Pittsburgh Post-Gazette: " Medication errors in hospitals don ’t disappear with new technology " . Government: " It's the doctors' fault. " I am cited.
In conclusion:While I wish the Pittsburgh Post-Gazette article was longer, in its limited space its author did touch upon the major relevant issues well regarding the PA Patient Safety Authority study and its implications towards national Health IT policy.ONC ' s Dr. Andrew Gettinger ' s responses, however, seems to reflect an unwillingness of he and the government to acknowledge Bad Health IT.  His repsonses also appear to show a lack of appreciation of the complaints about EMRs from nearly 40 medical societies.  " It ' s the doctors fault " for not training enough.He does acknowledge that better IT would be a g...
Source: Health Care Renewal - April 10, 2017 Category: Health Management Tags: Andrew Gettinger MD Donald Rucker Healthcare IT experiment healthcare IT risk ONC Pennsylvania Patient Safety Authority Pittsburgh Post-Gazette Siemens Healthcare Steve Twedt Source Type: blogs

An eloquently expressed lesson from Nanaimo (Canada) on electronic medical records failure
Unfortunately, this eloquent piece on EHR failure expresses precisely the major problems with this experimental technology thatgeneric medical managers and other medical bureaucrats are unwilling to hear, and/or unable to fully comprehend.At my May 31, 2016 post "HIT Mayhem, Canadian Style: Nanaimo (Vancouver Island) doctors say electronic health record system unsafe, should be shut down, non-medical PR hacks say it ' s perfectly safe" at http://hcrenewal.blogspot.com/2016/05/hit-mayhem-canadian-style-nanaimo.html, I wrote:... To hell with doctors and nurses and their concerns about horrible health IT. ...
Source: Health Care Renewal - March 24, 2017 Category: Health Management Tags: generic management Healthcare IT experiment Healthcare IT failure healthcare IT risk Mismanagement Nanaimo Vancouver Island Source Type: blogs

We Really Have To Move Slowly And Carefully With Health Record Apps. It Is Not All That Easy!
This appeared a few days ago.http://www.medicalrepublic.com.au/now-need-take-myhr-emr-apps-seriously/16 March, 2017Now you need to take the MyHR and EMR apps seriouslyPosted by Jeremy Knibbs We ’re great ones for predictions at The Medical Republic so here goes a couple of big ones regarding personal electronic health records and GPs.The My Health Record system (MyHR) is finally going to do some good, but patients carrying around their personal electronic medical records (EMR) isn’t go ing to look anything like government agencies or doctor groups have been saying it will for a while. That’s probably a relief because...
Source: Australian Health Information Technology - March 20, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Weekly Australian Health IT Links – 20th March, 2017.
Here are a few I have come across the last week or so.Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General CommentA very quiet week with very little apparently going on.The biggest theme seems to be that Government IT projects keep falling over and causing delays and suffering.There were a couple of interesting job adds this week with the descriptions of most interest.-----http://www.medicalrepublic.com.au/now-need-take-myhr-emr-apps-seriously/16 M...
Source: Australian Health Information Technology - March 19, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

The Coming DRexit
BRIAN JOONDEPH, MD Brexit was a British version of “I’m mad as hell and I’m not going to take it anymore,” a famous line from the film “Network.” Brits were fed up with intrusive and nonsensical regulations from the European Union, including whether eggs could be sold by the dozen — really important stuff affecting the lives and well-being of our neighbors across the pond. “Frexit” may be the next iteration, as one of the leading French presidential candidates, Marine Le Pen, promises voters a referendum to leave the E.U. Donald Trump’s election to the presidency is the American version, in which voters...
Source: The Health Care Blog - March 19, 2017 Category: Consumer Health News Authors: John Irvine Tags: THCB Uncategorized Source Type: blogs

Paying Doctors For Outcomes Makes Sense in Theory. So Why Doesn ’ t it Work in the Real World?
By STEPHEN SOUMERAI and ROSS KOPPEL For decades, the costs of health care in America have escalated without comparable improvements in quality. This is the central paradox of the American system, in which costs outstrip those everywhere else in the developed world, even though health outcomes are rarely better, and often worse. In an effort to introduce more powerful incentives for improving care, recent federal and private policies have turned to a “pay-for-performance” model: Physicians get bonuses for meeting certain “quality of care standards.” These can range from demonstrating that they have done procedures t...
Source: The Health Care Blog - March 1, 2017 Category: Consumer Health News Authors: John Irvine Tags: Repeal Replace Uncategorized Source Type: blogs

CMS Releases Report to Congress on CMMI
The Centers for Medicare and Medicaid Services (CMS) released a new report to Congress prepared by the CMS Innovation Center (CMMI) highlighting its achievements since its start in 2010 and laying out plans for implementation of future models. In conjunction with the report to Congress, Dr. Patrick Conway, Acting CMS Principal Deputy Administrator, published a blog post on the CMS website, highlighting the CMMI. According to both the report and the blog post: Over 30 new payment models have been launched over the past six years; Investments in electronic medical records and a data and analytics infrastructure are spar...
Source: Policy and Medicine - February 20, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

A Reset For Physicians?
By PAUL KECKLEY Last week, the nominee to run the Centers for Medicare and Medicaid Services, Seema Verma testified before the Senate Finance Committee. She conveyed a message akin to that of her new boss, Health and Human Services Secretary Tom Price, a physician and House of Representatives veteran: the federal government has made life miserable for providers adding unnecessary complexity and cost. She challenged the value of electronic health records especially in small practices and rural settings and likened interoperability to a bridge too far. And she observed that Medicare and Medicaid, that cover 128 million Amer...
Source: The Health Care Blog - February 20, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Buprenorphine Overdose After Naltrexone Treatment
Naltrexone induces mu-receptor hypersensitivity.  Buprenorphine’s protective ‘ceiling effect’ may not prevent overdose in patients with this ‘reverse tolerance’. A new patient described his recent history of respiratory failure several days into buprenorphine treatment.  He was told by his doctors that he experienced an allergic reaction to Suboxone. The rarity of buprenorphine or naloxone allergy led me to look deeper into his history, and my conclusion differs from what he was told by his last treatment team. The patient, a man in his mid-50s, has a history of significant opioid use over t...
Source: Suboxone Talk Zone - February 15, 2017 Category: Addiction Authors: Jeffrey Junig MD PhD Tags: Buprenorphine Induction pharmacology receptor actions side effects Suboxone tolerance buprenorphine induction buprenorphine overdose naltrexone treatment Suboxone after vivitrol Suboxone allergy Source Type: blogs

Weekly Australian Health IT Links – 13th February, 2017.
Here are a few I have come across the last week or so.Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General CommentAgain a quiet week with the ADHA out and about and consulting and presenting all over.Additionally we have Parliament back with some moves and more issues with ‘big’ Government IT.Citizen rights were also discussed a fair bit with issues around Privacy etc. discussed.-----https://www.itnews.com.au/news/all-australians-are-likely-to-...
Source: Australian Health Information Technology - February 12, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Study Demonstrates Logistical Challenges and Potentially Harmful Results in Lung Cancer Screenings
Performing Lung cancer screening on high-risk patients with low-dose computed tomography (CT) presents logistical challenges and potentially harmful results, says a new study from the Lung Cancer Screening Demonstration Project.Researchers surveyed more than 93,000 primary care patients for lung cancer screening criteria at eight Veterans Health Administration facilities across the country. Out of that group, 2,106 were between the ages of 55 and 80 years-old, current or former heavy smokers, and had received lung cancer screening between July 2014 and June 2015. Out of those patients, 1,257 (59.7 percent) had nodules, and...
Source: radRounds - February 11, 2017 Category: Radiology Authors: Julie Morse Source Type: blogs

Why I would still encourage my daughter to go into medicine
There was an article recently published in Forbes titled “Mamas, Don’t Let Your Babies Grow Up To Be Doctors.” It was a well-written piece that outlined the multitude of reasons that many physicians have become disillusioned with a field they once felt a passionate draw to. The reasons listed in the article were accurate and included the loss of autonomy, mental exhaustion, and asymmetrical rewards. Many physicians feel there is an overall lack of appreciation for the sacrifices we make. With Press Ganey patient satisfaction scores influencing patient care in many hospitals where patient satisfaction is p...
Source: Kevin, M.D. - Medical Weblog - February 5, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/shikha-jain" rel="tag" > Shikha Jain, MD < /a > Tags: Physician Medical school Source Type: blogs

Top Artificial Intelligence Companies in Healthcare to Keep an Eye On
The field of medical AI is buzzing. More and more companies set the purpose to disrupt healthcare with the help of artificial intelligence. Here, I collected the biggest names currently on the market ranging from start-ups to tech giants to keep an eye on in the future. Artificial Intelligence has to and will redesign healthcare No one doubts that artificial intelligence has unimaginable potential. Within the next couple of years, it will revolutionize every area of our life, including medicine. Although many have their fears and doubts about AI taking over the world, Stephen Hawking even said that the development of full ...
Source: The Medical Futurist - January 31, 2017 Category: Information Technology Authors: nora Tags: Artificial Intelligence in Medicine Healthcare Design AI big data digital health drug development GC1 genetics healthcare companies Innovation medical imaging Personalized medicine pharma Source Type: blogs

Outrage Over Katelyn Nicole Davis Video Suicide Misses the Point
At the close of 2016, 12-year-old Katelyn Nicole Davis decided that she had had enough of her life in a small, rural town in Georgia. So she did what most teens do nowadays — she took to social media to share her feelings of angst, depression, and hopelessness. She was, by all accounts, a person doing the best she could in coping with depression and an alleged abuser within her own home. What she did, however, is becoming an increasingly common and disturbing consequence of our society virtually ignoring people who are troubled by suicide and suicidal thoughts. She decided to livestream her death on Facebook Live. T...
Source: World of Psychology - January 24, 2017 Category: Psychiatry & Psychology Authors: John M. Grohol, Psy.D. Tags: Children and Teens Depression General Mental Health and Wellness Policy and Advocacy Technology Facebook Katelyn Nicole Davis Mental Disorder Suicidal Crisis Suicide Suicide Resources Source Type: blogs

The Guidelineification of American Medicine
His voice was gruff and his expression surly.I don't want any more medications.His face was indented by deep clefts, remnants of eight decades of life hard lived. His tone was commanding and certain. I knew that he was fond of me, but I could feel his patience slipping. He neither asked about nor accepted his diagnosis of heart failure.  I could tell him till I was blue (or he was for that matter) in the face that his low ejection fraction portended a poor prognosis, and national guidelines suggested both a beta blocker and defibrillator placement.He wouldn't budge. And before the age of elect...
Source: In My Humble Opinion - January 8, 2017 Category: Primary Care Authors: Jordan Grumet Source Type: blogs