An understanding of Online Profile Management for Oncologists, with an Indian perspective.
Covers Digitally Aware Patients and Social Networks, The Need for Online Profile Management, an understanding of Local Reputation vs Global Reputation, Tips for How to do it while avoiding the traps and describing techniques for Maximizing Online Exposure for Oncologists
No matter what specific projects digital hospitals choose to take on, they all have one characteristic in common: they all fundamentally believe that to succeed in this environment of chaotic, complex, continuous change, they must know how to innovate and operationalize new ways of doing things.
Fundamental to this healthcare trend is the information and communications technology (ICT) infrastructure that enables information sharing among healthcare providers and consumers.
The best-in-class healthcare organizations have well-functioning innovation engines or platforms that allow their people to:
experiment and test new ideas;exchange knowledge with internal networks and collectively solve problems;recruit advocates who share their ideas; andinstitute policies and processes that enable innovations to successfully compete against incumbent technologies.
These organizations have understood that underneath the technological noise created by the hyperbolic growth in mobile devices, social media, big data in the cloud and other technological advances in digital healthcare (as well as the large number of interrelated components that comprise the digital healthcare ecosystem), the only thing they really need to focus on is their ability to offer their patients, members and customers a completely different healthcare value proposition. They have built robust operating infrastructures that allow them to innovate new ways of doing just that.
That is the essence of the digital hospital, an electronic platform that enables ongoing validated learning. Our clients are in a continuous learning cycle, and their routes to success involve iteratively performing experiments that measure and increase the value of innovations.
As health IT vendors, consultants and entrepreneurs, we must commit not only to providing products that work, but also to helping our clients with difficult and time-consuming integration challenges.
Researchers from the Regenstrief Institute and Indiana University have demonstrated the potential of an automated system to help primary care physicians screen for autism spectrum disorders (ASDs) more effectively and efficiently, according to an article published in Infants & Young Children.
The work of the research team centered on the implementation of the Child Health Improvement through Computer Automation (CHICA) system, an open source tool that comprises an EHR and aclinical decision support system (CDSS) for pediatric preventive care anddisease management.
“Autism isn’t like strep throat where you can do a quick throat swab and then have a diagnosis,” lead author Nerissa Bauer, MD, of the Regenstrief Institute and Indiana University School of Medicine said last Friday.
“Autism is a behavioral diagnosis and can look very different depending on the child. Some behaviors are subtle, especially early on. CHICA prompts parents to think about whether they have concerns about certain health risks, such as autism, which makes it easier for the doctor to focus on key issues during a hectic visit.”
According to Bauer et al., the purpose of the tool is to address limitations commonly present in primary care practices when it comes to screening children for ASD. “Limited visit time, low reimbursement, logistics of the clinic workflow, and lack of appropriate staff to implement these tools continue to be major barriers to implementing clinical guidelines in primary care practice,” the authors write.
The CHICA system works by producing a personalized 20-question prescreening form in either English or Spanish for the patient linked to the patient’s EMR and completed by the patient’s parents in the waiting at each visit and scanned back into the system. Then at the 24-month visit system scores these results and alerts the physician to intervene if sufficient concerns are raised. Prior to the implementation of the CHICA system, only eight out of 5,128 children had an ASA ICD-9 billing code assigned to them. During the two-year study (Nov. 15, 2010–July 25, 2012), a total of 857 were deemed eligible for screening with two-thirds (567) having the autism screening instrument, called the Modified Checklist for Autism in Toddlers (M-CHAT), completed. Of these, CHICA identified 171 (30%) as having concerning results, which led to 73 (43%) of these patients having their physicians receive and respond to an alert, and leading to the following decisions: • 50 (68%)children were considered not to have an ASD;• 13 (18%) were referred for a more comprehensive workup; • 8 (11%) children were suspected of having an ASD, but not referred; and • 2 (3%) were referred for an audiology evaluation. Bauer et al. are optimistic that similar approaches to screening for chronic diseases have the potential to improve detection and ensure that proper intervention occurs sooner rather than later. While the results are encouraging, the willingness of physicians to take the necessary steps in adapting their clinical workflows still remains an obstacle that needs to be overcome.
So we’ve all heard the varied stories on these; some people love these things and other think they are not much different from a classic old-style blood pressure device. We wanted to write up a few thoughts on where the value of these things lies. And if you are hypertensive, pre-hypertensive of just want to be proactive about your health/genetic predisposition then read on. It’s not just a price comparison, that would be an apples-and-oranges comparison. In this case, apples and giraffes because they are that different!
There’s a lot of value in a smart blood pressure monitor and it’s not really but is beyond the single measurement, it’s about the long term trend collection.
Here are some real life points to illustrate the point.
1) The value is in the long-term trend data… your own or a family member’s
2) Reducing inaccuracies by relying on doctors’ offices or one off measurements.
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