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Colorado Telehealth Network to offer statewide image archive and exchange | Healthcare IT News

Colorado Telehealth Network to offer statewide image archive and exchange | Healthcare IT News | E-santé | Scoop.it
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Expert Patients Programme | Expert Patients Programme : History

Expert Patients Programme | Expert Patients Programme : History | E-santé | Scoop.it
The Expert Patients Programme (EPP) was originally piloted by the NHS in 2002-2004. The EPP course was based on the Chronic Disease Self Management Programme (CDSMP) developed by Stanford University, California.
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Life as a Healthcare CIO: Protect, Protect, Protect. Now Share

Life as a Healthcare CIO: Protect, Protect, Protect. Now Share | E-santé | Scoop.it

ater this week, I'm joining a healthsystemCIO.com webinar about security and health information exchange.

A theme I discuss frequently in my keynotes and lectures is the current regulatory challenge which suggests we should engage patients/families, share data for care coordination in accountable care organizations, and use registries to analyze population health/public health all while keeping the data security and respecting patient privacy preferences. It's a tall order.

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DOCAPOST BPO utilise, dans le cadre du projet coNFianCe, le NFC | La Fonderie

DOCAPOST BPO utilise, dans le cadre du projet coNFianCe, le NFC | La Fonderie | E-santé | Scoop.it

pour aider au maintien à domicile des personnes dépendantes

Spécialiste de la relation d’affaires, DOCAPOST BPO a mis en synergie ses savoir-faire dans le cadre du projet collaboratif « coNFianCe ». Leader de ce projet en faveur du maintien à domicile des personnes dépendantes grâce aux nouvelles technologies, DOCAPOST BPO a développé des services novateurs pour répondre aux nouveaux enjeux sociétaux en matière de santé.

Les enjeux en matière d’e-santé à domicile au cœur du projet coNFianCe Parmi les 1,16 million de personnes dépendantes, 61% sont maintenues à domicile*.

Un nombre qui devrait doubler à horizon 2050 et qui fait des services à la personne un secteur en pleine expansion.

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A mettre en relation avec le budget du DMP => EHR incentive payments top $8B in October | Healthcare IT News

A mettre en relation avec le budget du DMP => EHR incentive payments top $8B in October | Healthcare IT News | E-santé | Scoop.it

WASHINGTON – Medicare and Medicaid electronic health record payments have surpassed $8 billion since its inception, with $8.36 billion paid out to 165,800 eligible physicians and hospitals in total program estimates through the end of October.

Final figures will be available later this month as the Centers for Medicare and Medicaid Services captures more complete data.

During October, CMS estimated that it paid Medicare eligible physicians and hospitals $435 million and Medicaid physicians and hospitals $210 million, for a total of $645 million, according to Robert Anthony, a specialist in CMS’ Office of eHealth Standards and Services. Hospitals accounted for $480 million.

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Decision Support Tools Could Foster More Appropriate Prescribing

Decision Support Tools Could Foster More Appropriate Prescribing | E-santé | Scoop.it
A study finds that the use of clinical decision support tools could reduce inappropriate prescriptions for treating acute respiratory infections. According to the study, such tools led to a 16% decline in the use of broad spectrum antibiotics.

 

"Study Details
The study examined the use of an electronic health record-based clinical decision support tool at nine primary care practices within the Practice Partner Research Network, a research organization affiliated with the Medical University of South Carolina.


The tool -- which relied on diagnosis and treatment guidelines developed by CDC -- made treatment recommendations based on patient history. It also suggested the appropriate use of targeted antibiotics to treat acute respiratory infections.


Researchers evaluated the effect of the tool over the course of 27 months.


Key Findings
Researchers found that the tool was used during 38,492 patient encounters and that at least one acute respiratory infection diagnosis was made during 93% of encounters.


According to the study, the tool did not significantly affect the use of antibiotics specifically for acute respiratory infections.
However, it found that the use of broad spectrum antibiotics for children and adults declined by about 16% as a result of the tool (Gale, Clinical Innovation & Technology, 11/7).


The researchers wrote that although the tool shows "promise for promoting judicious antibiotic use" in primary care settings, "single component interventions only marginally impact prescribing behaviors" because "multiple factors contribute to a provider's decision to prescribe antibiotics" for acute respiratory infections (Bowman, FierceEMR, 11/7).

 

Read more: http://www.ihealthbeat.org/articles/2012/11/8/decision-support-tools-could-foster-more-appropriate-prescribing.aspx#ixzz2BfDeUlxn

 

CE: One can only wonder what the future of Clinical Decission Support tools powered by Watson-like capabilities PLUS Social Media-like practitioner community engagement can become... Patients will go to see their doctors + their computer + their community...


