First we have:
Survey Shows CPOE Lay of the Land
HDM Breaking News, July 2, 2009
A new survey of health care CIOs shows adoption, "at some level," of computerized physician order entry systems is becoming widespread. But full implementation remains years away.
.....
--Joseph Goedert
Full article here :
http://www.healthdatamanagement.com/news/CPOE-38597-1.html
For full survey results, click here.
Second we have:
UnitedHealth Says Existing Technology Can Trim Health Costs
By Bill Kenealy
July 2, 2009
Minneapolis-based UnitedHealth Group says better use of technology can take a bite out of nation's health care tab.
The report, issued by the company's Center for Health Reform and Modernization, says savings of $332 billion in national health expenditure could be realized over the next decade by streamlining administrative processes. The paper contends savings can accrue across entire health care system by modernizing the administrative and transactional aspects of health care. For example, over the next decade the report predicts broader use of automated swipe cards could save $18 billion, creation of a national payment accuracy clearinghouse could save $41 billion, and elimination of paper checks and paper remittance advice could save $109 billion.
More here:
http://www.insurancenetworking.com/news/-12604-1.html
This is, of course, the mother lode for US healthcare where administrative costs consume roughly 30% of total healthcare costs. In Australia a comparable figure is 3-4% I believe.
The press release with link to the full report is here:
http://www.unitedhealthgroup.com/newsroom/news.aspx?id=b2bf4b20-61ef-4064-aae5-1e6c0f5b2759
Third we have:
The robot will see you now
Mobile machines, remote hookups help Lahey Clinic cope with shortage of specialists
BEVERLY - The robot glides past the beeping heart monitor, past a row of patients supine on their electric beds, past the beehive of the nurses’ station. The sleek, metallic body, dusky blue, stops outside Room 9 and slowly rolls through the doorway.
Watch Video Here:
http://www.boston.com/video/viral_page/?/services/player/bcpid14094180001&bctid=28340035001
“Mrs. Morash, Dr. Liesching’s here,’’ says nurse Dawn Deschenes, announcing the arrival of the robot to a gray-haired woman breathing behind an oxygen mask. The face of Timothy Liesching, a pulmonary critical care doctor, gazes at his patient from a computer screen on top of the robot.
“I’m just going to look in your monitor now,’’ says Liesching, his voice flowing from a speaker on the robot even though he is sitting in his office at the Lahey Clinic in Burlington, 22 miles - and one large traffic snarl - away. The computer swivels away from her face. “Your oxygen looks good, your respiratory rate looks pretty good.’’
More here:
The fun here is to watch the robot – really amazing stuff.
Fourth we have:
HIMSS white paper: "usability" critical to adoption of EMRs
July 02, 2009 | Kyle Hardy, Community Editor
CHICAGO – The Healthcare Information and Management Systems Society's EHR Usability Task Force has released a white paper focusing on the level of usability in electronic medical records and their implementation at healthcare organizations.
"Defining and Testing EMR Usability: Principles and Proposed Methods of EMR Usability Evaluation and Rating" identifies usability of software in an EMR as “one of the major factors and possibly the most important factor hindering widespread adoption of EMRs.”
“Through our research, we found that usability as a requirement in the certification process could benefit product development for more usable EMR products and give users or decision-makers more confidence in selecting clinical EMR systems,” said Jeffery L. Belden, MD, associate professor of clinical medicine at the University of Missouri Health Care's School of Medicine and chairman of the HIMSS EHR Usability Task Force.
Article continues here:
http://www.healthcareitnews.com/news/himss-white-paper-usability-critical-adoption-emrs
The report is here:
http://www.himss.org/content/files/HIMSS_DefiningandTestingEMRUsability.pdf
This is really utterly invaluable stuff!
Fifth we have:
The medical home – A foundation for transformation
Replacing poorly coordinated, acute-focused, episodic care with coordinated, proactive, preventive, acute, chronic, long-term and end-of-life care is foundational to the transformation of the U.S. healthcare system. Many believe this can be best accomplished by strengthening primary care and having primary care provider-led (PCP) care delivery teams working at the "top of their licenses" — at the level for which they are qualified and licensed.
One approach to transforming primary care is the patient-centered medical home (PCMH), or the "medical home" — an enhanced primary-care model that provides comprehensive and timely care with appropriate reimbursement, emphasizing the central role of teamwork and engagement by those receiving care.
The PCMH is a model that can be implemented immediately to help address increasing healthcare costs, poor or inconsistent quality and inaccessibility to timely care.
- Register to download complete IBM Institute for Business Value study
- Download the executive summary (129KB)
The article is found here:
I am sure IBM is keen word gets out on this report.
