Surgical Coaching as a New Option; Will Busy Surgeons Respond?
All practicing physicians are challenged by the fact that healthcare is constantly changing because of new scientific and therapeutic advances. Additional burdens in the U.S. are the complex bureaucracy and reimbursement requirements as well as technical challenges such as those associated with EHRs (see:Relationship Between Clerical Burden and Characteristics of the Electronic Environment With Physician Burnout and Professional Satisfaction). Surgeons, in particular, face additional burdens as they age because of the manual dexterity that is required in the operating room. I was not familiar with coaching programs for sur...
Source: Lab Soft News - April 27, 2019 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Electronic Health Record (EHR) Healthcare Innovations Medical Education Medicolegal Issues Source Type: blogs

Healthcare Will Contribute a Sizable Portion of Future Earnings for Apple
In a recent note, I discussed how Apple was sponsoring theMIPACT study at the University of Michigan involving the use of Apple Watches + iPhones and home health monitoring (see:MIPACT Study Sponsored by Apple Provides a Preview of Home Health Monitoring). A recent article predicts that healthcare will be a major source of revenue for Apple in the future (see:Health care is one of Apple's most lucrative opportunities). Below is an excerpt from the article:Apple's opportunity in health care is so large with the Apple Watch that the company should soon generate tens of billions of dollars a year in annual revenue fro...
Source: Lab Soft News - April 25, 2019 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Diagnostics Electronic Health Record (EHR) Healthcare Business Healthcare Information Technology Healthcare Innovations Medical Research Predictive Analytics Preventive Medicine Source Type: blogs

MedPAC ’s Latest Bad Idea: Forcing Doctors to Join ACOs
By KIP SULLIVAN, JD At its April 4, 2019 meeting, the staff of the Medicare Payment Advisory Commission (MedPAC) asked the commission to discuss a very strange proposal: Doctors who treat patients enrolled in Medicare’s traditional fee-for-service (FFS) program must join an “accountable care organization” (ACO) or give up their FFS Medicare practice. (The staff may have meant to give hospitals the same Hobbesian choice, but that is not clear from the transcript of the meeting.) Here is how MedPAC staffer Eric Rollins laid out the proposal: Here is how MedPAC staffer Eric Rollins laid out the proposal: R...
Source: The Health Care Blog - April 22, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Uncategorized Source Type: blogs

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(see:Startup uses phone, light and AI to detect cervical cancer)Israeli startup MobileODT has created the Eva System, which uses an Automated Visual Evaluation (AVE) algorithm that it says can detect cervical cancer by simply examining an image of the cervix (Courtesy) Israeli startup MobileODT has created the Eva System, which uses an Automated Visual Evaluation (AVE) algorithm that it says can detect cervical cancer by simply examining an image of the cervix (Courtesy) Israeli start-up MobileODT says it can detect cervical cancer more accurately and inexpensively than the standard colposcopy method used today, by creatin...
Source: Lab Soft News - April 17, 2019 Category: Laboratory Medicine Authors: Bruce Friedman Source Type: blogs

It ’s Time For The Rise of E-Physicians
Patient empowerment, the spread of digital technologies and the widening access to medical information coupled with global doctor shortages, rising life expectancy and the ever-higher numbers of chronic diseases call for a change in the practice of medicine. The centuries-old approach to the medical profession cannot deal with the waves of the 21st century. Physicians should experience a shift from the lone wolf to the curious team player, from the rule follower to the creative and from the demigod to the guide in the jungle of digital health. That’s the main argument of the latest publication of The Medical Futurist Ins...
Source: The Medical Futurist - April 16, 2019 Category: Information Technology Authors: nora Tags: Digital Health Research Medical Professionals communication doctor empowered empowered patients empowered physician future human touch Innovation skills technology Source Type: blogs

Electronic Vindication
Dilbert by Scott Adams, courtesy www.dilbert.comMy very first blog post as Doctor Dalai went online on 1/29/2005, beginning with a rant about ScImage lifted from one of my early AuntMinnie.com entries. In the subsequent fourteen years, my writing has become slightly more sophisticated (emphasizeslightly), but my basic premise has not wavered: PACS interfaces by and large are not as user-friendly as they could be, in other words, theySUCK. Forgive the epithet, but that is a very accurate statement, and most would agree.Most, but not the vendors. In browsing through my years of navel-gazing, I came across several entries whe...
Source: Dalai's PACS Blog - April 15, 2019 Category: Radiology Source Type: blogs

Patients Win When Payers and Providers Speak the Same Language
By CECI CONNOLLY Discouraging headlines remind us daily of the ugly battles between payers and providers. Fighting for their slice of the $3.5 trillion health care pie, these companies often seem to leave the consumer out of the equation.  But it is not the case across the board. Our latest research documents that when doctors and health plans drop their guards, align incentives and focus on the mutual goal of delivering the best possible care, patients win. For example, when SelectHealth in Utah partnered with obstetricians and refused to pay for medically unnecessary — often  dangerous — early induc...
Source: The Health Care Blog - April 9, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Hospitals Patients The Business of Health Care Alliance of Community Health Plans Ceci Connolly Partnership to Improve Patient Care partnerships Source Type: blogs

