Repairing the World: A Conversation with Paul Farmer
Visit: http://www.uctv.tv/) Known as "the man who would cure the world," Paul Farmer works to provide first world health care for third world peoples and co-founded the worldwide organization...
By: University of California Television (UCTV)
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Repairing the World: A Conversation with Paul Farmer - Video
Creating Access to Oral Health Care for Children
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Creating Access to Oral Health Care for the Elderly
By: dentaltradealliance
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7 DAYS OF HEALTH CARE
Health care, made easy. 7 Days of Health Care was NBC10 #39;S week-long "how to" guide, just as people began signing up for health care under the Affordable Care Act. Producer Kristen Stewart devised...
By: Kristen Stewart
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The causes of the crapification are legion, but one that is having a bigger impact on health care than is widely recognized is bad information technology implementation. And I dont mean the healthcare.gov website.
In case you missed it, the Federal government is in the midst of a $1 trillion experiment to promote (as in force) the use of Electronic Health Care records, or EHRs. Astonishingly, this program has been launched with no evidence to support the idea that rendering records in electronic form will save patient lives. From a Freedom of Information Act filing by the American Association for Physicians and Surgeons got this response, which was reprinted in their April newsletter (emphasis ours):
The American Recovery and Reinvestment Act of 2009 (ARRA) created the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. While our Office of E-Health Standards and Services works to implement the provisions of the ARRA, we do not have any information that supports or refutes claims that a broader adoption of EHRs can save lives.
Now of course, one might argue based on intuition that surely electronic data would help patient care. Think of all those illegible doctor scrawls that get misread from time to time. But you need to weigh those errors against those of bad data entry, difficult to read file formats, difficulty in converting records to electronic form, and greater risk of loss of patient data (hard disk crashes and faulty backups).
In fact, Ive seen good health care information technology in action. When I lived in Sydney in 2002 to 2004, every doctor I saw had a little black flat panel screen in their office or examination room, and most would enter data during the session. The doctors I saw were in solo or small practices. Their fee levels (assuming a dollar for dollar exchange rate, which was not the case at the time) were 25% to 35% of New York City rates for comparable services. That suggests that the use of IT wasnt a costly addition to their practice overheads.
But could the US adopt the sensible course, which would be to look for successful health care information technology implementations overseas and learn from them? No way. As Informatics MD notes at the Health Care Renewal blog (emphasis ours):
I know from personal development and implementation experience that when done well, that is, when good health IT and good implementation practices are offered and with patient safety as a priority, health IT can save lives and improve care. Its just that the commercial for-profit health IT sector does not meet those expectations, due largely to its leadership model from the merchant-computing culture. Instead, bad health IT is the norm.
Well get to the lousy patient outcomes part in due course. But I wanted to focus on a less obvious but no less significant element of this health care information technology push: that it is accelerating the death of solo practices. Mind you, this was already well underway, as reader Juneau noted in our recent post on corporatized medicine:
Going from working for a large corporate healthcare entity to working alone, I have seen insurance rates cut by 40 percent simply for going from group to solo status. Those who can afford to do it right (maybe those without kids or a mortgage or 3 divorces to pay for) feel like dopes. Colleagues who put themselves first survive. Those who made sacrifices, provide free care to indigent patients, accept insurance, etc..are now the low tier low status docs who work 60 plus hours to make overhead and stay afloat.
This article from UTSanDiego explains the impact of the health care information technology requirements from the doctor perspective:
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Health Care Information Technology: A Danger to Physicians and to Your Health
St. Louis, MO (PRWEB) April 29, 2014
According to financial wellness firm, Four Seasons Financial Education (FSFE), employers may be able to decrease health care costs by way of financial wellness programs. As employers target employee health issues such as heart disease, anxiety and high blood pressure to decrease costs, stress may be to blame for some, if not all, of these expensive illnesses.
A 2013 article by the Mayo Clinic cites that the long-term activation of the stress-response system can increase the risk of heart disease, anxiety, depression, sleep problems, memory issues and even weight gain*. This stress comes from numerous sources, but money appears to top the list. In a 2013 stress survey by the American Psychological Association, money was found to be the number one cause of stress for Americans, cited by 70% of all respondents**.
"Companies are finally seeing the link between financial health and physical health," says FSFE President, Travis Freeman. "Employers trying to curb health care costs can't ignore the financial impact of an employee's health."
