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iBreath Alcohol Breathalyzer add on for the iPhone

Well this is a more upscale post from the last one I did referencing the iPhone.  This actually looks to be a very good device for all of us who have had a glass or more of wine or alcoholic beverage. We all used common sense and “think” we are ok, but a little technology to the rescue here and let’s get some real time results.  Drunk drivers kill many every year and bring the injured to the already over packed emergency rooms as well.

Looks very simple in using, all you do is blow on the wand and results are rendered!  In the meantime, I guess we can all still wait until Intel gets the final technology done for cars that will take over and drive you home as well.  The cars just use two quad core servers like you can buy off the shelf.  I used to do some retail training for Intel and last year when I rolled out the story on my Tablet PC to show the state of the future, the first thing that was mentioned by many was when this car gets out I can drink and drive, so perhaps a smart car too down the road that will make decisions for us as well.   Check out all the links on this DARPA sponsored project with autonomous cars at the post too, there’s quite a few.

In the meantime, we have the iPhone iBreath solution to help us find out where our alcohol level may be.  The video below gives some additional details.  $80.00 and it connects to the iPhone and even an iPod and doubles as an FM transmitter, so listen to some music if you have not had any alcohol.  BD 

Intel The Car Company – Could Happen and Perhaps a Good Idea as there’s a lot more to this story and technology

 

As the festive season has kicked off, celebrations call for alcohol to flow at parties and get-togethers. For such times it is mandatory to keep a check on your breath with the latest iBreath Alcohol Breathalyzer. This iPod accessory is a must have for those who are lured to wines, champagnes and other liquors. Touted as the personal breath analyzer, this gadget is supposed to prevents arrests as well as save lives. And that's not it. It also packs in some entertainment feature too as it doubles up as an iPod FM transmitter that transmits your iPod tunes to any FM tuner.

Simply fold out the blow wand and exhale into it for at least five seconds. In less then two seconds later, it will let you know if you're within the legal limit to drive.

iBreath Alcohol Breathalyzer helps to save lives - Medlaunches.com (excellent find)

Clinical Trials and Personal Health Records – New Resources on the Medical Quack

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I have written a few times about TrialX.org and now there’s a widget I have added to the resource portion of the blog. The widget will allow you to search a trial by name and has auto fill, so just begin typing the name and available trials populate to select.

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If you have a Google Health or Microsoft HealthVault PHR (personal health record) you can also use the data already in the PHR to simplify the process and find trials that are specific to all your health conditions, etc. You can find the tool on two different places on the site, first under the PHR section as shown below:

Also, if you were using the look up section for clinical trials on the blog, I have also included a secondary location located underneath the updated clinical trial news listing.

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Both Google Health and Microsoft HealthVault have been working to add more vendors to their listings, and this is gold for the consumer, as it automates the process of taking records from the drug stores, from medical devices, etc. and add the information to the PHR, without having to manually enter the data with a keyboard. The patient can also share any of the files or information with “whom” they choose, so the patient is in control here. Think of it, doing your blood pressure, hooked up via USB to your computer, data goes into the PHR and you are done, all your medications from your drug store, once set up, there are there in every detail. Nice!

Back to the clinical trials:

After you have all this information in your PHR, you can use it to locate clinical trials in your area. So let’s say you were looking for one that addressed diabetes 1, but you also had gout, but the trial specifically did NOT want patients with gout, so that would not show and be ruled out, thus saving a lot of research and data mining time. This is where the the PHR comes in handy to eliminate having to search for items either included or excluded for the criteria of participants in the trials. You can always use the general search as well.

Below are screenshots from both HealthVault and Google Health to show the Clinical Trial integration processes.

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There is also a section for Clinical Trial Investigators to sign up. The program is flexible and can be ported over to other clinical trial software that is perhaps already being used.

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Get an email alert when trials in your area matching your specifics become available. This is a nice feature as otherwise it is up to you to remember to search from time to time or hear from someone else or maybe catch a radio advertisement. This also allows for the investigator to remain in contact with all participants.

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The Department of Defense is now working with PHRs and they too can benefit here as all their records when sent to HealthVault or Google Health will be ready to go. Social Security likes PHRs as well as Beth Israel Deaconess in Boston and the Cleveland Clinic, who has a pilot beginning specifically aimed at using devices. Japan can’t wait to get PHRs.

American Well, video web cam physician consults has integrated with HealthVault and the group in Hawaii has promised to give me an update as soon as it gets rolling.

Medicare likes PHRs and has a pilot program beginning in January.

