Health IT is national, but mobile health is global

... mobile health IT is different. Like pharmaceutical, medical equipment and devices technology industries, m-health and telemedicine appear to be pretty much the same worldwide (even if regulations do differ from country to country). See more

HIT Training Curriculum Available to Public

Five universities in April 2010 received a total of $10 million in federal grants from the HITECH Act to develop curriculum for health information technology training programs at a network of community colleges nationwide.  See more

Consumer Groups: Set a Higher Bar for Stage 2

Twenty-one consumer organizations are urging federal officials not to just stand firm on proposed criteria for Stage 2 electronic health records meaningful use criteria, but to go further in a final rule. See more

Doctor ‘visit’ via Skype: a trend?

05/07/12 © Kaiser Health News
Some insurers and patients welcome the chance to get minor ills taken care of by a virtual doctor visit. Here's a video of a Miami Beach internist who offers the service.

Mainstreaming Telemedicine

Healthcare Informatics: What needs to happen to make the eVisit for everyone? By Jennifer Prestigiacomo 
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The Growing Power of Social Media in Healthcare

Healthcare Informatics: As more patients use social media to engage, providers would be wise to use it effectively
By Gabriel Perna  See more

Informatics & the Future of Nursing Practice

Advance for Nurses: From meaningful use to accountable care, healthcare trends are transforming nurses' roles, responsibilities and career trajectories. Key to being part of this change is nursing informatics.See more

Apple Store now sells Sanofi’s iPhone glucose meter

Apple now has Withings’ WiFi-enabled scale, iHealth’s iOS Blood Pressure Monitor dock and more. This week Cupertino’s retail stores have begun selling Sanofi’s iBGStar device, the first FDA cleared iPhone-enabled blood glucose meter.See more

Power of the Patient Portal

Power of the PortalHere’s a glimpse of the features offered by health systems and group practices with advanced patient portals. Nuts and bolts transactions like these go a long way to building patient loyalty—and help improve practice efficiency to boot.  See slideshow

Discount Drug Programs - Consumer Reports

Ways to assist your clients to save on prescription drug costs- Consumer Reports has information to help you find more affordable prescription drugs. Click here

Results from a large mHealth chronic disease program in rural italy

www.imedicalapps.com  Managing chronic disease in rural areas is a challenge for all countries. Increased travel time and costs to reach health providers potentially decrease access and can negatively impact health status. Telemedicine offers one solution to this ongoing challenge by reducing the effect of distance.  See more

AHRQ study shows clinical decision support systems are effective but research is needed to promote widespread use

An AHRQ-funded article found that clinical decision support systems (CDSSs) are effective in improving health care process measures across diverse settings, and that limited evidence is available about the impact on clinical and economic outcome measures.

This article expands on an evidence report from AHRQ, titled Enabling Health Care Decisionmaking through Health Information Technology (Health IT), which discusses features key to successful implementation of CDSSs.

Study raises questions about home health monitoring

According to the paper, published last week in the Archives of Internal Medicine, 14.7 percent of those remotely monitored died within 12 months of being enrolled in the study, while just 3.9 percent in the control group died during the same time frame.

The researchers further suggested that there might not be enough infrastructure in place yet to “fully optimize” case management in this vulnerable population. (The mean age of study participants was 80.3 years.)

Still, the findings raise a lot of questions, and not just from reporters. In fact, two physicians from the University of Iowa Carver College of Medicine provided commentary in the same Annals of Internal Medicine issue.

 

Wilson and Cram offer some very good advice: “While awaiting the answers to these questions, we would advise payers and physicians to move slowly in implementing telehealth programs on a wide scale.” But I see no good reason not to try if clinicians or insurers have specific goals in mind and they figure out what types of patients stand the best chance of benefiting from home monitoring technology. 

3 free healthcare apps physicians should prescribe to their patients

TechCrunch: An emerging trend of health and wellness apps aimed at empowering patients:

Cancer.net, an oncologist-approved cancer information website from the American Society of Clinical Oncology (ASCO), released an iOS app last year that brought their website’s functionality and much more to mobile form. Available for iOS and Android is pending.

 

Carb Counting with Lenny is made by Medtronic, the goliath medical device company. The app is designed to help children learn about diabetes and to get a better understanding of carb counting.
You can find it on iOS here.

Hello Baby Pregnancy Calendar is produced by Pampers, and was released just a few months after the introduction of the first iPad. The app allows expecting mothers to get a better idea of the various stages of their pregnancy and their baby’s development. You can find it on the App Store here.

Patients choose hospitals based on social media

With one-third of consumers using social media for seeking or sharing medical information, 41 percent say tools like Facebook, Twitter, YouTube and online forums influence their choice of a specific hospital, medical facility or doctor, according to Tuesday's report from consulting firm PwC.

