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Blogroll
Headline Commentary Aug 18-Aug23
- Posted August 23rd 2009
- by Janice
David E. Williams blasts medical journal publishers for perpetuating the ghost-writing practice where Pharma pays academic physicians to put their name as lead author on research articles.
Morningstar on health reform’s impact on public companies in pharma & managed care industries.
Silverlink, a Boston area company, provides s/w that helps providers send phone msgs to patients w/ alerts about health coverage & appt. reminders.
Nice comparative analysis of drug info on Wikipedia v. Medscape Drug Reference. I think the conclusion applies to almost anything on Wikipedia relative to authoritative sources that have been carefully produced with editorial guidelines: “Wikipedia has a more narrow scope, is less complete, and has more errors of omission than the comparator database. Wikipedia may be a useful point of engagement for consumers, but is not authoritative and should only be a supplemental source of drug info.”
NPR now offers archival transcripts for no charge. Makes good sense, esp. if they can gain addt’l advertising/sponsorship rev. as result.
Big Pharma is increasingly outsourcing CRO and manufacturing to India.
Actually, the article is about the initial ARRA spending on health IT, which will go toward regional training and HIEs.
As expected (at least by me), Twitter will introduce premium commercial accounts that include additional features (and probably better security).
HealthLeaders writes on new regs that require patient notification of security breaches.
AHA’s AHA Solutions arm has endorsed the EXTENSION HealthID system of smart cards for personal health info. System includes reading appliance and smart cards and integrates with PMS systems in hospitals & clinics. Smartcards are widely used in US, but have gained popularity in UK.
AHRQ will hold a free webcast on Sept 24 on the clinical & group CAHPS (Consumer Assessment of Healthcare Providers and Systems), with two case studies presented by clinics who implemented the clinical CAHPS.
FDA has proposed mandatory digital reporting of postmarket adverse effects of drugs & devices. Pilot program has been in effect for years.
Dan Roam provides an entertaining slideshow to explain healthcare policy reform options under debate. Interesting for 2 reasons: 1) does a good of explaining the issues clearly; 2) demonstrates how good simple storytelling using basic graphics and data can provide entertaining content. Publishers take note!
KevinMD asks how useful it is to share full lab reports with patients, since data are not presented in user-friendly format that could be easily understood by most patients. 2 points: 1) some patients will want the full reports–there will always be a distribution of preferences among the full patient population; 2) there is clearly an opportunity for a publisher to provide a tool that helps patients understand the lab test results and record them over time in a PHR or other data tracking tool.
Nice entry by CMIO (chief medical info officer) at Phoenix Childrens detailing the key success factors of their implementation of EHRs. InfoWeek is providing some very useful coverage of health IT.
Amazon, MSFT, & Yahoo plan to join the Internet Archive in the Open Book Alliance to oppose the Google Book Settlement. What took them so long?
Interesting event planned by Mayo Clinic in Sept to discuss innovation in health care.
Cool dashboard of Pharma companies’ tweets created by Ignite Labs.
Some good arguments, but overall Felstein’s points make a case for a public option to sit alongside private insurance. The rich can afford the costly innovative treatments, which if proven successful, will become more widely available at lower prices.
David Weinberger explains why transparency is so important in today’s info economy.
Kru Research has prepared a brief video that defines the participatory class of epatients. Their conference in October “Epatient Connections2009″ will focus on what this emerging segments means to healthcare vendors and information providers. Health Content Advisors is on the program speaking about publishing information for ePatients.
RWJF’s research and links to the proposed Prometheus Payment Model, which attempts to pay for quality.
Short article by Steven Spear reinforces my recent blog “Health Content is Rapidly Becoming a Commodity”.
Interview w/ Dr. Bhan, founder of Ozmosis. Have to go back and read in full.
To be released next year: attachment for Wii that measures pulse.
Excellent article that details total costs of implementing EHR systems at variety of provider institutions. Costs include training time, learning curve (including learning to type for some MDs), lost revenue through fewer patients seen during transition periods that can last >6 months, and worst cases where revenue is lost through malfunctions in s/w that cause billing problems. Not a pretty picture for very expensive systems. Bright side, effective implementation leads to improved patient outcomes (but not cost efficiencies for doctors).
Overview of eprescribing role in Health IT & reform.
Commentary about recent ASAE (Am Society Assoc Execs) meeting. Author emphasizes that associations do not exist to faciliate “associating”, rather to further the interests of the group they represent. Comments apply more heavily to industry trade associations than scholarly societies. However, some of the insights apply to both.
More detail on “medical ghostwriting”, which is in fact quite common. I don’t think the whole category of medical communications agencies that write on behalf of research organizations needs to be overturned, but more transparency is definitely needed. And, more guidelines on under what conditions doctors in academia can lend their name to research articles.
Good to see NIH funding research on intestinal microbes & the effect of antibiotics on upsetting the balance.
Ascend Media sells Allied Healthcare to Anthem Media Group and Practice Builders to undisclosed buyer. Allied provides traditional trade pubs in 10 healthcare specialities; Practice Builders provides consulting to help medical practices with business issues, including selecting and managing IT services for practice mgmt.
Shwen Gee’s slides from recent session on Pharma use of social media. Excellent overview & intro to Twitter.
Gina Kolata reveals the lack of transparency in health care costs. Explains why shifting the burden to consumers via HSAs won’t help keep costs down.
Good article that describes why biologics are attractive to big pharma — and why that is leading to acq. of biotech companies by pharma.
Managing expenses helps hospitals improve their financial results in Q1 2009, according to Thomson Reuters study. Link to study included.
Susannah Fox of Pew Research summarizes her notes from CDC’s Health Communications conference. Like her comment about using mobile devices (esp. phones) for exchanging health data & info.
I got to say that I find Gartner’s Hype Cycle out of touch with reality. The basic curve and phases along the curve make sense, but their taxonomy and placement of technologies along the curve seem less helpful than throwing darts. I’m sure there’s some sensible analysis in the whitepaper, but I don’t find their visual models useful.
Recent focus on some practices in medical scholarly publishing is likely to lead to new regulations. Using medical communications companies to write articles authored in name only by academics has been common, but recent attention on this practice is almost definitely going to lead to more transparency and changes in the practice.
NPR doing a series on the role of Free in digital content. Increasingly, Chris Anderson’s thesis resembles the traditional B2B trade publishing model. “Plus ca change…”
Prof. Uwe Reinhardt clearly lays out a key element of the health care reform debate that has not received enough attention: rising health care costs come out of workers wages/salaries in the form of lower wages and higher layoffs.
Datatrak, an electronic data capture (EDC) company, improves its performance. Was delisted from Nasdaq. Compare to Medidata that went public recently.
WSJ puts spotlight on pharmacy benefit management (PBM) companies, which act as intermediaries to manage prescription sales for health insurance providers. Some of the health reform proposals call for PBMs to make available the prices they negotiate with pharma companies. In an “interesting” argument, the PBM association says that “transparency” will hurt competition. The more likely concern: transparency will expose the share of negotiated cost savings on drugs that the PBMs keep for themselves.
another story about changes in medical school curricula & teaching methods.
Siemens talks EHRs, partnerships, and interoperability.
As part of greater revenue cycle management (RCM) efforts, hospitals now rate patients on ability to pay and use risk calculations in estimating their revenue.
Good list of people to follow to monitor Pharma social media.
Large percentage (82%) of drug ads on Yahoo! lead to illegitimate pharma sites. (Bold thought: there is clearly a demand for a different way to buy pharmaceuticals; our existing system in the US isn’t serving needs of consumers. We need a change.)
Nice to see CenterWatch’s partnering with TrialX to make it easier for patients to find relevant clinical trials.
Good point about lack of CMS director.
Focuses on role of employers–the key beneficiaries of maintaining healthy workers–in providing incentives for healthy behavior.
John Moore of Chilmark will moderate panel on PHRs at upcoming AHRQ event.
Boston area Caritas Christi Health Care to sell laboratory business to Quest Diagnostics, the leading medical testing company. Caritas will maintain its in-hospital testing facilites. Deal with Quest provides greater interoperability of test results with EMRs.
Advice for redesigning Rx drug labels to make them less likely to be confused by patients; and for label inserts to have greater relevance & usability for patients.
Michael Wolff offers his commentary on Mark Cuban’s suggestion that news publishers adopt the cable TV bundling model and have the ISP (or other utility) bill for content. In Wolff’s opinion, news content will always need advertising support. I agree with him for broad-based general news, although sponsorship by vendors of broad-based consumer goods/services is a valid model, too.
Paul Levy, CEO BIDMC, writes of Consumer health Quality Council, founded by Health Care for All, which is seeking stories from patients or caregivers about their experiences with hospitals-esp. experiences that involve avoidable errors.
Good post on applications for Google Wave.
NPR does story on Patient Central, a site from Consumers’ Checkbook. At first glance, yet another site that offers patients a chance to rate doctors. Most aren’t very good. What I like about this one: they get lists of doctors & patients from insurance companies and sent surveys to patients, which gives them a good base and higher # ratings per doctor.
WSJ blog refers to piece in WaPo today about asking one’s doctor if he/she gets $$ from pharma companies. Checking online prior to visits is best method, IMO. Much of scientific publishing is still behind firewall, but tools like DeepDyve and Google Scholar help find citations, if not full articles.
InfoWeek reports on Vanguard Health’s joining the Dossia consortium and writes on the role of employers in providing PHR info to employees. Seems to me that role of employers has been underreported by other media in the helath reform debate.
Author of Caring for our Parents commentary on why it’s so hard for Americans to talk about end-of-life care and related issues.
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