive.  The Federal Register has all the details on the change.  Schedule 3 drug prescriptions expire 6 months after the day they are written.  There’s more drugs on the Schedule III list than you think and you can take a look here for most of them, some are actually surprising.  BD


The U.S. Drug Enforcement Administration (DEA) has reclassified hydrocodone-combination products as the more restrictive Schedule II drugs in an attempt to curb drug abuse. The DEA published the Final Rule in the Federal Register on Aug. 22. The Final Rule will take effect in 45 days and will apply to “all pharmaceuticals containing hydrocodone currently on the market in the United States.”

“Almost 7 million Americans abuse controlled-substance prescription medications, including opioid painkillers, resulting in more deaths from prescription drug overdoses than auto accidents,” said Michele Leonhart, DEA administrator, in a press release. “Today’s action recognizes that these products are some of the most addictive and potentially dangerous prescription medications available.”

Schedule II drugs are substances with accepted medical uses that have a high potential for harm and abuse, according the Controlled Substances Act. Hydrocodone-combination products contain both hydrocodone (a Schedule II drug) and other ingredients like acetaminophen, and were originally classified as Schedule III drugs.

http://www.painmedicinenews.com/ViewArticle.aspx?d=Web%2BExclusives&d_id=244&i=August+2014&i_id=1092&a_id=28024

August 22,2014

18:40

Well this should come as no surprise as we have seen United with their current Medicare Advantage networks with firing MDs who see senior patients, so here’s the next level up with offering a “narrow network” to employers.  This serves to further drive down doctor reimbursement of course and there’s are not enough details to fully discuss.  This is being offered via the imageUnited Oxford subsidiary.  Employers will still have options on other plans but of course they will be more expensive so this is the new “budget” narrowed network option for New Jersey and one could maybe wonder when this option will arrive in other states.  I would be a fool to think that it would just be a New Jersey offering only and I think it’s more of a pilot to see how it works.

United Healthcare Round Two With More Medicare Advantage Doctors Being Fired in Massachusetts and Tennessee- Expansion of the Business Intelligence Killer Algorithms Keeps Growing

The savings for employers, it states here is around 10% so cash strapped small companies would have some incentive to entertain this.  The article didn’t mention exactly who all the members would be here in the Garden State Network but states that it includes 18,000 doctors and 65 hospitals so it sounds pretty inclusive, but just don’t go out of state is the message I read here as they can bundle up risk assessments all within one state.

Again we don’t know what the details are here that go along with an employer offering as far as co-pays, etc. for the full story.  I can say one thing though that insurers did their bit on outfoxing CMS with their quant created mathematical formulas to over bill for around $70 billion with Medicare part D, that was all math and CMS doesn’t know what to do with that matter right now.   BD

Doctor Reimbursements For Patients Covered By “State Exchange Policies” Dropping Even More Doctors Below What Medicare Pays And In Some Areas Less Than Medicaid


UnitedHealthcare has about 1.5 million members in New Jersey, the majority of them in employer-based health plans. Cerniglia said existing clients may switch to the Garden State Network, which he predicted will also bring new business to the company.UnitedHealthcare's Oxford division is launching a New Jersey-only network of doctors and hospitals that will provide lower-cost health plans to employers who use the 18,000 doctors and 65 hospitals in the new Oxford Garden State Network.

Chuck Cerniglia, vice president, small business sales for UnitedHealthcare, said employers on average will see 10 percent lower health insurance premiums if they choose the new health plans in the Garden State Network, which launches Sept. 1.

“It limits access to New Jersey-only providers and it is a solution for New Jersey employers where a smaller network offers a reduction in cost,” he said.

He added that employers will continue to have the option of offering their employees the company’s larger networks alongside the more limited — but also more affordable — Garden State network. He said while a New Jersey-only network won’t work for all employers, many clearly are seeking less-expensive health care options.

http://www.njbiz.com/article/20140820/NJBIZ01/140829979/UnitedHealthcare%27s-Oxford-starts-NJ-only-health-care-network

15:12

I’ve long been interested in voice recognition together with EHR software. In many ways it just makes sense to use voice recognition in healthcare. There was so much dictation in healthcare, that you’d think that the move to voice recognition would be the obvious move. The reality however has been quite different. There are those who love voice recognition and those who’ve hated it.

One of the major problems with voice recognition is how you integrate the popular EHR template documentation methods with voice. Sure, almost every EHR vendor can do free text boxes as well, but in order to get all the granular data it’s meant that doctors have done a mix of clicking a lot of boxes together with some voice recognition.

A few years ago, I started to see how EHR voice recognition could be different when I saw the Dragon Medical Enabled Chart Talk EHR. It was literally a night and day difference between dragon on other EHR software and the dragon embedded into Chart Talk. You could see so much more potential for voice documentation when it was deeply embedded into the EHR software.

Needless to say, I was intrigued when I was approached by the people at NoteSwift. They’d taken a number of EHR software: Allscripts Pro, Allscripts TouchWorks, Amazing Charts, and Aprima and deeply integrated voice into the EHR documentation experience. From my perspective, it was providing Chart Talk EHR like voice capabilities in a wide variety of EHR vendors.

To see what I mean, check out this demo video of NoteSwift integrated with Allscripts Pro:

You can see a similar voice recognition demo with Amazing Charts if you prefer. No doubt, one of the biggest complaints with EHR software is the number of clicks that are required. I’ve argued a number of times that number of clicks is not the issue people make it out to be. Or at least that the number of clicks can be offset with proper training and an EHR that provides quick and consistent responses to clicks (see my piano analogy and Not All EHR Clicks Are Evil posts). However, I’m still interested in ways to improve the efficiency of a doctor and voice recognition is one possibility.

I talked with a number of NoteSwift customers about their experience with the product. First, I was intrigued that the EHR vendors themselves are telling their customers about NoteSwift. That’s a pretty rare thing. When looking at adoption of NoteSwift by these practices, it seemed that doctor’s perceptions of voice recognition are carrying over to NoteSwift. I’ll be interested to see how this changes over time. Will the voice recognition doctors using NoteSwift start going home early with their charts done while the other doctors are still clicking away? Once that happens enough times, you can be sure the other doctors will take note.

One of the NoteSwift customers I talked to did note the following, “It does require them to take the time up front to set it up correctly and my guess is that this is the number one reason that some do not use NoteSwift.” I asked this same question of NoteSwift and they pointed to the Dragon training that’s long been required for voice recognition to be effective (although, Dragon has come a long way in this regard as well). While I think NoteSwift still has some learning curve, I think it’s likely easier to learn than Dragon because of how deeply integrated it is into the EHR software’s terminology.

I didn’t dig into the details of this, but NoteSwift suggested that it was less likely to break during an EHR upgrade as well. Master Dragon users will find this intriguing since they’ve likely had a macro break after their EHR gets upgraded.

I’ll be interested to watch this space evolve. I won’t be surprised if Nuance buys up NoteSwift once they’ve integrated with enough EHR vendors. Then, the tight NoteSwift voice integrations would come native with Dragon Medical. Seems like a good win win all around.

Looking into the future, I’ll be watching to see how new doctors approach documentation. Most of them can touch type and are use to clicking a lot. Will those new “digital native” doctors be interested in learning voice? Then again, many of them are using Siri and other voice recognition on their phone as well. So, you could make the case that they’re ready for voice enabled technologies.

My gut tells me that the majority of EHR users will still not opt for a voice enabled solution. Some just don’t feel comfortable with the technology at all. However, with advances like what NoteSwift is doing, it may open voice to a new set of users along with those who miss the days of dictation.

15:03
In reading an account of the recent attack on Community Health Systems that netted the bad guys 4.5 million patient records and earned CHS a prominent spot on the Wall of Shame, I was struck by the notion put across...

You should follow me on Twitter: @healthblawg

David Harlow
Source: HealthBlawg
12:30

The Chilmark Research blog had this to say about Cerner's recently announced acquisition of Siemens' EHR (see: Big Fish Swallows Another – Will it Choke?):

Much of that future value is likely found in Cerner’s rapidly growing PHM activities (HealtheIntent). One of our analysts just came back from Cerner’s PHM Summit last week and was truly impressed with how aggressive Cerner is moving on this front. There is a huge untapped PHM market among existing Cerner clients and now Siemens clients – potentially huge up-sell opportunities if Cerner does it right.

John's slant on one of the rationales for the Cerner purchase was interesting. I had posted my own opinion about it but was not aware of the HealthIntent product (see: Speculation about the Rationale for the Cerner Purchase of Siemens IT). Below is an excerpt from the Cerner discussion of HealthIntent (see: Cerner has a comprehensive vision for Population Health Management built on the HealtheIntent platform.)

HealtheIntent is a multi-purpose, programmable platform designed to scale at a population level while facilitating health and care at a person and provider level. This cloud-based platform enables health care systems to aggregate, transform and reconcile data across the continuum of care. A longitudinal record is established, through that process, for individual members of the population that the organization is held accountable for; helping to improve outcomes and lower costs for health and care.

Here is another excerpt of a discussion about the general topic of PHM (see: Population Health Management: A Roadmap for Provider-Based Automation in a New Era of Healthcare)

The goal of population health management (PHM) is to keep a patient population as healthy as possible, minimizing the need for expensive interventions such as emergency department visits, hospitalizations, imaging tests, and procedures. This not only lowers costs, but also redefines healthcare as an activity that encompasses far more than sick care. While PHM focuses partly on the high-risk patients who generate the majority of health costs, it systematically addresses the preventive and chronic care needs of every patient. Because the distribution of health risks changes over time, the objective is to modify the factors that make people sick or exacerbate their illnesses. Such an approach requires the use of automation. Not only are there not enough providers and care managers to manage every patient continuously, but PHM also involves a large number of routine tasks that do not have to be performed by human beings. 

Driven, at least in part, by the emergence of accountable care organizations (ACOs) that are designed to manage large patient populations, there are now software packages like HealthIntent from Cerner designed to automate this task. My initial instinct was to wonder whether there was a real business need for this kind of software but I will reserve such judgements for now. Time will tell as to whether they are useful. I will readily concede that the design of most EHRs, like the paper chart that EHRs emulate, is to manage and optimize the care of individual patients. The second quote above notes that one of the primary goals of PHM software is to identify "high-risk patients" (i.e., often those with chronic diseases) who generate the lion's share of healthcare costs. The reason for focusing on these patients is to determine whether their cost of care can be reduced by proactively addressing their trajectory of care. In so doing, additional down-stream costs such as hospital readmissions can possibly be avoided.

6:00
The Government of Ireland has announced that a National Health Innovation Hub with the potential to support hundreds of new companies and thousands of new jobs will be established in 2014, following the success of a Demonstrator project in Cork and an independent evaluation of its role. The National Health Innovation Hub will be a win-win for businesses, the health system - and most importantly, for job-creation:
2:57

This is pretty good stuff and I have written about AliveCor before, when it was first only allowed to be used by veterinarians, imageand then later the FDA approved the use of the Heart Monitor for Doctor and Patient use.  The patient as I understand it still needs a prescription from a doctor to use the device and I would guess under most circumstances it would be a cardiologist.  In addition, AliveCor has the option of having the ECG read by a US board certified cardiologist.  Below are a couple back links. 

FDA Finally Approves AliveCor Iphone Enabled Heart Monitor, Now and the Cat and Dogs Have to Share the Technology With Us
While Waiting for FDA Approval for an IPhone ECG Company Launches Popular Veterinary Version–Cats and Dogs Get Heart Attacks Diagnosed

Now that the algorithm has been approved by the FDA, it should be available within a month or two and the company hopes to develop even more algorithms in time.  The AliveCor Heart Monitor records, stores and transfers ECG rhythms and detects presence of atrial fibrillation.  I think the device is great for a doctor to carry around with them if they desire. 

A physician can integrate the reports with an EMR as well.  So far the only one I see listed is Practice Fusion and it does cost $15 a month for the service but you do get the device free which is normally $199 alone.  This is the type of mHealth apps and devices I like to see and again this is way more than just a simple consumer app.  BD


AliveCor, Inc. announced today that the U.S. Food and Drug Administration (FDA) has granted the company clearance for its algorithm to detect atrial fibrillation (AFib), the most common form of cardiac arrhythmia. AliveCor's automated analysisimage process (algorithm) instantly detects if patients are experiencing AFib through real-time electrocardiogram (ECG) recordings taken on the mobile phone based AliveCor® Heart Monitor, so physicians can intervene before potentially life-threatening conditions, like strokes, occur. Through AliveCor's ECG analysis service, patients can confirm their results with a U.S. board-certified cardiologist or a personal physician.

