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Changing Healthcare for the Better
Cheaper, faster, better healthcare will make us better people and will help save the country.
Curated by Joseph Rugg
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Florida Legislators Look to Expand, Regulate Telemedicine - Insurance Journal

Florida Legislators Look to Expand, Regulate Telemedicine - Insurance Journal | Changing Healthcare for the Better | Scoop.it
Florida Legislators Look to Expand, Regulate Telemedicine
Insurance Journal
The Senate bill requires doctors providing telemedicine services to patients within the state to be licensed in Florida or meet an alternative requirement.
Joseph Rugg's insight:

The natural progression of mobile health and EHR.

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Report: Practice Fusion Named the No. 1 EHR Vendor in Primary Care Practices

Report: Practice Fusion Named the No. 1 EHR Vendor in Primary Care Practices | Changing Healthcare for the Better | Scoop.it

Brown-Wilson’s Black Book Rankings names Practice Fusion as the top-rated EHR platform for fifth consecutive year among primary care doctors. (Report: Practice Fusion Named the No.1 among ambulatory practices specializing in general practice, pediatrics and family practice. 

Joseph Rugg's insight:

One wonders how much easier life would have been if CMS had said, if you want an EHR incentive, you need to adopt this system (regardless of the system).  Imagine -- Everyone on one platform that actually works!

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Boston Doctors Can Now Prescribe You a Bike

Boston Doctors Can Now Prescribe You a Bike | Changing Healthcare for the Better | Scoop.it
The City of Boston this week is rolling out a new program that’s whimsically known as “Prescribe-a-Bike.” Part medicine, part welfare, the initiative allows doctors at Boston Medical Center to write “prescriptions” for low-income patients to get...

Via Elizabeth Rugg
Joseph Rugg's insight:

Why not?  When prevention of disease becomes as important as curing disease, then we start going in the right direction.

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#Infographic: How Android is Transforming the Medical Devices Market

#Infographic: How Android is Transforming the Medical Devices Market | Changing Healthcare for the Better | Scoop.it
Infographic created by HSC illustrates key trends in Android OS medical devices market and where embedded healthcare technology is headed.

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New Hopes for Apple's HealthBook | HL7 Standards

New Hopes for Apple's HealthBook | HL7 Standards | Changing Healthcare for the Better | Scoop.it
Leonard Kish offers his thoughts on the promise of Apple entering the mHealth arena, which will put a spotlight on squarely on user experience.
Joseph Rugg's insight:

There are a zillion health and exercise monitoring apps.  All are relatively young, because the smart phone platform is relatively young.

 

So my question is -- are people actually getting healthier?  If they are, is the better health the result of the apps or the result of our near obsessive interest (with or without real results) in getting healthier?

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Obamacare Faces Major Struggles

Obamacare Faces Major Struggles | Changing Healthcare for the Better | Scoop.it

WASHINGTON (AP) — Public support for President Barack Obama's health care law is languishing at its lowest level since passage of the landmark legislation four years ago, according to a new poll.


Joseph Rugg's insight:

At some point the liars win and progress stops.  Has there ever been a bigger campaign of deceit and misinformation than what the ACA has had to endure?

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The Next Big Health App Needs to Do More Than Just Track Our Numbers | Gadget Lab | Wired.com

The Next Big Health App Needs to Do More Than Just Track Our Numbers | Gadget Lab | Wired.com | Changing Healthcare for the Better | Scoop.it
This week we got a deep look at the rumored new health and fitness tracking application for Apple’s next iPhone, called Healthbook. Supposedly, Healthbook will not only track things like how much exercise and sleep you’re getting, but also your blood pressure, your blood sugar levels, and much more. All that collection will be great, but without a way to not just collate them, but make them meaningful, it runs the risk of becoming data clutter.
Joseph Rugg's insight:

Parochial restrictions on telemedicine will become irrelevant when smartphone apps effectively aggregate healthcare data to help individuals become and stay healthier. It is only a matter of time when face to face interaction between healthcare providers and their patients become the exception rather than the rule.  Physicians will be able to devote their time to sicker patients while still monitoring their healthier patients to keep them healthy.

