MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'iom'. Sat, 03 Sep 2011 02:29:41 +0100 http://www.medworm.com/index.php?rid=4934163&cid=t_117219_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-right-to-bear-salt-is-sodium-restriction-warranted-for-the-general-population%2F2011.06.15 Q. What is the difference between a public health expert and Il Duce? A. Mussolini was not nearly as arrogant as a public health expert. In prior posts, DrRich related how two major publc health efforts over the past few decades – the effort to put all of us on low-fat diets, and the effort to reduce everyone’s cholesterol levels – have amounted to massive experiments, based upon insufficiently-tested assumptions and surmises and hypotheses which the experts arrogantly (and incorrectly) determined to be fact, and which were conducted upon the entire American population without its knowledge or consent. These public health experiments cost billions of dollars, needlessly transformed large swatches of American industry, and (at least in the case of low-fat diets) likely produced signif... Better Health blogs http://www.medworm.com/rss/comments.php?id=4934163 Wed, 15 Jun 2011 19:00:25 +0100 4934163 http://www.medworm.com/index.php?rid=4847957&cid=t_117219_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fwhy-racial-disparities-are-alive-and-well-in-healthcare%2F2011.05.20 It was 1999 when the Federal government first acknowledged our nation had a problem with race and health care. That year, Congress tasked the Institute of Medicine to study the matter, and the resulting report was not good. Minorities were in poor health and receiving inferior care, the report said. They were less likely to receive bypass surgery, kidney transplants and dialysis. If they had diabetes, they were more likely to undergo amputations, meaning their disease had been poorly controlled. And there was a lot more where that came from. The IOM report was a call to action. In subsequent years, lawmakers crafted policies and established goals for improvement. Federal and state governments and numerous foundations set aside billions to fund projects. Health services researchers expanded... Better Health blogs http://www.medworm.com/rss/comments.php?id=4847957 Fri, 20 May 2011 16:00:50 +0100 4847957 http://www.medworm.com/index.php?rid=4693286&cid=t_117219_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ftreatments-for-kids-with-autism-and-cerebral-palsy-on-insurance-chopping-block%2F2011.04.08 One of the great challenges facing the folks who have been tasked to implement the Big O’s health care law is defining “essential benefits,” the core medical services that insurers must cover. Despite its voluminous nature, the law is remarkably vague in this regard. It does identify 10 care categories that health plans must provide to consumers who use federally-funded health insurance exchanges to select a plan, but the categories and associated lists aren’t comprehensive or specific (the categories appear at the end of this post). The Institute of Medicine has been tasked to flesh out the lists of required services. It has begun work amid a frenzy of lobbying by private insurers and consumer groups. Habilitative services are one contentious area, and they illustrate the challe... Better Health blogs http://www.medworm.com/rss/comments.php?id=4693286 Fri, 08 Apr 2011 20:00:28 +0100 4693286 http://www.medworm.com/index.php?rid=4696593&cid=t_117219_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2011%2F03%2Fhow-academic-boneheads-kill-people.html I'm already receiving comments that, regarding Prof. Jon Patrick's detailed exposé of the dangers of ill-suited-for-purpose ED EHR's, Patrick's observations are:... not really valid because they're not peer reviewed; they're just anecdotal. Only an egghead could pen such words.I always get hives immediately after eating strawberries. But without a scientifically controlled experiment with all the right peer review, it's not reliable data. So I continue to eat strawberries every day, since I can't tell if they cause hives.I'd already written about anecdotalist refrains at my Mar. 7, 2011 post "Australian ED EHR Study: Putting the Lie to the Line "Your Evidence Is Anecdotal, Thus Worthless" Used by Eggheads, Fools and Gonifs." In that essay I cite Dr. Patrick himself on "anecdotal evidence"... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=4696593 Tue, 22 Mar 2011 14:05:00 +0100 4696593 http://www.medworm.com/index.php?rid=4565904&cid=t_117219_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fpreventing-hospital-acquired-infections-patients-must-be-safety-partners%2F2011.03.09 This is a guest post by Dr. Julia Hallisy. Serious infections are becoming more prevalent and more virulent both in our hospitals and in our communities. The numbers are staggering: 1.7 million people will suffer from a hospital-acquired infections each year and almost 100,000 will die as a result. When our late daughter, Kate, was diagnosed with an aggressive eye cancer in 1989 at five months of age, our life became consumed by doctor visits, MRI scans, radiation treatments, chemotherapy — and fear. My husband and I assumed that our fight was against the ravages of cancer, but almost eight years later we faced another life-threatening challenge we never counted on — a hospital-acquired infection. In 1997, Kate was infected with methicillin-resistant staphylococcus aureus (MRS... Better Health blogs http://www.medworm.com/rss/comments.php?id=4565904 Wed, 09 Mar 2011 18:00:43 +0100 4565904 http://www.medworm.com/index.php?rid=4536026&cid=t_117219_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2011%2F03%2Fcommittee-on-patient-safety-and-health.html In my Jan. 2011 post "Institute of Medicine Committee on Patient Safety and Health Information Technology, and Thoughts on Social Aspects of Health IT Evaluation" I wrote that:The U.S. National Research Council of the National Academy of Sciences issued a report in early 2009 on the state of health IT. That study's report, led in part by pioneers in Medical Informatics G. Octo Barnett and William Stead, was entitled "Computational Technology for Effective Health Care: Immediate Steps and Strategic Directions" (pre-publication PDF available free at this link). The report was announced under the following header:CURRENT APPROACHES TO U.S. HEALTH CARE INFORMATION TECHNOLOGY ARE INSUFFICIENT The insufficiencies were largely in the areas of difficulties with data sharing and integration, deploy... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=4536026 Wed, 02 Mar 2011 02:40:00 +0100 4536026 http://www.medworm.com/index.php?rid=4313969&cid=t_117219_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2011%2F01%2Finstitute-of-medicine-committee-on.html The U.S. National Research Council of the National Academy of Sciences issued a report in early 2009 on the state of health IT.That study's report, led in part by pioneers in Medical Informatics G. Octo Barnett and William Stead, was entitled "Computational Technology for Effective Health Care: Immediate Steps and Strategic Directions" (pre-publication PDF available free at this link). The report was announced under the following header:CURRENT APPROACHES TO U.S. HEALTH CARE INFORMATION TECHNOLOGY ARE INSUFFICIENT The insufficiencies were largely in the areas of difficulties with data sharing and integration, deployment of new IT capabilities, large-scale data management, and lack of cognitive support by health IT for busy clinicians.One might reasonably conclude such deficits could affect... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=4313969 Wed, 05 Jan 2011 15:25:00 +0100 4313969 http://www.medworm.com/index.php?rid=4265630&cid=t_117219_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2010%2F12%2Fnew-york-times-panel-set-to-study.html New York Times author Milt Freudenheim has published an interesting article on health IT:"Panel Set to Study Safety of Electronic Patient Data" (Dec. 13, 2010, link) In the article Mr. Freudenheim presents various viewpoints on health IT safety and usability, and reports on an upcoming Institute of Medicine (IOM) Committee on Healthcare IT safety.In general, the expressed viewpoints reported upon are consistent with the position in the Healthcare IT Ecosystem of those quoted. I wish to add some commentary to a number of those stated positions.Mr. Freudenheim observes:Taking a fresh look at such concerns, the Institute of Medicine created the Committee on Patient Safety and Health Information Technology to run a yearlong study and issue recommendations. The 16-member panel is meeting for th... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=4265630 Wed, 15 Dec 2010 14:28:00 +0100 4265630 http://www.medworm.com/index.php?rid=3611975&cid=t_117219_113_f&fid=38494&url=http%3A%2F%2Fcuretogether.com%2Fblog%2F2010%2F05%2F29%2Fcommunity-health-data-initiative%2F The US Department of Health and Human Services (HHS) and the Institute of Medicine (IOM) are working on a major event around innovation and health data for which there will be a public launch on June 2nd with remarks from Secretary Sebelius, HHS CTO Todd Park and White House CTO Aneesh Chopra.  HHS and IOM have never done an event like this before. There will be major tech companies doing public launches of their work using HHS data. The webcast will be hosted in 2 spots: 1.       http://www.hhs.gov/open/ or http://videocast.nih.gov/summary.asp?live=9347 2.       Meeting information: http://www.iom.edu/communityhealthdata 3.       HHS Blog Post: http://www.hhs.gov/open/discussion/chdi.html 4.       RWJF Blog Post: http://rwjfblogs.typepad.com/pioneer/2010/05/introd... The Collective Well blogs http://www.medworm.com/rss/comments.php?id=3611975 Sat, 29 May 2010 17:30:51 +0100 3611975 http://www.medworm.com/index.php?rid=2901613&cid=t_117219_87_f&fid=35052&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FWomensBioethicsBlog%2F%7E3%2FX2bnsHPmDkw%2Fkudos-to-susan-m-wolf-for-her-election.html You may have noticed that we have been on hiatus, while we revamp and reorganize our blog, but I wanted to take this opportunity to give credit where credit is due: One of my heroes, Susan M. Wolf, has been elected to the prestigious Institute of Medicine. She is the McKnight Presidential Professor of Law, Medicine & Public Policy and the Faegre & Benson Professor of Law at U of MN, the founding Director of the Joint Degree Program in Law, Health & the Life Sciences and the founding Chair of the Consortium on Law and Values in Health, Environment & the Life Sciences. She is also a professor of medicine in the University's Medical School and a faculty member in the University's Center for Bioethics. She is also the author of Feminism and Bioethics: Beyond Reproduction, which... Women's Bioethics Blog blogs http://www.medworm.com/rss/comments.php?id=2901613 Fri, 16 Oct 2009 17:56:08 +0100 2901613 http://www.medworm.com/index.php?rid=2796364&cid=t_117219_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2009%2F09%2Fus-healthcosts-panel-to-rebut-stingy-budget-office-savings-.html By TIM MULLANEY The U.S. can cut health-care spending by $250 billion a year within a decade, a congressionally chartered panel will say this month in a bid to show costs can be contained even if all Americans are insured.... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=2796364 Mon, 14 Sep 2009 23:00:00 +0100 2796364 http://www.medworm.com/index.php?rid=2762088&cid=t_117219_131_f&fid=35743&url=http%3A%2F%2Fthegenesherpa.blogspot.com%2F2009%2F09%2Fsome-confusion-exists.html I have a great comment string going on with Daniel MacArthur over at his blog Genetic Future I think there is some confusion going on here and I place blame on just about everyone in this space who has a mouthpiece.......But mainly I lay blame on the marketing teams for the Direct to Consumer Genomics companies.These companies have an interest in making you "think" that their products have some particular health relevance.Otherwise, no one in their right mind would waste their time with these tests.......Other than the HUGE field of ancestry buffs like Blaine Bettinger J.D. (woohoo) We need clarity here. From Daniel- "The American College of Medical Genetics is saying "Genetic tests of individuals or families for the presence of or susceptibility to disease are medical tests." The fine pri... Gene Sherpas: Personalized Medicine and You blogs http://www.medworm.com/rss/comments.php?id=2762088 Thu, 03 Sep 2009 12:03:00 +0100 2762088 http://www.medworm.com/index.php?rid=2758015&cid=t_117219_131_f&fid=35743&url=http%3A%2F%2Fthegenesherpa.blogspot.com%2F2009%2F09%2Fnational-academies-skeptical-at-best.html If you would like to watch the IOM conference you can check out day one here My take away from the first day. "Do you guys (DTC) know what you are doing?" "I wonder what kind of research and the quality you can provide?" "I can't believe you aren't regulated already." I think there are some really big issues here and there is some confusion. Questions that remain to be answered.......... 1. "Will these companies sell the customer/patient DNA/data?" 2. "Are these companies practicing medicine?" 3. "How do we quantify personal utility?" 4. "Will regulation really kill these companies?" 5. "What rigors and hoops will be required for these companies with research?" 6. "What will the GAO find about today's DTC companies?" The best thing these companies have done is raise the need for answers an... Gene Sherpas: Personalized Medicine and You blogs http://www.medworm.com/rss/comments.php?id=2758015 Wed, 02 Sep 2009 14:47:00 +0100 2758015 http://www.medworm.com/index.php?rid=2752079&cid=t_117219_131_f&fid=35743&url=http%3A%2F%2Fthegenesherpa.blogspot.com%2F2009%2F09%2Fiom-not-webcast-today-why-not.html The IOM conference "Direct-to-Consumer Genetic Testing: A Cross-Academies Workshop" will not be webcast today? I wonder why not? Was it supposed to be and then submarined after Muin Khoury quoted an email I wrote him while he was presenting?Why is there no webcast for this important conference today?Maybe I am just a conspiracy theorist.But I would like IOM and the National Academies to explain why the cover one day but not the second.The second day by the way has some great topicsFrom the AgendaSession 5: The Impact of DTC Genetic Tests on the Medical System"If the medical system is no longer required to mediate genetic testing, how will the system cope with losing oversight (and reimbursement) of these services while retaining the full responsibility of caring for patients the services a... Gene Sherpas: Personalized Medicine and You blogs http://www.medworm.com/rss/comments.php?id=2752079 Tue, 01 Sep 2009 12:43:00 +0100 2752079 http://www.medworm.com/index.php?rid=2748078&cid=t_117219_131_f&fid=35743&url=http%3A%2F%2Fthegenesherpa.blogspot.com%2F2009%2F08%2Fnational-academies-and-iom.html Today and Sept. 1 the National Research Council and Institute of Medicine will hold a symposium to explore the health, policy, and ethical implications of direct-to-consumer genetic testingAUDIO WEBCAST: Morning sessions on Aug. 31 -- covering the history and likely evolution of direct-to-consumer genetic testing, as well as the regulatory framework -- will be available via live audio webcast at http://national-academies.org.Don't miss this. I am listening to Muin Khoury right now.BTW, the best question was just asked. "Do you think you are practicing medicine and if no, explain why not?"That is the crux of this whole DTC field. I have always thought, they are.......The Sherpa Says: I will cover this and the NIH conference over the week. (Source: Gene Sherpas: Personalized Medicine and You... Gene Sherpas: Personalized Medicine and You blogs http://www.medworm.com/rss/comments.php?id=2748078 Mon, 31 Aug 2009 13:21:00 +0100 2748078 http://www.medworm.com/index.php?rid=830157&cid=t_117219_131_f&fid=35743&url=http%3A%2F%2Fthegenesherpa.blogspot.com%2F2007%2F08%2Fsherpa-silenced.html I know that it has been a long time since my last post. During this time I have been interviewing geneticists, networking with some major league all stars in the fields of nutrigenomics, personalized medicine and pharmacogenomics. So I ask for all of your forgiveness.First let me state that it has been a great little breather that has got me re-invigorated to keep up the work of a Gene Sherpa.Second, let me tell you how great it is to live in an age where the work which giants in the fields of medicine and genetics can now be applied broadly to medicine. But, with that benefit comes the danger of charlatans and hucksters.This is why we need more Gene Sherpas. I am now putting out a plea to all of those who wish to harness genetics for health and longevity, those who wish to have science be... Gene Sherpas: Personalized Medicine and You blogs http://www.medworm.com/rss/comments.php?id=830157 Wed, 29 Aug 2007 14:31:00 +0100 830157