AHRQ: New Web Page Highlights Innovations Related to the Affordable Care Act

Coordinated care team surrounding patient in hospital bedAHRQ announces a new section of the Innovations Exchange Web site, Implementing the Affordable Care Act: Innovations That Improve Health Care Quality and Access (http://www.innovations.ahrq.gov/AffordableCareAct.aspx). The page highlights profiles from the Innovations Exchange collection that reflect service delivery models and strategies related to the ACA and illustrate its key principles. While these innovations are not directly connected to CMS Center for Medicare & Medicaid Innovation (CMMI) programs, select innovations are precursors to the ACA; others show approaches to improving quality and efficiency that support ACA goals.

AHRQ: Using Mobile Technology To Enhance Care

The Agency for Healthcare Research and Quality (AHRQ) announces the July 30 issue of the Health Care Innovations Exchange (http://www.innovations.ahrq.gov).
    Using Mobile Technology To Enhance Care
  • The featured Innovations describe three initiatives that used mobile technology in various ways to improve care management. The programs include one that designed tablet-based software for home visits and care coordination to reduce readmissions, another that coupled care management with text messaging to improve adherence among patients with diabetes, and an electronic case management system accessed via mobile device that improved field nurses’ ability to serve at-risk families.
  • The featured QualityTools include a Web site for providers with toolkits and resources on using technology to assist care coordination, a mobile-accessible tool designed to help primary care clinicians identify appropriate preventive services, a Web site that provides guidance on the adoption of mobile technology in health care, and a mobile health program that delivers personalized text messages to help individuals improve and manage their health.
  • To access more innovation profiles and tools related to mobile technology in health care, go to http://www.innovations.ahrq.gov/innovations_qualitytools.aspx?find=mobile+application+OR+mobile+technology+OR+mobile+phone.

How young French oncologists are using medical apps



new study in the Journal of Radiation Oncology looked at self-reported smartphone and tablet ownership and usage statistics in young, French, radiation oncologists. While the sample is quite specific and not necessarily generalizable, it does present an interesting look at the up-and-coming generation of physicians (most of the subjects had five years of experience or less). Read More


Smartphone and tablet use by level of experience.

iPad Game Helps Boost Young Individuals' HIV Knowledge

A study presented at the International AIDS Conference shows that an iPad-based video game can improve teenagers' knowledge about HIV/AIDS. The researchers found that knowledge about HIV/AIDS increased by three to four points on an HIV knowledge-based test among individuals who played the video game. MedPageToday

Teenagers who played an iPad-based "serious" video game learned significantly more about HIV/AIDS compared with those who played conventional video games, according to a new study presented at the International AIDS Conference, MedPageToday reports.

Fiellin noted, "Serious games hold the promise of delivering HIV prevention interventions with increased access, fidelity, dissemination and impact." She added, "Data from video game play and the systems developed to analyze them offer the opportunity to evaluate directly how game play experience is related to self-reported outcomes" (Susman, MedPageToday, 7/23/2014). 

Update on FSMB compact-Telehealth Across Stage Lines

In an effort to expand the use of telemedicine across state lines, the Federation of State Medical Boards has released an updated version of its interstate compact for physician licensure. The updated draft includes proposed changes to strengthen...The compact, if passed, would allow doctors to apply for an interstate license...  Read More

Related Articles:
Compact aims to ease licensing for telemedicine
Not all happy as telemedicine model policy adopted
ATA: State policies hinder telemedicine


A National Tragedy Leads to Revolutionized Burn Care Through Telemedicine

The Arizona Telemedicine Program Blog
“Let’s say St. Mary’s in Tucson gets 10 burn patients,” Caruso says. "The staff there can take ‘Doc on a Stick’ – a robotic device that transmits images of patients in outlying hospitals to the Burn Center – and I can do a one-on-one consult with the doctor at St. Mary’s.”
Arizona Burn CenterThe benefits are profound, he says. “We are located in the middle of the state. We’ve got a 1,500 mile radius from where we can take patients – including California and New Mexico. Not all burn patients have to be transported to our center, but either way, we can see what’s going on even before the helicopter arrives. We can help with supportive care, and get treatment started earlier. Read More

Phasing in Medicare coverage of telemedicine, remote patient monitoring: House Bill

The current forthcoming bill, called the Medicare Telehealth Parity Act of 2014, is more measured, expanding the reach of Medicare in telehealth slowly over four years and establishing efficacy data requirements along the way.