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What the Shutdown Revealed About the Economic Divides in U.S. Politics

What the Shutdown Revealed About the Economic Divides in U.S. Politics | Changing Healthcare for the Better | Scoop.it
Tea Party America doesn't look much like the base of the big-business Republican Party.
Joseph Rugg's insight:

A disturbing study of Americans that gives new life to the old saying that there are lies, damn lies, and statistics.

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Poorest of the poor left out of Affordable Care Act’s health insurance expansion

Poorest of the poor left out of Affordable Care Act’s health insurance expansion | Changing Healthcare for the Better | Scoop.it
Because North Carolina rejected the Medicaid expansion earlier this year, the state’s poorest residents will go without insurance despite the national law that was intended to slash the number of uninsured.
Joseph Rugg's insight:

This is another example of the short-sightedness (or just plain meanness -- it's hard to know which) of conservative state legislatures that decided taking a stand against Obamacare was more important than the health of its citizens.  The Presdient and the ACA will be blamed by the campaign of misinformation from the Tea Party, but this is their fault, not the President's and certainly not the law's.

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To change health care, we need more physician leaders

We see our health care system not doing better because we do not have the structure or leadership to move the system because we have no system. There is no common leadership. There is no common culture. There is no common goal. Instead it is hundreds of thousands of doctors often working in small groups not having the types of conversation and the follow through needed to change norms or culture. This stunning gap of what we know works and what actually happens continues to harm patients. Whether accountable care organizations will be the right microculture to improve health care remains to be seen. What really matters is whether there is leadership at these organizations willing to have the difficult one to one conversations on a consistent basis. I believe that physician leaders, who both have clinical expertise and credibility, are best suited for this role.

 

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The Cost Disease : Why Computers Get Cheaper and Health Care Doesn't

The idea behind Mr Baumol’s theory revolves around the fact that “productivity is increasing in all sectors of the economy, so it takes less time, man power and money to create things.” However in industries like computing, manufacturing and biotech, productivity has increased at a much faster rate compared with service industries such as healthcare, catering & education. In these industries the product on offer or service being provided is customised, therefore has an irreducible labour component as a result.

 

Cars can be made by robots in a high tech factory because each model is almost completely standardised by the manufacturer. However, robots cannot perform neurosurgery, heart transplants or kidney replacements which are non standardised and require different processes and components every time.

 
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Physician EHRs: Make patient data work for you - amednews.com

Physician EHRs: Make patient data work for you - amednews.com | Changing Healthcare for the Better | Scoop.it

Managing the data deluge an electronic health system provides can be a seemingly onerous task, but corralling the information will improve your practice.

 

Thanks to electronic health records and requirements that doctors use those systems to collect and share data, physician practices have easy access to information they never had before. The data, experts say, hold a lot of power. They can transform the way physicians treat patients and run their practices.

 

Since the rise of EHRs, much of the talk about patient data has been geared toward so-called big data used by insurance companies, researchers and large health systems to conduct large-scale research projects, guide best practices and determine population-based health statistics. But the data that go into those repositories originate inside physician practices. Experts say that in addition to sending the data along for outside projects, the information collected within a practice's four walls can be used for its own data projects.

 

Practices already are collecting and reporting certain data measurements to meet requirements of the meaningful use incentive program. But many have not used the data beyond submitting the required reports, because they probably don't know where to start.

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New England Leads Nation In Primary Care - Newsroom: Bernie Sanders - U.S. Senator for Vermont

With Vermont leading the way, five of New England’s six states rank in the top six for primary care doctors per capita, according to datafrom the Association of American Medical Colleges. The sixth, Connecticut, ranks 12th. As the national shortage of primary care doctors expected to increase after the federal Affordable Care Act takes full effect next year, some are looking to New England’s states with an eye to what they’ve been doing right.

 

Several factors contribute to New England’s relatively strong position. Among them: strong public health programs ensuring that high percentages of residents have health coverage, meaning fewer doctors deliver uncompensated care. Massachusetts, which enacted a universal health care program in 2006, has about 97 percent of its residents carrying health coverage. In Vermont it’s about 94 percent.

