This document discusses strategies and priorities for a community hospital. It notes that over 30% of survey respondents described their organization as a community hospital. Such hospitals are partnering with physician groups and adding new subspecialty services to increase referrals. Meaningful use of electronic medical records is also a priority, as EMRs were cited as a top information technology need.
Half of physician group practices reported revenue drops in 2010. Almost 25% expect increased imaging device budgets in 2011 to add new services and increase volumes. MRI and mammography are high priorities for new purchases.
- 32% of respondents are affiliated with large, multi-hospital organizations. Revenue was nearly evenly split between gainers and decliners in 2010. 30% expect increased imaging device budgets in 2011, with SPECT/CT topping purchasing lists.
- Respondents are trying to increase physician referrals through partnerships, improving report turnaround times, and adding remote access to images and medical records.
- Top business concerns include decreases in reimbursement, improving patient satisfaction and productivity, and dealing with government regulation. Competitors include other multi-hospital organizations, imaging centers, and physician groups.
16% of respondents to a survey on top trends were from imaging centers. 22% of imaging centers saw revenue gains in 2010. Business intelligence tools are a high priority on imaging centers' IT wish lists.
7% of respondents work at an academic medical center. IT budgets are slated to increase at 55% of academic medical centers, where upgrades to PCs, data storage, and ultrasound equipment are priorities. Academic medical centers aim to increase physician referrals by providing remote access to clinical images and information as well as new subspecialty services.
The document reports on a survey of healthcare organizations. It found that respondents worked in multihospital organizations (32%), community hospitals (30%), imaging centers (13%), physician practices (10%), and academic medical centers (8%). While 40% saw decreased revenue from 2009 to 2010, 32% saw increased revenue. Revenue is increasing through adding physicians and improving efficiencies. The top concerns for organizations are decreasing reimbursement, improving patient satisfaction, improving productivity, creating new revenue sources, and competing with other providers.
The document discusses Summa Health System, an integrated healthcare delivery system in Ohio. It consists of hospitals, physicians, a health plan, and a foundation. Summa aims to provide high-quality, accountable care through clinical integration and partnerships. It owns Summa Physicians Inc, which employs over 250 physicians. Summa seeks to advance value-based care and reduce costs through its accountable care organization model and patient-centered medical homes.
MAFP Quality Reporting for Cash-CMS Incentives and Your Bottom Linelearfieldinteraction
This document discusses quality reporting incentives from CMS and their impact on physician practices. It outlines the requirements and incentives for three separate CMS programs - Meaningful Use, PQRS, and e-Prescribing. Participation in these programs can provide incentives, but failure to participate may result in payment penalties beginning in 2015. The document provides an overview of each program's objectives, measures, and reporting options to help physicians incorporate quality reporting into their practices.
The document summarizes the results of a survey of 501 US physicians about their perspectives on healthcare reform and the future of medicine. Key findings include: 1) Most physicians believe reform will increase insurance coverage but not reduce costs or ER wait times. 2) Physicians are pessimistic about the future of medicine and think potential doctors will choose other careers. 3) Physicians think reforms will hurt their incomes, especially surgeons. 4) Physicians foresee increased demand for their services but some may leave for administrative roles.
Half of physician group practices reported revenue drops in 2010. Almost 25% expect increased imaging device budgets in 2011 to add new services and increase volumes. MRI and mammography are high priorities for new purchases.
- 32% of respondents are affiliated with large, multi-hospital organizations. Revenue was nearly evenly split between gainers and decliners in 2010. 30% expect increased imaging device budgets in 2011, with SPECT/CT topping purchasing lists.
- Respondents are trying to increase physician referrals through partnerships, improving report turnaround times, and adding remote access to images and medical records.
- Top business concerns include decreases in reimbursement, improving patient satisfaction and productivity, and dealing with government regulation. Competitors include other multi-hospital organizations, imaging centers, and physician groups.
16% of respondents to a survey on top trends were from imaging centers. 22% of imaging centers saw revenue gains in 2010. Business intelligence tools are a high priority on imaging centers' IT wish lists.
7% of respondents work at an academic medical center. IT budgets are slated to increase at 55% of academic medical centers, where upgrades to PCs, data storage, and ultrasound equipment are priorities. Academic medical centers aim to increase physician referrals by providing remote access to clinical images and information as well as new subspecialty services.
The document reports on a survey of healthcare organizations. It found that respondents worked in multihospital organizations (32%), community hospitals (30%), imaging centers (13%), physician practices (10%), and academic medical centers (8%). While 40% saw decreased revenue from 2009 to 2010, 32% saw increased revenue. Revenue is increasing through adding physicians and improving efficiencies. The top concerns for organizations are decreasing reimbursement, improving patient satisfaction, improving productivity, creating new revenue sources, and competing with other providers.
The document discusses Summa Health System, an integrated healthcare delivery system in Ohio. It consists of hospitals, physicians, a health plan, and a foundation. Summa aims to provide high-quality, accountable care through clinical integration and partnerships. It owns Summa Physicians Inc, which employs over 250 physicians. Summa seeks to advance value-based care and reduce costs through its accountable care organization model and patient-centered medical homes.
MAFP Quality Reporting for Cash-CMS Incentives and Your Bottom Linelearfieldinteraction
This document discusses quality reporting incentives from CMS and their impact on physician practices. It outlines the requirements and incentives for three separate CMS programs - Meaningful Use, PQRS, and e-Prescribing. Participation in these programs can provide incentives, but failure to participate may result in payment penalties beginning in 2015. The document provides an overview of each program's objectives, measures, and reporting options to help physicians incorporate quality reporting into their practices.
The document summarizes the results of a survey of 501 US physicians about their perspectives on healthcare reform and the future of medicine. Key findings include: 1) Most physicians believe reform will increase insurance coverage but not reduce costs or ER wait times. 2) Physicians are pessimistic about the future of medicine and think potential doctors will choose other careers. 3) Physicians think reforms will hurt their incomes, especially surgeons. 4) Physicians foresee increased demand for their services but some may leave for administrative roles.
Performance Incentive Contracts Experience in Cambodia by the BTC supported p...RikuE
(1) The document discusses performance-based incentive contracts implemented by two Belgian-funded health projects in Cambodia to motivate health staff and increase the utilization of health services.
(2) The projects set up contracts between provincial health departments, operational districts, and health centers that tied staff incentives to meeting targets for indicators like consultations and immunizations. This led to substantial increases in coverage rates.
