 Your new post is loading...
|
Scooped by
rob halkes
|
Nancy Vorhees, COO at Inland Northwest Health Services, explains how the organization's successful telehealth program has achieved widespread adoption in five states, and the challenges that remain. Recorded at the IHTT 2013 conference in Seattle. In a follow up iof the blog (scroll down) there is a video with an interview with Sheren Schlegel, Director of TeleHealth andand Todd Czartoski, M.D., of the Swedish Health Services. They describe the wide range of specialized telehealth services they provide to outlying communities in the Pacific Northwest region. Recorded at the IHTT 2013 conference in Seattle.
|
|
Scooped by
rob halkes
|
If you’ve been to a healthcare conference lately, you probably had a moment where you sat down in the main stage room and looked around in order to size up
|
|
Scooped by
rob halkes
|
When you’re limited to 140 characters, can a twitter chat truly be an effective policy engagement tool?
Based on my recent experience of a twitter chat with @wenurses, as part of our engagement around the proposed Vulnerable Older People’s Plan, my answer is a definitely yes.. Read more !
|
|
Scooped by
rob halkes
|
Keynote talk at the eHealth Symposium in Twente, 20 May 2008
|
|
Scooped by
rob halkes
|
With one half of health industry executives saying they are concerned about how to integrate social media data into their business strategy there is a recognition social media presents a significant industry challenge.
Health care is increasingly featured by the use of Web 2.0 communication and collaborative technologies that are reshaping the way patients and professionals interact. [In the Netherlands] One in 4 persons wants to communicate with their physician via social media channels and it is expected that this number will further increase. Health care providers should explore new ways of communicating online and should facilitate ways for patients to connect with them.
Via COUCH Medcomms
|
|
Scooped by
rob halkes
|
I’ve been infuriated recently by two “gimme my DaM* data” episodes where providers told me “No – you can’t have the report. We only send it to the doctor.” That’s illegal.
It’s a Federal civil rights violation. I am legally entitled to my medical record,
and you are entitled to yours. Refusing to give it to you
subjects them to
Federal civil rights penalties. Yet so many doctors and hospitals simply don’t know this. In my case, two independent shops recently said no – a lab and a radiologist – leaving me powerless. Well, I don’t take well to being powerless. So I acted. On Twitter today I said: This feels ironic: a radiology shop is refusing to give me the radiologist report. Anyone have a link to “Docs MUST give pts their data”? Within minutes I had responses from my excellent peeps@Rob_Havasy, @DLScherMD, @HealthBlawg, @AmyPricePhD – and then, the most awesome authority on the HIPAA privacy law, Deven McGraw, who tweets as @HealthPrivacy. They all linked to hefty pages packed with tons of information – as I told Rob: I’ll give it to them but the harried clerk at this practice will glaze over at this document. :) (Seriously: I had a great conversation with the clerk who registered me, who was struggling to learn her new EMR system. I need something nice and official looking for her to take to her boss.) Deven had the most useful link, which ultimately led me to the flyer above. It was all about a meeting I attended last year at the White House Office Building, which I meant to blog about, but didn’t. At last, here’s the info: - PrivaPlan’s blog: OCR Releases a “Right to Access” Memo Supporting Patient Access to Health Data (OCR is the Office of Civil Rights, which administers HIPAA) - An excellent 1 minute video from OCR: The right to access and correct your health information - The OCR’s consumer page. At top is a set of 7 excellent short videos, including this one.I salute whoever did those videos – they’re clear, focused, and SHORT – thanks for not making it a single 15 minute one! - And that led to the PDF above. And there it is, right at the top: (Again, kudos to whoever did this!) Walk in with this flyer. Many medical offices don’t understand the law.
|
|
Scooped by
rob halkes
|
Under New Zealand's proposed ehealth system, an individual’s health information is to be collected, stored and made accessible as and when needed by the health professionals as well as individuals, through a network of online health data storage system - Aiming at achieving high quality healthcare and patient safety through integration of information and technology (IT) at all levels of healthcare delivery, New Zealand is looking at implementing eHealth across the country. Under ehealth system, an individual's health information is to be collected, stored and made accessible as and when needed by the health professionals as well as individuals. The health information would include the individual's demographics, allergies and alerts, wellness checks and interventions such as screening and immunization, and a register of where other health information is stored for the person. The objective is to create a system in the country under which an individual's personal health information is made available electronically, which can be accessed the healthcare providers. .. Under New Zealand's proposed ehealth system, an individual’s health information is to be collected, stored and made accessible as and when needed by the health professionals as well as individuals, through a network of online health data storage system -
|
|
Scooped by
rob halkes
|
Doctors who aren’t on Twitter are missing out. Really. That conclusion came through loud and clear from recent conversations I had with several physicians in the small Ontario city of Kingston recently. These individuals represented the whole spectrum of the medical profession from student, to primary care community care doc to specialists and academic teachers.
