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mHealth Summit Opens With The Director Of The NIH Explaining The Importance Of Mobile Health

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201011082322.jpgThe explosion of smart phones, originally led by the iPhone 2007, has catalyzed the explosion of mobile medical apps which our readers are surely familiar with. But, along with the proliferation of medical reference apps and interfaces to electronic health records (EHRs), there is a much broader world of mobile medical devices and simpler phone interfaces collectively termed “mHealth,” which is an area of intense interest for governments, industry and care providers.

This year, this interest has been punctuated by nearly half a dozen different mobile health meetings — many that iMedicalApps has attended and participated in. Perhaps, the largest one of all — the mHealth Summit — is now in session in the Washington Convention Center, sponsored in part by the Foundation at National Institutes of Health (FNIH) — an event we are currently attending. This type of sponsorship is an indication of the importance mobile health (or “mHealth”) is now reaching. To further accentuate this, the keynote speaker to launch the event was Dr. Francis Collins, the director of the NIH himself. Read more »

*This blog post was originally published at iMedicalApps*

Social Media Managers: Can They Get More Doctors To Go Online?

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A social media manager is becoming an imperative position for hospitals.

Medical institutions are waking up to the fact that they need to engage their patients and physicians online. Nowhere is there more fertile growth than in the various social media platforms that are prevalent today — like Facebook, Twitter, and YouTube.

American Medical News recently profiled the phenomenon, highlighting the position of social media manager, which some institutions pay between $60,000 and $80,000 per year.

As it stands, many hospitals are tiptoeing into the world of social networks, guided by the able hands of select online mavens like Mayo Clinic’s Lee Aase and Swedish Medical Center’s Dana Lewis. However, convincing executives of the return on investment remains a challenge. Read more »

*This blog post was originally published at KevinMD.com*

The End Of Private Practice?

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I didn’t need the Wall Street Journal to tell that the days of “private practice” are numbered. According to recent numbers, fewer and fewer medical practices are under the ownership of physicians. Even in my corner of the economically secure State of Texas, small practices are folding faster than beach chairs at high tide.

I was driven out of private practice in 2004 by rising malpractice premiums and plummeting reimbursement. In Texas at the time the trial attorneys ran the place and medmal insurance carriers simply couldn’t keep up with the greed.

Medical practices are just too expensive to run and the services that physicians provide are dangerously undervalued. You do the math. Sure it’s a complicated issue. But the end result is institutionally-employed doctors with institutional pay and the risk of institutional service. Read more »

*This blog post was originally published at 33 Charts*

Swing To The Right: How Will The Election Affect Health Reform?

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Like Tom Friedman, who lampooned some of this year’s unreasonable campaign rhetoric in a recent column, I, too, would be in favor of reality-based political campaigns, but that seemed to be too much to ask for this year. Instead of truth, we now have truthiness.

The joke news shows (and their joke political rallies) seemed to be more popular than the evening news. (I wish Jon Stewart and his 200,000 fans on the Washington Mall last weekend had stayed home, canvassing for their candidates of choice.) Fact-checkers told us that many political ads this season were in the “barely true” or “pants on fire” zones according to the Truth-O-Meter. But in the end, the buzzwords seem to have worked their magic, and many “insiders” are out, and “outsiders” are in.

The angry and the impatient on the campaign trail have, in some cases, adopted the line from the movie Network: “I’m mad as hell, and I’m not going to take this anymore,” perhaps forgetting that while that line garnered the Howard Beale character strong ratings, network bosses arranged for his on-air assassination when his ratings fell.

The Utopia tune below, “Swing to the Right,” comes to you from the Ronald Reagan era, and perhaps we are seeing the generational swing of the pendulum back to the right. It does seem to happen every 30 years or so. But don’t blame me — I’m from Massachusetts (home to a Democratic sweep on the recent election night).

The last two years have seen a tremendous amount of change in Washington. The question of the moment, of course, is:  How will the election results affect implementation of healthcare reform? Read more »

*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*

Accountable Care Organizations: Additional Barriers To Success

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Accountable Care Organization(ACOs) are not going to decrease the waste in the healthcare system. Waste occurs because of:

1. Excessive administrative service expenses by the healthcare insurance industry which provides administrative services for private insurance and Medicare and Medicaid. A committee is writing the final regulations covering Medical Loss ratios for President Obama’s healthcare reform act. The preliminary regulations are far from curative

2. A lack of patient responsibility in preventing the onset of chronic disease. The obesity epidemic is an example.

3. A lack of patient education in preventing the onset of complications of chronic diseases. Effective systems of chronic disease self- management must be developed.

4. The use of defensive medicine resulting in overtesting. Defensive medicine can be reduced by effective malpractice reform.

A system of incentives for patients and physicians must be developed to solve these causes of waste. A system of payments must also be developed to marginalize the excessive waste by the healthcare insurance industry. Patients must have control of their own healthcare dollars.

By developing ACOs, President Obama is increasing the complexity of the healthcare system. It will result in commoditizing medical care, provide incentives for rationing medical care, decrease access to care, and opening up avenues for future abuse.

The list of barriers to ACOs’ success is long and difficult to follow. Read more »

*This blog post was originally published at Repairing the Healthcare System*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

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I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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