Via Camilo Erazo
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Digital in Healthcare

Digital in Healthcare | E-santé | Scoop.it
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La télémédecine au secours des services d’urgence

La télémédecine au secours des services d’urgence | E-santé | Scoop.it

Le système français en matière de réponse au secours à personne (SAP) devient critique.

Les raisons de ce constat sont nombreuses. L'une des principales faiblesses de notre système de santé tient au fait que l'offre de soins n'est plus égale sur le territoire, certaines zones étant désormais insuffisamment dotées suite à la fermeture de plateaux techniques et de services d’urgence affectant la prise en charge de patients.


Via TéléSanté Centre
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Big Data Gets Personal as Healthcare and Life Sciences Converge

Big Data Gets Personal as Healthcare and Life Sciences Converge | E-santé | Scoop.it
Sometime in the next few years, for $1,000 or less, you’ll be able to have your entire personal genome sequenced, and the relevant genomic and medical data will fit on a thumb drive.

That will represent a remarkable advance in the march toward truly personalized medicine—but it’s also just the beginning of an even larger story.

A series of breakthroughs in medical science and information technology are triggering a convergence between the healthcare industry and the life-sciences industry, a convergence that will quickly lead to more intimate—and interactive—relationships among people, their doctors, and biopharmaceutical companies.

Big data and analytics are playing indispensable roles in fostering those enhanced relationships as they vastly enrich the remarkable but isolated wonder of genome-on-a-thumb-drive by giving healthcare providers and drug makers the ability to explore and analyze genomic and proteomic data not just for an individual but in aggregate for millions of people.

In a panel discussion last week in New York City at the Galien Forum 2012, moderator Kris Joshi, Ph.D., reminded the audience that for these advances to reach their full potential and have the greatest impact on the largest number of people around the globe, it’s essential to bear in mind that “Genomics is team sport.”

And just as in sports, deeply collaborative teams can accomplish more than individuals can, Joshi said.
“There are multiple kinds of “Omics” data being explored—genomic, proteomic, metabolomic, and more,” he said, and to achieve the best outcomes, “we can’t leave anything to the imagination.”

On top of that, huge volumes of public-domain reference data take on new meaning as they are used alongside individual patient data to offer greater context, depth, and insight, said Joshi, who is Global Vice President for Healthcare within Oracle’s Health Sciences unit.

“So, you can’t just provide care for a patient in isolation anymore—you have to look at data beyond your walls—but the reality is that most health systems are simply not set up to do that today,” said Joshi.

The big stumbling block for many health systems is their inability to properly analyze the vast stores of data they have, either because the data are isolated in disparate and incompatible systems around the organization, or because the analytical tools at hand are simply not powerful enough and sophisticated enough to handle these complex data challenges. (To see how $10-billion global healthcare enterprise UPMC is overcoming that healthcare-analytics challenge, please check out our recent column called UPMC Picks Oracle to ‘Unlock Secrets of Human Health’.)

“Health systems will have to go rapidly from a one-size-fits-all model of treatment to a more customized model, which still uses mass-manufactured but where treatments are selected for patients based on specific biomarkers,” Joshi said.

“But we can now see the next advance in personalized medicine potentially going even further, something much more personalized, like a tailor-made suit. At first, like a tailor-made suit, it is likely to be expensive and exclusive, but over time it will become a commodity that people come to expect.”

And because of the recent advances in Big-Data solutions and advanced analytics, Joshi said, “Personalized medicine on a broad scale can now be contemplated: we see it in action today in oncology with very specific, targeted treatments that are saving lives, even though from a broader perspective it might seem a bit distant.”

 


Via Chaturika Jayadewa
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Nike évalue vos performances sportives... et bientôt votre santé ?

Nike évalue vos performances sportives... et bientôt votre santé ? | E-santé | Scoop.it
Ce mois-ci, l'observatoire E-Insight de l'Échangeur by LaSer s'intéresse à un annonceur sportif qui va plus loin dans l'innovation 2.0.

Via Matthieu Dufour , Benjamin Noudelberg, Nicolas Prigent
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Bilan de la conférence SEGAMED – Serious Game en Médecine et Santé « AzaGAME

Bilan de la conférence SEGAMED – Serious Game en Médecine et Santé « AzaGAME | E-santé | Scoop.it

Prenant la forme d’une enquête transversale un jour donné, les journées SEGAMED 2012 ont vu se succéder de nombreuses présentations et retours d’expérience de l’utilisation des jeux sérieux pour le professionnel de soins et le patient. Les quatre domaines de l’UNF3S étaient représentés (médecine, odontologie, pharmacie et sciences du sport). Le projet GENERIC-SG a été décrit. Un point a donc pu être fait sur la dynamique nationale académique et entrepreneuriale dans ce domaine technologique. Alliant approches théoriques et démarches pragmatiques, les différents orateurs ont pu faire état des outils et de leurs usages

 

 

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When Data Disrupts Health Care

ata is driving change in the healthcare industry. In the hands of those who know how to use it, data brings advances in personalized and predictive medicine, significant cost savings, and research that points to entirely new products and markets. If you want to leverage the power of big data for your organization, you don't want to miss the O'Reilly Strata Rx Conference.


