In Training for Health Train Express

  The Enterprise Medical Center announces new EBM guidelines, questionable guidelines for outcomes and failure to meet JCAH standards. EMC also failed to qualify for incentive payments because EMC did not meet meaningful use requirements. Health Train Express thanks ZdoggMD for his intepretive potentially Emmy award winning video on the pitfalls of medicine in the space age. In space, no one can hear you code. We boldly probe where no finger has probed before Something smells bad here. del.icio.us Tags: zdogg,space age,meaningful use...

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Social Media for Hospitals and Clinics

Mayo Clinic has established a formal Social Media Department to enhance patient care and educational needs. Lee Aase (@LeeAase) created this slide share presentation which is also available online  There is also a presentation transcript, if one scrolls down the page. Lee Aase is the Director, Mayo Clinic Center for Social Media. (#MCCSM) THIS IS THE EPONYM FOR TWITTER SEARCHES 5-plan-1050-Aase   View more presentations from med20su For those of you who could not attend, Click Stanford Summit + Medicine 2.0 @Stanford. for the agenda. Health Train continues to believe that social media will expand and flourish not only in the business world but also will change the game in healthcare, as much as EMR and HIE, and in a much more effective...

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Who Came First on the Health Train? The Chicken or The Egg

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Caution Lights down the Track

  A troubling report from the U.K. Trouble Down the Tracks U.K. Health Service To Dismantle Nationwide Health IT ProgramRead more: Health Secretary Andrew Lansley said that the National Programme for Health IT, which launched in 2002, "let down the NHS and wasted taxpayers' money" (Press Association, 9/22) iHealthBeat: It is now almost ten  years since beginning their National HIE in a country much smaller than the U.S. Certainly their software designs are obsolete and not industry current. Lansley said, "We will be moving to an innovative new system driven by local decision-making. This is the only way to make sure we get value for money from IT systems that better meet the needs of a modernized NHS" (Beckford, London Telegraph,...

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galeslifethoughts

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Free Riders on Health Train Express

  TGIF.  Many things happened this week which may impact many of us in the world of technology and internet applications. Hewlett Packard replaced Lou Apotheker with Meg Whitman in the wake of the discontinuance of the HP Touchpad, the announcement of HP disbanding or selling their HP consumer product line (apparently their printer division will still continue, since it is the dominant printer manufacturer, and also  produces significant  revenue for HP.  The demise of Apotheker comes not so much from his decisions to make strategic changes, but his poor communication and people skills in dealing with his Board of Directors and the Stockholders. It must have seemed heavy-handed and the investors voted with a 50% reduction...

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Sea-change on Health Train Express

I have read that medical blogging has changed. The bloggers posting clinical cases and clinical information have declined, many (like life imitates art) are retiring, conflicted about HIPAA and privacy requirements. Caseblog points out the 18 “never say'” items similar to the old bad 8 words of the 70s on television. They are: List of 18 Identifiers:   (some of these  were new to me) 1. Names;2. All geographical subdivisions smaller than a State, including street address, city, county, precinct, zip code, and their equivalent geocodes, except for the initial three digits of a zip code, if according to the current publicly available data from the Bureau of the Census: (1) The geographic unit formed by combining all zip codes...

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Doctor Only Social Media Sites

  Kent Bottles gave a presentation at #med2 describing the  deficiencies in medical social media networks. He described them as too complicated and not easy to use. SM sites are individuals or small groups. Typical posts: Do you use Social Media in your practice:? Answer: “Angry and probably not the kind of doctor you should go see” (Kent Bottles) On the other hand  90% of Social Media is just showing up. Here is a bit from 33charts.com   SM is a great medium for research. Ask questions. Use #tags, Twitter is a great medium for just in time information. Patient Advocacy: Other Trends in Healthcare: Electronics and Medical Monitoring: Simulated Environments for Psychotherapy with Avatars: More Trends to Watch:...

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Health IT Confusion and Clarification

                                   This is National Health IT week, if you did not know that already. It runs from September 12th-16th. President Obama declared it in an official Proclamation and a Senate Resolution (at least they agree on something). Official Press Release: ONCHIT is celebrating by announcing a new website for providers and professionals. It’s a bit more readable for both groups. Health Information Technology and ONCHIT are becoming synonymous as Federal incentives drive electronic medical record adoption by providers.. Anyone reading a government website...

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ICD 10 Craziness

  Next time you go to see your MD don’t worry about the seemingly inane questions he / she will ask you. If he doesn’t he will be in violation of a new ICD coding initiative installed by HHS in the next two years. And for you astronauts you are covered  for spacecraft incidents, except for re-entering the atmosphere without a space-ship. ICD 10 Search ICD 10 Codes:  Search My favorites are: Bitten by Shark, Bitten by Shark, Second Encounter Whale encounter cannot be found Injury or Death from encounter with sting ray….could not be found, nor a code for second encounter…..What would the late “crocodile hunter’ say, may he rest in peace. Jelly Fish are included, however, only show up if you search for Jelly and do not if you...

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Federal HIT final Strategic Plan Released

Like it or not, the feds have released their ‘edict’ for adopting the digital age for EMR, and HIEs.(Office of the National Coordinator for Health Information Technology). Anyone reading my blog knows that I am not a luddite,, and I  tend to err on the side of caution.  Like most surgeons my first thoughts are ‘primum non nocere’.  (first do no harm). For all physicians and leaders this is a must read, It was developed after a 90 day period of public comment, and the document states it is still subject to revision(s). The document includes the following information: “Request for More Information on Outreach and Education to Providers and ConsumersIn order to achieve the highest participation possible in the Medicare and Medicaid...

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