Currently, telemedicine can be reimbursed only in rural areas — areas that fall outside of a designated metropolitan area...Read More

7 Ways Florida Toughened its Breach Notification Law

7 Ways Florida Toughened its Breach Notification Law
 
7 Ways Florida Toughened its Breach Notification Law
 
Enhancements to Florida’s breach notification law became effective in June, putting in place new requirements and in some areas tougher provisions. “The new law sets up one of the most robust data protection regimes in the United States and is relevant to any business that collects personal information nationwide,” according to an analysis of changes from the law firm Morgan, Lewis & Brokius...
READ MORE »

6 key stages of a successful mHealth project

Methodology: 6 key stages of a successful mHealth project

CEO at GenerationOne 
These 6 key stages of a successful mHealth project can help you make sure your program is off to a good start: http://bit.ly/1tJq3g9

Methodology: 6 Key Stages of A Successful mHealth Project bit.ly

6 Key Stages of A Successful mHealth Project methodology enables robust planning for the many aspects required to ensure a sustainable mHealth project.

Long-Term Care and Techology

How the Long-Term Care Industry Has Begun to Embrace Technology
icon
Ignored by HITECH, the long-term care industry has gotten off to a slow start when it comes to IT. But Matthew Wayne, president of the American Medical Directors Association (AMDA), says now, EHRs and mobile apps are being embraced in the post-acute care setting.

eVisits: The Doctor Will Click on You Now....


Photographer: J Pat Carter/AP Photo
University of Miami dermatologist Dr. Anne Burdick checks the computer screen in her... Read More

Here's Looking at You: How Personal Health Information Is Being Tracked and Used

Infographic Teaser for Your Data: It's Out ThereA new CHCF report by Jane Sarasohn-Kahn looks into emerging issues around consumer-generated health data. It is based on numerous interviews with technology and health care experts, several of whom offer strategies for protecting privacy.
A related infographic offers contrasting examples of how health care and other data are already being collected and used. Read More

Survey: 75 percent of patients want digital health services

McKinsey Digital Patient Survey
 According to a survey of thousands of patients in Germany, Singapore, and the United Kingdom, the adoption of digital healthcare services remains low because existing services are either low quality or not meeting patients’ needs. The survey, conducted by consulting firm McKinsey, included responses from at least 1,000 patients in the three countries. ” McKinsey analysts Stefan Biesdorf and Florian Niedermann wrote in a recent blog post . “In fact, the results of our survey reveal something quite different. The reason patients are slow to adopt digital healthcare is primarily because existing services don’t meet their needs or because they are of poor quality.” Read More

Two New Studies Analyze EHR, Health IT Adoption Trends

The journal Health Affairs recently published two studies written by current or former employees of the Office of the National Coordinator for Health IT that examine health IT adoption in critical access hospitals and federally qualified health centers. Clinical Innovation & Technology et al. Read More

Will virtual second opinions be the next big trend in telemedicine?


It’s no secret that patients are spending an increasing amount of time on the Internet looking for medical advice. Some research even suggests that for 1 out of 3 Americans, the Internet is a diagnostic tool. Organizations of all sizes are ramping up their digital programs in order to break down geographical boundaries, allowing patients to tap into specialized care.

