Saturday, December 29, 2007
The open source healthcare space is getting hot :)
For physicians by physicians. DocSite Registry™ demonstrably improves care with minimal disruption to office workflow for a modest price. DocSite Registry is a patient-centric, all conditions registry bringing evidence-based medicine to the point of care without stifling each physician's individualized excellence.
Success one patient at a time
Physicians use the registry to manage chronic, complex and preventive health needs for individual patients or entire patient populations. DocSite Registry graphically organizes relevant clinical information from the patient record to save time during office visits, and supports proactive management of clinical conditions across all patients in the practice showing care elements that are due or out of range.
Measure and report
DocSite Registry allows you to measure and track the care of one patient, as well as populations of patients in your practice. Participate in any clinical integration, health collaborative or quality-based initiative with confidence knowing you have been managing patients using nationally recognized evidenced-based medical guidelines aligned with outcomes measures."
Finally - a commercially available free or low cost EMR !
• FDA Cleared Devices (internal and external)
• Cell Phone (acting as a “Hub”)
• Bluetooth® (“wireless”)
• Enterprise Level Interactive Voice Response
• Intelligent Call Routing
• Nurse/Agent Awareness
The result is a truly ubiquitous healthcare solution (“Healthcare Anywhere”).
MedApps “listens” around the “Body Area Network” monitoring a patients body, providing a more robust picture of the patient’s health, and bridging the gap between patient and healthcare provider.
MedApps encourages a more active lifestyle by integrating invisibly into a patient's daily activities. Accurate, timely readings help stabilize patient conditions, providing the ability for earlier intervention and enabling a patient to control their disease, instead of the disease controlling the patient."
Friday, December 28, 2007
1. We profile hundreds of thousands of attorneys, using information from state courts and bar associations, websites, and lawyers themselves.
2. We calculate each lawyer’s Avvo Rating, to help you sort through the profiles.
3. You contribute your firsthand experiences by rating attorneys that you’ve worked with."
It's just a matter of time avvo will start doing this for doctors too !
Check out the screenshots ! Delivering healthcare is a complex process - which is why automating it is a tough task. Otherwise, you'll end up as another horror story. " A hospital I talked to two years ago indicated that as the result of its major initiative of Health Information Systems (HIS), it already had a complete HIS in place that provided an integrated information system accessible by doctors, nurses, pharmacists, and administrators. One year later, when talking to an IT manager of this hospital, to my surprise, I was told that they were going to re-do the entire system because the system they put in place earlier did not support their business needs. Unfortunately, according a report by the Standish Group, if you have four IT projects going on, three of them will ultimately end up to a similar fate. Only 28 percent of software projects succeed where American companies spend annually upwards of $275 billion on about 200 thousand application software projects. Please see the Resources section for more information."
Great list of Indian medical journals available online, for people looking for peer-reviewed medical articles relating to Indian conditions !
Sims, the Ocala lawyer, incorporates India into her law practice with a twist on the typical outsourcing model.
After a positive experience with doctors on a trip there, she started MD in a Box. For $90 an hour, the company links lawyers with Indian doctors who screen potential cases, analyze records and perform medical research. The same service with American experts costs between $500 and $800 an hour, Sims said.
The company's most powerful tool is also its most technologically advanced. Lawyers can hire an MD in a Box doctor to be present during depositions using Skype, a software program that allows the doctor to listen to the proceedings in real time. If the Indian doctors catch a defense expert making a medically suspicious claim, they quickly send literature or rebuttal questions to aid the cross-examination."
New roles for Indian doctors !
It seems that a family member on holiday in India was undergoing emergency medical surgery and the medical records were needed faster than a courier could get them there. I was struck by the irony of the situation.
Consider this: you can travel anywhere on the planet or pay for your hotel or other purchases by the swipe of a credit card, where the payee authenticates your credit limit.
In essence, your financial information can and is transmitted to wherever it is required in the bat of an eyelid. And yet, the thing that matters most to us, our health and our health records, is pretty much stuck in the Stone Age.
Your medical information, history of medical treatment, surgeries, allergies and so on are recorded on paper and all this stays where it is recorded. If this information is not made available to doctors when and where it is needed, it is pretty useless and could mean the difference between life and death."
