What about the patient experience – 7 minute visits that push pills as the “treatment” won’t get it done in the future.

What about the patient experience – 7 minute visits that push pills as the “treatment” won’t get it done in the future.

Given the fact that certain Manhattan-based major press publications could use to improve their pharma and health care journalism (and I’m not talking about the WSJ, think more of dogs and sores!), I was hoping and expecting to get an email one day from Jim telling me of his new gig. But instead, he’s decided to not only stay at BrandWeek but also to commit journalistic suicide and become one of us. His new blog is called BrandweekNRX. Pity. But I look forward to reading it! Spread the love Categories: Uncategorized Tagged as: Pharma, Uncategorized “,””,””,””,””,””,””,””,””,”” “https://thehealthcareblog.com/blog/tag/class-a/”,”200″,”OK”,” KAREN SIBERT, MD The ear, nose and throat specialist who treated comedian Joan Rivers on August 28 has been identified as Dr. Gwen Korovin, a prominent New York physician who is known as a voice doctor to many entertainers and Broadway stars including Hugh Jackman and Julie Andrews.

With a physician who is an expert in airway anatomy at her side, and all the technologic advantages of a modern clinic in Manhattan’s upper east side, the 81-year-old Ms. Rivers must have anticipated an uneventful procedure. Instead, she stopped breathing and suffered cardiac arrest. The question remains:  What went wrong? Credentials questioned Several sources have reported that Dr. Korovin had not completed usual credentialing procedures at Yorkville Endoscopy, and did not have privileges to do anything but observe on the day Ms. Rivers was treated. In fairness, the credentialing process at a hospital or ambulatory surgery center (ASC) simply reviews documentation that the physician is qualified to perform procedures, and grants the physician privileges to practice there. Physicians choose where they want to work, and don’t necessarily maintain privileges at more than one hospital or ASC.

 A lack of privileges doesn’t imply a lack of experience or training; it simply means that the physician hasn’t gone through credentialing steps at that facility. Continue reading… “,””,””,””,””,””,””,””,””,”” “https://thehealthcareblog.com/blog/tag/medical-facts/”,”200″,”OK”,” By BRIAN MOSSOP In 2007/08, the work of Nicholas Christakis and James Fowler revealed that human behaviors, and even states of mind, tracked through social networks much like infectious disease. Or put another way, both obesity and happiness worm their way into connected communities just like the latest internet meme, the best Charlie Sheen rumors, or the workplace gossip about Johnny falling down piss-drunk at the company’s holiday party. But according to a new research study, incorrect medical facts may be no different, galloping from person to person, even within the confines of the revered peer-reviewed scientific literature.harmoniqhealth.com And by looking at how studies cite facts about the incubation periods of certain viruses, a new study in PLoS ONE has found that quite often, data assumed to be medical fact isn’t based on evidence at all. How many glasses of water are we supposed to drink each day? Eight – everyone knows it’s eight. But according to researchers from the schools of Public Health and Medicine at Johns Hopkins University, this has never been proven true. In fact, they argue there’s not one single piece of data that supports this claim.

Digging a little deeper, the research team dove into scientific papers looking for places where researchers quoted the incubation period of different viruses, from influenza to measles. Every time a claim was made, they traced the network of citations back to the original data source (and provided a cool visualization of the path, to boot). For example, many studies will set the stage for their own research by saying that it’s commonly known that the incubation period for influenza is 1-4 days, and next to that statement, they’ll put a small reference in parenthesis, which signals where they obtained that information.Continue reading… “,””,””,””,””,””,””,””,””,”” “https://thehealthcareblog.com/blog/2011/02/01/nj-aco-a-sheep-in-phycore-clothing/”,”200″,”OK”,” By SCOTT SHREEVE, MD I am on an email list of Bill DeMarco’s, a reputable industry insider who has written and consulted extensively in the physician group and medical management space. He recently sent me a note about several physician aggregation events in New Jersey. For some reason it struck a nerve with me . . . which led me to fire off the response below: Bill, I thought we already saw this movie? My question for you . . . besides banding together in some megagroup – what are these physicians doing to actual change the delivery of medicine? ACO is just the latest buzzword excuse to aggregate physicians under a new moniker and a supposed new model. I am highly suspect that these physicians are doing anything to change the relationship with their patients, to use enabling technology to create team based care, or actually be accountable for the outcomes they produce.