Given that only an estimated 1 in 10 Canadian doctors uses Twitter even now, it was somewhat surprising how adamant these physicians were about the benefits of the tool for medical professionals, as well as patients and the public.
They were very clear that they felt Twitter represented a unique channel for providing new connectivity between doctors, between medical teachers and students, and between physicians and other members of the community.... But what all had in common was that they had come to acknowledge the value of Twitter in their professional lives.
For these physicians, Twitter is providing an-easy-to-manage tool to build connections that had not existed in the past...
In the US, 70 percent of residents over age 65 will need long-term care in their lifetimes. The good news is that eHealth can help in monitoring health conditions. The bad news is that home-based-care staffing and turnover issues jeopardize the care these patients need—things such as help bathing, dressing, eating, using the bathroom.
Via nrip, Rémy TESTON
|
|
Scooped by
rob halkes
|
Disease surveillance in the community could be attained through disease related social media websites via patient participation. More often than not, diabetes management poses a conundrum for clinicians and patients. Our evidence supports driving patients to a clinical endpoint (e.g. targeted A1c), while also reducing negative outcomes (i.e. hypoglycemia). This cannot be underestimated. It can be seen in a publication in the New England Journal of Medicine which identified one of the commonest medication related ER visit was due to insulin and associated drugs that cause hypoglycemia [1]. All too often, though, patient engagement in the management and reporting of their side effects goes unnoticed. However, recent websites and social media groups (e.g. Patientslikeme.com) have created an outlet for patients to come together and share their experiences. A recent study in JAMA utilized a diabetes online social media website, TuDiabetes.org, in order to determine if such an outlet can be of service as a participatory surveillance tool for patients [2]. The study was conducted from March 2011 to April 2012, where patients took 2 surveys about hypoglycemia and diabetes via the TuAnalyze ‘app,’ which was utilized to collect the data.
|
|
Scooped by
rob halkes
|
For whatever reason – whether it’s budget, time, buy-in or understanding – healthcare hasn’t fully embraced social media. But luckily the ePatient movement has already—perhaps unknowingly—done the grunt work and outlined the tenets of realizing social media’s value in healthcare. Patient engagement thought leaders, such as Dave deBronkart (@ePatientDave), have been indirectly driving home the values of optimal social media use for quite some time. In the following Perspectives by Fenton + TEDMED video, ePatientDave with commentary from James Merlino, Chief Experience Officer at the Cleveland Clinic, outline the “5 Es of the ePatient,” which parallel the values health organizations should keep in mind when engaging their audiences using social media. 5Es of the epatient and social media: - Engaged - Educated - Empowered - Equipped - Expert ..
|
|
Scooped by
rob halkes
|
REview of Seminar Ehealth in Belgium Downloadable presentations here. Hier kunt u de presentaties van het seminar 'E-Health' (14 mei 2013, ALM Antwerpen) downloaden. - events - BusinessMeetsIT
|
|
Scooped by
rob halkes
|
It's time for the patient medical record to get a refresh. We can do better than this.
|
|
Scooped by
rob halkes
|
WATERVILLE, Maine — Most of the time when patients visit a doctor’s office for an appointment, they don’t need a hands-on examination, according to Dr. Rafael Grossmann, a surgeon at Eastern Maine Medical Center in Bangor. With modern electronic communication, there’s no need for patients to waste hours traveling to see their physician just for a conversation, Grossmann told a small crowd gathered at Colby College on Tuesday for a conference on telehealth. “Eighty percent of visits can be done without touching the patient, just sitting down and talking and connecting with them without physical touch,” he said. Grossmann, a general and trauma surgeon, said some of his patients have driven four hours from northern Maine to visit him. “They sit down and you go in there and you have 15 other patients and you don’t think about how they have traveled all this time, it might be the middle of winter … Then five or 10 minutes later, I have nothing else to tell them,” he said. But telehealth — the use of electronic communication to connect patients and health practitioners over long distances — is changing that dynamic, Grossmann said. Telehealth encompasses an array of communications, from doctor-patient video chats on services such as Skype to home health nurses remotely monitoring vital signs of elderly patients....
|
|
Scooped by
rob halkes
|
Done by the Dutch National Institute for Public Health and the Environment: Rivm. Abstract More awareness is needed about the risks of e-Health technology. While information regarding its potential is abundant, the risks associated with the use of information (including mobile) and communication technology in health care have scarcely been addressed. In order to implement e-Health technology successfully and safely, the evaluation of their benefits should be integrated into and complemented with systematic risk assessment. This is the main recommendation resulting from an exploratory literature study that was performed at the request of the Dutch Health Care Inspectorate.