"The ability to automatically detect serious heart arrhythmia using mobile technology has the potential to save lives, reduce healthcare costs and allow patients and their caregivers to make informed decisions about cardiac care," said Euan Thomson, president and chief executive officer of AliveCor. "Having achieved clearance, we will work to incorporate the algorithm in our app and plan to make this available to customers during September."

The AliveCor Heart Monitor is intended to record, store and transfer electrocardiogram (ECG) rhythms. The AliveCor Heart Monitor also displays ECG rhythms and detects the presence of atrial fibrillation (when prescribed or used under the care of a physician). The AliveCor Heart Monitor is intended for use by healthcare professionals, patients with known or suspected heart conditions and health conscious individuals. The AliveCor Heart Monitor is compatible with all iPhone models and most Android mobile devices. Users will continue to have the ability to access their data confidentially anytime, anywhere.

http://www.news-medical.net/news/20140821/FDA-approves-AliveCor-algorithm-for-detecting-AFib-through-ECG-recordings-on-mobile-phone.aspx

2:04

Ok with all awful news out there, time to lighten up and talk about a duck and thisimage one is 6 stories high.  Shoot I could use a “guard duck” like this one:)

The next post will be better but as you know I can’t hardly refuse a blog post about a duck.  They floated one of these around the UK last year as well. 

One Big Giant Rubber Duck Floating Down the River–Rewards for Britons to Submit Fun Ideas to Help People, This is My Kind of Duck!

These big ducks are supposed to be stress relievers according to the video.  For some reason though I don’t think the Medical Quack maybe relieving stress but could be causing some with the flat bottom line topics here:)  BD 

 

August 21,2014

16:51

In my post, 4 Things Your Patient Portal Should Include, I talked about the thing patients want most in a patient portal is the ability to communicate with someone in the physician office. I still think that’s the most powerful part of a patient portal.

In response to that post, the people at Engaged Care sent me an interesting way that they’re approaching engaging the patient. Their efforts are focused on those patients who don’t have an email address. Check out this video which demonstrates the workflow they offer.

I’m not sure how many patients don’t have an email address, but this is a pretty slick solution to get them signed up for an email address. The other challenge is getting those patients who don’t have an email address motivated and skilled enough to check the newly created email as well. However, maybe access to a well done patient portal might be motivation enough for them to get involved.

The other benefit to these physician provided email addresses is that they are secure. You might remember that native email is not HIPAA secure. The email addresses that Engaged Care provides are HIPAA secure.

I’ll be interested to see how this company does. How many patients actually use the new email addresses and where they take it next. Although, I found the idea of giving patients a secure email address quite interesting.

16:07

This week we are introducing a new recurring segment on our blog – instead of solely supplying our dear readers with new content from our analysts, we thought it would be valuable to provide some insight into what we find ourselves reading every week. Below is our first installment, and as you will see, there was no shortage of illuminating content published this week in the world of health IT and policy. Over time, your engagement with these articles will help us figure out which of the many publications we read each week will provide you with the most value. Now if only engaging patients were as easy as engaging you, our loyal readers!

Medicare to Start Paying Doctors Who Coordinate Needs of Chronically Ill Patients
Robert Pear for the New York Times
“Long rumored and talked about, paying providers for care coordination is an overdue acknowledgement that the POC does not always mean face-to-face.” -Brian
CMS announced plans to pay for between-visit care coordination, including needs assessments, medication monitoring, transitions of care, and more. This is great for the adoption of mobile tools for third parties, but the EHR will still be the bottleneck for workflow-friendly adoption.-Naveen

Patient-centered medical home model not one-size-fits-all
Debra Beaulieu-Volk for FiercePracticeManagement
“Despite the increased adoption of PCMH by primary care physician practices and payment incentives from payers to adopt these practice models, the evidence still remains mixed on them and there is a large degree of uncertainty on how to best tailor these practices to best suit local conditions. ” -Matt

Aetna to Shut Down CarePass by the End of the Year
Jonah Comstock for MobiHealthNews
“It was evident that there wasn’t much traction with CarePass at HIMSS earlier this year. So this doesn’t come as a huge surprise even though it stings a little bit… While many will jump on this “failure” – let’s not forget that Aetna was and continues to be way ahead of the curve on the payer front when it comes to digital health. Perhaps smart of them to pull the plug on an effort that wasn’t working – fail, learn, and move forward. I’m sure there will be more news out of Aetna before too long.” -Naveen