(3) However, the contracts had less impact on physician motivation and quality of care. Sustainability after the projects also remains a question as the government works to gradually incorporate the schemes. Lessons indicate the need for reliable drug supplies and quality improvements to sustain utilization gains.
The Health Systems Administration program at Georgetown has its students complete case projects for a fictional community, Middleboro. Throughout the program we created several deliverables: Community Profile, Community Health Assessment, Strategic Plan, Marketing Plan, and Business Plan.
The PCMH is a reality in 16 primary care practices in Colorado that have participated in one of the nation’s first Multi-Payer, Multi-State Patient-Centered Medical Home Pilots, along with stakeholders at both local and national levels. Convened by HealthTeamWorks, the project began in 2008 and runs through 2012.
The Health Systems Administration program at Georgetown has its students complete case projects for a fictional community, Middleboro. Throughout the program we created several deliverables: Community Profile, Community Health Assessment, Strategic Plan, Marketing Plan, and Business Plan.
The document summarizes the launch of the RCGP Rural Forum at the RCGP conference in 2009. It discusses key issues for rural patients and doctors. A survey found that most rural GPs felt the RCGP had little understanding of rural issues. The forum aims to represent rural GPs, promote rural healthcare, and improve engagement with the RCGP. Membership would provide benefits like influencing policy and networking opportunities. The forum could help with issues like revalidation and primary care federations.
The document summarizes the author's internship experience at Upstate Cardiology. Some key points:
- Upstate Cardiology focuses on providing equitable access to care regardless of patients' ability to pay. They provide preventative care that reduces long-term costs.
- The practice has a patient-centered organizational culture where staff are dedicated to quality. They conduct surveys to assess quality from patients' perspectives.
- To further improve quality, the author suggests limiting physicians' computer use during consultations to focus more on human interaction.
- As heart disease is a leading cause of death, the author proposes a low-cost policy of health education through flyers, provider training, and community events to promote
Community contraceptive services in the UK provide essential family planning services and medical training. The survey found that services experience wide variation in funding levels, with over half receiving less than £500,000 annually. Low budgets often force services to reduce access by limiting appointments or turning clients away. Despite facing budget cuts and staffing shortages, services continue to provide accessible clinics with evening and weekend hours. They also conduct outreach work. Services train over 1500 medical students and 1000 doctors annually. However, reduced resources threaten training capacity. While most services seek client input, low budgets undermine consistent, high-quality care and training across the UK.
The document summarizes the student's internship experience at Upstate Cardiology. Some key points:
- Upstate Cardiology provides care to many low-income and high-risk patients by accepting patients denied care elsewhere and working with patients on payment plans or charity care. This increases access to preventative care.
- The practice has a strong patient-centered culture where staff are caring, patient, and focused on quality. They use patient surveys to assess quality of care.
- To further improve quality, the student suggests limiting electronic medical record use during appointments to increase patient interaction.
- To improve heart health outcomes cost-effectively, the student proposes a policy of promoting healthy behaviors through educational materials
Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Dr Eileen Pepler, Academic, Researcher and Consultant in the Canadian Healthcare will discuss how NHS England work in chronic disease is being translated into a Canadian context.
SIMUL8 Director of Healthcare, Claire Cordeaux, discusses her experiences of developing and implementing population health strategies in the UK National Health Service, Canada, and Australia.
The document discusses alcohol and drug use in Barnet and its impact on health services. It finds that alcohol-related ambulance calls have increased 33% and that young male heavy drinkers are six times more likely to be in an accident than moderate drinkers. A needs assessment found improvements in harm reduction services but that current services do not meet the needs of those under 25. The barriers to drug treatment included a lack of childcare and accessibility issues. Users suggested improving family support and childcare. Key priorities for 2009/10 were established to address these gaps and barriers through initiatives like peer education and expanding accommodation options.
This document discusses value-based care for home healthcare providers. It defines value-based care as outcomes that matter most to patients divided by the total cost of care. This framework helps healthcare providers collaborate to maximize value for patients over their entire care cycle by measuring outcomes and costs in order to iterate and improve over time. Key aspects of implementing value-based care for home health providers include organizing care around patient conditions, measuring outcomes and costs for each patient, enabling integrated technology, and moving to bundled payments for full care cycles.
Accountable Care Organizations: Savings, Quality, and Information TechnologyRobert Bond
The document discusses Accountable Care Organizations (ACOs) and how they can promote savings, quality, and the use of health information technology. It explains that ACOs bring local providers together to manage the total cost and quality of care for populations of patients. ACOs use a shared savings model where providers receive reimbursement from insurers based on meeting quality targets and reducing spending growth. The document outlines various levers ACOs can use related to demand, risk, cost, quality, and infrastructure to influence outcomes. It also provides examples of ACOs that have formed across the United States.
Modeling an Integrated System for Obesity & Weight ManagementSIMUL8 Corporation
Worldwide obesity has more than doubled since 1980 (WHO; 2015). This is contributing to the growing number of patients living with chronic diseases and placing mounting pressure on health systems.
In 2013, part of the Public Health system in England transferred out of the NHS into local government. Responsibility for the prevention and management of obesity in adults and children transferred with these teams, while parts of the NHS primary and secondary care system remained responsible for aspects of treatment, including bariatric surgery.
This workshop explores the challenges in commissioning a healthcare organization to provide an integrated service for obesity, weight management, and treatment in Nottinghamshire County, UK. These challenges include:
- Estimating the health needs of overweight and obese people across the County
- Taking into account the fact that needs will change over time
- The lack of available evidence
Learn how out how Scenario Generator, a population health modeling and simulation tool, was used to test assumptions and develop the evidence to procure an integrated service
This document outlines an agenda for a HealthVault conference, including:
- An introduction to HealthVault and why it's important from 10:00-12:00.
- A discussion of security and privacy considerations for HealthVault from 13:00-13:30.
- An overview of how to develop HealthVault applications from 13:30-14:30.
- Information on how patients can engage with their health through tools like remote monitoring and chronic condition management.