Via ChemaCepeda
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Les urgences deviennent 2.0 grâce à un QR Code | L'Atelier: Disruptive innovation

Les urgences deviennent 2.0 grâce à un QR Code | L'Atelier: Disruptive innovation | E-santé | Scoop.it
Les secours de deux départements français ont créé le concept CODE D’URGENCE, un code en 2D qui pourrait bien vous sauvez la vie.

Via A Grolleau-Fricard, Delphine Eriau
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L’utilisation du TENS en physiothérapie : la situation particulière des soins palliatifs oncologiques - BioéthiqueOnline

L’utilisation du TENS en physiothérapie : la situation particulière des soins palliatifs oncologiques - BioéthiqueOnline | E-santé | Scoop.it

La stimulation nerveuse électrique transcutanée (TENS) est un traitement contre la douleur qui utilise l’application d’un courant électrique. Quelques études suggèrent que le TENS permettrait de réduire les douleurs associées à certains types de cancer et ce traitement est régulièrement utilisé en physiothérapie dans des contextes de pratique interdisciplinaire spécialisée en soins palliatifs oncologiques. Cependant, l’emploi du TENS dans les cas de cancer est un sujet de controverse, son application étant contrindiquée selon les normes canadiennes encadrant la pratique de la physiothérapie. Cet article a pour objectif de présenter, au moyen d’une étude de cas, certains principes pour guider la prise de décision quant au choix de cette thérapie dans les cas de cancer. Les évidences scientifiques, les normes de pratique et les principes éthiques qui devraient guider le choix de ce traitement sont discutés. L’utilisation du TENS en soins palliatifs en physiothérapie est un exemple paradigmatique d’une situation commune: le calcul nécessaire par le professionnel de la santé entre les bénéfices et les coûts potentiels, tels que les effets néfastes possibles d’un traitement. Dans le cas du TENS, les bénéfices sont associés à la réduction de la douleur, alors qu’un effet indésirable potentiel serait l’augmentation de la prolifération tumorale. Ce difficile calcul a des répercussions pour les différents acteurs impliqués tels que les patients et les professionnels de la santé.

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Where growth is coming in telemedicine - amednews.com

Where growth is coming in telemedicine - amednews.com | E-santé | Scoop.it

Home health care and disease monitoring are areas where physicians might find more opportunities in remote care, according to a new report.Two of the most promising telehealth markets are ones that could have a direct impact on the physician-patient relationship.

Research from Frost & Sullivan, a global business research and consulting firm, identified the top 20 telemedicine markets in terms of size and most impact. Topping the list were home health care and disease management monitoring, and remote doctor and specialist services. Frost & Sullivan ranked the various telehealth markets using a scale of 1 to 10 that took into consideration short-term and long-term revenue opportunity, the stability of the business models and the market’s transformative potential. Home health care and remote services had overall scores of 8.5 and 7.6, respectively.

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Cas d'école => Quand Reddit joue au docteur, un internaute se découvre une tumeur

Cas d'école => Quand Reddit joue au docteur, un internaute se découvre une tumeur | E-santé | Scoop.it

Une bande dessinée anodine relatant une anecdote arrivée à un internaute a déchaîné les passions sur le site communautaire Reddit : un homme s'étant amusé à tester un test de grossesse et ayant obtenu un résultat positif s'est vu mettre en garde contre un risque de cancer. Après contrôle, il était bien malade.


Via Delphine Eriau
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French e-health project to use near-field communication - PMLiVE

French e-health project to use near-field communication - PMLiVE | E-santé | Scoop.it

A French e-health project that aims to improve homecare management is to use near-field communication technology to provide real time management of assistance.The Confiance project will see a French public authority consortium equip caregivers with NFC-enabled smartphones to improve their home care visits.

The consortium is led by Docapost BPO, a digital transactions company owned by French postal service La Poste, and the e-health project is being funded by the French Ministry of Industry.

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Mobile Health 2012 | Pew Research Center's Internet & American Life Project

Mobile Health 2012 | Pew Research Center's Internet & American Life Project | E-santé | Scoop.it

Half of smartphone owners use their devices to get health information and one-fifth of smartphone owners have health apps...


