Why doctors don ’t like to retire
The past decade has seen an enormous upheaval in the practice of medicine. The private independent medical practice is in danger of extinction. Management overhead and red tape has skyrocketed due to government regulations and private insurance and pharmaceutical benefit rules. Added to that are multiple electronic medical records that need to be implemented, vary from one hospital to another, and often do not “talk” to one another. Thus, it would seem obvious that physicians are leaving their practices in large numbers. Perhaps. Perhaps not. An April 5, 2017 Time Magazine article broke down retirement rates by profess...
Source: Kevin, M.D. - Medical Weblog - August 19, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/david-mokotoff" rel="tag" > David Mokotoff, MD < /a > Tags: Physician Practice Management Source Type: blogs

#WHISTLEBLOWER tonight on CBS at 9 pm: Brendan Delaney and Electronic Medical Records
I received this today. This type of scenario is not what the pioneers intended, and is an example of how some in the healthcare information technology industry may have less of the altruism and responsibility that clinicians feel towards the medical mission. Settlement information is here:https://www.healthcareitnews.com/news/eclinicalworks-pay-155-million-settle-suit-alleging-it-faked-meaningful-use-certification---------------------------------------------------hashtag#WHISTLEBLOWER tonight on CBS at 9 pm: Brendan Delaney and Electronic Medical Records Tune in tonight to hear Brendan Delaney ’s Medical Records Whistleb...
Source: Health Care Renewal - August 17, 2018 Category: Health Management Tags: Brendan Delaney CBS eClinicalWorks fraud healthcare IT fraud Martha Spanninger Source Type: blogs

In Search of Intra-Aero-Bili-ty
By MATTHEW HOLT Another one of my favorites, although this one is much more recent than those published so far–dating back to only March 2015. It was the written version of a talk I gave in September 2014 following the birth of my son Aero on August 26, 2014. So if we are discussing birthdays (and re-posting classics as, yes, it’s still THCB’s 15th birthday week!) we might as well have one that is literally about the confluence of a birthday and the state of health IT, health business, care for the underserved and much more! Today is the kick-off of the vendor-fest that is HIMSS. Late last week on THCB, ...
Source: The Health Care Blog - August 16, 2018 Category: Consumer Health News Authors: matthew holt Tags: Health 2.0 Matthew Holt Tech Epic Interoperability Nadine Burke Sutter Source Type: blogs

Hospital Introducing HoloLens Augmented Reality into the Operating Room
Alder Hey, an important children’s hospital in Liverpool, England, is working on integrating Microsoft HoloLens augmented reality technology into its operating theaters. The HoloLens is a headset that is able to overlay digital images onto a person’s field of view, essentially mixing virtual reality with the real world. The hospital partnered with Black Marble, a Microsoft partner based in the UK, to implement the HoloLens so that it can be used by surgeons to easily access imaging and other data during surgery. HoloLens technology is being paired with Microsoft’s Surface Hub, a kind of digital whiteboa...
Source: Medgadget - August 13, 2018 Category: Medical Devices Authors: Editors Tags: ENT Informatics Neurosurgery Source Type: blogs

Caretaker Beat-by-Beat Continuous Blood Pressure and Vital Signs Monitor Cleared in EU
Caretaker Medical, a firm based in Charlottesville, Virginia, won approval to introduce its Caretaker 4 wireless continuous non-invasive blood pressure (CNIBP) and vital signs monitoring system in the European Union. The product, already approved in the U.S., provides beat-by-beat blood pressure measurements with an accuracy sufficient for intensive care units. It also keeps track of the heart rate, SpO2, and core body temperature, continuously streaming all this data via Bluetooth to the nurse’s station, in-hospital electronic medical records, tablets, or other systems and devices. The device doesn’t use a t...
Source: Medgadget - August 9, 2018 Category: Medical Devices Authors: Editors Tags: Cardiology Medicine Rehab Sports Medicine Source Type: blogs

The best way to fight misinformation in health care
Fake news is a term that’s become notorious over the last couple of years. For notorious reasons perhaps. But there’s actually another serious arena where there is inadvertently an awful lot of “fake news” on a daily basis. And that is, well you guessed it: in health care throughout our nation’s hospitals and offices! Let me explain, and I suspect anyone who works in health care will be familiar with the scenario. A physician or nurse assumes care of a new patient and a huge amount of information is thrown their way. They have “coronary artery disease,” they “drink five beers a day,” they “take a stero...
Source: Kevin, M.D. - Medical Weblog - August 9, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/suneel-dhand" rel="tag" > Suneel Dhand, MD < /a > Tags: Physician Health IT Hospital-Based Medicine Source Type: blogs

Hospital Computer Crashs Show EHR Vulnerabilities; Need for Better Explanations
A recent EHR crash atSutter Health was managed in about the same (ineffective) way as most of the other similar health system disruptions. Sutter disclosed little about what was happening during and after the crash. The outage was discussed in a recent article (see:How a Major Computer Crash Showed the Vulnerabilities of EHRs). Below is an excerpt from it:The...[recent] communications outage at Sutter Health, the largest health system in northern California, which cut off access to electronic health records (EHRs), highlighted the frequency of such outages and the need for backup plans and drills nationwide (see:Sutt...
Source: Lab Soft News - August 7, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Electronic Health Record (EHR) Healthcare Information Technology Medical Consumerism Medicolegal Issues Quality of Care Source Type: blogs

