The real reason why the National Health Service survives
When Aneurin Bevan was asked how he convinced doctors to come on board the National Health Service (NHS) he allegedly replied, “I stuffed their mouths full of gold.” Bevan recognized that to conscript doctors to the largest socialist experiment in health care in the world he had to appeal not so much to their morals, but their pockets. There is much piety about the NHS. It is the envy of the world, though oddly Saudi oil barons still favor Cleveland Clinic and Texas Heart Institute over quaint little hospitals in rural Scotland. The NHS featured in Britain’s 2012 Olympic parade along with Mr. Bean and the human right...
Source: Kevin, M.D. - Medical Weblog - December 2, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/dr-saurabh-jha" rel="tag" > Dr. Saurabh Jha < /a > Tags: Policy Public Health & Washington Watch Source Type: blogs

The WannaCry Cyber Attack Could Be the First of Many If the NHS Takes No Action
In the UK, the National Health Service (NHS) was one of the organizations most severely affected by the WannaCry ransomware. The NHS and other public sector organizations need to improve their cybersecurity processes and quickly before a more severe cyber attack takes place. (Source: The RAND Blog)
Source: The RAND Blog - December 1, 2017 Category: Health Management Authors: Erik Silfversten Source Type: blogs

Six Challenges To Tackle Before Artificial Intelligence Redesigns Healthcare
The potential of artificial intelligence for making healthcare better is indisputable. The question is how to integrate it successfully into our healthcare systems. For doing so, we have to overcome technical, medical limitations, as well as regulatory, ethical obstacles and the tendency to oversell the technology. The very first step should be to familiarize with what A.I. truly means. In our latest e-book, A Guide to Artificial Intelligence in Healthcare, we summarized everything you need to know, so now, let’s look at the second step: the challenges to overcome! The transformative power of A.I. in healthcare We have ...
Source: The Medical Futurist - November 23, 2017 Category: Information Technology Authors: nora Tags: Artificial Intelligence in Medicine AGI AI ANI challenges digital health fears future Healthcare Innovation technology Source Type: blogs

Blatant Discrimination
I recently learned some surprising discrimination. A local committee part of the NHS in the UK hasdecided to institute what I call blatant discrimination." ...one local health committee in the UK has announced a controversial policy " to support patients whose health is at risk from smoking or being very overweight. "For an indefinite amount of time, it plans to ban access to routine, or non-urgent, surgery under the National Health Service until patients " improve their health, " the policy states, claiming that " exceptional clinical circumstances (will) be taken into account on a case-by-case basis. "The decision comes ...
Source: Caroline's Breast Cancer Blog - November 1, 2017 Category: Cancer & Oncology Tags: bias discrimination health care Source Type: blogs

Part Two: Academic Leadership Council Meeting, October 2017
Part One: Academic Leadership Council Meeting, October 2017 posted here.+++The morning meeting continued following President Lamb ' s remarks.Paul Grace from NBCOT followed with a presentation that provided an update on certification issues.  The (ultimate) pass rate for OTR candidates is around 98% and for COTA candidates is around 88%.  Thefirst time pass rate is lower: approximating the mid 80%s to the 90%s with obvious variation from program to program.  There was brief discussion about what states many new certificants are graduating from and where they are seeking their licensing.  None of this in...
Source: ABC Therapeutics Occupational Therapy Weblog - October 29, 2017 Category: Occupational Health Source Type: blogs

“Mouths full of gold.” Private practice in Britain’s National Health System
By SAURABH JHA, MD When Aneurin Bevan was asked how he convinced doctors to come on board the National Health Service (NHS) he allegedly replied, “I stuffed their mouths full of gold.” Bevan recognized that to conscript doctors to the largest socialist experiment in healthcare in the world he had to appeal not so much to their morals, but pockets. There is much piety about the NHS. It is the envy of the world, though oddly Saudi oil barons still favor Cleveland Clinic and Texas Heart Institute over quaint little hospitals in rural Scotland. The NHS featured in Britain’s 2012 Olympic parade along with Mr. Bean and the...
Source: The Health Care Blog - October 29, 2017 Category: Consumer Health News Authors: at RogueRad Tags: Uncategorized Source Type: blogs

Researchers Suggest The Value In Hospital System Implementations Is Hard To Pin Down And Failures Are Common!
This appeared last week:The impacts of eHealth upon hospital practice: synthesis of the current literature17 Oct 2017Deeble Institute for Health Policy ResearchCREATORSRebekah Eden, Andrew Burton-Jones, Ian Scott, Andrew Staib, Clair SullivanThe aim of this brief is to provide policy-makers with an analysis of current literature relating to the effects to be expected from hospital implementation of eHealth technologies.Description To increase value from health-care expenditures, governments worldwide are increasingly adopting (or planning to adopt) eHealth technologies (e.g. Electronic Medical Records (EMR), Computer Provi...
Source: Australian Health Information Technology - October 27, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

Trial By Error: Another Letter to NICE ’ s Sir Andrew Dillon
By David Tuller, DrPH First, for those who might have missed it, here’s a conversation from This Week in Virology (TWiV), posted a few days ago. Dr. Racaniello and I discuss the CDC, NICE, Esther Crawley’s ethically challenged behavior, the CMRC, and other stuff. Second, earlier today, I sent the following e-mail to Sir Andrew Dillon, the NICE chief executive: Dear Sir Andrew: I would like to congratulate NICE on its decision to pursue a full update of CG53, the CFS/ME guidance, rather than accept the surveillance report’s recommendation to leave it as is. The Guidance Executive made the right call, b...
Source: virology blog - October 17, 2017 Category: Virology Authors: David Tuller Tags: Uncategorized Source Type: blogs

