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Archive for February, 2010

Headline Commentary Feb 14 - Feb 28

  • » GE Healthcare Unveils Future of Healthcare IT at HIMSS10 - MarketWatch

    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.

  • » Guidant Charged with Failure to Report Defibrillator Safety Problem

    FDA charges Guidant (a Boston Scientific company) with failure to report safety problems with some of its implantable defibrillators.

  • » AHRQ: Health IT could be disruptive while reducing rehospitalization rates, costs

    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, Microsoft partnership looks to open platforms, interoperability | Healthcare IT News

    Eclipsys Sunrise Enterprise suite of health IT software applications to integrate with Microsoft’s Amalga UIS platform.

  • » FT.com / Media - Wolters Kluwer results disappoint

    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 delays quarterly report - The Boston Globe

    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.

  • » Technology Review: Briefings: Personalized Medicine

    MIT Technology Review feature series on personalized medicine. Haven’t taken good look at the articles yet, but will return to explore.

  • » Doctors group to focus on 1 hospital - The Boston Globe

    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.

  • » NEJM — Serving Two Masters — Conflicts of Interest in Academic Medicine

    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 Clinic partners with GE, Intel for home-based monitoring study | Healthcare IT News

    Mayo, GE Healthcare & Intel partner on year-long study of effects of monitoring seniors & people w/ chronic illnesses with home monitoring devices.

  • » The Migration to Modular HIT Apps « Chilmark Research

    John Moore at Chilmark provides insightful analysis of today’s announced alliance between Microsoft Amalga and Eclipsys.

  • » Eclipsys and Microsoft form alliance in Health IT

    “”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.

  • » Adopting electronic health records will cut costs - TheHill.com

    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.

  • » Macmillan’s DynamicBooks Lets Professors Rewrite E-Textbooks - NYTimes.com

    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?

  • » Obama Administration Details Healthy Food Financing Initiative

    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.

  • » The President’s Proposal puts American families and small business owners in control of their own health care. | The White House

    Obama’s healthcare proposal 2/22/10

  • » DeepDyve Offered to CalTech Alumni

    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.

  • » PatientsLikeMe Buys ReliefInsite to Help Patients Track Their Pain Online | Xconomy

    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.

  • » Health Grades Inc. Q4 2009 Earnings Call Transcript — Seeking Alpha

    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 Launches Integrated Regulatory Compliance Solution for Pharmaceutical and Medical Device Companies - MarketWatch

    IMS offers decision support service for regulatory compliance for Pharma and med device companies.

  • » Health data quality – a two-edged sword « Archetypical

    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.

  • » Ideal Medical Practices: NCQA explores patients as valuable resource for information to add to their unworkable metric set

    National Center for Quality Assurance (NCQA) paper on evolving standards for Patient-Centered Medical Home metrics.

  • » Pursuing Perfection: Raising the Bar for Health Care Performance - RWJF

    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 Probes WebMd Ties To Eli Lilly // Pharmalot

    Grassley questions Pharma sponsorship of content on WenMD

  • » Many seek a “just-in-time someone-like-me” but few post their own stories. | Pew Internet & American Life Project

    E-patients consult Web to find ratings on doctors and providers, but fewer post ratings themselves. Link to full report from Pew.

  • » Eclipsys posts good fourth quarter earnings, builds new EHR | Healthcare IT News

    Eclipsys beat expectations in Q4 2009, with earnings of $3.8 Million, up 15% YoY. Rev. up 5% YoY.

  • » Pharma Marketing Blog: Can Pharma Fill the HCP-to-Patient Social Media Vacuum?

    John Mack on the role Pharma can plan in providing information directly to consumers via social media.

  • » Researcher creates ‘Facebook for Scientists’ | VentureBeat

    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 Licenses Harvard Health Content for Personalized Genetic Test Reports

    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.

  • » Aneesh Chopra Invites You to Tell Us About Opportunities and Challenges facing HIT Implementation « Federal Advisory Committee Blog

    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.

  • » Serving the Underserved: Exchanging Information to Improve Rural Health Care | Mastering Data Management

    Story of how Louisiana has seen improvements in rural health care through implementation of health info exchange.

  • » Patient Safety and Quality: An Evidence-based Handbook for Nurses

    AHRQ

  • » Most Americans Think It’s Others Who Are Unhealthy - Yahoo! News

    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.

  • » Rising Use of Medical Technologies Extending Americans’ Lives: MedlinePlus

    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.

  • » CDC annual report, Health United States, 2009

    TOC and links to full report from CDC on trends in health statistics.

  • » Five Next Steps for a New National Program for Comparative-Effectiveness Research | Health Care Reform Center

    “Must read” article in NEJM on creating national program for CER.

  • » Sebelius Unveils New Report on Requested Premium Increases in States Across the Country

    HHS Secretary Kathleen Sebelius releases report that includes info on requested premium increases by health insurers across the country. Link to full report included.

  • » Contemporary Trends in Evidence-based Treatment for Acute Myocardial Infarction

    Description of study in Worcester, MA to implement evidence-based theraputic management guidelines for cardiac patients.

  • » MEDai and Shared Health(R) Partner to Offer Tennessee Robust Health Information Exchange Platform

    Shared Health Clinical Xchange, the largest HIE in Tennessee, has partnered with Elsevier’s MEDai to provide clinically-relevant HIE.

  • » Cholesterol drugs up diabetes risk slightly: study | Reuters

    Meta-analysis indicates that use of statins to control cholesterol is correlated with higher risk of type 2 diabetes.

  • » VA to study doctor’s reactions to e-alerts

    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.

  • » Teenagers Science Project Leads To Simple Concussion Test - Shots - Health News Blog : NPR - StumbleUpon

    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.”

  • » Health Care Reform and Comparative Effectiveness: Implications for Surgeons — Urbach and Morris 145 (2): 120 — Arch Surg
  • » Data-Driven, Patient-Centered Health Care: A #WhyPM Video | e-Patients.net

    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 Multi-Payer Portal Selected for Initiative to Increase Healthcare Efficiencies and Reduce Costs | Business Wire

    NaviNet chosen as communications network in pilot intended to document benefits of provider-payer health info exchange in NJ.

  • » Mind Hacks: The draft of the new ‘psychiatric bible’ is published

    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.

  • » Advertising - G.E. Ad Campaign Aims to Put a Human Face on Its Role in Health Care - NYTimes.com

    GE producing TV ads for Healthymagination campaign during Olympics. Also sponsoring content online. Good to see someone beside Pharma sponsoring content!

  • » Beyond Meaningful Use

    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.

  • » DeepDyve Does It Again: Fascinating Developments in Scholarly Publishing and Scientific Communication « Significant Science

    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

  • » HealthLeaders Interstudy offers PatientFinder Healthcare Analytics Tool to Pharma

    PatientFinder, which estimates # of insured patients in region that have specific diseases but are untreated, to be offered by HealthLeaders Interstudy. 

  • The Health Care Blog: Rating or Narrating, that is the question.

    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 questions vendor claims on HIEs | Healthcare IT News

    KLAS on current state of HIEs–vendors “pass around packets of information without necessarily taking ownership of what is in the packet”.

  • » PatientsLikeMe Growing as Pharma Customers Boost Focus on Patients | Xconomy

    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.

  • » Microsoft e-health research taps Xbox, mobile phones ( - Software - Industry Verticals )

    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.

  • » Microsoft looks at health potential of Xbox, apps | Health Tech - CNET News

    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.

  • » The opportunity in B2B social media » 16th letter » Blog Archive

    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%.

  • » Press Releases | Pfizer: the world’s largest research-based pharmaceutical company

    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.

  • » Procter & Gamble buys full stake in MDVIP - Business Courier of Cincinnati:

    P&G completes its acq. of MDVIP, a concierge medical practice based in Boca Raton, FL.

  • » CenterWatch: Content Feeds on Clinical Trials

    Nice. CenterWatch now provides feeds by therapeutic area, disease category, FDA approved drugs and more that can be added to a website–for Free!

  • » HealthBlawg: Medical Apologies: Do right and do well

    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….

  • » PatientSafe Solutions - Gets new funding

    Patient Safety and workflow solutions company raises $30M led by TPG Biotechnology Partners.

  • » Decisions, Decisions - Can Financial planning learn from healthcare?

    Why communicating absolute vs. relative probabilities is important in healthcare–and in fin’l planning.

  • » More on Calculators: Harvard Does the Math | The Decision Tree

    Harvard Med School’s Laboratory for Quantitative Medicine has created personalized risk assessment tools based on “binary biology”. Interesting.

  • » The Health Care Blog: Why Calculators Are the Future of Healthcare

    Thomas Goetz on nomograms, or clinical decision tools, that help calculate risk of specific diseases on a personalized basis.

  • » Weighing in on Amazon/Macmillan Pricing Debate « Pakman’s Blog: Disruption

    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.

  • » Patient 2.0 empowers patients, worries doctors : Covering Health

    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!

  • » FDA’s issues guidance on Bayesian statistical methods in medical device clinical trials

    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.

  • » Patient Driven Research

    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.

  • » Medicare and Medical Technology — The Growing Demand for Relevant Outcomes | Health Care Reform Center

    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.

  • » Have a Medical Question? Text a Group of Doctors - Bits Blog - NYTimes.com

    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.

  • » http://www.jnj.com/connect/caring/patient-stories/reaching-moms-one-text-at-a-time/

    More on the Text4baby partnership btwn HHS, other fed agencies, industry (Pharma, telecom carriers) and insurance plans.

  • » HHS Coordinates Program to send Health Reminders via Text to Pregnant Women

    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.

  • » Doctor and Patient - When the Patient Can’t Afford the Care - NYTimes.com

    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.

  • » Pending lab tests are not in hospitalist discharge summaries | KevinMD.com

    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.

  • » A Doctor’s Take on Participatory Medicine, Health IT and the E-Patient: A Talk With Daniel Sands of Cisco Systems « Significant Science

    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).

  • » Harvard-Based Crowdsource Project Seeks New Diabetes Answers — & Questions | Epicenter | Wired.com

    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.

  • » Wolters Kluwer Health Unveils Facts & Comparisons® eAnswers Drug Information Reference | Press Releases @ Your Story

    WK Health updates Facts& Comparisons and rebrands it as (drumroll please…) Facts & Comparisons eAnswers. Drug info resource.

  • » A special report on social networking: A world of connections | The Economist

    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.

  • » The End of a Paper That Linked Autism to a Vaccine - Health Blog - WSJ

    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?

  • » The Twitter Train Has Left the Station - Bits Blog - NYTimes.com

    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 Pours “Incredible” Computing Power into Antibody Drug Discovery With Adimab | Xconomy

    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.

  • » IBM to Acquire Initiate Systems — ARMONK, N.Y., Feb. 3 /PRNewswire-FirstCall/ –

    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 Continues To Add Sources at Rapid Rate

    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.

  • » Guerra On Healthcare: Meaningful Objections To Meaningful Use — Meaningful Use — InformationWeek

    Anthony Guerra provides commentary on inadequacies of MU guidelines and reimbursement requirements.

  • » Getting Personal - Personalized Medicine getting closer

    Good article that describes how quickly move toward personalized medicine–based on an individual’s genetic data–is occurring.

  • » U.S. Healthy Eating Trends Part 5: Nielsen Healthy Eating Index Debuts | Nielsen Wire

    Good idea, but it looks as though Nielsen chooses healthy foods based on manufacturer claims.

  • » » Rudiments of EBM concepts for librarians The Search Principle blog

    Cute: a Jeopardy quiz for the rudiments of EBM for medical librarians.

  • » Wait another year for patient safety data, GAO says — Federal Computer Week

    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.

  • » HealthTrans, a Pharmacy Benefit Manager, Completes a Private Equity Financing | Business Wire

    ABRY provides funding to HealthTrans to support organic growth and acquisitions.

  • » Glam Media On A Roll: Raises $50 Million In Private Equity At $750 Million Valuation

    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!

  • » The Problem with the Data-Information-Knowledge-Wisdom Hierarchy - The Conversation - Harvard Business Review

    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.

  • » Patients Value Personal Recommendation Over Online Doctor Ratings - Better Health

    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.

  • » BBC News - Journal stem cell work ‘blocked’

    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.

  • » Calculating the Risks of Surgery - WSJ.com

    The main article (see previous entry) about risk calculators to help surgeions communicate risks of surgery to patients.

  • » Why Don’t More Hospitals Calculate the Risks of Surgery? - Health Blog - WSJ

    Addresses issue of why hospitals don’t track and use data to help them reduce risk in surgery. Mentions NSQUIP from ACS.

  • » eCliniqua Healogica to Exit Difficult Market for Online Trial Matchmakers

    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.

  • » iChange Names Stuart MacFarlane as CEO | Business Wire

    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.

  • » Graphic display of Tweets by Disease/condition

    Great display of information on # tweets by disease type/condition.

  • » How e-prescribing stops doctor shopping | ZDNet Healthcare | ZDNet.com

    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.

  • » Promoting Healthy Skepticism in the News: Helping Journalists Get It Right — Woloshin et al. 101 (23): 1596 — JNCI Journal of the National Cancer Institute

    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.

  • » Physician Wellness Services targets burned out/problem docs : MedCity News

    Reports on programs that provide behavioral counseling to MDs that have depression, substance abuse and stress problems.

  •  

    Needed: Guided Navigation for Health Information Search

    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

  • » Endeca founders steering search firm toward ‘business intelligence’ market - The Boston Globe

    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 and HP to Help Physician Practices Speed Electronic Health Record Adoption for Better, Safer Patient Care

    McKesson & HP partner to provide EHR s/w and hardware for physician practices.

  • » Workplace Wellness Programs

    Article questions the role of employers in sponsoring wellness programs that tie participation to financial incentives such as reduced premiums.

  • » New Smartphone Application Rewards Physicians with CME Credit for Online Medical Research

    Interesting. Wolters Kluwer has set up a system whereby doctors will receive CME credit for clinical research done via their mobile phone.

  • » Patients 2.0 - Time on e-Patient Movement

    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.

  • » Update: Siemens Brings HealthVault to Europe « Chilmark Research

    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.

  • » Elsevier incorporates additional citation metrics into Scopus

    Els adds SNIP and SJR to Scopus to provide more complete citation metrics.

  • » Doctors Question Ads on Health Web Site

    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.

  • » Learning to Love Healthcare Spending?

    Prof. Robert Fogel, U. Chicago, contends that healthcare costs are high because consumers demand the high-cost extras and innovation.

  • » ONC Reconsiders National Health Data Exchange

    Good interview with David Blumenthal, Director, ONC, on meaningful use of EHRs and plans for national health data exchange.

  • » Breakout of Grant Programs from ONC

    John Halamka’s brief description of the breakout of grant funding plans by ONC.

  • » Whole Foods Employees to Get Deeper Discount If They Meet Health Incentives

    Whole Foods to offer up to an additional 10% discount for employees who meet wellness measures that include nicotine use, cholesteral, and BMI targets.

  • » Healthcare System: Biggest Market for Apple’s Tablet?

    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.

  • » Publishers Flirt With Amazon Kindle Despite Business Model …

    Good short piece on why publishers are distributing content via Kindles even though there are business considerations.

  • » Elsevier submission to Office of Science and Technology Policy public …

    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.

  • » Checklists and Decision Trees Vs. Spontaneity and Imagination

    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 Reuters Acquires ProfSoft

    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.”

  • » Conde Nast looks for new ways to leverage its brands

    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.

  • » Health Business Blog ” Blog Archive ” Podcast interview with Dr. Robert …

    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.

  • » DTC Device Marketing Meets Social Media

    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.

  • » Felix Salmon on NYTimes paywall plans

    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 files for $100M IPO

    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.

  • » Doctor Quits Brigham to Speak for Pay

    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.

  • » Feature: The Power and Potential of Personal Health Records - RWJF

    Home page of Jan 2010 report from RWJF on PHRs.

  • » eHealth ” John W. Sharp on eHealth and Health IT ” Major Robert Wood …

    John Sharp’s overview of Robt Wood Johnson Foundation’s new report on PHRs.

  • » ZocDoc Launches in San Francisco

    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.

  • » Why Dr. Vanier’s Appointment as CEO of Navigenics is Good Thing

    Commentary on why it is a positive sign that an MD is now leading Navigenics, a personalized genomics company.

  • » Health Sites - Some Are More Equal Than Others

    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.

  • » Twitter awareness/engagement ratio: a pillory or a pedestal for pharma …

    Andrew Spong’s analysis of Twitter followers/followings of pharma companies.

  • » Maryland Hospital Adopts MedeAnalytics Performace Improvement Solution

    Brief article describing MedeAnalytics revenue cycle management solution being adopted by St. Joseph’s Hospital in Maryland.

  • » Obama Admin posting new sources of gov data including Medicare data

    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.

  • » BBC News - Tim Berners-Lee unveils government data project

    Info on work Tim Berners-Lee is doing for UK govenment to make sources of gov’t data more available and meaningful.

  • » Quantros Hires International Bus Dev VP

    “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 nearly doubles amount spent on e-detailing

    “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.

  • » NEJM article on benefits of salt reduction in cardiovascular disease

    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.