Policy: Governance Subgroup – August 15, 2014 Meeting
“Tim Burdick from OCHIN overviews the nuts and bolts challenges for average HIEs and HIOs created by heterogeneous systems and loose standards in testimony from Governance Subgroup of the HIT Policy Committee Interoperability Group Meeting on August 15, 2014.” -Brian

When Patients Read What Their Doctors Write
Leana Wen on NPR’s Health Blog
“Using physician notes has been difficult in EHR and HIEs. Will patients dig in and become more engaged?” -Brian
“This is an area that I have been following for awhile now, and am very excited that someone has been legitimately studying the impact of doctors treating patients like humans capable of intelligence when interacting with them. As we all know, nothing changes without the clinical evidence!” -John III

Improving Clinicians’ Access to Cost Data
John Kenagy, Ban Shan and Dan Michelson for HFMA
“Nice article on how Legacy Health (OR) was able to bring together clinical and financial data and the role that BI plays.” -Matt

Telemedicine’s $6 Billion Savings Potential
Lisa Smith in Medical Economics
“Telemedicine adoption has been hyped since the ’80s, with little to show due to reimbursement challenges and a resistance to adoption from the status quo. It is starting to look like the private market may be the way to drive this forward, as evidenced by the recent PracticeFusion acquisition of RingaDoc, and DTC plans and growing Blue partnerships announced by Breakthrough and AmericanWell.” -Naveen

How Much Market Power do Hospitals Really Have?
Jeff Goldsmith on The Healthcare Blog
“Jeff Goldsmith blog on the reputed market power of hospitals lays out some of the economics of driving care to lower intensity venues.” -Brian

Bipartisan Policy Center report breaks down healthcare reform challenges
Katie Sullivan for FierceHealthcare
“A white paper (PDF) from the Bipartisan Policy Center that offered legislative and regulatory recommendations on all kind of payment reforms including an alteration to the Medicare SGR formula along with along payment types including ACOs and bundled payments.” -Matt

In Ambitious Bid, Walmart Seeks Foothold in Primary Care Services
Rachel Abrams in the New York Times
“Walmart’s primary care efforts remain an experiment in payment rather than a solution for care delivery. As primary care and the delivery system’s composition quickly evolve, one issue not raised in this article is data connectivity. The clinics run on certified software from Quadramed, but for these efforts to be successful long term – particularly in the rural settings in which these pilots are taking place – more advanced data exchange will play a key role.” -Naveen

HICCUP Announces Wellville Five and Greater Wellville
Press release from HICCUP
“Esther Dyson is one of the truly passionate investors trying to make health systems change a reality. Much of what she does is noteworthy, but especially this initiative which steps back and approaches change from a much broader scope than individual angel investments.” -John III

Why North Shore-L.I.J. and Cleveland Clinic are partnering
Dan Goldberg in Capital New York
“Still really small numbers overall but represents an important competitive threat especially to local community hospitals and smaller IDNs.  The providers will likely increasingly have to compete nationally for some of their most profitable patients (eg patients with commercial insurance who are utilizing specialty services including surgery) with the likes of Cleveland Clinic or Mayo at a rival cross-town hospital.” -Matt

Community Health says data stolen in cyber attack from China
Jim Finkle and Caroline Humer for Reuters
“Another massive hospital security breach hit the news this week, again raising skepticism about just how secure any personal information is on the internet. This attack may have ties to the Chinese government, although it is still unclear. It appears that 4.5 million patients treated in any of the 206 Community Health Systems, Inc hospitals could be affected, making it the largest breach since HHS started tracking in 2009.” -John III

Guess what? Doctors don’t care about your Fitbit data
Mark Sullivan for VentureBeat
“Let’s be honest – VentureBeat is not exactly the first source we would think of for health IT coverage. That said, the glibness of the title will hopefully wake some people up to the fact that vast majority of data being collected from wearables right now is not appropriate or useful for a physician’s patient record.” -John III
The digital health hype men enjoyed a busy summer, but those paying closer attention are seeing that the flood of wearables and consumer health platforms are not near ready to bring value to healthcare. Beyond the basic issues (do fitbits really matter? how will this data be collected and presented) are the real world questions: Do companies like Apple and Epic really care about industry-wide standards? Are those partnerships we heard so much about actually going anywhere?” -Naveen

