HealthContentAdvisors

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?

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.

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.

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.

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

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

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

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.

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.

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.

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

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.

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).

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

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?

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.

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.

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

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

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

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.

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.

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

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.

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.

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

InformationWeek profiles Transparent health Network, which is compiling prices for direct purchases of healthcare services by patients.

Flybridge invests in woman-owned pilates equipment seller, which has sold over $500M in equip on QVC over the past 12 years.

Workflow study that follows patient through hospital identifies areas for improvement.

Brian Ahier writes about recent developments in electronic healthcare records with a focus on Practice Fusion and GoogleHealth’s attempts to offer patient info that is consistent with physician info.

John Moore of Chilmark Research, who moderated closing panel, recaps the day’s highlights. I’ll add that John did a very good job on the last panel, which included Esther Dyson, Steve Munini COO Dossia, Fred Smith of CDC, and George Willock, CEO of HealthString. Audience appreciated the focus on the patient (Adam Bosworth did focus on patient, too). I believe it was Esther who said: “the patient is the most important input into health decisions”. She mentioned the “quantified self” movement and Society for Participatory Medicine also got a plug. This was the most forward-looking session that addressed social media and the exploding amount of new data that will be available for analysis.

DataONE (Data Observation Network for Earth) is one of two $20 million awards made this year as part of the National Science Foundation’s (NSF) DataNet program. The collaboration of universities and government agencies coalesced to address the mounting need for organizing and serving up vast amounts of highly diverse and inter-related but often incompatible scientific data. Resulting studies will range from research that illuminates fundamental environmental processes to identifying environmental problems and potential solutions.

Center for Ix Therapy, which was represented at our first Health Content07 conference, to shut down Nov 30, 2009. The Center was small organization with limited resources, and suffered from trying to define a space that already existed and was far more widespread and diverse than their definition of Ix Therapy.

Wonder what Lexis and Westlaw will say about this?

Makes sense. FDA and other govt sources are not best at marketing and distribution. Everyday Health (Waterfront Media) can take on that role to extend reach of FDA info.

Grove, former CEO of Intel, promotes concept of new degree to help accelerate the cycle from medical research discoveries to mass production of new treatments. Essentially, Grove wants to combine skills of researchers and engineers to disrupt current cycle that can take many years from bench research to broad availability.

Physician posits that dependence on checklists may not be to the benefit of good patient care if insufficient attention to individual patients is paid.

Gary slams the morning TV shows for their promotion of junk information about weight-loss and other health issues. I agree that for the most part, TV news health info is superficial and very seldom put in context. Wouldn’t it be great if the money were spent on disseminating helpful information and pointing people to more trustsworthy sources?

How much information is optimal to share between patients & doctors? Great comments here.

Article makes the point that it’s great that gov’t agencies are providing more open data, but that data needs to be put in context and displayed in an engaging manner to really have full impact. And that, dear publishers, is what you should be doing…

Excellent round-up of Day 1 of FDA hearings on social media use by Pharma.

CVS sees value in studying interaction between genes and medication for its PBM business and for its end-customers.

Dr. Pauline Chen’s column about the decline in # docs who want to go into primary care. In large part, it’s due to large number of routine cases they deal with and the amount of paperwork and coordination required. Of course, pay is an issue too. This ties with articles I’ve published about the commodization of routine health care enabled by health IT. Programming routine tasks and allowing nurses and other clinicians to take over these tasks should relieve primary care physicians of the “burden” of routine tasks.

Nice rundown of vetted sources of online health information from medical librarians.

David Blumenthal’s latest statement on goals of the ONC for interoperability of electronic health records.

linking patient data and related information

Live webcast of FDA’s hearing on use of Internet and Social Media Tools by FDA-regulated Medical Products, Nov. 12-13. Much anticipated meeting on topic of use of online media by Pharma and other FDA-regulated companies.

More outlets for distributing health and fitness gear as focus on wellness and prevention increases.

No matter the outcome on ONC pronouncements about meaningful use, CCHIT, the certifying board for EMR/EHR systems, is continuing to play its previous role. CCHIT describes itself as a “community” and believes they offer meaningful services to small hospitals and group practices.

Comments on Erik Engstrom’s new position as CEO of parent company Reed Elsevier. Engstrom has been CEO of Elsevier, the STM group of RE, for some time. Smart and analytical, I think he’s a good choice.

CareMedic, a Florida revenue cycle management (RCM) company, to be acquired by UnitedHealth’s Ingenix group. Ingenix now has near end-to-end platform for managing every step of the revenue cycle, from patient registration to reimbursement.

WaPo on how some people may overreact to info they find on online health sites. Writer overreacts a bit herself in implying that online resources shouldn’t be used to help diagnose one’s condition. Agree that health literacy is needed; that is, consumers need better training to vet health resources. But, we’ll have hypochondriacs in the real and virtual worlds. Not everyone will gain the same benefits from online health resources.

SDI Health, a PA company that provides healthcare data analytics services, receives funding from Tailwind Capital.

Article on lack of transparency in reporting health research and health statistics.

Narrated slide slow illustrating new features of reports on Patients Like Me. Impressive.

PhRMA proposes methods for verifying FDA-approved data in health info provided to consumers. FDA logo on sites?

Excellent slide deck that describes influence of social media in healthcare: pharma, med school, epatients, doctors, nurses.

Focus on shortage of primary care doc and how nurses will take on more resposibility. Agree, but shortage isn’t the source of problem. Rather, commoditization of basic medical care & procedures due to digitization of health care info is source of change. See piece on “heatlh content is rapidly becoming a commoditiy” in my blog at Health Content Advisors.

Sermo creates community on practice management topics for docs to share info about healthIT and the business issues of running a practice. There are even CME activities with 8 module curriculum titled: The New Business of Medicine.

Microsoft will launch a video web series on health IT beginning Nov 11, 2009.

Long interview with David Brailer, now a PE exec, fmly Director ONC.

Anne Woods promoted to CNO (Chief Nursing Officer) at WK Health. She’s responsible for nursing strategy across Medical Research & journals publishing businesses.

Does technology interrupt the communication between doctors & patients? That’s the question posed by this book. Sounds interesting.

New site that compiles info about neuroscience research.

Great example of the how new sources of data will transform medical research.

Jay Parkinson on specialized providers v. general hospitals.

Review of Adam Bosworth’s company, Keas, which uses custom “care plans” that collect personal data - directly or indirectly.

Consumer Watchdog wants change to HHS ruling that gives providers the authority to decide if/when a patient’s healthcare information security has been breached.

Karen Overstreet, named executive director of Lippincott CME unit. Interesting that she’ll report to the Medical Research division, not education. Has there been a re-org?

FDA will use data from Wolters Kluwer’s Pharma Solutions Source Lx Patient Studies Suite that captures patient-level Rx data and Pharmaceutical Audit Suite (PHAST) that captures Rx transactions to follow trends in flu medication prescribing activity by region and other patient demographics.

American Academy of Professional Coders offers free app to help convert ICD-9 to ICD-10 codes. See aapc.com.

New edition will include feeds from Factiva and use Factiva Smart Search. Need to check on pricing.

HealthPort Inc., an Alpharetta, Ga.-based provider of healthcare IT solutions to hospitals and health systems, has set its IPO terms to six million common shares being offered at between $14 and $16 per share. It would have an initial market cap of approximately $360 million, were it to price at the high end of its range. HealthPort is owned by ABRY Partners. www.healthport.com

New study in The Journal of the American Medical Association, estimates that there are 67,000 fewer active physicians than calculations have suggested. The physician work force is also younger than previously estimated, with a greater proportion of doctors in their 20s and 30s and fewer who are 65 and older. By 2020, there will be 957,000 physicians, according to the new estimates, rather than the 1.05 million previously projected. Only 9 percent will be 65 or older, or half as many as had been predicted.

Team that developed InnovationRx at the Innovation Company bought the rights to the company and relaunched it as Aprexis Health Solutions. Aprexis focuses on patient adherence, with adherence to prescription drugs the focus.

WK Health announces new customer who will use Provation, now branded as Provation Order Sets, powered by UpToDate Decision Support.

UnitedHealth exceed analyst estimates despite declines in #insured, due to increases at drug unit.

Argentina the latest country to launch medical tourism program to encourage visitors to plan vacations centered around medical procedures (cosmetic and fertility are top treatments for medical tourists in Arg).

MVP Health, a regional health insurer in upstate NY, VT, and NH, will reimburse physicians for using RelayHealth’s WebVisit (TM) for patient consultations. MVP is partnering with Mohawk Valley Medical Associate (MVMA) to offer physician’s immediate reimbursement for implementing Relay’s webVisit.

presentation materials from Sept 24, 2009 webcasts on CAHPS Clinician and Group Survey

Concerns about patient privacy loom over electronic health records segment. George Hill of Leerink Swann estimates that by 2020, data mining could represent a $5 Billion industry.

Preview of next week’s Connected Health 09 conference in Boston. Focus: new devices and communications tools will help patients take more control of their health and leave hospital visits for severe events.

New device from Fitbit that tracks exercise & sleep & can be used to monitor calorie intake, too. Fitbit is joining a fast-growing segment of devices that help monitor healthy behavior & can be used by payer segment to evaluate lifestyle of insured populations.

Dr. Rob on medical costs and medical codes–and plug for his interview with Ira Glass for This American Life’s series on medical costs to be aired weekend of 10/17-18, 2009.

Quest Diagnostics’ MedPlus group, launches its Care360 ambulatory EHR on Oct.24. MedPlus will market the EHR to teh 150,000 physicians that already use its other Care360 apps and will offer hosted solutions for smaller practices. Quest’s MedPlus has the advantage of having existing relationships with these practices who use their other Care360 apps.

Developed in collaboration with the Allen Institute for Brain Science, Elsevier’s Brain Navigator tool, a “GPS system” that provides 3-D software to navigate the brain, adds new features for visualizing injection pathways and printing and exporting images. Interesting to note that this collaboration is with Elsevier’s Science and Technology Books division. Great example of how STM publishers can leverage their content through IT/R&D partnerships.

According to 2006 Kaiser Foundation study, nearly 1/3 of US companies that offer health insurance also offer some sort of wellness program. And, the focus on wellness has increased since then. This article describes some of the programs and $$ incentives for reaching wellness goals.

Very interesting. Healthy Advice Networks, which markets health info to physician practices with content sponsored by pharma and health and wellness brands, partners with HealthScape Consumer, a joint WK Health and Nielsen longitudinal panel to provide data on the effectiveness of sponsoring/promoting in Healthy Advice Network.

RightHealth is dba name of Kosmix, a Mt. View California search technology company that initially focused on the health space.

Digitas Health lists 140 possible uses of Twitter in healthcare. Nice.

Florida-based video sharing site that posts videos for docs to use for patient education.

Halamka names Quest’s Care360 e-prescribing solution as the “cool technology of the week”. Quest is offering a free six-month trial of the service.

Focuses on overpayment to Medicare Advantage providers.

Video to promote upcoming conference on media convergence. Clever and entertaining presentation of info about media trends.

Uwe Reinhardt offers a primer on how to read health insurer’s 10-Ks.

Peter Jasco, who has written several previous in-depth reviews of Google Scholar, provides an update and describes why GS won’t serve as a citation analysis tool. Hmm, what does that say for “infodemiology” results mined from Google?

FDA to hold hearings on use of social media by pharma.

Quest Diagnostics, known primarily for its lab testing business, offers its Care360 e-prescribing s/w for free during a 6-month test. Quest is also beta-testing a Care360 EHR for small to midsize practices.

Cogent opinion piece with good comments about future of scholarly publishing. Theme: journals as brand, not necessarily as primary distribution vehicle. Also, journals as just one component of scientific research content assets.

NEJM series on health reform; this time why Accountable Care Organization (ACO) model could rein in costs.

Great piece on Dave DeBronkart, aka e-Patient Dave, who is a founder of the new Journal of Participatory Medicine. Journal and its community aspire to change the culture of medicine so that patients have a more active role in all aspects of their healthcare and most of all, so that patients have full access to their medical records.

WK’s Adis R&D Insight adds “intelligent forecasting” from its pharma research service inThought to its drug pipeline info service.

Zagat tool for rating/recommending doctors incorporated into BCBS of Georgia’s online site for members. Makes sense to offer recommendations within a system.

Good post on how the proliferation of ratings and awards for hospitals is diluting the effect. Also, high ratings doesn’t always equate with a good match for a specific patient.

Clinical Site Services, a service provider to CROs and service companies to help them with their site performance, launches its own site that provides health info with the goal of attracting users who may be prospects for clinical trials. Bus model rests on selling ads/sponsorships to CROs, etc. Interesting; will check it out later today.

Uses MarkLogic for QualityAnalytics product that facilitates reporting quality measures and adds search features.

Thomson Scientific launches upgrade to TPharma that includes consensus analyst forecasts for strategic drugs across major pharma therapy areas & combines the forecasts w/ downloadable revenue models for drugs in over 100 indications.

Inverness Medical Innovations to buy Free & Clear, a regional health services provider focusing on wellness and prevention.

Post about new feed that aggregates tweets from 25 patient safety experts on Twitter.

More on FDA’s social media & pharma developments.

change:healthcare, a HC08 innovator, launches ability to post questions on Twitter about healthcare price info (e.g., Rx drugs) and other health issues — with focus on helping people save money.

Good article about lack of transparency in pricing for medical services–and how health reform could help change the current system. Also mentions a company called NewChoiceHealth.com that estimates cost of procedures from Medicare data.

Sweden’s EQT now frontrunner; TPQ is out; Carlyle & Providence Equity still in but have taken a back seat.

Good notes on Medicine 2.0 meeting in Toronto on PHRs.

Alliance Health, which builds platforms for health-related social networks, raises and additional $3.3 M for a total of $6.6M in VC from EPIC Ventures,Highway 12 Ventures and angels. DiabeticConnect.com was its 1st site, which has >50,000 registered memebers.

Good commentary about disconnect between focusing on improving HCAHPS scores and patient safety. When too tightly focused on score improvement, real chances to improve quality often get overlooked.

Slides, recordings and transcripts from August 27, 2009 Web conference sponsored by AHRQ.

Check out this cool app for reading, searching & Tweeting the just-released Baucus hc bill — from Tizra a search tech company.

Good balanced piece on FDA’s cancer drug director, Dr. Richard Pazdur.

MedAssurant, based in Bowie, MD, acquired Atlanta-based Catalyst Info Technologies, which provides s/w to manage collecting & reporting quality data (HEDIS). MedAssurant focuses on analytics for disease management, clinical & quality outcomes, and financial performance and is gaining market share in healthcare data analytics through acquisitions as well as organic growth. Article also points out other recent acq: Verisk Health (based in Waltham, MA) acquired TierMed Systems LLC (Chanhassen, MN) earlier in the week.

Ted Eytan, MD’s (Kaiser Foundation) presentation on PHRs as used at Kaiser & plans for the future. Outstanding slides (see esp. slide 16).

Apple invites vendors to meeting to discuss healthcare apps. As author says, they’d be idiots to ignore the billions in ARRA funds!

Weems named SVP Health Strategy at Vangent. Govt & Health are key markets for Vangent.

OurParents, a central source of information on eldercare services and related information, introduces user forums.

Nice marketing move to encourage sales of its EHR systems for physician practices.

Recent national survey of almost 1,000 physicians by Mayo Clinic reveals that 78% agree that physicians have moral obligation to address societal health policy issues and 73% agreed that physicians are obligated to care or uninsured or underinsured. Other questions reveal attitudes toward using cost as a consideration in determining treatment. Data tables available.

Bedside patient portals help patients keep in touch with doctors. good idea.

Video Screencapture.

Profile of John Brownstein, an epidemiologist at Children’s Hosp in Boston. Browstein developed HealthMap.org, which culls online reports of infectious diseases and maps them in real time. A great example of infodemiology.

Excellent article that emphasizes that providing information to stakeholders (esp. patients and doctors) is the best approach to assuring optimal decisionmaking.

Market forecast for medical device segment in France.

More examples of how Pharma is using social media.

New book forthcoming from Sage Publications, Encylopedia of Medical Decision Making. Seems like an obvious good online reference work.

Profile of Gawande from Harvard Magazine.

James Murdoch lambasts publishing industry for resisting change.

A little counterpoint to all of the pharma industry bashing that’s been in the news recently. IMO, some incentives should be shifted to encourage development of needed drugs & not just me-too drugs.

Deloitte’s whitepaper on how pharma could make use of data from EHRs to improve their research, clinical trials, and post-market surveillance processes.

Heart monitor that detects, analyzes & stores info about patient’s heart. AngelMed Guardian. Smart devices are a growth segment.

WSJ points to Business Week article on biggest R&D spenders. Merck led the pharma cos, but much of their R&D expenses went to licensing, not internal drug discovery.

Minnesota provides website with price info on primary care services, labs, etc for over 100 providers.

Interesting case where patient’s wife suggested experimental treatment that eventually was accepted. She wants $300M plus % of profits.

United Health promotes compliance with Rx drugs with discount off next Rx. Negotiated lower prices with pharma companies, which will also benefit from long-term compliance.

Experiment to charge minimal fee vs. free shows that far more will accept free than fee. But, isn’t segmenting the audience the right path?

Hope Leman reviews the book Internet Cool Tools for Physicians, which I have been planning to read since it came out. Thanks Hope, I’ll do my best to remember to order it the next time I’m on Amazon.

Free whitepaper from Manhattan Research on Pharma use of digital marketing.

Article includes comments from Susannah Fox of Pew & ePatient Dave (deBronkart) about finding experimental medicine and specialist doctors to combat fatal diagnoses.

U. Washington dept that studies global healthcare, funded by Bill & Melinda Gates Foundation.

Dr. Vince Kuraitis describes the foundations of a “network economy” and asks if healthcare industry fits the bill.

Study attempts to measure level of empathy (or lack of empathy) in medical students. Thesis and conclusions are rather scary.

Interesting & worthwhile read about the future of scholarly publishing. Author posits that old model of journals publishing will be replaced by open model with actual usage metrics replacing journal impact factors.

Program for AHRQ’s upcoming conference (Sept. 13-16). Registration is closed; it’s a sellout.

US Bank offers HSA with access to WebMD Coverage Advisor, which helps consumers manage out of pocket costs.

Hospitals are finding that reporting medical errors and making the info easily available helps reduce the number of malpractice lawsuits. Transparency helps!

Important issues about how doctors communicate to patients risks & tradeoffs using statistics described in this paper.

Suggested reading from RWJF.

Interesting comparative study of using 3 different medical search platforms: Dialog (ProQuest), OVID (WK) and EBSCOhost. Same search gave different results, with Dialog returning more than twice as many results as others.

Wired UK highlights how doctors & hospitals are using Twitter in UK & US.

Article provides good context for current activity in managing hospital supply chains. Several stories in past week about purchasing cooperatives to reduce cost of supplies.

Survey of medical students by Epocrates shows high usage of health IT, low confidence in info provided by pharma detailers.

AMA uses Impelsys’ iPublishCentral s/w to publish frequently updated versions of its books in ebook format.

Army & Navy doctors collaborate real-time with medical researchers on wound care for injured soldiers–bridging the time gap in tradtional “translational medicine”.

NaviNet, a Cambridge, MA claims clearinghouse vendor (RCM) (formerly known as NaviMedix), is promoting its clearninghouse services as preliminary health info exchange (HIE). Currently, EDI is limited to certain payment-related data types, but NaviNet suggests that scope could be increased. Their argument: Why recreate the EDI wheel if the basic network is already in place?

Informatics Corp. of America (ICA) partners with Mark Logic to offer OEM version of Mark Logic server to allow users to search across structured and unstructured data in EHR systems.

iMedX, a US-based EHR/ medical transcription outsourcing company, acquires Worldtech, Inc., a competing health IT/med transcription company that serves over 800 small physician practices in US and has global medical language specialists. Worldtech will become a division of iMedX.

P&G to sell prescription drug businesses to Warner Chilcott for $3.1 B. Warner Chilcott, an Irish company that specializes in drugs for women’s health, has annual rev. of $938M. Deal will increase size of WC by huge percentage. P&G’s strategy is to sell off slower-growing units to focus on growth.

Healthland, a health IT solutions provider to small rural hospitals, acquires American Healthnet, an Omaha based health IT company to expand its customer base. Last year, Healthland acquired Advanced Professional Software.

Scary to read that many doctors don’t know when they are prescribing for off-label uses. David Williams suggests pharma detailing/marketing is cause.

Good piece about using patient-generated data in medical research. Although not as controlled as clinical trials, certainly better reporting mechanisms can be created to increase the usefulness of real-world health conditions and outcomes data.

Excellent article that describes how iPhone and other wireless apps are being used by nurses in clinical settings.

David E. Williams blasts medical journal publishers for perpetuating the ghost-writing practice where Pharma pays academic physicians to put their name as lead author on research articles.

Silverlink, a Boston area company, provides s/w that helps providers send phone msgs to patients w/ alerts about health coverage & appt. reminders.

Big Pharma is increasingly outsourcing CRO and manufacturing to India.

As expected (at least by me), Twitter will introduce premium commercial accounts that include additional features (and probably better security).

AHA’s AHA Solutions arm has endorsed the EXTENSION HealthID system of smart cards for personal health info. System includes reading appliance and smart cards and integrates with PMS systems in hospitals & clinics. Smartcards are widely used in US, but have gained popularity in UK.

FDA has proposed mandatory digital reporting of postmarket adverse effects of drugs & devices. Pilot program has been in effect for years.

KevinMD asks how useful it is to share full lab reports with patients, since data are not presented in user-friendly format that could be easily understood by most patients. 2 points: 1) some patients will want the full reports–there will always be a distribution of preferences among the full patient population; 2) there is clearly an opportunity for a publisher to provide a tool that helps patients understand the lab test results and record them over time in a PHR or other data tracking tool.

Amazon, MSFT, & Yahoo plan to join the Internet Archive in the Open Book Alliance to oppose the Google Book Settlement. What took them so long?

Cool dashboard of Pharma companies’ tweets created by Ignite Labs.

David Weinberger explains why transparency is so important in today’s info economy.

RWJF’s research and links to the proposed Prometheus Payment Model, which attempts to pay for quality.

Interview w/ Dr. Bhan, founder of Ozmosis. Have to go back and read in full.

Excellent article that details total costs of implementing EHR systems at variety of provider institutions. Costs include training time, learning curve (including learning to type for some MDs), lost revenue through fewer patients seen during transition periods that can last >6 months, and worst cases where revenue is lost through malfunctions in s/w that cause billing problems. Not a pretty picture for very expensive systems. Bright side, effective implementation leads to improved patient outcomes (but not cost efficiencies for doctors).

Commentary about recent ASAE (Am Society Assoc Execs) meeting. Author emphasizes that associations do not exist to faciliate “associating”, rather to further the interests of the group they represent. Comments apply more heavily to industry trade associations than scholarly societies. However, some of the insights apply to both.

Good to see NIH funding research on intestinal microbes & the effect of antibiotics on upsetting the balance.

Shwen Gee’s slides from recent session on Pharma use of social media. Excellent overview & intro to Twitter.

Good article that describes why biologics are attractive to big pharma — and why that is leading to acq. of biotech companies by pharma.

Susannah Fox of Pew Research summarizes her notes from CDC’s Health Communications conference. Like her comment about using mobile devices (esp. phones) for exchanging health data & info.

Recent focus on some practices in medical scholarly publishing is likely to lead to new regulations. Using medical communications companies to write articles authored in name only by academics has been common, but recent attention on this practice is almost definitely going to lead to more transparency and changes in the practice.

Prof. Uwe Reinhardt clearly lays out a key element of the health care reform debate that has not received enough attention: rising health care costs come out of workers wages/salaries in the form of lower wages and higher layoffs.

WSJ puts spotlight on pharmacy benefit management (PBM) companies, which act as intermediaries to manage prescription sales for health insurance providers. Some of the health reform proposals call for PBMs to make available the prices they negotiate with pharma companies. In an “interesting” argument, the PBM association says that “transparency” will hurt competition. The more likely concern: transparency will expose the share of negotiated cost savings on drugs that the PBMs keep for themselves.

Siemens talks EHRs, partnerships, and interoperability.

Good list of people to follow to monitor Pharma social media.

Nice to see CenterWatch’s partnering with TrialX to make it easier for patients to find relevant clinical trials.

Focuses on role of employers–the key beneficiaries of maintaining healthy workers–in providing incentives for healthy behavior.

Boston area Caritas Christi Health Care to sell laboratory business to Quest Diagnostics, the leading medical testing company. Caritas will maintain its in-hospital testing facilites. Deal with Quest provides greater interoperability of test results with EMRs.

Michael Wolff offers his commentary on Mark Cuban’s suggestion that news publishers adopt the cable TV bundling model and have the ISP (or other utility) bill for content. In Wolff’s opinion, news content will always need advertising support. I agree with him for broad-based general news, although sponsorship by vendors of broad-based consumer goods/services is a valid model, too.

Good post on applications for Google Wave.

WSJ blog refers to piece in WaPo today about asking one’s doctor if he/she gets $$ from pharma companies. Checking online prior to visits is best method, IMO. Much of scientific publishing is still behind firewall, but tools like DeepDyve and Google Scholar help find citations, if not full articles.

Author of Caring for our Parents commentary on why it’s so hard for Americans to talk about end-of-life care and related issues.

Esther Dyson speculates on how Internet could radically change the way patients are involved in their healthcare. Like the way she stresses the important role of information and info tools in changing behavior.

David Rothman gives a brief overview of TrialX, a clinical trials search tool for patients that can incorporate diagnosis and demographic info from Google Health and Microsoft HealthVault.

BMJ article abstract highlights methods for reducing number of unnecessary (and expensive” interventions. Pts out that evidence is often not applied in deciding how to treat.

Quotes David Brailer who says it’s important to consumers to have more control. Currently, hospitals are in the driver’s seat. Author suggests that protecting against fraud will be most important.

Articles describes several employer plans that offer $$ incentives to employees to practice healthy behavior (stop smoking, lose weight, go to the gym, etc). Mentions Tangerine Wellness, RedBrick Health, and quotes Yale economist Dean Karlan.

Article predicts that 85% of doctors will be employed by hospitals w/in next 10 year. Goes on to explain why (primarily reimbursement practices that favor hospitals). Worth a read.

Information Week covers range of doctors’ attitudes toward using social media to communicate with patients.

Article points out how little transparency or rationality there is in current health care pricing and reimbursement systems. AHIP apparently provided data to shore up support for their case, but the article doesn’t portray them in a very positive light. If insurance plans were so good, why would we have so many insured patients receiving outrageous bills?

Canopy Financial, the provider of the platform for the HSA system used by many of the top banks, announces that its statistics show that health savings account (HSA) balances increased in Q109.

Article describes how doctors/surgeons have to make judgements about appropriate devices and treatment for infants (and other groups that weren’t part of the initial clinical trial study), since there often is no established evidence on which to base decisions.

Good brief article that describes 4 search engines that offer features and content that differ from Google or Bing. DeepDyve, which we’ve followed because of its excellent coverage of scholarly research and medical journals content, is one of the 4 mentioned in the article.

CNN lists top inefficiencies in US healthcare system. For example, they quote up to $210B wasted in inefficient medical claims processing that could be remedied through better systems and a simplification (rationalization) of claims used by different insurance companies.

Emdeon, which processes nearly half of all medical payment claims in the US, to debut on NYSE Wednesday (Aug 12, 2009). Expects to raise as much as $333M. “Emdeon has picked a perfect time to test the public equity market. The entire health-care system in the US is in the state of flux, and advancement of health-care IT” is a strong focal point now, according to Alex morozov, Morningstar associate director in a recent research note.

Merge Healthcare, a Wisconsin company, made its 2nd acquisition in past 2 months by acquiring Confirma, a Seattle-based copmuer assisted detection technology company, which specializes in CAD imaging tech for breast, liver, and prostate imaging.

Datamonitor Group, part of Informa, to consolidate its IT research brands under the Ovum name. Datamonitor healthcare & pharma remains separate (as does energy, fin’l svcs, automotive, and consumer). New organization would make it easier to spin off the IT group.

Intriguing idea to use music as part of patient education. I’m a firm believer in using whatever medium is “appropriate” or useful. If music [and poetry] helps people remember key information, then I’m all for it. “The hip bone’s connected to the…”

Netsmart, an enterprise software vendor to behavioral & public health providers, acquires Crown Software. Crown provides pharmacy management s/w that integrates with EHRs.

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).

University presses looking at forming consortium program to promote ebook sales.

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.

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.

Example of industry information company adding value through data-analytics.

Article provides breakdown of downloaded apps by category & within category, by free & paid.

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.

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).

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.

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.

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.

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.

Perhaps the UK will promote & accelerate adoption of Google & MSFT’s PHR platforms before they gain traction in US.

Interesting new aggregator of top journal content (based on impact factor & google scholar rankings) in clear, attractive interface. Access to premium fulltext journals is limited to existing subscribers via Athens. [edited 7/15] Note, Clinical Reader has been called out by medical librarians because of sloppy copyright practices and use of false implied endorsements by NLM & others. To gain credibility as source of authoritative content, CR team needs to tread carefully!]

I wouldn’t call it WebMD, but it includes health and wellness information and lots of information on the institution.

Beta version released; official release sched. for Q4 2009. Breakthrough sounds like an exaggeration, but it is a step forward for a traditional directory publisher who sells to libraries.

SpringerImages, which includes over 1.5 million scientific images, tables, charts & graphs, to be officially launches at ALA in Chicago this week. Was originally planned for Q1 release.

Serials Solutions, a ProQuest company, expands the content indexed by its Summon Service. Summon aims to offer “Google-like” search interface across library’s holdings. For now, content from ProQuest, Gale, Springer, IEEE, Taylor& Francis and some other scholarly publishers and university presses participate. Summon is in beta at Dartmouth, Claremont Colleges, and 5 other universities in US, Canada, UK, and Australia.

Kent Anderson of NEJM writes about Amazon’s growing role in book publishing, not just redistribution of books. How should publishers react? Comments as of 7/9 suggest scholarly publishers stick to their knitting of creating content and build their own open repositories– and be more aggressive with digital distributors. Granted, scholarly publishers should take more control of digital distribution, but in order to do that, they have to invest in digital infrastructure & know-how.

Good dialogue about social media’s relevance to clinical practice.

Good write-up of interview with Berners-Lee by ReadWriteWeb’s founder, Richard MacManus. W3C’s focus on data content is exciting development for us at InfoCommerce Group, where the role data in publishing businesses has been a central focus on ours from day 1. s

Good article on the under-tapped value of customer lists held by publishers. As author points out, many print publishers seem to miss the connection between their ability to build communities of interest for publications and adapting that ability to web-based communities. Instead, too many publishers are letting upstarts replace them online.

The concepts of EBM and Comparative Effectiveness Research are reaching consumer-focused publications. IMO, considerable education via general press and other venues will be necessary to help consumers/patients understand EBM and CER.

SDI, which acquired Verispan last year, releases results of most respected pharma companies by pediatricians.

Thomson Reuters, already one of the biggest webcast providers, acquires Toronto-based webcasting s/w firm Streamlogics.

A medical librarian’s comparison of DynaMed and UptoDate