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Wednesday, June 27, 2012

Alaska Medicaid Agency To Pay $1.7M To Settle HIPAA Case

 

Why our health system is so expensive.

Does this appeal to your common sense? No ! Robbing Peter to pay Paul. The State of Alaska should have been required to use the funds to train their workers in HIPAA

This case was over three years ago, when HIPAA was just coming into effect nationally.

Don’t waste my money on idiocy!!

Needless bureaucracy and expense.

Alaska Medicaid Agency To Pay $1.7M To Settle HIPAA Case

Alaska's Department of Health and Social Services -- which oversees the state's Medicaid program -- has agreed to pay $1.7 million to settle possible violations of the HIPAA Security Rule, Modern Healthcare reports.

Leon Rodriguez, director of HHS' Office for Civil Rights, in a statement said, "This is OCR's first HIPAA enforcement action against a state agency, and we expect organizations to comply with their obligations under these rules regardless of whether they are public or private entities" (Zigmond, Modern Healthcare, 6/26).

About the Possible Violations

In October 2009, Alaska's DHSS submitted a breach report to OCR indicating that a portable electronic storage device that might have contained protected health information had been stolen from the car of a DHSS computer technician (HHS agreement, 6/26).

After investigating the breach, OCR found that DHSS had failed to:

  • Address the encryption of devices and media;
  • Complete a health data risk analysis;
  • Conduct health data security training for employees; and
  • Implement controls for devices and media (Goedert, Health Data Management, 6/26).

Details of the Settlement

In addition to paying the settlement, DHSS agreed to review, revise and maintain its policies to ensure compliance with the HIPAA Security Rule.

As part of the agreement, a designated monitor will report to OCR regularly about DHSS' compliance efforts (Cadet, CMIO, 6/27).

 

Online Program Lets Docs 'Prescribe' mHealth Apps

 

How many physicians actually prescribe mobile health applications to their patients by writing an Rx or having a list to give to their patients?  Believe it or not some patients do not know what is on the market and readily available for mhealth. Those who are familiar with mobile health and/or remote monitoring will look to you as an “expert” on mobile and remote monitoring.

If you are not an expert or have meager knowledge of this subject , and little time to research the subject you have two choices:

1. Assign responsibility to a staff member

2. Look at our resource white paper on mobile health, and remote monitoring.

3. Do both.

Social media is an excellent source of information, in blogs, on Facebook, Twitter and Google plus. Numerous discussion groups occur on Google plus Hangouts. This link will guide you how to join Gmail (necessary) and start a hangout.

Health Train Express and Digital Health Space produce a ‘Hangout Doctor” at 5 PM Pacific time Monday through Thursday. Circle ‘Digital Health Space’ for up to date information

Happtique, a mobile health application store aimed primarily at healthcare providers, plans to launch an mRx program that will give hospitals and physicians a mechanism for prescribing mHealth apps to patients. Following a two-month pilot this summer, Happtique expects to launch its patent-pending mRx technology in the marketplace.

Happtique offers a full suite (catalog) for both iPhone and Android OS solutions and is catalogues by specialty as well as by profession. Register here

 

Tuesday, June 26, 2012

Smart Medicine, SmartPhones

 

        

The evolution of computer processing power has led to a reduction in size of the most commonly used device used for computing and social media tasks.  The tower shrunk to a desktop or all in one format, the desktop was replaced by laptops and tablets. Tablet PCs, notepads, netbooks are morphing into mobile devices of assorted sizes and utilities, merging with video capabilities.

These changes are key to ‘meaningful usability’ in a medical or hospital environment.

Health care and medicine have lagged behind in the use of social media

How the iPhone set the bar for other smartphones in healthcare -

iPhones could be considered the technology that truly kick started the mobile revolution in home care. Small, easy to use and powerful, the iPhone was the first smartphone to really capture the attention of physicians, and to develop tools and resources for healthcare.
Recent data shows nearly 65 percent of hospitals are supporting iPhone use on their networks, and another 83 percent are supporting its larger cousin, the iPad. 

