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Back at it

Well, that didn’t last long. My full-time job ended abruptly today, less than three weeks after I started. So here I am back to freelancing and blogging. Any leads would be appreciated. Meantime, stay tuned for new content.

 

February 19, 2015 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

Health eVillages update: Expanding a rural hospital in Kenya

As you may know, I am a member of the advisory board of Health eVillages. Every so often, the organization does something extraordinary, and I want to share one of those moments here. Actually, I want to share two.

In December, Health eVillages Founder Donato Tramuto, CEO of Physicians Interactive, won a tremendous honor, a 2014 RFK Ripple of Hope Award, from the newly renamed Robert F. Kennedy Human Rights organization. (The other three honorees were three nobodies named Robert De Niro, Tony Bennett and Hillary Clinton.)

Today, Health eVillages released this bit of news:

Health eVillages Raises Funds to Expand Rural Hospital in Kenya

New wing will help Lwala Community Alliance (LCA) to further reduce infant and maternal mortality rates

READING, MA – (January 27, 2015) –Health eVillages, a program of the not-for-profit Robert F. Kennedy Human Rights organization and Physicians Interactive, announced today that construction has started on a new wing to expand the first hospital in Lwala, Kenya, as well as housing for clinicians and their families.

The announcement, made by Health eVillages Founder Donato Tramuto, builds on the success of a partnership with Lwala Community Alliance (LCA), a local health and development organization.

“In just four years, the early infant mortality rate has been cut almost by half in our area,” said James Nardella, LCA’s Executive Director. “With the help of partners like Health eVillages, skilled delivery rates have rapidly increased. In 2010, only 26% of births were attended by a trained nurse. That has risen to 96% with the wonderful assistance of Health eVillages.”

He continued, “The expansion of our maternal health facilities and housing for our clinicians and their families will immediately improve the outcomes for more Lwala mothers and their babies, while creating local employment opportunities for Kenyan nurses and other clinical professionals for years to come.”

The rapid expansion was made possible by the success of Health eVillages’ partnerships and the financial support of nearly 100 private donors, including Physicians Interactive.

When it is completed, the 1,500-square-foot wing will add 12 beds to the rural hospital, two exam rooms for outpatient visits, full separation of the well-child visit area from sick-patient areas, and separate men’s and women’s in-patient wards. The wing will also offer new laboratory space with specialized rooms for blood drawing, sterilization and microbiology, as well as a new space for HIV client counseling.

Health eVillages also is adding eight housing units with more than 6,000 square feet of living space, so LCA’s clinical staff can be immediately available on-site during emergency care situations.

The majority of the caregivers at the hospital are with the LCA, a Health eVillages partner whose mission is to advance the health and well-being of people living in the rural region in Western Kenya. Founded by Milton and Fred Ochieng’, US-trained physicians who are natives of Lwala, the Alliance’s first major project was the completion of the Erastus Ochieng’ Memorial Lwala Community Hospital. Initially conceived as a facility to treat HIV/AIDS patients, over time the hospital has expanded to include multiple public health services, including services to pregnant women.

The LCA’s community health workers recruit and enroll women of reproductive age in Migori County through its Safe Babies program to participate in the entire continuum of prenatal, maternal, neonatal and child healthcare services. Health eVillages currently helps fund prenatal and postnatal immunizations as part of the program. It also provides mobile handheld devices (from Physicians Interactive) to the LCA’s 80+ community health workers and the hospital’s clinical staff, as they work to improve primary and preventive healthcare throughout the region.

“It is incredibly gratifying to watch this successful facility grow, knowing that the additional space will give more babies in Lwala a healthy start to life, which every mother in the world wants for her child,” said Tramuto, who is also the Chairman and CEO of Physicians Interactive and the recipient of the 2014 RFK Human Rights Ripple of Hope Award. “It is a testament to the LCA’s hard-working caregivers that the demand for their services is only increasing as families throughout Migori County witness the significant decline in infant and maternity mortality rates in their community.”

About Health eVillages

Health eVillages, a program of the not-for-profit Robert F. Kennedy Human Rights organization and Physicians Interactive, provides state-of-the-art mobile health technology including medical reference and clinical decision-support resources to medical professionals in the most challenging clinical environments around the world. For more information about Health eVillages, please visit http://www.healthevillages.org/. 

About Physicians Interactive

Headquartered in Reading, MA, PI aspires to use the power of worldwide networks of healthcare professionals and life sciences companies, together, in ways that will change the practice and business of medicine for the better. PI’s value proposition is to offer the life science industry a low-cost, virtual, multichannel marketing approach that can be used to supplement currently promoted products, as well as non-promoted and orphaned products, that deliver benefits to physicians and patients. A key focus is providing services that fit into physicians’ and healthcare professionals’ daily workflow at the point-of-care, when they make diagnosis, treatment, and prescribing decisions. More information can be found at www.PhysiciansInteractive.com.

