Report: Half of clinicians use tablets for EHR, documentation

Mobile devices continue to transform the work lives of physicians, with more than four in five using smartphones every day and more than half of doctors using tablets daily and two in five nurse practitioners and physician assistants doing the same, according to the second annual Epocrates Mobile Trends Report.

To learn more:
- read the report
Click Here to see slideshow 

More Consumers Using Or Considering EMRs

Respondents were between the ages of 25 – 55, have some type of health insurance, have seen a physician within the past three years, and have a regular doctor. Nearly 75 percent of surveyed consumers indicated that they are already using (23 percent) or interested in using (52 percent) electronic medical records. Those patients who have used EMRs are significantly more satisfied with their doctors overall (78 percent versus 68 percent). They also express higher satisfaction across multiple specific dimensions of care, such as ease of access to information and clarity and thoroughness of communication. They also believe they receive better quality of care (82 percent).

Access the report, click here.
For the full story, click here.

'Most Wired’ Hospitals Transforming Nursing and Patient Care

Nurses are now an integral part of the technology revolution in healthcare, and many have had a part in helping their employers earn a spot on Hospitals & Health Networks' annual “Most Wired” list.
Most Wired facilities are streamlining operations and improving outcomes by carefully implementing technology. Sotomayor cautions that every time something new is added, things can change, so Carolinas Medical watches for unintended consequences. She added that the investment is worth it.
“It’s an exciting time to be giving care,” Sotomayor concluded. “We are consciously looking to make sure it’s working the way it should.” Nurse Zone

Simple Steps to Reduce EHR Clicks

Mastering electronic health record technology is a difficult process and it demands an ongoing commitment from ambulatory practices and their EHR users. No matter how few ‘clicks’ it takes providers to prescribe a medication, review lab results, or document a visit in their EHR system, most think it is too many.  More

Study Finds Barriers to Doctors Embracing Electronic Communication

While physician practices can use electronic communication to boost efficiency and patient satisfaction, barriers remain to widespread adoption of such technology, according to a Weill Cornell Medical College study published in the journal Health Affairs, FierceHealthIT reports.

Survey: 82 percent of clinicians to use both smartphones and tablets next year

Epocrates Digital SurveyAccording to a survey conducted by athenahealth subsidiary Epocrates, almost 50 percent of all clinicians in the US are using smartphones, tablets, and desktops

Many more statistics and findings from Epocrates latest survey can be found in the full text here (PDF).  More

Cradle turns smartphone into handheld biosensor



Smartphone Biosensor Video LinkVIDEO: University of Illinois researchers demonstrate using an iPhone as a sensitive biosensor to detect toxins, pollutants, pathogens or other molecules for medical diagnostics or environmental field work.

Mass. Officials Say Nurses' Lack of EHR Access Put Patients at Risk

An investigation by the Massachusetts health department has concluded that Boston Medical Center dialysis patients were exposed to hepatitis B because nurses lacked access to electronic health records. The hospital said that is has conducted a comprehensive review of care at the dialysis unit and is working to implement new policies. Boston Globe's "White Coat Notes." More

EHR-Based Software Cut Readmission Rates by 26%

A new study published in BMJ Quality & Safety finds that ranking heart failure patients by risk level using electronic health record systems cut readmission rates by 26%. The hospital used in the study has adopted the software in routine practice. Modern Healthcare's "Vital Signs," FierceHealthIT. More

Connecting to Underserved Populations

iconmHealth is being used to engage, serve, educate, and improve the health of socioeconomically disadvantaged patients. Whether it's simply by texting people tidbits of information or monitoring how much medication a patient is taking, providers are finding meaningful ways to connect to the underserved.  More

The Doctor Is In (and Wants to Get Online)

iconThe revolution is accelerating—both on the clinician end-user side, and in the arena of clinician-patient communications and care management. How are IT leaders engaging clinicians and helping clinicians engage patients, in the emerging healthcare? CIOs and CMIOs are figuring out how to help their organizations survive--and thrive--in the emerging world of mobility.  More

EMRs and Interactive Patient Engagement Systems: A Valuable Partnership

Integrating a hospital's EHR system with their interactive patient engagement system may aid in setting patient expectations and fostering higher levels of satisfaction. Many hospitals are using their interactive systems to deliver welcome and orientation videos, patient scheduling and care plan information as well as visitor friendly hospital information like cafeteria or gift shop hours. With a partnership between a hospital's interactive patient engagement system and their EHR, hospitals can make meaningful progress towards experiencing greater efficiencies and increased value from both their EMR and interactive systems.More

VA Showcases Telehealth Program Used by 80K Veterans in 2012

The Department of Veterans Affairs this week held a Connected Health Showcase where it touted an initiative offering telehealth services to veterans. Officials said that about 80,000 veterans participated in more than 200,000 telehealth consultations with doctors and therapists in 2012. FierceHealthIT et al.

