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Headline Commentary Aug 31-Sept 7
- Posted September 7th 2009
- by Janice
Robert Fogel, prof. of economics at University Chicago Booth School of Business, writes that demand for healthcare is driven by increases in income. In short, people with high incomes have more disposable income and are willing to pay both a higher absolute and higher relative amount of their income on health care. So, as income increases, a household wants to spend a greater % of income on healthcare. Conclusions written in the AEI piece center on the positives of this phenemenon: demand drives innovation in healthcare and other related industries benefit, too. Problem is that with the current level of income disparity in the US, only the wealthy can afford the healthcare innovations and the steadily increases in overall healthcare costs that accompany them.
New exec joins CRO company, MPI Research.
Security specialist in UK writes about NHS plans to manage their Healthspace program(me), which offers summary medical record info to patients. Google Health & Msft HealthVault are under consideration to replace HS.
Center for Studying Health System Change reports survey results on physician satisfaction.
Excellent presentation that provides into to Twitter and overview of how hospitals and other healthcare providers are using Twitter.
Elsevier posts warning about scams that are sending email solicitations to scientists/medical researchers about submitting articles to ELS. They’re really phishing schemes to get authors to send “handling fees” to scam organizations.
Nice example of how one MD uses a white board to explain his diagnoses to patients (and their parents) and then suggests they capture via camera-phone.
Jonathan Gruber, prof. economics at MIT, and advisor to Obama on healthcare, writes how tax susbsidies & employer paid insurance distorts the true cost of health care and leads to overuse, esp. among the wealthy who respond to the tax subsidies and have more discretionary income to spend. (Some editorializing on my part of Gruber’s op-ed.)
Rodale includes articles & some covers on Obamas in all of their health magazines: Prevention, Men’s Health, Women’s Health, and use cover w/ Michelle Obama & children to launch Children’s Health.
Hearst to launch Real Beauty, on online portal for makeup, hair care & beauty topics, which will include content from their ind. magazines and allow some personalization. According to WSJ & stats quoted in article, health &beauty advertising has been slow to move to the Web. Seems very odd to me. I think the publishers were slow to innovate online to attract the advertisers. It took an ind. in the UK to provide makeup tips on YouTube to get that ball rolling.
Short (3:32min) video that describes Mark Twain St. Joseph’s Hospital’s award from Avatar International for exceeding patient satisfaction. Avatar Int’l is a research firm that carries out satisfaction surveys for healthcare providers, including HCAHPS.
Rumors are circulating, but some downplay them b/c of CardioNet’s legal problems.
Google custom search that searches over 2,800 US hospital websites. Tools are there, but it still takes effort to aggregate good content. Thanks Ed!
Techcrunch calls HealthBase (a new semantic search engine that searches selected medical site & wikipedia) the “ultimate” medical content search engine. Commenters and David Rothman, a respected medical librarian (DavidRothman.net) beg to differ. Based on very cursory look at HealthBase and the comments, it looks to me as though they haven’t taken the time to study medical content nor the care to disambiguate homonyms. Fatal flaws for a supposed semantic search company.
Pfizer to pay $1.3B in criminal penalty related to marketing practices for Bextra and another $1B in civil fines related to other drugs. HHS held a news conference with Secy Sebelius to reinforce the seriousness of their intent to enforce penalties against pharma companies that violate regulations.
Good post on value of moving to ICD-10.
Great title that drew me in! Good post, too. Big issue with hashtags on Twitter is that there is no standardization and no easy tools for deciding what tag to use. Plus, longer hashtags take up too many of the precious 140 characters. I hardly ever use them. Best use at this point: conferences.
New magazine that covers medical tourism launches. Published by Medical Tourism Association (Medical Travel Association) also known as the Global Healthcare Association, which includes top int’l hospitals, providers, med tourism faciliators, insurance companies & others involved in promoting medical tourism.
WaPo writes about how social media use will change public health communications. Describes “infodemiology”, where analysis of online messages can provide data about such things as spread of flu.
Institute of Medicine (IOM) report emphasizes the need to collect data on race, ethnicity and other variables in order to study disparities in access to and quality of healthcare .
Practice Fusion EHR can now integrate lab results data from Quest Diagnostics. Another small step in integration & interoperability.
Harvard Medical School drops policy of not allowing students to speak to media unless it is cleared through their communications office due to pushback from students.
Dr. Abraham Verghese offers his thoughts on importance of listening to patients and the power of framing information about our current health system in stories that people can relate to.
Some health insurers are setting up shops at malls to sell policies. Early experiments with retail sites have had mixed results; some have closed due to lack of sales.
Article questions why CVS’ stock price hasn’t benefited more from its position as PBM, pharmacy and MinuteClinic provider.
HHS award $1.2M to American Health Information Management Association Foundation to continue with HIE project at state level.
Suit filed on Aug 21 says merger of Pfizer & Wyeth should be stopped because it will drive up drug prices and b/c it depends on gov’t bailout funds to finance the deal.
Study provides evidence of selective reporting of clinical trial outcomes.
NYTimes offers some background on how Forest Labs used paid consultants to push Lexapro to extend life of Celexa whose patent had expired.
Report on recent seminar at UC Berkeley on Google Books Settlement. To read.
Scott Shreeve on Greenway Technologies EHR and their creative marketing.
Article cites some evidence that taxes on sugary drinks & junk food would help reduce obesity. Bottom line: incentives work.
Another article on Consumers Checkbook’s new service to rate doctors. Instead of relying on user generated ratings online (as do many companies), CC surveys individuals who have visited doctors (they get info from insurance companies). Results are free and costs are covered by insurance companies that pay to publish results about the doctors in their networks.
According to latest Pew study, 47% of internet users seek info abt doctors, and 1/3 of that 47% looked for rating or ranking info. However, very few posted ratings or reviews.
eBay to sell Skype to SilverLake, Andreessen Horowitz, Index Ventures, and Canada Pension Plan
CDC plans to dismantle the National Center for Health Marketing, which promoting health information via social media. Role will continue but not as centralized group.
Medshpere Systems (which uses open source EHR Vista system of VA) raised $12M to meet demand from hospitals trying to meet requirements for eligibility for ARRA funds.
Article reviews methodology used to project costs of chronic disease/conditions.
“The National Quality Forum and Health Level 7, together with the American Health Information Management Association (AHIMA) and Alschuler Associates, LCC, have issued a draft for the Health Quality Measure Format (MQMF), a data standard that would enable healthcare providers to extract quality-related data from their electronic health record systems automatically.” THis is an important step in facilitating the flow of data between EHR systems and for incorporating health content that guides clinical decisions.
Wow! Raytheon to acq. BBN, which is best known for having developed ARPAnet.
Part of a series on hospital accreditation; worth reviewing the full series.
Good article that posits that solution to slowdown in productivity in pharma industry will require an open-access approach to chemical research that focuses on biological processes and the biological role of the drug target (usually a protein) under investigation. In essence open access chemical biology will allow cross-discipline research.
Kent Anderson (NEJM) applies Jim Spanfeller’s thesis that online ads on publisher sites are too cheap to scholarly publishers. Although I agree that AdSense type pricing models aren’t appropriate for high value publications, I disagree with basic premise that brand/banner ads are the way to go online. Publishers need to be more creative in finding ways to connect the marketers who want to reach the publisher’s audience than through banner ads.
Don’t know if I tagged this yet. Bweek offers case study of 6 sigma implementation at Moffitt Cancer Center to improve efficiency.
One analyst supports Google’s efforts in digitizing books & negotiating the Google Book Settlement, which gives them rights to orphan works. Analyst points to failed efforts by AMZN & MSFT.
CareFusion, a spinoff of Cardinal Health launches on S&P 500.
Brief article that suggests that big pharmacy chains will benefit from health reform, but big PBM companies like Medco and ExpressScripts may suffer.
Very thoughtful post on what model is optimal for doctor/patient interaction. Dr. Bottles raises the concern that focus on EBM and patient choice de-personalizes care. Post also reminds me of my frequent comment that buying healthcare is not like buying a car (as some like to say); however, healthcare consumption is somewhat similar to maintaining a car–finding a good mechanic, doing reg. maintenance, etc. Choices are more complex for lifetime care than for single transaction. Bottles comments about target marketing are important, too. It’s difficult to pre-identify and serve groups of similar healthcare consumers as consumer product companies try to do in their marketing. Biggest issue in the US healthcare system IMO: providers typically don’t work as a team which hampers collaboration and makes it difficult to promote styles of care to consumers/patients.
Great explanation of ICD codes and the new ICD-10 revision.
Greenway, a EHR vendor, partners with McKesson’s RelayHealth to provide access to RelayHealth’s Virtual Information Exchange platform. This is an extension of partnership between the companies to further access to lab results, radiology reports & transcribed documents to Greenway customers via VIE platform.
Good post with good comments on issues that have held back progress in standardizing medical codes to allow interoperability between various systems. I’d point to yesterday’s B. Globe article about streamlining processes in hospitals to gain further insight. Without a clear view of the workflow and the content that flows through each system, standards and interoperability will be limited.
Good case study of how one provider org. analyzed workflow and broke down the implementation of EHRs into manageable pieces.
Artcile reveals appalling distortions of research studies in popular press. Supports how important patient education/science education and comparative effectiveness research are to making sense of medical research studies.
Westborough, MA-based eClinicalWorks partners with Correctional Medical Services (CMS) to provide its EMR solution to correctional facilities affiliated with CMS.
Esther Dyson lays out some ideas for Yahoo’s future, including becoming the premier online organizational tool for consumers.
More initiatives to improve hospital quality performance, which I see as the major focus of health care industry change in 2010-2011.
Videos on how surgeons could use Evernote and WolframAlpha.
Link to CBO report that analyzes effects of health reform plans on Medicare Part D.
Theory that too much info reduces time doctors have to spend with patients. Incorporates Herbert Simon theories.
Good list of online health info sources for patients/consumers to consult.
Good article on improving efficiency in hospitals and dramatic changes in throughput by using established business engineering methods.
New paper describes better methods for disclosing potential conflicts of interest to participants in clinical trials.
Boehringer ahead of pack in using social media to promote results of clinical trials, etc.
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September 27th, 2009 at 10:42 am
Yaa,these types of health advisers are neede since for any doubt clarifications these would help a lot.