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"We have different liaisons assigned to different specialties and different service lines that really understand how the nursing process integrates with the physician and vice versa."  Read More

Mississippi emerges as leader in telemedicine

Mississippi has a sickly reputation.
A doctor using telemedicine is shown. | AP PhotoThe Magnolia State ranks at or near the bottom in most health rankings: worst infant mortality and most kids born with low birth weight; second-to-highest rate of obesity and cancer deaths; second from the last in diabetes outcomes.
But the state is a leader in one aspect of health care: telemedicine. The state’s only academic hospital has remote connections with 165 sites, providing specialized services to some of the state’s most far-flung, medically deprived cities and towns. Mississippi’s telemedicine program, ranked among the seven best in the country, has inspired neighboring Arkansas to take bigger steps in some areas of the field, and the impact of its success is making waves in Washington as well.

Health Care Cost Institute (HCCI) launches Guroo, price transparency website

guroo.comThe Health Care Cost Institute (HCCI), a non-profit organization, has launched a price transparency website, called Guroo, to help consumers find national, state, and local pricing information for common health conditions and services. The data is collected from 40 million anonymized members of four health insurers: Aetna, Assurant Health, Humana, and UnitedHealthcare. Read More 

Study: Decision Support-Enabled Mobile Apps Help Nurse Diagnoses

A study published in the Journal for Nurse Practitioners finds that nurses who used a mobile device preloaded with an application with evidence-based decision support tools were far more likely to diagnose patients for certain health conditions than nurses who used mobile apps without such tools. Clinical Innovation & Technology et al. Read More

The app that lets deaf people 'hear' phone calls

The Pedius app was created to help deaf people speak to friends, family and businesses on the phone using voice recognition and real-time speech translation.
Pedius (pictured)  uses voice recognition and speech translation to make calls more natural. When a call is made using the app the user types a message on the screen. This is translated to speech in real time, so the recipient can 'hear' them. The recipient's spoken response is then immediately translated into textScroll down for video 
Pedius (pictured) uses voice recognition and speech translation to make calls more natural. When a call is made using the app the user types a message on the screen. This is translated to speech in real time, so the recipient can 'hear' them. The recipient's spoken response is then immediately translated into text

Dr. Prakasam’s Excellent Social Media Adventure

It was inspiring to read the interview that HCI Senior Editor Gabriel Perna conducted recently with Gnanagurudasan Prakasam, M.D., a pediatric endocrinologist based in Sacramento, California. What Dr. Prakasam has achieved goes beyond a surface “win” do a deeper type of accomplishment, and should be widely noted. And the results speak for themselves: the children whom Dr. Prakash cares for—all 1,500 of them, whto whom he is available 24/7—have a hospital readmissions rate of 5 percent, while the nationwide rate is between 9 and 15 percent. That is a huge breakthrough. Read More

How Miami Telemedicine Helped Haiti

The earthquake disaster in Haiti gave rise to improved trauma care in the western hemisphere’s poorest country. And a big reason for that change can be found 700 miles away in Miami, inside a conference room at Jackson Memorial Hospital’s Ryder Trauma Center. Read More
Dr. Shailesh Garg (foreground) in Miami advises Dr. Kathleen Charles (on video screens) in Haiti. Credit Tim Padgett / WLRN

Ochsner’s O Bar connects patients with more than 200 health apps

A room in the Ochsner Center for Primary Care and Wellness has a fleet of five iPads locked to a bar, each one loaded with all the apps the health system has vetted and approved. The O Bar is staffed by a technology specialist that can help patients find out what’s available and help teach them to download and use the available apps.
“The apps are out there and people are going to get them,” Ochsner’s Chief Clinical Transformation Officer Richard Milani told H&HN Magazine last year. “The smart thing for us to do is get our hands around what we think are pretty good apps and make them more helpful to patients.”  Read More

Google Revamps Results Pages for Health-Related Searches

Google is launching a new search function that will display a box with relevant health information at the top of the search results page for health-related queries. The data displayed are pulled from trusted medical websites and have been vetted by a team of doctors at Google and another team at the Mayo Clinic. MedCity News et al. Read More

Telemedicne: The Missing Link

There's a lot of hype and excitement about telehealth, but for it to be the healthcare revolution it promises to be, it needs a more fully executed connected care delivery model. 
We as an industry are not yet ready for this sea change. But this is coming and it is fundamentally unstoppable.
In fact, it will be a boon. It’s terrifically scalable. It’s terrifically efficient. And when provider compensation is fundamentally tied to outcomes (that’s coming too)...  Read More

Tablet, app system boosts nurse-patient interaction, treatment experience

A Florida healthcare provider is tapping a mobile app and tablets to foster better communication among caregivers and enhance its patients' hospital experiences.
Several hospitals within the Tampa-based BayCare Health System are deploying a mobile software-tablet solution to nurse managers who visit patients daily to capture patient feedback and manage patient-related tasks. Read More

Philly's Thomas Jefferson University Hospital turns to telemedicine to boost quality

The hospital has built a program to allow physicians to perform consultations using video apps so that patients with less-critical needs are treated in other settings besides the emergency room.
A telemedicine call center helped reduce the rate of readmissions among patients after hospitalization for acute myocardial infarction, according to a study in which a nurse could dispatch a mobile intensive care unit or make other recommendations while consulting with the physician on call.
Meanwhile, Pittsburgh-based Allegheny Health Network is involved in a pilot project that allows patients to speak directly to ER physicians via an iPad connection.
The University of California-San Diego Health System also has a telemedicine pilot program in which on-call physicians who are outside of the hospital remotely link to a telemedicine station to see patients.  Read More

ONC Unveils Plan To Realize Basic Interoperability by 2017

January 30, 2015, the Office of the National Coordinator for Health IT released a draft of its 10-year nationwide interoperability roadmap, which calls for achieving basic electronic health data interoperability by 2017. In addition, the draft outlines four short-term actions and 10 guiding principles for meeting ONC's goals. Healthcare IT News et al.Read More

CMS Posts Star Ratings for Medicare Dialysis Facilities Online

CMS has posted the first round of star ratings to its Medicare Dialysis Facility Compare website as part of a broader federal effort to increase transparency and help Medicare beneficiaries compare providers. However, some providers have taken issue with the new rating system. Modern Healthcare, AP/U.S. News & World Report. Read More

Two Little-Known Mega Trends That Are Shaping the Future of Digital Health Care

  • Context: Working to ensure that technologies are optimized to have a real impact on the various factors influencing health and well-being, or the social determinants of health, and are seamlessly aligned with people's activities, perceptions and objectives.
  • Convergence: Seeking to combine a range of digital technologies such as big data, predictive analytics and mobile health in complimentary ways that improve their reach, adoption and impact.  
Data, software and know-how are coming together to rapidly shift how people think about, understand and receive health and medical care. While there's much to learn, there's still time to participate in and shape the future -- if you're willing to make the leap.   Read More

E-patients need e-doctors. Here’s why.

Patients need doctors. Doctors need patients. Let’s find a way to value both.

Patients deserve to be empowered
Health is more than not being ill. The World Health Organization definition puts the full range of patients’ needs first: “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.”
How can patients achieve the health they deserve? Only if they’re empowered. The “e” in e-patient can mean many things, but if health is a basic human right, then empowerment is the only “e” ensuring that right.
Being empowered means being able to meet certain fundamental needs, ones that need to be in place before we can make accurate, informed decisions about health. Here’s what we need for empowerment- Read More:
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Most Patients Willing To Have Online Video Doctor Visits, Survey Finds

A Harris Poll survey finds that 64% of patients are willing to use an online video to consult with a physician. However, the survey shows about 88% of those willing to have an online video visit would prefer to select their physician rather than be randomly assigned one. MobiHealthNews et al.  Read More

Mobile Overcomes Communication Challenges

An Accenture survey has found mHealth is key to alleviating communication problems in healthcare organizations, especially for nurses. 
HTO_Mobile_DevicesThe latest report from Accenture, Overcoming Communications Challenges in Hospitals, outlines the biggest hurdles to communication in healthcare and ways for providers to overcome them. According to mHealth News, nurses can be considered “pioneers” of mHealth; before the time of smartphones and tablets, they were on the frontline of the mobile technology with pagers attached to their hips.  Read More

Telemedicine may be the key to concierge medicine's succes

A continuous care telemehealth model will help improve outcomes....Based on the frequent capture of key biometrics (blood pressure, glucose, activity, weight), such a telehealth model allows providers to actively monitor their patients and make incremental adjustments to treatment plans that will result in better patient outcomes and keep patients from needing care that is more expensive to deliver. It goes without saying that such a level of care is better for patients...  Read More

Patient Portal Adoption: Baby Boomers vs. Millennials

This intriguing infographic shows how Baby Boomers and Millennials are embracing healthcare portals in their own way. Do any of these stats surprise you? http://bit.ly/1DAC9fv
Infograpic illustrates the differences between Millennials and Baby Boomers when it comes to patient portals from results of Xerox’s 5th annual EHR Survey Read More

Telepsychiatry: the New Frontier in Mental Health

How technology is helping 'bring' psychiatrists to people in underserved areas.