Vanderbilt Pediatric Patients Get Their Own iPad Task Application

Young patients at Vanderbilt University Medical Center's Monroe Carell Jr. Children's Hospital will be able to check a new iPad app developed just for them...The app, called MyRoutine, allows parents and providers to create visual stories to let children know what to expect during their daily schedule, helping to reduce anxieties and provide structure. More

Wireless Monitoring Arrives in Acute Care

Wrist-worn monitoring device enables nurses to keep tabs on patients vital signs remotely.  The monitor itself is similar to a large sports watch in size and weight (approximately 4 oz.), and comes with a color touch-screen to continuously measure and display heart rate/ECG, blood oxygen saturation, respiration rate, non-invasive blood pressure and skin temperature.  More

Questionnaire helps nurses direct phone conversations with patients

A questionnaire was developed to aid the nurses in directing the conversation with patients when phone calls were placed. The questionnaire included five questions aimed at gauging:
  • how well the patient understood their medications;
  • how the catheterization site looked;
  • if the patient understood the signs and symptoms of a heart attack;
  • if the patient knew when to call 911: and
  • if the patient had scheduled their follow-up appointment with their healthcare provider.
More

2 ways VA is optimizing mHealth

The Department of Veterans Affairs (VA) has officially launched mHealth pilot projects to test the technology prior to national release and to "ensure that the veteran experience is optimized," according to an announcement from the VA.

The two pilots are the Family Caregiver Pilot and the Veteran Appointment Request Web App Pilot. For the Family Caregiver Pilot, VA has begun to distribute iPads to more than 1,000 caregivers of seriously injured post-9/11 veterans enrolled in the VA's Family Caregiver Program. The iPads feature a suite of apps that allow veterans and caregivers to access and share information about their health conditions and treatment options. The apps also include information about lifestyle tips and the ability to monitor their own health, states the announcement.

Related Articles:
VA blazing its own trail when it comes to government mHealth
VA will use $983K grant to expand telehealth to vets

Sprint brings captioning service to hearing-impaired iOS device users

Sprint has announced that Wireless CapTel is now available for all iOS devices. CapTel gives customers real-time captions of the phone conversation they're currently having. While Sprint offers landline phones and a web service specifically for CapTel, the wireless version of the service makes use of a smartphone app, which displays captions just as the hardware and web products do.

ONC Unveils Progress Report on Health IT Strategic Plan

Last week, the Office of the National Coordinator for Health IT posted online a progress report outlining its efforts related to the Federal Health IT Strategic Plan: 2011-2015, Government Health IT reports (Sullivan, Government Health IT, 7/22).

Telehealth, Blue Button boost VA to “Most Wired” list

ehrintelligence.com

The Department of Veterans Affairs (VA) has joined the ranks of the nation’s “Most Wired” hospitals for the first time this year, scooping a spot on the Hospitals & Health Networks’ honor roll due to its telehealth, mHealth, and patient engagement...More

Digital Health Records’ Risks Emerge as Deaths Blamed on Systems

bloomberg.com

“Any time you computerize a process, it can create new problems, and it typically does,” said David Bates, a doctor and chief quality officer at Boston’s Brigham and Women’s Hospital, who has studied errors associated with electronic records. More

Free TeamSTEPPS® training opportunities

TeamSTEPPS Logo. The logo is a triangle that has 4 blocks inside a circle entitled Patient Care Team.  The words Knowledge, Attitudes, and Performance appear in each point of the triangle and point through the Patient Care Team circle to the Skills blocks entitled Leadership, Communication, Situation Monitoring, and Mutual Support.Free training opportunities are available using TeamSTEPPS® (Team Strategies and Tools to Enhance Performance and Patient Safety), a set of evidence-based, practical tools that helps hospitals and other health care providers strengthen teamwork with the goal of improving patient safety. AHRQ and the Department of Defense designed the TeamSTEPPS® program for health care providers for use in a variety of care settings.
About the TeamSTEPPS Logo 
 
Want to know more about TeamSTEPPS? Call (312) 422-2609 or E-mail AHRQTeamSTEPPS@aha.org

Canada subsidizes iPads for speech therapy

TalkRocketIn order to access the discount, families need to visit one of the 26 Assistive Devices Program clinics in Ontario to take an assessment. If after the assessment, the clinic recommends using TalkRocket Go as the right communication aid, a professional can help complete paperwork to purchase the app and device at a 75 percent discount.