TrialX.org will also draft your letter to the investigator for you, so all the information they need is included.

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Here is a sample search, the criteria here was someone with prostate cancer, who also has diabetes and gout, lives in California, and only wanted the trials that were presently in stage 2. You can also read up on Clinical Trials to find out exactly what stages mean as well. So we have our matches here and they are “scored” at the far right hand side according to relativity. When there is a 100% match, a link will be available to begin enrollment. Those that do not exactly match show with a red X, so you might see one that has a red x for stage 2, and when you change it to stage 1, it is available for a simple example.

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On the left hand side the trial names are all linked to the name of the program so you can easily read up quickly.

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Sample Information and Enrollment Screens. You need to sign up for an account, thus these are just general screenshots.

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Anyway, if you are looking for Clinical Trials, give this a try and think about having your PHR connect to save some time and cut to the chase and if you find it helpful, refer others who may be looking to find and enroll in clinical trials. BD

Related Reading:

Keep clinical trial patients ‘in the loop’, say the researchers – Use a PHR to get the job done with some Algorithms

Clinical Trials in the US – Begin involving the physicians and patients at the point of care to achieve greater success and participation with Personal Health Records

Are electronic and personal health records inevitable? – Sure they are but we need education and mentors to make it work!
Surveys Said: Hospitals Cutting Back on I.T. – Time to Get your PHR
Technology “It’s for Those Guys Over There” said the CEO – I Don’t Do Digital Notes
The Future – A Day of Going to the Doctor

Google Health Online Services – Connections Beyond Medications – Personal Health Records

Drugmakers Seek to Cut Red Tape to Speed Cancer Trials

HealthVault Personal Health Records gets a Facelift - Match records and find clinical trials

Personal Health Records – Who’s in the Know and Who has one?

Study Predicts Big Savings from PHRs (Personal Health Records) – Best Kept Secret in Healthcare?

St. Joseph to Subsidize physicians with EHR - up to 85% of the cost – TouchWorks from Allscripts

 St. Joseph uses Microsoft Amalga inside the hospitals so the EHRs at the doctor’s offices will be connecting with TouchWorks from Allscripts, who imagealso sponsors and offers a free e-prescribing tool for any physician and the link is always on the site here.

There are already around 300 physicians using the software.  Amalga from Microsoft (the hospital EHR used by St. Joseph) and the HealthVault will eventually be working together as well so here comes the PHR end of the circle as well in time.  It is a first come first serve program for the first 100 who accept the opportunity.  The new facility opened in Orange, California is truly state of the art as well.  BD  

St. Joseph Health System in Orange, Calif., will subsidize up to 85% of the costs of implementing practice management and electronic health records software for 100 affiliated physicians. The 14-hospital delivery system is pilot testing the subsidy program under the  Stark Act exemption and safe harbors to federal anti-kickback statutes. The delivery system will initially test with St. Joseph Hospital in Orange, Calif., and Covenant Health System in Lubbock, Texas. It will subsidize the first 100 physicians affiliated with these hospitals' who take the offer.

St. Joseph Health System will offer the integrated Enterprise (TouchWorks) practice management and EHR applications of Allscripts-Misys Healthcare Solutions Inc., Chicago. Physicians who accept the subsidy must replace their existing practice management system with Allscripts'.

St. Joseph to Test I.T. Subsidies

Related Reading:

New hospital opens its doors - Orange County, CA

St. Joseph Health System Selects Microsoft’s Azyxxi to Optimize Treatment Decisions and patient care in California, Texas and New Mexico.

HealthVault Be Well Recipients Named…

Fountain Valley doctor accused of giving diluted drugs – Orange County, CA

Something else to worry about as a patient too, diluted drugs.  The one part of this story that is also a bit unnerving is the comments about the medical records, photocopied, wrong lot numbers, and so on, so this says a little bit about the need for better record keeping in addition to the other items at hand and is not any help to either side of this situation at all.  BD 

A Fountain Valley doctor who settled a lawsuit two years ago over claims that his clinic gave a patient diluted immune-boosting infusions, now faces state discipline that could result in the loss of his medical license. Dr. Paul Cimoch, owner and medical director of the Center for Special Immunology, is accused by the California Medical Board of negligence and incompetence in his treatment of Denise Hasenstab. The Mission Viejo woman received infusions for six years, although blood tests showed her immune levels were unchanged afterward, board documents say.

In Orange County and nationally, doctors have been caught diluting the replacement antibodies with saline solution to make a higher profit.