A Unified Theory of Population Health and Retail Health
Steve Lefar for SG2
“An interesting read here, suggesting that PHM and retail care are complementary and reminding us that costs are the primary driver of healthcare’s evolution. While PHM’s cost-savings ethos are well documented in light of health reform, the revenue-generation potential of retail care (the “worried well,” consumer loyalty programs, DTC tools) are less talked about. While these two approaches may play a complementary role in theory, in practice HCO’s have yet to deploy unified strategies (clinical+marketing) to manage both of these approaches.” -Naveen

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14:33
The past few days I’ve been in the nation’s capital with senior healthcare executives from some of America’s largest and best known hospital systems and clinics. I was honored to be asked by the event sponsor, McKesson , to deliver a keynote address to...(read more)
Source: HealthBlog
9:28
Global Center for Health Innovation Cleveland

Global Center for Health Innovation in Cleveland

Global Center for Health Innovation in Cleveland

The Global Center for Health Innovation opened for business last October in Cleveland, Ohio, but will officially open to the general public this October. The futuristic glass structure, designed by LMN Architects of Seattle, comprises four floors and 235,000 square feet of space. The Global Center is adjacent to Cleveland’s new underground Convention Center, also designed by LMN. Jointly, they hope to attract more healthcare-themed conferences and exhibits to Cleveland.

A Technology Showcase for All

John Paganini HIMSS

John Paganini of the HIMSS Innovation Center

HIMSS Innovation Center

HIMSS is one of the anchor tenants at the Global Center occupying the entire fourth floor. The HIMSS Innovation Center features a Technology Showcase, Simulation Center, and conference rooms. HIMSS now has a year-round exhibition space to complement its Annual Conference & Exhibition, which is the industry’s leading conference for healthcare professionals.

“This is a very interesting place, not for healthcare professionals only, but also for the general public,” according to John Paganini, Senior Manager of Interoperability Initiatives at the HIMSS Innovation Center. The aim is to drive interaction between health IT companies, healthcare professionals, and consumers.

I saw this mix in action while visiting the HIMSS Innovation Center and watching Apple conduct an educational event on replacing computers with iPads. The event attracted Apple’s new partner IBM, MobileIron Enterprise Mobility Management, app developers like HIPAAchat, physicians like Dr. Mark Aeder of the Case Western Reserve School of Medicine, and members from the social media team of the Cleveland Cavaliers.

To find a cultural “fit” for a place requires a creative process of active dialogue between our clients, colleagues and stakeholders. We have found our projects increase in richness and meaning when the design process actively engages a broad diversity of participants. – LMN Architects

“The entire building was designed to be interactive and self-guided,” says Paganini, “Touch screen monitors allow you to see all the different vendors who have interesting healthcare IT products and services out on the Technology Showcase floor. ”

GE Healthcare at HIMSS Innovation Center

Collaborative Testing for Interoperability

HIMSS is still building onto what is already an impressive list of collaborators who are interested in collaborative testing and how interoperable systems can improve quality of care for patients and communities. Paganini revealed that the HIT industry’s largest interoperability testing event, the IHE NA Connectathon, will be held at the Global Center for Health Innovation in January, 2015. More than 550 systems engineers gather annually at the Connectathon to run thousands of real-time tests and verify their systems.

use case vendors

Also on the schedule of events is the Cleveland Clinic Medical Innovations Summit taking place October 27 through 29, 2014, that will feature an Innovation Basecamp and the Top Ten Medical Innovations for 2015.

Four Floors, Four Themes

Intelligent flooring from Forbo Flooring Systems talks to caregivers and patients. For example, the flooring can alert a nurse she did not wash her hands as required.

Intelligent flooring from Forbo Flooring Systems talks to caregivers and patients. For example, the flooring can alert a nurse she did not wash her hands upon entering the room.