Motivational interviewing for the prevention of alcohol misuse in young adult...Health Evidence™
Health Evidence™ hosted a 60 minute webinar examining the effectiveness of motivational interviewing (MI) for the prevention of alcohol misuse and alcohol-related problems in young adults. Click here for access to the audio recording for this webinar: https://youtu.be/c9EHJ-Ks28c
Dr. David Foxcroft, President, European Society for Prevention Research (EUSPR), Professor of Community Psychology and Public Health, Department of Psychology, Social Work and Public Health, Oxford Brookes University led the session and presented findings from his recent Cochrane review:
Foxcroft D, Coombes L, Wood S, Allen D, Almeida Santimano N, & Moreira M. (2016). Motivational interviewing for the prevention of alcohol misuse in young adults. Cochrane Database of Systematic Reviews, 2016(7), CD007025. https://www.healthevidence.org/view-article.aspx?a=motivational-interviewing-prevention-alcohol-misuse-young-adults-29645
According to the World Health Organization, alcohol is responsible for approximately 9% of deaths within the 15-29 year old age bracket. This review examines the effectiveness of MI interventions for preventing alcohol misuse and alcohol-related problems in young adults. Eighty-four trials with 22,872 participants were included in this review. Findings suggest that MI interventions only slightly reduce quantity of alcohol consumed, frequency of alcohol consumption, and peak blood alcohol concentration, and only marginally reduce alcohol problems in young adults aged up to 25 years, compared to no intervention/placebo/treatment as usual. This webinar provided an overview of the effectiveness of MI interventions in preventing alcohol misuse and alcohol-related problems in young adults.
We at Boehringer Ingelheim know that there are many issues affecting health care in the United States. In this presentation Dr. Lee Sacks of Advocate Health takes a look at accountable care organizations (ACOs) and their role in health care reform. Understanding the Implications of Accountable Care Organizations for Patients and Providers, was a web conference given on July 31, 2012 and which we hope will provide offer an understanding of best practices among ACOs and tips for helping constituents adopt and participate in ACOs.
1. The document discusses organizing healthcare delivery around the goal of improving patient value, defined as health outcomes per dollar spent.
2. It argues that the current healthcare system is not structured or incentivized to achieve this goal, and that fundamental restructuring is needed rather than incremental changes.
3. The strategic agenda outlined involves organizing care into integrated practice units around patient medical conditions, measuring outcomes and costs for every patient, reimbursing through bundled payments for care cycles, and other initiatives to align the healthcare system with the goal of improving patient value.
The document discusses quality improvement and patient safety in healthcare. It outlines some of the key issues in quality according to reports by the Institute of Medicine, including medical errors that kill tens of thousands annually and slow adoption of best practices. It also discusses tools and strategies for improving processes, standardizing care, initiatives by organizations like the Institute for Healthcare Improvement, and programs to enhance patient safety.
1) The TAMARIS trial evaluated the efficacy and safety of NV1FGF gene therapy compared to placebo for treating critical limb ischemia in patients unsuitable for revascularization.
2) The primary endpoint of reducing major amputations or death within 12 months was not met. NV1FGF did not improve amputation-free survival compared to placebo.
3) No safety signals were identified over the course of the trial and long-term follow-up is ongoing. The results suggest NV1FGF is not an effective treatment for critical limb ischemia in this patient population.
The ACT Trial was a large, pragmatic randomized controlled trial that investigated whether acetylcysteine reduces the risk of contrast-induced nephropathy (CIN) in over 2,300 patients undergoing coronary angiography. The trial found no difference in the primary outcome of CIN or other clinical outcomes like mortality between patients receiving acetylcysteine or placebo. Subgroup and sensitivity analyses also found no benefit of acetylcysteine. An updated meta-analysis of high-quality trials, including the ACT Trial, similarly found no effect of acetylcysteine on reducing CIN risk. The results suggest acetylcysteine is not effective in preventing CIN and may inform updating clinical guidelines.
Performance Incentive Contracts Experience in Cambodia by the BTC supported p...RikuE
(1) The document discusses performance-based incentive contracts implemented by two Belgian-funded health projects in Cambodia to motivate health staff and increase the utilization of health services.
(2) The projects set up contracts between provincial health departments, operational districts, and health centers that tied staff incentives to meeting targets for indicators like consultations and immunizations. This led to substantial increases in coverage rates.
(3) However, the contracts had less impact on physician motivation and quality of care. Sustainability after the projects also remains a question as the government works to gradually incorporate the schemes. Lessons indicate the need for reliable drug supplies and quality improvements to sustain utilization gains.
The Health Systems Administration program at Georgetown has its students complete case projects for a fictional community, Middleboro. Throughout the program we created several deliverables: Community Profile, Community Health Assessment, Strategic Plan, Marketing Plan, and Business Plan.
The PCMH is a reality in 16 primary care practices in Colorado that have participated in one of the nation’s first Multi-Payer, Multi-State Patient-Centered Medical Home Pilots, along with stakeholders at both local and national levels. Convened by HealthTeamWorks, the project began in 2008 and runs through 2012.
The Health Systems Administration program at Georgetown has its students complete case projects for a fictional community, Middleboro. Throughout the program we created several deliverables: Community Profile, Community Health Assessment, Strategic Plan, Marketing Plan, and Business Plan.
The document summarizes the launch of the RCGP Rural Forum at the RCGP conference in 2009. It discusses key issues for rural patients and doctors. A survey found that most rural GPs felt the RCGP had little understanding of rural issues. The forum aims to represent rural GPs, promote rural healthcare, and improve engagement with the RCGP. Membership would provide benefits like influencing policy and networking opportunities. The forum could help with issues like revalidation and primary care federations.
The document summarizes the author's internship experience at Upstate Cardiology. Some key points:
- Upstate Cardiology focuses on providing equitable access to care regardless of patients' ability to pay. They provide preventative care that reduces long-term costs.
- The practice has a patient-centered organizational culture where staff are dedicated to quality. They conduct surveys to assess quality from patients' perspectives.
- To further improve quality, the author suggests limiting physicians' computer use during consultations to focus more on human interaction.
- As heart disease is a leading cause of death, the author proposes a low-cost policy of health education through flyers, provider training, and community events to promote
Community contraceptive services in the UK provide essential family planning services and medical training. The survey found that services experience wide variation in funding levels, with over half receiving less than £500,000 annually. Low budgets often force services to reduce access by limiting appointments or turning clients away. Despite facing budget cuts and staffing shortages, services continue to provide accessible clinics with evening and weekend hours. They also conduct outreach work. Services train over 1500 medical students and 1000 doctors annually. However, reduced resources threaten training capacity. While most services seek client input, low budgets undermine consistent, high-quality care and training across the UK.
The document summarizes the student's internship experience at Upstate Cardiology. Some key points:
- Upstate Cardiology provides care to many low-income and high-risk patients by accepting patients denied care elsewhere and working with patients on payment plans or charity care. This increases access to preventative care.
