Phone help for the hard-of-hearing

Voice carryover relay service (VCO) can be done over a landline with a VCO phone that displays text, or with a smartphone or computer and an IP (Internet) relay service to place or make the call.
Either way, the deaf person can speak to the other party and read the person's response as text. The text is provided by a communications assistant.

Relay services are provided free by the FCC, telephone companies and other providers. Costs are covered by surcharges on local phone bills.

Sprint offers an IP relay service with VCO capability and a mobile app for iPhones and select Android phones. Purple's IP-Relay for iPhone and Android works like an instant messaging chat.
Deaf persons who are proficient at sign language opt for video relay services. VRS allows a person to sign with a communications assistant, who then speaks to the other caller. Conversation flows faster and more naturally than with text-based relay services.

With Purple VRS for iOS and Android, you can make VRS, voice-to-video and point-to-point calls over 3G, 4G and Wi-Fi.

UK considering virtual clinics using iPad and Skpe to help close budget gap

www.imedicalapps.com
In an effort to decrease costs, UK Health Secretary Jeremy Hunt plans to create a new system of “virtual clinics.” Modeling after systems in India, patients would connect to their physicians using their iPad and Skype.  More

One-third of patients look to phone for health info

The trend among patients to use smartphone applications as healthcare aids continues to grow, according to research published Nov. 8, 2012 by the Pew Internet & American Life Project.More

Patients Want To Maintain Control Over Their EHR Information

A new study finds that most patients are comfortable sharing all of their electronic health record data with their primary care physician. However, many patients are unwilling to share such information with specialists or other providers. Clinical Innovation & Technology.

How does your hospital use social media?

Hospital Social Media Use Infographic

Tom van de Belt did some research into hospital social media use including comparing the US use compared with the Europeans. They put out this infographic that describes the details of one of his papers.  It shouldn’t be a huge surprise that US hospitals are behind on social media use. I’m sure some of it can be chalked up to our litigious society. Although, I’m sure there are some hospital culture elements at play as well.
Most of those hospital social media users aren’t really engaging the patients with social media either. They are just using social media as a broadcast channel.

Patient Information Exchange for Skilled Nursing Facilities

The Keystone Beacon Community serving central Pennsylvania, one of 17 federally funded communities across the nation serving as model sites for comprehensive use of health information technology, has developed a tool to enable skilled nursing facilities to share patient information, whether it is a paper or electronic health record.  More

Mobile for Reproductive Health

www.imedicalapps.com
Dr. Donan Mmbando, the Director of Preventive Services at the Ministry of Health and Social Welfare in Tanzania presented 'Use of Mobile Technologies for Family Planning and Reproductive Health.' Using SMS through mobile phones to help in family planning. While the rise of smart phones and integration of apps has been seen in the US, mobile phones are still demonstrating effect in lower economic regions in healthcare management.  More

10 Windows 8 Apps for Doctors, Patients and Researchers

10 Windows 8 Apps That Aid Health Care
With the introduction of Windows 8, health IT has a new environment in which to develop resources and clinical applications. Among the more than 10,000 apps in the Windows Store are several that are geared toward health. Here are 10 such apps. READ MORE »

Clinton Health Matters Initiative & Remote Monitoring

Remote and home patient monitoring technologies will be a key component of former President Bill Clinton’s new push, through his William J. Clinton Foundation, to eliminate health disparities between communities of different socioeconomic and racial strata.  More

New AHRQ Guide Identifies Successful Design Methods for Development of Consumer Health IT

A new AHRQ guide, Designing Consumer Health IT: A Guide for Developers and Systems Designers, presents suggested recommendations for designers and developers of consumer health IT products.  Recommendations include general guidance for designers and design teams on the process of designing and developing a product and guidance that is specific to a design phase such as idea generation, identification of end users, testing, and commercialization. The guide includes results of an environmental scan and grey literature review along with expert interviews to improve consumer health IT design to increase effective use.  Select to access this report (PDF file, PDF Help).

EHRs Among Today's Top Health IT Hazards

informationweek.com: Inaccurate patient information, mobile distractions and med device interoperability are putting patients at risk, says recent report from ECRI.  More

Who Uses Mobile Apps to Get Health Information?