In addition to HIMSS’ innovation and interoperability on the fourth floor, each floor at the Global Center for Health Innovation has a theme. The first level ,”Health and Home”, offers a peek into the future with a 2,000 square foot State-of-the-Art Home. It features a living room, kitchen, bedroom, and bathroom, each designed to show how people with disabilities or health challenges can thrive through innovative healthcare technologies.

Four Northeast Ohio hospital systems are part of the Welcome Center on the first floor including the Cleveland Clinic, University Hospitals, MetroHealth System, and St. Vincent’s Sisters of Charity.

“Clinical Spaces” on the third floor is dedicated to the clinical experience, and the second floor, themed “People, Patients and Caregivers”, is dedicated to patient care including GE Healthcare, Cardinal Health, MetroHealth, Cleveland Clinic, STERIS, and BioEnterprise–Team NEO.

Biomedical Innovation and Startups

BioEnterprise–Team NEO markets Northeast Ohio’s biomedical community to the world. Over a billion dollars has been invested in 200 startup companies in the area with 41 exits since 2002. Cleveland Clinic, University Hospitals, Summa Health System, and Case Western Reserve University collectively conduct over $700 million in annual research.

Alego Health

Making Healthcare Cool

Hopefully, in the future, people will say, ‘I’ve got to go to Cleveland to see the Rock and Roll Hall of Fame, and the Global Center for Health Innovation.’ – John Paganini

All photos by Angela @healthiscool.

Categories: News and Views , All
8:01

Powerful word for winning a resumeWhen The New York Times was in its earliest years, the publication charged by the letter to print anything submitted, coining the term “$10 word.” It’s rumored the verbose Charles Dickens was paid by the word, though that’s more likely because he committed to his novels’ length in advance.

Today, brevity may mean more money for you, if you cut unnecessary words and clichés from your resume. These words are overused, vague, passive and/or outdated, and will make an employer or recruiter think several words of his or her own: “Next,” “ho-hum” or “sigh.”

To stand out among your competitors, get out your red pen and note the phrases and words you can cut from your resume right now:

  • Utilize, strategize, optimize, maximize or any other “ize” words
  • Proficient in Microsoft Office or the Internet
  • Passionate or any form of the word “love”
  • Hard-working, driven, dedicated or determined
  • Results-oriented
  • Team player
  • Self-starter
  • Helped or assisted
  • Handled or worked
  • Impactful or effective
  • Experienced or seasoned
  • Rock star
  • Quick learner or “thinks on my feet”
  • Responsible
  • Innovative or creative
  • Dynamic
  • Cutting-edge or think outside the box
  • References available upon request
  • Go-to person

After you’ve cut the fluff from your resume, consider updating your resume with these 20 powerful words.

Get more great health IT career tips when you subscribe to our blog!
Subscribe to the Healthcare IT Leaders Blog Today

The post 35 Words You Can Cut From Your Resume Right Now appeared first on Healthcare IT Leaders.

Categories: Influential , All
8:01

Powerful word for winning a resumeWhen The New York Times was in its earliest years, the publication charged by the letter to print anything submitted, coining the term “$10 word.” It’s rumored the verbose Charles Dickens was paid by the word, though that’s more likely because he committed to his novels’ length in advance.

Today, brevity may mean more money for you, if you cut unnecessary words and clichés from your resume. These words are overused, vague, passive and/or outdated, and will make an employer or recruiter think several words of his or her own: “Next,” “ho-hum” or “sigh.”

To stand out among your competitors, get out your red pen and note the phrases and words you can cut from your resume right now:

  • Utilize, strategize, optimize, maximize or any other “ize” words
  • Proficient in Microsoft Office or the Internet
  • Passionate or any form of the word “love”
  • Hard-working, driven, dedicated or determined
  • Results-oriented
  • Team player
  • Self-starter
  • Helped or assisted
  • Handled or worked
  • Impactful or effective
  • Experienced or seasoned
  • Rock star
  • Quick learner or “thinks on my feet”
  • Responsible
  • Innovative or creative
  • Dynamic
  • Cutting-edge or think outside the box
  • References available upon request
  • Go-to person

After you’ve cut the fluff from your resume, consider updating your resume with these 20 powerful words.

Get more great health IT career tips when you subscribe to our blog!
Subscribe to the Healthcare IT Leaders Blog Today

The post 35 Words You Can Cut From Your Resume Right Now appeared first on Healthcare IT Leaders.

Categories: Influential , All

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