Further studies show health care costs can be as much as ten times more for employees with chronic health issues as compared to those with none. Blue Cross Blue Shield Michigan cited average costs per year for patients with no chronic health issues at $2,788. Patients with one chronic health issue over doubled to $6,573 per year. For those with three or more issues, the costs increased to $27,763`.
*Chronic Stress Puts Your Health at Risk, July 11, 2013. http://tinyurl.com/mz6xo3p **Stress in America survey, 2013. http://tinyurl.com/mky8ahk `Health Care Cost Drivers: Chronic Disease, Comorbidity, and Health Risk Factors in the U.S. and Michigan. Center for Healthcare Research and Transformation. August 3, 2010. http://tinyurl.com/mvkok94
About Four Seasons Financial Education Four Seasons Financial Education provides workplace financial wellness and education services to companies throughout the US in an effort to improve their bottom line. We take a strictly academic approach to financial education and focus on the core areas of personal finance, thereby seeking to increase employee productivity and organizational performance. Securities and advisory services offered through LPL Financial, a Registered Investment Advisor. Member FINRA/SIPC
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Health Care Costs Can Decrease with Employee Financial Education According to FSFE.com
Four health care technology startups won the opportunity to pilot their products at Brigham and Womens Hospital after wowing experts at the Brigham Innovation Hubs first-ever shark tank competition last night.
Twine Health, a Cambridge-based company that makes software for managing hypertension and other chronic diseases, drew the most interest from the medical sharks. Twine CEO John Moore ultimately chose to team up with Dr. Stuart Pollack, who will test the technology at Brighams Advanced Primary Care Associates.
This is a whole way to access a group of diabetics and hypertensives who are not in control, Pollack told the Herald. Youve got to make it easy (for patients) to interact in a way thats more comfortable for them.
Of the 10 companies competing, four gained new mentors and six failed to impress the sharks. Healo, maker of a mobile product that allows doctors to remotely monitor patient wound care, got a last-minute partner in Pooja Devendran, Brighams executive director of surgical services.
The winning companies didnt receive any funding, but they will be able to test their products with Brigham patients this year. Nathan Ie of Healo called that prize better than money.
The validation is all in the evidence, especially in health care technology, Healo founder Gino Inverso added.
The other contestants to win pilots were MySafeCare, a mobile app for patients to report safety concerns while in the hospital, and Tenacity Health, a peer coaching program to help patients stay healthy.
Weve talked to a lot of people who have great ideas, but what we found is that one of the biggest challenges in moving ideas forward is actually the opportunity to pilot, said Lesley Solomon, strategy and innovation director at Brighams Biomedical Research Institute. What we wanted to do was give startups the opportunity to find a pilot partner Weve committed to piloting in 2014.
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2014 04 17 Health Care Reform Industry Update
During this webinar, we discuss the employer mandate transition rules for 2015, the state and carrier option to renew non-compliant plans for the next two years, the individual mandate hardship...
By: HealthPartnersAm
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Cajun Code Fest 3.0 - Plenary Sessions - Cindy Munn, Louisiana Health Care Quality Forum
By: CBIT UL Lafayette
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Cajun Code Fest 3.0 - Plenary Sessions - Cindy Munn, Louisiana Health Care Quality Forum - Video
Central African Republic: The challenges of treating war wounded
Wounded and sick without access to health care, damaged and looted medical facilities and health-care personnel experiencing or fearing attacks -- this is the staggering reality in Central...
By: International Committee of the Red Cross (ICRC)
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Central African Republic: The challenges of treating war wounded - Video
Crazy Prices for Health Care Products at ShoppersGreed
Health care electric massagers at an unbelievable prices only at shoppersgreed.com.
By: Ruby Jain
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Crazy Prices for Health Care Products at ShoppersGreed - Video
Chinese health care system and my opinion on it - personal video - HTMMG
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Chinese health care system and my opinion on it - personal video - HTMMG - Video
(MENAFN - Arab News) The health care it industry is increasingly dynamic in the middle east.
according to gartner health care providers in the middle east and africa will spend 2.8 billion on it products and services in 2014 an increase of 2.8 percent over 2013.
analysts predict that saudi arabia gcc's biggest economy will continue its focus on building health care infrastructure to support its growing population and the uae is expected to enhance its focus on building patient databases mobile health and preventive health care.
even though there is growth in the health care industry health care it professionals have long been expected to deliver more in terms of quality while containing costs with ict services working toward this overall objective. with responsibility for the management of the hospital's it infrastructure they are constantly seeking ways of delivering improved levels of system availability performance and service quality.