A new survey finds substantial numbers of consumers use their cell phones to find health information. The Pew Internet & American Life Project commissioned Princeton Survey Research Associates, which conducted telephone interviews with 3,014 U.S. adults from August 7 to Sept. 6. Here are some of the findings.  More

Two-thirds of healthcare organizations lack a written mobile strategy

According to survey respondents, the top three topics that are important to developing a mobility strategy are security, budget, and integration. In the area of security, almost 70 percent of survey respondents expressed concern, specifically about protected health information security on smartphones.  To learn more:
- here's the white paper (.pdf)

Remote telemedicine for assessing concussions

Telemedicine can play a key role in providing access to a concussion specialist in rural areas, according to a study by Mayo Clinic researchers in Phoenix.  More

Stage 2 Meaningful Use Specifications Now Available

The Centers for Medicare and Medicaid Services has posted Stage 2 EHR  meaningful use specification sheets for eligible professionals and hospitals.They include objective, measure and exclusion for each core and menu objective, in addition to a definition of terms, attestation requirements, and corresponding standards and certification criteria.

The specification sheets are designed to aid in calculating the numerator and denominator for each objective, and in determining qualification for an exclusion from an objective. Click here for the sheets.

Yes, you do have a right to your health records

HIPAA explicitly gives patients the right to access their own records. This is not new. The HIPAA privacy rules have been in force since 2002. Yet, far too many patients have no idea of this right and far too many providers don’t inform patients of this right or do what they can to prevent access. Click for More

Gaming for Weight Loss

RWJF: Can video games help kids move more and even lose weight? In this Pioneering Ideas blog post, our Health Games Research grantee at Georgetown University discusses the first research link between the playing of exergames (like Nintendo Wii Active) and weight loss among obese adolescents.  Click for more

Meaningful Use Criteria Reference Grid Available

The Office of the National Coordinator for HIT has released new meaningful use quick reference grid layouts to ease the understanding of how Stage 1 and Stage 2 meaningful use objectives and measures correlate with the 2014 Edition electronic health records certification criteria.

More information and links to the grids are available here on ONC’s blog site. The blog starts with a reference to grids released two years ago--don’t click on that link, but on the 2014 grid links below it.  More

Successful design methods for development of consumer health IT

A new guide funded by the Agency for Healthcare Research and Quality (AHRQ) “Designing Consumer Health IT: A Guide for Developers and Systems Designers” presents suggested recommendations for designers and developers of consumer health IT products. Recommendations included are either general guidance for designers and design teams that can be applied to the process of designing and developing a product; or specific to a design phase such as idea generation, identification of end users, testing and commercialization. The guide presents results of an environmental scan and grey literature review; and expert interviews to improve consumer health IT design in order to increase effective use of consumer health IT. Select to access this report (PDF file, 299 MB), http://healthit.ahrq.gov/developmentmethodsguide.

A Peek into the Future of Health Care Technology

A Peek into the Future of Health Care Technology
These days, it seems like there’s an app for almost everything--including health care.
NurseZone   More 

Telemedicine in stroke impacts treatment and patient outcomes

www.imedicalapps.com  Telemedicine can allow for immediate, direct access to stroke specialists regardless of physical proximity, saving time crucial for ensuring that rt-PA can be used safely.  More

Telemedicine from the 1920s?

Interesting article in Smithsonian magazine's Paleofuture blog, suggesting that an early radio and publishing professional may have predicted telemedicine as early as 1925.  More

Many Top Health Care Technology Hazards Are IT-Related

According to an ECRI Institute report, health IT systems play a role in some of the top 10 health care technology hazards. Such hazards include data errors in electronic health records and other health IT systems. Clinical Innovation & Technology, Health Data Management.

National Health Information Sharing and Analysis Center -- or NH-ISAC -- launched an emergency response system

System Aims To Support Health Data Sharing During Emergencies

A new emergency response system launched by the National Health Information Sharing and Analysis Center aims to protect critical health care infrastructure and information systems during a natural disaster or cyberattack. The system is designed to help health care organizations access emergency response protocols and improve their information sharing. Healthcare IT News et al.