Dozens of developers create add-ons, plug-ins, special lenses, and apps that can turn the iPhone into any number of use-specific healthcare tools, including:

  • Image-viewers: Recent studies have shown that the iPhone can be an acceptable viewer for MRI, X-ray and other images, although with the caveat that it shouldn't be used for primary diagnosis.  
  • Diagnostic tools: Developers have created strips, touchscreen devices and other tools to diagnose everything from malaria to e. coli infection via the iPhone. 
  • Remote monitors: iPhones can read and transmit data from remote monitoring devices. For example, the iPhone has been employed as a scanner to take glucose readings from strips of nanosensors under skin.
  • Microscopes: A cheap, $50 lens turns the iPhone into a field microscope. It's not the same as powerful lab microscopes, but can enlarge images 350 times, which can be more than enough to see tissue abnormalities and even some diseases.
  • Electrocardiograms:  A pocket sized device attached to the back side of a smartphone can transmit a remote rhythm strip to a physician or hospital from a 911 first responder.
  • iPhones also have hefty enough processing capacity to access patient records, Being

    Another key component in the iPhone revolution in healthcare clearly is consumers. Saldana estimates that of the 7,000 users who access his hospital's MyCare patient portal, 80 to 90 percent do so with iPhones. It was one of the main reasons his team moved early on to enable the hospital's Epic electronic medical record system for iPhones, and later iPads.

    And iPhones certainly are upping the ante in terms of patients' expectations, Feldman adds. "Particularly now that patients have access themselves to their data via portals, so often my patients are as up to date as I am on their labs. It would be embarrassing if they have faster access than I did."

    Physicians will be dragged into social media by their own patients and consumers who will annoyed by not having that functionality with their physician or medical group. Physicians will come to realize the efficiencies of not having to contact the patient about ‘normals’, and the lab data normality can be programmed into the software.

    Security Issues:

    The one lagging item on the iPhone agenda continues to be security. iPhone users are famous for finding workarounds,

    While not HIPAA compliant smartphone experts say they had good luck with "just put[ting] on the lock screen, which encrypts the data on the device and ... set[ting] up remote wipe/locate, which are all free features of the phone." These issues still abound how to encrypt data over the cell and wifi networks.  The military does this already with Blackberry devices, which are standard military issue for email and communication in DOD medical facilities.

    The capability is there and someone is going to come along and develop this capacity.

    And last but not least is social media.  Email is slow compared to using Twitter which can actually function much like a pager with a message displaying and a sound alert much like the now obsolete digital pager. It also facilitates a quick reply if desired.
     

    How the iPhone impacted the handset industry

    How the iPhone set the bar for other smartphones in healthcare -

     

    And during slow times, there is always:

     

    on

    Monday, June 25, 2012

    Torrid Rate of Growth for Digital Health Funding

     

    After investments in digital health doubled from 2009 to 2011, the torrid pace of growth has continued in the first half of 2012. Rock Health’s founder Halle Tecco stated why they released a report at this time. “The impetus of this report was the notable growth in venture funding of digital health–so much so that we are seeing 73% more investments than the same time last year. As we strive to foster innovation and entrepreneurship within the space, we want to best characterize the landscape to paint a clear picture of where our field is going.”

    In order to understand this dramatic increase in HIT spending, look only as far as the Department of HHS incentive plan for HER and HIT coupled with the incompleted plan for PPACA.

    The driving factors for this dramatic increase:

    Either Way the Patient Will Lose in This Round

     

    The opinions expressed herein are solely those of the author:

    Gary DSC_1168  Gary M. Levin MD

     

    Let me state unequivocally that we need to reform our health system, but not in the manner being attempted by our present Congress, nor President Obama.

