Healthcare Workforce – 2024 Health IT Predictions
As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions.  We asked the Healthcare IT Today community to submit their predictions and we received a wide ranging set of responses that we grouped into a number of themes.  In fact, we got so many that we had to narrow them down to just the best and most interesting.  Check out our community’s predictions below and be sure to add your own thoughts and/or places you disagree with these predictions in the comments and on social media. All of this year’s 2024 health IT predictions (updated as they’re shared): John and ...
Source: EMR and HIPAA - January 10, 2024 Category: Information Technology Authors: John Lynn Tags: Administration Ambulatory Analytics/Big Data C-Suite Leadership Clinical Health IT Company Healthcare IT Hospital - Health System LTPAC Revenue Cycle Management 2024 Health IT Predictions Amy Amrick Ashish Shah Aspirion Benjami Source Type: blogs

Nabla Raises $24M in Series B to Fuel Expansion of its Ambient AI Assistant to Transform Care Delivery
New financing, led by Cathay Innovation, will be used to expand capabilities and adoption of Nabla Copilot, the leading ambient AI assistant designed to alleviate the administrative burden placed on providers, and reduce clinician burnout. Launched in March 2023, Nabla Copilot has experienced rapid growth with +20,000 providers who have already adopted the solution for its accessibility, accuracy, and speed and have helped build Copilot to better serve the provider community’s needs. Nabla, the leading ambient AI assistant for practitioners, today announced the initial close of a $24M Series B funding round led by ...
Source: EMR and HIPAA - January 10, 2024 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT Alex Lebrun Brigham and Women's Hospital Cathay Innovation Dr. Andrew Lundquist Dr. Haipeng (Mark) Zhang Dr. Megan Mahoney Dr. Raghu K Health IT Funding Health IT Fundings Health IT Investment Jac Source Type: blogs

A fascinating electrophysiology case. What is this wide complex tachycardia, and how best to manage it?
The patient is female in her 80s with a medical hx of previous MI with PCI and stent placement. She also has a hx of paroxysmal atrial fibrillation and is on oral anticoagulant treatment. She had a single chamber ICD/Pacemaker implanted several years prior due to ventricular tachycardia. The last echocardiography 12 months ago showed HFmrEF.She presented to the emergency department after a couple of days of chest discomfort. The ECG below was recorded. What is your assessment? How would you manage this patient?The ECG was interpreted as showing atrial flutter with 2:1 conduction. The patient was deemed stable and...
Source: Dr. Smith's ECG Blog - January 10, 2024 Category: Cardiology Authors: Magnus Nossen Source Type: blogs

Pharma IT and AI – 2024 Health IT Predictions
Discussions will focus on the nuanced packaging and delivery requirements for MABs, emphasizing the commitment to safety standards while ensuring the drugs’ effectiveness. AI/Automation in Pharma and Healthcare In 2024, the pharmaceutical landscape can expect a continued shift as AI continues to reshape drug development and healthcare practices. Across genomics, proteomics, and patient data, AI algorithms are beginning to decipher vast datasets to discover new drug targets, refine clinical trials, and tailor treatments to individual patients. The application of machine learning and deep learning is enhancing the crea...
Source: EMR and HIPAA - January 8, 2024 Category: Information Technology Authors: John Lynn Tags: Analytics/Big Data Health IT Company Healthcare IT Regulations 2024 Health IT Predictions Abpro Adhere Health Angie Franks Archana Hedge BioPhy Curavit Clinical Research Dave Latshaw Definitive Healthcare Dr. Kate Sasser Ian Ch Source Type: blogs

What do you suspect from this ECG in this 40-something with SOB and Chest pain?
I was reviewing ECGs for a study, and came across this one, and was able to get all the clinical information:What do you think?The Queen diagnosed " OMI with high confidence " due to the ST Elevation in V1-V3.Smith interpretation: This is highly likely to be due to extreme right heart strain and is nearly diagnostic of pulmonary embolism. Let me tell you about her hospitalization, discharged 1 day prior, but it was at another hospital (I wish I had the ECG from that hospitalization):The patient is 40 years old and presented to another hospital with chest pain and SOB.  She had been sitting doing work when sh...
Source: Dr. Smith's ECG Blog - January 8, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs

Value Based Care – 2024 Health IT Predictions
As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions.  We asked the Healthcare IT Today community to submit their predictions and we received a wide ranging set of responses that we grouped into a number of themes.  In fact, we got so many that we had to narrow them down to just the best and most interesting.  Check out our community’s predictions below and be sure to add your own thoughts and/or places you disagree with these predictions in the comments and on social media. All of this year’s 2024 health IT predictions (updated as they’re shared): John and ...
Source: EMR and HIPAA - January 5, 2024 Category: Information Technology Authors: John Lynn Tags: Administration Ambulatory C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System Regulations Revenue Cycle Management 2024 Health IT Predictions 9amHealth Andreessen Horowitz Anthony Hudson Anton Kittleberger Source Type: blogs

Three normal high sensitivity troponins over 4 hours with a " normal ECG "
Written byWilly FrickA 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of " chest burning. " The documentation does not describe any additional details of the history. The following ECG was obtained.ECG 1What do you think?The ECG shows sinus bradycardia but is otherwise normal. There is TWI in lead III, but this can be seen in normal ECGs. No labs were obtained. The patient was given a prescription for albuterol and a referral to cardiology.Smith comment:No patient over 25 years of age with unexplained chest burning should be discharged without a troponin rule out, no matt...
Source: Dr. Smith's ECG Blog - January 5, 2024 Category: Cardiology Authors: Willy Frick Source Type: blogs

Wednesday Bible Study: Misery
In psalms 38 and 39, the singer -- purportedly David --  is suffering from some very unpleasant disease.  Of course, back then they believed that diseases were punishments by God, and so the psalmist believes. Although the attribution of these psalms to David is fictitious, it would not be surprising if he had some sort of sexually transmitted disease, assuming he actually existed and 1/10th of the stories about him are true. Anyway . . . The reference in the introduction to psalm 39, "To the choirmaster: to Jeduthun " is to 1 Chronicles 16, in which David establishes the tradition of musical performance bef...
Source: Stayin' Alive - January 3, 2024 Category: American Health Source Type: blogs

EMS told " Not a STEMI " . What do you think?
 Written by Pendell MeyersA woman in her 70s had acute chest pain and called EMS. On arrival, EMS recorded relatively normal vital signs and this EMS ECG:What do you think?Interpretation: diagnostic of acute anterior OMI with STE less than STEMI criteria in V1-V4, hyperacute T waves in V2-V4, and suspiciously flat isoelectric ST segments in III and aVF suspicious for reciprocal findings. Because the reciprocal area from V2-V4 is the posterior wall, many anterior OMIs do not have clear reciprocal findings on the standard 12 leads.Smith: there appears to be a" saddleback " in V2.  Saddleback is strongly associ...
Source: Dr. Smith's ECG Blog - January 3, 2024 Category: Cardiology Authors: Pendell Source Type: blogs

AI enforcement in health care: Unpacking the DEA ’ s approach to the opioid epidemic
In 2017, Attorney General Jeff Sessions became convinced that the opioid crisis was not the fault of cartels smuggling fentanyl across porous American checkpoints. And it wasn’t due to pharmaceutical companies corrupting drug approval officials and DEA administrators by hiring them as consultants after making decisions in the company’s favor. No. The opioid crisis was Read more… AI enforcement in health care: Unpacking the DEA’s approach to the opioid epidemic originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 2, 2024 Category: General Medicine Authors: Tags: Meds Pain Management Source Type: blogs

Physical Examination as a Helpful Aid in Decision-Making in Challenging ECGs
Discussion continuedThe absence of pace spikes suggests this is not a pacemaker/ICD-related rhythm in this patient with an ICD.The presence of thinned myocardium and known large amount of scar tissue makes for a nidus for VT. Thus VT is very probable.A wide native QRS can be expected in a patient with a dilated heart and a history of heart failure, even if it is sinus rhythm. so the question of whether those are P-waves is critical.Additionally, the qR morphology, particularly in a patient with right bundle branch block (RBBB) type wide QRS complex tachycardia (WQCT), lends further support for VT.Furthermore, a pertinent p...
Source: Dr. Smith's ECG Blog - January 1, 2024 Category: Cardiology Authors: Emre Aslanger 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

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

Econoclasm Chapter Two, continued: Medical externalities
 I ' ve had a request to say more about inflation. That ' s a bit off topic for the time being, but I ' ll get to it.Medicine is also unlike most other goods and services in the extent to which it has important positive externalities – that is, benefits for people outside of the transaction, who are not the providers or consumers. (Of course it has negative externalities as well, including carbon emissions and notably, a huge quantity of plastic waste.) A straightforward positive externality is infectious disease control. Prev enting or curing infectious diseases prevents them from being transmitted to others. This ...
Source: Stayin' Alive - December 26, 2023 Category: American Health 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