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Archive for February, 2010
Headline Commentary Feb 14 - Feb 28
- Posted February 28th 2010
- Comments (0)
- by Janice
GE’s press release for HIMSS. Includes debut of clinical knowledge platform that helps providers with quality improvement initiatives, expanded HIE services, a clinical portal and a patient health management system.
FDA charges Guidant (a Boston Scientific company) with failure to report safety problems with some of its implantable defibrillators.
BU School of Medicine creates RED (Re-Engineered Discharge), a checklist that helps reduce readmissions. Other examples of application of health IT in this article.
Eclipsys Sunrise Enterprise suite of health IT software applications to integrate with Microsoft’s Amalga UIS platform.
Earnings in health and pharma division down sharply–from 29M Euros in 2008 to a loss of 79M Euros in 2009. WK says pharma communications, advertising and book sales biggest factors. McKinstry says they are changing portfolio of WKHealth to focus on “clinical decision support areas”.
Athenahealth to delay its Q4 SEC filing so that it can audit its revenue recognition practices. Has to do with how Athenahealth amortizes implementation fees that are deferred until implementation is completed; they are considering extending the period of amortization beyond the current 1 year.
MIT Technology Review feature series on personalized medicine. Haven’t taken good look at the articles yet, but will return to explore.
Important story about how Harvard Vanguard/Atrius physician group is making Beth Israel/Deaconess Medical Center (BIDMC) a priority hospital because of coordination of care between the two institutions.
Sponsorship and payments from device and pharma companies to fund research and for board representation introduce conflicts of interest for academic health centers. No news there, but some good insight into recent developments in this article.
Mayo, GE Healthcare & Intel partner on year-long study of effects of monitoring seniors & people w/ chronic illnesses with home monitoring devices.
John Moore at Chilmark provides insightful analysis of today’s announced alliance between Microsoft Amalga and Eclipsys.
“”Blending Eclipsys’ leadership in physician adoption and sophisticated clinical and decision-support workflows with Microsoft’s leadership in interoperability, data extraction, authentication and context management will open up new choices and opportunities for healthcare organizations needing to make the most from their existing IT infrastructure.”- Peter Neupert, Corporate VP, HSG, Microsoft.
Google and Microsoft Health execs address benefits of health IT on healthcare in short article published in The Hill. Two key points: 1) focus on the patient and 2) focus on the performance improvement (”improved outcomes we want to achieve”) with health IT, not just IT for IT’s sake.
Interesting. DyanamicBooks allow professors to customize textbooks with their own modifications. Prices will be lower for e-books, but print on demand versions will cost about the same as traditional print version. What about copyright for new version? It probably remains with Macmillan, which means professors don’t get to copyright their contributions?
Primarily via financing initiatives from Treasury, HHS, and Dept. of Agriculture will fund programs that improve the availability of fresh foods and more healthy alternative foods in communities that currently lack access to large grocery stores. These initiatives are closely tied to first lady Michelle Obama’s Let’s Move initiative that aims to decrease childhood obesity.
Obama’s healthcare proposal 2/22/10
CalTech is partnering with DeepDyve to provide discounted access to DeepDyve’s article rental service to alumni. DeepDyve’s Gold plan, which allows rental access to an unlimited number of articles included in DeepDyve’s collection of scholarly journals and other literature that sits behind paywalls. I continue to be impressed with DeepDyve’s initiatives to increase access to scholarly research that has been walled off to non-academics or those who don’t have a corporate subscription to commercial collections.
Missed this last week. PatientsLikeMe acquires ReliefInSite, based in Hungary. ReliefInSite helps patients track their pain levels; bus model relies on pharma and clinical researchers.
Transcript of Q4 2009 earnings call with Kerry Hicks and CFO Allen Dodge. Few tidbits: efforts to build risk management business line (Health Credit Solutions) have failed and Health Grades is winding down that business and focusing instead on ratings products. Advertising sales have grown nicely, esp. from AdSense and other networks. However, I still question how well the WrongDiagnosis.com product fits with HealthGrades.
IMS offers decision support service for regulatory compliance for Pharma and med device companies.
Some good points about quality of patient-reported data and implications for using data from patient community sites in research. I like the points about how some users enter dummy data just to test out a site and the importance of recognizing what data are missing. Both issues related to good data management.
National Center for Quality Assurance (NCQA) paper on evolving standards for Patient-Centered Medical Home metrics.
Summary of project funded by RWJF and carried out by IHI to study performance improvement initiatives in hospitals in the period 2001-2008. Link to report included.
Grassley questions Pharma sponsorship of content on WenMD
E-patients consult Web to find ratings on doctors and providers, but fewer post ratings themselves. Link to full report from Pew.
Eclipsys beat expectations in Q4 2009, with earnings of $3.8 Million, up 15% YoY. Rev. up 5% YoY.
John Mack on the role Pharma can plan in providing information directly to consumers via social media.
Good overview of ResearchGATE, a social networking site for scientists that allows users to set degree of privacy and facilitates collaboration. Bus model: jobs board for scientists.
Pathway Genomics, which provides genetic tests to consumers, licenses Staywell’s Harvard Health Content so that customers can access additional information about the conditions reported in the test results.
ONC’s Aneesh Chopra, who chairs the Implementation Workgroup, seeks feedback on how to build a starter-kit for EHR implementation. Specific categories of interest: Vocabularies; content exchange standards; communications exchange standards, and privacy.
Story of how Louisiana has seen improvements in rural health care through implementation of health info exchange.
AHRQ
Recent survey commissioned by Cleveland Clinic, GE Healthcare & Ochsner Health System indicates that 50% of Americans believe other people’s health “was going in the wrong direction” but only 17% said their own health was “going in the wrong direction”. 2000 people surveyed. Results are in line with my observations. Many people are in denial that their habits are unhealthy. Even when they get sick, they don’t believe their own health management was a factor.
Consistent with research by Tomas Philipson, U. Chicago. Healthcare innovation and IT saves lives, but it comes with a high cost. We can keep innovating, but we can’t afford to keep paying for the innovations in the current system.
TOC and links to full report from CDC on trends in health statistics.
“Must read” article in NEJM on creating national program for CER.
HHS Secretary Kathleen Sebelius releases report that includes info on requested premium increases by health insurers across the country. Link to full report included.
Description of study in Worcester, MA to implement evidence-based theraputic management guidelines for cardiac patients.
Shared Health Clinical Xchange, the largest HIE in Tennessee, has partnered with Elsevier’s MEDai to provide clinically-relevant HIE.
Meta-analysis indicates that use of statins to control cholesterol is correlated with higher risk of type 2 diabetes.
Veteran’s Admin to monitor how doctors respond to e-alerts sent via the agency’s computerized patient record system (CPRS). Currently, they only tract if doc acknowledges receipt of an alert, not whether the doc takes follow-up action.
Simple “hockey-puck on a stick” test easier to implement in real-world situations: “There are computer algorithms to measure reaction time, using game-like programs. But they’re not so good for use at the sidelines, and they involve licensing fees.”
Excellent presentation of text/audio content–and the info provided is excellent, too. Good points about data alone not being sufficient; data must be put in context and must be shared to be helpful. Read Susannah Fox’s comment to learn more about the people behind the voices in the video.
NaviNet chosen as communications network in pilot intended to document benefits of provider-payer health info exchange in NJ.
Fascinating overview of changes to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)currently in draft form. Along with the info about specific disorders, I find the new approach toward categorizing disorders along a spectrum of severity very interesting. The degree to which someone has a disorder is considered, rather than placing each level of severity in a separate category. Aspergers as part of the autism spectrum is the example that is getting a lot of press.
GE producing TV ads for Healthymagination campaign during Olympics. Also sponsoring content online. Good to see someone beside Pharma sponsoring content!
Excellent lead article on need for automated data input (from devices, exchange from other systems, etc), better clinical decision support systems, and process change to make use of EHRs “meaningful” in improving health care.
Hope Leman’s long, but very entertaining, comments about DeepDyve’s specialty search and article rental model for scholarly journals articles. Access to much of the scholarly journal content isn’t available to non-subscribers and even discovering the existence of this body of content is difficult, which means the publishers are not reaching growth markets. DeepDyve offers a solution with minimal risk to publishers, yet the buzz for DD hasn’t grown as much as Hope (or I) would have expected. Worth reading — and it’s worth checking out DeepDyve.
Headline Commentary Feb 1 - Feb 13
- Posted February 13th 2010
- Comments (0)
- by Janice
PatientFinder, which estimates # of insured patients in region that have specific diseases but are untreated, to be offered by HealthLeaders Interstudy.
Denise Silber writes about provider ratings sites in Europe (France and UK) and how the survey-based rating sites differ from the “narrative” sites that allow patients to describe their experience in their own words. Combination would be better, wouldn’t it?
KLAS on current state of HIEs–vendors “pass around packets of information without necessarily taking ownership of what is in the packet”.
Xconomy on PatientsLikeMe, the Cambridge-based patient community site that leads in this space in collecting data. Also mentions Keas and its recent deal with Pfizer.
More on MSFT MyLife health project that utilizes Windows mobile phones to capture and transmit health-related data. Talks about accelerometers in phones and how they could be used to monitor movement.
MSFT research at conference in Beijing talks about using XBox as part of a total health care system. Also refers to MSFT MyLife for Windows mobile phones, which uses mobile phones to capture and transmit data relevant to a EHR/PHR.
Melissa Chang comments on projections from AMR Research on increased spending by B2B marketers on social media and questions where the projected 21% growth in social media spend will be focused. Note, lead-gen sites marketing is projected to increase 17% and online directories -2%.
Interesting. Pfizer in alliance with Keas to enable health & wellness experts to produce and distribute online care plans directly to patients. My take: Pfizer and other pharma companies already subsidize the publication of a great deal of health care information. With this deal, they’re extending their reach into new channels.
P&G completes its acq. of MDVIP, a concierge medical practice based in Boca Raton, FL.
Nice. CenterWatch now provides feeds by therapeutic area, disease category, FDA approved drugs and more that can be added to a website–for Free!
David Harlow’s insightful commentary on why medical apologies–accompanied by a commitment to investigate root cause–may reduce malpractice suits. And could lead to performance improvement, too….
Patient Safety and workflow solutions company raises $30M led by TPG Biotechnology Partners.
Why communicating absolute vs. relative probabilities is important in healthcare–and in fin’l planning.
Harvard Med School’s Laboratory for Quantitative Medicine has created personalized risk assessment tools based on “binary biology”. Interesting.
Thomas Goetz on nomograms, or clinical decision tools, that help calculate risk of specific diseases on a personalized basis.
Really good analysis and commentary about ebook pricing and the recent controversy between Macmillan and Amazon about books on Kindle prices. I agree with author that the market should determine the value of the content. Market structure in book publishing industry inhibits market forces to apply. I like 4th paragraph that addresses fact that not all song tracks–or all books–have same value, so why are they priced nearly the same? In book publishing, the bizarre returns policy does provide mechanism to sell less popular books for very low prices, but authors receive no royalties. I also agree that far more ebooks would sell if prices were lower.
Good review of recent Time article, Patients 2.0, and differing attitudes about the effectiveness of patient-reported data in medical research. Article points to concern on part of doctors of reliability of patient-reported outcomes data. My view: methods need to be developed for incorporating patient-reported or patient-recorded outcomes data into medical research methods, but these data are too important to ignore!
Very cool. FDA allows Bayesian analysis for studies of effectiveness in medical device clinical trials. Bayesian analysis allows use of results from previous studies to serve as prior distribution and may allow for results from smaller or shorter new studies to provide sufficient evidence of effectiveness.
Or outcomes-based research. By Gilles Frydman, founder of ACOR.org and co-founder of e-Patients.net, a pioneer in participatory medicine. Good introduction to potential benefits of PDR and the need for guidelines on how to conduct PDR, since no accepted structure and review processes currently exist.
Article describes how CMS is becoming more specific in requiring proof that treatments produce improved outcomes, not just evidence of their safety and short-term efficacy.
Start-up, Truth on Call, offers system for posing questions via Twitter to a group of doctors, for $10 per response. Target audience is fin’l, pharma, research, but will be offered to patients, too.
More on the Text4baby partnership btwn HHS, other fed agencies, industry (Pharma, telecom carriers) and insurance plans.
Text4baby is a program managed by HHS that includes mobile telecom carriers, federal agencies, insurance plans and other healthcare industry reps. 3,400 women have signed up so far.
Important points about need for care providers to understand the effect of healthcare costs on patients who can’t afford expensive treatments. Cost factors must be considered when addressing compliance issues.
Article states that pending lab tests are only included on hospitalist discharge summaries 16% of the time. Incredible. Follow-up visits aren’t very useful when docs don’t even know what to check. Inadequate discharge summaries are core problem. IT systems that don’t communicate are equally critical problem.
Hope Leman hits one out of the park with a fantastic interview with Danny Sands, MD at BIDMC and well-known in participatory medicine circle (also e-Patient Dave’s doctor).
Rewards for posing good questions and providing best answers about Diabetes 1. Program sponsored by Harvard Clinical and Translational Science Center and uses the InnoCentive platform to manage the competition/collaboration.
WK Health updates Facts& Comparisons and rebrands it as (drumroll please…) Facts & Comparisons eAnswers. Drug info resource.
Good overview of why social networking sites are flourishing. I like comments about how sites are more welcoming now and how sites serve as tools for users–not just discussion boards. LinkedIn is great example. Same applies to patient communities and PatientsLikeMe and CareTogether are good examples of increased utility of online communities.
Astonishing. I finally read more details of the retraction and the original study. Only 12 children were studied and they were paid 5 pounds each to give blood at a child’s birthday party. Researcher had claimed that they were all referred to physicians, which was not true. Parents who suspected link helped raise funds for the researcher via their lawyers. So, Lancet finally retracts article, but what about the 10-years worth of fallout from the falsified research that has rippled across official and unofficial research sites and commentary on the Web?
Nice counter to Twitter naysayers who address only the downside of Twitter (time sink) — without ever having used it. Writer emphasizes how critical Twitter is to the online news business for generating links and being part of the conversation.
Google Ventures has invested in Adimab, a New Hampshire biopharma company and is providing computing power to handle the heavy lifting of computer search work of matching candidate antibodies and targets to speed up the current process used by most biopharma labs.
Initiate Systems, a master data management company that specializes in healthcare data, is acquired by IBM. Initiate clients include payers, providers, and PBMs. Terms not disclosed; Initiate had raised over $67M in VC funding from Apex Venture Partners, First Analysis Group, Sigma Partners, BC/BS Venture Partners and Paladin Capital.
DeepDyve, the specialty search service with features that simplify finding related information, adds 6 new publishing partners. ACM, AIP, MIT Press, and UC Press among them. All 6 will join the DeepDyve article rental system that was introduced last year, which allows users access to premium subscription content for $0.99 per article (with volume discounts). More details in press release.
Anthony Guerra provides commentary on inadequacies of MU guidelines and reimbursement requirements.
Good article that describes how quickly move toward personalized medicine–based on an individual’s genetic data–is occurring.
Good idea, but it looks as though Nielsen chooses healthy foods based on manufacturer claims.
Cute: a Jeopardy quiz for the rudiments of EBM for medical librarians.
Patient Safety Act of 2005 scheduled to yield database in 2011. 65 Patient Safety Organizations have been set up, but few are collecting data yet. No plans set to collect from other providers beyond hospitals.
ABRY provides funding to HealthTrans to support organic growth and acquisitions.
Wow! Glam raises another $50 M at a rumored valuation of $750M. Glam is an ad network with focus on health & beauty sites. Many of the sites tend toward the trashy end of beauty sites, not reputable healthcare info. See comments. Notwithstanding previous 2 sentences, Glam sure is good at fundraising!
David Weinberger on flaws in the data-information-knowledge-wisdom hierarchy model. Hierarchy is too limited–one way progression, when gaining knowledge is more of a system that requires observation, hypothesis building, and testing.
Comments about online sites that offer ratings of doctors. Points out weaknesses of current info, esp. fact that ratings aren’t based on outcomes. Hints at other problems: most patients choose docs based on info from referring physician. Docs in network are critical. I’d add: trustworthiness of online ratings sites is not clear.
Long article that provides some evidence that breakthrough research is not getting sufficient coverage in top journals. Theory is that peer reviewers are protecting their own group and making it too difficult for innovative researchers to break through. I think there’s some credibility to the theory that innovations are more likely to occur outside of the traditional circles of scholarly publishing, since researchers are increasingly making source data available. New metrics that incorporate real-time online measures are needed.
The main article (see previous entry) about risk calculators to help surgeions communicate risks of surgery to patients.
Addresses issue of why hospitals don’t track and use data to help them reduce risk in surgery. Mentions NSQUIP from ACS.
Healogica, a site that connects potential candidates to clinical trials to shut down. They had about 2,000 registered users but couldn’t get enough CROs and pharma companies to pay for access to the leads they generated.
Social networking for weight loss site, iChange, gets funding from Momentum Venture Managment(MVM) and names MVM principal Stuart MacFarlane CEO. MacFarlane fmly of Insider Pages.
Great display of information on # tweets by disease type/condition.
Good description of how the use of e-prescribing systems (in this case Kryptic) can alert doctors & pharmacists of “doctor shoppers” who go from doctor to doctor to get multiple prescriptions for pain medications and other drugs.
Excellent article that proposes ways to improve how medical research is communicated by consumer media. In lecture I gave last week at Simmons College School of Health Sciences, I emphasized the importance of communicating medical research and other healthcare information clearly, especially risk information.
Reports on programs that provide behavioral counseling to MDs that have depression, substance abuse and stress problems.
Needed: Guided Navigation for Health Information Search
- Posted February 3rd 2010
- Comments (0)
- by Janice
There has been a lively dialogue occurring on the e-patients.net site this past week about how Google and Microsoft Bing display search results for health care queries. Google recently introduced a special result listing that provides links to Mayo Clinic, ADAM, WebMD and MedlinePlus when users type in a common health condition as their search term. For example, type in “hypertension” in the Google search box and the first listing in the search results will look like this:
| Hypertension | |
| Google Health Mayo Clinic Medline Plus WebMD | |
| Hypertension is the term used to describe high blood pressure. Blood pressure readings are measured in millimeters of mercury (mmHg) and usually given as two numbers. For example, 120 over 80 (written as … www.google.com/health |
|
The thread on e-patients.net was initiated by Susannah Fox, Associate Director, Digital Strategy at Pew Internet Research and so far has elicited 73 comments about Google’s policy of providing special placement for these four specialty health sites. Further comments on the post focused on the inability of existing consumer health portals, aggregators, and search engines in guiding patients to information sources that may be more relevant to them. I highly recommend a thorough reading of Susannah’s post and the subsequent comments.
I contributed the following comments: “At this point, the big search engines focus on the broadest topics and Mayo, ADAM, WebMD and MedlinePlus are good sources for basic info on diseases and conditions. But, the common complaint I hear about these resources is that they are too broad, not deep enough, too removed from the current needs of the patient, and certainly not geographically specific.” Susannah wisely brought up the topic of how useful it would be to offer more guidance to people who are seeking more specific reliable information in their health-related query. She asks “I wonder if curated search results are the answer to the ongoing debate over information quality?”
It may be difficult to offer “pre-curated” health information that suits everyone’s needs because of the vast array of queries and the disparate number of sources that exists. The ‘big 3′ consumer health portals, WebMD, EveryDay Health[ii], and HealthCentral already serve as curators to the content they make available under their umbrellas. But, these sites share many of the same mile-wide, inch-deep characteristics of the previously mentioned sites. Even though there are some patient communities represented on these consumer health portals, it is often difficult to find the relevant community and relevant information buried in a post.
The discoverability problems in consumer health search relates to the early-stage of the health content product life cycle. Some online patient communities may have existed for a long time, but most are relatively new. Because many are small and specialized, it is unlikely they will ever achieve sufficient PageRank in Google’s relevancy algorithm to be listed on the first couple of search results pages on Google.
As social networking and other factors that drive the demand for healthcare information matures, there will be more demand for services that guide users through the process of researching, communicating, and recording health information. Who will be the likely winners in the race to provide guided navigation to health information? There are roles for EHR/PHR vendors, content companies (i.e., publishers), patient community sites, pharma and other vendors, providers, and payer organizations to create, distribute and sponsor health content. I expect to see a growing number of licensing and other content sharing deals between these health industry stakeholders in the coming years. And there will always be a role for aggregators and search engines that can improve the customer experience.
[i]Note, Google has changed the display to read “Google Health” instead of ADAM. Google licenses the content from ADAM.
[ii] Everday Health (the new parent company name for what was formerly Waterfront Media) filed to go public last week.
Headline Commentary Jan 23-Jan 31
- Posted February 1st 2010
- Comments (0)
- by Janice
Good article on Endeca, a widely used search engine on shopping sites. Endeca’s “guided navigation” (also referred to as “faceted search”) works very well on structured information. Could it be adapted for less-formally structured info?
McKesson & HP partner to provide EHR s/w and hardware for physician practices.
Article questions the role of employers in sponsoring wellness programs that tie participation to financial incentives such as reduced premiums.
Interesting. Wolters Kluwer has set up a system whereby doctors will receive CME credit for clinical research done via their mobile phone.
Time covers e-Patient Dave’s story and writes about e-patient movement under the moniker “patient 2.0″. Provides a somewhat jaded view of non-medical specialist patients’ ability to understand medical info and make judgements. Suggests “rapid-learning” program for e-patients.
Very thorough review of MSFT-Siemens deal to introduce MS HealthVault to German market and make it the system through which patients are provided medical info. HL7 is more widely used in Europe and Infobutton apps will likely catch on more quickly.
Els adds SNIP and SJR to Scopus to provide more complete citation metrics.
Julie Deardorff of Chicago Tribune writes about my recent blog on the AAFP’s FamilyDoctor.org site’s advertising high salt foods. Quotes me, AAFP VP Publishing, and Dr. John Spangler.
Prof. Robert Fogel, U. Chicago, contends that healthcare costs are high because consumers demand the high-cost extras and innovation.
Good interview with David Blumenthal, Director, ONC, on meaningful use of EHRs and plans for national health data exchange.
John Halamka’s brief description of the breakout of grant funding plans by ONC.
Whole Foods to offer up to an additional 10% discount for employees who meet wellness measures that include nicotine use, cholesteral, and BMI targets.
good piece on why healthcare sector could be big market for Apple’s forthcoming tablet. The fact that iPhones are popular among MDs is one big reason.
Good short piece on why publishers are distributing content via Kindles even though there are business considerations.
Filing to Office of Science and Technology Policy from Elsevier regarding proposed regulations to offer more open access to scholarly publishing that is funded by US tax dollars.
Kent Bottles brings together topics from current books by Atul Gawande, Timothy Goetz, and an article by Jerome Groopman to consider the merits of checklists and use of decision trees in medicine. He also covers behavioral economics and choice and mentions the Thaler-Sunstein approach to offering nudges (libertarian paternalism) to guide healthful behavior. Conclusion: medicine and health are complicated. Seems to me that since computers are useful for dealing with complex calculations (even under stress) that it makes sense to use automated checklists and decision support systems to guide complex processes. Provided we can avoid GIGO (garbage in, garbage out) situations.
Thomson Healthcare acquires ProfSoft-Health, a Needham, MA-based healthcare data analytics company. ““ProfSoft’s solutions will enhance the clinical performance measurement capabilities we provide to our healthcare payer customers,” said Jon Newpol, executive vice president of the Healthcare & Science business of Thomson Reuters.”
Interesting article on how Conde Nast is seeking to leverage brand value of Gourmet, Domino, and Cookie (defunct magazines) as well as current titles Wired and Lucky. Compares CN to Meredith, whose Better Homes & Gardens has used its brand to provide quality seals to products. CN-selected content (tested by Gourmet kitchens?) is one idea they should consider, IMO.
David Williams interviews Bob Wachter of UCSF. Haven’t listened to it yet, but I have no doubt that it is a worthwhile use of time.
IUD manufacturer, Mirena (part of Bayer Pharmaceutical) has been using home parties, a la Tupperware, to spread word about benefits of Mirena IUD. FDC has sent warning letter to Bayer.
Good analysis of what the implications are of NY Times stated plans to allow inbound links to have access for free, but to charge metered access to direct users after an initial allotment of free pageviews.
Everyday Health, the consumer health portal owned by Waterfront Media, files for $100M IPO. Positive sign for consumer health publishers. Everyday is one of the largest consumer health portals that relies on online advertising for most of its revenue.
Brigham and Women’s and Harvard Med School Professor Lawrence DeBuske decides to keep paid speaking role and gives up practicing & teaching. New limitations on accepting pay for for delivering canned presentations played role. Dr. DeBuske apparently gives several talks on behalf of multiple pharma companies each week.
Home page of Jan 2010 report from RWJF on PHRs.
John Sharp’s overview of Robt Wood Johnson Foundation’s new report on PHRs.
ZocDoc, a online directory of doctors that has focused on NY and DC, is expanding to cover SF. Note, a key differentiator of ZocDoc (from the slew of other doctor ratings sites) is its integration with practice management systems for scheduling appointments so that users can find doctors with available appts. ZocDoc says they have integrated with close to 1400 PMS companies. Note, ZocDoc also encourages patient reviews of doctors, but only from ZocDoc users. Reviews of doctors remains a sticky wicket for all of the doc review sites.
Commentary on why it is a positive sign that an MD is now leading Navigenics, a personalized genomics company.
Susannah Fox from Pew Internet started the conversation with her post about Google Health OneBox that lists results from Mayo Clinic, WebMD, ADAM, and MedlinePlus in a special position at top of search results. Great discussion in the comments ensued, including a couple from me.
Andrew Spong’s analysis of Twitter followers/followings of pharma companies.
Brief article describing MedeAnalytics revenue cycle management solution being adopted by St. Joseph’s Hospital in Maryland.
Great news for data geeks and data content enthusiasts! Following up on their promise to add transparency to the federal government, Obama admin posts new data sources from all cabinet departments. I’m going to go download the Medicare data set now.
Info on work Tim Berners-Lee is doing for UK govenment to make sources of gov’t data more available and meaningful.
“Syed Tirmizi, MD, a longtime clinician and medical informatics leader at the US Department of Veterans Affairs, joined Quantros today as Vice President of International Business Development and Government Relations. Tirmizi helped lead the VA into its position as a pioneer in the use of electronic medical records (EMR) for point of care service delivery, enabling meaningful use of data to further patient safety and quality initiatives.”
“Pfizer increased its spending on online professional promotion by more than 90% last year, according to a study, a sign the drugmaker is emphasizing alternatives to live sales reps for detailing certain products.” Study by SDI.
TOC and abstract of just published study on significant benefits of reducing sodium intake for improving cardiovascular disease. See my notes in item below (third item) on same subject.
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