Lessons From Massachusetts ’ Failed Healthcare Cost Experiment
By SOUMERAI, KOPPELL & BOLOTNIKOVA Massachusetts passed a massive medical cost control bill in 2012, a “Hail Mary” effort to make health-care more affordable in the nation’s most expensive medical market. The problems of the Massachusetts’ law offer invaluable lessons for the nation’s health-care struggles. Driven in part by a Boston Globe investigation that exposed the likely collusion of the Partners Healthcare hospital system (including several Harvard Medical School teaching hospitals) with Blue Cross/Blue Shield, the largest healthcare insurer in the state, the law marked the biggest health reform since...
Source: The Health Care Blog - September 27, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized cost containment Harvard Medical School Massachusetts Partners Romneycare Source Type: blogs

More Dumb Things Leaders Say About Health Policy
These days, legislative efforts to change US health care, especially to " reform and replace " the Affordable Care Act [ACA or " Obamacare " ] seem to inspire displays of jaw dropping ignorance by political and sometimes business leaders on behalf of " reforming " health care.  We lastposted examples on July 7, 2017.  Now there is a new game afoot to reform and replace, and it is generating new - not to put too fine a point on it - foolishness.So herein is a roundup of a two more examples from July after our last post, plus two more revently " ripped from the headlines, " actually ripped from relatively obscure m...
Source: Health Care Renewal - September 22, 2017 Category: Health Management Tags: Aetna Donald Trump health care reform ill-informed management managerialism ppaca Source Type: blogs

Forget Trump. The 2020 Election Will Be About Single Payer.
By PAUL KECKLEY Last week, the Senate Health, Education, Labor and Pensions Committee wrapped up hearings focused on stabilizing the individual insurance market leaving unresolved an issue that separates Dem’s and Rep’s on the committee: just how much freedom states should have in managing their insurance markets. At issue are the Section 1332 waivers which allow states to reduce essential benefits in health insurance policies, thus allowing insurers to sell policies that cover less with lower premiums. Also last week, Republican Senators Lindsey Graham and Bill Cassidy offered what they called the “last chance” fo...
Source: The Health Care Blog - September 19, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

What We Talk About When We Talk About Single Payer
There appears to be growing momentum on the left for a move toward single-payer health care. Sen. Elizabeth Warren (D-MA) declared that while President Barack Obama took an important first step, “Now it’s time for the next step. And the next step is single payer.” Sen. Bernie Sanders (I-VT) recently filed his single-payer legislation in the US Senate, with the support of 15 Democratic co-sponsors. A similar proposal has support from some Democrats in the US House of Representatives. In some cases, more progressive members of the party are targeting Democrats who do not openly support single payer. We are also seeing ...
Source: Health Affairs Blog - September 19, 2017 Category: Health Management Authors: Signe Peterson Flieger Tags: Costs and Spending Insurance and Coverage Organization and Delivery Payment Policy single-payer health care Source Type: blogs

The Healthcare IT Field is Unique, Yorktel Discovers
Health care professionals love to vaunt the uniqueness of the medical industry, and tend to demand special, expensive treatment on that basis. Reformers tend to discount this special status. (For instance, the security problems in health care are identical to those in other industries, and are caused by the same factors of insufficient investment and training.) Yet telecommunications in hospitals and clinics really is special, and video giant Yorktel has spent the past five years adjusting to that reality. On September 5, Yorktel announced that it has enhanced its solutions for patient telemedicine with Univago HE that inc...
Source: EMR and HIPAA - September 11, 2017 Category: Information Technology Authors: Andy Oram Tags: Healthcare HealthCare IT Telemedicine John Vitale Peter McLain Telehealth Univago Univago HE Videoconferencing Yorktel Source Type: blogs

Questions About The FDA ’s New Framework For Digital Health
In June 2017, the new Food and Drug Administration (FDA) commissioner Scott Gottlieb pre-announced his agency’s Digital Health Innovation Action Plan that indicates notable shifts in the agency’s approach to digital health technologies. This plan is an important step in FDA regulation of this area, a process that began in 2011 with a draft guidance, followed by significant congressional actions. The new changes should not be surprising, given critiques published by Gottlieb prior to re-joining the FDA. In 2014, he wrote that smartphones are “purposely dumbed down” due to the “risk of unwieldy FDA regulation,” a...
Source: Health Affairs Blog - August 16, 2017 Category: Health Management Authors: Nathan G. Cortez, Nicolas Terry and I. Glenn Cohen Tags: Featured Health IT 21st Century Cures Act digital health Food and Drug Administration medical devices mHealth mobile health Scott Gottlieb Source Type: blogs

Doctors Do Know Best. Exhibit A: The Charlie Gard Case.
By SAURABH JHA, MD For American conservatives, Britain’s NHS is an antiquated Orwellian dystopia. For Brits, even those who don’t love the NHS, American conservatives are better suited to spaghetti westerns, such as Fistful of Dollars, than reality. The twain is unlikely to meet after the recent press surrounding Charlie Gard the infant, now deceased, with a rare, fatal mitochondrial disorder in which mitochondrial DNA is depleted – mitochondrial depletion disorder (MDD). In this condition, the cells lose their power supply and tissues, notably in the brain, die progressively and rapidly. The courts forbade Charlie...
Source: The Health Care Blog - July 31, 2017 Category: Consumer Health News Authors: at RogueRad Tags: OP-ED Patients Source Type: blogs