Hopes for Big Impact from Validic: Making Use of Consumer Device Data
Validic, a company that provides solutions in data connectivity to health care organizations, came to HIMMS this year with a new platform called Impact that takes a big step toward turning raw data into actionable alerts. I talked to Brian Carter, senior vice president of product at Validic, about the key contributions of Impact.
Routinely, I find companies that allow health-related monitoring in the home. Each one has a solution it’s marketing to doctors: a solution reminding patients to take their meds, monitoring vital signs for diabetes, monitoring vital signs for congestive heart failure, or something else fairl...
Source: EMR and HIPAA - March 20, 2018 Category: Information Technology Authors: Andy Oram Tags: Connected Health Gadgets Healthcare Interoperability Medical Devices Analytics Brian Carter Data Integration HIMSS HIMSS18 Validic Source Type: blogs
Right Bundle Branch Block and ST Depression in V1-V3. Is that normal? And a complication.
A late middle-aged male with h/o 3 vessel bypass (CABG), type 2 diabetes, peripheral vascular disease, DVT, Chronic Kideny Disease, and chronic combined systolic and diastolic congestive heart failure presented with chest pain which started approximately 2 hours prior to arrival.Here was the initial ED ECG:Sinus RhythmThere is an rSR ' in V1, with wide S-waves in lateral leads (right bundle branch block, RBBB).Normally, RBBB has a bit of ST depression in V1-V3 that is discordant (in the opposite direction of) the R ' -wave.So that bit of ST Depression in V1 is normal.What about V2 and V3?Notice there is no R ' -wave in V2 ...
Source: Dr. Smith's ECG Blog - February 24, 2018 Category: Cardiology Authors: Steve Smith Source Type: blogs
Journal Articles on Your Smartphone with The Case App: Interview with Co-Founder Eric Kowalcyk
Keeping up to date on the latest academic journal articles and publications can be challenging for researchers focused on bringing their own innovations and projects to life. With many different journals publishing articles daily, research article aggregators like PubMed have become the go-to solution. Recognizing the limited bandwidth and increasing mobility of researchers, Case, a new app available today on iOS and Android, is seeking to take the next step by creating a mobile solution for research article searching and sharing. The Case mobile app is designed to both consolidate the effort of tracking the latest journal...
Source: Medgadget - February 20, 2018 Category: Medical Devices Authors: Michael Batista Tags: Exclusive Informatics Medicine Source Type: blogs
Journal Articles on Your Smartphone with The Case App: Interview with Co-Founder Eric Kowalchyk
Keeping up to date on the latest academic journal articles and publications can be challenging for researchers focused on bringing their own innovations and projects to life. With many different journals publishing articles daily, research article aggregators like PubMed have become the go-to solution. Recognizing the limited bandwidth and increasing mobility of researchers, Case, a new app available today on iOS and Android, is seeking to take the next step by creating a mobile solution for research article searching and sharing. The Case mobile app is designed to both consolidate the effort of tracking the latest journal...
Source: Medgadget - February 20, 2018 Category: Medical Devices Authors: Michael Batista Tags: Exclusive Informatics Medicine Source Type: blogs
Sleep Medications for Alzheimer's and Dementia Patients
I often have family caregivers request medications to help people living with Alzheimer's and related dementia to sleep.By Rita JablonskiAlzheimer's Reading RoomMedications have their place in Alzheimer's care, but only AFTER all of the suggestions listed below have been followed.It may seem exhausting to the caregiver to have to engage in all of these activities; but, the resultscould lessen exhaustion, frustration, and stress in a manner of days.Subscribe to the Alzheimer's Reading - This is a Free Service - Join NowRule Out Physical Problems FirstThere are many medical conditions that contribute to problems sleeping.Som...
Source: Alzheimer's Reading Room, The - February 19, 2018 Category: Neurology Tags: alzheimers dementia connect alzheimers sleep alzheimers symptoms alzheimers treatment care of dementia patients dementia sleep not sleeping sleep medication Source Type: blogs
Assessing a President ’ s Mental Health
Just as the President of the United States undergoes an annual checkup and physical every year, it makes sense that they should undergo an annual checkup for their mental health too. Since mental health is of equal importance to one’s physical health, it makes little sense to ignore it and pretend it’s not important.
Or worse, to act as though a person’s mental health either doesn’t exist or can’t be objectively measured.
It’s time for the President to undergo annual mental health checkups, coinciding with their physical exams.
It goes without saying that most actual smart people don...
Source: World of Psychology - January 8, 2018 Category: Psychiatry & Psychology Authors: John M. Grohol, Psy.D. Tags: Brain and Behavior General Mental Health and Wellness Minding the Media Policy and Advocacy Psychology Donald Trump fitness for office litmus test mental exam Mental Fitness president's fitness president's mental health should we Source Type: blogs
Mobile Health Teams as a Variant on the Theme of Decentralized Acute Care in the Home
I have come to the conclusion that we need to rethink the mission of hospitals and have blogged about the impetus toward decentralization that is causing various types of healthcare to be delivered closer to patients' homes (see:Merged CVS and Aetna Will Move Toward a Community-Based Healthcare Model;The Changing Role of Clinical Pathologists; Analogy with Hospital Pharmacists;TEN MAJOR TRENDS FACING THE HEALTHCARE INDUSTRY IN THE AMBULATORY SPACE ON A FIVE-YEAR HORIZON). Part of this trend is exemplified by the emergence of the so-called bedless hospital (see: The Future of Healthcare: Virtual Physician Visits&a...