What systems are they using to tie themselves together? What financial alignment do they have? What measures are they using to demonstrate superior outcomes? What about the patient experience – 7 minute visits that push pills as the “treatment” won’t get it done in the future. I think your closing statement, “Representatives from Summit and Optimus were unavailable for comment” says it all. Am I seeing this the wrong way? Is there anything new about this model this time around? Am I getting old enough to see these things cycle through? PS – and no, I don’t mean a wolf. The sheep get nervous and band together waiting to get pounced on by wolves. Scott Shreeve, MD, is a consultant, speaker and writer whose professional interest is the convergence of medicine, technology, and business. He blogs at Crossover Health. Spread the love Categories: Uncategorized “,””,””,””,””,””,””,””,””,”” “https://thehealthcareblog.com/blog/2005/07/28/tech-vista-apparently-free-really-means-cheap-sort-of/”,”200″,”OK”,” Neil Versel has done a little poking around and found that when the NY Times says that CMS will give VistA away for free, they actually mean for a license fee of $2,700.

So free just got quite a lot more expensive… Spread the love Categories: Uncategorized Tagged as: Startups “,””,””,””,””,””,””,””,””,”” “https://thehealthcareblog.com/blog/2005/09/06/tech-foundation-for-ehealth-initiative-in-a-smidgin-of-trouble/”,”200″,”OK”,” You know, you try to help get this health care system IT stuff sorted out, you try to get people on one page on this eHealth BS, you get a little Federal money to try to get some of these projects off the ground…..and they want all this damn paperwork and are getting nasty about it. The rest of you lining up to get your noses in the NHIN trough have been warned. Apparently our Federal government views paperwork as important and sloppy accounting as a bad thing. Unless of course it leads to a disaster so major that it decides to head up an independent investigation itself…. Spread the love Categories: Uncategorized Tagged as: Startups “,””,””,””,””,””,””,””,””,”” “https://thehealthcareblog.com/blog/2007/02/13/podcasttechquality-medencentive-can-a-simply-elegant-solution-really-change-health-care-delivery/”,”200″,”OK”,” Jeff Greene believes that his “”elegant”” solution can change health care delivery in one of the toughest places in America to do it–the wild medical mid-west. Jeff claims that the only two places on earth where life expectancy is falling are sub-Saharan Africa and Oklahoma City. (I assume Iraq is  soon joining that list!) His company MedEncentive offers a simple way of physicians to follow  guidelines, patients to get informed about their care, and apparently payers to save lots of money. Before you dismiss it, listen to this podcast. (Technical note–For some bizarre reason Jeff’s channel was recorded a few seconds ahead of mine. So he’s answering my questions a little before I’ve finished asking them. Or alternatively, he’s psychic.

At any rate it sounds a little odd. But I know you lot never listen to me on these podcasts anyway!) Spread the love Categories: Uncategorized Tagged as: Podcasts, Quality, Startups “,””,””,””,””,””,””,””,””,”” “https://thehealthcareblog.com/blog/2008/11/10/huckabee-on-health-more-around-the-web/”,”200″,”OK”,” By Sarah Arnquist Trudy Lieberman at the CJR : Campaign Desk calls Mike Huckabee’s views on health care “”a fresh addition to the national health care discussion.”” Huckabee talked about the origins of health and the need to focus on societal issues that help keep people healthy and avoid the pitfalls of obesity, smoking, alcoholism, etc. Huckabee said, “the real enemy is not the health care system; it’s poor health.” Partners in Health improves chronic care in Rwanda with electronic medical records. The model is based on home health monitoring, a lot like Health Buddy, says Steve Brown, but without the institutional barriers and a lot less expensive. Alex Savic, of Alensa, compares eHealth in the U.S. to the U.K. and concludes that there’s much less innovation in the U.K., which he attributes to the lack of privitization in the EMR and HIT worlds. The Toronto Star examines how the elderly thrive in Denmark by staying in their homes as long as possible, and having the option of small, comfortable nursing homes. At Business Week, Michael Mandel writes that health care employment is one of the few things keeping the economy going in a piece called “”Revenge of the Health Care Economy.”” Spread the love Categories: Uncategorized Tagged as: Uncategorized “,””,””,””,””,””,””,””,””,”” “https://thehealthcareblog.com/blog/2006/11/02/techqualitythe-industryhosptials-transforming-patient-care-with-update/”,”200″,”OK”,” Cisco has produced a video on transforming patient care which includes discussion from “Crossing the Chasm” author Geoffrey Moore, Jeff Rideout, Cisco’s head honcho Medical Director, several hospitals execs, and a cameo from me. Go to this site to register and take a look.