TalkRocket Go, normally $99 in the iTunes App Store, uses voice synthesis technology to provide verbal communication for people with conditions such as Autism, Cerebral Palsy, Aphasia, Parkinson’s disease. The app is designed with big buttons and high-contrast text for people of all ages.

As an example of the reimbursement process in the United States, Princeton, New Jersey-based Lingraphica makes apps and dedicated devices for the treatment of aphasia, but users can only get reimbursement from Medicare, of up to 80 percent, for the dedicated devices 
 

VA launches caregiver pilot with 10 new apps

Launch Pad 01Care4CaregiverThe Department of Veterans Affairs has fully launched its pilot, announced last year, in which it’s distributing 1,000 iPads to family caregivers of veterans loaded with 10 specially-created apps.

President Obama’s new favorite mobile health use case and release of Data Sets & Tools

Data and Tools

An example of a citizen-developed application
“It’s about connecting every part of America to the digital age. It’s about a rural community in Iowa or Alabama where farmers and small business owners will be able to sell their products all over the world. It’s about a firefighter who can download the design of a burning building onto a handheld device; a student who can take classes with a digital textbook; or a patient who can have face-to-face video chats with her doctor.”

“For the first time in history we have opened up huge amounts of government data to the American people and put it on the internet for free,” he said. “At data.gov you can search through and download more than 75,000 data sets. 


High-Touch Health

A national survey by the Pew Research Center finds that patients and caregivers increasingly use the Internet to find information about symptoms, treatments, and support.

Read more: http://www.chcf.org/publications/2013/01/pew-survey-online-health#ixzz2ZR5M8m82
Caregiving has evolved from feeding and bathing assistance to complex medical management. Learn how family members have responded by using the Internet for information and support.  iHealthBeat

Study: wireless devices improve blood pressure tracking, adherence

iMetrikusA study conducted by the Center for Connected Health, a division of Partners HealthCare, showed wireless mobile technologies positively impact patient engagement and can be more effective than modem-based devices. The study was published in the Journal of Diabetes Science and Technology in May, 2013.

Mo. Gov. Signs Telehealth Coverage Law, Ky. Expands Telehealth

Mo. Gov. Signs Telehealth Coverage Law, Ky. Expands Telehealth
Missouri Gov. Jay Nixon has signed into law a bill that will require health insurers to cover telehealth services. Meanwhile, recent changes to Kentucky's regulations have expanded telehealth access for Medicaid beneficiaries. Kansas City Business Journal, Public News Service. 

New Kentucky Regulations Expand Telehealth Access

In related news, recent changes to Kentucky's telehealth regulations have boosted Medicaid beneficiaries' access to health care services via telehealth, Public News Service reports.
Rob Sprang -- director of Kentucky TeleCare -- said the new regulations expanded the type of health care providers who can treat Medicaid beneficiaries via telehealth technology to include social workers, speech pathologists, physical therapists and other providers.
In addition, the new rules ended limitations on the number and types of health care services that can be provided through telehealth, he said (Stotelmyer, Public News Service, 7/8).

H&HN Releases List of 'Most Wired' Hospitals for 2013

 
Nearly 300 hospitals were recognized as the "Most Wired" in the nation by Hospitals & Health Networks. H&HN also designated 25 hospitals as "Most Improved" and 25 hospitals as "Most Wired -- Small and Rural" and named three 2013 Innovator Award winners. Healthcare IT News, Hospitals & Health Networks.

Caregivers & Online Health-Related Activities?


The report is based on a nationwide telephone survey of 3,014 U.S. adults.
Source: Pew Research Center/California HealthCare Foundation, "Family Caregivers are Wired for Health" http://www.ihealthbeat.org/picture-of-health/2013/what-percentage-of-caregivers-conduct-the-following-online-healthrelated-activities

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

Jump to Featured Quality Tools