April 5th, 2011 by Felasfa Wodajo, M.D. in News
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We have reported in the past on AirStrip, a smartphone and iPad app that allows a mobile doctor to monitor the vital signs of patients in an obstetric ward or an ICU. The reverse, where a fixed doctor monitors multiple remote patients is now entering the mainstream and already making a difference in many patients’ lives.
In a compelling anecdote recently reported in Computerworld, a man experienced cardiac arrest while shopping and was taken to a nearby community hospital. An intensivist, monitoring from an eICU miles away, was immediately consulted. The remote doctor guided the treating physicians as they initiated unfamiliar hypothermia therapy to preserve the brain, and continued to follow the patient remotely throughout his 10 day ICU stay. Happily, the patient had a good outcome and is quoted in the article as an enthusiastic proponent of eICUs. Read more »
*This blog post was originally published at iMedicalApps*
April 4th, 2011 by PhilBaumannRN in Opinion
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Kevin Kelly wants us to undertand what he calls the “technium” and outlines his life’s work in What Technology Wants. I’d like to riff on the way Kelly uses the word “want” with respect to Social Media, and ask: “What does social media want?”
Social Media wants…
- Your time
- Your attention
- Your friends
- Your brand
- Your business
- Your data
- Your privacy
- Your publicity
- Your location
- Your behaviors
- Your wants
- Your life
There’s nothing wrong with “want” in itself – maybe it’s OK that Social Media wants all these things – and more.
The more critical question, rather, is: What do you want?
As the power of technology increases the number of choices we can make, we will have to intensify our awareness of who we are and where we’re headed.
Whatever Social Media wants, what you want determines how much it gets.
@PhilBaumann
*This blog post was originally published at Phil Baumann*
April 4th, 2011 by RyanDuBosar in News, Research
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Improving handoffs from the emergency room back to the primary care physician will require changing how electronic health records are used, better reimbursement to both the hospital and ambulatory doctors, and malpractice reform, according to a study. The rising use of hospitalists and larger primary care practice sizes has contributed to the difficulties faced when an ER doctors tries to reach a physician who best knows the patient.
Haphazard communication and poor coordination can undermine effective care, according to a new research conducted by the Center for Studying Health System Change. Researchers conducted 42 telephone interviews between April and October 2010 with 21 pairs of emergency department and primary care physicians, who were case-matched to hospitals so the perspective of both specialties working with the same hospital could be represented.
Among the findings in the report, telephone communication was essential in some cases, but particularly time-consuming. Both emergency and primary care physicians reported successful completion of each telephone call often required multiple pages and lengthy waits for callbacks. While placing and receiving telephone calls might seem straightforward and quick, providers said each small action multiplied across dozens of patients can become a daunting burden, with little immediate reward or reimbursement. Read more »
*This blog post was originally published at ACP Hospitalist*
March 19th, 2011 by BobDoherty in Health Policy, Opinion
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A few days ago I received an email from a general internist about my posts about concierge practices. I have known this physician for over 20 years, and he has great insight into the challenges facing health care. This email was no exception; he had this to say how his group took the “middle way” of pursuing private funding for the Patient-Centered Medical Home (PCMH):
“My practice includes 3 primary care physicians and has invested heavily in IT infrastructure. We have re-engineered our workflows and have achieved benchmark levels of quality and service. We have won NCQA certification for our PCMH. Yet so far no payer has stepped up to underwrite our investment. So we have joined Privia Health in forming a ‘membership practice.’ Patients are asked to pay a small monthly membership fee. In return they receive some special attention . . . Plan sponsors and payers are invited to pay the fee on behalf of their employees. . . Patients like having same day access. They like secure email communication with their doctor. They like having a personal health record. They like having a case manager helping them navigate the system. And they like going online in the evening to make their own appointments. ACP policy supports the medical home but is silent on the question of what a medical home is to do before local payment realities catch up. I owe my patients my efforts to assure that when I retire an eager young internist will welcome the opportunity to take over my practice. Absent public or private funding for the medical home that is just not going to happen.” Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*
May 16th, 2010 by Berci in Better Health Network, Health Tips, News, Opinion, Research
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Internet addiction is becoming a major problem, and it’s less and less surprising when reports focusing on this issue are being published. Lately, the New York Times came up with the analysis of a recent study:
Researchers at the University of Maryland who asked 200 students to give up all media for one full day found that after 24 hours many showed signs of withdrawal, craving and anxiety along with an inability to function well without their media and social links.
Susan Moeller, the study’s project director and a journalism professor at the university, said many students wrote about how they hated losing their media connections, which some equated to going without friends and family.
I did some research and browsed the website of Microsoft’s Internet Addiction Recovery Program. Read more »
*This blog post was originally published at ScienceRoll*
We have reported in the past on AirStrip, a smartphone and iPad app that allows a mobile doctor to monitor the vital signs of patients in an obstetric ward or an ICU. The reverse, where a fixed doctor monitors multiple remote patients is now entering the mainstream and already making a difference in many patients’ lives.