    The Health Reform Law was passed almost two years ago and spontaneously ignited a ‘food fight’ of incredible proportions, with over reaction from each side, Republicans being accused of ‘Darwinian theology’’ for their health reforms, while Democrats are accused of being flaming socialists wealth redistributionists and even communists.

    Speaker Nancy Pelosi said we would not know what was in the bill until after it passed.  That was and is a profound oxymoron and understatement.  No one really knows what it will cost, if it can be funded in the short or long haul, much of the administration is still not in place and there remains much to be accomplished.

    Pandora’s box has been opened and no one really likes the details. Democrats surely must regret passing a nonpartisan act. Republicans are so incensed at being ‘bullied’ into submission that they are not likely to approve most Democratic proposals for anything. 

    Perhaps our political system has gone off the rails, defying rational thought in favor of lobbyists.

    The act  was passed with little review by grass root healthcare providers in the trenches.  Yes, the American Medical Association (representing only about 160,000 out of close to 800,000 doctors and hundreds of thousands of other providers, hospitals, durable medical device manufacturing companies) endorsed the Act. The AMAs endorsement did not include me. The only groups that seemed to have the attention of the congress were insurance companies and pharma.

    I would say that this Law is not the best or even near the best approach to health reform.  That is a very sad thing that so much time has been wasted in our effort.

     

    During a financial crisis when debt is escalating out of control, isn’t it best to reign in spending, stop borrowing money to fight wars or other programs. Let’s take a breather and put  PAPCA on hold….makes more sense that to have e SCOTUS make a critical decision based on the constitution to overcome our intransigence.

    The law was badly conceived and written and passed, without concern for the implementation. It was passed as a political expediency by Democrats, without Republican support.

    Haste makes waste !

    Can a health system be designed by Congress? Or for that matter, Health and Human Services?

    Thursday, June 21, 2012

    The Doctor’s Tablet A Blogger’s Anniversary

     

    Gary DSC_1162

    I start each day reviewing blogs and the social media stream(s).  It offers up a wide variety of topics on “what’s hot”. Admittedly most of it is in the health care field and now overlaps with 'social media’. I am beginning to not like that term, for the time being. Although diminishing in ‘bad press’  “social media” harbors some lingering stereotypical attitudes, unless one know how to use it and avoid the ‘bottom dwellers’ who are there. 

    Our presence in social media should elevate it’s content, and health care providers will not be lessened if we take on a leadership role.

    Doctor's Table

    Today I want to congratulate and encourage “The Doctor’s Tablet” which is approaching it’s  six month anniversary of blogging.  Directly from their “about page” here is what they say about themselves. 

    “This dynamic blog, written primarily by Einstein faculty, reviews the latest in medical research and development while bringing you a unique glimpse into how doctors use their knowledge, skills, experience and intuition to make diagnoses, treat patients and strive to provide compassionate care.

    Each week, College of Medicine faculty share observations and insights from the front lines of medicine and translational research. The thoughts and words are their own. The Doctor’s Tablet  editors, Paul Moniz, managing director of communications and marketing, and David Flores, social media manager, provide editorial guidance.”

    As most experienced bloggers will advise, “Content is king”.  I have found networking with other credible bloggers is important. Linking with twitter, facebook and Google Plus serve to attract readers.

    The Doctor’s Tablet has  a unique strength in it’s expert sources from many New York Hospital Institutions, and their physicians.

    Our best wishes for continuing success for The Doctor’s Tablet and welcome to the ‘blogosphere’.

     

    Monday, June 18, 2012

    Stockholm Syndrome: Not What You Think

     

    Gary DSC_1168 (640x424)

    Societal Stockholm Syndrome may also explain Psychologist Dee Graham has theorized that Stockholm Syndrome occurs on a societal level.

    Stockholm Sweden seems to be advancing toward mobile health applications and utilization well ahead of the U.S.

