...to identify, by March next year, services for which payment is available through private health insurance plans but not under Medicare. MedPAC is then asked to recommend how to incorporate these into Medicare. These measures look to expanding the role of and accessibility to telehealth for Medicare beneficiaries. Further, a note entitled “Sense of Congress” states that “It is the sense of Congress that eligible originating sites should be expanded …”. However, unlike the key elements of the 21st Century Cures Act, such as biomedical research, no specific funding has been allocated for the implementation of any telehealth related recommendations.... Continue Reading
Search Results for ehr implementation
Patients as People: creating clinically relevant social insights (part II)
...level via micro-segmentation. Optimally, there will be personalization of information where personalization is possible and micro-segmentation profiles for when it is not. Also, we are not trying to give the doctor more data since we think that is a big part of the problem. “What about your lifestyle” matters which respect to you as a patient, and we at Aloha Health convert that data into insights. When the doctor pulls up an encounter, based on our models, the EHR is populated with the insights that are available about you and your conditions. As a workflow example, I pull up your... Continue Reading
#MedMo16: finalists, winners, and what they tell us about the state of health tech
...can equal death. Runner Up: MediVis – augmented reality for diagnosis, medical education, surgery, and patient education. Medical imaging data in 3D real-world space. Runner Up: Simple23 – Genetic Data Exchange and test ordering made simple. Physicians can order, track, and manage advanced lab tests from anywhere at any time. Runner Up: Lazy – a quality measure reporting API to help EHR companies who sell to hospitals and healthcare practices offer faster quality measure reporting and submission. Category winners: Medical Device/Wearable Health Tech: Ceeable – a cloud based eye exam that replaces traditional high cost alternatives. A visual field test... Continue Reading
Optum’s Utopia of proactive patient care–without telehealth
...managing her condition through a wellness approach” and has an improved lifestyle. Other than an EMR (integrated between provider and urgent care–but EHR is the more current term), no other technology other than telephonic is mentioned in this rosy picture. Where’s the telehealth app that touches our patient, letting her chart her weight, breathing and general wellness, sending it to her EHR and alerting that nurse so she can truly be proactive in seeing changes in her patient’s health? Where’s the telemedicine virtual visit capability, especially if our patient’s out of breath outside of normal office hours, or there’s a... Continue Reading
Events dear boy, events…
Here is a selection of events you may wish to engage with that have crossed this editor’s PC recently: Nominate someone for a Digital Pioneer Award – nominations close on 2 December. DigitalHealth.London in collaboration with NHS England is hosting the Digital Pioneer Awards. They are seeking out within the NHS individuals at any rank and in any role, who are deserving of an award for any of: Digital leadership Digital Innovation, or Sustainability through digital (which means that they have been instrumental in making sure a digital implementation has been sustained enough to a point of delivering benefit). Med-e-Tel,... Continue Reading
Cerner’s takeoff delayed on DOD’s new EHR, MHS Genesis
The new $4.3 billion US Department of Defense EHR, jointly developed by Cerner and Leidos, has taken another delay from the aggressive rollout schedule set in April. The original test start date was 6 December at the Fairchild Air Force Base hospital in Spokane, Washington (state) and the Oak Harbor Naval Hospital on Washington’s Whidbey Island. Back in early September, it was reported that it would be delayed by at least a few months for technical reasons (Federal News Radio and Healthcare IT News). The rara avis in the latter is a mention of major dental supplier Henry Schein–along with... Continue Reading
Add 3 years to ‘Paperless 2020’: Robert Wachter at The King’s Fund (UK)
...a GP surgery in person”. NHS is having another crack at an app library, and there was a bit of surprise, according to the writer, that Secretary Hunt said that fitness data will be integrated into NHS patient records. But Dr Wachter cautions that he’s walking back the 2020 date he advocated for full paperless records to 2023. He recognized that implementation in all but the most advanced hospitals (a handful) isn’t feasible. There are too many competing priorities and too little funding (and, this Editor would add, too many HIT threats like hacking and ransomware). Only the most “digitally-sophisticated... Continue Reading
A hybrid telehealth/telemedicine model for health systems
...first–an ‘adaptive questionnaire’ taken online or on mobile, compiles the information, then depending on the result, returns to the patient to schedule a virtual (video/audio) consult, lab visit or referral to a physician. The smart parts are that this is completely within the the health system and integrates with their EHR, making it reimbursable. It also can be used to expand the patient base even if the care is short term or episodic. Zipnosis currently has 17 health system clients. The latest is Fairview Health Services in Minneapolis where the system test is first with their 22,000-plus employee workforce. The... Continue Reading
Connected health: what’s different than last year?
...of Parks Associates, for toplines on the key differences in the market and the conference between last year and this. It’s shifting to implementation, how to streamline processes around data, making data useful….and still finding someone to pay for it. What is different this year than 2015? The primary difference this year is that we will be discussing case studies and implementation and engagement issues, shifting the focus from “what elements are needed to encourage engagement” to “how is implementation working.” In addition, the emphasis on the power of data to provide meaningful data that empowers both consumers and care... Continue Reading
Is ‘ZDoggMD’ restoring humanity to health care? (weekend reading)
...street/rap format, especially on patients and end of life care. They also emphasize that both clinicians and ordinary people have to work together to change things. Yet commercialism does enter. Watch this one on EHRs being what many doctors have complained they are for years, to official scorn and condescension: ‘a glorified billing platform with some patient stuff tacked on.’ Where this video lost me is that it ties into LetDoctorsBeDoctors, ostensibly a site where medical professionals could share their frustrations, but which at the end reveals itself as a promotional site for athenahealth. It’s utterly spoiled by an advert... Continue Reading
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