Electronic Prescribing for Controlled Substances Set to Take Off
This article explains the complexities that makes it so hard to implement electronic prescribing for controlled substances (EPCS), summarizes the intended impacts of the bills, and introduces Imprivata digital identity technology, which has been used in health care for such purposes for many years.
Calling the Cops
Health care advocates and reformers can show off plenty of war stories and wounds just from dealing with regulations and bureaucracies in health care. When it comes to controlled substances, toss in the Drug Enforcement Administration (DEA) for extra suspense. State governments are also roped in thanks to thei...
Source: EMR and HIPAA - February 7, 2024 Category: Information Technology Authors: Andy Oram Tags: Clinical Health IT Company Healthcare IT Interoperability Regulations American Telemedicine Association ATA Colin Banas Controlled Substrances DEA DrFirst Electronic Prescribing Electronic Prescribing of Controlled Substances EPC Source Type: blogs
poem
The Surgical SubspecialtiesBonesVessels TearsBloodInsideOutsideTumorPutrefactionSoftHardInduratedCrepitus PainA different kind of pain MarrowBleeding When all bleeding stops Things that swellThings that contractFixingFulgurating WarRelative value units Gowns MasksLaying on of handsKnife pleaseLooking awayFalling in Amped up Half deadWith careWith loveHeartHeadTouchGlovedAdditionSubtraction2/7/24 (Source: Buckeye Surgeon)
Source: Buckeye Surgeon - February 7, 2024 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
A teenager involved in a motor vehicle collision with abnormal ECG
Written by Pendell MeyersA teenager was involved in a motor vehicle collision and presented to the Emergency Department via EMS altered and potentially critically ill. He was intubated for altered mental status. Chest trauma was suspected on initial exam. Here is his initial ECG around 1330:What do you think?The ECG shows sinus tachycardia with RBBB and LAFB, without clear additional superimposed signs of ischemia. It is very unlikely that a previously healthy teenager would have such disease of the conduction system, bringing up the possibility of blunt cardiac injury in this clinical setting.Trauma CTs showed a " mi...
Source: Dr. Smith's ECG Blog - February 6, 2024 Category: Cardiology Authors: Pendell Source Type: blogs
Decoding digestive discomfort: the science behind FODMAPs
FODMAPs are Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols.
Digestive discomfort – excessive flatulence, “bloating”, loose stool, or constipation – is a prevalent issue for many, and it often finds its roots in a group of fermentable carbohydrates collectively known as FODMAPs. Understanding the science behind FODMAPs could help in establishing a more comfortable and gratifying relationship with food.
In the realm of our digestive system, envision a system akin to an intricate ecosystem, teeming with activity. Various nutrients act as its constituents, powering this intern...
Source: David Bradley Sciencebase - Songs, Snaps, Science - February 5, 2024 Category: Science Authors: David Bradley Tags: Food Health and Medicine Source Type: blogs
The opioid addiction epidemic and its impact on health care costs
The opioid addiction crisis has escalated into a formidable challenge within the U.S. health care system, causing widespread devastation. The opioid epidemic has not only devastated communities and individual lives but has also inflicted a substantial economic toll on the health care system. The opioid epidemic has led to a surge in health care costs,
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The opioid addiction epidemic and its impact on health care costs originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 5, 2024 Category: General Medicine Authors: Brocha Kagan, PA-C Tags: Conditions Emergency Medicine Pain Management Source Type: blogs
Guarding and flow: an observational study
This study is an observational study of physiotherapists watching videos of people with chronic low back pain doing movements. The movements are pretty decontextualised (ie they’re not integrated with everyday life activities) but they are the kinds of movement that people can find difficult. They were: reaching forward with arms horizontal in standing position (reach forward), bending down towards the toes in standing position (forward-bend), standing from sitting stand), and sitting from standing (stand-to-sit). The videos were of 10 people with low back pain, and were chosen from a larger set of 16 people all perf...
Source: HealthSkills Weblog - February 4, 2024 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Assessment Chronic pain Clinical reasoning Coping strategies Low back pain Physiotherapy pain management Research Source Type: blogs
Bonus Features – February 4, 2024 – 67% of healthcare pros say the top use case for AI is improving the digital front door, 78% of healthcare shift workers have trouble covering living expenses, plus 25 more stories
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
HHS released a set of Cybersecurity Performance Goals. There are 10 Essential Goals that set “a floor of safeguards,” such as multifactor authentication and data encryption, and 10 Enhanced Goals for maturing c...
Source: EMR and HIPAA - February 4, 2024 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT American Telemedicine Association Atropos Health Avaamo Avanade Bicycle Health Bruce Cerullo Datycs Department of Health and Human Services Deputy directtrust DUOS eClinicalWorks ECRI Institute Ensemble Health Par Source Type: blogs
What will happen if you implement the Queen of Hearts in your Hospital?
This case was sent by Dr. Jean-christophe Reiters, an interventionalist in Belgium. He has been following the blog for 4 years.He has now implemented the Queen of Hearts in his hospital. He wanted to share one of the first cases.A 55 year old with no previous cardiac history presented with 3 hours of chest pain. The pain was persistent and reportedly still present at the time of the ECG.Here is the EKG:Smith: It looks like a reperfused inferior lateral OMI. (Inverted T-waves in inferior and lateral leads, with reciprocally upright (pseudo-hyperacute) T-waves in I and aVL. But if the pain ...
Source: Dr. Smith's ECG Blog - February 2, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs
Gene therapies for chronic pain?
Gene therapy is starting to come into its own, and it will change medicine more profoundly than anything that came before. Just like when antibiotics were discovered almost exactly a century ago, we are on the cusp of another revolution in medicine. One that is orders of magnitude greater than antibiotics. Recently, in China, five
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Gene therapies for chronic pain? originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 1, 2024 Category: General Medicine Authors: L. Joseph Parker, MD Tags: Meds Medications Source Type: blogs
EMDR therapy: From walk to wonder, unmasking trauma ’ s secrets
In 1987, Francine Shapiro went for a walk and discovered eye movement desensitization reprocessing (EMDR) as a therapeutic technique for traumatic experiences with lasting impact. Some thirty years later, with a substantial body of research confirming its efficacy, the mechanism of action remains a mystery. However, the treatment has expanded to focus on chronic pain,
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EMDR therapy: From walk to wonder, unmasking trauma’s secrets originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 31, 2024 Category: General Medicine Authors: Maire Daugharty, MD Tags: Conditions Psychiatry Source Type: blogs
Chest pain, ST Elevation, well-formed Q-waves, and infarction with peak hs troponin I over 1000 ng/L. Is it OMI?
A 60-something male presented stating that he had had chest pain that morning which awoke him from sleep but then resolved after several minutes. He has had similar pain in the past which he attributed to acid reflux. He has a history of untreated hypertension.He is pain free now.His systolic BP was 200.The patient is pain free at the time of this ECG:What do you think?The conventional algorithm said:SINUS RHYTHMANTERIOR MYOCARDIAL INFARCTION , PROBABLY RECENT [40+ ms Q WAVE AND/OR ST/T ABNORMALITY IN V3/V4]***ACUTE MI*** There are well-formed Q-waves in precordial leads. The T-waves are inverted.&nb...
Source: Dr. Smith's ECG Blog - January 31, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs
Balancing research with safe opioid prescribing to reduce pain and improve quality of life
This article is sponsored by the Centers for Disease Control and Prevention. Pain is a deeply personal experience and one of the most common reasons why individuals seek medical care in the U.S. The Centers for Disease Control and Prevention (CDC) recognizes the challenges both clinicians and patients face with pain management and the risks
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Balancing research with safe opioid prescribing to reduce pain and improve quality of life originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 29, 2024 Category: General Medicine Authors: Centers for Disease Control and Prevention Tags: Conditions Sponsored Pain Management Source Type: blogs
A 40-something with chest pain
This was sent by Sam Ghali @EM_RESUSA 44 year old man presented with chest painThe tech came running with the ECG as the computer called " STEMI! "The conventional computer algorithm read: ***STEMI***The cardiologist overread was: " ST Elevation. Consider Anterolateral Injury or Acute Infarct "What do you think?Sam sent this to me and asked: " What do you think, Steve? "My answer:--Tough one!--But I ' m going to stick my neck out and say " Not OMI "--STE in V2 has a near " saddleback " configuration, and that is a sign of false positive STE.--Tell me the outcome!He responded:--You nailed it!--The Saddleback in V2 isexactly...
Source: Dr. Smith's ECG Blog - January 29, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs
Book review: Your Pain Playbook by Helen Roome
There is an enormous missing link in pain management today. That link is, as I see it, how to translate from theory (decontextualised ideas) to daily life. To my life, to your life, to the unique and varied lives people living with pain had before their pain arrived.
Your Pain Playbook is written by Helen Roome, pain occupational therapist living and working in South Africa. The South African vibe runs through her book, giving this Kiwi a lovely taste of Helen’s country via the metaphors she uses – ever heard of the ‘Go-away bird’? It’s a bird that warns impala of impending danger and Hele...
Source: HealthSkills Weblog - January 28, 2024 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Book reviews, site reviews Coping strategies Chronic pain Occupational therapy pain management Source Type: blogs
Bonus Features – January 28, 2024 – 49% of orgs likely to invest in RCM tech in the next 18 months, v2 drafts of TEFCA Common Agreement and QHIN Technical Framework out, plus 27 more stories
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
The Sequoia Project released a bundle of TEFCA draft documents, including v2 drafts of the Common Agreement and QHIN Technical Framework. Interested stakeholders have until February 5 to provide feedback.
About...
Source: EMR and HIPAA - January 28, 2024 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT Interoperability Revenue Cycle Management 1upHealth AdhereHealth Aidéo Technologies Anatomy IT Andrea Kowalski Authenticx Clearsense Don Brown eClinicalWorks Emory Healthcare Epic Research Fathom First Health A Source Type: blogs