- The practice has a strong patient-centered culture where staff are caring, patient, and focused on quality. They use patient surveys to assess quality of care.
- To further improve quality, the student suggests limiting electronic medical record use during appointments to increase patient interaction.
- To improve heart health outcomes cost-effectively, the student proposes a policy of promoting healthy behaviors through educational materials
Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Dr Eileen Pepler, Academic, Researcher and Consultant in the Canadian Healthcare will discuss how NHS England work in chronic disease is being translated into a Canadian context.
SIMUL8 Director of Healthcare, Claire Cordeaux, discusses her experiences of developing and implementing population health strategies in the UK National Health Service, Canada, and Australia.
The document discusses alcohol and drug use in Barnet and its impact on health services. It finds that alcohol-related ambulance calls have increased 33% and that young male heavy drinkers are six times more likely to be in an accident than moderate drinkers. A needs assessment found improvements in harm reduction services but that current services do not meet the needs of those under 25. The barriers to drug treatment included a lack of childcare and accessibility issues. Users suggested improving family support and childcare. Key priorities for 2009/10 were established to address these gaps and barriers through initiatives like peer education and expanding accommodation options.
This document discusses value-based care for home healthcare providers. It defines value-based care as outcomes that matter most to patients divided by the total cost of care. This framework helps healthcare providers collaborate to maximize value for patients over their entire care cycle by measuring outcomes and costs in order to iterate and improve over time. Key aspects of implementing value-based care for home health providers include organizing care around patient conditions, measuring outcomes and costs for each patient, enabling integrated technology, and moving to bundled payments for full care cycles.
Accountable Care Organizations: Savings, Quality, and Information TechnologyRobert Bond
The document discusses Accountable Care Organizations (ACOs) and how they can promote savings, quality, and the use of health information technology. It explains that ACOs bring local providers together to manage the total cost and quality of care for populations of patients. ACOs use a shared savings model where providers receive reimbursement from insurers based on meeting quality targets and reducing spending growth. The document outlines various levers ACOs can use related to demand, risk, cost, quality, and infrastructure to influence outcomes. It also provides examples of ACOs that have formed across the United States.
Modeling an Integrated System for Obesity & Weight ManagementSIMUL8 Corporation
Worldwide obesity has more than doubled since 1980 (WHO; 2015). This is contributing to the growing number of patients living with chronic diseases and placing mounting pressure on health systems.
In 2013, part of the Public Health system in England transferred out of the NHS into local government. Responsibility for the prevention and management of obesity in adults and children transferred with these teams, while parts of the NHS primary and secondary care system remained responsible for aspects of treatment, including bariatric surgery.
This workshop explores the challenges in commissioning a healthcare organization to provide an integrated service for obesity, weight management, and treatment in Nottinghamshire County, UK. These challenges include:
- Estimating the health needs of overweight and obese people across the County
- Taking into account the fact that needs will change over time
- The lack of available evidence
Learn how out how Scenario Generator, a population health modeling and simulation tool, was used to test assumptions and develop the evidence to procure an integrated service
This document outlines an agenda for a HealthVault conference, including:
- An introduction to HealthVault and why it's important from 10:00-12:00.
- A discussion of security and privacy considerations for HealthVault from 13:00-13:30.
- An overview of how to develop HealthVault applications from 13:30-14:30.
- Information on how patients can engage with their health through tools like remote monitoring and chronic condition management.
Motivational interviewing for the prevention of alcohol misuse in young adult...Health Evidence™
Health Evidence™ hosted a 60 minute webinar examining the effectiveness of motivational interviewing (MI) for the prevention of alcohol misuse and alcohol-related problems in young adults. Click here for access to the audio recording for this webinar: https://youtu.be/c9EHJ-Ks28c
Dr. David Foxcroft, President, European Society for Prevention Research (EUSPR), Professor of Community Psychology and Public Health, Department of Psychology, Social Work and Public Health, Oxford Brookes University led the session and presented findings from his recent Cochrane review:
Foxcroft D, Coombes L, Wood S, Allen D, Almeida Santimano N, & Moreira M. (2016). Motivational interviewing for the prevention of alcohol misuse in young adults. Cochrane Database of Systematic Reviews, 2016(7), CD007025. https://www.healthevidence.org/view-article.aspx?a=motivational-interviewing-prevention-alcohol-misuse-young-adults-29645
According to the World Health Organization, alcohol is responsible for approximately 9% of deaths within the 15-29 year old age bracket. This review examines the effectiveness of MI interventions for preventing alcohol misuse and alcohol-related problems in young adults. Eighty-four trials with 22,872 participants were included in this review. Findings suggest that MI interventions only slightly reduce quantity of alcohol consumed, frequency of alcohol consumption, and peak blood alcohol concentration, and only marginally reduce alcohol problems in young adults aged up to 25 years, compared to no intervention/placebo/treatment as usual. This webinar provided an overview of the effectiveness of MI interventions in preventing alcohol misuse and alcohol-related problems in young adults.
We at Boehringer Ingelheim know that there are many issues affecting health care in the United States. In this presentation Dr. Lee Sacks of Advocate Health takes a look at accountable care organizations (ACOs) and their role in health care reform. Understanding the Implications of Accountable Care Organizations for Patients and Providers, was a web conference given on July 31, 2012 and which we hope will provide offer an understanding of best practices among ACOs and tips for helping constituents adopt and participate in ACOs.
1. The document discusses organizing healthcare delivery around the goal of improving patient value, defined as health outcomes per dollar spent.
2. It argues that the current healthcare system is not structured or incentivized to achieve this goal, and that fundamental restructuring is needed rather than incremental changes.
3. The strategic agenda outlined involves organizing care into integrated practice units around patient medical conditions, measuring outcomes and costs for every patient, reimbursing through bundled payments for care cycles, and other initiatives to align the healthcare system with the goal of improving patient value.
The document discusses quality improvement and patient safety in healthcare. It outlines some of the key issues in quality according to reports by the Institute of Medicine, including medical errors that kill tens of thousands annually and slow adoption of best practices. It also discusses tools and strategies for improving processes, standardizing care, initiatives by organizations like the Institute for Healthcare Improvement, and programs to enhance patient safety.
1) The TAMARIS trial evaluated the efficacy and safety of NV1FGF gene therapy compared to placebo for treating critical limb ischemia in patients unsuitable for revascularization.
2) The primary endpoint of reducing major amputations or death within 12 months was not met. NV1FGF did not improve amputation-free survival compared to placebo.
3) No safety signals were identified over the course of the trial and long-term follow-up is ongoing. The results suggest NV1FGF is not an effective treatment for critical limb ischemia in this patient population.
The ACT Trial was a large, pragmatic randomized controlled trial that investigated whether acetylcysteine reduces the risk of contrast-induced nephropathy (CIN) in over 2,300 patients undergoing coronary angiography. The trial found no difference in the primary outcome of CIN or other clinical outcomes like mortality between patients receiving acetylcysteine or placebo. Subgroup and sensitivity analyses also found no benefit of acetylcysteine. An updated meta-analysis of high-quality trials, including the ACT Trial, similarly found no effect of acetylcysteine on reducing CIN risk. The results suggest acetylcysteine is not effective in preventing CIN and may inform updating clinical guidelines.
This document discusses translating evidence into practice in the era of electronic medical records. It provides an overview of the translational pathway from biomedical research to improved population health. On average, it takes 16 years to translate a biomedical innovation from the bench to the bedside. Several factors influence the speed of adoption of new practices, including consciousness-raising, changing social norms, and making new behaviors easier through system changes. The document reviews sources of evidence for implementation, including local experts, journals, Cochrane reviews, professional societies, and clinical practice guidelines. Trustworthy guidelines are developed through a transparent process and are based on systematic reviews.
The BioFreedom trial was a prospective randomized trial comparing the polymer-free Biolimus A9-eluting BioFreedom stent to the paclitaxel-eluting Taxus stent. The primary endpoint of in-stent late lumen loss at 12 months was met, with the BioFreedom stent demonstrating non-inferiority to the Taxus stent. Both stents also demonstrated comparable safety and efficacy up to 12 months, including an absence of stent thrombosis. Larger trials with longer follow-up are still needed to fully validate the promising results of the polymer-free BioFreedom stent.
The ASCOT (Anglo-Scandinavian Cardiac Outcomes Trial) study was used to evaluate the relationship between administering CRP prior to, and on-treatment with statins and their association with cardiovascular (CV) events.
http://www.cardiovascularbusiness.com/topics/prevention/aha-crp-screening-may-not-improve-cv-risk-assessments-ascot-shows
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
WASHINGTON, D.C.—Use of certain doses of atopaxar in acute coronary syndrome patients can reduce rates of bleeding, cardiovascular events and better achieve platelet inhibition, according to the results of the LANCELOT-ACS trial presented Sept. 23 as a late-breaking clinical trial during the 2010 Transcatheter Cardiovascular Therapeutics (TCT) annual meeting.
www.cardiovascularbusiness.com/topics/coronary-intervention-surgery/tct-lancelot-acs-says-certain-doses-atopaxar-can-reduce-bleeding-cv-events
Arun Krishnaraj, an assistant radiologist at Massachusetts General Hospital and instructor at Harvard Medical School, presented on key aspects of the Meaningful Use program for radiologists. He provided an overview of the Meaningful Use process and regulations established by CMS and ONC. He discussed challenges radiologists may face in meeting Meaningful Use objectives, such as whether to use their hospital's EHR directly or a certified radiology IT system. The presentation addressed how radiologists can report Meaningful Use data to CMS and aggregate information from different systems and care providers.
The document discusses different approaches to meeting meaningful use (MU) criteria. It identifies some "wrong ways" like "duck and cover", doing the minimum to get through year one ("one and done"), and just focusing on the money ("take the money and run"). The author advocates a better approach of linking the criteria to seven evidence-based quality improvement projects, plus ensuring patient privacy protections and effective training and communication. While certification can be complicated, the author believes their approach can help hospitals actualize improvements in a meaningful way to qualify for MU incentives.
This document discusses how evidence-based medicine plays a role in the medical home model of care. It provides examples of how Elmhurst Clinic has leveraged different technologies to improve quality of care and patient outcomes based on evidence-based guidelines and protocols. These include using Phytel technologies to conduct automated outreach for preventative care appointments and refill authorizations. It also discusses using data analytics from tools like Phytel Insight to help manage patient populations and close care gaps through a proactive, evidence-driven approach.
1) The document discusses the cost-effectiveness of drug-eluting stents (DES) compared to bare-metal stents (BMS) based on clinical trial data from 2003 and 2009.
2) While practice patterns have changed, DES remain cost-effective compared to BMS for patients with a predicted BMS target vessel revascularization rate of over 10-11%.
3) The most promising ways to further improve the cost-effectiveness of DES are to reduce stent thrombosis risks or decrease the duration of mandatory dual antiplatelet therapy.
The document discusses integrating genomics data and evidence-based medicine into electronic health records (EHRs) for precision healthcare. It notes the gap between what is known and what is done in healthcare. Integrating genomics could help do the right thing for each patient through pharmacogenomics. However, challenges include representing huge volumes of molecular data in a usable way in EHRs. A three step approach is proposed: 1) get genomic data into EHRs in a structured format, 2) use that data for clinical decision support, 3) evaluate outcomes and continually improve the system.
The RACE II study compared lenient rate control (heart rate <110 bpm) to strict rate control (heart rate <80 bpm at rest and <110 bpm during exercise) in patients with permanent atrial fibrillation. The study found that lenient rate control was not inferior to strict rate control in reducing the composite primary endpoint of cardiovascular death, heart failure hospitalization, stroke and other events. Lenient rate control may be adopted as a first-choice therapy for rate control in patients with permanent atrial fibrillation.
This document summarizes a randomized clinical trial comparing radial artery grafts to saphenous vein grafts for coronary artery bypass grafting. The trial involved 733 patients randomized to receive either a radial artery graft or saphenous vein graft at one of 11 VA medical centers between 2003-2008. The primary outcome was a comparison of one-year angiographic patency rates between the two graft types. No significant differences in patency rates were found between radial arteries and saphenous veins at the one-year follow-up. The study is currently funded for a five-year follow-up to evaluate longer-term patency.
This randomized controlled trial evaluated the STARFlex septal closure device versus best medical therapy alone for stroke prevention in patients with cryptogenic stroke or TIA due to a patent foramen ovale (PFO). 909 patients were randomized to either STARFlex implantation plus medical therapy (n=447) or medical therapy alone (n=462). The primary endpoint of recurrent stroke or TIA within 2 years occurred in 5.9% of the STARFlex group versus 7.7% of the medical therapy group (p=0.30). Major vascular complications were higher in the STARFlex group. The STARFlex device showed high rates of procedural success and effective closure.
Getting the evidence the challenge of medicine in tough global environmentTrimed Media Group
The document discusses the challenges of practicing medicine in difficult global environments with limited resources. It notes that evidence-based medicine in these settings is often constrained and must rely more on practical experience than clinical guidelines. Examples of difficult environments include wilderness situations, conflict zones, developing nations, and areas with impoverished or underserved populations. The document argues that in these contexts, anecdotal experience and observations may need to carry more weight than formal tests and data when making treatment decisions.
James F. Padbury, MD and Betty R. Vohr, MD give a tour of the neonatal intensive care unit (NICU) at Women & Infants Hospital of Rhode Island. The NICU has multiple family rooms where loved ones can visit patients and staff host family events. All clinical staff carry mobile devices to communicate and receive patient alerts. Padbury views thank you cards and letters from grateful families on a bulletin board. He explains the unit's architectural design is meant to make the two floors feel like one open space. High-definition imaging stations are available for doctors in team rooms on each floor. Private patient rooms are identical to make navigation easier for nurses.
- 10% of respondents are affiliated with physician group practices. Half of these practices reported revenue drops in 2010.
- Almost 25% of physician group practices expect an increased budget for imaging devices in 2011, particularly for MRI and CR mammo systems. Increases are tied to added volume and new service lines.
- Physician group practices anticipate no change to staffing levels in 2011 but decreases in outsourced/contracted staff. Budgets for IT and imaging devices either increased or saw no change in 2010 with similar expectations for 2011.
This study found significant variation in breast density assessments among radiologists when reviewing mammograms. For approximately 28% of exams, all 8 radiologists agreed on the breast density. However, for 10% of exams, only half or less of radiologists agreed. Standardizing breast density reporting is important for accurately assessing cancer risk and determining appropriate screening recommendations, but current methods lack consistency. Improved radiologist education and computerized density analysis may help address this issue.
- 32% of respondents are affiliated with large, multi-campus healthcare systems
- In 2010, revenue was nearly evenly split between gainers and decliners
- 30% of respondents expect increased budgets for imaging devices like SPECT/CT in 2011
This document discusses trends at academic medical centers. It notes that 7% of respondents work at academic medical centers, 55% of which plan to increase their IT budgets. Top priorities for technology purchases include PCs, data storage, and mobile devices. Ultrasound equipment is most likely to be upgraded or replaced among clinical imaging devices.
- 16% of survey respondents are associated with imaging centers
- 22% of imaging centers saw revenue gains in 2010
- Business intelligence tools rank high on the imaging center IT wish list
More than 30% of survey respondents described their organization as a community hospital. Community and regional hospitals are trying to increase physician referrals through partnerships with physician groups and adding new subspecialty services. Meaningful use of electronic medical records is also a top information technology priority.
The Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents is an initiative designed to improve care for people living in nursing facilities who are enrolled in Medicare and Medicaid.
Through this initiative, CMS will partner with independent organizations to improve care for long-stay nursing facility residents. These organizations will collaborate with nursing facilities and States to provide coordinated, person-centered care with the goal of reducing avoidable hospital stays.
In this webinar, staff from the Medicare-Medicaid Coordination Office (MMCO) and the CMS Innovation Center will provide an overview of the initiative, and offer information about how to apply.
More at: http://innovations.cms.gov/resources/Duals_rahnfr_apply.html
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CMS Innovation
http://innovation.cms.gov
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This document discusses the patient centered medical home (PCMH) model and its benefits. It notes that PCMHs aim to achieve the triple aim of improved patient care, improved population health, and reduced healthcare costs. Studies show that PCMHs have led to reductions in hospital days, ER visits, and total healthcare costs, while also increasing medication adherence. The document advocates for expanding PCMHs and reforming payment systems to incentivize their growth and success.
This document discusses physician engagement strategies for hospitals. It begins by defining physician engagement and its importance in today's value-based healthcare system where strategies revolve around physicians. Various physician arrangement models are presented along with their degree of control and risk for the hospital. Tracking metrics for physician engagement like volume, revenue, and quality are suggested. The importance of understanding physician perspectives and culture is emphasized. Successful engagement requires functional changes like new technology as well as emotional changes like making physicians feel valued, supported and involved in decision making. Tactics discussed include dedicated physician relations resources, communication, and helping physicians with their needs rather than focusing on sales.
In this Thursday, July 12, 2012 webinar, presentations focused on learning more about program requirements, preferences, and other keys to success from CMS Innovation Center staff and communities currently participating in the CCTP program. The final CCTP review panel for 2012 convened on September 20, 2012. Applications must have been received by September 3rd to be considered for this review. Future panels may be announced as funding permits.
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Helen parker and naresh rati the vitality partnershipNuffield Trust
This document describes the formation and operation of a large integrated care organization called "Vitality" created through the merger of 14 general practices. Key features include a registered patient list of over 80,000 served across 7 primary care sites, 150+ staff including 11 full-time equivalent GPs, and the integration of 9 specialist NHS services and 2 private services. Drivers for formation included the need for larger scale investments and a more sustainable primary care model. Challenges include influencing clinical commissioning and maintaining momentum amid contract changes. The impact has been improved quality, increased local influence, and a more viable alternative to hospital care.
Using employed physicians as a competitive weapon involves developing strategic plans to leverage employed physician groups to increase hospital revenue and market share. Key strategies include managing referrals within the employed group, developing primary care and specialty care networks, improving care processes, pursuing clinical integration and risk-based contracting opportunities, and focusing groups on quality and cost metrics. Success requires investing in physician leadership development, marketing the physician brand, and ensuring cultural and operational alignment between the hospital and employed physicians.
This document provides an overview of developing a game-changing telehealth strategy. It identifies key steps such as conducting stakeholder interviews, assessing current clinical services, identifying top telehealth opportunities, developing use cases and financial models, and creating an organizational and governance structure. The goal is to develop a comprehensive telehealth business plan that can be presented for executive approval and funding. The document also covers telehealth definitions, popular service types, growth drivers in the market, and considerations for strategic implementation.
John Macaskill-Smith: Supporting general practice needsNuffield Trust
This document discusses the New Zealand health system and primary care networks. It provides an overview of the NZ health system, noting challenges around costs, an aging population, and fragmentation. It then describes primary care networks, how they have organically grown from small practices to networks of hundreds of practices serving over 500,000 patients. The networks aim to improve quality, reduce isolation, and facilitate collective bargaining. They operate across a spectrum from advocacy to community service delivery and quality improvement. The document concludes by discussing the importance of networks and potential future roles around new models of care, broader services, and practice ownership.
