December 27th, 2011 by BarbaraFicarraRN in Health Policy, Opinion
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Bill Crounse, MD, Senior Director, Worldwide Health, Worldwide Public Sector Microsoft Corporation shares his insights and describes four leading trends and technologies that will transform health and health care in 2012 and beyond.
These leading technologies include: cloud computing, health gaming, telehealth services and remote monitoring/mobile health.
Telehealth, Remote Monitoring, Mobile Health
I’d like to focus on telehealth and remote monitoring/mobile health since I feel telehealth is the nucleus of patient care, and telehealth can help reduce health care costs, and improve quality health care for patients. Telehealth technology combined mobile technology such as smartphones will make monitoring patients conditions easier and more efficient, and “cheaper and more scalable.”
Patient Quality Health Care
Through the Accountable Care Organizational Model (ACO), the core concept is to Read more »
*This blog post was originally published at Health in 30*
December 10th, 2011 by BarbaraFicarraRN in Health Policy, Opinion
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How do companies curb health care costs?
Do healthier employees lead to increased productivity? Several progressive companies believe so and have committed to providing employees with programs to help engage them in a healthier lifestyle.
As part of the incentives to lead a healthier lifestyle some employers have instituted a penalty and reward system tied to the companies’ benefits. For example, smokers may incur a significant surcharge to the cost of their health insurance plan while nonsmokers could see a reduction in cost.
According to an article in The New York Times, a growing numbers of companies including Home Depot, PepsiCo, Safeway, Lowe’s and General Mills are seeking higher premiums from some workers who smoke, similar to Wal-Mart’s addition of a $2,000-a-year surcharge for some smokers.
Escalating health care costs Read more »
*This blog post was originally published at Health in 30*
December 9th, 2011 by Elaine Schattner, M.D. in Opinion, True Stories
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Over the weekend I developed another bout of diverticulitis. Did the usual: fluids, antibiotics, rest, avoided going to the ER, cancelled travel plans.
One of my doctors asked a very simple question: is this happening more frequently? The answer, we both knew, was yes. But I don’t have a Personal Health Record (PHR) that in principle, through a few clicks, would give a time-frame graph of the bouts and severity of the episodes over the past several years.
The last time this happened, and the time before that, I thought I’d finally start a PHR. Like most compulsive patients, I keep records about my health. In the folder in my closet in a cheap old-fashioned filing box, the kind with a handled top that flips open, I’ve got an EKG from 15 years ago, an Read more »
*This blog post was originally published at Medical Lessons*
October 10th, 2011 by DavidHarlow in Health Policy, News
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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*
August 13th, 2011 by Iltifat Husain, M.D. in News, Opinion
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Great blog piece in Forbes by Tom Gillis — VP of Cisco’s Security Technology Business Unit — on how hospital Chief Security Officers (CSOs) are having issues with managing physician use of mobile devices at work. He had dinner with the CSOs of five major healthcare providers, who stated their biggest headache is how Doctors love their iPads and want to use them for work.
Gillis is in the business of enterprise security, and he gives an insider’s perspective on mobile device use in the hospital setting. He writes about the fundamental shift in how physicians are consuming content. Before the proliferation of mobile devices, hospitals had complete control of managing the “endpoint” — how the content was consumed. This is no longer the case, and since these personal devices have created a new paradigm, IT teams are left playing catchup.
It was refreshing to hear Gillis talk about how the solution Read more »
*This blog post was originally published at iMedicalApps*