McHealthcare - Delivering Consumer-Driven Healthcare: "McDonald’s consumer focus offers some important lessons for the healthcare providers to ponder as they are forced to transform into more consumer-driven organisations."
Thursday, December 27, 2007
Next year, Aniskovich says, the company will start a direct-to-consumer service that for $60 a year will offer e-mail, text or voice-mail reminders about prescriptions and appointments. He says that since 'txtspk' can be confusing, the service asks users to type in their own message reminders so they will be familiar with the message when it arrives.
A company called Smile Reminder in Lehi, Utah, lets businesses such as dentists and spas automatically send text and e-mail messages to remind customers of appointments. For dieters, a company called Sensei Inc. in Boca Raton, Fla., part-owned by insurer Humana Inc., will send weight-loss advice and information to Sprint and AT&T mobile-phone users for a weekly fee starting at $5.75. The information shows up in a multimedia format, rather than as a text message."
Wednesday, December 26, 2007
Here's a first person account of how Mr Rajat changed his life !
" Today, when I look back at 2007 especially January to July, I realize that “ simple determination and basic fundamentals can enable one to achieve almost anything “. Well that’s how I lost 44kgs in 6 months. No doctors, no dieticians, no gym. This is how my story goes …….
It was Nov.,06. I was in full bloom of my glory --- 110kgs and bulging from all sides. I used to hate my mammoth size and appearance but had learnt to live with it. Never thought it was possible to come back to normal size. But the incident in the flight from Mumbai to
From that day onwards my resolve started growing and finally from 15th Jan.,07 I started my journey on weight reduction. I scanned through the net for an ideal diet and exercise regime but the message I largely got was
The calorie intake has to be lesser than calorie output.
Fruits, boiled vegetables are good enough to provide all the nutrients.
Walking/jogging are the best form of exercises.
Yoga is also very good coupled with aerobics.
Better to break exercise in two parts – morning and evening.
So I started with vigorous walks both morning and evening. Initially I would do about 8 kms and gradually stepped it up to 20 kms ( 10 in the morning and 10 evening). Twice a week to break the monotony I would swim about 2.5 to 3 kms. Simultaneously I started reducing my diet.
My normal diet was 2 eggs in the morning with 2 slices of bread and a glass of juice. Lunch comprised rice/noodles and soup. Dinner was always heavy post 3 to 4 drinks with mouthwatering snacks. Gradually, over a month, I came down to fruits in the morning – no lunch – fruits/ boiled vegetable at night with lots of hot water through the day.
Within 15 days I could see the results. On 1st Feb. 100kgs. And I was extremely motivated. By Valentines day 96 Kgs…… mid March 88Kgs …… end April 75Kgs and 66Kgs by end July.
There was a lot of advice coming around from various sources. Do this….. don’t do this, are you feeling weak and so on. At one point of time I got very scared even though I was feeling at the top of the world. The family physician gave me one simple advice. Listen to your body. If there is something wrong your body will tell you. Do not ignore those signals such as spin in the head, giddiness, cramps etc. I felt none.
Today I am maintaining myself between 65 and 68Kgs and feel great. If you are keen on shedding Kgs build up a resolve and go for it. If a guy like me can do it anybody can, so go ahead and do it. At any point of time you feel like talking to me please feel free to write to me on my mail address ---- firstname.lastname@example.org
Best of luck,
Since a picture is worth a thousand words, here's a before and after !
Tuesday, December 25, 2007
You can read the full book here online. Excellent examples of what you can do to protect yourself and fight for your rights !
Here is a basic primer."
Excellent advise if you find yourself getting frustrated and upset. Full of useful tips and practical tools !
* What happened
* Why did it happen
* What to do to prevent it from happening again.
Root Cause Analysis is a tool for identifying prevention strategies. It is a process that is part of the effort to build a culture of safety and move beyond the culture of blame.
In Root Cause Analysis, basic and contributing causes are discovered in a process similar to diagnosis of disease - with the goal always in mind of preventing recurrence."
Does this mean that the law finally recognises that decisions involving their own bodies and reproductive rights are best made by patients - and not by bureaucrats ?
This is a great resource for analysing medical errors - and preventing them !