    Stockholm uses city-wide mobile phone system to document elderly care

    For nearly 2,000 care workers in Stockholm, a smart phone has become the most important tool in their daily operations. The goal is to make life easier for care workers and care providers and to give relatives access to various eServices that are provided via the city's website. City officials presented the solution in a World of Health IT session during the pan-European eHealth Week 2012 in Denmark.

    “The idea to use a mobile documentation solution for both public and private providers of care for the elderly was mooted years ago,” said Stefan Carlson, Head of Technical Development and Administration at the city of Stockholm's IT department.

    Carlson and Lindquist said that mobile documentation in elderly care has been "a big success".
    "We are now planning to offer this (solution) in medical care as well. And we are planning to add new features like the eKey, a solution that uses the mobile phone as an electronic key to open the doors of homecare customers' homes without having to carry a key chain all the time", Carlson said.

    An agreement was reached with Finnish IT-provider Tieto in 2007 to provide a Stockholm-wide mobile communication service. With all relevant information being digitized right away, the City of Stockholm can offer eServices to the elderly or their relatives. The care documentation can be accessed via a secure web connection, so that relatives, for example, can see exactly what care was provided and when.

    Unnecessary driving is reduced. Every care worker can access the day's schedule immediately, without having to drive to the office first.

    Expansion to medical care on the horizon

    Carlson and Lindquist said that mobile documentation in elderly care has been "a big success".
    "We are now planning to offer this (solution) in medical care as well. And we are planning to add new features like the eKey, a solution that uses the mobile phone as an electronic key to open the doors of homecare customers' homes without having to carry a key chain all the time", Carlson said.

    Homecare services for the elderly in the city of Stockholm are provided by around 5,000 care workers who are employed by either one of 30 public care units or by one of the around 100 private care providers.

    Together, the public and the private sector share responsibility for around 30,000 elderly customers who are visited on a daily basis by the homecare service. 

    Health Train Express commented that smartphones and even public video conferencing assets such as google hangouts, Skype could be use to enhance home care visits, and post operative follow up.

     

    Friday, June 15, 2012

    Do Doctors have an Obligation to Engage in Social Media?

     

    Part I of II parts……

    According to KevinPho MD

    Some physicians may be hesitant to participate in social media outlets, like Facebook,

     

    Twitter, or Google Plus

    Well, get over it.

    Pediatrician Bryan Vartabedian addresses this topic. “Indeed, physicians have lost control of the online message, especially with, according to recent data, 60+ percent of patients visiting the web first when looking for health information.”

    I can only agree wholeheartedly and substantiate Kevin’s observations after spending the past year exploring these platforms. Some are using it as a marketing device to draw in people, much more focused than email  that was so prevalent several years ago.  In fact it is much more effective given the huge advertising revenue that Facebook generates and their linkages to many gaming sites. And market studies reveal that most gamers are young adults 20-35 years old.

    While Facebook truly began as a social site for young adults it has evolved into a powerful media powerhouse. It’s recent IPO although touted as a ‘failure’ was not.. millions of people bought into  Facebook, crashing the computer system of NASDAQ.

    You will find multimillionaire medical device and pharma companies marketing a  presence and followers on Facebook. Many companies hire a full time social media director to actively respond to followers, either on twitter and/or facebook. Google plus features an even more  ‘intimate’ relationship due to it’s format and Google Hangouts. Talking and seeing your ‘friend’ is much more powerful than typing, and reading. It also prevent misunderstanding in tones and nuances in a video format.

    Twitter is NOT a noisy meaningless platform once the user understands how to use Hashtags. For instance I followed the American Society of Cancer by following the meeting using #ASCO12. This is a common method for those in the know to be linked to many conferences such as  AMA12  and others. A more complete hashtag directory for specialists and medical conferences will be found at symplur.org, which presently represents the most complete hashtag directory in healthcare, incuding health IT, Healthcare consultants and others.

    I use Tweetdeck an application that was recently acquired by twitter. With this application it is possible to open multiple hashtag columns and follow an unlimited number of subjects in a columnar form.