The board documents describe the medical records as so flawed that it's impossible to know what she received. Instead of making new records for each visit, an old record was photocopied and marked over. The lot numbers for vials given were incorrect. Dose amounts were often written over.

Fountain Valley doctor accused of giving diluted drugs | medical, cimoch, clinic, infusions, hasenstab - Life - OCRegister.com

FDA Announces Class I Recalls of Two Unapproved Devices

I had posted about the VIBE earlier this year.  Both devices were not approved by the FDA.  BD 

THE U.S. FOOD AND DRUG ADMINISTRATION (FDA) ANNOUNCED A CLASS 1 RECALL TODAY FOR TWO UNAPPROVED AND UNCLEARED DEVICES WHOSE MANUFACTURERS CLAIMED COULD TREAT VARIOUS MEDICAL CONDITIONS. A CLASS 1 RECALL MEANS THAT THERE IS A REASONABLE PROBABILITY THAT THE USE OF A DEVICE WILL CAUSE ADVERSE HEALTH CONSEQUENCES OR DEATH.

THE MANUFACTURERS, VIBE TECHNOLOGIES OF GREELEY, COLO., AND NEBION LLC OF LOS ANGELES, CALIF., CLAIMED THEIR DEVICES TREATED CONDITIONS RANGING FROM CANCER TO MIGRAINES. THE FDA IS CONCERNED THAT BASED UPON THE ORIGINAL HEALTH CLAIMS MADE BY THE COMPANY, PATIENTS MAY FORGO APPROVED THERAPIES, AND THAT THIS COULD RESULT IN MORE SEVERE ILLNESS OR DEATH.

FDA Recalls VIBE Machine for Unproven Claims

VIBRATIONAL INTEGRATED BIO-PHOTONIC ENERGIZER DEVICE

ON APRIL 11, 2008, THE FDA ISSUED A WARNING LETTER TO VIBE TECHNOLOGIES STATING THAT THE AGENCY’S NOVEMBER 2007 INSPECTION OF THE FACILITY SHOWED THAT THE COMPANY HAD NOT OBTAINED FDA MARKETING APPROVAL OR CLEARANCE FOR THE VIBRATIONAL INTEGRATED BIO-PHOTONIC ENERGIZER (VIBE DEVICE), WHICH CLAIMS TO TREAT CANCER, INFECTIONS, AND DEPRESSION. THE FDA ALSO CITED THE COMPANY FOR SUBSTANTIAL DEVIATIONS FROM THE CURRENT GOOD MANUFACTURING PRACTICE/QUALITY SYSTEM REGULATION.

HLX8 DEVICE

IN JUNE 2008 FDA INSPECTED NEBION, LLC, WHICH REVEALED THAT THE COMPANY HAD NOT OBTAINED FDA MARKETING APPROVAL OR CLEARANCE FOR THE HLX8 DEVICE, WHICH CLAIMS TO TREAT CANCER, MIGRAINES, ARTHRITIS, AND RUPTURED DISCS. THE INSPECTION ALSO UNCOVERED SUBSTANTIAL DEVIATIONS FROM THE CURRENT GOOD MANUFACTURING PRACTICE/QUALITY SYSTEM REGULATION.

NEBION RECALLED EIGHT HLX8 DEVICES ON JULY 2, 2008, AND NOTIFIED THEIR CUSTOMERS TO STOP USING THE DEVICES IMMEDIATELY AND TO CONTACT NEBION FOR THEIR RETRIEVAL.

FDA Announces Class I Recalls of Two Unapproved Devices - US Recall News Alert

Infosys of India wins IT Outsourcing deal from AstraZeneca

Clinical Trials and R and D are not the only items being outsourced by big Pharma today, IT services too so perhaps more jobs eventually on the line here.  BD 

MUMBAI, India (AP) — British drug maker AstraZeneca PLC has awarded India's Infosys Technologies Ltd. a five-year, multimillion dollar contract for imageinformation technology work, the companies said Monday.

Infosys would not specify the dollar value of the deal. Raju Bannur, an associate vice-president in charge of Infosys' life sciences, insurance and health care business in Europe, would only say that the deal is "a significant expansion of our relationship."

Under the agreement, Infosys will deliver application maintenance services to AstraZeneca's global operations in areas including manufacturing, supply chain, finance, and human resources.

http://www.google.com/hostednews/ap/article/ALeqM5izS0urCU45sJmHClQSO7BRYz_6-wD95365KG0

Keep clinical trial patients ‘in the loop’, say the researchers – Use a PHR to get the job done with some Algorithms

This makes sense all the way around and I am glad that someone else can see the light here. What we need now is a methodology and that comes down to using a Personal Health Record. image

You can read a prior post below where I have spelled out a few particulars.

Clinical Trials in the US – Begin involving the physicians and patients at the point of care to achieve greater success and participation with Personal Health Records

By using a Personal Health Record Vendor such as Trialx that works with both the Microsoft HealthVault and Google Health, there’s a system, as it directly involves the patient and is setup to work this way.

Let’s face it everything is being built around the Personal Health Record by using Web 2.0 technologies, so Clinical Trials could benefit in the same manner, rather than trying to figure out how to build a new wheel here, just perhaps shaking down some new paradigms once more.

It’s not just for “those guys over there” and again we could surely use some mentors in the process.

The researchers have the right idea, now we just need to get the rest of the puzzle put together with adding Health IT, CEOs, etc. to the bandwagon to understand how the process would work, and it’s not that complicated. It can be done before federal guidelines could be issued too so what’s to lose here, as it just a matter of communication and processes or algorithms as I say. BD

There is no formal requirement to inform clinical trial participants of the results of the study, a situation which can leave them “confused, frustrated and, in some cases, lacking information that may be important to their health,” according to a report in the journal Archives of Neurology.

At present, clinical researchers are only required to inform participants in instances when new information arises that could affect their willingness to continue participation.

But neither federal guidelines nor institutional review boards generally require disclosure of results at the conclusion of a study – even if the study is stopped early – any many participants are never told the outcome.

The authors, from the University of Rochester Medical Centre in the US, have drawn up a method to routinely inform patients of study results, based on the publication of a media release from the investigators immediately after a press communication from the sponsor, a phone call to the participants from site staff, and a conference call for research participants two weeks after the results were released.

http://www.outsourcing-pharma.com/Clinical-Development/Keep-clinical-trial-patients-in-the-loop-say-researchers

Related Reading:

Are electronic and personal health records inevitable? – Sure they are but we need education and mentors to make it work!

Surveys Said: Hospitals Cutting Back on I.T. – Time to Get your PHR

Technology “It’s for Those Guys Over There” said the CEO – I Don’t Do Digital Notes
Education not Fear is Needed with Medical Health Records
Healthcare leaders favor personal networks (Personal Health Records) to RHIOs for data exchange
Many Likely to Create Own Online Personal Medical Record – Report
Changing Paradigms – Personal Health Records Showing Real Value – Ask Aetna
Lawmakers Consider Adding Health IT to Stimulus Package – We Need some Congressional Algorithms
Interoperability Advice for the New Administration – AHIC
Implantable VeriChip and Microsoft HealthVault PHR link information

The Future – A Day of Going to the Doctor

Microsoft Office Outlook Connector Available – Synch Email and Calendars - Free

If you use Outlook on two or more computers, this is heavenly, no more having to synch with some 3rd party software by using your hotmail address.  Now I also went one step further and have my website hosted for free at Microsoft Live Office Small Business, so I get even more and it’s all free, so I have been very satisfied.

I used the Outlook Connector to update both my desktop and tablet pc with my calendars, email and contacts, and it does my Windows Mobile for me on the cell phone, so through the Outlook Connector and Office Live for Small Business, I am in synch with my desktop version of Outlook all the time.  For my RSS Feeds I use the Outlook Newsgator Feed software too so it synchronizes with the web version, so even my RSS feeds are all in synch as well.

imageOne more goodie is the Office Live Workspace to connect and share other Microsoft Office Documents, etc.  I recommend all 3 if you are a small business as it had made keeping everything in synch a breeze and I can continue to use both the web and desktop versions in harmony.  Could be perfect for using in the small medical practice to keep track of everyone’s schedule effortlessly.  BD 

After two betas, the Microsoft Office Outlook Connector 12.1 has now been made available in its final format. With this free add-in, you can integrate your Windows Live Hotmail and Windows Live Calendar directly within Outlook. In this new release, the connector has been improved so that syncing your contacts and email is "faster and more robust," says Alessio Roic, Outlook Program Manager, on their team blog

If you use the new Windows Live Calendar service, you’ll be happy to know that the Connector will also sync your calendars to Outlook – even if you have more than one. And if you are a member of any shared Windows Live Calendars, those can be synced, too.

http://on10.net/blogs/sarahintampa/Get-the-New-Microsoft-Office-Outlook-Connector/

Related Reading:

Microsoft to soon sell full range of Web software – I use and like Office Live for Small Business and Office Live Workspace

Microsoft Office 14 for Web – First Look

Microsoft Offers Free Web-Based Office Extension - Software as a Service
Microsoft Delivers Office Live Workspace Beta
Windows Live Services – Wave 3 – Free Download
Microsoft Store Opens On The Web For U.S. Shoppers – Software and Hardware
Microsoft BizSpark – Free help, Software, Venture Capitalists and Angel Connections

Pfizer Buys Rights To A Drug To Fix Collagen build up Penis affliction

Xiaflex is the name of the drug, but there are also other potential functionalities to the drug, in other words other parts of the body that develop a build up of collagen for example.  Collagen build up in the wrong areas of the anatomy can be a problem, even though we are always searching out and looking for collagen injections for better appearances in the facial area for one.  BD   

Yes, the drugmaker will spend $75 million upfront and up to $410 million to buy the rights from Auxilium Pharmaceuticals to develop an experimental med for combating Peyronie’s disease, in which the buildup of collagen on the shaft of the penis reduces flexibility and makes intercourse uncomfortable.

http://www.pharmalot.com/2008/12/pfizer-buys-rights-to-a-drug-to-fix-a-curved-penis/

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Doctor finds foot growing in brain of infant during surgery

Not only a foot, but also part of an intestine was in the brain.  Strange stories about the human anatomy, but perhaps lifesaving here.  I have read about teeth as an example being found in ovaries too, but a foot in the brain with part of an intestineimage where it does not belong is very strange indeed and no doubt would have caused big problems as the infant grew.  BD

A pediatric brain surgeon Colorado Springs, Colorado was operating on a 3-day-old baby and found a foot growing in his brain. "The foot literally popped out of the brain," Grabb told TheDenverChannel Wednesday. The appendage threatened the newborn's life.

When [Dr. Paul] Grabb performed the life-saving surgery at Memorial Hospital for Children in Colorado Springs, he was in for another surprise: he also found what appeared to be parts of an intestine in the folds of the infant's tiny brain, in addition to another developing foot, hand and thigh.

Doctor finds foot growing in brain of infant - Boing Boing

Prozac may have some value with the battle against cancer

The good news is that many physicians prescribe Prozac for cancer patients anyway as depression relief.  I can understand this by all means as anyone receiving that diagnosis, would immediately feel depressed by all means, a diagnosis nobody wants to hear. 

The article states more studies are needed, but this sounds encouraging for an additional benefit for cancer victims with enhancing the efficiency of other cancer drugs being used for treatment.  BD 

“In their laboratory experiments, the Tel Aviv University scientists led by graduate student Mirit Argov together with Prof. Rimona Margalit, found that Prozac enhanced doxorubicin's efficacy more than 1,000%. Prozac, in effect, worked to block the cancer drug from leaving the interior of the cancer cell and poisoning the healthy non-cancerous cells that surrounded it.”

Prozac is regularly prescribed to ease the emotional pain of patients who are being treated for cancer. But can this common anti-depressant help to fight cancer itself?

Dr. Dan Peer of the Department of Cell Research and Immunology at Tel Aviv University is proving that it can. A study he and his colleagues recently completed validates that Prozac (chemical name fluoxetine) dramatically enhances the effectiveness of a widely used anti-cancer drug.

"The good news is that the medical community won't have to wait — Prozac can be used for this purpose right away," says Dr. Peer, noting that doctors in the U.S. already prescribe it to treat depression in chemotherapy patients.

http://www.physorg.com/news148830316.html

Obesity increases lymphedema risk for breast cancer survivors

One good reason to perhaps think about losing weight if one is unfortunate enough to be diagnosed with breast cancer.  Another blogger, Dr. Ramona Bates provided a very nice explanation not too long ago explaining what lymphedema is and can be viewed here. BD

Throughout the world, 10 million breast cancer survivors have a lifetime risk for developing lymphedema, a chronic condition that involves swelling of the limbs and impacts physical and psychosocial health. Second only to the recurrence of cancer, it is the most dreaded effect of breast cancer treatment. In a new study, University of Missouri researchers found that the risk of developing lymphedema is 40 percent to 60 percent higher in women with body mass index (BMI) classified as overweight or obese compared to normal weight women. The researchers recommend increased health education for breast cancer survivors.

"Breast cancer survivors with high BMIs will benefit from education focused on maintaining optimal BMI and lymphedema risk reduction practices," said Jane Armer, professor in the Sinclair School of Nursing and director of nursing research at the Ellis Fischel Cancer Center. "Overweight women have the greatest risk of developing lymphedema and should be monitored closely for changes in symptoms and limb volume, especially those who have cancer treatment to the dominant side or experience post-operation swelling."

Obesity increases lymphedema risk for breast cancer survivors

Related Reading:

Breast Cancer Screening – Radar Breast Imaging in Trials
New Breast Cancer Clinical Trial – Genentech - Trastuzumab-DM1
Breast Cancer Treatments – What is a MammoSite?
The Trial of Their Lives – Breast Cancer Vaccine Report
Personalized treatment for breast cancer

Nice simple explanation from an Oncologist

What is Lymphedema?
Cancer Isn't One Size Fits All – Robin Roberts from ABC and Breast Cancer

Breast Cancer May Regress On Own, Controversial Report Says Up To 22 Percent Of Cases May Disappear Without Treatment

Gates Foundation Awards Library Internet Grants to Speed up Access

With many not having internet access at home, this is big to allow more access to more citizens.  Those who do not have access at home for example can visit the libraries and set up their own personal health records for a simple example and have immediate access to health related information.  BD

The Bill and Melinda Gates Foundation has awarded nearly US$7 million to fund a pilot program aimed at helping public libraries in seven imagestates get faster Internet connections, the foundation announced Thursday. The foundation awarded the money to Connected Nation, a national nonprofit program focused on bringing broadband to underserved areas, and to the American Library Association's Office for Information Technology Policy (OITP). The grants will support improved Internet connections for public libraries in Arkansas, California, Kansas, Massachusetts, New York, Texas and Virginia.

Gates Foundation Awards Library Internet Grants (PC World) by PC World: Yahoo! Tech

Related Reading:

Bill Gates Urges Obama to Increase Spending – Education and Healthcare

Bill Gates Testifies before Congress - more technology education needed before the US falls behind....
Bill Gates granted first Einstein Award

Bill Gates' mysterious new company – “bg3 LLC” – Philanthropy and maybe more

X PRIZE - Gates Foundation providing grant to explore prize for innovative breakthroughs in TB Diagnostics

Boston Software Systems – Workflow Scripting Automation for Hospitals

Today I had the opportunity to speak to Margaret Mayer and Thom Blackwell from Boston Software. The product they both sell direct to hospitals and license imagewith other software manufacturers is the Boston Workstation. The software is best suited for having a computer do the long and time consuming tasks that can be completed in a minute or less with software. The software is used by over 2200 hospitals, mostly in the US, but additional installations exist in Australia, the UK and a few other countries as well.

The concept is pretty basic and it uses the standard Health IT standards for data exchange. The company was actually started a while back with practice management systems for sale and has graduated to the Boston Workstation. It can almost be called an “automated copy and paste” in functionality as it is moving data from the screen to other formats via scripting. Many hospital IT groups have one or two individuals on board who have some scripting knowledge, as there’s a bit of that involved when setting up servers and their functionality, so for an IT department, it’s pretty much a natural.

The interface is also easy enough for an individual to learn as well, so it can be used by either a beginner or an experienced individual. The product is sold directly to both hospitals and other software vendors, who may incorporate the software into an overall larger system and provide the scripting as an optional module or included in the full purchase. For the general office individual a typical scenario might be uploading data from Microsoft Office (Excel, Access, Word), printed text reports, ASTM, HL7, X.12 and XML messages. With the functionality of working with Microsoft Office and most being familiar, this makes for a much smaller learning curve as well.

The University of Pittsburgh Medical Center, for example is using the Boston Workstation to go directly to payers’ web sites to electronically obtain real time insurance eligibility, and then automatically post that information to the patient accounting portion of their McKesson hospital information system. Give this some thought for a moment, when checking insurance eligibility with a person doing the job, there are a few methods and combinations there of to choose from. First of all, you can pick up the phone, sit on hold and wait and this can prove to be a long dubious task.

The second method would be to visit the websites of the insurance carriers and this can involve a lot of time as well, faster perhaps than sitting on the phone, but if the patient has changed carriers, changed policies, which is being done frequently today, you have another time consuming imageprocess right here, some being simple and some that can get very complicated.

The third method would be to let the software do the work for you, in other words with a couple clicks, one would be able to query and gain all the information at once. I think this is pretty much a no brainer when it comes to calculating and ROI and the time with a human doing the work versus software, as anyone who has done any searching on the web can probably relate to. In addition, the information is automatically added, so with methods one and two, someone still has to do the data entry.

The third method with using the software from the workstation also yields some additional benefits with business intelligence and reporting functions, in other words how many queries were ran today, how many individual look ups were performed, how many labs were processed and so on with additional detailed information included. The business intelligence side of the software could also be used with other software programs in place as well.

There are other areas where the scripting can come in handy too, such as the point of registration for patients and could easily be adapted for use in a kiosk for one example. The software can also be used with an electronic medical records system to deliver accurate information let’s say for a new chart being created. We have all done data entry at one point or time and when manually entered via a keyboard, the risk factor for typing errors and other data entry mistakes increases, thus when when a data transfer is done versus taking the time to have to manually re-type all the information into another software program the error rate goes up.

I related immediately to both the time saving and error reduction with the software being that I had myself, a few years ago somewhat created a similar type of project that worked with the electronic medical records system I wrote and another program from another software vendor to do something very similar, in other words re-use the information to populate the other program and vice versa, and even in it’s simplistic format, it was already saving, and still saves a huge amount of time for my clients still using the system.

The Boston Workstation is almost like having your own “electronic employee” going to work for you. Until the interview today I was not aware of the software and realize what a huge timesaver it can be, as without the use of automation through a simple scripting software program, a programmer is going to have to start from scratch to create an application such as this, so even from the development time with programmers and code, vendors such as McKesson use the software as it save them time in developing a similar type of software. Why re-invent the wheel in other words.

I thank both Margaret and Thom today for taking a few minutes out to discuss their product and it was truly a very educational and informative discussion and I learn new things every day. Below I have included some basic information from the website and for more information, you can use the link below to find out more and check out the ROI tool on the site, worth taking a look. BD

From the website:

Task Automation

  • Data Entry
  • Report downloads
  • Regular report printing
  • Excel uploads
  • Pricing updates

These are just a few of the simple task automation projects that Boston WorkStation does quickly and easily. In addition to saving time, Boston WorkStation allows you to reassign your staff to be more productive and eliminates costly errors.

Boston WorkStation is task automation software that allows healthcare organizations to automate thousands of common tasks, manage workflow and improve productivity. As a highly sophisticated scripting tool, Boston WorkStation scripts are very logical - they make sense to users and that makes them easier to develop in the first place.

image

Boston WorkStation comes “fully loaded” with features and capabilities that other companies charge more for, including:

  • Universal data parsing
  • Scripting tool for the internet
  • Built-in logging and reporting
  • Print Controller for Meditech C/S
  • Script scheduler
  • Universal connectivity
    Biometric Devices
    Bar Code Readers
    Palm Pilots
    Pagers
    Faxes

http://www.bostonworkstation.com/

iPhone Applications – New Flatulent Ring Tones, Keyboard and More

Well next time you hear that sound, it might just be someone’s phone!  This struck me to be a bit funny, but it appears the applications are imagebecoming very popular and there are quite a few of them, even a program with keyboard sounds.

Marketing is getting pretty out there these days with competition, so I guess almost anything that might sell, flies.  2 of the applications are on the top 100 list, so watch for that person with the iPhone having some fun with their phone, or at least we hope it’s the phone (grin) and the iFarts at work.  BD   

“A new power is rising in Apple’s App Store. You might think it’s all the great games that have been coming out recently for the iPhone platform —  but you’d be wrong. There’s a trend that rising much more quickly: Fart applications.

Just yesterday alone, I counted 14 new fart apps for sale in the App Store — and I probably missed a couple. Let me repeat: 14 fart applications, just yesterday! “I really hope this isn’t the start of a new trend,” TechCrunch’s Jason Kincaid wrote last week. Trend? It’s an epidemic!

Ever since Apple loosened its rules on crude apps, these apps have been flooding the store at what I can only imagine is a greater rate than booze flowed after Prohibition was repealed.”

http://venturebeat.com/2008/12/18/apple-approved-14-new-iphone-fart-apps-yesterday-alone/

Quick Books – Securities and Exchange Version?