Masimo ’s Rad-67 Pulse CO-Oximeter with Hemoglobin Spot-Check Cleared by FDA
Masimo just obtained FDA clearance for its Rad-67 Pulse CO-Oximeter with Spot-check Next Generation SpHb monitoring technology and the rainbow DCI-mini Reusable Sensor. The device can be used for quick noninvasive hemoglobin measurement and features the Masimos’s own Measure-through Motion and Low Perfusion SET pulse oximetry. Combined with the rainbow DCI-mini sensor, Rad-67 offers spot-check monitoring with Masimo’s Next Generation SpHb. The device is portable, thanks to a rechargeable battery that will run for up to six hours, and can be used in a variety of settings, including ERs, pre/post op rooms,...
Source: Medgadget - March 28, 2019 Category: Medical Devices Authors: Editors Tags: Anesthesiology Cardiology Critical Care Emergency Medicine Pediatrics Source Type: blogs

This Is An Excellent Summary Of How Electronic Health Records Have Let Us Down.
This radio show aired in the US last week:Why The Promise Of Electronic Health Records Has Gone Unfulfilled March 18, 20193:15 PM ET Heard on All Things Considered Fred Schulte The reality of electronic medical records has yet to live up to the promise. A decade ago, the U.S. government claimed that ditching paper medical charts for electronic records would make health care better, safer and cheaper. Ten years and $36 billion later, the digital revolution has gone awry, an investigation by Kaiser Health News and Fortune magazine has found. Veteran reporters Fred Schulte of KHN and Erika Fry of Fortune spent months digging ...
Source: Australian Health Information Technology - March 27, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

The Revolving Door Spins Again: the Now Constant Coziness Between the Health Care Industry and US Government
Just because Washington DC is now crazy town does not mean the revolving door has stopped spinning.  We have been dutifully accumulating cases, so it is time to present our latest update.I will divide this into two sections 1) the incoming revolving door, through which come people from the health care industry to enter US government positions in which they may influence health care regulation or policy relevant to their former positions; and 2) the outgoing revolving door, through which go people from US government positions in which they influenced health care regulation or policy to industry positions which were rel...
Source: Health Care Renewal - February 22, 2019 Category: Health Management Tags: DHHS Donald Trump FDA revolving doors Source Type: blogs

China Is Building The Ultimate Technological Health Paradise. Or Is It?
How could a country keep around 1.4 billion people healthy when the system struggles with corruption, lack of resources and an aging population? China, the emerging giant with a strong central leadership fostering technology and innovation, places its bets on artificial intelligence, telemedicine, cloud-based hospitals, and WeChat. While that could sound like an ultimate technological paradise, the question is, what are they going to do with the vast amount of data or to what interests are they going to leverage their state of the art A.I. systems? Generally, how will we speak about digital health in China: a healthcare dy...
Source: The Medical Futurist - February 19, 2019 Category: Information Technology Authors: nora Tags: Artificial Intelligence in Medicine Bioethics Future of Medicine Medical Professionals Patients Policy Makers AI chatbot china digital digital health Healthcare Innovation smartphone technology telehealth telemedicine Source Type: blogs

Longtime Type 1 Talks D-Life and a Career in Healthcare IT
DiabetesMine shares insights from a longtime type 1 in Chicago who has worked with EHRs (electronic medical records) and in diabetes research. (Source: Diabetes Mine)
Source: Diabetes Mine - February 8, 2019 Category: Endocrinology Authors: Mike Hoskins Source Type: blogs

Just As The Shambles In Queensland Was Developing South Australia Felt It Did Not Want To Be Left Out Of The Fun.
Since the election of  Liberal Government in South Australia last year an inquiry into the politically controversial EPAS system has been underway. The inquiry report and the Government response was published last week.Here is the Government Press Release:EPAS goes as electronic medical records program overhauled29.01.2019Stephen Wade MLC – Minister for Health And WellbeingThe Marshall Liberal Government will roll out a new electronic medical records system for South Australian hospitals after the former Labor Government’s failed Enterprise Patient Administration System (EPAS) debacle.An independent review into EP...
Source: Australian Health Information Technology - February 6, 2019 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Despite physician burnout, medical schools are still hard to get into. Why is that?
It ’s no secret that physician job dissatisfaction is soaring to unprecedented levels, with over 50 percent of practicing physicians reporting burnout. While many factors have contributed to this epidemic in America over the last 20 years— not least of all electronic medical records that are taking a heavy (and unacceptable) toll on physicians ’ time— […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 10, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/suneel-dhand" rel="tag" > Suneel Dhand, MD < /a > < /span > Tags: Education Medical school Public Health & Policy Source Type: blogs

The neverending story – unintended consequences
This article points out the unintended consequence of this regulations – LOWER READMISSIONS LINKED TO HIGHER RISK OF DEATH Regulators and insurance companies are impacting patient care through their well-intended rules. They do not seem think deeply about their rules. If they would use premortem examinations, perhaps we would have less of these problems. I wrote about this 2 years ago – Incentives without forethought The continued problem of unintended consequences is one that many medical societies have addressed. I am most familiar with ACP. Their current Patients before Paperwork initiative makes many ...
Source: DB's Medical Rants - December 26, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs