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Google ’ s Masterplan for Healthcare
With 7% of Google searches – or 70,000 per minute – being health-related, it was only a matter of time before the search giant aimed to be a healthcare giant. Google hasn’t been particularly shy at expressing these ambitions either. It purchased Fitbit for $2.1 billion and had a dedicated healthcare offshoot from its A.I. branch, Deepmind. In this new article series exploring the latest moves by tech giants into healthcare, we will look at recent developments coming from Google. Previous entries looked at the moves of Google’s competitors Amazon and Apple, and provided insights into the trends that those companies ...
Source: The Medical Futurist - July 27, 2021 Category: Information Technology Authors: berci.mesko Tags: Artificial Intelligence in Medicine Digital Health Research Future of Medicine Future of Pharma Genomics Health Sensors & Trackers Portable Medical Diagnostics Security & Privacy AI genetics google Healthcare Innovation technolog Source Type: blogs

Checking Boxes
By HANS DUVEFELT MD  I pay $500 per year for UpToDate, the online reference that helps me stay current on diagnostic criteria and best treatment options for most diseases I might run into in my practice. They also have a rich library of patient information, which I often print out during office visits. I don’t get any “credit” for doing that, but I do if I print the, often paltry, patient handouts built into my EMR. That was how the rules governing meaningful use of subsidized computer technology for medical offices were written. If I describe in great detail in my office note how I motivated a patient to quit smoki...
Source: The Health Care Blog - February 1, 2019 Category: Consumer Health News Authors: matthew holt Tags: Patients Physicians EMR Hans Duvefelt primary care Source Type: blogs

Consider This Speculative Amazon Scenario
By TORY WOLF Amazon has many puzzled about its plans for healthcare. Arguably, Amazon is just as puzzled, but is – in effect — running a massive Delphi process to sort out the plan. Amazon is, after all, the Breaker of Industries, Destroyer of Margins. Allow rumors to float, hire some people, have meetings, seek a few regulatory approvals, start a vaguely missioned non-profit with other business titans. Fear and greed do the rest. Stock prices gyrate as investors bet and counter bet on who is vulnerable, incumbent CEOs promise cooperation or competitive hostility, analysts speculate, “old hands” pontificate, a...
Source: The Health Care Blog - February 25, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Amazon Castlight Orbitz Source Type: blogs

What ’s the point of a perfect patient chart?
Last week I made a patient’s chart perfect. Not bragging, but ultimately it ended up being pretty easy, and I’ll explain how and why in a little bit. This was a patient I had not seen in several years, with a number of chronic medical problems, for which he had been taking less than optimal care of himself since I had seen him last. Here for a “checkup,” we talked about his health conditions and how he had been over the past few years. I got a little update on his family and all the things he had been up to, and then he and I — along with his wife, who was here with him for the appointment ...
Source: Kevin, M.D. - Medical Weblog - January 18, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/fred-n-pelzman" rel="tag" > Fred N. Pelzman, MD < /a > Tags: Physician Health IT Primary Care Source Type: blogs

Recommendations vs. Medical Standards vs Patient Preferences
How often do you get your teeth cleaned? Every six months, just like the ADA reccomends of course. Unless you have bad teeth like me and go every three months (and I hate having my teeth cleaned). There are guidelines that tell us all sorts of things - get the oil changed on your car, get a flu shot, get a colonoscopy, and get a mammogram.We usually follow these guidelines because they give us structure and a sense of how often we need to do these things. We listen to them because they are all in the ' preventive ' category - they help make us more likely to live longer and healthier. We may not understand all the reasons ...
Source: Caroline's Breast Cancer Blog - December 24, 2017 Category: Cancer & Oncology Tags: cancer screening changes education Source Type: blogs

How the MMR Vaccine Caused My Son ’ s Encephalopathy, A.K.A. Autism
In 2016 I found myself waiting at a Colorado doctor’s office with my 12-year-old son, hoping to qualify for a cannabis prescription for him. I had traveled a long way from mainstream medicine in ten years. As a West Point graduate, Army Medical Service Corps Junior Officer of the Year and Medical Intelligence Officer for NATO Peacekeeping Forces, none of those experiences adequately prepared me for the greatest medical challenge and controversy of our time. My toddler son had suffered a vaccine induced brain injury from the MMR vaccine in 2005. The Harvard trained physician I was meeting with had been practicing medicine...
Source: vactruth.com - November 18, 2017 Category: Allergy & Immunology Authors: Pam Long Tags: Human Pam Long Top Stories Arthur Krigsman autism encephalopathy inflammatory bowel disease P.A.N.D.A.S. Source Type: blogs

Celiac Disease: A Serious, Life-Changing Condition
I met Paul Graham courtesy of one of his essays.  Then, we talked by phone and I read – no devoured – his book, In Memory of Bread: A Memoir. Pardon the pun. Paul is a professor of English Department at St. Lawrence University in Canton, NY and on July 1 becomes Department Chair. He focuses on fiction and non-fiction creative writing and lives with his wife, Bec and their German shepherds. Paul, your book is the best description I’ve read about the challenges of being diagnosed with celiac. Can you summarize what happened? Given your experience, what recommendations would you have for clinicians? Should celiac be su...
Source: Disruptive Women in Health Care - June 5, 2017 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Uncategorized Source Type: blogs

Reaching Beyond Delivery System Walls To Improve Colorectal Cancer Screening
Conclusion Screening rates are a product of two factors: offer rates and uptake/completion rates. With our FIT campaign we have made strides in both areas. With tools built into our EHR, we can now identify and offer tests to nearly 100 percent of the eligible population, practically with the touch of a button. At the same time, patient uptake of testing has improved dramatically, despite the fact that FIT screening must be done every year, instead of the five- and ten-year intervals required for sigmoidoscopy and colonoscopy, respectively. We believe the increased uptake is a testament to what happens when we “make the ...
Source: Health Affairs Blog - March 24, 2017 Category: Health Management Authors: Theodore Levin, Joanne Schottinger and Murray Ross Tags: Featured Health Policy Lab Innovations in Care Delivery Organization and Delivery Population Health capitated payment model Colorectal Cancer Screening electronic health record fecal immunochemical test Healthcare Effectiveness Data and Source Type: blogs

Population Health Isn ’ t Working Out Quite the Way They Said It Would. What ’ s Going On?
By HILARY HATCH I hate shots.  Every year when flu season rolls around, I think, “what’s in it for me?” The answer is, “it isn’t for me. It’s for the herd.” I am young and healthy enough that I am unlikely to die of the flu but I have children, older people and vulnerable patients I care about it, so I get a flu shot every year. This is true population health. I get a flu shot for the benefit of others. Population health has been extended to a much larger set of activities that have no communal benefit. One patient with diabetes doesn’t benefit from another getting a foot exam. (Mammograms, colonoscopies, ...
Source: The Health Care Blog - February 20, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Dashboards Are For 737 Pilots, Not Physicians.
By JACOB REIDER, MD You’re right, Dr Hatch.  Nobody’s feels like they’re winning.  Last week I was in a room with a group of physicians, and the Chief Medical Officer of an ACO was explaining to them that he could give them all dashboards that they would love. But the physicians didn’t look like they were dreaming of the same valentines.  “What would we do with a dashboard?”  Said one.  “Is this another Meaningful Use requirement gone bad?” Said another. The undertone is that “we didn’t sign up for this population health” stuff.  Physicians are intellectually challenged by, and find meaning in ...
Source: The Health Care Blog - February 20, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

An Update on Price / Cost Transparency + A Promising New Service
By STEVEN FINDLAY Transparency for consumers on prices and costs is a bipartisan goal in healthcare.  The good news is progress is afoot.  The bad news: that progress is still painfully slow.  This blog presents a quick status update with discussion of and links to some recent reports and events. The Healthcare Incentives Improvement Institute (HCI3) and Catalyst for Payment Reform (CPR) have tracked state healthcare price transparency laws and their implementation for the past four years.  In a July 2016 report they found the following:  on an A to F scale, three states got As (Colorado, Maine, New Hampshire); one go...
Source: The Health Care Blog - September 13, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Bundled Payment Web Site Appeals to Self-Pay and HDHP Consumers
Many employers are now providing high deductible heath plans (HDHP) to their employees with lower monthly cost to the companies but with a catch -- the employees need to pay more of the healthcare costs themselves (i.e., the deductible) before the insurance company covers anything. HDHPs have begun to stimulate consumers to shop for lower priced healthcare services. The Dark Daily recently discussed bundled pricing which provides the opportunity for consumers to save money on healthcare (see: More Providers and Payers Use Bundled Pricing to Serve Patients with Hig...
Source: Lab Soft News - July 8, 2016 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Health Insurance Healthcare Delivery Medical Consumerism Source Type: blogs

CMS Proposed Patient Relationship Categories for MACRA
Patient engagement and patient satisfaction have been a core principle of healthcare reform under ACA and MACRA. The Centers for Medicare and Medicaid Services (CMS) recently released for public comment its proposed physician-patient relationship categories, a first step toward a Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) requirement that the agency establish classification code sets for such physician-patient relationships. The patient relationship categories and codes are intended to help CMS more effectively measure resource use, a major performance category under the Merit-based Incentive Payment Syst...
Source: Policy and Medicine - May 18, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Maybe health costs should be a quality measure
How do we measure a doctor? Hospital length of stay? Infection rate? Flu shot compliance? Waiting time? These reality surrogates do not tell us how a patient feels or the quality of life. They are complex to measure, require major data crunching and may not focus on an individual physician. This week, two patients reminded me of a basic screening tool for good care: How much is the bill? 15 years ago, I took care of Melissa for gallbladder cancer. She received surgery, radiation and has been in remission ever since. In fact, because she has no need of a grouchy oncologist, I have not seen her in years. Melissa works full ...
Source: Kevin, M.D. - Medical Weblog - August 25, 2015 Category: Journals (General) Authors: Tags: Conditions Cancer Source Type: blogs

Behavior Change In The Era Of Health Reform
This article is part of a series of blog posts by leaders in health and health care who participated in Spotlight Health from June 25-28, the opening segment of the Aspen Ideas Festival. This year’s theme was Smart Solutions to the World’s Toughest Challenges. Stayed tuned for more. At the recent 2015 Aspen Ideas Festival, a panel vigorously discussed the potential of behavior change to be the blockbuster drug of the 21st century. While no firm conclusions were reached, all agreed that need is enormous. Currently, too few Americans meet their full potential for health and only about half receive recommended care...
Source: Health Affairs Blog - July 17, 2015 Category: Health Management Authors: Howard Koh Tags: Costs and Spending Equity and Disparities Featured Population Health Public Health ACA Aspen Ideas Festival culture of health Howard Koh Hunger-Free Kids Act preventive services Robert Wood Johnson Foundation Spotlight Health Source Type: blogs