Texting Valuable for Engaging Low-Income Urban Patients

Pilot study reveals that texting is one of the best ways to engage with low-income urban patients. What are your thoughts on this study? http://bit.ly/1qmRC74
A new pilot study among low-income African-Americans in Detroit suggests they prefer being contacted by healthcare providers and researchers via text message on their mobile phones.  Read More

 
 


Health IT Survey Compendium Updated

The AHRQ Health IT Survey Compendium has been updated, providing a centralized source of health IT surveys that may be used in the evaluation of health IT projects.  Featuring questionnaires, interview guides, and focus group guides, the Survey Compendium contains surveys previously developed and used by health IT researchers that may inform current or future research. The surveys now include information on intellectual property and acceptable use, helping researchers identify instruments which may be used in current projects. Additionally, the survey search has been updated, allowing researchers to filter by survey type, care setting and survey focus.
Select to access the Survey Compendium: http://healthit.ahrq.gov/health-it-tools-and-resources/health-it-survey-compendium.

Always Learning: How One Doc Utilizes Provider-to-Provider Social Media


 
This doctor is among a growing community of doctors that are using web-based tools to engage and learn from other physicians. Doctors and other healthcare professionals are getting social with each other. One of the key advantages is that there are a select group of experts that are able to provide key counseling and key information on their field....You’re able to interact with experts with questions and you even have the opportunity to address them in a private fashion with encrypted message. Read More

Calif. Medicaid Program To Cover Teledentistry Services in 2015

A new California law requires the state's Medicaid program to cover teledentistry services beginning next year. The law also calls for professional groups to offer training to dental assistants and hygienists for being part of a teledentistry team. Kaiser Health News' "Capsules," Pew Charitable Trusts release. Read More

FDA Releases Final Guidance on Medical Device Cybersecurity

10/1/2014, The FDA issued final guidance outlining steps that medical device manufacturers should take during device design, development and the approval process to protect patient data from malware and other potential security risks. Clinical Innovation & Technology et al. 
Read More

Texting is valuable for engaging low-income urban patients

Pilot study reveals that texting is one of the best ways to engage with low-income urban patients....
 
 
Texting Valuable for Engaging Low-Income Urban Patients
 
Texting Valuable for Engaging Low-Income Urban Patients
A new pilot study among low-income African-Americans in Detroit suggests they prefer being contacted by healthcare providers and researchers via text message on their mobile phones. Read More

Federal judge rules against ACA subsidies

A federal judge in Oklahoma 9/30/14 ruled that Affordable Care Act federal subsidies cannot be issued to residents living in states that do not run their own exchanges.
This marks the second ruling against ACA subsidies--in the July case of Halbig v. Burwell, the D.C. Circuit Court of Appeals ruled that subsidies are illegal on federal exchanges. A few hours later on that same day, in the case of King v. Burwell, the 4th Circuit Court of Appeals in Richmond, Virginia, ruled that state- and federal-run exchanges can provide subsidies.
Judge Ronald A. White, who issued the ruling, said that federal subsidies do not align with the healthcare reform law.
--> READ THE FULL ARTICLE AT FierceHealthPayer

Clinical trial finds virtual ward does not reduce hospital readmissions

St. Michael's Hospital,

A virtual ward, a new model of care that provides support to high–risk and complex patients in the community for a few weeks after discharge from hospital, did not prevent hospital readmissions as hoped in a clinical trial in Toronto. Hospital readmissions are common and costly and no intervention has reliably reduced them. Virtual wards, pioneered in Britain 10 years ago, were thought to have the potential to reduce readmissions, but had not been rigorously evaluated by researchers. Dr. Irfan Dhalla, a physician at St. Michael’s Hospital, led a randomized trial in Toronto to determine whether a virtual ward could improve health outcomes and reduce readmissions in a high–risk population. The results of the trial were published today in the Journal of the American Medical Association. Read More

For the Border City of Nogales, Arizona, Telemedicine is ‘a Win-Win’

Doctors wondered if they could achieve comparable results with telemedicine...Telemedicine is moving toward greater mobility, with smart phones, Skype and tablets having a larger role.
These clinics are moving toward doing consults with the patient at home.  “We have patient navigators who are out visiting patients in their homes, which is a big plus for someone who is elderly or chronically ill.

