Thursday, September 10, 2015


ONC: Rate of EHR Replacements Among Providers Up Significantly
New data show that the percentage of eligible professionals and hospitals that switched electronic health record vendors quadrupled between meaningful use program years 2013 and 2014. Meanwhile, Texas has made $15.3 million in incorrect EHR incentive payments under the Medicaid meaningful use program.Health Data Management et al.
Latest Cyberattack Affects at Least 10M; UCLA Wins Data Breach Case
New York-based insurer Excellus BlueCross BlueShield has disclosed a cyberattack that could have compromised the personal records of more than 10 million individuals. Meanwhile, a California judge ruled that UCLA Health is not responsible for the unapproved release of a woman's medical records. Health Data Managementet al.  
HIMSS Releases Top Health IT Policy Priorities for Congress
The Healthcare Information and Management Systems Society has published its annual "congressional asks," naming interoperability, cybersecurity and telehealth as the top policy priorities that lawmakers should address in the next year. Healthcare IT News,Politico's "Morning eHealth."
Researchers Build Genomic Database To Analyze Millions of Variants
A team of researchers at the Broad Institute of MIT and Harvard is using data analytics to identify millions of genetic variants in the human exome, which is the 1% of the genome that codes for proteins. The researchers say such analysis could help improve diagnoses for individuals with complex conditions. The Atlantic.  

Tuesday, September 8, 2015

What Are a Hospital’s Costs? Utah System Is Trying to Learn - The New York Times

Do you know about the accepted notion that emergency department visits are so expensive.



Recently the University of Utah Health  Center began to analyze real costs with a complex set of algorithms.The linchpin of this effort at the University of Utah Health Care is a computer program — still a work in progress — with 200 million rows of costs for items like drugs, medical devices, a doctor’s time in the operating room and each member of the staff’s time. The software also tracks such outcomes as days in the hospital and readmissions. A pulldown menu compares each doctor’s costs and outcomes with others’ in the department. The hospital has been able to calculate, for instance, the cost per minute in the emergency room (82 cents), in the surgical intensive care unit ($1.43), and in the operating room for an orthopedic surgery case ($12).



The big question is why does an emergency room visit cost hundreds or thousands of dollars An ER visit of one hour adds up to about $ 500.00/ hour.







What Are a Hospital’s Costs? Utah System Is Trying to Learn - The New York Times

A Doctor at His Daughter’s Hospital Bed - The New York Times

An all too familiar tale for me.







A Doctor at His Daughter’s Hospital Bed - The New York Times

Monday, September 7, 2015

Stanford MedX: The Continuity Coefficient

The Continuity Coefficient
The more handoffs, the more fumbles are possible

Jordan Shlain discusses the workflow of every doctor and how the experience of every patient is dependent on how information is presented, to whom it is presented to and it's temporal and spacial sequence. Healthloop has developed a Patient Continuity Engine which enables information to be packaged, in context, to all interested parties who may have inputs. The subsequent output is presented to the key decision 


Possible cancer cure being tested in human medical trials in Sydney, Melbourne

Possible cancer cure being tested in human medical trials in Sydney, Melbourne

Thursday, September 3, 2015

Health Care Social Media is developing new possibilities by offering more international cooperation among health institutions.

Health Care Social Media is developing new possibilities by offering  more international cooperation among health institutions.



Department of Health Sciences, has won an international award for his research into social media and healthcare.










Dr Damian Roland (pictured), Honorary Senior Lecturer in the Department of Health Sciences, has won an international award for his research into social media and healthcare.
The consultant in paediatric emergency care at Leicester’s Hospitals has been awarded first prize in the Stanford Medicine X | Symplur Signals Research Challenge 2015 and will present his work to the Medicine X conference at Stanford University in California on Sunday 27 Sept

Doctor wins international award for social media and healthcare research — University of Leicester

The Challenge is a joint venture by Stanford University and healthcare social media analysts Symplur. The competition aims to encourage research into social media, healthcare and the benefits this can offer to patients.
Dr Roland, who is part of the SAPPHIRE (Social Science APPlied to Healthcare Improvement REsearch) group teamed up with Dr Daniel Cabrera, of Mayo Clinic College of Medicine, and Jesse Spur BN, of the Royal Brisbane and Women’s Hospital, to secure the top prize. The trio impressed judges with their research which used social media analytics to interrogate Twitter data and give credence to an online healthcare community – to the extent that it can be defined as a community of practice.
The team focused on the Free Open Access Medical education (FOAM) community of healthcare professionals who collaborate online to share knowledge. They interrogated the Twitter #FOAMed hashtag using Symplur Signals analytics tool.

Sir William Osler, one of the first progenitors of Social Media

Dr Roland said: “The analytics showed millions of impressions recorded over a set period and also revealed it is a community that is growing. The #FOAMed community has proved very popular and uses the power of social media. It is truly what a community of practice can be defined as.  It shows that through Twitter healthcare professionals are educating each other and this is benefiting the patients they work with.”
Why FOAM?... Facts, Fallacies and Foibles

  1. 1. FREE OPEN ACCESS MEDUCATION
  2. 2. h"p://lifeinthefastlane.com/foam/  
  3. 3. h"p://www.kevinmd.com/blog/2013/03/flipped-­‐classroom-­‐future-­‐medicine.html  
  4. 4. “…and to teach them this art — if they desire to learn it — WITHOUT fee and covenant” h"p://lifeinthefastlane.com/from-­‐hippocrates-­‐to-­‐osler-­‐to-­‐foam/  
  5. 5. Photo  from  h"ps://www.mcgill.ca/library/branches/osler/oslerbio  
  6. 6. Taking  the   world  by   STORM (in  a  small  way) Photo  by  JD  Hancock  
  7. 7. 230 EMCC  blogs      in  24 Countries   h"p://lifeinthefastlane.com/emcc-­‐blog-­‐update-­‐2013/  
  8. 8. IT  KEEPS  GETTING  BIGGER…   >30,000  page  views  daily  
  9. 9. Your  students  will     leave you behind
  10. 10. FOAM     =   Social Media
  11. 11. FOAM     =   Social Media
  12. 12. FREE OPEN ACCESS MEDUCATION
  13. 13. A  waste     of  Mme?  
  14. 14. Photo  from  smacc.net.au  
  15. 15. #Hashtags   Ce  tweets  together       #FOAMed   #FOAMcc   #smaccGOLD  
  16. 16. #smacc2013
  17. 17. No   Peer Review =    Bad?
  18. 18. Image  from     h"p://raMonallyspeaking.blogspot.com.au/2012/01/radical-­‐reform-­‐for-­‐peer-­‐review.html  
  19. 19. Publish then     Filter  
  20. 20. Translate and disseminate knowledge
  21. 21. Source  unknown  
  22. 22. Flip  the  Classroom   h"p://lifeinthefastlane.com/2009/07/web-­‐20-­‐for-­‐emergency-­‐physicians/  
  23. 23. That’s just in time…
  24. 24. Tacit  knowledge   sharing   Photo  credit:     stefan  
  25. 25. Nothing  replaces  the     bedside mentor Photos  of  Sir  William  Osler  from  www.collecMonscanada.gc.ca  
  26. 26.   License   Image  credit:  zipckr  
  27. 27. Filter  Failure h"p://lifeinthefastlane.com/2009/07/informaMon-­‐overload/  
  28. 28. “I  don’t  have  Cme  not   to  use  social  media”   Bertalan  Mesco h"p://lifeinthefastlane.com/2009/07/informaMon-­‐overload/  
  29. 29. CAVEAT EMPTOR   Think  criMcally  
  30. 30. Lobotomise, blood let, and perform EGDT!
  31. 31. A jackass in the real world will be a jackass online Photo  by  publicenergy  
  32. 32. Photo  by  MisterSnappy  
  33. 33. Photo  from  The  MAtrix  
  34. 34. TO  GET  #FOAMed
  35. 35. h"p://lifeinthefastlane.com/blog-­‐news/li]l-­‐review/  
  36. 36. h"p://googlefoam.com  
  37. 37. h"p://iteachem.net/2013/06/ten-­‐Mps-­‐for-­‐foam-­‐beginners/  
  38. 38. InfoamaMca.org  
  39. 39. It is up to us to save the world! The  22nd  of  Peter  Safar’s     Laws  for  the  NavigaCon  of  Life   h"p://lifeinthefastlane.com/2009/04/laws-­‐for-­‐the-­‐navigaMon-­‐of-­‐life/  



Doctor wins international award for social media and healthcare research — University of Leic