N of 1 studies – great examples
This study examined whether it’s more fruitful to expose people to many activities they’ve previously avoided, or instead, to limit the number of activities each person was exposed to. This is SUCH an important component of therapy where people have avoided doing things that bother them because they anticipate either that their pain will go to untolerable levels (or interfere with other important things like sleep) or because they’re worried they’ll do harm to themselves. Why? Because doing things in one safe space is not life. We do lots of activities in lots of different spaces, and most of them a...
Source: HealthSkills Weblog - March 12, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Low back pain Research Science in practice pain management single case experimental design Source Type: blogs
CodaMetrix Closes $55M Series A to Autonomously Power Medical Coding, Boost Health System Revenue Cycles
Born out of Mass General Brigham, and led by healthtech veterans, CodaMetrix empowers health systems to use Artificial Intelligence to prevent revenue setbacks driven by manual coding inefficiencies
Overhauling medical coding is now crucial for health systems grappling with physician burnout, billing backlogs and claim denials, skilled labor shortages, and a graying medical coding workforce
AI-powered, multi-specialty, autonomous medical coding eliminates human intervention, reduces coding costs, improves coding quality and unlocks clinician capacity
CodaMetrix, the leading AI technology platform transforming healthcare ...
Source: EMR and HIPAA - March 10, 2023 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT AI Artificial Intelligence Chris Scoggins CMX CodaMetrix CU Healthcare Innovation Fund EHR Electronic Health Record FCV Frist Cressey Ventures Hamid Tabatabaie Health IT Funding Health IT Funding Source Type: blogs
A man in his 50s with chest pain
Sent by anonymous, written by Pendell MeyersA man in his 50s with no prior known medical history presented to the Emergency Department with severe intermittent chest pain. He had episodes of chest pain off and on all night, until about 1 hour prior to arrival when the pain became constant, crushing, 10/10 chest pain that radiated to both arms. He denied any lightheadedness, shortness of breath, vomiting, or abdominal pain. Vitals were within normal limits.Here is his triage ECG at 0343:What do you think?Meyers interpretation: Diagnostic of LAD OMI, with hyperacute T waves in a large LAD distribution including precord...
Source: Dr. Smith's ECG Blog - March 9, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
Critical thinking in pain management [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! In this episode, we welcome special guest Ronald A. Zent, a family physician, to discuss the ongoing opioid crisis. With a fourfold increase in opioid prescriptions and overdose deaths from 1999-2010, Ronald shares his insights on how the medical community has been duped and
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Critical thinking in pain management [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 8, 2023 Category: General Medicine Authors: The Podcast by KevinMD Tags: Podcast Pain Management Source Type: blogs
Bonus Features – March 5, 2023 – Two-thirds of patients connect with regular docs when they need medical care when traveling, half of clinical workflow automation users plan to expand their use, 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 Research
With the COVID-19 Public Health Emergency due to end on May 11, the Drug Enforcement Administration has proposed restrictions on the remote prescription of controlled substances, with only buprenorphine and Sch...
Source: EMR and HIPAA - March 5, 2023 Category: Information Technology Authors: Brian Eastwood Tags: C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System Abridge Alan Swenson ATA Biofourmis canon medical CareCloud Carequality Chugai Phmarceutical DEA Derek Shaw Dustin Spencer eClinicalWorks eCW emt Source Type: blogs
Anaphylaxis, chest pain, and ST elevation in aVR
Sent by anonymous, written by Pendell MeyersA man in his late 40s presented to the ED with concern for allergic reaction after accidentally eating a potential allergen, then developing an itchy full body rash and diarrhea. In the ED he received methylprednisolone, diphenhydramine, and epinephrine for possible anaphylaxis. Shortly after receiving epinephrine, the patient developed new leg cramps and chest pain. The chest pain was described as sharp and radiated to both arms.During active chest pain an ECG was recorded:Meyers ECG interpretation: Sinus tachycardia, normal QRS complex, STD in V2-V6, I, II, III and aVF. R...
Source: Dr. Smith's ECG Blog - March 1, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
From suffering to healing: the role of trauma in chronic pain
“Trauma is perhaps the most avoided, ignored, belittled, denied, misunderstood and untreated cause of human suffering.” – Peter Levine, PhD, Developer of Somatic Experiencing Therapy One frequent cause of treatment-resistant chronic pain is unresolved trauma, yet few health care providers and patients are aware of the connection, and, as a result, it is rarely addressed.
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From suffering to healing: the role of trauma in chronic pain originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 28, 2023 Category: General Medicine Authors: Cindy Perlin, LCSW Tags: Conditions Pain Management Source Type: blogs
The power of listening: a poem from a chronic pain patient to their doctor
Per the CDC, 11 to 40 percent of Americans struggle with chronic pain. All physicians must treat patients with chronic pain, whether they are spine surgeons or primary care physicians. It is a disease we can not escape. We do not have a one-time pill to fix chronic pain. Unlike other diseases, we do not
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The power of listening: a poem from a chronic pain patient to their doctor originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 25, 2023 Category: General Medicine Authors: Aaron Morgenstein, MD Tags: Physician Pain Management Source Type: blogs
6 Healthcare Examples Of Virtual, Augmented And Mixed Reality
Lately, there has been a tendency in the tech world to adopt “new” realities in their midst. Meta has a branch dedicated to developing virtual reality (VR) hardware and software; earlier this year HTC unveiled its new augmented reality (AR) glasses; while Apple is reportedly gearing up to launch a mixed reality (MR) headset.
