Inpatient Specialist Newsletter
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Study: Virtual coach improves activity levels for overweight, obese | mobihealthnews

Study: Virtual coach improves activity levels for overweight, obese | mobihealthnews | Inpatient Specialist Newsletter | Scoop.it

A study published in the Journal of Medical Internet Research found that using a “virtual coach” helped overweight or obese people increase their activity levels. Researchers at Boston-based Center for Connected Health, a division of Partners HealthCare, and Massachusetts General Hospital found that virtual coaches increased step counts by a significant amount. Participants in the study wore wireless, Fitlinxx pedometers.

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From The Desk of Sawad Thotathil

Healthcare in the US is undergoing a transformation and 2011 brought that change closer to home. The Accountable care Act and recent CMS initiatives are unique in that they have been successful in orchestrating a different kind of thinking in the minds of providers. Change or the drivers for change do not just happen overnight and the needs were being felt over the last few years. However the government through these initiatives have kickstarted a 'sense of urgency' and it has done it in a way that no part of the healthcare puzzle can remain immune to the environmental shifts.

It is expected that when new thinking and new technology is introduced, there will be early adopters as well as laggards. CMS has however taken care to ensure quicker adoption through new reimbursement formulas that take into account quality of care that is manifest as 30 day readmission rates and the patients' perception of care. It is important to note that neither CMS or any other payer pretends to know what are the most effective solutions. In this critical scenario there is no doubt that physicians are best placed to lead this kind of change through their better understanding of how knowledge, the patient and the ecosystem interact to provide care and hence change will be most effective when they drive the creation of win-win solutions for the patient and the system. Hospitalists have a great share of that responsibility as they are positioned at the frontline of the costliest part of the care system.


This newsletter is intended to be a small effort in helping us work together and be ahead of the curve. Looking forward to an exciting 2012.

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Sawad Thotathil MBBS MCE MHM
VP, Performance Improvement and Patient Safety
New England Inpatient Specialists

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Home health-check scheme expands

Home health-check scheme expands | Inpatient Specialist Newsletter | Scoop.it

A health scheme, piloted in Cornwall, is to be rolled-out across the UK in the hope of saving money and improving patient care. 

 

The prime minister said the Telehealth trial had reduced death rates by 45% and hospital admissions by 20%.

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Achieving Accountable Care — “It's Not About the Bike” — NEJM

Perspective from The New England Journal of Medicine — Achieving Accountable Care — “It's Not About the Bike”...In his memoir It's Not About the Bike: My Journey Back to Life, seven-time Tour de France champion Lance Armstrong argues that winning the world's greatest bike race does not depend in the final analysis on sophisticated bicycles.1 Although advanced equipment is very important, winning depends more on athletes' riding skills, physical conditioning, and race-day effort.

Accountable care organizations (ACOs) are the bicycles of modern health system reform, attracting considerable attention as promising vehicles for achieving better care, better population health, and lower costs.2 Indeed, we have argued that health care delivery organizations do need new payment models3 like ACOs to improve their performance. Yet the success of ACOs — as they are defined by health care providers, private payers, and now the Centers for Medicare and Medicaid Services (CMS) — will depend on whether they can enable and sustain care delivery organizations (the analogue of athletes) to improve their underlying performance.

 

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The Moneyball Approach to Health Care

The Moneyball Approach to Health Care | Inpatient Specialist Newsletter | Scoop.it

I'm always surprised that some people still buy into the myth that America has the greatest health system in the world. We spend so much money on health care, but those dollars have not translated to good health.  Every patient and every health-care professional can cite many instances of unnecessary services and questionable quality of care.

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Welcome to New England Inpatient Specialists and Hospitalists Newletter

Please note the items below are links to the full articles.

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Will you track your health data with apps or a device?

Will you track your health data with apps or a device? | Inpatient Specialist Newsletter | Scoop.it
Next year millions of consumers use fitness devices and apps designed to help them count their steps, calories, sleep and other personal metrics.  As people lurch into the New Year vowing to lose their holiday pounds, my hunch is millions of consumers will be aided by a few fitness devices and apps scored this holiday season — all designed to help them count their steps, calories, sleep and other personal metrics. But in the emerging world of connected wellness tools will newly aware consumers be using apps or devices? Or does it even matter, since the service is king?
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The Insane Choices You Face At The Drug Store | Visual.ly

The Insane Choices You Face At The Drug Store | Visual.ly | Inpatient Specialist Newsletter | Scoop.it
Just ten years ago, getting something for a headache or a cold at the drug store was a simple enough affair: Ibuprofen or Acetaminophen?  No longer: Drug-store aisles are now an eye-melting maze of choices, with products advertising everything from time-release to gel-caps to flavors to different dosages. I half-expect to find tooth-whitening Tylenol, one day soon.
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amednews: Patients strongly support access to clinical notes :: Dec. 29, 2011 ... American Medical News

amednews: Patients strongly support access to clinical notes :: Dec. 29, 2011 ... American Medical News | Inpatient Specialist Newsletter | Scoop.it

Some physicians, on the other hand, express concerns about safety, communication and education. 

When Harvard Medical School researchers came up with the idea to open up clinical notes to patients as an experiment, their first step was finding out how people felt about the idea -- and what they expected to happen as a result.

What they found were near-unanimous support from patients and opinions from physicians that ran the gamut -- enthusiasm to fear for patients' safety.
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Value-Based Purchasing Raises the Stakes :: Article - The Hospitalist

Value-Based Purchasing Raises the Stakes :: Article - The Hospitalist | Inpatient Specialist Newsletter | Scoop.it
Mock scorecards, interactive blueprints, quality dashboards Hospitals are frantically seeking out any advantage that might help them excel in a fast-approaching, mandatory competition with millions of dollars on the line.
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