Wireless Monitor Pilot in LA


Patient Room: Wireless Plaster Monitor Pilot Underway in LA
Toumaz US, a joint venture of United Kingdom-based Toumaz Ltd. and healthcare venture backer Patrick Soon-Shiong, M.D., has begun a pilot of its SensiumVitals wireless continuous monitoring plaster at St. John's Health Center in Santa Monica. read more »

2014 Clinical Quality Measures Now Available

AHRQ has developed the U. S. Healthcare Knowledgebase (USHIK) with both Meaningful Use Stage 1 and State 2 (2014) clinical quality measures.  The USHIK Web site provides different formats for viewing, downloading, and comparing versions of electronic CQMs and their value sets.  It allows users to compare present, past, and future proposed versions of Meaningful Use quality measure and value sets.  USHIK allow researchers to browse, compare, and synchronize diverse data sets in order to promote interoperability, uniformity, and comparability of health data.  Select to access USHIK.

Tools to Improve Safety for Patients with Limited English Proficiency

Research shows that safety events that affect patients with limited English proficiency tend to be more severe and occur more frequently due to communication errors.  Two new tools are now available to help improve patient safety in those with limited English proficiency. The TeamSTEPPS® Limited English Proficiency module developed by AHRQ and the Department of Defense can help staff reduce medical errors for patients with limited English skills.  Approximately 57 million people – 20 percent of the U.S. population – speak a language other than English at home, and approximately 25 million – nearly 9 percent of the U.S. population – are defined as limited English proficient, meaning that they speak English less than “very well.” The module is available in CD format and includes PowerPoint presentations, teaching modules, and video vignettes that can be used to train staff.  As a companion to the TeamSTEPPS module, “Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals” helps hospital leaders learn how to identify, report, monitor, and prevent medical errors among patients with limited English Proficiency.  Select to access the TeamSTEPPS Limited English Proficiency module and Hospital Guide.  Copies of the module CD are available by sending an e-mail to AHRQPubs@ahrq.hhs.gov.

Digital assets: Help your heirs from getting lost in the cloud

For many of us, stashing information has moved from old-fashioned filing cabinets, desk drawers, and shoeboxes into the digital "cloud."  Will your heirs be able to find out what you own (and what you owe) if you can't log on and show them?  The answer may be no. A  Retirement Institute study found that 57% of respondents hadn't made provisions to pass their digital financial records on to their heirs, even though more than half of those with digital property believed that it's important to do so.  More

New Resource for Bereaved Fathers

Drs. Don Rosenstein and Leeza Park, of the University of North Carolina, recently launched a website for men who are simultaneously mourning the loss of their wives to cancer while raising their children alone:  http://www.singlefathersduetocancer.org   It is a great resource to provide support, information, and resources to this population.

Spanish version of “Eating Hints: Before, During, and After Cancer Treatment"


One of the challenges associated with a cancer diagnosis is coping with changes in your diet, appetite, and taste. The NCI’s “Eating Hints: Before, During, and After Cancer Treatment” provides cancer patients with guidelines to navigate food choices in order to stay healthy and eat a well-balanced diet. This popular resource has recently been released in Spanish. To view,  “Consejos de alimentación: Antes, durante y después del tratamiento del cancer,” click the link below.

Wireless Revolution in Home Health

With texting, tweeting, Facebook PMing and Gchat increasingly replacing face-to-face or telephone conversations, it's only logical that clinicians will find a way to enhance provider-patient communications. 

The trend is official now. In October, the Federal Communications Commission (FCC) allocated use of the 2360-2400 MHz bandwidth for medical use. Those bands were previously reserved for flight testing in the aerospace industry. This change should further facilitate real-time monitoring. More

Other Nursing Informatics & HIT Blogs of Interest

Nursing Informatics & Technology: A Blog for All Levels of Users

News from healthcareitnews.com

mobihealthnews

iHealthBeat

Health information technology improves care and saves lives

AHRQ Research about: * Telemedicine * School Health * Health Maintenance

Ethics and HIT

Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
  • patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
  • transparency and a commitment to patient safety should govern vendor contracts;
  • institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and
  • vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.

e-Behaviorial Health


Benefit from new technologies... enable people to have remote access to CBT

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