“But regardless of how the technology changes in the future, historically telemedicine has meant a lot to our providers and to the patients. It was absolutely a win-win.”  Read More

ONC Unveils Blue Button Campaign, Toolkit During Health IT Week

The toolkit is designed to help organizations -- including health information exchanges, immunization registries, labs and pharmacies -- improve access to consumers' personal health data. It includes information about:
  • Marketing materials and strategies; and
  • Technical guidelines for sharing patient data (Slabodkin, Health Data Management, 9/16).
In addition, the toolkit updated and replaced the Blue Button Implementation Guide, which ONC expects to continue to update as it adopts new standards.
The implementation guide now includes:
  • A portfolio of national standards to increase access to electronic health records;
  • Alternative technical procedures for exchanging consumer information, including application programming interfaces, secure attachments and Web services;
  • Marketing materials and guidelines on how to include the Blue Button symbol in an organization's product or on its website; and
  • The ability to tailor the Blue Button website to the specific needs of an organization ("Health IT Buzz," 9/15).  Read More

Health Care Industry Cautious When Adopting New Tech

A new study conducted by Harvard Business Review Analytic Services finds that the health care industry takes a cautious approach to technology adoption, compared with other industries. However, the study concludes that early technology adopters are more likely to experience revenue growth and market position. InformationWeek et al. Read More

The VA embraces technology to better care for veterans


VA healthcare apps

The VA embraces technology to better care for veteransThe VA apps will be called Summary of Care and Blue Button. They'll give patients easy access to electronic healthcare information right on their smartphones. The Blue Button app will also let vets create a PDF to share with all of their doctors.

But, these apps are only the beginning. The VA is actually developing a much larger mobile project to bring veterans' healthcare into the 21st century.  The two apps will be the first to be housed in the VA's upcoming app store. VA estimates show that 25% of vets with diabetes already use blood sugar tracking apps. Read More

Care coordination, mHealth to better serve vulnerable populations

CEO at GenerationOne
Vulnerable populations are better served by multiple systems working together, such as coordinated care and mhealth technologies. http://bit.ly/1qzYGCg
Coordinated care and mHealth technologies are key to reducing disparities in care for vulnerable populations, according to an article at Health Affairs.  Read More

NCSBN study comparing comparability of simulation and clinical training

On August 21, the National Council of State Boards of Nursing (NCSBN) released the findings from its highly anticipated research study titled “The NCSBN National Simulation Study: A Longitudinal, Randomized, Controlled Study Replacing Clinical Hours with Simulation in Prelicensure Nursing Education.” The study authors concluded that substituting high quality simulation experiences for up to half of traditional clinical training hours in entry-level registered nursing programs had no negative impact on NCLEX pass rates or the competency level of new graduates. The study found that there were no meaningful differences in critical thinking, clinical competency, and overall readiness for practice between graduates of traditional pre-licensure programs with no simulated clinical experiences and graduates of programs utilizing simulation for up to 50% of its clinical experiences.
NCSBN National Simulation Study. Read More
https://www.ncsbn.org/3500.htm


ATA Finds Some States Falling Short on Telemedicine Policies

The American Telemedicine Association has released two state policy reports that identify shortfalls in coverage, reimbursement and practice standards for telemedicine across the U.S. ATA CEO Jonathan Linkous says the reports should be a "wake-up call" to states that are failing to promote telehealth. FierceHealthIT et al. Read More

ONC Rule Aims To Offer More Flexibility on EHR Certification

September 11, 2014, the Office of the National Coordinator for Health IT released a final rule that updates 2014 certification criteria for electronic health records and drops proposed 2015 voluntary certification criteria. ONC says it will make "a small subset" of the 2015 voluntary criteria optional for 2014. FierceEMR, HHS release. Read More

Games for Health | Can online and mobile games improve patient outcomes?

Clinical evidence suggests that games related to health and wellness have tremendous potential to promote healthy behaviors and even improve outcomes and medical treatment adherence. Applying games to healthcare is not a trend or fad. It is a rapidly growing and extremely collaborative field, and as technology continues to develop, so will the capabilities of the games. By creating games that augment our healthcare providers’ treatment plans, we can empower patients by enhancing their learning through experiential and interactive approaches that ultimately drives behavior change. In doing so, people can live healthier and more fulfilled lives. Read More

EHR Alerts, Documentation Boosted HIV Testing in NYC, New Orleans

Health facilities in New Orleans and New York City screened a higher percentage of patients for HIV after implementing electronic health record alert programs. The organizations implemented an alert system to remind staff to screen patients for HIV or require practitioners to document the screenings. Becker's Hospital Review's "Hospital CIO" et al.  Read More

CMS Issues Final Rule To Extend Meaningful Use Requirements

CMS has released a final rule that will grant health care providers and eligible professionals additional flexibility to upgrade electronic health record systems to meet requirements for Stage 2 of the meaningful use program. However, several stakeholders have expressed disappointment in the rules, which they say will have little effect. Modern Healthcare et al. Read More

CMS finalizes EHR meaningful-use rule, adds some flexibility

CMS finalizes EHR meaningful-use rule, adds some flexibilityThe CMS late Friday finalized a rule allowing hospitals and eligible professionals more flexibility in how they meet meaningful-use requirements for the electronic health-record incentive program. The agency had first proposed the idea in a May draft rule. Friday's final rule left the May proposal unchanged.

The rule would grant providers a longer timeline and more flexibility in meeting the incentive goals laid out by the stimulus program first created in the 2009 HITECH Act. The incentive program provides doctors and hospitals stimulus funding to implement electronic health records. The rule pushes back the beginning of the third stage of meaningful use for the first cohort of adopters until Jan. 1, 2017, as opposed to the old standard of Jan. 1, 2016. Read More

Stroke Rounds: Telestroke Delivers in Germany


A telestroke program in rural Bavaria cut door-to-needle times by half and the lag between symptom onset and first treatment by 20%, researchers said. Read more  "The main findings of 10-year experience of TEMPiS showed that this type of telemedical stroke unit network is sustaining, offers state-of-the-art acute stroke care by increasing access to stroke units and improving thrombolysis service, and is associated with long-term improvement in terms of quality indicators of acute hospital care," Muller-Barna and colleagues wrote.     

Medical marijuana laws tied to fewer drug overdose deaths

States that have enacted laws allowing for the medicinal use of marijuana have lower annual rates of drug overdose death than do states without such laws, according to a study.

The link between such laws and lower rates of overdose deaths remains unclear, according to an analysis published online Monday in JAMA Internal Medicine, but the findings showed states with medical marijuana laws in place had a nearly 25% lower average yearly opioid overdose death rate compared with states without those laws. Read More

New Tips for Meeting the Stage 2 Meaningful Use Transition of Care Measure

New Tips for Meeting the Stage 2 Meaningful Use Transition of Care Measure

More support on how to meet the transition of care measure that is required for Stage 2 Meaningful Use? ONC has just released a new brief that provides support. This is a part of one of the ONC Health Information Exchange (HIE) team’s goals – to provide support and direction to grantees.  Recently, ONC released comprehensive interoperability training modules that are geared toward multiple stakeholder audiences and provide guidance from the elementary level to detailed technical guidance for experts involved in implementation. Read More

Telehealth in India: The Apollo contribution and an overview

Click Here to review the article and great bibliography about telemedicine

HIMSS Analytics: Most providers adopt telemedicine to close patient-care gaps

HIMSS Analytics Research Director Brendan FitzGerald told FierceHealthIT. "Because of the ever-evolving technology aspects and being able to deliver that clinical care remotely, that's where our definition of telemedicine is key and may cause some confusion in the market."
Provider adoption of telemedicine solutions is largely driven by the need to fill gaps in patient care, particularly among hospitals, according to HIMSS Analytics' 2014 Telemedicine Study, published on Wednesday.

Telemedicine in India might be just what the doctor ordered


Medanta, the multi-specialty hospital where he works, started its free telemedicine service about a year ago as an outreach service for patients who cannot visit the hospital.
tele“In-person consultation is obviously the gold standard,” Parakh told India Insight. “But if we have a doctor at the patient’s end, especially somebody who he trusts and who he knows, we can be reasonably comfortable about prescribing treatment.”
Medanta is one of several e-health providers that say they want to change how healthcare is delivered in India, and address the industry’s two biggest problems: accessibility and lack of manpower.
India has 0.7 physicians per 1,000 people — BRIC peers Russia (5), Brazil (1.5) and China (1.5) have better ratios — and most Indians travel about 20 kilometres to reach a hospital, according to a 2012 report by accounting firm PricewaterhouseCoopers (PwC).
Read More

RWJF: Strong evidence that home visits help moms make healthy choices, raise healthy children


Child FirstAs a society, we ought to be doing much more to help families with young children establish a solid foundation for health from day one. The best way to strengthen families is to meet them where they are, writes RWJF Director Kristin Schubert, and help provide them with the tools they need to make healthy choices where they live: at home.
Find out how home visits help >
Last month, JAMA Pediatrics published new research from on the effects of nurse-home visits on maternal and child health. The randomized, clinical trial followed a group of low-income, primarily African American mothers and children living in disadvantaged, urban neighborhoods of Memphis over a 19-year period. Specifically, they wanted to see whether home visits conducted by the Nurse-Family Partnership before and after a birth influenced whether the mothers and children died prematurely.  Read More

Fixing the EHR Beast

Medscape "First, what is wrong? Most current EMRs were developed by software engineers, primarily to serve the financial interests of healthcare facilities. Clinical usefulness for physicians and nurses was an afterthought. The hardware and software used for most EMRs are still old-style and legacy-based, and this is enterprise-wide." Read More

HealthSpot visits now reimbursed by Medicaid!

HealthSpot and CareSource team up to create value for Medicaid members, increasing access to care through telehealth platform in convenient locations. HealthSpot® and CareSource, an Ohio nonprofit managed care company announced an agreement to increase access to quality healthcare for CareSource Medicaid, CareSource Just4Me and MyCare Ohio members.
HealthSpot has built a comprehensive healthcare delivery platform that combines cloud-based software with the award-winning HealthSpot station. The stations connect patients to medical providers from a variety of Ohio’s health systems including Cleveland Clinic, MetroHealth and University Hospitals. For the past 18 months, these providers and others have been using the stations for diagnosis of high frequency illnesses, such as the flu and upper respiratory issues.Read More

Microsoft and TracFone collaborate to offer innovative mobile health management solution to the healthcare market

Microsoft Corp. and TracFone Wireless on Thursday announced a collaboration that will bring the benefits of smartphone technology and services to underserved and high-risk populations through a new mobile health management solution offered through providers and insurers. This approach expands on Microsoft’s commitment to healthcare and TracFone’s telecommunications expertise as the largest Lifeline provider and prepaid wireless leader. Microsoft and TracFone will work with Health Choice Network (HCN), a Miami-based company that manages and connects a network of community health centers with more than 760,000 patients in 17 states, to conduct a pilot project where HCN will provide smartphones to diabetes patients to help them better manage their care.
Windows Phone and TracFone services will connect data, devices and people to drive better patient engagement and health outcomes in a HIPAA-enabled environment. 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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