As reimbursement evolves from fee for service to alternative payment models, incentives will shift from treating sickness to keeping the population healthy. New investments will be made in technologies that reach into the home and enhance care team communication. 2016 saw an acceleration of telemedicine/telehealth. 2017 will see exponential growth. Telemedicine is hard to define. It could be real time video teleconferencing between clinicians (a consult), between a patient and clincian (a visit), or group to group (tumor board discussion). It could be the transmission of a static photograph, such as the poisonous mushroom/plant teleconsultation I do 900 times per year. It could be secure texting to coordinate patient care...
telemedicine
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Telemedicine Options Improve for IHS & VA Patients
Connecting patients in rural locations with providers hundreds, or even thousands, of miles away continues to be a challenge for Indian Health Services and the U.S. Department of Veterans Affairs, but one that coordinators say it’s worth it for patient care and cost savings. Read More »
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Telemedicine Will Be The Norm As Care Shifts Towards Patients
After nearly half a century advocating for the adoption of remote care, Dr. Jay Sanders, often dubbed the “Father of Telemedicine,” knows a thing or two about using technology to enhance the doctor-patient relationship.
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TelePresence and TeleMedicine
The project is to design an open-source based robotic telemedicine system (Figure 1) for the Moffitt Cancer Center. Currently available commercial solutions are either proprietary, or lack features, such as quality communication equipment. We have designed and implemented a system that is capable to navigate in a clinical environment with minimum human intervention. Read More »
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The 'Digital Dystopia': 4 Thoughts from AMA CEO Dr. James Madara
Not all digital tools are created equal, and some of these tools are detrimental to patient care. This was the message James Madara, MD, executive vice president and CEO of the American Medical Association, expressed in his address at the 2016 AMA Annual Meeting. Dr. Madara compared the current digital health landscape, "something I might call our digital dystopia", to the "quackery" of snake oil remedies.Here are four thoughts from Dr. Madara's address...
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The 8 Steps to Amazon Entering the Health Care Market
This is a thought experiment: What if Amazon really wanted to go all in in the health care sector? What might that look like? What would their strategy be? Where could they deliver value? Amazon looks for industries that are not sensitive to the customer, that have profits or premium pricing based on barriers to entry (often capital related), and looks to exploit those opportunities. It’s pretty straight forward. And, whether that industry is cloud storage space or groceries or “last mile” distribution networks, Amazon is thinking about it...
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The Real Power Of Telehealth: Building Large Networks
...The vision is to “get access locally when needed, regionally if more important, and globally to access world experts,” Darkins, who leads the VA’s national telehealth programs, said here at the Government Health IT Conference and Exhibition on Tuesday...
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The Second Global Innovation Roundtable Sets The Agenda For Global Cooperation In Innovation [India]
The National Innovation Council (NInC), chaired by Mr Sam Pitroda, Adviser to the Prime Minister, hosted the second Global Innovation Roundtable (GIR) on 1st and 2nd November 2012 in New Delhi, India. Read More »
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The VA Is A Telehealth Leader
“Telehealth isn’t about seeing a provider by video: it’s about decision making,” Dr. Adam Darkins, leader of the U.S. Department of Veterans Affairs National Telehealth Programs, told the audience in his keynote address at the Government Health IT Conference in Washington, DC, on June 17, 2014...
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Ticking All The Boxes For A Health Care Upgrade At Strata Rx
What is needed for successful reform of the health care system? Here’s what we all know: that a data-rich health care future is coming our way. And what it will look like, in large outlines. Health care reformers have learned that no single practice will improve the system. All of the following, which were discussed at O’Reilly’s recent Strata Rx conference, must fall in place. Read More »
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Timeline: How Apple Is Piecing Together its Secret Healthcare Plan
Rumors are at a fever pitch that Apple has big plans for healthcare, including putting a medical record on the iPhone, possibly acquiring its way into the EHR market. From its leap into healthcare in 2014 with its HealthKit application programming interface in September 2014 to the June 19 revelation of Apple’s work with the tiny start-up Health Gorilla, Apple has made a series of moves in healthcare that clearly indicate the company has plans for the space that will somehow manifest on its mega-popular iPhone and iPad products. Here’s a look at how Apple got to where it is today in healthcare...
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To Err Is Human, To Diagnose Artificial Intelligence is...?
A new study found that physicians have a surprisingly poor knowledge of the benefits and harms of common medical treatments. Almost 80% overestimated the benefits, and two-thirds overestimated the harms. And, as Aaron Carroll pointed out, it's not just that they were off, but "it's how off they often were." Anyone out there who still doesn't think artificial intelligence (AI) is needed in health care? The authors noted that previous studies have found that patients often overestimate benefits as well, but tended to minimize potential harms. Not only do physicians overestimate harm, they "underestimate how often most treatments have no effects on patients -- either harmful or beneficial"...
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Top HIT Trends For 2014: Accelerated Change Is Coming
Healthcare IT News recently published a series of articles looking back at the incredible progress HIT has made over the last decade. The last nine quarters in particular, starting not surprisingly when Meaningful Use checks got posted for EMR implementation, have seen remarkable accelerated change. [...] Read More »
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Tracking Healthcare Innovation At The World's End
Afghanistan doesn't come to mind when you ask me to list some of the top crucibles of innovation in healthcare right now. [...] Adversity, however, can be a prerequisite for change. Read More »
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TulaSalud: An m-health System for Maternal and Infant Mortality Reduction in Guatemala
The Guatemalan NGO (Non-Governmental Organization) TulaSalud has implemented an m-health project in the Department of Alta Verapaz. This Department has 1.2 million inhabitants (78% living in rural areas and 89% from indigenous communities) and in 2012, had a maternal mortality rate of 273 for every 100,000 live births. This m-health initiative is based on the provision of a cell phone to community facilitators (CFs). The CFs are volunteers in rural communities who perform health prevention, promotion and care. Thanks to the cell phone, the CFs have become tele-CFs who able to carry out consultations when they have questions; send full epidemiological and clinical information related to the cases they attend to; receive continuous training; and perform activities for the prevention and promotion of community health through distance learning sessions in the Q’eqchí and/or Poqomchi’ languages...
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