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Blogroll
Headline Commentary July 20-26
- Posted July 26th 2009
- by Janice
HHS considering notification requirements for cases when the security of de-identified patient data used in research is breached.
Jeff Jarvis’ ideas for building new revenue streams for online news companies by leveraging the network effect and sharing ad revenes between the original site and the sites that prive traffice through links.
Advertising may help increase book publishers’ profits, but it is unlikely that books will become less expensive: they are already inexpensive. Readers are unlikely to invite advertising, unless books become totally free.
Interesting new program at U. Rhode Island, a pharma science, which goes beyond basic understanding of the existing drugs on the market into study of how drugs work and interact. “Starting this fall, the school will introduce a pharmaceutical sciences major, a four-year degree program that focuses on the science of drug development, manufacturing, and delivery.” Sounds like a good idea & will be helpful for pharma BI function.
Good review of why there is skepticism among doctors & others (including me) about how investment in EHRs will provide “magic bullet”. Key issue is the quality of the EHR systems being sold by many of the big health IT vendors. Key quality factors include: ease of use, interoperability, low downtime.
Examples of Cleveland Clinic & Bassett Health where coordinated care and salaried doctors contribute to better & more cost-effective care.
Dr. Denis Cortese, CEO Mayo Clinic, interviewed on Charlie Rose week of July 20 2009.
Good example of the complexity of calculating out-of-pocket healthcare purchases. In this case, hearing aids are used as the example, and most expensive hearing aids are not covered by insurance. But, the need to understand initial & follow-up treatment, as well as costs for supplementary tests and devices, is valid for all health-care purchases. In short, in the current system, increasing out-of-pocket expenditures for patients primarily causes confusion, leads to higher costs (since consumers don’t know how to fight the charges–or don’t have time), and does nothing to improve care or wellness.
Obama visits Cleveland Clinic on July 23, 2009. This is the press release from CC.
Healthcare.com, a Miami, FL based health directory company, launches new site: InsuranceAgenFinders.com for consumers to find health insurance brokers. Site also provides info for brokers and agents. Healthcare.com also has sites: HealthInsurancePlan.us, LifeInsurance.org.
Dr. Sidney Wolfe describes why the current system for reporting doctors in the NPDB isn’t working.
Good overview of EBM — what it is and what it is not– and some cautions about Obama’s zeal for EBM and Health IT.
Jbat puts Twitter’s emergence in the context of Google in 2004 and suggests that small-to-medium sized businesses will be the lifeblood of Twitter. These SMBs need to continously find better/faster/cheaper ways of marketing their goods & services and Twitter can help. I like the comment from a reader that describes Twitter as a new “marketplace” for buyers & sellers. That’s what I said of online directories 5-6 years ago.
PLoS is working toward new measurements of “impact” for scholarly research, based on ind. articles and including measures of web-based linkages.
AP creates new technology for tracking usage of articles and wrapping reuse rights into code in each article. In principle, the concept could work; in practice it may flop due to too many restrictions on links.
Twitter prepares materials for business use of its microblogging services. Lots of good tips for business use and examples from big companies.
Rand study analyzes effect of rising health care costs on employment, output, and value-add to GDP across 38 industries over the period 1987-2005. Concludes that HC costs had adverse effects on all 3 measures, esp. in industries w/ high % of employer-sponsored insurance.
With slump in pharma sales, sales reps (those who haven’t already lost their jobs) are seeing cuts to incentive pay (without comparable cuts in quotas).
Scribd succeeding where others have not by keeping it simple. Straightforward rev share (20% to Scribd; 80% to publisher/author) and easy to use platform. Let seller set terms.
Further info on cell phone with microscope attachment that is targeted for use in areas with limited access to health care. Link to PLoS full article included.
Physicians Interactive, owned by PE company Perseus, buys Skycape, the leading mobile platform for medical info delivered to physicians.
Fun interview with Pat Brown, an innovative researcher who thinks big and is not afraid to question status quo. One quote: “I want to literally overthrow the scientific publishing estabilshment” (thanks to Andrew Spong for link)
Assessment of the effectiveness of Pharma ads in medical journals. Haven’t read the article through yet, but looks to have good data.
New Deloitte study of >100 global life science companies, healthcare providers, and health insurance companies (abt 1/2 in US). Results indicate that thse companies are not sufficiently prepared to face security & regulatory requirements of managing their data. Further, they are not yet in a position to leverage IT efficiencies and the value of digital data due to the inadequate IT systems and know-how.
Jane Sarasohn-Kahn’s commentary on recent PWC report. She points to stats abt patient involvement that break down survey results by type of insured. Most notable stat: 61% of those covered by employer report their reason for lack of involvement: “I do not know where to go to find good information”.
Very good round-up of various community sites targeted to physicians, including Sermo, Ozmosis, iMedExchange, WebMD, and Within3.
WSJ points out key issue in using Cleveland Clinic, Mayo Clinic, or KP as models for health reform: these are integrated systems that facilitate sharing info, coordinating care, and can impose standards.
Good slide presentation on how Cochrane Collaboration uses Twitter, delicious, Facebook, etc.
Key median ratios for the 134 health systems rated by S&P declining in all categories in 2008.
Brian Ahier’s list of top 50 health info “heroes” on Twitter. Great list, even includes @janicemccallum!
WebMD launches Medscape Mobile for iPhone & iPod Touch. Free content includes: Drug db, drug interaction checker, Medscape medical news, CME from Medscape, & WebMD Health Dictionary.
2009 Edition of CMR International Pharmaceutical R&D Factbook, which provides stats on new molecular entities (NMEs), is now available. Published by the Centre for Medicines Research International, Ltd (CMR Intl), a Thomson Reuters business.
Boston area advertising firm, Pangea, uses QuizEngine, its content-focused advertising platform to engage readers.
John Mack summarizes the 2009 annual report from the Accreditation Council for Continuing Medical Education (ACCME) which shows that overall CME spending is down, and commercial CME sponsorship (ie., pharma) fell the most. However, pharma continues to sponsor CME indirectly.
DoD has successful pilot PHR program, MiCare, that uses GoogleHealth & MSFT HealthVault.
Fred Wilson on how “creative destruction” has changed the book publishing business. He quotes acceptance of Amazon’s Kindle, print of demand, and Google Books as key contributors. Print on demand & ebook readers have taken a long time to be accepted; I’d say the scale of Amazon & Google Books were key factors that drove changes that wouldn’t have come about w/o their outside intervention.
NPR story on Comparative Effectiveness (CER) of treatment for irregular heart beat. Quotes Carolyn Clancy of AHRQ, but doesn’t draw any conclusions.
Infectious diseases-focused organizations endorse adoption of HR3200, due to the inclusion of provision to create a database of hospital-acquired infections (HAI). HAI’s would be required to be reported to CDC, which would keep a database to track HAIs.
Good insight from John Moore at Chilmark on acquisition of Medem by Medfusion.
Martindale Hubbell’s community for legal professionals grows to 10K lawyers.
Zynx to provide order sets directly through eClinicalWorks EMR.
Entertaining grand rounds that provides a serious round-up of weekly healthcare stories. Demonstrates that design & writing ability really matter when it comes to conveying information!
Paul Levy shares some learnings from BIDMC’s performance improvement efforts.
Good overview article on various doctor ratings sites, including Angie’s List & RateMDs. There are many more that are not mentioned. Article focuses on the reliability of ratings, since individual preferences vary & the circumstances of doctor visits vary. Also mentions Medical Justice, the company that provides agreements that doctors use to require their patients to agree to NOT post on any review sites.
According to study conducted by AON, employers want enhancements to existing health insurance system rather than a complete overhaul. Key changes requested: more info on comparative effectiveness, more focus on wellness and preventive care, and changes to reimbursement policies.
WSJ columnists suggests some research studies be published in new journal named Duh!”, since finding seem so obvious, and other studies in “Huh?”, since connections aren’t always so obvious. Although it has catchy title, points made are valid–including need to study the “why” behind conventional wisdom and to put research in context.
Chronicle of Higher Ed on Elsevier’s Cell Press’ beta site for “next gen” journal article. At first glance, I’m impressed by the added-value that Cell Press is providing to their users. I’m also a little (just a little) annoyed at the commenters who dismiss the efforts because of Elsevier’s high profits (estimates are inflated in one comment) in their journals business. STM publishing segment needs innovation to respond to needs of the scientist and researchers who use the info and data.
Carolyn Clancy writes about experience at Aurora Health Care, where they formed a patient safety advisory council to serve as bridge between hospitals and patients. The patient safety council led to: more accurate medicine lists for older patients, higher level of patient involvement, and increased involvement of health care professionals.
CHH Medical Supply convicted of Medicare Fraud for unneccessary power wheelchair prescriptions.
Elsevier’s Cell Press has beta site to explore “next generation journal article” (my words). Very cool.
GAO report (links to full report included) analyzing resource needs for FDA to manage growing responsibilities in medical device/product segment.
Good article that describes problems physicians/providers have in collecting from patients.
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