This is a new handbook that incorporates Root Cause Analysis, a widely understood methodology for dealing with patient safety-related issues allowing for clear and more rapid communication of information up and down the organization, thus speeding the process of safety improvement.
Monday, December 24, 2007
Where is all this going? In the same way that young people increasingly experience the world through social networking channels (check out the new Zune by the way), service industries are reaching for technologies that will seamlessly connect them to new virtual markets. Healthcare is no exception. In fact, the opportunities here may be even greater than those of other industries considering the vast sums of money being spent by consumers, employers, and governments on healthcare delivery and wellness. "
In many ways this would be the story of American automobile manufacturing all over again were it not for the fact that not all patients can or will go overseas for treatment. But as the world grows flatter, in much the same way that the Japanese and Koreans have transformed the auto industry, global competition is making American healthcare a target for some revolutionary changes. And contemporary IT will play a significant role in all of this by making health information, healthcare quality, and pricing totally transparent and by facilitating communication and collaboration between care teams and patients across the seven seas."
The interest of physicians in redesigning medical practice focuses on dealing with opportunities and problems that embrace both patient care and practice economics:
Growing patient demand for prevention-focused primary care services
A need to improve practice efficiency by controlling the expenses of contracting with third-party payers
A need to develop innovative financing arrangements that are patient friendly rather than dictatorial.
The reengineering of practice operations to improve patient service and convenience"
Sunday, December 23, 2007
was launched to eliminate language barriers and improve the quality of health care for people with Limited English Proficiency (LEP). Symbols and universal and can be part of a viable and dynamic system that can assist all people, regardless of their reading skill level, to feel more comfortable and confident within a
health care facility.
providing such services as education, screening, and medication monitoring as they work collaboratively with physician colleagues to help patients meet their goals.
The Role for Pharmacists
Pharmacists can get involved in the care of patients who have or are at risk for developing diabetes; some activities include:
Identifying patients at risk for Type II diabetes due to known risk factors
Conducting blood glucose screening of patients with risk factors
Offering point-of-dispensing services including reminders for proper preventive care and glucose testing
Disease state management
Providing patient education
Strategies to Improve Communication Between Pharmacy Staff and Patients: Training Program for Pharmacy Staff
Saturday, December 22, 2007
Very thought-provoking questions !
Friday, December 21, 2007
1. What do you want the patient to do as a result of your document? Make sure that everything in the document supports that goal.
2. Use short simple statements that are jargon-free. If you must use jargon, include a dictionary of those terms at the end of the document.
3. If you are using a question and answer format, phrase the questions exactly as your patients do.
4. Prune your text. Take out unnecessary words, even paragraphs. Does everything in the text support the goal of the document?
5. Browse through Dr. Spock's Baby and Child Care for a wonderful illustration of writing that stood the test of time for clarity.
6. Ask some patients to proofread a draft for you and indicate where they got stuck in the document. Where did they have to stop and re-read? What questions did they have as they went along, and were those questions answered? What do the patients think they were supposed to do as a result of reading the document?"
Susan Keane Baker: Presenter and Speaker on Service Quality for Health Care Organizations
Thursday, December 20, 2007
Having a sexual problem is bad enough - and the added stress of the involunatary " infertility " makes it even worse. This often becomes a negative vicious cycle, which is hard to break.
The traditional response was to go to a sexologist or psychiatrist for counselling - with expectedly poor results, because talking does not make the problem go away !
The next step was to forget about the sex altogether and just focus on having a baby by going to a gynecologist for an artificial insemination. Often, this can be very hard on the ego - and it's not easy to make time to go to a doctor's clinic for these super-busy couples. The result is often that the baby-making gets postponed year after year - often until it's too late !
We are very pleased to sell a Comprehensive DIY Fertility Treatment Kit online . The kit costs only Rs 4400 ( about US $ 100 only) and includes the following:
1. An Ovulation Prediction Test Kit, to help you determine your "fertile time"
2. Self-Insemination Kit, to help you insert the sperm in the vagina
3. A Penile Vibratory Stimulator, to help you ejaculate
4. Non-Toxic Condoms, to collect the semen
We feel this simple kit will help many more Urban Stressed Infertile Couples to have their own babies ! It's much easier than going to a doctor - and much less expensive and more fun !
Wednesday, December 19, 2007
One reason for this sad state of affairs is that the entire medical system is built around the doctor. This is crazy! Healthcare is a service industry, and should be designed around the patient. The best way of doing this would be empowering patients with information, so they know how to get the best medical care, in partnership with their doctor.
Unfortunately, patient education seems to be no one's baby, as a result of which it is a relatively neglected area. This is a shame, because the potential cost-benefit ratio is huge! For the investment of a small amount of money, it's possible to improve the healthcare millions of patients receive. Patients represent healthcare's largest resource - and they have been untapped so far. If we can make intelligent use of patients, and help them to make use of their intelligence, everyone will benefit!
An investment in patient education is one of the most cost-effective ways of improving healthcare in India. Well-informed patients will take much better care of themselves, and information therapy will help to make medical care much more patient-centric.
This can be a major opportunity for pharmacists. So far, chemists in India have been treated as "baniyas", who only sell medicines. This is partly because most of them have only focused on making money, by selling products. They do not provide any value addition. However, the traditional small chemist shop is now under threat, as the large retail healthcare chains enter India. Just like the small "mom and pop" grocery stores are closing down because Indians prefer to shop in large malls, the large pharmacy chains will wipe out the small chemist, because of their financial muscle and ability to provide better service. The only way the small chemist can counter this threat is by providing better service to his patients. Patients are thirsty for information, but their doctors are often too busy to talk to them. If pharmacists (who are also professionals and expert in their field) can take the time and trouble to educate their patients, their customers will remain faithful to them!
The good news is that there is a lot of patient educational material which is now freely available. It's easy to adapt this – and to translate this into local languages. This investment in patient education will actually help pharmacists to increase their business!
Tuesday, December 18, 2007
Is there a safe and simple home remedy for your nagging cough ?
Is your child's fever serious ? When should you take him to your doctor ?
Your husband has chest pain. Should you panic ? Is this heartburn ? Or a heart-attack ?
Solutions to the daily health problems we all encounter every day can start with this comprehensive self-care guide from Healthwise.
While health care crises of cost, quality, and staffing continue to make headlines, Healthwise has been helping people transform their role from passive recipients of health care to active, engaged partners.
Since 1975, people continue to use and trust the family of Healthwise Handbook to help them:
Do more for themselves.
Ask for the care they need.
Say “no” to the care they don’t need.
Used by employers, hospitals, and health plans, the family of Healthwise self-care handbooks are proven to help improve self-care, reduce unnecessary doctor and emergency department visits, and increase consumer loyalty. They are the "aspirin" in the information formulary, because they offer solutions to many common health problems for very little cost. They help a family make basic decisions about:
Prevention, home treatment, and when to call a health professional.
How to make wise decisions about tests, medications, and surgeries.
How to make lifestyle choices to improve health.
People turn to the Handbook about seven times a year. One client reported saving an estimated $34.5 million in unnecessary doctor and ER visits in just 30 months with the Healthwise Handbook . Over 30 million copes of the Healthwise Handbook have been sold worldwide !
The unique feature of this new edition is Go-to-Web icons which direct you to the online Healthwise Knowledgebase for more in-depth information, combining the convenience of print with the depth and currency of the Internet.
Covers more than 200 common health problems.
Provides help with topics ranging from ear infections to diabetes with clear, easy-to-understand information and full-color illustrations.
Go-to-Web icons connect to the online Healthwise Knowledgebase.
You can order this invaluable book online now ! This is the authorised low-cost high-quality Indian reprint of the latest US edition. We will ship to Indian addresses only . It's only Rs 395 ( including the cost of couriering to your address in India). It's a great gift to give to your family members and employees too !
We ship to Indian addresses only !
Essentially, the genre of the photonovel challenges a more traditional educational approach because it has the learner as the main subject in the pedagogical process."
These are a great way of teaching patients , since they combine story telling with pictures - and they are so easy to produce with today's technology !
Monday, December 17, 2007
Although health plans are increasingly embracing consumer-oriented product designs and strategies, many have left the consumer in the dark.
“It is hard to believe that an industry that plays such an important role in the lives of consumers
doesn’t provide regular statements that answer basic questions about benefits, funds and care,” says Dan Spirek, senior vice president and chief solutions officer of The TriZetto Group, Inc.
