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From The Blog: HealthDataPalooza and the 'Dark Matter' of Healthcare

From The Blog: HealthDataPalooza and the 'Dark Matter' of Healthcare | #HITsm | Scoop.it
Author Leonard Kish recaps HealthDataPalooza and offers his insight on patient engagement and patient goals, separate,yet similar topics that are rarely linked together.


"Patient goals are the dark matter of health care. It’s the stuff that holds the whole health care universe together, yet is rarely observed and ever more rarely considered. The goals we each have as individuals drive many of our decisions in health care and, in fact, drive our daily health, yet how often is our provider aware of our goals? We need our goals tied to our choices. We need to shorten those feedback loops."


Click the link to read the rest of this great post.

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America's health care reform through history

America's health care reform through history | #HITsm | Scoop.it

From Atlanta Journal Constitution: The three days of arguments beginning before the Supreme Court on Monday may mark a turning point in a century of debate over what role the government should play in helping all Americans afford medical care.


This new aricle takes a look at the government's involvement in healthcare, beginning in 1912 with President Theodore Roosevelt.

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From The Blog: 'The Creative Destruction of Medicine'

From The Blog: 'The Creative Destruction of Medicine' | #HITsm | Scoop.it

Jon Mertz says that the book "The Creative Destruction of Medicine" by Dr. Eric Topol is a must read. It logically and passionately lays out how real change is going to come to the American healthcare system.


From the book:


“Eventually there will be enough digital native physicians to take charge, but that will take decades to be accomplished. In the meantime, consumers are fully capable of leading the movement and contributing to medicine’s creative destruction. And so they must.”

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Health Information Exchange: Architecture Types

Health Information Exchange: Architecture Types | #HITsm | Scoop.it

GENi Blog: Part 2 of the HIE series provides an overview of the three common architecture types: Centralized, Federated and Hybrid. I also discuss a diagram of the architecture commonly used in private HIEs, which many larger healthcare organizations have built to effectively share patient data between member hospitals, labs and their referring physicians.


Read Part 1 of the HIE Series: HIEs: What's the Motivation?

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From The Blog: Intubate, Rinse, Repeat: Does patient simulation teach real-world nursing skills?

From The Blog: Intubate, Rinse, Repeat: Does patient simulation teach real-world nursing skills? | #HITsm | Scoop.it

New blogger Jennifer Thew, RN, takes a look at simulated patient technology, and asks: Does it really work?


If you think about it, Groundhog Day is a lot like the use of simulation technology in nursing education. The goal of simulation is to provide nursing students with realistic patient care experiences without real patients. Educators can program high-fidelity mannequins like Laerdal’s SimMan to replicate scenarios like a respiratory arrest or a cardiac event. Their SimMom can even give birth.


Through these simulation experiences, nursing students can practice their clinical and critical thinking skills. If a mistake is made, say you make a choice that kills your ‘patient,’ no harm comes to any actual human beings. After students run through a scenario, educators will often hold a debriefing where they discuss what was done, what could be done better and what was done right. Students get to learn from their mistakes and hone their critical thinking skills. At least that’s the hope of those using simulation in nursing education.

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Despite new mandate, it's not easy to change medical practices

Sacramento Bee: Congress is betting more than $3 billion over the next decade that "comparative effectiveness" research can transform medical care by helping to determine the best approaches to particular illnesses. On Wednesday, an independent board established by the 2010 health care law — the Patient-Centered Outcomes Research Institute — will release national priorities for spending that money.


But mustering evidence about risks and benefits — often a difficult process — may prove easier than persuading doctors and patients to abandon less-effective or even discredited tests and treatments, particularly those that already are in widespread use.

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20 Hospitals With Inspiring Social Media Strategies

20 Hospitals With Inspiring Social Media Strategies | #HITsm | Scoop.it

Article from Medical Billing and Coding Certification. Originally shared by HL7 Standards friend, Dean Berg, who contributed a great post for the blog: IT’s Role in Measuring Social Media ROI For Health Care Organizations.


This article highlights some hospitals doing some very interesting things with their social media efforts. It's a good list, but I do think there a few missing, namely Baylor Health.


Via Dean Berg
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Health Care Social Media – How to Engage Online Without Getting into Trouble (Part I)

Health Care Social Media – How to Engage Online Without Getting into Trouble (Part I) | #HITsm | Scoop.it

First of a 2-part series on healthcare social media, from the great David Harlow, aka @healthblawg on Twitter.

 

"I have been asked recently to write up some of the core takeaways from the health care social media presentations I have been giving recently, so I am sharing a version of this narrative on HealthBlawg, in two parts."

 

This series "pairs" perfectly with the great series Ashley Howland, from Baylor Health System, wrote for us on the reasons why hospital systems should allow employee access to social media sites:

 

http://www.hl7standards.com/blog/2011/10/26/allow-access-to-social-media-a-recap/

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Corepoint Health Start Newsletter for the Health IT crew

Are ACOs just HMOs 2.0? Want to know more about IHEs?

 

Corepoint Health's START newsletter has some great information for the Health IT crowd.

 

Know of any other good sources of Health IT info?

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The Doctor's Prescription For Restoring Health To Medicare

The Doctor's Prescription For Restoring Health To Medicare | #HITsm | Scoop.it

An important, in-depth article in Forbes on why ACOs aren't likely to curb Medicare costs, plus valuable recommendations of what would work.

 

How does Medicare accomplish this? First Medicare must make greater use of existing capabilities to manage, in an evidence-based way, the appropriate use of prescription drugs, of expensive diagnostic imaging, and of expensive therapeutic interventions. There is a large benefits management industry in this country with a proven track record in managing these powerful but expensive components of health care. While Medicare has taken some advantage of pharmacy benefits managers (PBMs), optimal use of PBMs along with radiology benefits management and initiation of management of other expensive procedures and interventions (only as best medical evidence dictates) should be able to shave $10 billion or more off annual Medicare spending.

 

How much could this save? Estimates range from as low as 10-15% to as high as 25-30% of all healthcare expenditures. For fee-for-service Medicare this could mean from $40 to $120 billion per year.

 

Is this possible? It is already being achieved within the well-performing Medicare Advantage plans where primary care physicians are delivering quality care, gaining reimbursement of 150-200% of fee-for-service Medicare, and controlling unnecessary resource utilization.

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The Human Readability of CDA Documents

The Human Readability of CDA Documents | #HITsm | Scoop.it

The primary characteristic of a CDA document is that it must be readable by humans. This blog post describes how to successfully populate the CDA Narrative Block, including Directly Authoring and Derivation from Coded Entries... along with pros and cons of each.

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TheGr8Chalupa's comment, December 6, 2011 12:08 PM
Very neat article with a simple way of explaining CDA. Chad, I appreciate the effort you and your team put into "dumbing down" these complex ideas. They are certainly worth sharing with the larger health IT community!
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A complete guide to planning a social media presence for healthcare

A complete guide to planning a social media presence for healthcare | #HITsm | Scoop.it
Establishing a digital presence is rapidly becoming a necessity for healthcare professionals, medical practices, and institutions.

 

At its heart, digital media is about people, it is about relationships, and it is about communication. A social media presence is about educating, engaging and growing your audience, improving outcomes, compliance and potentially the bottom line of your practice.

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RSNA highlights potentially disruptive mobile technology for radiologists

RSNA highlights potentially disruptive mobile technology for radiologists | #HITsm | Scoop.it

Imaging quality on mobile devices, particularly tablets, continues to improve. And download speeds keep getting faster, an important consideration when you’re talking about big files. That means diagnostic-quality mobile readers soon should be commonplace. I’m not aware of anyone offering a 4G wireless tablet with 1080p resolution yet, but it’s coming.

 

As soon as that happens, diagnostic radiologists may never have to set foot in a hospital again. How disruptive would that be?

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The Minimum Coverage Requirement Oral Argument: A Comprehensive Discussion

The Minimum Coverage Requirement Oral Argument: A Comprehensive Discussion | #HITsm | Scoop.it

Health Affairs Blog: The central issue in the Affordable Care Act (ACA) litigation, or at least the issue that has received the most media and public attention, is the constitutionality of the minimum coverage requirement, commonly called the individual mandate.


Timothy Jost provides a great synopsis of yesterday's arguments over this controversial provision.


What has not been discussed, however, is what happens to the rest of the Affordable Care Act if the Individual Mandate is overturned?


I don't think anyone -- from payers, to hospitals, to patients -- is going to accept a return to a fee-for-service approach.


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Children's hospital uses social media to address unthinkable

Children's hospital uses social media to address unthinkable | #HITsm | Scoop.it
Doernbecher Children's Hospital used Facebook and Twitter to address the unthinkable: a male nurse charged with downloading child pornography. (We can all learn from this.

Via Dean Berg
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Technology has the potential to transform our concept of sickness.

Technology has the potential to transform our concept of sickness. | #HITsm | Scoop.it

Salon: The information at our everyday disposal is growing at a breathtaking rate. From the beginning of civilization to 2003, the world accumulated 1 billion gigabytes of data. Today, we create 1 trillion gigabytes every year. These advances have transformed the way we think about knowledge, communication and countless aspects of our everyday life — and they have the potential to revolutionize the way we think about our own health.

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ICD-10 inches closer to delay, ICD-11 in the wings

ICD-10 inches closer to delay, ICD-11 in the wings | #HITsm | Scoop.it

Healthcare IT News: The case for leapfrogging ICD-10 and holding out for ICD-11 just got a lot more curious. And though it’s not here yet, when ICD-11 is ready, it will be something ICD-10 cannot be: A 21st Century classification system.


Should the U.S. delay the ICD-10 compliance deadline just one year, until 2014, then the WHO will have a beta of ICD-11 ready. And if Sisko’s gut is correct, and the new ICD-10 deadline flows into 2015, well, then a final version of ICD-11 will be fast-approaching.


When it arrives, currently slated for 2015 (but Chute said it could be 2016), the underlying structure of ICD-11 will be profoundly different than any anterior ICD.

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FDA issues first social media rules for drug companies

FDA issues first social media rules for drug companies | #HITsm | Scoop.it

American Medical News: Proposed regulations address online interaction with consumers, but pharmaceutical manufacturers say they need more specific guidance.

 

The draft guidance encourages all responses to unsolicited requests for information, which could include requests from physicians for information on off-label uses for certain drugs, to be made in a nonpublic format.


The FDA's rules do not affect social media sites maintained by physicians or health care organizations. Many physician organizations, including the American Medical Association, have issued guidance to their members to proceed with caution and abide by patient privacy laws when communicating with patients online.


The FDA is accepting public comments on the guidance through March 26.

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The Affordable Care Act Is Already a Success. Lowering Costs and Expanding Coverage

The Affordable Care Act Is Already a Success. Lowering Costs and Expanding Coverage | #HITsm | Scoop.it

Article from the Center for American Progress.


Though the center is politally biased, these are interesting figures:

  • 2.5 million young adults gained health insurance.
  • More than 40,000 Americans with pre-existing medical conditions gained affordable coverage.
  • 350 new community health centers were built and nearly 19,000 new jobs were created in 2011.
  • Consumers are enjoying greater protection from unreasonable private-insurance premium hikes.
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Health Information Exchange: What’s the Motivation?

Health Information Exchange: What’s the Motivation? | #HITsm | Scoop.it

First post in a 6-part series on HIEs that I'm writing for the GenI blog. This post sets the stage for the series and explores a few factors that are driving health organizations to connect to, or create, a HIE: Meaningful Use, and preparation for ACO shared savings revenue.

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Great Hopes for 2012 Begins With a Look Back at The 10 Most Popular Posts From 2011

Great Hopes for 2012 Begins With a Look Back at The 10 Most Popular Posts From 2011 | #HITsm | Scoop.it

The transition of the calendar year always brings out countless Top 10 lists. That makes perfect sense, really, because after investing time and effort into any effort, it’s good to look back to see what people liked and what was successful to help steer where we go in the future.

 

This post links to the 10 HL7 Standards blog posts were the most read in 2011.

 

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Despite Excitement Over Healthcare IT Industry, It Is Still In Early Innings, Says Stock Analyst

Despite Excitement Over Healthcare IT Industry, It Is Still In Early Innings, Says Stock Analyst | #HITsm | Scoop.it

The Wall Street Transcript has just published its Health Care IT Report offering a review of the sector to serious investors and industry executives.  A Morningstar analyst discusses the outlook for health IT in this Q&A.

 

"We are still in the early innings of this industry. Nonetheless, now we are seeing some companies growing at different rates, depending on where they are positioned in the market. I think that besides growth, something we keep an eye on is the regulatory framework. The meaningful use rule is one of the key drivers of the industry, so that's something that we certainly keep an eye on because any changes to meaningful use rules can significantly affect the rate of adoption of health care IT."

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e-Patient Dave: How an Empowered Patient Recovered From Cancer and Found a Higher Calling

e-Patient Dave: How an Empowered Patient Recovered From Cancer and Found a Higher Calling | #HITsm | Scoop.it

Great interview with Dave deBronkart, aka "e-Patient Dave." Very insipring guy and a great speaker. I recommend viewing the embedded video to get a better idea of his message. I was lucky enough to hear him at the Mayo Ragan Social Media Conference in October.

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The Promise of Electronic Healthcare Records

The Promise of Electronic Healthcare Records | #HITsm | Scoop.it

Last week, Don Berwick completed his 17 month tenure as administrator of Medicare and Medicaid. The nation should be grateful that such a visionary was at the helm. The nation should frustrated that he was never confirmed.

 

In his parting interview with the press, he noted that 20-30% of health spending is “waste” that yields no benefit to patients.

 

Berwick listed five reasons for the enormous waste in health spending:
*Patients are overtreated
*There is not enough coordination of care
*US health care is burdened with an excessively complex administrative system
*The enormous burden of rules
*Fraud

 

Certainly regulatory reform is needed, but electronic health records can go far to addressing each of these issues.

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Get Started with Healthcare Hashtag Project

Get Started with Healthcare Hashtag Project | #HITsm | Scoop.it

Despite naysayers and laggards, the growth of social media continues to explode.

 

Nowhere is this more evident for healthcare than in growth of the Healthcare Hashtag Project, now just over a year old. The site has become the epicenter for tracking healthcare conversations on Twitter via hashtags.

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