In a survey of more than a thousand consumers, more than two-fifths of individuals said social media did affect their choice of a provider or organization. Forty-five percent said it would affect their decision to get a second opinion; 34 percent said it would influence their decision about taking a certain medication and 32 percent said it would affect their choice of a health insurance plan. Read more

HIT Use Among Physicians and Hospitals Increases

Robert Wood Johnson Foundation Report Examines Role of HIT in Driving Delivery System Change
A new Robert Wood Johnson Foundation (RWJF) report on health information technology (HIT) finds that physicians reporting use of any electronic health record (EHR) reached 57 percent in 2011, a substantial increase from 17 percent in 2002. The report also finds that adoption in U.S. hospitals increased considerably between 2010 and 2011, with basic EHR adoption increasing from 11.5 percent to 18 percent and comprehensive EHR use rising from 2.6 percent to 8.7 percent.

Policy-makers are tracking the adoption of HIT due to its potential to improve efficiency and increase the quality of U.S. health care. The report analyzes changes in adoption of electronic health records; discusses progress and challenges of health information exchange; features former National Coordinator for Health Information Technology, Dr. David Blumenthal’s take on the progress and importance of HIT; and outlines the role of HIT in various health reform models.
Read the report.

AHRQ: Enabling Health Care Decisionmaking Through Clinical Decision Support & Knowledge Management

An article related to the report, Enabling Health Care Decisionmaking Through Clinical Decision Support and Knowledge Management was published today in the journal, Annals of Internal Medicine. This article can be accessed on the Annals Web site at: http://www.annals.org/content/early/2012/04/20/0003-4819-157-1-201207030-00450.full.

Many Nurses Believe Interactive ED Kiosks Disrupt Workflow

A recent report from the California HealthCare Foundation finds that some nurses did not refer patients to interactive computer kiosks for the management of uncomplicated urinary tract infections because they felt the technology disrupted their workflow. InformationWeek.

Loss of Wisdom Hits Health Care Where it Hurts

Twenty-five hundred years ago, Sun Tzu (500 BC) asserted that with sufficient knowledge about yourself, your opponent and the environment, your victory would be assured. In our battles against rising health care costs and medical errors, this wisdom has been lost.

Knowledge- not technology- is the key to substantial gains in clinical care. Sun Tzu’s ancient wisdom that knowledge is the key to victory still rings true today. This wisdom needs to become a guiding principal for the HIT community...More

The Creative Destruction of Medicine

Medscape Nurse News: Technology Shaping Medicine: Interview of Dr. Eric Topol, author of The Creative Destruction of Medicine, about how technology is changing medicine, making diagnosis and treatment faster, better, and more accurate. Topol says that cutting-edge medical technology, coupled with everyday devices like smartphones and tablets, is empowering physicians and patients alike.  Click for more

Healthcare social media a 'moral obligation'

As social media continues to grow as a communications medium, so too does its impact in healthcare. According to a report published today by consulting firm PwC, patients increasingly are turning to social media sites such as Facebook and Twitter both to find and share medical information. What's more, of 1,060 surveyed consumers, 45 percent said that information obtained via social media could impact their decision to get a second opinion.  Read more

Smartphone apps motivate older patients to improve health

more than two-thirds of participants in a Stanford University study to exercise more, sit less and improve their diet.  The study focused on older Americans--45- to 77-year-olds--using smartphone apps "to deliver the nudges that might improve adults' physical activity levels Read more

Hospitals use iPads to improve patient experience

Mayo Clinic, which now offers iPads loaded with Mayo content and apps as automated tour guides to cardiac patients, according to a HealthLeaders Media story on patient engagement. HLM profiled a YouTube video Mayo recently posted outlining the iPad program. Read more

Mobile technology continues to put patient records at risk, according to new research..

Mobile technology continues to put patient records at risk, according to the latest findings from HIMSS and research firm Kroll Advisory Solutions. More patient information is on highly mobile--and Read more...

Top Ranked Hospitals Have Higher Levels of EHR Adoption

A new report from HIMSS Analytics finds that the hospitals listed in Thomson Reuters' 100 Top U.S. Hospitals in 2009 and 2010 had more advanced levels of electronic health record adoption than the overall pool of U.S. hospitals. iHealthBeat 4/18/12

Reducing EMR training to save money exacts high toll

amednews.com: EMR adoption is a much longer process than implementation and a big piece of that is training.   If you decide to save money on the training....you get what you pay for...More

The Patient of the Future

Physicians suggest. Patients ignore. Technology alone won’t bring them together. But a new relationship just might.  More

Facebook making employees smarter....

This was on the ANA Smartbrief 4/17/2012: http://www.cnbc.com/id/47056743/

Survey Shows Health Research Popular in Social Media

A survey of 1,600 adults shows considerable use of social media for health care purposes.  More
  • Computerworld - A third of U.S. consumers now use social media sites such as Facebook and Twitter to seek medical information and track and share symptoms. They're also using the sites to vent about doctors, drugs, treatments, medical devices and health plans.
  • Health organizations have an opportunity to use social media as a way to better listen, participate in discussions and engage with consumers in ways that extend their interaction beyond a clinical encounter," Barnes said. "Savvy adopters are viewing social media as a business strategy, not just a marketing tool.

Information Technology in Health Care: The Next Consumer Revolution

Benefits of Health IT: Over the past 20 years, our nation has undergone an extraordinary transformation due to information technology (IT). Until now, relatively few Americans have had the opportunity to use this kind of technology to enhance some of the most important relationships: those related to their health.

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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