As healthcare costs continue rising to record levels,1 consumers are taking on greater responsibility for both costs and decision-making, and they need information with which to manage these responsibilities effectively, Spirek says.
“Here’s an opportunity for our industry to step up and deliver a solution to a fundamental consumer problem.”
Healthcare payers are ideally positioned to deliver the information and guidance that consumers
need, but few have taken steps to meet these needs. If payers hope to play a central role in the
changing healthcare market, they can’t afford to ignore their constituents’ needs for transparent
information. Payers that don’t take steps to deliver critical information to key constituents—members, providers, employers and brokers—will lose market share to those that do."
Making health and benefit information transparent through personalized consumer statements—the topic of this paper—is one innovative way that payers can advance their transparency strategies and further engage members.
The consumer statement also can direct members to appropriate health and wellness programs, provide discount coupons for fitness-center membership, explain incentive programs, deliver information about upcoming educational seminars, and more. The consumer health and benefit statement is more than just a snapshot in time; it is also a way for payers to drive greater usage of their web sites and further engage members to help them make sound financial and health decisions.
TriZetto® is releasing a series of papers that explore transparency and its implications for payers. This paper, the second in the series, focuses on transparent health and benefit information and how personalized consumer statements help meet member needs for information and guidance regarding benefits, funds and care.
To request a copy of the first paper, Healthcare Goes Retail: Consumer and Provider Cost
Transparency for the Emerging Consumer Retail Healthcare Market, please visit www.trizetto.com. Upcoming papers will cover key areas such as how integrated technology solutions can help payers make the evaluation and selection of healthcare benefits and services more enjoyable for consumers; and why payers should focus on care coordination and integrating health incentives across members and providers, instead of settling for narrowly defined pay-for-performance programs for providers.
Today’s insurance benefit plans are evolving from more traditional products to those reliant upon medical case management, incentives for improved outcomes, member lifestyle change and increased member health accountability. Thus, the demand for information is great – as is the need for insightful data and analysis."
Consolidating all care services into one center makes receiving those services much easier for the patient. And referring doctors like it too, because they know their patients are getting the best care. A centralized cancer center also offers several benefits in a business sense. For instance, it offers easy accessibility for referrals for outpatient radiology and laboratory services.
Because of these and other benefits, the concept of a consolidated center is becoming more prevalent. Several oncologists are trying to copy our concept by offering patient-centered care in an all-in-one facility."
You can adapt these excellent instructions and model letters anytime you need to ask your insurance company to cover a new ( and possibly experimental) medical treatment.
Sunday, December 16, 2007
The study, published in the current issue of the Archives of Internal Medicine, found that the systems significantly increased patient satisfaction with test results communication. Patients also were more satisfied with the information they received for treatments and conditions associated with their results, Healthcare IT News reports.
Researchers surveyed 570 patients who visited 26 ambulatory clinics that adopted Results Manager, an automated test results system embedded in an electronic health record system. Patients were surveyed before and after the system was adopted, as well as at clinics that did not adopt the system."
Friday, December 14, 2007
What a simple idea ! Make you wonder why everyone doesn't do it. And if checklists are so important for doctors, they are even more important for patients !
Thursday, December 13, 2007
Monday, December 10, 2007
Thursday, December 06, 2007
Tuesday, December 04, 2007
My favourite patients are entrepreneurs. They are good at making decisions - and for taking responsibility for themselves !
Monday, December 03, 2007
" Lots of possibilities
- Logical: Payer, Provider, Risk-holder
- Mind boggling: Citibank, NRA
- Established players: Harvard Medical School, Microsoft
- New players: Hdox, American Well
Do we know how this will play out?
No, NO-ONE YET KNOWS!
Don’t let anyone kid you otherwise."
Richard Dale lists 26 possible business models !
- Immature standards (for portability of data)
- Difficulty reaping economic benefits where funding for PHR originates
- Perverse incentives of the healthcare system
- Desire to improve healthcare
- Increasing cost of poor health in direct and indirect costs to business
- Business opportunities driven by PHR infrastructure
Sunday, December 02, 2007
A Website to Improve Asthma Care by Suggesting Patient Questions for Physicians: Qualitative Analysis of User Experiences | Hartmann | Journal of Medi
Saturday, December 01, 2007