Telehealth is Gaining Ground

Twenty-one states now mandate private insurance coverage, which doubles the number of states over the past two years. Now the Centers for Medicare & Medicaid Services (CMS) has approved several...
LEARNTELEHEALTH.ORG

Tech to help care for the elderly

medcenter pill organizerTaking care of an aging parent or relative is a tough thing. Let technology help make it easier and less expensive.  Read More


CMS to pay for telepsychiatry, but not remote ECG, fundus cameras in 2015

Verizon Wireless Virtual VisitsThe Center for Medicaid and Medicare Services (CMS) has released an unpublished proposed rule that will soon lead to changes in coverage under Medicare Part B. Notably, the proposed rule will expand the range of telehealth services that can be reimbursed under 

5 Myths About Consumer Use of Digital Healthcare Services


5 Myths About Consumer Use of Digital Healthcare Services
 
5 Myths About Consumer Use of Digital Healthcare Services
 
A recent international survey by the McKinsey & Company consulting firm addresses some myths about consumer use of digital healthcare services.
READ MORE »

Social Media: Nurse Fired


The firing of a New York City nurse for her social media use has reaffirmed the hazards of healthcare workers bringing their work online, according to ABC News.
Katie Duke was fired from her job as a nurse at New York Presbyterian Hospital after posting a photo to Instagram of an empty trauma room after the treatment of a man hit by a subway train. Duke was told she was fired for insensitivity, and that she had not violated the Health Insurance Portability and Accountability Act or HIPAA, she told ABC News. Duke claims she did not take the picture, but rather reposted it from a doctor who also worked at the hospital. New York Presbyterian has not reprimanded or otherwise disciplined the doctor, according to the article. Read More

Mt. Sinai offers iPads to patients to track their stay

New York City-based Mt. Sinai Medical Center has begun offering iPads to patients to keep track of their hospital stay. The central feature of the app, Patient Itinerary, allows patients to stay informed about when they are scheduled for surgeries, lab tests, and consultations.
The Mayo Clinic implemented a similar pilot in an outpatient context for patients recovering from heart surgery. That app included an assessment component, but also equipped users with a schedule and to-do list for the day. DeCarlo said that pilot was an inspiration for Mt. Sinai, but that they’re applying the same ideas to an inpatient context. Currently, about 50 iPads are deployed across six units in the hospital. Read More

CMS proposes expanded telehealth coverage for 2015


Annual wellness visits and psychotherapy are among four services the Centers for Medicare & Medicaid Services is proposing to add to the list of services that can be provided to Medicare beneficiaries via telehealth, according to a proposed update to the Medicare Physician Fee Schedule for the 2015 calendar year issued late 7/3/2014.

Under the proposal, annual wellness visits and psychotherapy, as well as psychoanalysis and "prolonged evaluation and management services" would be covered as Category 1 services. Such services, according to CMS, are defined as "similar to professional consultations, office visits and office psychiatry services" currently covered by the agency.

The current state of health gaming

At the 2014 Games for Health conference, health gaming had some big milestones in the past year — events that may not represent a breakthrough for the category but show it steadily building in importance. Health games made the cover of Nature when a study showed that a game called NeuroRacer could improve neuroplasticity in older adults, leading to a potential therapy for ADHD, depression, and autism spectrum disorders. A spin-off company, called Akili Labs, has since partnered with Pfizer to develop a game for Alzheimer’s. Read More

CMS Telehealth CY 14 Fact Sheet

The link below is to the current CMS published Telehealth fact sheet for FFS as it pertains to CY 14. At the end of the document, they have provided a list of other helpful links that might useful depending on your programs’ needs and development.
http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/telehealthsrvcsfctsht.pdf
cms.gov
You can access HRSA’s website tool to determine a potential originating site’s eligibility for Medicare telehealth payment at http://www.cms.gov/Medicare/Medicare-General-Information/Telehealth on the Centers
for Medicare & Medicaid Services (CMS) website.

CDC’s Solve the Outbreak App is now available on both Android and Apple Tablets

Are you ready to become a disease detective by solving outbreaks?