Source: Lab Soft News - December 29, 2017 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Healthcare Delivery Healthcare Innovations Preventive Medicine Telemedicine Source Type: blogs
Practicing Medicine While Black (Part II)
By KIP SULLIVAN
Managed care advocates see quality problems everywhere and resource shortages nowhere. If the Leapfrog Group, the Medicare Payment Advisory Commission, or some other managed care advocate were in charge of explaining why a high school football team lost to the New England Patriots, their explanation would be “poor quality.”
If a man armed with a knife lost a fight to a man with a gun, ditto: “Poor quality.” And their solution would be more measurement of the “quality,” followed by punishment of the losers for getting low grades on the “quality” report card and rewards for the winners. The ob...
Source: The Health Care Blog - November 27, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized CMS Kip Sullivan value-based care Source Type: blogs
ICER Expanding Probe
A nonprofit group, the Institute for Clinical and Economic Review (ICER), recently received a three-year $13.9 million grant from the Laura and John Arnold Foundation to expand its ongoing investigative scope on drug pricing to include all new medicines and price increases on existing treatments.
Up until now, ICER hasn’t had the resources to review all new medicines. The additional funding “puts us on a new trajectory,” according to Steven D. Pearson, president of ICER. “Now we’re going to be able to cover the landscape.”
ICER was essentially founded with a $5.3 million grant from the Arnold Foundation in 20...
Source: Policy and Medicine - November 21, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
DAPT score – Dual Antiplatelet Therapy Score
DAPT score (Dual Antiplatelet Therapy Score) was developed to dichotomize patients after percutaneous coronary intervention [PCI] into those who will benefit from prolonged DAPT (score 2 or more) and those who are more likely to be harmed by DAPT (score less than 2). A recent study evaluated DAPT with aspirin and clopidogrel given for 2 years vs 6 months in 1970 patients undergoing PCI [1]. Primary efficacy outcomes were death, myocardial infarction or cerebrovascular accident. Primary safety outcome was significant bleeding. In this retrospective study they concluded that prolonged DAPT resulted in harm in patients with l...
Source: Cardiophile MD - November 14, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Practicing Medicine While Black
By KIP SULLIVAN, JD
The managed care movement thrives on misleading words and phrases. Perhaps the worst example is the incessant use of the word “quality” to characterize a problem that has multiple causes, only one of which might be inferior physician or hospital quality. [1] To illustrate with a non-medical analogy, no one would blame auto repair mechanics if 50 percent of their customers failed to bring their cars in for regular oil changes. We would attribute the underuse of mechanics’ services to forces far beyond the mechanic’s control and would not, therefore, refer to the problem as a “quality” problem...
Source: The Health Care Blog - November 9, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
Cardiology MCQ Test 5
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Source: Cardiophile MD - October 22, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Fight Aging! Newsletter, October 2nd 2017
This study featured two independent experiments. The first established the safety of administering a therapeutic gene delivery vector, BNP116, created from an inactivated virus over three months, into 48 pigs without heart failure through the coronary arteries via catheterization using echocardiography. The second experiment examined the efficacy of the treatment in 13 pigs with severe heart failure induced by mitral regurgitation. Six pigs received the gene and 7 received a saline solution.
The researchers determined that the gene therapy was safe and significantly reversed heart failure by 25 percent in the left v...
Source: Fight Aging! - October 1, 2017 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Real-World Evidence Complements Randomized Controlled Trials In Clinical Decision Making
Randomized controlled trials (RCTs) are considered the gold-standard study design for comparative effectiveness research, which involves directly comparing the effectiveness of one treatment to another. Despite their many benefits, RCTs have important limitations that can reduce their utility for certain types of comparative effectiveness research and limit the external validity of their findings. For this reason, real-world evidence—data about outcomes in actual patients who are receiving a treatment in a usual care setting—is gaining traction as a key source of evidence for comparative effectiveness research....
Source: Health Affairs Blog - September 27, 2017 Category: Health Management Authors: Daniel Blumenthal, Kristina Yu-Isenberg, John Yee and Anupam Jena Tags: Drugs and Medical Innovation chronic disease comparative effectiveness research efficacy-effectiveness gap health care innovation measuring care value randomized controlled trials real-world evidence Source Type: blogs
Gene Therapy Improves Heart Muscle Function to Compensate for Heart Failure
This study featured two independent experiments. The first established the safety of administering a therapeutic gene delivery vector, BNP116, created from an inactivated virus over three months, into 48 pigs without heart failure through the coronary arteries via catheterization using echocardiography. The second experiment examined the efficacy of the treatment in 13 pigs with severe heart failure induced by mitral regurgitation. Six pigs received the gene and 7 received a saline solution.
The researchers determined that the gene therapy was safe and significantly reversed heart failure by 25 percent in the left v...
Source: Fight Aging! - September 25, 2017 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs