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It’s more proof that mobile devices can have a positive effect on health pretty much anywhere in the world.

 

 

January 27, 2015 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

I’m joining TriMed Media’s Clinical Innovation + Technology

I have some big news to share with you this Friday afternoon. I have accepted an offer to become digital editor of Clinical Innovation+ Technology, a publication you may be familiar with. I’ll be responsible for the daily e-mail newsletter, among other things. It’s my first full-time job since the end of 2003.

Clinical Innovation + Technology is published by TriMed Media Group of Providence, R.I., which also publishes Health Imaging + IT, Cardiovascular Business, Healthcare Technology Management, Health CXO and the recently revived CMIO. (I freelanced for the first few issues of the original incarnation of CMIO, which later became Clinical Innovation & Technology.) This is a telecommuting job, so I will remain in Chicago.

Of course, this means I will have to give up most of my freelance work, in part because I won’t have the time and also because I don’t want to be in direct competition with my new employer. At least in the short term, I do intend to keep up this blog, since it never really was my primary outlet or source of income anyway, Lately, I haven’t been posting more than 2-3 times a month anyway, so you may not even notice much of a difference. Once I figure out my routine at the new job, I’ll decide on whether or not to continue this site.

I don’t know all the details yet on what kinds of things I’ll be focusing on, so please do not start inundating me with pitches. The last time I did multiple newsletters a week, I got burned out in no small part due to the volume of e-mail I received. Do note that “clinical” is the first name of the publication, and that TriMed has other titles devoted to the business side of things. That should be a clue as to what I’ll be interested in. As far as I know, there is no change to the staff of the print magazine.

January 23, 2015 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

Cameras in operating rooms?

As you know, I’ve become rather obsessed with patient safety ever since I watched bad things happen to my dying father nearly three years ago, so I wanted to pass along a petition and gauge people’s opinions. Should cameras be mandatory in operating rooms? Some people think so. There’s obviously a growing movement in the U.S. to equip police officers with body cameras, in the name of protecting police and the public alike. There just might be a parallel for surgery teams and patients.

A petition went online late last month as Causes.com, calling on legislators to require OR cameras “to reduce harm, and learn from errors.” I learned about it from John James, founder of Patient Safety America. In an e-mail, James explained, “There are many reasons to do this: educational tool, improve performance of surgeons, document skills, have an unbiased record if an adverse occurs, and reduce misstatements in medical records.”
What do you think? Vote here, and if you are so inclined, leave a comment below.

January 12, 2015 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

Stage 3 Meaningful Use proposals at White House for final review

Why do these things always seem to happen late on Friday afternoons? At least this time it’s not right before a holiday. Actually, with a bit more inspection, I see that it did happen right before a holiday.

HIMSS is reporting today that the White House’s Office of Management and Budget is “in its final stages of review” of the proposed rules for Stage 3 of the Meaningful Use EHR incentive program. OMB always goes over proposed and final regulations to measure the fiscal — and, presumably, political — impact before allowing executive-branch agencies to make public releases.

A peek at OMB’s reginfo.gov site indicates that the MU Stage 3 proposal from CMS and related ONC plan for certification of EHRs are indeed at OMB for final review.

“We are proposing the Stage 3 criteria that [eligible professionals], eligible hospitals, and [Critical Access Hospitals] must meet in order to successfully demonstrate meaningful use under the Medicare and Medicaid EHR Incentive Programs, focusing on advanced use of EHR technology to promote improved outcomes for patients. Stage 3 will also propose changes to the reporting period, timelines, and structure of the program, including providing a single definition of meaningful use. These changes will provide a flexible, yet, clearer framework to ensure future sustainability of the EHR program and reduce confusion stemming from multiple stage requirements,” CMS states in a rule summary on the OMB site.

A placeholder date (“02/00/2015 “) on the same page suggests that the proposal will be published in February. However, a placeholder date on the page for the forthcoming ONC certification standards indicates that the plan was supposed to come out in November.

And the date the two notices appeared on the reginfo.gov? Dec. 31, when pretty much everyone was already checked out for the extended New Year’s weekend.

Stage 3 is scheduled to start no earlier than Oct. 1, 2016, for hospitals and Jan. 1, 2017, for individual providers.

 

January 9, 2015 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

Health Wonk Review for the holidays

The final Health Wonk Review of 2014 is up (actually, it’s been up for five days, but I’ve been buried with deadlines until this morning), courtesy of Julie Ferguson  and the Lynch Ryan Workers’ Comp Insider blog. My Forbes.com post on the recent reality checks for healthcare wearables makes this biweekly review of the best of the healthcare blogosphere. (I also did a follow-up, featuring an ESPN “Sport Science” segment sponsored by Fitbit.) FWIW, the comments have been closed on the LinkedIn Digital Health Group item about my original post.

There isn’t much else in the realm of health IT in this edition of HWR, but there are some interesting discussions about the Patient Protection and Affordable Care Act, including an important question from Peggy Salvatore: To whom is accountable care actually accountable to? Yep, ACOs are right there in the Affordable Care Act, lest you think the Obamacare law is only about health insurance coverage.

Enjoy the recap, and enjoy the holidays, whichever ones you celebrate. I’ll see you in January.

December 23, 2014 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

Join the discussion about wearable technology

The thing about the Internet is that you never know when something is going to go viral or spark heated debate. (Actually, it’s a fairly sure bet that anything involving politics, religion or sports will lead to heated debate, generally of the lowbrow variety.)

Less common is informed, intelligent discussion on the Internet. Something I wrote early yesterday for Forbes.com has, happily, fallen into this category.

My post, “Hype Around Healthcare Wearables Runs Into Reality,” is far from the most inflammatory piece I’ve written about overblown hype in healthcare innovation, or, as Dr. Joseph Kvedar called it, “irrational exuberance,” borrowing a line from former Federal Reserve Chairman Alan Greenspan.

It’s also far from the most-viewed item I’ve had on the Forbes.com platform since I started about six months ago. However, it’s generating a lot of discussion on Paul Sonnier’s Digital Health group on LinkedIn. As of this writing, there are 28 comments, or more than one per hour since the original post went up at 9:54 am EST Wednesday.

If you’re one of the more than 30,000 members of that group, I encourage you to join the discussion. If not, you might want to join the group, or comment on the original post at Forbes.com.

I haven’t decided yet if I’ll throw in an additional two cents, since I did, you know, already give my opinion in the actual post.

December 11, 2014 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

Health Wonk Review talks turkey

I’ve been a bit remiss the last few days, in that the latest Health Wonk Review came out Thursday, and I’m  just getting around to sharing it now.( Blog carnivals work best when contributors link back to the compilation.) But, better late than never, right?

In that spirit, and in the spirit of Thanksgiving, I invite you to check out Health Wonk Review: The Turkey Edition, hosted by David Harlow on his HealthBlawg. The big stories this time around are all about insurance coverage under the Patient Protection and Affordable Care Act, a.k.a., Obamacare, but there is also an interesting posts about “wrist slaps” given to pharmaceutical executives for allegedly violating drug-marketing laws.

My post at Forbes.com about the American Medical Association belatedly but predictably fighting the impending Medicare penalties for not meeting Meaningful Use makes the cut. I’m particularly proud of the line, “Ruthlessly Defending the Status Quo Since 1847. :)

Check it out, and for those of us here in the United States, have a happy Thanksgiving. I’ll see you after the long weekend.

November 25, 2014 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

CMS extends 2014 MU hospital attestation until end of year

Just days before the clock was to run out on hospitals, including Critical Access Hospitals, hoping to attest to Meaningful Use of EHRs for 2014, the Centers for Medicare and Medicaid Services has pushed back the attestation deadline by a month, until Dec. 31.

In an announcement posted yesterday on the CMS Meaningful Use registration and attestation login page, CMS said: “CMS is extending the deadline for Eligible Hospitals and Critical Access Hospitals (CAHs) to attest to meaningful use for the Medicare Electronic Health Record (EHR) Incentive Program 2014 reporting year from 11:59 pm EST on November 30, 2014 to 11:59 pm EST on December 31, 2014.”

Just don’t expect to do so online during a short period in a couple of weeks, as CMS says the site will be down for maintenance from Friday, Dec. 12 at 10 a.m. EST to Saturday, Dec. 13 at 12:30 p.m. EST. CMS also says people “may experience intermittent connectivity” Nov. 30 between 12:01 and 5 a.m. EST.

This extension “will allow more time for hospitals to submit their meaningful use data and receive an incentive payment for the 2014 program year, as well as avoid the 2016 Medicare payment adjustment,” CMS says.

 

I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

The most news I’ve ever gotten out of Meditech

If you think Epic Systems, which doesn’t issue press releases and infrequently shares much with the press, is tough for the media, you should try Meditech. I’ve never gotten a response from anyone there and never written any actual news about the company. Until now.

Today, this tweet appeared:

 

So there you have it: Meditech is at a conference in Ireland today. That’s the most news I’ve ever had on that EHR vendor.

November 19, 2014 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.