Americans Fighting the Opioid Crisis in Their Own Backyards
Credit: New York Times article, Jan. 19, 2016. The United States is in the midst of an opioid overdose epidemic. The rates of opioid addiction, babies born addicted to opioids, and overdoses have skyrocketed in the past decade. No population has been hit harder than rural communities. Many of these communities are in states with historically low levels of funding from the National Institutes of Health (NIH). NIGMS’ Institutional Development Award (IDeA) program builds research capacities in these states by supporting basic, clinical, and translational research, as well as faculty development and infrastructure improveme...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - August 1, 2018 Category: Research Authors: Chris Palmer Tags: Pharmacology Medicines Opioids Pain Source Type: blogs

Who Cares About the Doctor-Patient Relationship? A Review of “ Next In Line: Lowered Care Expectations in the Age of Retail- and Value-Based Health ”
By KIP SULLIVAN, JD A mere two decades ago, the headlines were filled with stories about the “HMO backlash.” HMOs (which in the popular media meant most insurance companies) were the subject of cartoons, the butt of jokes by comedians, and the target of numerous critical stories in the media. They were even the bad guys in some movies and novels. Some defenders of the insurance industry claimed the cause of the backlash was the negative publicity and doctors whispering falsehoods about managed care into the ears of their patients. That was nonsense. The industry had itself to blame. The primary cause of the backlash w...
Source: The Health Care Blog - July 30, 2018 Category: Consumer Health News Authors: matthew holt Tags: Patients Physicians care advocates Next In Line: Lowered Care Expectations in the Age of Retail- and Value-Based Health patient-provider relationship Value-Based Payment Source Type: blogs

What Do Digital Biomarkers Mean?
The spread of wearable digital technologies in healthcare generating big data entailed the appearance of a new type of medical information. They produce actionable insights into the biological state of individuals, just as “general” biomarkers, but are collected through digital tools. Here’s our summary of what digital biomarkers mean and how they will be used in the near future. The appearance of user-generated big data in healthcare In the last couple of years, Fitbit, Misfit, Jawbone, Apple Health, Sleep as Android, WIWE, MocaCare, Skeeper – in other words, fitness trackers, step counters, health apps, sleep sen...
Source: The Medical Futurist - July 17, 2018 Category: Information Technology Authors: nora Tags: Digital Health Research Health Sensors & Trackers Researchers biomarker biomarkers digital biomarkers Innovation population health prediction prevention preventive health Source Type: blogs

3 things patients really want from their doctors
The doctor-patient interaction is the absolute core of clinical medicine. Maybe I’ll go much further: it’s the core of health care in general. I always try to remember, whenever I’m ever feeling frustrated with the system, the crazy bureaucracy — and of course, the debacle of our clunky electronic medical records and their data entry requirements — to separate myself from all of that when I’m face-to-face with my patient and their family. This time is priceless, it’s why I went into this. The interactions and honor of serving my patients at a low point in their lives, makes it all worth it. It’s whe...
Source: Kevin, M.D. - Medical Weblog - July 5, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/suneel-dhand" rel="tag" > Suneel Dhand, MD < /a > Tags: Physician Practice Management Primary Care Source Type: blogs

Physician burnout can affect your health
There is a severe and worsening epidemic of physician burnout in the United States, which threatens the health of doctors and patients alike. What is burnout? How does it affect doctors? And, how can this affect patient care? Finally, what can be done about this issue, to breathe life and energy back into the field of medicine? What does physician burnout look like? Burnout among doctors is generally described in terms of a loss of enthusiasm for one’s work, a decline in satisfaction and joy, and an increase in detachment, emotional exhaustion, and cynicism. It manifests in disproportionately high rates of depression, su...
Source: Harvard Health Blog - June 22, 2018 Category: Consumer Health News Authors: Peter Grinspoon, MD Tags: Health Managing your health care Source Type: blogs

Another Issue The Proponents Of The myHR Need To Face. Lack Of Data Accuracy.
This appeared last week:Should you trust what e-records tell you?Antony Scholefield22 May 2018 GPs are repeatedly told that electronic medical records will fix the problems of faulty memories, illegible hospital handover notes and patients who aren ’t faithful to one GP (but don’t tell you). But do you trust what your computer says?Researchers from Perth read the electronic patient records of almost 1000 patients and then checked with the real-life patient if they were accurate.The results focused on whether patients had received their flu vaccination or not. These searches found that, in 84% of cases, the electronic r...
Source: Australian Health Information Technology - May 31, 2018 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

A Picture is Worth a Thousand Words
By MEGHAN CONROY These days I’m spending a lot of time getting in depth with many tech companies. From time to time I’ll be asking those innovators to tell their story on THCB, and suggest what problems they are solving. First up is Meghan Conroy from Captureproof—Matthew Holt Today’s doctors are communicating with their patients less than ever before, even as their days grow longer and busier. Physicians are pressured to see more patients in shorter encounters, while at the same time shouldering more of the administrative and documentation tasks associated with electronic medical records (EMR). The res...
Source: The Health Care Blog - May 23, 2018 Category: Consumer Health News Authors: Matthew Holt Tags: Health 2.0 Captureproof Meghan Conroy Source Type: blogs

What Is the Significance of the Roche Acquisition of Flatiron?
People are talking about the acquisition ofFlatiron Health by Roche. Here is an article fromForbes that discusses the possible rationale for the purchase (see:The Flatiron Health Acquisition Is A Shot In The Arm For Roche's Oncology Real-World Evidence Needs) and below is an excerpt from the article:...Roche, a global pharmaceutical giant, [has] acquired Flatiron Health, an oncology-focused electronic health records (EHR) company, for $1.9 billion....[Flatiron] has a partnership with a large network of oncology clinics and a few major research facilities to gather patient data. While it was not entirely unexpecte...
Source: Lab Soft News - May 22, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Electronic Health Record (EHR) Healthcare Information Technology Healthcare Innovations Medical Research Pharmaceutical Industry Source Type: blogs