CDC has released an Android version of the Solve the Outbreak app, the popular, free app puts you in the shoes of a member of the Epidemic Intelligence Service. The app has exciting outbreaks, giving you the opportunity to climb the ranks and achieve your Disease Detective badge.  Do you have what it takes to solve “The Queens Killer” scenario, or are the clues “Hiding in Plain Sight”?

The mHealth Movement: The Rise of Connected Home Medical Monitoring Devices

Today, many personal medical-monitoring devices and mobile apps put health care in the palm of consumers' hand. Both personal 'self-health' technologies and mobile apps are becoming more important to manage an array of health challenges, including... Read More

Overall, the research report from the analyst firm Berg Insight shows the growing evidence supporting mHealth and the movement towards widespread use of remote technology (medical apps used by mobile devices) that help patients with preventive care. The acceleration of mobile technology has driven the transformation of health services.

80 percent of smartphone users want to interact with doctors on mobile devices

FICO survey
Eighty percent of smartphone users are interested in using their smartphones to interact with health care providers, according to a FICO survey of 2,239 adult smartphone users from the UK, Australia, Brazil, China, France, Germany, India, Italy, Japan, Korea, Mexico, Russia, Turkey, and the United States.

The survey analyzed how consumers prefer to interact with health care providers on mobile devices, online and in-person. Read More  

Dead last compared to 10 other countries - for 2014, 2010, 2007, 2006 and 2004

TCFchart
Forbes: It’s fairly well accepted that the U.S. is the most expensive healthcare system in the world, but many continue to falsely assume that we pay more for healthcare because we get better health (or better health outcomes). The evidence, however, clearly doesn’t support that view.  Read More

Social Media Use in Health Policy Research


Health policy researchers shy away from using social media to share findings with policy-makers, according to a study published online by Health Affairs
RWJF.ORG

Tipping Telemedicine Adoption: Barrier Mitigation

Identifying the Tipping Point Barriers

The forum participants distilled tipping point barriers into four categorical buckets:
  • Legal/Regulatory
  • Financial
  • Technical
  • Cultural
Among the barriers identified, participants acknowledged that financial and cultural factors are present, but diminishing. It’s quicker, cheaper and faster technology that’s driving expanded acceptance and adoption. Read More

19 million will use remote patient monitoring by 2018

A good article in MedCity News that summarizes the main findings from our study on the use of connected medical devices in professional healthcare
A new report by Berg Insight projects the remote patient monitoring market will grow to 19 million people and be worth $26.3 billion by 2018. Read More  

4 of 5 smartphone users interested in mobile healthcare interactions

Four out of five smartphone users worldwide are interested in mHealth technology that will let them interact with healthcare providers, a new FICO survey reveals. What's more, 76 percent of respondents say they are eager to use such tools for reminders regarding medical appointments, while 69 percent say they would embrace the tools for making appointments and medication intake reminders.
" Stuart Wells, FICO's chief product and technology officer, says in an announcement. "People are especially interested in mobile services that can help them manage their personal health and shop for healthcare services."
The survey is the latest research regarding user adoption of mHealth tools and technology. As FierceMobileHealthcare reported in April, smartphones and tablets are nearly doubling in use compared to 2012, according to a new survey from Mavosky Health/Kelton. Smartphone use for health data jumped from 6 percent to 19 percent, while tablet use rose from 4 percent in 2012 to 11 percent in 2013 and 2014. Read More

Telehealth Can Help Detect Eye Condition in Premature Infants

A new study finds that telemedicine can help effectively identify retinopathy of prematurity, a potentially harmful eye condition that often occurs in infants born 10 or more weeks premature. The telemedicine strategy analyzed consisted of electronically sending pictures of infants' eyes to a distant image-reading center. MedCity NewsJAMA Ophthalmology. Read More

Advanced EHR Systems Save Hospitals 10% per Admission

A study published in the American Journal of Managed Care finds that hospitals with advanced electronic heath record systems saved about 10% per hospital admission compared with providers that did not use such systems. EHR IntelligenceAJMCRead 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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