Loyola University Health System researchers have come up with strategies for reducing the so-called "weekend effect."
Their study focused
on factors that reduced the length of hospital stay, which affects
outcomes, following urgent surgeries performed on weekends.
The researchers found that having electronic health record systems,
inpatient physical rehab and more nurses per patient helped reduce the
length of stay.
Robust wound and pain management programs and home healthcare also
played a part, according to an article in PM 360.
Home health programs and full EHR adoption are the key factors, according to an opinion piece in Becker's Infection
Control & Clinical Quality. Read More
Empower Yourself...Welcome to your future and beyond.... Working together we will build upon our "collective wisdom" to create, for tomorrow, what we can only imagine today...J. Perl, Editor
Measuring What Matters: Using Data To Drive Action
We must focus on measuring what matters. Data that only serve to
illustrate that a problem exists—or even that progress is being made—are
not enough. At the Robert Wood Johnson Foundation (RWJF), we are working to catalyze a social movement to help build a “Culture of Health.”
To accomplish this goal, we need data that illustrates for people and
organizations—across a wide range of sectors—the roles they can play,
the actions they can take, and the relevance to their communities. Read More
Telemedicine: A Solution To Address The Problems Of Cost, Access, And Quality
Telemedicine Increases Access To Care
According to a recent global survey by Cisco, 74 percent of patients prioritize access to health care services over in-person interactions with health care providers, and 70 percent said they were comfortable communicating with providers via text, email, or video, in lieu of an in-office visit. Furthermore, nearly 60 percent of doctors are willing to conduct a video visit with their patients, according to a nationwide survey of more than 2,000 primary care physicians released by American Well. Read More'Uber-Like' Health Apps Aim To Bring Back House Calls
Several companies have launched "Uber-like" doctor-on-demand
applications that could make house calls popular again. However, the
services are not yet covered by insurance, and some physicians have
raised concerns about the quality of care patients receive through such
apps. AP/Philadelphia Inquirer. Read More
HIEs Can Help Significantly Reduce Unnecessary ED Tests
A new study finds that leveraging data
from health information exchanges can significantly reduce unnecessary
laboratory tests and radiology exams at emergency departments. The
study's principal researcher notes clinical liaisons, or scribes, could
be key to realizing the benefits of HIEs. Modern Healthcare et al. Read More
Online Patient Platforms Can Improve Epilepsy Management
A new study published in the journal Neurology finds that
online patient platforms can help individuals with epilepsy better
understand and self-manage their conditions. The study examined
veterans' experience with the PatientsLikeMe platform. Medscape. Read More
CMS Launches Rating System on Home Health Compare Website
CMS for the first time has unveiled star ratings for home health
agencies on its Home Health Compare website. The agency awarded five
stars to just 239 out of 12,261 eligible home health agencies, while 201
agencies received one or 1.5 stars Health Data Management, Kaiser Health News. Read More
AARP: Older adults willing to use mHealth, but tools must be simpler, easier to wear
Consumers age 50 and older are willing to embrace activity and sleep
trackers, but not without some changes to the devices, reveals a new
collaborative report by AARP Project Catalyst initiative and Georgia Tech HomeLab. The overall feedback from the research is that effectiveness and usability are key elements to consumer use and trust... Read More
HIT Implementations Negatively Impact Clinical Workflow
A new study conducted across six ambulatory care
practices from two participating healthcare organizations found health
IT-caused interruptions to clinical workflow across all study clinics
and work roles. The study, funded by the Agency for Healthcare
Research and Quality, examined the impacts of HIT implementation on
healthcare workers’ workflow in a diverse set of ambulatory care
practices. A total of 120 clinicians and clinic staff participated in
the study. Read More
Patients Dubious About Telemedicine
According to the survey, which included more than 500 U.S. adults over age 18, nearly 65 percent of respondents said they would be somewhat or very unlikely to choose a virtual appointment, while only 35.4 percent stated the opposite. Read More
Forbes: Standing Between You And All The Benefits Of Telemedicine: The AMA And The Federal Government
Forbes/Opinion Jul 9, 2015 @ 11:44 AM
The same organization that thinks you shouldn’t be able to get a prescription from a Teladoc doctor you have never met, thinks it’s perfectly okay for you to get a prescription from an “on call” doctor who you have also never met, who is subbing in for your regular doctor and who probably isn’t looking at your medical records when he orders the prescription. Read More
‘Telehealth' expands mental health provider's reach
There just aren’t enough psychiatrists and advanced nurse practitioners to serve all the people who need one — especially in rural areas. The Nurse Practitioner said that
she was skeptical at first; would patients open up to her “online” as well as they do in person? But she said it’s worked especially well for adolescents and young adults, who find technology like Skype and FaceTime “second nature.” “It’s almost less intimidating for them,” Nottingham said. Read More
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AHRQ Research about: * Telemedicine * School Health * Health Maintenance
Ethics and HIT
Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
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.