Sixth we have:
World Hospital Information Systems Market
This report analyzes the worldwide markets for Hospital Information Systems in US$ Millions. The specific product segments analyzed are Clinical Information Systems (CIS), and Non-Clinical Information Systems (NCIS). The report provides separate comprehensive analytics for the US, Japan, Europe, Asia-Pacific, and Rest of World. Annual forecasts are provided for each region for the period of 2006 through 2015. A six-year historic analysis is also provided for these markets. The report profiles 303 companies including many key and niche players worldwide such as Agfa-Gevaert bv, Akhil Systems Pvt. Ltd., Allscripts-Misys Healthcare Solutions Inc., AxSys Technology Ltd., Brunie-Software GmbH, Cerner Corporation, Computer Programs and Systems, Inc., Eclipsys Corporation, GE Healthcare, Healthland, IBA Health Ltd., iSOFT Group PLC, Integrated Medical Systems Pty Ltd., Keane’s Healthcare Solutions, McKesson Corporation, Medical Information Technology, Inc., MEDISTAR Praxiscomputer GmbH, Philips Nederland bv Medical Systems, QuadraMed Corporation, Siemens Medical Solutions USA Inc., Softlink International Pvt. Ltd., Sysmex Corporation, and Sysmex (Malaysia) Sdn Bhd. Market data and analytics are derived from primary and secondary research. Company profiles are mostly extracted from URL research and reported select online sources.
Much more here:
Looks pretty comprehensive if you have $US3950 to spend!
Seventh we have:
EU-policy Initiative on Telemedicine: Why and how?
Thursday, 09 July 2009
The Commission issued on 30th June 2009 an explanatory document that includes details of the extensive consultation process which led to the 'Communication on telemedicine for the benefit of patients, healthcare systems and society' adopted on 4th November 2008. The telemedicine communication proposed a set of actions aimed at enabling wider deployment of telemedicine services, focusing on three main priorities:
- building confidence and acceptance of telemedicine services,
- bringing legal clarity, and
- facilitating market development.
The newly issued (30th June 2009) document (Commission staff working paper) expands on certain aspects of the communication, such as the outcome of the extensive consultation phase that was undertaken in preparation of the initiative, the policy context and the relevant legal aspects. It also illustrates with concrete examples how wider deployment of telemedicine can affect individual patients, healthcare systems and society.
More here:
http://www.ehealthnews.eu/content/view/1660/27/
Lots of stuff on these links.
Reference documents:
- Telemedicine Communication
- Telemedicine sub-site
- Connecting eHealth services
- Lead Market initiative - eHealth
- European Economic and Social Committee
- Staff working paper - Telemedicine for the benefit of patients, healthcare systems and society (.pdf, 293 Kb)
Last for the week
Comparative-effectiveness reports set high bar
By Shawn Rhea / HITS staff writer
Posted: July 8, 2009 - 10:30 am EDT
Two sweeping advisory committee reports providing guidance for creating a national comparative-effectiveness research program set an ambitious agenda and could mark the turning point for the delivery of patient care in the U.S., said healthcare industry experts familiar with the reports.
Those same experts acknowledged, however, that the recommendations may have done little to quell concerns about the ultimate use of comparative-effectiveness research or answer questions about when providers and patients would be able to access such information to guide treatment decisions.
Watch the related video of Carolyn Clancy, director of the Agency for Healthcare Research and Quality, discussing her role on the 15-person Federal Coordinating Council for Comparative Effectiveness Research.
Released last week by the Federal Coordinating Council for Comparative Effectiveness Research and the Institute of Medicine, the two reports offer direction for how HHS should spend the $400 million it received in February for the creation of a program comparing the outcomes of various disease-treatment and care-delivery programs. The money was part of a two-year, $1.1 billion comparative-effectiveness funding package allocated under the American Recovery and Reinvestment Act of 2009. The National Institutes of Health and the Agency for Healthcare Research and Quality were given the balance of the money, receiving $400 million and $300 million, respectively.
Lots more here (registration required)
http://www.modernhealthcare.com/article/20090708/REG/307089995
The first report is here:
http://www.hhs.gov/recovery/programs/cer/cerannualrpt.pdf
and the second is here:
http://www.iom.edu/CMS/3809/63608/71025.aspx
This is all a big deal and will help sort out just what treatments actually work and make a measurable difference in a vast number of patients. Just like the UK has NICE we need the same here!
And finally – for reference:
http://www.oecd.org/document/30/0,3343,en_2649_34631_12968734_1_1_1_37407,00.html
OECD Health Data 2009: Statistics and Indicators for 30 Countries
Follow links for lots of data
Enough for one week!
Enjoy!
David.
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