The document discusses the Malaysian healthcare system and its efforts to achieve better health for Malaysians. It outlines the current challenges facing the system, including issues like long wait times, inadequate integration between public and private sectors, and rising healthcare costs. It then describes the existing public healthcare structure provided by the Ministry of Health and examines usage and expenditure trends. The document proposes transforming the nation's health system to address the issues through a new integrated 1Care model.
1115 aine carroll clinical leaders forum nhc integrated care turning healthca...investnethealthcare
This document summarizes a presentation on integrated care given at the National Healthcare Conference in 2015. It discusses different types of integrated care including horizontal, vertical, and within sectors. Integrated care aims to provide coordinated services across providers and settings to support patients. Barriers to integrated care include fragmentation, distrust, and lack of coordination between strategy and operations. National clinical programs in Ireland have led to improved outcomes for conditions like heart attacks, surgery, and stroke through more integrated models of care. However, challenges remain around resources, hierarchies, and fully implementing integrated approaches across the healthcare system.
Strategic and Hospital Management presentation.pptxmohammadsadique29
Holy Family Hospital is a 345-bed multi-specialty hospital located in South Delhi that has been operating for over 50 years. As a non-profit charitable organization, it aims to provide affordable healthcare to all sections of society. Some of its strengths include its long experience in the market, low-cost services, and experienced medical staff. However, it also faces weaknesses such as a small waiting area, lack of teleconsultation services, and long patient wait times. Going forward, it sees opportunities from Delhi's aging population, potential for new medical expertise, and reduced waiting times. Threats include high equipment costs, limited finances, and resistance to change.
This document outlines Coors Healthcare Solutions' strategic physician solutions program. It discusses challenges facing physician practices like satisfaction, retention, and costs. The program aims to improve communication through a Physician Advisory Council (PAC) and develop alignment options between physicians and hospitals. It also covers physician recruitment and retention training. The document provides data on trends in physician alignment and considerations for doctors. It details tools in the program like the PAC, engagement strategies, and alignment structures. The goal is to ultimately integrate physicians through quality measurement, clinical integration, and IT infrastructure to achieve strategic program implementation targets.
The impact of New Models of Care on a Health Economy’s Digital StrategyHIMSS UK
This document discusses the key digital implications of new models of care on a health economy's digital strategy. It presents a case study of the Croydon Accountable Provider Alliance (APA) in the UK. The three key digital implications discussed are:
1) Organizational form and governance - The new model of care requires a shared governance structure and independent project management to achieve digital ambitions.
2) Interoperability - The model requires a fully interoperable electronic health record that can be shared across providers and with patients. Options for integration platforms are considered.
3) Analytics - A culture of data-driven decision making is needed. Joint business intelligence services and a focus on population health analytics can improve
The document discusses population health management and achieving healthy communities. It outlines major issues with the US healthcare system like uneven access to care. Real reform requires a focus on prevention, continuous care relationships, and evidence-based decisions. Population health management programs aim to maintain and improve people's health across different risk levels. Barriers to population health include fragmented care and misaligned incentives. Patient-centered medical homes and accountable care organizations show promise by emphasizing coordinated, team-based care. Automation and health information technology can help strengthen these models and drive effective population health management.
This document provides a summary of 6 late-breaking sessions to attend at the Heart Rhythm Society Scientific Sessions in Boston from May 13-16, 2015. The sessions include: (1) a study on the impact of remote monitoring on clinical events and healthcare utilization; (2) a randomized global trial comparing uninterrupted rivaroxaban to vitamin K antagonists in patients undergoing catheter ablation; and (3) a study comparing cryoballoon versus open irrigated radiofrequency ablation in patients with paroxysmal atrial fibrillation. The other sessions include: (4) first-in-human experience with a miniaturized transcatheter pacing system; (5) results from the Canadian Registry of Card
This document provides details on the top 5 sessions to attend at the HIMSS.15 conference. The sessions cover topics like structured cardiology procedure reporting, connected heart health using American Heart Association resources, using BI and analytics to reduce sepsis and heart failure readmissions, how health information exchanges can support population health through New York's Million Hearts initiative, and a session on transforming data into information and driving transformation. Speakers include doctors, public health experts, and data analysts.
This document provides details on the top 5 sessions to attend at the HIMSS.15 conference. The sessions cover topics like structured cardiology procedure reporting, connected heart health using American Heart Association resources, using BI and analytics to reduce sepsis and heart failure readmissions, how health information exchanges can support population health through New York's Million Hearts initiative, and a session on transforming data into actionable information. The sessions will take place between April 13-16, 2015 and include speakers such as doctors, healthcare executives, and data analysts.
This document summarizes 7 innovative technologies that will be on display at ACC.15:
1) Medtronic's CoreValve transcatheter aortic valve replacement system provides a minimally invasive alternative to open heart surgery for replacing diseased heart valves.
2) St. Jude Medical's CardioMEMS heart failure monitoring system allows clinicians to monitor pulmonary pressures and manage treatment in patients with heart failure.
3) Toshiba's dose-tracking system measures radiation skin dose during interventional procedures to help clinicians monitor patient radiation exposure.
4) Merge Cardio provides a centralized web-based system for physicians to manage multiple aspects of patients' integrated cardiovascular records.
The document summarizes several imaging sessions at the upcoming American College of Cardiology's Annual Scientific Session & Expo on March 14-16 in San Diego. Key sessions include:
1) Results from the PROMISE trial comparing diagnostic testing for chest pain will be presented on Saturday, and costs will be discussed on Sunday.
2) A joint multimodality imaging symposium with several societies will discuss imaging high risk patients, techniques for difficult diagnoses, and radiation safety.
3) An international perspective on cardiac imaging will be provided including a discussion of using CT on Egyptian mummies to study heart disease over millennia.
If you want to avoid damaging litigation, concentrate on dialogue and details. Cardiologists who fail to maintain detailed, two-way conversations with patients and thoroughly assess diagnostic data are at risk of negligence lawsuits, a study shows.
The 2014 RSNA conference in Chicago saw over 56,000 attendees, up 5% from the previous year, with more than 2,000 additional professional registrations. Although exhibitor attendance dipped slightly by 2%, the conference floor was packed with 636 exhibits occupying over 426,000 square feet. The conference featured special exhibits celebrating RSNA's 100th anniversary and highlighting the organization's contributions to advances in medical imaging over the past century.
