Undisclosed Conflicts of Interest by Physicians Creating the CDC Opioid Prescribing Guidelines: Bad Faith or Incompetence?
We described above how changes in opioid policy aimed at reducing Washington State’s Medicaid and Workers Compensation costs contributed to an increase in methadone deaths between 2003 and late 2014 (23-25). Focusing on similar cost reductions, the Centers for Medicar e and Medicaid Services (CMS) proposed rules for 2019 including several directives intended to reduce " Opioid Overutilization, ” including adoption of the “90 morphine milligram equivalent (MME) threshold cited by the 2016 CDC Opioid Guideline (147, 148). Simply put, reduced prescribing reduces costs for prescribed medications.Chou received research fu...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 12, 2022 Category: Palliative Care Tags: health policy judy kollas opioids research schechtman Source Type: blogs

Weekly Overseas Health IT Links –10th September, 2022.
This article is adapted fromVoices in the Code: A Story About People, Their Values, and the Algorithm They Made,out Sept. 8 from Russell Sage Foundation Press.In May 2021, I got a call I never expected. I was working on abook about A.I. ethics, focused on the algorithm that gives out kidneys to transplant patients in the United States. Darren Stewart —a data scientist from UNOS, the nonprofit that runs the kidney allocation process—was calling to get my take: How many decimal places should they include when calculating each patient’s allocation score? The score is an incredibly important number, given it determines w...
Source: Australian Health Information Technology - September 10, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Understanding the Fentanyl Overdose Epidemic
Content reviewed by Karen Rubenstein, LMFT, Chief Clinical Officer at Cliffside Malibu Recent data from the... The post Understanding the Fentanyl Overdose Epidemic appeared first on Cliffside Malibu. (Source: Cliffside Malibu)
Source: Cliffside Malibu - September 5, 2022 Category: Addiction Authors: ebarbour Tags: Substance Abuse fentanyl opioid overdose Substance Use treatment Source Type: blogs

Bonus Features – September 4, 2022 – CIOs struggling to retain talent and seek flexible staffing models, Sequioa Project set to begin receiving QHIN applications Oct. 3, and more,
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job. News The 10th Annual Health IT Industry Outlook Survey from Stoltenberg Consulting found that the greatest IT challenge for CIOs is budgeting for and retaining qualified IT talent, with 65% of organizations saying this is their ...
Source: EMR and HIPAA - September 4, 2022 Category: Information Technology Authors: Brian Eastwood Tags: C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System Interoperability Telemedicine and Remote Monitoring AWS Healthcare Accelerator BioIntelliSense Carium Cedars-Sinai Accelerator Claroty Healthcare IT Today Bo Source Type: blogs

Weekly Overseas Health IT Links –3rd September, 2022.
Here are a few I came across last week.Note: Each link is followed by a title and 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-----https://healthitanalytics.com/news/machine-learning-tools-predict-post-op-complications-surgery-durationMachine-Learning Tools Predict Post-Op Complications, Surgery DurationResearchers from Washington University in St. Louis have developed machine-learning tools that can predict post-operative complications and surgery duration using perioperative data.ByShania K...
Source: Australian Health Information Technology - September 3, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Bonus Features – August 28, 2022 – Epic data shows only 5% of OD patients get tested for fentanyl, 40% of clinicians plan to add AI to their day-to-day work, and more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job. News and Studies  A report from Epic Research and the University of Maryland’s Center for Substance Abuse Research (CESAR) found that just 5% of overdose patients are tested for fentanyl in the ED, compared to an opiate t...
Source: EMR and HIPAA - August 28, 2022 Category: Information Technology Authors: Brian Eastwood Tags: AI/Machine Learning Analytics/Big Data C-Suite Leadership EMR-EHR Health IT Company Healthcare IT Hospital - Health System Bamboo Health BronxCare Health System Cadence CalOptima Health CESAR Clarify Health CloudDx Conduit Heal Source Type: blogs

Weekly Overseas Health IT Links –27th August 2022.
In this study, researchers gathered a diverse group of participants; 43 percent were Black, and 68 percent were women. They also considered factors such as age and insurance status when drawing conclusions.The study occurred through a clinical trial, where all participants were randomly assigned to have their next visit occur through either phone or video-based platforms. The central unit of measurement was visit satisfaction rate, reported on a ten-point scale. Researchers noted noninferiority data based on whether patient satisfaction between the telehealth methods exceeded a -15 percent margin.-----https://www.theverge....
Source: Australian Health Information Technology - August 27, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