    Going forward, doctors need to incorporate social media into their practice, or better yet, learn some basic search engine optimization techniques for their websites. Without these skills, sithe medical profession risks losing further influence of the online message, as more patients will be persuaded by charlatans, who now rule the web’s health information.

    The Real Reason Some Doctors Fear Social Media according to Howard J Luks MD, a well known physician social media expert is a number of issues.

    Are you social? Do you genuinely like people? Many physicians do not fear social media because of HIPAA concerns. The real reason some doctors fear social media is because social amplifies how you are already perceived in real life. If you are a “jerk”, guess what? You will be a bigger jerk on social media, and you can no longer hide. You need to first “be social. 

    Doctors tend to socialize within a limited circle, on the golf course, in the hospital, with referral physicians. It gives us a biased and limited exposure to people in real life and in other ways where you are the authority figure. Basically it allow one to ‘get down’ with humanity in it’s own environment, something from which we insulate ourselves in the effort to become imperturbible and deal with situations with equanimity.  I find myself much more approachable, but often have to remind my contacts to not call me ‘Dr.”  It’s as difficult for them as it is for me, but it brings to life for patients that we all are human and subject to the same emotions and life stresses compounded by our duties as doctors.

    Part II of II

    The End of the Diva Paradox

    Seth Godin is a blogger and Marketing Consultant, who makes some interesting points:

    As people share more, they have access to more opinions from the people they trust about the products and services they use. This makes it easier to discover the best products, and improve the quality and efficiency of their lives.

    Running the Business and Marketing

    Medical Practices and Hospitals are competing for patients and dollars given the prospects of health reform, and decreasing reimbursement with increased utilization. Ordinarily conventional print advertising such as yellow pages, or a professional marketing campaign with video and/or TV radio are now prohibitive.

    The cost of a social media platform is near zero, no additional hardware or software acquisition is necessary. It is essentially a ‘gift’ from several well funded and successful entities that are an integral part of today’s digital world for this new generation. Despite physician’s ‘fears’ about HIPAA, the medium offers much to you.

    Businesses will be rewarded for building better products  - ones that are personalized and designed around people. We have found products that are “social by design” to be more engaging. ~ Mark Zuckerberg, CEO, Facebook.

    We have prepared a brief “White Paper” for the whole story, free for just a click here.

     

    Tuesday, June 12, 2012

    Health Insurance Benefit Exchanges? More Bureaucracy, at What Expense?

     

    A new paper published by the Galen Institute warns that states which fall into lockstep with Obama Care's health insurance exchanges will end up in a bureaucratic morass with exchanges that won’t work, won’t increase access to affordable health care, and…Rita E. Numerof, Ph.D., writes in “What’s Wrong with Health Insurance Exchanges…” that the solution to affordable coverage won’t be found in cookie-cutter compliance with Obama Care's bureaucracies, but rather in removing regulations that make coverage unaffordable today and in reducing barriers to competition and consumer choice.

    If the Supreme Court declares the health law unconstitutional, the Obama Care exchanges will be void.  But that will not obviate the need for states to tackle the very real problems that drive out competition and drive up the costs of health coverage.

    “Rather than focusing on compliance with PPACA, legislators should take inventory of the problems plaguing the health insurance markets in their states. Then they can confront the most critical issues of insurance coverage, care delivery, and payment reform to ensure that residents have access to affordable care and enjoy better health outcomes at lower cost,” Numerof concludes.

    Some states already have started the process of studying the changes needed in their individual and small group health insurance markets, and some also have begun putting in place the cornerstones for web portals and marketplaces to help consumers select from a range of health insurance choices.  They are working to reduce barriers to competition and consumer choice and untangle the bureaucracy and regulations that make coverage unaffordable today.

    Many states also are working to  inoculate themselves against the threat that the federal government would swoop in to create exchanges if they don’t take action on their own. These states are assessing their own needs and resources and not allowing the federal government to dictate how they proceed.