I’ll also be answering questions in the discussion segment for the next week. UPDATE: Now I’ve seen it. So here’s my take! I may look wooden and my answers are sometimes to questions that I wasn’t asked (oh, the  magic of editing!), but you only have to put up with literally a minute or two of me. The rest of the session is really interesting–everyone else is much more eloquent than I am and the technology featured-especially the instant translation services at San Mateo County hospital–is very interesting. Yes it’s product placement for Cisco, but well worth watching nontheless. Interesting that video-conferencing and PACS are what the hospital people view as the important changes, while I was talking mostly about IP telephony, automating vital signs recording (telelmetry) and location tracking. I must still be a futurist! Spread the love Categories: Uncategorized Tagged as: Quality, Startups, The Industry “,””,””,””,””,””,””,””,””,”” “https://thehealthcareblog.com/blog/2006/01/04/international-canada-cuts-waiting-list-by-using-management-techniques/”,”200″,”OK”,” The good news about being a wishy-washy centrist like me is that unlike Napoleon I never have to worry about whether my left flank is covered, as Don McCanne does it for me. Today he found this letter in an Alberta newspaper which shows that using new organizational techniques the waiting time for hip replacement in Alberta was cut from 47 weeks to 4.7.

It’s worth reading the letter that details this, as it also shows that numerous lies continue to be told about health care in Canada by the ideologues up there and down here. But the key point is that public as well as private sector organizations can make the organizational changes necessary to improve productivity — in this case each surgeon has apparently doubled the number of operations they perform. While the details about how it happened are limited, as are hints on the extra money it cost, it is clear that there was no increase in the amount of most expensive resource — the surgeon. After all it takes a few decades to get a new one out of the shoot and the Canadians sensibly limit the number that they produce. Something Americans don’t see the need to bother with, despite the havoc it wreaks. Of course whatever your system of payment or the organizational form of your providers, you are going to be able to make improvements in  the way care is delivered.  But that’s not the case if your insurance system is as screwed up as ours is, and the real innovation comes in how to avoid insuring anyone under-65 who needs the care, or how to “persuade” the government to make sure that its over-65 insurees get all the care they need — and much, much more. Spread the love Categories: Uncategorized Tagged as: International, Uncategorized “,””,””,””,””,””,””,””,””,”” “https://thehealthcareblog.com/blog/2007/08/17/health2-0-the-peoples-choice-award/”,”200″,”OK”,” By now you know that the Health2.0–User Generated Healthcare Conference organized by Matthew Holt (THCB) and Indu Subaiya (Etude Scientific) is all set to take place on September 20th in San Francisco.   Among other things, there are four fabulous demo panels on Search, Tools for Consumer health, Providers and Social networks, and Social Media for Patients. You would not believe how many people want to show their cool tools on these panels.

Well it just so happens that we ended up with one spot left on the Social Media for Patients Panel. We already have the wonderful Amy Tenderich (DiabetesMine) to moderate. On the panel are OrganizedWisdom, DailyStrength, MedHelp, PatientslikeMe & SophiasGarden. So how to choose the remaining panelist from so many great possibilities? Too tough for us to decide, so we’re throwing it over to you. The contenders, listed in no particular order with a line or two of description are below. Please go take a look—don’t worry if these don’t exactly fit your definition of “social media”—we have ways of shoehorning the most interesting sites into our program.

We’re going to keep this post close to the top of THCB everyday for a while so you don’t have to look at all of them all at once. Please got to this survey to give us your impression of what you see.  The one that gets the best ratings will be chosen to be on the panel and get to demo to the crowd from the stage The contenders Xoova.com — a physician directory with a twist allowing you to search by all types of specialties and conditions (that’s the media part); new company with big ambitions to connect patients with doctors, run by an AOL veteran. Lifespring Health — Social networking meets healthcare’s consumer age. Participants earn points when they shop online to help cover their healthcare costs and other expenses – friends and family who participate can contribute points as well. LifeSpring has brought Health savings accounts (HSAs) into the mix and forged partnerships with online retailers including drugstore.com, barnes and noble and GNC.com.  A clever model.

Expect to hear more from these guys in the future … Solos Health – active in healthcare as an information provider since 2000, Solos provides nutrition counseling and maintenance for 180,000 diabetics as well as disease management services for other areas.

No Comments

Sorry, the comment form is closed at this time.