A review of scientific literature identified no systematic studies (randomized controlled trials) that directly investigated the risks of e-Health technology. However, many unintended, 'secondary', outcomes have been reported that indicate risks for patient safety or quality of care at the level of the technology, the end-user (patient, professional) or the organization. They vary from high time consumption, adverse effects, usability problems, limited server access and malfunctioning devices due to improper use or financial issues. Similar outcomes were found through searching 'grey' sources accessed through the internet. From the combined scientific and grey sources, we found anecdotal evidence for a wide variety of risks in e-Health, of which the magnitude is largely unknown. Confirmation of these findings was obtained from several other recent, authoritative reports. E-Health interventions are being increasingly used in Dutch health care. It is, therefore, important that tools currently used for risk management are applied to e-Health as well. A reliable system to report, identify, document and monitor risks would help to increase transparency in this field. ... A quickscan of scientific literature was performed as well as an analysis of web-based sources. The bibliographic database SciVerse Scopus was searched tocollect scientific publications (2000-2011) on risks resulting from the use ofeHealth applications in health care. The search was restricted to studiesregarding risks concerning the quality of health care and patient safety. ... A realistic reconsideration of the integration of eHealth in health care processes is needed to prevent or minimize such risks. To achievethis, four actions are recommended: 1) keep the health care community alertedwith regard to the risk issue, 2) carry out more research on the risks of ICT inhealth care, 3) establish a system to report and document incidents (coherentwith existing systems) and 4) apply risk management tools in all phases of thelife cycle.
|
|
Scooped by
rob halkes
|
How can mHealthtransform the wayhealthcare is delivered?11 April 2013
|
|
Scooped by
rob halkes
|
This TedMed blog post by Stacy Lu has announced that Shiv Gaglani, a MedGadget Editor and John Hopkins Medical Student, and ‘a team of current and future physicians” will take to the stage of TedMed 2013 with the debut of “The SmartPhone Physical” a “first of it’s kind demo” of a “well-patient checkup using only smartphone-based devices“. Of course this isn’t a first of a kind at all – Eric Topol MD has already demoed something very similar on Prime Time US TV shows (eg. CNBC and the Colbert Report) and we were providing similar smartphone based physical checkups for delegates at mHealth events all the way back to the Mobile Healthcare Industry Summit in 2009 – and I took it beyond demo when I used such tech a few years ago to diagnose a delegate who was unaware that they were suffering a MI at a Mobile Industry event (following speedy admission to Hospital and some treatment there was thankfully a very good recovery!).... See the blog!
|
|
Scooped by
rob halkes
|
Underserved communities in the U.S. stand to benefit greatly from telehealth and mobile health technologies, but only if clinicians adjust their workflows to include remote care, payers start offering the right financial incentives for providers to do so and the technology infrastructure is in place to support digital outreach, attendees at a conference heard last week. “It all boils down to workflow,” Jeff Russell, director of vertical market sales for online videoconferencing technology company Vidyo, said at the Health Technology Forum Innovation Conference Friday in San Francisco. “It’s never the technology that’s the barrier. It’s the workflow,” agreed Dr. Yan Chow, director of Kaiser Permanente’s Innovation and Advanced Technology Group. One reason why workflows do not support telehealth is because payers traditionally do not reimburse for such services, Chow noted. “For many specialties, they’re still thinking traditional care. That’s how they’re paid,” he said. That is changing, however. Tapan Mehta, global healthcare lead for Cisco Systems, reported seeing a “significant picking up” in telehealth usage in the last 12-18 months, in no small part because of the wider availability of reimbursements. ...
Atanu Garai. 2012. Seven factors for designing successful mHealth projects. XRDS 19, 2 (December 2012), 16-19.DOI=10.1145/2382856.2382865 http://doi.acm.org/10.
Via Diego Castaneda
12 Ways to Improve the Healthcare User Experience ( Industry Verticals ) Technology is a great way to engage patients in managing their health, but poor design--whether it's a bad interface or an app that doesn't meet patients' needs--often stands in the way. These 12 tips will help designers and developers improve the user experience for patients who want to improve their health. At the recent Healthcare Experience Designconference, of which Cueva is the chairwoman, attendees learned 12 strategies for improving the healthcare user experience. - Understand the Problem You're Trying to Solve - Participatory Design: It's All About Empathy - Focus on the Underserved - Eliminate the Source of the Problem - Focus on What Users Need, Not What They Want - Remember That Millennials Are Brats - Don't Confuse Web Literacy and Health Literacy - Don't Forget That Typography Matters - Target the Ready and the Willing - Learn From Video Games - Support Measurement-Based Medicine - Bring a Sword ..