users of technology in the health care industry expect their it systems to work delivering what they need when they need it. lives can depend on this.
better management of a hospital's it infrastructure should help meet this expectation ensuring hospital end-users (doctors nurses and administrative staff) have access to medical applications and electronic patient data at any time from any location to ensure the best patient care.
an effective way of meeting these objectives is the deployment of robust it analytics which will provide hospitals with clear visibility into the health and performance of their it infrastructure. inefficiencies disruptions and failures can be identified automatically as they occur and often before end-users are even aware of them.
monitor manage and respond
the management of a hospital's it infrastructure is increasingly outsourced with sub-contractors running an it service desk for example. without direct involvement however a hospital's ict manager may experience a sense that they no longer have full control of the workings of their infrastructure; that they lack the visibility needed to know what's happening at any given time.
with real-time intelligence and the level of management reporting provided by it analytics the hospital ict manager can be more aware of what's occurring across the infrastructure.
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How analytics can deliver insight for health care IT services
Healthy Hangouts: Heart Disease Heart Failure
Join our panel of medical experts to talk about #HeartDisease and #HeartFailure , prevention and what you can do to both identify and treat it. Register online for a free Living with Heart...
By: Baylor Health Care System
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Rising to the Challenge: Bending the Cost Curve in Health Care And Education (Live Session)
At the live session of our April Fuqua Faculty Conversation, Ronnie Chatterji answered your questions regarding the Challenge of costs in Health Care and Education.
By: FuquaSchOfBusiness
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Rising to the Challenge: Bending the Cost Curve in Health Care And Education (Live Session) - Video
South Sudan: Ensuring hospital security
In many countries around the world the security of health-care facilities remains a constant challenge. In this video medical staff working in South Sudan describe the measures they have put...
By: International Committee of the Red Cross (ICRC)
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Health care issue in Mpumalanga
Political parties in Mpumalanga tackle the health issues in their province.....http://owl.li/w9g6j.
By: sabcdigitalnews
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Improving Health Care Efficiency
David Cutler, Harvard Kennedy School of Government: The health care system can remove inefficiencies by improving the operating system and performance. http://www.brookings.edu/events/2014/04/11-...
By: Brookings Institution
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Health Care Reform Webinar: Update for Employers on Key New Pay or Play Reporting Regs Under ACA
The IRS has recently issued two important sets of final regulations under the Affordable Care Act. The first is regarding the employer pay or play penalty and the second is regarding the new...
By: Miller Johnson
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By Lou Fancher
Oakland Tribune Correspondent
OAKLAND -- The only thing harder than rolling out President Barack Obama's health care law is changing the health care industry culture, Covered California Executive Director Peter Lee said Thursday night at the Barbara Lee & Elihu Harris Lecture at Merritt College.
Despite exceeding expectations by enrolling 3.3 million Californians in Covered California's marketplace of insurance programs or Medi-Cal during its first six months, he said the initiative was "relatively succeeding" and "only just beginning."
"When we look back 10 years from now, we'll say, 'Can you imagine a day when we didn't have (universal) health care?'" Lee said.
Under President Obama's Affordable Care Act, also known as "Obamacare," 8 million Americans have signed up for coverage. In California, Covered California operates as an independent part of the state government tasked with guiding residents through the new health insurance marketplace. An open enrollment period ended on March 31: uninsured people who missed the deadline and do not experience a "qualified life event" allowing them to enroll will face a penalty of $95 or 1 percent of their income. The next open enrollment period begins Nov. 15 for coverage beginning Jan. 1.
According to Lee, improving health care literacy remains Covered California's primary task. He said of the millions who signed up, there are still "millions who did not get across that line to get coverage." Citing statistics, like the 100,000 Californians who went bankrupt in 2013 due to medical bills, Lee said the tax penalty wasn't what the uninsured should fear, it was America's ongoing, enormous medical costs.
Dr. Coyness Ennix Jr., founder and past president of the Bay Area Society of Thoracic Surgeons, brought more than 30 years of experience as a thoracic surgeon to the discussion. He said the cost of his birth in Tennessee in 1942 totaled $7: a $3 deliver fee and a $4 clinic fee.
"But then things changed," Ennix said, citing historical, escalating medical costs and attributing them to less choice, less competition and the influence of hospital consolidation and the insurance industry.
"You've heard reasons the costs in the United States are so high, but the true reason is right under our noses. The U.S. consumers have had no centralized negotiation and no leverage to keep health care providers from charging whatever they want," he said.
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Covered California executive director says improving health care literacy is state's primary task