Via rob halkes
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Patients at Heart of Health Care Decisions Theme of Recent PCPCC Conference - AAFP News Now

Patients at Heart of Health Care Decisions Theme of Recent PCPCC ConferenceAAFP News Now... addressed health literacy, pointing out that 80 percent of high-risk populations read at a fifth-grade level or lower.

Via NY HealthScape
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Pros and cons of letting patients record doctor visits - amednews.com

Pros and cons of letting patients record doctor visits - amednews.com | E-santé | Scoop.it

Scenario: What should physicians do if patients want to record their discussions?

Here’s a sample request from a patient’s relative: “Dear Doctor, my father always comes back from visits to you empty-handed. When I ask about what transpired, he says, ‘Nothing much.’ He doesn’t want me to accompany him. He accuses me of suspecting early dementia, but I am very concerned that he is forgetting your recommendations. Would you mind if he records your conversation on his smartphone?”

ETHICS FORUM

Answers to questions on ethical issues in medical practice

SEE ARCHIVES

Reply:

Is there anything wrong with a patient using his or her phone (or iPad) to record the conversation at a doctor’s visit? Could it be that our patients already are recording their visits without informing us?

 

 

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Messagerie sécurisée de santé : le Conseil d’éthique et de déontologie a rendu son avis

Messagerie sécurisée de santé : le Conseil d’éthique et de déontologie a rendu son avis | E-santé | Scoop.it

Le déploiement d’une messagerie sécurisée de santé constitue une composante importante de la politique générale de sécurité des systèmes d’information de santé et du domaine médico-social à laquelle travaille l’ASIP Santé sous la coordination de la DSSIS.

Au titre de son hébergement, cette messagerie doit respecter le cadre juridique propre à l’hébergement des données de santé à caractère personnel qui exige, notamment, le consentement de la personne dont les données sont hébergées.

Le respect de cette exigence étant difficile à concilier avec les conditions d’usage d’une messagerie électronique, la direction de l’ASIP Santé a sollicité l’avis de son Conseil d’éthique et de déontologie (CED). Son avis qui reprend le constat fait par l’agence préconise clairement de revoir la loi afin de remplacer l’expression du consentement du patient par un droit d’opposition.


Via TéléSanté Centre
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Informatisation du circuit du médicament en UCSA : l’exemple de Bourg-en-Bresse

Avec une capacité d’accueil de 690 détenus, le centre pénitentiaire de Bourg-en-Bresse a ouvert en 2010 et utilise depuis maintenant 2 ans l’outil Pharma de Computer Engineering.

Via TéléSanté Centre, Lionel Reichardt / le Pharmageek
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Collecter et monétiser les données de la maison connectée: pourquoi, comment

Collecter et monétiser les données de la maison connectée: pourquoi, comment | E-santé | Scoop.it
Avec l'émergence de la maison connectée de nouvelles sources de données personnelles apparaissent: comment les agréger et les monétiser ? Comment garantir la sécurité des données personnelles ?

Via Nicolas Prigent
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McKesson, moteur de la démocratisation du DMP

McKesson, moteur de la démocratisation du DMP | E-santé | Scoop.it

A l’heure du bilan sur l’expérimentation « DMP en établissement », McKesson (www.mckesson.fr) constate avoir participé significativement et qualitativement au succès de cette expérimentation sur le volet de l’alimentation du DMP au travers de 5 centres hospitaliers « pilotes » :


*Le CH de Bourges a été le premier établissement utilisateur de la solution « M-Entrepôt DMP Compatible » et a satisfait aux engagements de l’ASIP Santé au niveau de la création des DMP, avec 96% des DMP créés alimentés,
*Le CH de Challans, utilisateur de cette même solution, a également satisfait aux objectifs de l’ASIP Santé à fin juin 2012,
*Le CH D’Armentières, utilisateur du « Module Compatibilité DMP simple » a également atteint ses objectifs sur le mois de juin et est satisfait du bon fonctionnement de l’alimentation via CrossWay,
*Le CH de Chambéry, après avoir reporté la phase d’alimentation de ses DMP pense avoir atteint les objectifs de l’ASIP Santé sur fin juillet,
*Le CH de Pontarlier a également installé et mis en œuvre la solution « M-Entrepôt DMP Compatible » avec succès.


Via Thibaud Lopez
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Physician use of Twitter: Examining the data

Physician use of Twitter: Examining the data | E-santé | Scoop.it

Physicians' use of Twitter and other social media has been exploding over the last couple of years.

Great bit of analysis, carried out in a scientific manner. A must read if you're considering engaging with HCP on social media platforms. Good read anyway ;-)


Via Sven Awege
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