To address youth mental health, we must address insurance barriers
It’s been two years since the American Academy of Pediatrics declared a national state of emergency in children’s mental health. Yet sadly, very little has changed. This year, 25 percent of youth have been diagnosed with a mental health condition. More than 20 percent of teens have seriously considered suicide, and more than 40 percent of high school Read more… To address youth mental health, we must address insurance barriers originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 30, 2023 Category: General Medicine Authors: Tags: Policy Psychiatry Public Health & Policy Source Type: blogs

Weekly Roundup – December 30, 2023
Welcome to our Healthcare IT Today Weekly Roundup. Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. We hope this gives you a chance to catch up on anything you may have missed during the holidays. Why AI’s Risks and Remedies Are Different in Healthcare. Andy Oram asked several lawyers – as well as a couple generative AI tools – about how states will need to adopt guidance about the use of AI in making judgments in a clinical setting, along with how its use may clash with both clinical workflows and patient privacy. Read more&...
Source: EMR and HIPAA - December 30, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT Healthcare IT Today Weekly Roundup Source Type: blogs

50-year old with chest pain, “no ischemic changes”
Written by Jesse McLaren A previously healthy 50 year-old presented with 24 hours of intermittent exertional chest pain, radiating to the arms and associated with shortness of breath. It was ongoing on arrival in the emergency department. Below is the old ECG (on top) and then new ECG (on bottom). What do you think?There is normal sinus rhythm, normal conduction, normal axis, and tall precordial voltages with J waves from early repolarization. The old ECG has proportional ST elevation and T waves.But the new ECG has new Q waves in aVL and V2 (the distribution of the first diagonal artery) – and in the next context o...
Source: Dr. Smith's ECG Blog - December 30, 2023 Category: Cardiology Authors: Jesse McLaren Source Type: blogs

The Rising Use of Telehealth for the Delivery of Outpatient Mental Health Services
The following is a guest article by Michael Levinson, M.D., J.D., Partner at Berger Singerman LLP Telehealth has revolutionized the delivery of outpatient mental health services, and there has been exponential growth in the acceptance and delivery of remote care. No longer does a patient have to be sitting on a therapist’s couch to receive care. The sofa at home will work just fine. This was fostered in a large part by changes implemented during the Covid-19 pandemic. Prior to 2020, less than one percent (1%) of outpatient health care was delivered virtually. A national public opinion poll of U.S. adults by the American ...
Source: EMR and HIPAA - December 29, 2023 Category: Information Technology Authors: Guest Author Tags: Ambulatory C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System Regulations Telemedicine and Remote Monitoring American Psychiatric Association APA Berger Singerman LLP Digital Therapy IMLC Interstate Medical Source Type: blogs

Acute OMI or " Benign " Early Repolarization?
Written by Willy FrickA man in his 50s with a history of hypertension, dyslipidemia, type 2 diabetes mellitus, and prior inferior OMI status post DES to his proximal RCA 3 years prior presented to the emergency department at around 3 AM complaining of chest pain onset around 9 PM the evening prior. He described it as severe, sharp, and substernal with associated nausea, vomiting, chills, and diaphoresis. The following ECG was obtained. Note that the machine read is" normal sinus rhythm, normal ECG. " Cardiology over read the tracing and signed the interpretation without modification.ECG 1What do you think?The Queen of Hear...
Source: Dr. Smith's ECG Blog - December 27, 2023 Category: Cardiology Authors: Willy Frick Source Type: blogs

What should you do if your child is diagnosed with bronchiolitis this cold and flu season?
The cold and flu season is already causing a surge of viral infections among children in doctors’ offices and emergency rooms. Health care providers are urging parents to brace themselves for what’s expected to be another season of COVID-19, influenza (flu), respiratory syncytial virus (RSV), and other common viruses all circulating at the same time. Read more… What should you do if your child is diagnosed with bronchiolitis this cold and flu season? originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 26, 2023 Category: General Medicine Authors: Tags: Conditions Infectious Disease Pediatrics Source Type: blogs

An elderly patient with stuttering chest pain. Don't jump to conclusions.
I was reading ECGs on the system and saw this one, and instantly knew the probable ECG diagnosis:What do you think?I went to the patient ' s chart:Elderly woman with stuttering chest pain and SOB, and dizziness.What do you think now?This is a very typical ECG for Hypertrophic Cardiomyopathy. I sent it to our EKG Nerdz group and Jesse McLaren replied: " Apical HOCM "It reminded me of many other cases I have seen, such as this one: Left Bundle Branch Block with Less Than 1 mm of Concordant ST Elevation (in the Setting of Hypertrophic Cardiomyopathy)HOCM that mimicked LBBB with OMI (concordant STE in V5)Case continu...
Source: Dr. Smith's ECG Blog - December 26, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