Like telemedicine, telepsychiatry relies on technology to bring clinical medicine to patients, rather than the other way around. Patients typically videoconference with doctors using computers or videoconferencing equipment. Telepsychiatric services are growing, and the advantage is that such technology opens access to care, particularly for those in remote areas where there are fewer psychiatrists.
The disadvantage, Benjelloun says, is that the human touch is missing. “A caring touch or handing a patient a tissue can never be possible,” she says, adding that this can also lead to missed cues on her part. “I am unable to clearly see self-inflicted wounds or tears.”  Read More

PwC predicts “DIY Healthcare” will be the top trend of 2015

“Do-it-yourself healthcare”, including mobile apps and consumer medical devices, is set to be the top healthcare trend of 2015, according to research and consulting firm PricewaterhouseCoopers. PwC announced its top 10 predicted healthcare trends of 2015 in a webinar promoting their new report, and their top three are mobile health-related trends, with mobile and digital playing a role in several more. Read More
PwC

Topol: Digital Health Tools Are Revolutionizing Health Care

In a Wall Street Journal essay, Eric Topol -- a cardiologist and the director of the Scripps Translational Science Institute in La Jolla, Calif. -- writes that smartphone applications and other health IT are giving patients more control of their health care. He argues that some health IT tools eventually could replace some aspects of medical care. Wall Street Journal. Read More

New N.Y. Law Requires Insurers To Reimburse for Telehealth Services

Under a new state law, insurers in New York now are required to reimburse some providers for telehealth services. Meanwhile, several other states are expected to consider measures to expand telehealth services, including Indiana, Iowa, Missouri and Tennessee. Healthcare IT News et al. Read More

E-Learning Is Effective for Health Care Workers, Report Finds

A new report commissioned by the World Health Organization finds that electronic learning methods are as effective as -- or better than -- traditional training for undergraduates studying to become health care workers. The report suggests combining the two methods to increase access to such education, particularly in underserved areas. Reuters et al. Read More

Text4Baby: How mobile campaigns can reach underserved populations

text4baby_eng
An article in the American Journal of Public Health discusses the development and execution of Text4Baby, a text messaging program for pregnant and new mothers. The program focuses on women from lower-income backgrounds who don't have access to traditional care.

Patients enrolled in the program received three messages a week with health information ranging from breastfeeding tips to the effects of tobacco and were timed to the mother's stage of gestation or infant's age.  Read More

Health IT Trendspotting: What’s on the horizon in 2015?

The past year has been a notable one for health IT, which leads us to believe 2015 can only bring a slew of new achievements. In the spirit of embracing the New Year, HIMSS15 Views From the Top speakers divulged their insights on what we can expect in the coming year and beyond. These individuals are leaders in their healthcare roles with real-world experience from which they glean their predictions. Looking ahead, they see the following trends taking center stage in health technology policy, process and innovation:

1. Patient-to-patient social media collaboration – Mary Beth Mitchell
2. App-driven data liberation – Patrick Conway
3. Traction on ‘care without boundaries’ – Laura J. Wood
4. Customized personal health analytics – Judy Murphy
5. Continuation of tech-enabled patient engagement – Roy Rosin
6. Streamlined patient-to-physician mobile app data – Alan M. Muney

Explore these trends in greater detail: http://ow.ly/H5hqF

Knowing that the healthcare ecosystem is a complex one, what trends would you prioritize? Are these leaders on-point with your professional experiences? What trends are you noticing?

Walgreens moves into telemedicine with MDLIVE deal medcitynews.com



Walgreens deepened its healthcare services in a deal with MDLIVE that will bring telemedicine to its customers through the drugstore chain's app. Read More

Practice Guidelines for Live, On Demand, Primary and Urgent Care

The American Telemedicine Association recently released Practice Guidelines for Live, On Demand Primary and Urgent Care. The document provides guidance on specific clinical applications, practice, benefits, limitations, and regulatory issues ...

Other Nursing Informatics & HIT Blogs of Interest

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

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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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