Alarm Hazards Top ECRI's List of 2015 Health Technology Risks

Alarm issues have ranked as the top health technology hazard for 2015 on ECRI Institute's annual top-10 report. The authors recommend that facilities address alarm issues through staff training and by limiting the number of people who establish default settings. MedCity News et al. 
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CMS expands Medicare benefits for telehealth services in the 2015 Medicare Physician Fee Schedule


CMS continues to expand coverage for telehealth services, and now includes annual wellness visits, psychoanalysis, psychotherapy, and prolonged evaluation and management services. This another step in aligning Medicare coverage in ways that promote cost saving strategies like ACOs and bundled payments.
The Centers for Medicare & Medicaid Services (CMS) issued the 2015 Medicare Physician Fee Schedule (Medicare PFS) on October 31, 2014.

New favorable CMS guidelines on telemedicine reimbursements


New CMS guidelines on telemedicine reimbursement include 'significant additional coverage' medcitynews.com

Buried in an almost 1200-page document for 2015 Medicare payments to physicians and practitioners were provisions paying for remote chronic care management using a new current procedural terminology. Read More 

6 insider tips for safer surgery

Consumer Reports' safety experts give their best advice

Published: November 2014
Hospitals are dangerous places: 440,000 Americans each year are estimated to die after experiencing medical errors in hospitals. That’s 10 times the number of people who die in car crashes annually. It’s more than two jumbo jets crashing every day. And it’s nearing the number of people who die from heart disease or cancer. “Yet many of the deaths go unnoticed except by devastated families,” says Lisa McGiffert, director of Consumer Reports’ Safe Patient Project.  

Patient Engagement is Crucial to Healthcare Reform

Consumers who are actively tracking their own wellness are truly the “low-hanging fruit” for healthcare providers looking to engage patients.
The potential value of patient data management has led experts to suggest that it should be incorporated into future meaningful use standards Read More

How government agencies leverage mHealth, growing consumer expectations

At the Department of Veterans Affairs, technology director William Cerniuk said in his role he is responsible for the latest push to give healthcare providers iPads across the VA. In the last six months, he said, the VA has delivered 12,000 iPads to clinicians across the agency. The agency also is developing a series of 100 applications to be used on the iPads, which boast remote desktop capabilities.
"These apps will allow our clinicians to not only access the patient record in very efficient ways, but do it anywhere at any time," he said. Read More

Digital and Social Habits of Nurses at Work

Infographic- Nurses’ Digital and Social Habits at Work

Infographic- Nurses’ Digital and Social Habits at Work | The ehealth PULSE project | Scoop.it
Infographic created by Wolters Kluwer Health highlights nurses' digital and social habits at work as nurses are increasingly relying on mobile devices.

83 percent of nurses perceive that their organization’s policy allows patient care staff access to public web sites, including social media, to access general health information that will help them with patient conditions, according to a recent survey from Wolters Kluwer Health.

The findings reveal that 65 percent of nurses are using mobile devices for professional purposes at work at least 30 minutes per day, while 20 percent use them for two hours or more.  Also notable, these same results indicated that the vast majority of organizations strictly prohibit actual interaction with patients through the technology.

3 reasons for provider moderation in health IT use

While digital tools enhancing communication between physicians and patients has been proven an effective method for boosting medication adherence for some patients, their use should be approached with caution, according to Esther Choo, an assistant professor at Warren Alpert Medical School in Providence, Rhode Island.
3 reasons for provider moderation in health IT use | The ehealth PULSE project | Scoop.itChoo, in a commentary for Quartz, warns that while email and text messaging can be helpful for engaging patients, there are a number of challenges associated with using such tools.

read in
http://www.fiercehealthit.com/story/3-reasons-provider-moderation-health-it-use/2014-11-21
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Compassionate care key in decreasing patient pain, boosting outcomes

Healthcare that is delivered with kindness and compassion that celebrates the importance of human connection is more effective than not when treating sick patients, and can help them have less pain and anxiety, according to an article in Newsmax Health.
After reviewing various research on kindness and compassion in medical care, James Doty, M.D., founder and director of Stanford University School of Medicine's Center for Compassion and Altruism Research and Education, presented his findings at the Compassion and Healthcare Conference in San Francisco this month. Read More

Medical errors traumatize doctors and nurses

Patients aren't the only ones who suffer after an adverse event, study finds.
While errors made by medical professionals are known to have a profound impact on patients, a new study finds that such missteps also are a major source of trauma for doctors and nurses.
A 2013 study indicates that medical errors are now the third leading cause of death in the United States, making it more pressing than ever for the medical community to address the impact and prevention of such mistakes. Read More
To learn more:
- here's the study
- read the article

Insurers should embrace telemedicine

Pittsburgh-based Highmark recognizes the importance of technology. That's why the insurer decided to cover online visits via Iagnosis, a tele-dermatology solution, for 5.2 million of its members
While insurers are slowly incorporating telemedicine into their health plan offerings, many doctors worry the increased use of online visits with patients could lead to wrong diagnoses>> Read the full story at FierceHealthPayer

Topol: Why Are Doctors and Hospitals the Owners of Patient Records?