Collectively, VR, AR and MR fall under the umbrella term of extended reality (XR), which analysts believe holds the potential to be the next major computing platform. Such potentials have spillover effects into the medical field through digital health approaches, and healthcare practice is...
Source: The Medical Futurist - February 23, 2023 Category: Information Technology Authors: Pranavsingh Dhunnoo Tags: TMF Augmented Reality Virtual Reality MR XR VR AR mixed reality extended reality Source Type: blogs
Lessons From a Ransomware Attack: The Importance of Partnership & Collaboration
The following is a guest article by John Gaede, Director of Information Systems at Sky Lakes Medical Center.
Imagine a rural business is the victim of a cyberattack. A nefarious person or group convinces an unsuspecting employee to open an email promising a bonus. Within 12 hours, every piece of technology connected to that network, and every process needed to conduct daily operations, is paralyzed.
Now imagine that business is a hospital. It serves 80,000 people and it’s the only one within 10,000 square miles. Add to the scenario a global pandemic that is steadily ravaging the nation’s healthcare system. On October...
Source: EMR and HIPAA - February 21, 2023 Category: Information Technology Authors: Guest Author Tags: Health IT Company Healthcare IT Hospital - Health System IT Infrastructure and Dev Ops Security and Privacy 3M 3M Health Information Systems 3M HIS Abbadox Cohesity Cyberattacks Cybersecurity Electromek Diagnostic System FBI’s Source Type: blogs
Tivity Health Acquires Industry Leading Digital Health and Wellness Platform Burnalong
Acquisition will accelerate digital transformation and enhance efforts to support diverse populations and address chronic disease
Tivity Health®, a leading provider of healthy life-changing solutions, today announced that it has acquired Burnalong®, a digital health, wellness and fitness platform. The acquisition will accelerate Tivity Health’s efforts to provide consumers with a robust digital platform and extensive health and wellness content, in addition to in-person opportunities through its network of fitness locations. Burnalong will also further enable Tivity Health to support diverse and at-risk populations...
Source: EMR and HIPAA - February 14, 2023 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT Burnalong Chronic Disease Management Chronic Diseases Chronic Illness Daniel Freedman Digital Health Fitness and Wellness Health IT Acquisitions Healthcare M&A Mike Kott Richard Ashworth SilverSnea Source Type: blogs
“ N-of-1 ” research – A clinically relevant research strategy!
I’ve been banging on about single case experimental research designs (SCED) ever since I studied with Prof Neville Blampied at University of Canterbury. Prof Blampied (now retired) was enthusiastic about this approach because it allows clinicians to scientifically test whether an intervention has an effect in an individual – but he took it further with a very cool graphical analysis that allows multiple cases to be studied and plotted using the modified Brinley Plot (Blampied, 2017), and I’ll be discussing it later in this series. Suffice to say, I love this approach to research because it allows clinicia...
Source: HealthSkills Weblog - February 12, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Coping Skills Occupational therapy Professional topics Psychology Research Science in practice healthcare pain management Source Type: blogs
Opioid addiction: Understanding the risk factors with a predictive model [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! In this episode, we’re discussing the opioid epidemic and its impact on our society. Our guest is Gary Call, a family physician, who shares the emotional and financial cost on individuals and families caused by opioid addiction and overdoses is immense and impacts everyone.
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Opioid addiction: Understanding the risk factors with a predictive model [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 12, 2023 Category: General Medicine Authors: The Podcast by KevinMD Tags: Podcast Pain Management Source Type: blogs
Three Ways Enterprise Visibility and Automation Benefit Staff and the Patient Experience
The following is a guest article by Scott Hondros, Vice President of Professional Services at CenTrak.
It’s often said that necessity is the mother of invention. This theory has been tested within the healthcare industry over the last few years as the COVID-19 pandemic aligned with, and expedited, the retirement of many employees in the Baby Boomer generation. Nearly 29 million Baby Boomers retired in 2020, three and a half million more than in 2019. While their increased retirement has been anticipated, the associated timing compounded staffing challenges within the healthcare industry and left leadership seeking soluti...
Source: EMR and HIPAA - February 9, 2023 Category: Information Technology Authors: Guest Author Tags: AI/Machine Learning C-Suite Leadership Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System IT Infrastructure and Dev Ops Artificial Intelligence Burn Out CenTrak Enterprise Visibility Equipme Source Type: blogs
A man in his 60s with acute chest pain
Sent by anonymous, written by Pendell MeyersA man in his 60s presented with acute chest pain with diaphoresis. He had received aspirin and nitroglycerin by EMS, with some improvement. His vitals were within normal limits. Here is his triage ECG:2045:What do you think?The ECG is subtle, but diagnostic of infero-posterior OMI. The QRS is normal, yet in aVL the normal upright small QRS complex is followed by in appropriately large-volume T wave inversion, which is reciprocal to the T waves in lead III, which are probably hyperacute if compared to available baseline. Corroborating this is the subtle ST depression in V2-V3 whic...
Source: Dr. Smith's ECG Blog - February 6, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