Aos 213 01 nelson rivaroxaban effectiveness and safety in nvaf finalTrimed Media Group
This study compared the real-world effectiveness and safety of rivaroxaban versus warfarin for stroke prevention in nonvalvular atrial fibrillation patients using claims data. The study found:
1) Rivaroxaban and warfarin had similar risks of major bleeding, stroke, systemic embolism, and venous thromboembolism.
2) Rivaroxaban was associated with a higher risk of gastrointestinal bleeding compared to warfarin.
3) Patients were less likely to discontinue rivaroxaban treatment compared to warfarin, suggesting better treatment persistence with rivaroxaban.
This document summarizes a study examining the length of stay and economic implications of treating pulmonary embolism with rivaroxaban versus low molecular weight heparin-vitamin K antagonist (LMWH-VKA) in an emergency room setting. The study found that among patients in North America from the EINSTEIN PE trial, the median length of stay was 1 day shorter for those treated with rivaroxaban (3 days) compared to LMWH-VKA (4 days). This 1 day reduction in length of stay was associated with an estimated $2040 savings per patient for the rivaroxaban cohort based on average hospital costs. The study concluded that rivaroxaban was associated with a consistent
Shorr and bria innovation at the point-of-care rethinking the doctor-patient...Trimed Media Group
The document discusses innovations in doctor-patient interactions through technology. It proposes two solutions: 1) Creating a "story" of the patient's medical history and presenting issues for doctors to review before visits to improve care. This would be generated through automated document assembly. 2) Developing an "ad hoc" user interface optimized for point-of-care use, allowing doctors to take notes digitally in various formats like ink, checkboxes and dictation to focus on patient interaction instead of formal documentation. The goal is to enhance both the patient and provider experience through disruptive technology.
Kuperman Health Information Exchange & Care CoordinationTrimed Media Group
1) Care coordination requires improved information sharing both within care teams and across settings using health information exchange (HIE). However, current electronic health records (EHRs) were not designed for care coordination and do not adequately support sharing data and coordinating care.
2) NewYork-Presbyterian Hospital is working to enhance care coordination for patients with diabetes and depression by improving EHR tools, care team workflows, and data sharing across settings using its regional HIE. Key features include standardized screening and monitoring, patient and provider education, population health analytics, and secure messaging.
3) The success of care coordination interventions is being evaluated based on clinical outcomes like HbA1c and depression measures, as well as process measures
This document discusses the need for innovation in healthcare, particularly for the elderly population and their caregivers. It introduces the InfoSAGE project, which aims to create a "living laboratory" to study how technology can improve communication, coordination and collaboration between elderly patients and their families. InfoSAGE will connect various sources of health information and services through identity and content coordination to address the challenges of aging and caregiving. The goal is to develop tools that help address problems around care coordination, respecting patient preferences and reducing caregiver burnout, as electronic health records currently do not adequately meet the needs of elderly patients and their families.
[Hongsermeier] clinical decision support services amdis finalTrimed Media Group
1) Clinical Decision Support Services (CDSS) allow externalization of clinical knowledge and decision support logic from electronic health records (EHRs) to specialized CDSS providers.
2) The Clinical Decision Support Consortium (CDSC) is working on standards for knowledge management, specification, and sharing of CDS content and services.
3) Opportunities exist for EHR vendors to leverage external CDSS as curating all needed clinical knowledge internally is challenging, and most EHR CDS cannot support advanced inferencing required for personalized medicine. Challenges include ensuring appropriate implementation and use of external CDSS within EHR workflows.
This document discusses delivering clinical knowledge and guidance directly into healthcare workflows through clinical decision support (CDS). CDS aims to provide clinicians and patients with intelligently filtered, situation-specific information to enhance patient care. The goal is to repurpose existing clinical content from various sources and deliver the most precise and useful information for each workflow and information need. Physician information needs were analyzed from query data to develop an ontology of needs. Content is curated, indexed as discrete facts, and tailored for specific situations by matching it to patient data, workflows, and information needs. Knowledge delivery aims to integrate actionable tools and options directly into clinical systems like EHRs.
The document summarizes a presentation on providing collaborative and coordinated care for patients with complex illnesses. Some key points:
- To achieve the goals of improved health outcomes, quality of care, and reduced costs ("Triple Aim"), the healthcare system needs to focus on caring for patients with complex chronic conditions who account for a large portion of costs.
- Successful models involve interdisciplinary, team-based care coordinated across care settings. CareMore, a Medicare Advantage plan, achieves better outcomes and lower costs through intensive management of frail patients using nurse practitioners, protocols, home monitoring, and an electronic health record.
- Clinical IT can support collaborative care by enabling documentation, care planning, decision support, and information
This document discusses challenges with using electronic health records (EHRs) to support clinical knowledge management (KM) and continuous learning. It outlines several investments made by Lahey Health to address these challenges, including using an external collaboration platform to manage clinical decision support (CDS) content outside of the EHR. The document argues that EHRs are not designed for collaboration or learning, and that clinical KM 3.0 approaches are needed to help health systems and users continuously self-improve.
The document is from the Intelligent Health Lab and discusses several topics:
1. The Lab's director and its affiliation with Harvard.
2. The potential for an "App Store for Health" where innovators can create and distribute apps across EMR systems, similar to app stores for smartphones.
3. The vision of a "Learning Health System" where evidence is continuously generated from patient data to improve outcomes over time.
Kibbe expect direct health information exchange in the context of state 2 mea...Trimed Media Group
This document provides an introduction to Direct exchange for those engaged in Stage 2 Meaningful Use programs. It discusses how Direct exchange relates to Stage 2 MU objectives and the role of DirectTrust in supporting Direct exchange adoption. Direct exchange allows EHR users using different vendors to securely send and receive messages and attachments. It is one way providers can meet Stage 2 MU requirements for transmitting care summaries during transitions of care and allowing patients to view, download and transmit health information. The document describes how Direct exchange works, involving Health Information Service Providers, Certificate Authorities, Registration Authorities, and X.509 certificates to enable secure exchange between organizations and individuals.
Crotty engaging patients in new ways from open notes to social mediaTrimed Media Group
The document discusses new ways to engage patients through open notes and social media. It describes initial findings from the OpenNotes project that showed patients found value in reading clinical notes. It also outlines how patients use social media to find health information and connect with others. The document argues that healthcare providers can leverage these technologies and concepts to reduce information asymmetry, educate patients, and learn from them to provide more engaging and effective care.