Figure. Data from WebMD/Medscape Digital Technology Survey.
More than half of patients believe they own their records, and nearly 40% of physicians think they own their patients' records. Well, these doctors (and hospitals) are right—they legally own the records. But should they?
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Eric Topol Pushes a Patient-Centered Healthcare

Democratizing Medicine: Eric Topol Pushes a Patient-Centered Healthcare Topol notes that digital health tools can help the patient "come alive" "The mantra should be 'nothing about me without me'. You are your data and you need to control and own your data. And there are new tools now that we didn't even hear of four years ago that can help," he said.  "I believe technology can actually enhance the intmacy of the doctor/patient relationship," Topol concluded.  "When we're giving the patient the data in real time that they're entitled to, it puts the doctor and patient on equal footing. The patient has come alive, to a much higher degree." Read More

Tech-Savvy Seniors Seek Digital Tools to Manage Health

The digital revolution is not just for the young, when it comes to healthcare. According to a survey by Arlington, Va.-based Accenture, at least three-fourths of Medicare recipients access the Internet, at least once a day, for email (91 percent) or to conduct online searches (73 percent) and a third access social media sites, such as Facebook, at least once a week. The survey results are in line with findings of the Pew Internet & American Life Project, which shows Internet use between 2000 and 2012 tripled for those 65 and older and doubled among those 50 to 64 years old. Read More

Clinicians Increasingly Comfortable with Digital Health

Survey: Clinicians Increasingly Comfortable with Digital Health
Healthcare Informatics
A recently released survey of clinicians reveals that more and more are accepting of digital health devices and concepts to bring them closer to patients.The survey, from PricewaterhouseCoopers' (PwC) Health Research Institute (HRI), indicates a changing attitudes among physicians, nurse practitioners, and physician's assistants. HRI surveyed 1,000 clinicians and found that they have begun to share the same attitude with consumers on how digital health can move care from beyond the four walls of the hospital. Read More

Medicare codes and payment information for Online consultations

Medical Consultant to Telepscyhiatry Services
An in-depth outline of the telemental health reimbursement codes the CMS recently approved for 2015. Read More

AMA Adopts Policies on EHR Penalties, Interstate Licensure

The American Medical Association at its Interim Meeting adopted a policy that calls for meaningful use penalties to be removed from the electronic health record incentive payment program, EHR Intelligence reports (Murphy, EHR Intelligence, 11/11).
Under the 2009 economic stimulus package, health care providers who demonstrate meaningful use of certified EHRs can qualify for Medicaid and Medicare incentive payments.
Penalties are scheduled to start in 2015 for eligible professionals and hospitals that have not yet met meaningful use requirements (Gold, "Morning eHealth," Politico, 11/11). Read More

ONC Unveils 10-Year Quality Improvement Vision for Health IT

The Office of the National Coordinator for Health IT has released a 10-year vision report for using health IT to achieve a fully interoperable quality improvement ecosystem. The report complements ONC's roadmap for achieving interoperability. Health Data Management et al.
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Improving Patient Use of Interactive Preventive Health Records

Primary care practices can encourage patients to use interactive preventive health records (IPHRs) by directly engaging patients, according to research supported by the Agency for Healthcare Research and Quality.  Investigators conducted a mixed methods assessment of a proactive implementation strategy for an IPHR portal offered by eight primary care practices.  Strategies included learning collaboratives with practice champions and redesigned workflow to integrate portal use into care.  The study found that a customized implementation strategy designed by practices resulted in 25.6% of patients using the personal health portal.  The study, “Engaging Primary Care Patients to Use a Patient-Centered Personal Health Record,” was published in the September/October issue of the Annals of Family Medicine.  
Select to access the abstract: http://www.ncbi.nlm.nih.gov/pubmed/25354405.

Providers Embrace Telemedicine, Despite Obstacles

Telemedicine is not a distant possibility; it is here and in play now, the report concluded. Healthcare leaders said that their organizations are committed to continuing to implement telemedicine programs, even as they face challenges such as getting doctors to buy into the programs and insurers to pay for them. Why? For the majority of respondents, it’s simple — they believe telemedicine will help them keep patients healthier. Most also say that offering meaningful telemedicine services will be critical to the future success of their organizations. 
Additionally:
  • 84% of respondents felt that the development of telemedicine services is either very important (52 percent) or important (32 percent) to their organizations. Virtually none said they considered the technology to be unimportant (3 percent).

One third of physicians use telemedicine, one fifth are reimbursed

Most healthcare practitioners are either using telemedicine or planning to use it soon, but less than a fifth of them are being paid for those services.

Cisco Cius TelePresenceTelemedicine reimbursement is gradually gaining steam. Just this month CMS released a final rulethat will expand the range of telehealth services that can be reimbursed under Medicare starting in 2015. In July a House bill was proposed that would also expand reimbursement by Medicare; it’s currently in committee.

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iDoctor Could a smartphone be the future of medicine


Cutting lab costs through smartphone apps? It's possible!http://www.youtube.com/embed/r13uYs7jglg





 

Arkansas physicians use telemedicine to aid high-risk pregnant women in Oklahoma

The University of Arkansas for Medical Sciences is providing telemedicine support for high-risk pregnant women at the Oklahoma State University Center for Health Sciences’ Department of Obstetrics and Gynecology.
The collaboration will allow consultations in real time between medical specialists, pregnant women and the physicians who treat them at the OSU Medical Center in Tulsa. Medical professionals at OSU will be able to collaborate with medical specialists to co-manage patient care so they don’t have to refer patients to distant hospitals or clinics.  Read More

Palliative Telehealth

The pilots are not intended to supplant in-person visits.In fact, because the this pilot is being conducted in patient homes, the RN case manager and social worker are bringing the video device to the patient, so the in-person component is built in.  Read More

Electronic Data Enables Care Evaluation at Individual Nurse Level

Researchers from the University of Michigan, the University and Colorado, and Marquette University have demonstrated differences of individual nurse performance in quality of care, based on individual nurse level data linked to patient-specific outcomes.  Read More
The study is available here.

I-PASS the BATON

More evidence for implementing standardized handover protocols

Significant reductions in medical errors and preventable adverse events are possible when healthcare providers standardize the way patients are handed off from one physician to the next during shift changes, according to a new study. Read 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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