What Lessons from France's Experience Could Be Applied in the US in Response to the Addiction and Overdose Crisis?
Henri Bergeron (SciencesPo), Renaud Colson (Facult é de Droit et des Sciences politiques de l ' Universit é de Nantes), What Lessons from France ' s Experience Could Be Applied in the US in Response to the Addiction and Overdose Crisis?, SSRN (2022): From the French... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - August 11, 2022 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs

Weekly Overseas Health IT Links – 6th August 2022.
Here are a few I came across last week.Note: Each link is followed by a title and 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-----https://mhealthintelligence.com/news/telehealth-bolsters-maternal-care-outcomes-patient-satisfactionTelehealth Bolsters Maternal Care Outcomes, Patient SatisfactionNew research shows that implementing telehealth, either in place of or as a supplement to in-person care, led to good clinical outcomes and high patient satisfaction in maternal care.ByMark MelchionnaJu...
Source: Australian Health Information Technology - August 6, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

California Becomes Second State to Defy Federal Law and Authorize Safe Consumption Sites
Jeffrey A. SingerYesterday, the California State legislature passed and sent to the Governor ’s deskSB57, introduced by Senator Scott Wiener, which authorizes the County and City of San Francisco, the County and City of Los Angeles, and the City of Oakland to approve safe consumption sites, dubbed “Overdose Prevention Programs” (OPPs). The authorization remains in effect until January 1, 2028. Any jurisdiction that establishes an OPP must contract with an independent third party, using private funds, to conduct a peer ‐​reviewed study on the impacts of the program and submit results to the Governor’s offic...
Source: Cato-at-liberty - August 2, 2022 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

Overdose: The Public Health Policies That Caused the Opioid Crisis
Benjamin Suslavich (Wake Forest University), Overdose: The Public Health Policies That Caused the Opioid Crisis, Cleveland St. L. Rev. (Forthcoming): Recently, local governments have successfully sued pharmaceutical manufacturers for damages related to the opioid crisis in the United States under... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - July 25, 2022 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs

Carbon Monoxide-Loaded Foam as Inflammatory Disease Treatment
Researchers at MIT have created a carbon monoxide-loaded foam intended for therapeutic use against inflammatory disease. While the gas is toxic if inhaled in large quantities, in small doses it has potent anti-inflammatory effects. However, delivering it to the gastrointestinal tract to treat inflammatory diseases, such as colitis, is a challenge. In response, these researchers emulated the edible foams available at high-end restaurants and loaded them with small amounts of carbon monoxide. The foam can be eaten or delivered rectally, and in preliminary studies in rodents the delivery technology showed therapeutic efficacy...
Source: Medgadget - July 8, 2022 Category: Medical Devices Authors: Conn Hastings Tags: GI Materials Medicine Source Type: blogs

Arizona Becomes the 19th State to Ban Warrantless Searches of Prescription Drug Database
Jeffrey A. SingerOn June 8, Arizona Governor Doug Ducey (R) signedSB 1469 into law. Introduced by Senator Nancy Barto (R ‑Phoenix), the bill requires law enforcement toobtain a  search warrant before perusing the state’s prescription drug monitoring program (PDMP) database, administered by the Arizona Board of Pharmacy. The bill passed unanimously through both houses of the state legislature. Until now, law enforcement could inspect the PDMP database without a warrant by simply stati ng in writing that the information is necessary for an open investigation or complaint. The new law further states that if, upon perus...
Source: Cato-at-liberty - June 16, 2022 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

Drug Paraphernalia Laws Undermine Harm Reduction
Jeffrey A. SingerWith overdose deaths from non ‐​medical drug use skyrocketing to a horrifying108,000 in 2021,state andfederal policymakers are finally beginning to appreciateharm reduction strategies that can reduce the risk death and disease from using drugs obtained in the black market fueled by drug prohibition. These strategies include syringe services programs (also called SSPs or “needle‐​exchange programs”), distributing drug testing devices such as fentanyl test strips, and distributing the overdose antidote naloxone (which is inexplicably still classified asprescription ‐​only by the Foo...
Source: Cato-at-liberty - June 7, 2022 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

“Prohibition Theater” and “The Iron Law of Prohibition”
Jeffrey A. SingerA May 18 opinion column in theWall Street Journal by Joseph Grogan and Casey B. Mulligan titled “Fentanyl Overdose Rates Are Rising Fast” argued that to better address the overdose crisis, the Biden administration should tighten border security, give law enforcement better tools to combat the drug trade, toughen sentencing, and add illicit fentanyl and its analogs (easily created in clandestine labs) to the Drug Enforcement Admini stration’s Schedule 1 (“no currently accepted medical use and a high potential for abuse ”), joining cannabis, LSD, heroin, MDMA (“ecstasy”) and other drugs wi...
Source: Cato-at-liberty - May 31, 2022 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs