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Archive for the ‘long-term care’ Category
Headline Commentary Oct 5-Oct11
- Posted October 11th 2009
- Comments (0)
- by Janice
Another review of Health 2.0 conference with good overview of startups (and some older companies) that presented.
Reports on iGuard whitepaper and CDC stats on prevalence of Rx drug usage in US.
Excellent review of last week’s Health 2.0 conference. John Moore from Chilmark Research understands the Health IT issues as well as anyone and articulates problems of interoperability better than anyone. Only comment from Health CONTENT Advisors: content producers/owners are left out of the discussion. IT companies don’t own the data, in fact at the current time they don’t bundle in much data with their services. But, we see lots of activity in deals between healthcare publishers and health IT vendors occurring and think that health content will receive more attention from the folks who are focused on IT aspect in the near future. Note, John’s comment abt Quicken Health & fact that one can hover over a test and see info about it is a great example of how content adds “meaning” to the use of IT tools.
Example of using wellness programs to lower health insurance costs.
Kevin Kruse of Kru Research details his reasons for launching e-Patient Connections 2009. I am speaking at the conference on the market for health content for e-patients. Important point: e-Patients both produce and consume health info.
Cleveland Clinic list top 10 medical innovations that they view as having significant potential for s-t clinical impact.
Balanced review of the recent Health 2.0 conference in SF.
Brief article on Epic, one of the big players in the market for Elec. Medical Records. Big success for Epic came when Kaiser chose them.
Safeway, which has stood out for its programs to encourage healthy behavior (mainly weight loss) of its employees, supports amendment that will allow larger incentives to employees who achieve health goals –as discounts to their health insurance premiums.
Brian Mossop names MyPACS.net as most impressive new clinical decision-making tool from recent Health 2.0 conference. MyPACS.net allow docs to post MRI, CT Scan or other DICOM images to get feedback from other radiologists/docs. He likes the fact that publication delay is eliminated.
Atlantic writer describes Adam Bosworth’s new company, Keas. Keas helps individuals make healthy choices and uses an individual’s personal health data to customize alerts and plans for health. Writer is dubious that consumers will flock to this type of “big brother” service that tells them how to eat, exercise, etc. But, I think she misses the point. Individuals will be pressured to use services like this by the companies that pay for their health insurance and healthcare. Rewards, incentives, nudges–however you want to characterize them–will be need in the form of cash or other incentives to encourage individuals to participate. Eventually, concern for one’s health may be sufficient to encourage usage, but not yet…
Slide presentation given by Lee Rainie of Pew Research to Medical Library Association.
List by topic of recommended external resources by Robert Wood Johnson Foundation.
Wow! Bershire Partners (MA) funds DC (Bethesda, MD) area life sciences services company with $125 M equity investment “for continued expansion through acquisitions”. “United BioSource helps biotechnology companies manage their clinical studies and assists in the regulatory approval process. The six-year-old company has grown exponentially through a series of acquisitions since its founding and now has 1,300 employees in more than 20 locations.
Review of the “tools” panel at Health 2.0, which highlighted integration of FirstDataBank’s drug codes for use by new consumer-focused health resources. Good move by Hearst’s FirstDataBank.
Sam Palmisano, CEO of IBM, at 2009 Medical Innovation Summit at Cleveland Clinic, Oct. 6, 2009
Verizon teams with Xora to provide app to track activity of home health workers and provide navigational tools.
Caring.com acquires Gilbert Guide. Both provide directory and infor resources on elder care. Caring has raised $6M and has far more users.
Very good post on the benefits of having audience members using Twitter during a conference presentation. Worthwhile reading for conference producers and presenters.
New Merck Manual Home Health Handbook launched with iPhone/iPod app available. Professional Edition of The Merck Manual also available on iPhone/iPod.
Article reports on possibility that UK could overhaul CME and require docs to pay 1/2 of CME costs.
David Cutler, econ prof at Harvard, writes that healthcare costs as % GDP may decline. Counter to CBO and other estimates, but he gives good reasons why the rate of increase may moderate.
Ed Silverman, who used to write the Pharmalot blog, which was discontinued when the newspaper that hosted it gave him a buyout offer and he went to Elsevier to edit the Pink Sheet, will restart blogging.
I like the idea. Safeway, which has been written up before, is mentioned as a company that saved $$ by providing incentives for employees to lose weight.
Notes from Data Drives Decisions panel at Health2.0.
Making the transition from ICD-9 to ICD-10 may require hospitals to upgrade their info systems.
Everyday Health partners with DSHI Systems to offer video symptom checker tool for consumers.
Healthline, keynoter from our Health Content08 conference, wins WebAward from Web Marketing Association for best healthcare website for 2009.
Josh Seidman emphasizes the importance of sufficient customer research prior to developing health IT tools. Josh asked panelists from start-ups that have created health info tools for patients how they did their research and the lack of responses is telling. In-depth research of usage behavior and user-needs seems to be lacking in health IT for professionals as well as patients.
Interesting. Gomez represents a good example of a company that evolved from a research firm to a provider of analytic tools. Gomez was prepping for an IPO, but premium from Compuware was high enough to make offer attractive.
Story on Adam Bosworth’s new company, Keas. May have already bookmarked this story.
Nice brief summary of early stage companies presenting at Health 2.0.
Royalty-based venture financing–where investors receive a % of monthly revenue– is gaining attention as new financing model.
Susannah Fox’s remarks at Health 2.0 conference about importance of engaging patients into healthcare. “if you’re not engaging patients, you’re doing it wrong.”
IOM held 2-day workshop on Evidence-Driven Practice. More info here.
Good post by Dr. Joseph Kvedar about steps small physician practices can take to move toward the benefits of EHRs. Kvedar also slams the attention that big EHR systems are receiving–and the $billions of federal incentives–since most doctors practice in small practice groups and cannot afford most of the EHR/EMR systems currently available.
HealthCentral’s CEO, Chris Schroeder, will speak at Health 2.0 on 10/6 & will highlight growth in number of bloggers on their network, primarily from their acq. of Wellsphere.com.
Acquired by PE company Patriach Partners in late 2007, Rand McNally has hired Dave Muscatel (UChicago Booth School ‘96) to revamp the company to position it well against Google Maps and Mapquest.
Announcement of new partnerships with Harvard Pilgrim & the postal service union’s health plan. Also lists some recent features, including ability to graph test results over time.
Profile of Keas, a healthcare decision tool set from Adam Bosworth, fmly of Google & Microsoft. I like the focus on helping use data for decisions.
OptumHealth and American Well are partnering to provide online medical services to Optum’s insured population.
Nature’s new open access Nature Communications, likened to PLoS One in this post.
CVS’s Medicare Drug plan(SilverScript and Accendo) will qualify to cover fewer subsidized members in 2010. They forecast losing about 1/3 of their subsidized customers in 2010.
DeepDyve, which offers search of premium medical publications along with other Web content, is raising $5M to help expand marketing and content development.
XML version of Fed Reg now available. Big news for value-added publishers of gov’t data. I once produced a CD-ROM version of Fed Register: formatting to make a useful reference tool was not easy at that time.
Be careful of semantics. Eric Schmidt repeadedly says that Google is not a content company, but he really means a “content development” company (editorial?). But, Google is very much a media company and by my definition a content company, too. They own some newspaper archives and are trying to own copyright to orphan books. What else do they have to do for everyone to realize that they are a content company? See this post by Erick Schonfeld with some early quotes from Ken Auletta’s forthcoming book on Google.
Author published by S&S describes online storage companies RapidShare, Megaupload, and Hotfile and how they play a role in illegal sharing of ebook files.
SpaFinder lists top trends in spas, including cross-polinations of “medicine” and “spa’. mentions rise in “wellness diagnostics” within the medical spa environment, from services like imaging, genomics, stress tests, lab tests, to stem cell banks as examples of services provided by medical spas.
Schmidt says Google not a content company, but is in business to help content companies thrive. Disingenuous statement. They are a content producer and will be a content seller if/when Google Books Settlement is concluded.
Great tips on how hospitals can track CMS updates and make sure their insitituiton remains current.
Description of retail clinics, like CVS MinuteClinic.
Some competing pharma cos cooperate in participating in coronary stent study. New trend in collaboration in medical research? Probably.
Jane Sarasohn-Kahn writes about the newly released study from PWC titled, “Transforming healthcare through secondary use of health data”. Jane focused on barriers to data liquidity (data flows between apps/stakeholders0. I’ll write up post that focuses on near-term opportunities for data publishers to offer data collections and analytic tools to mine newly available “secondary data” that is a byproduct of digitizing health records and health events.
Good overview of medical research and the importance of testing observational hypotheses with clinical trials. My 2 cents: new pools of data are becoming available via digital health record data and will allow larger-scale studies that can allow for more factors than current clinical trials.
Review of Health IT meeting 9/30/09 at Harvard Medical School to discuss “substitutability” aka interoperability/data exchange via APIs.
Proponent of use of safety checklists proposes that doctors who don’t follow rules be penalized.
Headline Commentary July 14-19
- Posted July 19th 2009
- Comments (0)
- by Janice
Netsmart, an enterprise software vendor to behavioral & public health providers, acquires Crown Software. Crown provides pharmacy management s/w that integrates with EHRs.
Article describes how sponsorship by pharma or other commercial entities leads to bias in clinical trial results and in published journal articles. An unintended consequence of open access, where research org funds publication?
A short, concise piece that provides some good examples of how newspaper/news publishers could create new revenue streams. Good examples, including some I’ve used in the past (post original documents & databases, better repurposing of archives, special editions, and more).
Big pharma is increasing subsidizing co-pays for their drugs in order to retain customer loyalty. Co-pays were put in place to help persuade consumers to focus on costs and compare drugs.
University presses looking at forming consortium program to promote ebook sales.
ACS provides more detail about its new print format (landscape w/ 2 pages on each sheet) and changes to pricing, which eliminates print discount.
Good examples of how healthIT can add efficiency, but physician author cautions that entering data takes time. This doc is part of Kaiser Permanente, which is frequently held up as an example of effective use of electronic health records. Problem is, KP is an integrated system, which makes it much easier to enforce interoperability and usage.
Excellent article on how crowdsourcing to harness innovative ideas can work when there’s some structure and focus.
Good roundup of providers and related info about trend toward elderly staying in their homes and retrofitting with safety gear. Role of occupational therapist growing for this purpose, too.
Good commentary on top web sites for consumer health info.
Example of industry information company adding value through data-analytics.
Transcript and video interview with Obama, discussing evidence-based medicine & health reform.
Article provides breakdown of downloaded apps by category & within category, by free & paid.
Jim Clark, founder of SGI and Netscape, and later Healtheon (which merged with WebMD) speaks somewhat acerbicly about state of innovation & prospects for US in global business. Digs about lack of workable electronic health records, too.
Lewin Group, a health care policy research firm, launches new center for comparative effectiveness research (CER). note, Lewin won an HHS bid recently to construct CER framework. Lewin will incorporate longitudinal patient data (de-identified)from Ingenix, it’s parent company.
Pharma & biotech look to fare better than initially expected in health reform bill. Biotechs, as previously reported, will likely get 12 years exclusivity, vs. 7 originally proposed by Obama. Pharma wins on issues of drug importation & Medicare drug prices.
Josh Seidman’s very clear exposition of why needs of clinicians and patients have to be central to efforts to define meaningful use of electronic health records. Sadly, these voices are mostly absent from the discussions (apart from clinicians with IT roles in large provider organizations).
John Halamka provides concise update to meaningful use (MU) definition that came out of this week’s HIT Policy Committee meeting.
Robert Wood Johnson University Hospital (RWJ) loses motion to dismiss copyright & trademark infringement suit from HealthGrades for misuse of its ratings info, although RWF is mostly successful in motion to dismiss breach of contract claims. RWJ used copyrighted HealthGrades ratings in press releases & articles.
More concern about the ethics of folks behind Clinical Reader, a company that provides an interface to collections of clinically-relevant medical info.
Post provides some historical context on how medical research in academic settings has changed in age of Google. But, the adage “plus ca change, plus c’est la meme chose” almost always applies, esp. when it comes to business models/pricing models. Note, I worked at Dialog from ‘85-’95 during the time when CDRom was introduced.