    States will play a major role in the next phase of health reform.  Those states that are working now on assessing their own challenges and resources will be better prepared to take the lead in the future.

    The Federal Government has mandated that HBE’s be formed by states and will underwrite initial organization, however there will be no prolonged funding of HBE’s. The PAPCA also mandates that if states do not accept grants and/or form their own HBE’s the federal government is mandated to step in to do so.

    Many health policy experts consider the health insurance exchanges, where most of the 32 million Americans expected to gain coverage will compare and purchase health insurance, to be the backbone of the Affordable Care Act.

    The exchanges also have become a battleground in the fight over President Obama’s signature legislative achievement. Each state must have a marketplace in which consumers can compare coverage, learn whether they qualify for subsidies, and ultimately purchase a plan. If a state does not have a framework in place by 2013, the Department of Health and Human Services will come in and do the job itself.

    Many Republican-governed states have slowed or halted work on implementing a health insurance exchange, saying that it is prudent to wait until the Supreme Court rules on the law’s constitutionality. That decision is expected by the end of this month.

    But many officials acknowledge that if the law is upheld, their states will want to run their own exchanges. This collaborative is more evidence that states across the political spectrum are still planning to meet the health overhaul’s deadlines.

    The California Healthcare Foundation thought up the idea of working with states on health insurance exchanges in early 2011. Eleven states initially participated; that number grew to 17 as work got underway and the word got out.

    The collaborative, officially Enroll UX2014, includes New York and Washington, which have embraced the Affordable Care Act, and Republican-governed states such as Kansas, New Mexico, Alabama, and Tennessee.

    The states worked with the design firm Ideo to come up with a consumer interface that determines how many options consumers should see at one time, for example, and the order in which those options should be presented.

    Dr. Numerof is co-founder and president of Numerof & Associates, Inc., a strategic management consulting firm.  The Galen Institute is a non-profit research organization based in Alexandria, VA, that focuses on free-market ideas for health reform.

    Monday, June 11, 2012

    A Plea to SCOTUS

     

     

    Many are waiting for the  SCOTUS decisions regarding the Patient Care and Affordability Act. Whichever way it goes, the impact will be disappointing and most likely anti-climactic.  I am not placing any bets, and there have been no ‘wikileaks’ from staffers, clerks, Drudge, or even Wikipedia’s founder.

     

    Sunday, June 10, 2012

    Medical School----A Radical Departure

     

    BY MARK MUCKENFUSS

    STAFF WRITER,  PE.COM

    mmuckenfuss@pe.com

    Published: 09 June 2012

    A bold new medical school curriculum is being mapped during the planning phases of the University of California at Riverside.

    UCR officials had originally planned to open the school this fall, but a lack of state funding amid the budget crisis derailed the school’s attempt at accreditation last year. Since then Dean Thomas Olds has secured commitments of $100 million over 10 years, largely from UC sources, local government and community health organizations. He believes the sum is sufficient for accreditation.

    G. Richard Olds M.D., Dean

    The school is located in Riverside California in the Inland Empire region. The area which also includes one other private medical school serves a large population of underserved and Latino's. Many graduating medical students from the local private university leave the area, or become missionary evangelists.

    To begin with, the region has only half the physicians it needs. The national average is 220 doctors for every 100,000 people. Here, the ratio is 110 to 100,000.

    The shortage of primary care physicians is even more severe. Instead of the 80 per 100,000 that is the national average, the Inland area has 36 per 100,000. In some areas of the Coachella Valley, there are 10 primary care doctors for every 100,000 people.

    Based on those numbers, the region needs 3,000 more doctors. By 2020, Olds estimates that shortage will be closer to 5,000.

    Part of the solution, he said, is to recruit heavily from the local region, focusing on students who have shown a commitment to community service and shifting the training of the young doctors from an in-patient to an out-patient emphasis. He also wants to hire a staff with a high number of primary care physicians. In many medical schools, he said, up to 75 percent of the teaching doctors are specialists.

    If the UC Riverside School of Medicine opens in fall 2013, it won’t look like other medical schools.

    It will not have its own medical center — students will be farmed out to local hospitals — and the school’s dean, G. Richard Olds,  says the way doctors will be trained is a 180-degree shift from the current medical school model.

    Among those differences:

    A focus on producing more primary care physicians — rather than specialists — who would establish practices in the Inland area.

    Emphasizing illness prevention — instead of focusing on treating people who are already sick — by working in cooperation with local health agencies.

    Using outpatient and community clinics for much of young doctors’ training instead of nearly exclusive use of a large hospital setting.

    Today, only one in six new doctors is a general practitioner, Olds said. The other five are specialists. That imbalance has shifted the way medical care is provided, he said, focusing more on making sick people well, rather than keeping them from getting sick in the first place. He wants to reverse that.

    Drawing support and funding from local government, healthcare networks and private entities, instead of relying mostly on monies from the state level.

    “We’re probably the only medical school doing what we’re doing,” Olds said. “If enough of what we do works, in 20 to 30 years, everybody will be doing it.”

    UCR officials had originally planned to open the school this fall, but a lack of state funding amid the budget crisis derailed the school’s attempt at accreditation last year. Since then, Olds has secured commitments of $100 million over 10 years, largely from UC sources, local government and community health organizations.

     

    Friday, June 8, 2012

    Social Media for Health Care, Headed to the Cloud?

     

    Oracle, in a move that m ay portend the future of social media in medicine and health related industry, is marketing a  cloud solution that involves social media  integrated into business cloud offerings. Their business model is explain in their data sheet on cloud social media.

    Oracle’s offering has the advantage of being secure, unlike public social media platforms.

    I predict that EHRs will also incorporate secure social media, whether client/server based or on the cloud.

    Facebook already has a secure API, at Registerpatient.com which provides a secure HIPAA compliant feature.

    Health Train Express will be surveying numerous vendors as to their plans for social media. Social media is present on numerous Health Information Exchanges as a messaging service.

    Evident is the increase in physician use of  Twitter, and the popularity of physician bloggers, talk radio, and Facebook. Blogs have been around for a long time. Health Train Express began in 2007, or thereabouts as an heir of Riverside Health Information Exchange’s newsletter.

    Blogs seem to function as an outgrowth of the ‘journal’, a diary of thought delivering a stream of consciousness for whomever is writing. Much of the material is excellent and  written by credible sources.  For those in the ‘know’ missing some blogs is a bit like not having your morning newspaper with coffee.

    For some of us the daily social media read and/or tweet has become a necessity and may contain important information for the day’s clinic or a sudden change in  schedule.

    The utility of mobile applications magnifies what social media is for users. The hand-held device, be it a smartphone, tablet pc or some iteration thereof combines a ready reference source, calendar, email utility , or as a social media client.

    If you understand twitter hash tags twitter offers a means of following meetings, such as #ASCO12 the meeting of the American Society of Clinical Oncology for 2012.

    Symplur offers a complete directory of known popular medical hashtags. It is an evolving list. The most recent important addition is  #medsm. There is no official body with authorizes or certifies hashtags, however perhaps  one will develop in a clearing house to avoid confusion, as occurs sometimes.

    It would be a simple matter to include # tag search in any electronic health record system…demand it.

    Ultimately the physician must take into account:

    Monday, June 4, 2012

    The Real Meaning of Social Media in Medicine

     

    We must encourage every committee, every conference, and hospital board to actively recruit and include patients in every  aspect of the care process from design to implementation to resolution.

    Nothing about us without us.

    From the exam room to the board room.

    Invite patients and you will include artists, poets, and writers in creating health policy.

     

    (Regina Holliday) HXD , Boston 2012