October 10th, 2011 by DavidHarlow in Health Policy, News
Tags: CLIA, Data, Dr. Farzad Mostashari, E-Patients, Federal Law, Health 2.0, Health IT, Health Reform, HIPAA, HIT, Jodi Daniel, Lab Results, Lygeia Ricciardi, Participatory Medicine, Privacy, Records, Regulations
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On September 14, HHS released for comment draft lab results regulations that will, if finalized, effectively bathe the Achilles’ heel of health data in the River Styx of ¡data liberación! All lab results will be made available to patients, just like all other health data. (See the HHS presser and YouTube video from the recent consumer health summit. Todd Park, HHS CTO, is also the chief activist for what he calls ¡data liberación!)
Forgive me for mixing my metaphors (or whatever it is I just did), but even though there are just a couple dozen words of regulations at issue here, this is a big deal.
When HIPAA established a federal right for each individual to obtain a copy of his or her health records, in paper or electronic format, there were a couple of types of records called out as specifically exempt from this general rule of data liberation, in the HIPAA Privacy Rule, 45 CFR § 164.524(a)(1): psychotherapy notes, information compiled for use in an administrative or court proceeding, and lab results from what is known as a CLIA lab or a CLIA-exempt lab (including “reference labs,” as in your specimens get referred there by the lab that collects them, or freestanding labs that a patient may be referred to for a test; these are not the labs that are in-house at many doctors’ offices, hospitals and other health care facilities — the in-house labs are part of the “parent” provider organization and their results are part of the parents’ health records already subject to HIPAA).
(“CLIA” stands for the Clinical Laboratory Improvement Amendments of 1988, which established quality standards for certain laboratory testing.)
This carveout of lab results from patient-accessible records has long been a thorn in the side of the e-patient. This month, Read more »
*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*
October 10th, 2011 by RyanDuBosar in News
Tags: Antibiotics, Congress, Contamination, Crisis, Death, Drug Companies, Drug Shortage, Drugs, FDA, Gray Market, Medical Tourism, Patient Safety, Preserving Access to Life-Saving Medications Act, Production, Supply
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Crucial drugs are running in short supply and patients are dying as a result.
Much of the problem stem from manufacturing problems that interrupt production. There may be only one or two companies making a drug, and when something happens such as contamination, it creates huge gaps. As a result, there’s been 213 drug shortages so far this year, or two more than all of the previous year.
The shortages have forced hospitals to resort to gray market purchases. These involved third parties that may corner the market on some drugs, and resell them at exorbitant mark-ups. The practice then fuels further shortages.
And this “new” crisis has been occurring for a decade. ACP Internist ran an article 10 years ago that could run in its pages today. Read more »
*This blog post was originally published at ACP Internist*
October 9th, 2011 by Medgadget in News
Tags: Alcohol Consumption, Alert, BI-TAD, Bracelet, Clinical Applications, Community Offenders, Curfew, Drinking Restrictions, GPS Tracking, Kidney Transplant, Lightweight, perspiration, Public Health, radio-frequency circuitry, Sensor, Supervising Authorities, Technology, Vapors
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BI, Inc. a manufacturer of compliance monitoring technology for community offenders, has announced an upgraded version of the company’s BI-TAD alcohol consumption monitoring bracelet.
The BI-TAD is an ankle-worn bracelet which measures an offender’s alcohol consumption levels through vapors and perspiration passing through the skin. The device also features radio-frequency circuitry to detect the presence of the offender in their own home at a given time. The upgraded BI-TAD sensor now includes wireless functionality allowing it to transmit compliance data through the cellular network to a remote base station. The device log can then be checked against an offender’s profile to see if he is adhering to specific curfews or drinking restrictions.
From the press release: Read more »
*This blog post was originally published at Medgadget*
October 7th, 2011 by BobDoherty in Health Policy, News
Tags: Access to Health Care, Affordable Care Act, CMS, Comprehensive Primary Care Initiative, CPC, Engagement, Health Insurance, High Health Care Needs, Management, medicaid, Medical Neighborhood, Medicare, Patient-Centered Medical Homes, Patients, Preventive Care, Primary Care
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Last week, Medicare’s Center for Medicare and Medicaid Innovation announced a Comprehensive Primary Care (CPC) Initiative, which asks private payers and state Medicaid programs to join with Medicare to “help doctors work with patients to ensure they:
1. Manage Care for Patients with High Health Care Needs;
2. Ensure Access to Care;
3. Deliver Preventive Care;
4. Engage Patients and Caregivers; and,
5. Coordinate Care Across the Medical Neighborhood,”
according to an email from CMS’s press office. The initiative will provide qualified practices with risk-adjusted, per patient per month care managements payments, in addition to traditional fee-for-service payments, along with the opportunity to share in savings achieved at the community level.
I believe that the Initiative is a potential game-changer in helping to support and sustain primary care in the United States. But Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*
October 7th, 2011 by Paul Auerbach, M.D. in News
Tags: Aeromedical Evacuation, Antarctica, Casualty, Christopher Mills, Freezing Temperatures, Hypothermia, Injured, Isolation, Limited Resources, Mountains, Preparation, Rescue, Western Journal of Medicine
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Isolated environments combined with austere circumstances sometimes call for extraordinary measures, and in particular call for planning in advance for situations of multi-casualty incidents. Many, if not most, austere settings are in outdoor or frankly wilderness settings. Anyone who spends considerable time in the outdoors is going to sooner or later encounter a group of individuals in need of assistance in a setting of limited resources. This could be a scout troop suffering sunburn, multiple persons stung by a swarm of bees, a group of people struck by lightning, or a carful of people in a vehicle swamped and trapped in a flood. A winter camping expedition might be overcome by an unanticipated storm that generates victims of hypothermia. At the ends of the earth, the risks may be greater and multiplied by the very difficult logistics of rescue and evacuation.
Christopher Mills, MD and colleagues recently published a very interesting article entitled “Mass Casualty Incident Response and Aeromedical Evacuation in Antarctica” (Western Journal of Medicine 2011;12(1):37-42). This excellent review addresses the complications of multiple environmental and operational challenges, and highlights that Read more »
This post, Complications Associated With The Rescue Of Injured Persons In Isolated Environments, was originally published on
Healthine.com by Paul Auerbach, M.D..