Wow, when I have referred to “intermediaries” as a key category in the health content supply chain, entertainment companies weren’t top of mind. But, after reading the description of this program at the USC Annenberg Norman Lear Center, it makes sense. TV programs and movies have a lot of influence on the health literacy of our population. It’s important that the writers, editors & all parties in media understand where to find authoritative info & learn how to interpret it.
Princeton bioethicist, Peter Singer, writes on why we can’t afford to offer the most expensive new treatments to everyone. I’ve seen some strong reaction to his article, but to those who are “disturbed” by Singer’s premise, would you prefer involuntary bankruptcy and lifelong poverty to patients who are given treatements that they cannot afford? That’s what we have now–along with rampant price increases.
Jim Spanfeller resigns from Forbes, where he has led digital efforts for past 9 years, to start his own media management firm. Forbes had fared better than other business publications in part due to its more aggressive online strategies, but in my opinion, their online presense lacked cohesion and proper design. In print, Forbes remains a notch above most business pubs and can still leverage its readership.
Sagient Research will provide assessments, forecasts & approval timelines on clinical stage drugs for new “Forecast” module of Thomson Pharma Partnering. Sagient produces the BioMedTracker research service.
3 PE groups resubmitted bids for Springer at request of Candover & Cinven. New bids slightly higher (>400 M Euros vs. 350-380M Euros of 1st round), but still short of the hoped for 500 M Euro bid for up to 40% of Springer. PEHub rightly points out that Candover & Cinven recapitalized Springer 3 times and paid themselves healthy dividends each time.
Major insurers/payers are backing pilot medical home projects in NH, Maine, Colorado & NY. “Medical Home” is an awkward term for coordinated care that includes more focus on prevention.
Headlines for Mar 30-Apr 1
- Posted April 1st 2009
- Comments (0)
- by Janice
Physicians Interactive, which was acquired by Perseus last year from Allscripts, acquires MedManage, an e-sampling company that helps pharma and device companies market to doctors.
West Foundation, along with Scripps & Qualcomm create the West Wireless Health Institute in San Diego to invest in wireless/mobile health applications.
CareDataTrak launches kiosk system for self-screening of seniors.
Good interview with Linda Peitzman, Chief Medical Officer, Wolters Kluwer Health, that details how WK Health’s applications are being integrated into EMRs. Addresses clinical decision support tools (UptoDate), drug info tools (Medi-Span, Facts&Comparisons), and coding tools (ProVation).
Unbound Medicine’s 5 Minute Clinical Consult app now available for iPhone format.
AMA and Elsevier co-publish medical coding texts & websites by Carol Buck.
Thomson Reuters Healthcare launches campaign to save $4B in healthcare expenses by performance improvement practices. “The company’s Save $4 Billion campaign will offer U.S. hospital CEOs an analysis that shows how their hospitals compare to industry norms and benchmarks in clinical quality, patient safety, financial performance, and operational efficiency. Thomson Reuters will meet with hospital executives to discuss their results and where they should focus improvement efforts to have the greatest impact. There is no charge for these services.”
One medical librarian’s picks for online consumer health info sites. In her opinion, most of the big portals add little to the info that can be found on MedlinePlus and WebMD.
Post by physician in small practice about the process of moving to EMRs. Outcome was positive but it took time. Key objectives they kept in mind from start to finish: Simplify how things are done Always have the right information available Make communication clear and easy Achieve the highest quality possible
At a time when interest in wellness and preventive healthcare is rising rapidly, Prevention magazine’s circulation drops 15%. Article compares trend to some general interest pubs, but Prevention should be viewed alongside other health publications.
Bob Wachter details some shortcomings of rushing toward usage of clinical decision support tools & order sets that rely on inadequately examined results.
Run-down on best choices for a PDA device for med students. Covers iPod/iPhone, Palm, and HP.
Institutional review boards (IRBs) that oversee clinical trials on human subjects are in the spotlight after lax procedures found by congressional sting operation. Tougher regulations on pharma and device companies that sponsor trials may result.
New online journal, Database, from Oxford University Press is launched. “DATABASE: the Journal of Biological Databases and Curation will be a fully open access journal from launch. In addition, it will be a condition of publication that all databases and software described in DATABASE articles are made publicly available. The journal will be online-only, providing fast access of its full content to scientists worldwide.”