Joseph Rugg's insight:

This, is ocourse, the goal of health reform.  Get people insured, and get them in front of their PCPs for care before they are so sick that they need to go to the ER or be admitted to the hospital.  Two important things are needed -- access to health care through affordable insurance and access to proactive, preventive care oriented primary care physicians.

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Aetna, Baptist Health System and HealthTexas Medical Group Form ... - Wall Street Journal

Aetna, Baptist Health System and HealthTexas Medical Group Form ... - Wall Street Journal | Changing Healthcare for the Better | Scoop.it
Tenet's Baptist Health System and HealthTexas Medical Group today announced an accountable care collaboration and the introduction of the Aetna Whole Health product in the San Antonio area. Aetna Whole Health is a collection of benefits plans that will give members access to highly coordinated care from physicians and facilities in the Baptist Health System and the HealthTexas Medical Group. The health plans are designed for fully insured customers with employees who live or work in Bexar, Guadalupe, Comal and Kendall counties. The products will be available on July 1, 2014.
Joseph Rugg's insight:

This is the direction that healthcare must continue to follow -- like it or not.  Big medicine, big data, big resources = better outcomes (hopefully).

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#Infographic: The Evolution of Medicine

#Infographic: The Evolution of Medicine | Changing Healthcare for the Better | Scoop.it
An infographic summarizing the entire evolution of medicine.

Via Parag Vora
Joseph Rugg's insight:

240 years lawyers were writing the Declaration of Independence, and doctors were using leeches.  Only one of these learned professions has advanced much over the last 2 centuries.

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App-Using Patients Less Likely To Be Readmitted

App-Using Patients Less Likely To Be Readmitted | Changing Healthcare for the Better | Scoop.it
The Mayo Clinic has found cardiac rehab patients who use apps to monitor their health were less likely to be readmitted. By Katie Wike, contributing...

Via Alex Butler
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Sven Awege's curator insight, April 11, 3:10 AM

.... so yes,  going the extra mile with the CE can be worth it!

DundeeChest's curator insight, April 13, 5:34 PM

Take 2 iPhone apps, three times a day.

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Medibank Private to push benefits of preventive healthcare

Medibank Private to push benefits of preventive healthcare | Changing Healthcare for the Better | Scoop.it
MEDIBANK Private has been given the go-ahead to launch a co-ordinated attack on the costly chronic disease burden by promoting the benefits of user-pays and preventive health schemes that could result in lower premium increases.
Joseph Rugg's insight:

Healthcare and controlling healthcare costs have become global concerns for the West. What is going on in the East -- is health and healthcare better, or is concern over healthcare an unaffordable luxury for countries whose economies are woefully behind and desperately trying to catch up?

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Health care providers embrace the challenge to do better

Iowa is a leader in providing high-quality, low-cost health care.
Joseph Rugg's insight:

-- This is what is supposed to happen under Obamacare.  Let's all admit one thing -- the serious talk of improving quality of healthcare, increasing access to care, and reducing the cost of care began in earnest as a result of Obamacare.

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Tampa pill mill pharmacist tells court his attorneys didn't get it right

Tampa pill mill pharmacist tells court his attorneys didn't get it right | Changing Healthcare for the Better | Scoop.it
TAMPA — Disgraced pharmacist Christopher Switlyk shows no love for the attorneys who defended him over his key role in a Tampa pill mill ring.
Joseph Rugg's insight:

When you break the law and can't get off after turning others into addicts, I suppose it's a good time to blame the lawyers..

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Doctors on Twitter: 2006 - 2014 Worldwide growth mapped #hcsm

Video maps growth in doctors, nurses and healthcare professionals using Twitter since its launch in 2006 to 2014. Data sourced using Creation Pinpoint, the w...

Via Parag Vora
Joseph Rugg's insight:

While Facebook lends itself better as a professional social media portal, it would be interesting to know the growth in patients' following their physicians on Twitter (and other social media).  If we can get past the hurdles of HIPAA restrictions and other legal silliness, social media could become the mechanism through which patients and their physicians effectively interact.

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'Navigator' flaws compound new health care law's glitchy start

'Navigator' flaws compound new health care law's glitchy start | Changing Healthcare for the Better | Scoop.it

"A program intended to help educate uninsured people in Western Pennsylvania about Obamacare started sluggishly because 'navigators' are not trained, and several positions remain vacant nearly two weeks after online insurance marketplaces went live."

Joseph Rugg's insight:

Seriously, there is no way that a program this big trying to help so many people in the face of so many obstacles would not have start-up issues.  Making things better should be the focus, rather than the rants of the Tea Party Congressmen.

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The ACP Advocate Blog

Bob Doherty, ACP's Senior Vice President, Governmental Affairs and Public Policy, blogs about important health policy issues in The ACP Advocate Blog.

 

"But yet, is my wish list really too much to expect from elected lawmakers in Washington who take a solemn oath to a Constitution that requires them to promote the common welfare and ensure domestic tranquility?  Is it too much to ask that we provide every American with health insurance, that we free doctors from unnecessary red tape and paperwork, that we enact policies that support the value of primary care,  that physicians and nurses put aside their differences so that they can work together to provide the best possible care to patients, that we facilitate choice and completion by posting comparative information on price and quality, that we keep guns out of the hands of insane people and convicted felons and that we limit access to guns that allow murderers to kill as many people as possible in as little time as possible (including schoolchildren), that we repeal the ridiculous SGR formula, and that we reform our politics so government can actually start governing again?  Is that really too much of a fantasy to ask of the people we elect?"

Joseph Rugg's insight:

This is from Doherty's August 2 blogpost, "If I were King."  It is a thoughtful article that focuses on the issues that need to be addressed in U.S. healthcare and offers sensible approaches to resolving them.

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Accenture Doctor’s Survey: The Digital Doctor is “In”

Accenture Doctor’s Survey: The Digital Doctor is “In” | Changing Healthcare for the Better | Scoop.it

Accenture Eight-Country Survey of Doctors Shows Significant Increase in Healthcare IT Usage

 

The 2012 survey among 3,700 doctors in eight countries reveals that today’s doctors are going digital—now more than ever before. In fact, the survey shows a spike in healthcare IT usage across all countries surveyed (Australia, Canada, England, France, Germany, Singapore, Spain and the United States).

 

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The Gulf Between Doctors and Nurse Practitioners

The Gulf Between Doctors and Nurse Practitioners | Changing Healthcare for the Better | Scoop.it

Nurse practitioners believe that they can lead primary care practices and admit patients to a hospital and that they deserve to earn the same amount as doctors for the same work. Physicians disagree.

 

For several years now, health care experts have been issuing warnings about an impending severe shortfall of primary care physicians. Policy makers have suggested that nurse practitioners, nurses who have completed graduate-level studies and up to 700 additional hours of

supervised clinical work, could fill the gap.

 

Already, many of these advanced-practice nurses work as their patients’ principal provider. They make diagnoses, prescribe medications and order and perform diagnostic tests. And since they are reimbursed less than physicians, policy makers are quick to point out, increasing the number of nurse practitioners could lower health care costs.

 
Joseph Rugg's insight:

Seeing more patients more often as we move to preventive healthcare requires more providers.  Everyone doesn't need to see a doctor everytime.

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Independence comes at price many doctors still willing to pay - amednews.com

Independence comes at price many doctors still willing to pay - amednews.com | Changing Healthcare for the Better | Scoop.it
Physicians in private practice say they are struggling financially compared with employed peers, but that the sacrifice is worth the autonomy.
Joseph Rugg's insight:

A solo practicing Marcus Welby-styled physician practice is just no longer a sustainable model in most communities, nor is it good for patients.  Apart perhaps from a high-end concierge practice, a solo physician practice cannot provide the level preventive care necessary to best care for its patients.  Patient centered medical homes need more than just a single dedicated physician.

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