A young woman with palpitations. What med is she on? With what medication is she non-compliant? What management?
 Written by Pendell MeyersA woman in her 20s with connective tissue disorder and history of aortic root and valve repair presented with palpitations. Here is her triage ECG: What do you think?Atrial flutter with 2:1 conduction. The atrial flutter rate is approximately 200 bpm, with 2:1 AV conduction resulting in ventricular rate almost exactly 100 bpm. The fact that the atrial flutter rate is 200 bpm (rather than more typical adult rate of ~300 bpm) suggests that the patient must have one or both of the following:1) enlarged atria ( " bigger race track " )2) sodium channel blockade ( " slower race car "...
Source: Dr. Smith's ECG Blog - December 24, 2023 Category: Cardiology Authors: Pendell Source Type: blogs

Mitigating Risk and Reducing Costs with Smart Healthcare Records Management
The following is a guest article by Mitchell Perry, VP Compliance & Security at Access In the ever-evolving landscape of healthcare IT in US healthcare frameworks, integrating electronic health records (EHRs) has become a cornerstone for providers. However, the transition from traditional paper records to digital formats presents a challenge that extends beyond a simple “scan all” approach. Healthcare providers researching all the modern options must learn how to navigate the maze of security, regulatory compliance, and digital strategy to remain compliant with HIPAA (The Health Insurance Portability and Ac...
Source: EMR and HIPAA - December 21, 2023 Category: Information Technology Authors: Guest Author Tags: Ambulatory EMR-EHR Health IT Company Healthcare IT Hospital - Health System LTPAC Regulations Security and Privacy Access Improving Patient Needs Medical Records Mitchell Perry Reducing Costs Risk Mitigation Smart Healthcare Do Source Type: blogs

How today ’ s physicians juggle legal threats and patient care [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! We delve into the intricate and challenging world of medical decision-making with L. Joseph Parker, a research physician. Join us as we explore the delicate balance between rapid decision-making and precision in high-pressure medical situations. Joseph will share insights on the critical role of Read more… How today’s physicians juggle legal threats and patient care [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 19, 2023 Category: General Medicine Authors: Tags: Podcast Emergency Medicine OB/GYN Source Type: blogs

Reverse Bed Chain, a New Way to Tackle Hospital Inefficiencies
The following is a guest article by Connie Moser, CEO at Navenio The current NHS waiting list has hit 7.3 million in the UK, increasing monthly. A recent survey conducted by the NHS revealed only 21.3% of staff reported that there is enough headcount available for them to do their job properly and 44.8% admitted to witnessing errors, near misses, or incidents that could have hurt staff or patients. The same frustrations exist in the US healthcare system. In a letter sent in March to the House Energy and Commerce Committee, the American Hospital Association called the workforce shortage hospitals were experiencing a “na...
Source: EMR and HIPAA - December 18, 2023 Category: Information Technology Authors: Guest Author Tags: C-Suite Leadership Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System Bed Chain Connie Moser Emergency Department Hospital Bed Management Hospital Inefficiencies Improving Capacity Navenio Source Type: blogs

From task-oriented to goal-driven: the power of habits in “ magnet ” hospitals
The banner in front of the ED where I work proclaims “magnet hospital.” “Magnet” status tells patients and visitors that the care from nurses (and ED technicians and patient care associates staff under their auspices) is so good that the ED should be a magnet, attracting patients and nurses to come here and inspiring other Read more… From task-oriented to goal-driven: the power of habits in “magnet” hospitals originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 16, 2023 Category: General Medicine Authors: Tags: Physician Emergency Medicine Source Type: blogs

Maybe giving too much credit
Health reporter Julie Rovner is perplexed thatRepublicans, who she maintains were once big supporters of public health, now seem to want to kill us all. Her examples of former Republican championship for public health are pretty narrow and a bit dubious. Funding for the NIH is mostly about biomedical research, not public health; and GW Bush ' s President ' s Emergency Plan for AIDS Relief, while certainly a good thing, was focused on Africa and probably as much about international relations as humanitarianism. But it ' s certainly true that the party has turned its back on these programs: The GOP-led House this y...
Source: Stayin' Alive - December 15, 2023 Category: American Health Source Type: blogs

Top 6 Medical Trends To Watch for 2024
This study also reported a weight reduction of 4.0 kilograms and a 10.8-millimeter reduction in systolic blood pressure among patients. This segment is becoming significant in market terms as well: the market for DTx was valued at USD 5.53 billion in 2022 and is expected to grow to USD 28.66 billion by 2030. The increased prevalence of chronic conditions, as the result of our longer lives, fuels this growth as conditions like diabetes or hypertension can be more efficiently managed with a combination of traditional medicine and DTx.  While these apps are available in a large number of medical specialties, channe...
Source: The Medical Futurist - December 14, 2023 Category: Information Technology Authors: Andrea Koncz Tags: TMF Source Type: blogs

A cardiologist ’ s COVID-19 frontline journey [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! We sit down with Marissa Lombardo, a cardiologist, to delve into her deeply moving experiences on the frontlines of the COVID-19 pandemic in New York City. Join us as Marissa shares her journey, from delivering heart-wrenching news to families over the phone to coping Read more… A cardiologist’s COVID-19 frontline journey [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 14, 2023 Category: General Medicine Authors: Tags: Podcast COVID Emergency Medicine Source Type: blogs