Dr. Val rants about Wellsphere’s recruitment practices for adding healthcare bloggers to their community. Wellsphere is now part of HealthCentral. It does seem that these bloggers should get a share of ad revenue generated by their content.
Headlines for Feb 5-16
- Posted February 15th 2009
- Comment (1)
- by Janice
IMS reports 3% growth in rev in constant currency for 2008. See press release for more details & links to full financials.
U. Pittsburgh Graduate School of Public Health published study that offers conservative view of the short-term benefits of genetic screening tests.
HealthGrades introduces Five-Star Doctors, rated on a mix of objective criteria (affiliated with hospitals with 5-star rating in specialty; board certified; and free from malpractice judgements & sanctions).
Thank you to David Rothman for writing the post that I started to write a couple of days ago to point out some Web 2.0 tools being used by HHS/CDC, including widgets to help spread info on the peanut recall. CDC even has a Twitter feed for health professionals.
Research from Change Sciences Group shows that individuals have greater trust in sharing info with their health insurer than with banks, gov’t agencies, or Google or MSFT. Other results indicate that existing health portals aren’t effective, but that insurers are in the best position to provide info that will be used.
Not health related, but a topic I monitor: business models for online news. I’m afraid NY Times is taking the wrong approach again. The archive is so suitable for monetizing by contextual advertising: a broad collection of content with a broad audience. But, API access should incur a fee or rev share.
Google & IBM announce a partnership to facilitate transfering data from mobile monitoring devices to Google Health record. Article includes some estimates of how many users have created records on GHealth or Microsoft’s HealthVault–one est. is “a few hundred thousand”.
Article tosses around the possibility that DTC ads will be prohibited by Obama admin. More likely scenario is that there will be restrictions and that more info will need to be made available along with ads.
Story about betting pools at offices to encourage weight loss, along with some websites that facilitate the process. Points to success of cash rewards for weight loss and importance of peer pressure/cooperation–especially among men.
Rib-X Pharmaceuticals, which focuses on the discovery & development of antibiotics for antibiotic-resistant infections, receives $25M in additional funding after strong phase 2 results.
P&G has retained Goldman Sachs to look for buyers of its >$2b pharmaceutical businesses.
Presentations, transcripts and podcast of recent ARHQ webinar on evaluating Clinical Decision Support methods.
David Rothman points to Behind the Medical Headlines, a site produced by Royal College of Physicians in Edinburgh & Royal College of Physicians & Surgeons in Glasgow. Site provides pointers to help readers discern the validity or trustworthiness of health-related articles in the press.
PharmaNet, a large provider of outsourced drug development services, is acquired by JLL Partners for $250M.
Montreal-based IT company, CGI Group Inc., receives a contract worth up to $24M to conitnue to develop computerized system for Medicare appeals.
A patient education program developed at BU Medical Center in Boston called RED (for Re-Engineered Hospital Discharge Program) uses specially trained nurses to educate patients about post-hospital care plans. RED led to 30% fewer readmissions and subsequent emergency visits.
FT interviews Peter Rigby, CEO Informa, with focus on debt and need to divest some assets. Informa has divisions in financial & commercial publishing, as well as academic & scientific, which includes substantial pharma business intelligence databases, publications and events.
More info on ENURGI acquisition by Univita. Techcrunch provides concise descriptions of Univita and ENURGI (a service that helps patients and their advocates find caregivers). Also reports that Univita is backed by Genstar Capital, a SF-based PE company.
ENURGI, which presented at Health Content08’s Innovators Showcase, has been acquired by Univita. Matt Holt provides more details in this post.
Research firm, User Centric, posts results of recent study of consumers’ ease of use and utility of GoogleHealth and Microsoft’s HealthVault personal health records platforms.
ENURGI, a Heath Content Innovator, Is Acquired by Univita
- Posted February 4th 2009
- Comments (0)
- by Janice
ENURGI, a presenter at Health Content08 Innovator’s Showcase, has been acquired by Univita. Univita, backed by Genstar Capital, is a new company set up to acquire care management companies with a focus on eldercare and independent living. Univita recently merged with Long-Term Care Group, a Minnesota-based administrator of long-term health insurance, providing application processing, premium billing, and claims processing to over 30 long term care insurers.
