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Archive for January, 2010
Headline Commentary Jan 1 - Jan 22
- Posted January 22nd 2010
- Comments (0)
- by Janice
“Press Ganey Associates, Inc. today announced the addition of Philip Marshall, MD, MPH, as senior vice president, clinical products. Dr. Marshall joins the company at a time of continued growth and will be responsible for expanding the clinical product lines for the company.” Dr. Marshall was most recently VP Product Strategy at WebMD Health.
New Study in NEJM points to benefits of reducing salt intake in american diet. See my article on NY’s planned program to reduce salt and my criticism of AAFP for promoting salty foods in advertisements on their site. Note, a recheck of the AAFP FamilyDoctor.org site indicates that fewer packaged foods are advertised today. My blog appears to have been influential!
Superb analysis of impact of Scott Brown’s win to fill Ted Kennedy’s seat in the Senate on health reform. David Harlow (whom I finally got to meet yesterday) and Joseph Kvedar offer insightful quotes. Kvedar suggests that if health reform legislation doesn’t pass, we still have raised awareness of need for change to control costs and that some changes will occur even w/o legislation. Harlow says that costs and quality will continue to decline w/o legislation and could lead to a stronger bill with some form of a public option down the road.
UMass Medical selects NDoc to automate home health services care. NDoc provides billing and operational s/w for use at pointofcare for home health services.
Good article from former HBS professor on how companies can mine their own propriety data about customers and partners to their advantage. Lays out the 5 keys to doing it right: 1) create a network to collect proprietary data; 2) use best technology; 3)analyze with insight & precision; 4) figure out how to act on info to your advantage; 5) be lucky enough to have good timing.
Trish (about.com) recounts story of pediatrician who molested patients and how comments on doctor rating sites prior to his conviction were positive. She suggests that the current array of ratings sites all share weaknesses. I tend to agree. Comments can be useful, but there need to be a large number and attributes of the people providing the ratings are needed. Plus, multiple criteria from formally reported and collected info need to form the basis. I’d want to know about outcomes, not just opinions.
Nuval, a Boston-area company that provides numeric ratings that reflect nutritional value of foods, gets official endorsement from American College of Preventive Medicine.
Martin Fenner in Nature’s Nature Network on growing options for reading scholarly articles. Covers various devices as well as the concept of using connected information to provide context. No clear-cut perfect solution yet.
Very good commentary about shortcomings of continued medical education (CME) from a Canadian physician’s perspective. In Canada, CME (called CPD in Canada) is more structured and reporting is more detailed. Dr. Rob is very critical of US system that relies primarily on attendance at medical conferences.
Excellent overview of trends in healthcare research being influenced by patient particpation via Internet channels. Specific focus on last October’s ePatient Connections conference. David Ellis and Julian Bond of HFD conclude that healthcare data analytics will become increasingly important in divining patterns from all the data being generated by epatients and even diagnosing for individual patients. They also point to the importance of mobile computing in healthcare.
Highlights IdeaBounty and InnoCentive as examples of companies that facilitate crowdsourced innovations. In these two cases, winning participants are paid for their ideas/solutions. Good article that describes how 1 company replaced their ad agency with IdeaBounty for creative.
Boston company that repurposes discarded specimens and matches basic EHR data to allow for additional medical research studies to be carried out on the specimens. iSpecimen then aggregates and uses datamining techniques to analyze patterns in the data.
Pearson FT is apparently shopping Interactive Data.
Insititute for Safe Medication Practices reports results of recent survey about impact of recession on hospital staffing, capital expenses, patient acuity, and medication safety.
DeepDyve makes another move toward making scholarly journal articles more accessible. The partnership with CiteULike expands the utility of DeepDyve to knowledge workers who don’t have high-priced subscriptions through their corporate or academic library. CiteULike is a “delicious”-type bookmarking service popular in the scholarly community. DeepDyve also announced partnership with publisher De Gruyter. I am impressed with the pace of innovation and content deals carried out at DeepDyve. Their $0.99 rental price for journal articles is an important step toward opening up access to scholarly research on a much wider scale.
MedScape article that explores the value of online searching for patients. Shallow article with no conclusions, but it does offer some good criticism of existing options.
Good article and comments about expectations of enhanced ebooks. Key themes IMO: 1) publishers have to understand the technology platform/distribution platform that is appropriate for their audience; 2) pricing plays a role in selecting the right platform (CD-ROM allowed fixed pricing at a time when online access charged per second); trying to use new technology as a guise for increasing prices is a risky move.
HubSpot marketing director explains why they have chosen to drop trade show exhibiting from their marketing mix. They still will attend events and seek speaking slots and will sponsor some events, but they don’t find the process of shipping booth & collateral and several sales people to be as worthwhile as other marketing options. Very good comments and responses.
Poll of 800 physicians on Sermo indicate that large percentage feel current Medicare policies are out of sync with market needs. “[O]ver 40% of the physicians polled feel the US government “never will” understand how declining reimbursement rates from Medicare negatively affect the care patients receive from their physicians. They fear reimbursements will continue to decline in the coming years, reducing patient access to physicians.”
MSNBC story that picks up on recent article in NEJM about pros and cons of sites that provide patient comments and ratings of doctors. Hook in this article is how some of the ratings sites, including Angie’s List, now flag doctors who are part of the Medical Justice Services group that require patients to sign contract that prohibits them from posting comments online. I agree that anonymous comments are a problem, and I’ve written before that a single numeric rating is insufficient, but it’s short-sighted of doctors to try to prohibit patients from expressing their opinions online.
Nice article that describes some reliable sources of health info for consumers from a Minnesota pub. Note, they still have PDR listed as owned by Thomson Healthcare, even though it’s a winter 2010 article.
Quidel, a San-Diego point-of-care diagnostic testing company, buys Diagnostic Hybrids, an Athens, Ohio company for $130 Million in cash. Acquisition expands the range of tests provided by the combined company, and should provide some economies in R&D.
Good overview of the two companies and the impact of the acquisition. John Moore of Chilmark views the acquisition as a long-term investment since he doesn’t see much life in the PHR segment at this time.
Quest offers new test for early detection of colorectal cancer.
Adams replaces Carl Byers, athena’s initial CFO, who last June said he wanted to live abroad.
Cegedim Dendrite, the life sciences group of Cegedim, Paris-based CRM solutions provider, acquires SK&A, the leading US healthcare professionals directory. According to press release, revenues of SK&A are about $15 M.
Credit rating firm TransUnion has acquired MedData LLC, a Charlotte, N.C.-based health care transactions processing firm, for an undisclosed sum.
Pfizer provides $3m in funding to Stanford to develop CME framework that incorporates a more participatory learning environment. Can it be donew/o industry influence given the source of the funding? Stanford says “yes”….
Healthcare IT News reviews Allscripts/Misys Q2 results. Rev. up 30% yoy. Allscripts CEO, Glen Tullman, calls 2010 “year of the EHR” due to stimulus funds.
Another content + IT deal that will help hospitals/providers achieve meangingful use of EHRs. Zynx Health provides order sets; Meditech will integrate order sets from Zynx into EHR–press release doesn’t provide much detail on how they will integrate the info.
Origin, a CT-based provider of RCM and clinical and BI analytics, gets growth equity funding from TCV. Previous investors include Beecken, Petty & O’Keefe & Company (“BPOC”), an investor since 2006, and management as investors in Origin.
Quantros, a health IT company that helps hospitals with patient safety and risk assessment, names Gerard Livaudais, MD, MPH, as EVP Product Management.
Not enough info is provided in blog entry to make much sense of the results. Asking people what general categories of content they would pay for isn’t very telling; better research methods are needed. Plus, there’s such a range of content in each type that results aren’t very valuable.
athenahealth’s athenaClinicals was rated highly in recent KLAS ambulatory EMR report on confidence that athenaClinicals will meet meaningful use criteria.
Good article on outlook for Informa. Author indicates that asset sales are likely in 2010 and points to Performance Improvement as a top candidate, since it doesn’t fit with other Informa assets. However, Informa’s CEO, Peter Rigby, is against divestments and would prefer to grow through more acquisitions, according to article. Also, academic/scholary publishing division is called out as their best performer (due to high margins). Given pressures on this segment and lack of innovation from Informa, I would be worried if I were a shareholder.
SF-based Practice Fusion raises $5m of anticipated $7.1 round for it’s EHR software. Practice Fusion offers s/w for no charge and makes money with advertising–and has plans to sell data mined from customers.
Harvard Pilgrim Health Care Inc. has won a $72 Million grant from the FDA to build a system to monitor the safety of drugs and medical devices after they have gone on the market.
Adidas introduce miCoach at CES. Similar to Nike’s popular Nike+.
Good commonsense views on what will and will not change in 2010.
David Walt, professor of chemistry at Tufts and chairman of Illumina, provides his top 5 trends to watch in biotech. Optimistic outlook for advances in curing cancer, but thinks that the data management and analysis issues will be a challenge due to the magnitude of data (”Moore’s Law just can’t keep up”).
Short but insightful article that reports some interaction between Google’s CEO Eric Schmidt and Atul Gawande, MD, author of new book The Checklist Manifesto. Key point, workflow or “clinical encounter” is not understood by the computer scientists who create EMR systems. Also, systems analysis and performance improvement (my terms) are not respected uses of time for MDs.
Interesting example of how incentives from CMS can trickle down to specific programs within hospitals. In this case, residents can earn up to $1200 per year in incentive pay for reaching 3 goals related to patient satisfication–two from Press Ganey survey results and 1 from UCSF Medical Center compliance audits. Results are measured for a team and each teammember receives payment.
Dr. Fabius, among other things, served as president and chief medical officer for i-TRAX, which was acquired by Walgreens in 2008. “I-TRAX was the parent company of CHD Meridian Healthcare, a leading provider of worksite healthcare centers for large employers.”
AHA endorses Surgical Info Systems for its scheduling, reporting and analytics modules.
Inside Out provides interactive training on the human body for K-12 market.
Nice overview of Cell Press’s (Elsevier) new beta of their planned “article of the future”. Good features for zooming in on charts and link to more data and references. I need to do a more thorough review and hope to see it in action at Cell Press in Cambridge soon.
Brian Ahier summarizes Sec’y HHS Sebelius’ Health Security program.
I’ve mentioned NuVal before. Intriguing company that provides single numeric rating of the nutritional value of foods and works with grocery stores to put labels on shelves. Concept is good, but like the writer, I think the single digit is insufficient. Good for shelf; but maybe more detail could be available via mobile device?
Kaiser and VA (Veteran’s Affairs) will use NHIN to exchange patient data (with permission) in pilot program in San Diego area.
A physician reviews online doctor rating sites. Slams Vitals, in large part because only single numeric rating is available w/o paying. I’ve commented before that single number is ineffective for rating doctors–or most any other item. The reviewing physician likes the comments, however. Note, as list of comments gets larger, some kind of summary indicators become more necessary to annotate and summarize the long comments.
Some good insight here. E.g., 6)PMS vendors will acquire RCM companies (didn’t I just write that yesterday?),8) Payers, PBMs and Pharmacies will use EHRs to deliver information (add publishers to that list).
Nice article from Ingenix analytics on employer wellness programs.
Kevin Noland resigns to make way for former CFO Mark Adams to take helm. Could this be result of change in strategy to focus more on benefits management services than content?
Commonwealth Club program on medicine. Video.
TabSafe, an Indiannapolis company, showcases its medication management system at CES.
AdvancedMD, which provides practice management and RCM solutions to medical practices, acquires PracticeOne, an EHR vendor. Interesting that the vertical integration is occurring in this direction–the vendors of admin/financial systems acquiring the EHR vendors. There’s lots of room for more consolidation in both markets.
“23andMe has completed a $27.8 million second round of funding. In addition to funding from Google and Google founder Sergey Brin (husband of 23andMe founder Anne Wojcicki), 23andMe has been funded by Genentech and New Enterprise Associates.”
“Krames has partnered with eClinicalWorks to provide consumer-friendly patient education to physicians using the electronic medical records system, eClinicalWorks 8.0.” Makes good sense.
As my colleague Russell Perkins said, “betcha thought there already was one”.
Sramana Mitra interviews co-founders of NaviNet, a real-time health info exchange based in Boston area. 5-part interview with lots of good stats and info.
Dr. Carolyn Clancy, director of AHRQ, describes new report for consumers on anti-depressants. Includes link to full report.
Gawande speaks about his new book, Checklist Manifesto, and the benefits of checklists in medical settings. Specifically mentions how checklists improve teamwork to the benefit of patients, and addresses the issue of physician resistance (20% of those surveyed after trying out checklists said they didn’t think they were useful; however >90% of that 20% group would want checklists to be used if they were the patient!).
“Atenda is one of the largest home health benefit management companies, providing care and exclusively managing more than 1.3 million lives. Atenda is used by major health plans as a single point of contact for managing all home care services, resulting in improved care and cost savings to plans and their members.” Univita was established by Genstar Capital last year with its acquisition of Long Term Care Group, and subsequently acquired ENURGI.
Infotrends broad multi-client study on changing communications needs of small-to-medium sized businesses. TOC and list of tables only. Complete study >$10K
HIMSS writes up new CDSC created by Blackford Middleton at Partners Healthcare.
Caritas hospital group in Boston expands their relationship with athenahealth to include athenaClinicals. They already used athena’s revenue cycle management (RCM) s/w.
“The National Association for Children’s Hospitals and Related Institutions (NACHRI), a non-profit organization dedicated to improving the operations and quality of care in its almost 200 member hospitals, is using a web-based research database and reporting system developed by IT Consulting Services of Quantros to report on quality improvement initiatives. Quantros is a leading software and services provider for the healthcare industry.”
Lots of reaction to ONC’s release of MU requirements. This article highlights a few key concerns, including lack of focus on patient’s rights and support for outdated technology that will not provide advancements that are needed.
Nice article on Google’s view of future of advertising. I agree with Arora from Google that online ads shouldn’t be an afterthought, but a critical part of overall advertising strategy.
Article in NEJM questions equity of wellness program incentives in health reform package.
Nice summary of major milestones in medical research in the last 10 years. Emphasizes the impact of the mapping of human genome a decade ago. Also points to advances in preventing disease. Note, although preventive medicine is a much better long-term goal than treating illness, based on my experience, funds tend to be focused on the crisis of the moment and savings of prevention often get forgotten over time (e.g., vaccinations). However, for the present time, there is likely to be renewed focus on prevention in medicine.
One of the questions posed by David Carr in this column about the reports of a new tablet device from Apple (rumored to be announced later this month (jan 2010)). If Apple can produce an e-reader/tablet that considerably improves the user experience over the Kindle, it could take off even at $800-$1000 per device. Publishers of all types–B2C and B2B–should be planning bus models (mostly advertising) around tablet devices.
Good thought-provoking piece by Joe Esposito. He uses example of early enthusiasm from entrepreneurs and Wall St. to build broadband pipes to households, which puzzled the established RBOCs who couldn’t imagine why HHs would need such high bandwidth. Contrasts that situation with today’s need to radical change in scholarly publishing model to provide more direct interactive between researchers and scientists. Implication is that the needed change won’t come from traditional players. I agree.
Like this list, esp. the top 3.
Scott Kirsner, Boston Globe, on trio of young companies that provide outsourced R&D, using crowdsourcing. Innovcentive, Hypios and Yet2.com are highlighted. Innocentive & Yet2.com are Boston area companies; Hypios is in Paris.
Interesting comments from former insiders and analysts on what made Dow Jones vulnerable and changes under Murdoch. Note, I didn’t see any mention of the enterprise division of Dow Jones (there may be some comments, but most focus in on WSJ and the Telerate mess).
Editor of Journal of Spinal Disorders & Techniques for past seven years receives royalty payments from certain Medtronic devices. “Studies involving Medtronic spinal products or that were funded by Medtronic appeared in the journal at least once per issue, on average.” And, are uniformly reviewed in a positive light. More trouble for scholarly publishing sector–fueled in part by Richard Smith, former editor of BMJ.
Mitch Wagner’s last article for InformationWeek w/ 2 examples of hospitals with successful implementation of business intelligence (document management, integration, analytics, dashboards) software.
Nice post that focuses on improving access to healthcare data–by all stakeholders.
“URAC, the nation’s leading health care accreditation and education organization, today announced its new Consumer Education Initiative, which teaches consumers about health insurance and identifies ways they can make more informed decisions about their health care.”
Interesting news about licensing deal between AllTheContent, a Geneva, Switz based content syndicator, and Pharma Channel, which provides info to pharmacies in Europe.
Nice video explanation of HL7 and how the standard facilitates sharing info between various IT systems in hospitals.
NYC Aims to Limit Salt While the AAFP Website Promotes Salty Foods
- Posted January 12th 2010
- Comments (4)
- by Janice
The Bloomberg administration has launched an initiative to reduce salt in restaurant food by 25% and overall salt consumption by 20% over the next five years. The National Salt Reduction Initiative is a nation-wide program supported by the W.K. Kellogg Foundation and other donors. Funding for the evaluation of salt intake guidelines was provided by the Robert Wood Johnson Foundation, the New York State Health Foundation, the National Association of County & City Health Officials and the Centers for Disease Control.
According to the January 11, 2010 press release:
The goal of the initiative is to cut the salt in packaged and restaurant foods by 25% over five years – an achievement that would reduce the nation’s salt intake by 20% and prevent many thousands of premature deaths. The sodium in salt is a major contributor to high blood pressure, which in turn causes heart attack and stroke, the nation’s leading causes of preventable death. These conditions cause 23,000 deaths in New York City alone each year – more than 800,000 nationwide – and cost Americans billions in healthcare expenses.
Given the known health risks of excessive salt intake, why would FamilyDoctor.org, the consumer health portal published by the American Academy of Family Physicians (AAFP) promote deli meats on their Healthy Living page? Granted, they may not be endorsing deli meats in their editorial content, but they have a large banner ad for Boar’s Head deli meats on the site and a full-page ad from Boar’s Head in their digital newsletter. I don’t want to specifically single out Boar’s Head (ads for Buddig meats also appear on the site, along with ads for Hellmann’s Mayonnaise), but check out the sodium content in Boar’s Head Pastrami. Just so you don’t think I chose the worst offender, you can look up the smoked liverwurst or any of the hams. (Note, you can check nutrition fact labels of a long list of food items and restaurant items on this About.com site: http://caloriecount.about.com/. Warning, the fast food listings are frightening!)
Back to my question. Why would ads for foods so high in sodium be prominently placed on the AAFP Health Living site? I don’t know with certainty, but it looks to me like a failure in choice of online ad network and ad sales agency. One could go further and say it’s a failure in revenue model choice for an online consumer health site published by a medical association, a group that should be providing trustworthy content. Note, I wrote earlier about the recent partnership between AAFP and Coca-Cola to: “provide Americans with credible information on beverages and enable consumers to make informed decisions about what they drink based on individual need“. Certainly there are better options than to have soft drink and deli meat companies sponsoring sites that are supposed to promote healthy food choices.
The parallels to sponsorship models in scholarly medical publishing are obvious. When pharmaceutical and device manufacturers sponsor publications, it is difficult to accept that there is no bias in the editorial content–even if there is none. On consumer sites, where there is such a strong need for reliable unbiased health, nutrition and exercise information, just the appearance of ads on the site may be harmful because of the implicit endorsement of the advertisers’ products.
It may take some work to find a more acceptable roster of advertisers, but better options exist than those currently being pursued by AAFP. Why not work with other stakeholders in the healthcare industry that share the objective of improving consumer health and wellness? For instance, health insurers, employers, hospitals, and even other health content publishers are building and promoting wellness programs at a fast clip. They need to promote their programs and offer authoritative content to engage consumers. That sounds like an opportunity for a partnership. As a parting thought, perhaps AAFP should speak to Mayor Bloomberg and his staff to get some ideas on where to find sponsors that will support research and publication of trustworthy health and wellness information.
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