|
|
Scooped by
rob halkes
|
Most U.S. Doctors Believe Patients Should Update Electronic Health Record, but Not Have Full Access to It, According to Accenture Eight-Country Survey NEW ORLEANS; March 4, 2013 – A new Accenture (NYSE:ACN) survey shows that most U.S. doctors surveyed (82 percent) want patients to actively participate in their own healthcare by updating their electronic health records. However, only a third of physicians (31 percent) believe a patient should have full access to his or her own record, 65 percent believe patients should have limited access and 4 percent say they should have no access (see figure) These findings were consistent among 3,700 doctors surveyed by Accenture in eight countries: Australia, Canada, England, France, Germany, Singapore, Spain and the United States. Patients Access to Records While nearly half of U.S. doctors (47 percent) surveyed believe patients should not be able to update their lab test results, the vast majority believe patients should be able to update some or all of the standard information in their health records, including demographics (95 percent), family medical history (88 percent), medications (87 percent) and allergies (85 percent). And, the majority of doctors (81 percent) believe patients should even be able to add such clinical updates to their records as new symptoms or self-measured metrics, including blood pressure and glucose levels. .. In fact, nearly half of doctors surveyed (49 percent) believe that giving patients access to their records is crucial to providing effective care. But, only 21 percent of doctors surveyed currently allow patients to have online access to their medical summary or patient chart, the most basic form of a patient’s record. ..
|
|
Scooped by
rob halkes
|
With the recent projection that telemedicine will reach 1.8 million patients worldwide by 2017, I think it’s fitting to continue the discussion I started last week pertaining to the current ROI of EMRs. While current utilization based on scrambling to meet Meaningful Use for federal incentives may not be all it’s cracked up to be, I do believe EMRs will ultimately provide a fiscally sensible return on investment, especially if telemedicine technology becomes part of any given vendor’s standard EMR package/offering. I decided to bounce the idea off Sande Olson, a Twitter friend (@sandeolson) and Senior Healthcare Consultant at Olson & Associates. Being a healthcare professional that has worked in telemedicine long enough to witness its evolution, Olson seemed a fitting expert to speak with on the subject of EMRs, telemedicine and the bottom line. How have you seen the telemedicine landscape change over the last few years?
Olson: Until recently, telemedicine has been a niche industry. Early users recognized the potential value of telemedicine, but successful business models (showing a viable ROI) didn’t exist, and technology was costly. The challenge was reimbursement; who was going to pay for it? Without reimbursement or a viable business model, telemedicine could not go viral. The telemedicine landscape began to change with advancements in information and communication technology on the heels of The Affordable Care Act. The push for healthcare reform provided financial incentives to “nudge” healthcare providers towards EMRs. Reform mandates and the availability of government funding created new opportunities around technology. Telemedicine, a valuable if fledgling technology, became a buzzword around technology and healthcare reform. Industries saw business opportunity as solution providers for an “industry poised to undergo radical change.” Entrepreneurs, inventors, investors and healthcare visionaries followed new and sometimes disruptive ideas. Care delivery tools moved from PCs to tablets, along with mobile apps. The confluence of all these influencers is creating a potential tipping point for telemedicine; it only needs wider reimbursement and licensure portability. Our aging population and forecasted physician shortage will help continue to thrust telemedicine into the forefront of change. Telemedicine is already being used successfully; reimbursement is still a challenge. But, healthcare innovation is just getting started. We have challenging times ahead, but this is also the most exciting time to be in healthcare ever! .
A transatlantic eHealth roadmap has been agreed between the European Commission and the US Department of Health and Human Services. It aims to strengthen transatlantic cooperation in eHealth and health information technologies (IT) and will prioritise two areas over the next 18 months. The first is the development of standards for electronic health information and communication technology that will allow 'interoperability' between different countries' systems. The second priority will be to develop and expand a skilled health IT workforce in Europe and the US. The EC's work in the area is being led by its directorate general for communications networks, content and technology (DG CONNECT)...
Via Ray Stephens
|
eHealth and telehealth are jumping into the world: that is great, Yet there are several issues to be addressed in implementation of it: financial (reimbursement), interoperability, legal, privacy, multidisciplinary cooperation, etc.
And, probably key to success: the reorganization of care paths allowing for patient activity and self management.
Health care providers will be confronted with "disruption" and need for change of their caring processes. This change is not easily made.
Thus is ehealth not a question of providing for the distant technology only. We still need a lot of evaluation and research of how this implementation can best be done. Certainly not solely with the physicians and medical staff. Patients will be consulted for this too, tells at least my experience with this.