Whereas Long-Term Care Group has been in business for over 12 years, ENURGI was founded only 2 years ago and had yet to raise outside funding. ENURGI describes itself as a “revolutionary web-based healthcare services company that connects families and patients in need with local, clinical caregivers across the country”. Its service is based on a caregiver database that contains over 1.5 million records of licensed and certified caregivers in the US supplemented with referral ratings and tools to facilitate scheduling and payment transactions between patients and caregivers.
We are not surprised that ENURGI was snapped up at this early stage. We chose to highlight it in our Innovator’s Showcase because of its market potential and robust business model in which it earns subscription and transaction fees, paid by patients and/or employers. In addition, ENURGI has a smart partnering strategy that includes working with content sites in the care management space, including caring.com and disaboom. Further, they plan to partner with state healthcare services as well as employers to offer ENURGI in EAP programs.
All-in-all, ENURGI and its founder Chiara Bell have done an outstanding job of creating a database driven information service that greatly simplifies the process of finding licensed and certified caregivers. We wish them continued success.
Headlines for Feb 1 - 4
- Posted February 4th 2009
- Comments (0)
- by Janice
ENURGI, which presented at Health Content08’s Innovators Showcase, has been acquired by Univita. Matt Holt provides more details in this post.
Research firm, User Centric, posts results of recent study of consumers’ ease of use and utility of GoogleHealth and Microsoft’s HealthVault personal health records platforms.
Federal court has denied the request of Consumers’ Checkbook to gain access to Medicare claims data to compile data to help consumers evaluate doctors in an appeal filed by AMA and HHS. Earlier it was reported that Consumers’ Checkbook wanted to help consumers identify physicians based on the frequency with which they preformed procedures. Judges said FOIA were intended to shed light on gov’t operations, not private sector.
A Boston event on Feb. 26 with focus on e-health and health policy, moderated by Scott Kirsner of Boston Globe and with great roster of Boston-area healthcare industry notables, including Charlie Baker, Jonathan Bush, e-patient Dave and others.
Article describes push by Medco to increase usage of mailorder pharmacies for efficiency gains.
Quotes Clayton Christensen, Matt Holt, Uwe Reinhardt and others emphasizing the need to re-focus incentives of hospitals and care providers toward patient-centered care–and away from fee for services–when considering Health IT investments and implementations. Uses Kaiser as a model.
The Greenspun Corp acquires majority stake. To-date Mochila has raised over $30M from Charles River Ventures, Belo, Mission Ventures and others. Mochila provides an online syndication and ecommerce platform for content. Participating publishers include Belo, BabyCenter, The Knot, Topix, Hearst, Rodale, MSNBC, Hachette, Tribune, Reuters, AP and others.
Not health specific, but Glam Media doesn focus on women’s publications which attract health and wellness advertisers. Glam owns a range of publishing sites and serves as ad network for many others.
Vital Juice, publisher of free daily health and wellness newsletters, receives funding from The Pilot Group, a NY PE firm that backed DailyCandy and other ad-supported online companies.
David Kibbe and Brian Klepper, in an open letter to Obama, argue against putting healthcare investment $$ into current electronic medical records systems without careful consideration.
Navigenics, a personal genomics company, offers 2 new services. First for physicians to receive patient genetic results online (with patient approval) for no cost. Second is a $499 annual service to test an individual’s predisposition to 10 common diseases. Navigenics’ original gene testing service was $2500.
Round-up of funding news for Boston-area companies, most of which are pharma/bio or med device companies.
Seattle-based Ekos, which makes an ultrasound blood clot dissolver, raises an additional $12.5 mill to help reach breakeven by 2010. Has already raised more than $100M.
Study finds that only 25% of surveyed patients could name their doctor–and 60% of those who could were incorrect! Implications not obvious.
Some details on terms of Pfizer’s $68B deal to buy Wyeth
MedAvant, a RCM services provider, hires new CTO. MedAvant has been active in hiring and bolt-on acquisitions since it was acquired by Marlin Equity Partners last year.
Avatar International, a provider of patient satisfaction and other quality improvement measurement services to hospitals, is name preferred vendor by University HealthSystem Consortium (UHC), an alliance of 103 academic medical centers.
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