I say this somewhat in jest as everyone who has a business knows the software, but in principal what’s wrong with having some enterprise auditing software in place that does just that – audits.  Quick Books connects business owners easily to their auditors, so when we have such large sums of investor money at stake, why not, and why haven’t we explored something along this line?  image

With Wall Street, we have all seen what happens with algorithms written to produce the desired results and what is used to make decisions, so I think now it’s truly time to entertain some serious software with some government agencies instead of relying on paper reports.  There were quite a few charity healthcare organizations affected with this situation of fraud.  This year the FDA has been shamed by it’s lack of technology and now it looks as if the focus is moving to the SEC as well. Hopefully we will have some leaders at the top with some first hand knowledge of how technology can also prevent some of these disasters, as it certainly helped them occur as the folks on the other end of the stick sure had it and invested heavily in technology

In the meantime, we have this other small investigation at National Lampoon by the SEC, small by comparison by all means but capturing media attention.  The folks at Animal House don’t worry me anywhere near the issues of the big investment firms by any means.  With the move for transparency today, we need to have some of this business intelligence information up front with the technology that is capable of keeping most honest.  The technology is there, all we need now are end users.  BD   

Securities and Exchange Commission investigators discovered in 2006 that Bernard Madoff had misled the agency about how he managed customer money, according to documents, yet the SEC missed an opportunity to uncover an alleged Ponzi scheme. The documents indicate the agency had Mr. Madoff in its sights amid multiple violations that, if pursued, could have blown open his alleged multibillion-dollar scam. Instead, his firm registered as an investment adviser, at the agency's request, and the public got no word of the violations. Harry Markopolos -- who once worked for a Madoff rival -- sparked the probe with his nearly decade long campaign to persuade the SEC that Mr. Madoff's returns were too good to be true. In recent days, The Wall Street Journal reviewed emails, letters and other documents that Mr. Markopolos shared with the SEC over the years.

Madoff Misled SEC in '06, Got Off - WSJ.com

Related Reading:

“Beware of Geeks Bearing Formulas”…Warren Buffett
How Wall Street Lied to Its Computers – Software and Programming

ZietGeist – a movie that discusses the future

Wall Street Greed and Fraud Hits Boston Hospitals and Healthcare - donors bilked out of millions

Will Greed lead to Meltdown of the Health System?
The 2 New Hot Words in Healthcare: Algorithms and Whistleblowers
Congress to industry: 'We need your help'
The 2 New Hot Words in Healthcare: Algorithms and Whistleblowers
Bringing Providers, Health Care Executives and Administrators into the 21st Century

Blue Tooth coming to Medical Devices, glucose monitors, heart monitors, etc. soon

As of now, we have still had to connect the devices via usb to our computers, but with the new technology, device manufacturers finally have an alternative so the transmission would be wireless.  The old blue tooth technology was not sufficient, but apparently this is ready to go to market imageand be sold to those who make the units to incorporate the new protocol. 

It would certainly beat using the cords by all means.  BD 

(PRWEB) December 17, 2008 -- Facilitating the entry of Bluetooth into the medical device industry is the modern protocol analyzer, now updated to effortlessly examine not only the wireless interface between devices, such as a glucose monitor and a telephone modem, but also the interface between the device CPU and the Bluetooth chip inside the device. The advanced capabilities of today's protocol analyzer software help to overcome the fear associated with "cutting the umbilical cord" to traditionally hard-wired elements.

"By embedding Bluetooth technology into your product you gain access to an expanded market, one that I would argue is a very important market because of the exploding geriatric population and the increasing number of people with chronic diseases," says Pierre Landau, Ph.D., president of Tucson, Arizona-based Polymap Wireless.

Newly Available To Medical Device Manufacturers - Bluetooth Testing Equipment

Aetna Cuts 1,000 Employees

Some of this may be due to the economy, but the insurance business invests big time in technology so there is still the attrition that goes on with computers doing some of the work that was done by people in the past.  The insurers still have vast billion dollar pools of reserve cash on hand as well.  BD 

The company just said it’s whacking 1,000 jobs. The move is tied to “the company’s growth outlook for 2009,” Aetna said. The company is projecting earnings per share growth of 3% to 5% for next year — way down from the fast growth the company has been seeing recently.

http://blogs.wsj.com/health/2008/12/17/aetna-cuts-1000-jobs/

Department of Health and Human Services inadvertently released Social Security numbers in New Hampshire

Security breach of the week.  I swear I seem to post more articles like this than I ever have on Google or Microsoft, so with the standards each one has as far as keeping the internet secure, I still wonder why we are all beating around the HIPAA security issues with PHRs, as when you protect the enterprise and the world, you have to have very high security standards.  Better training on health care IT would not hurt a bit as well.  BD 

CONCORD – About 9,300 Medicare recipients are being urged to take steps to protect their credit and bank accounts after the state Department of Health and Human Services inadvertently released their Social Security numbers earlier this month.

Associate HHS Commissioner Nancy Rollins said the agency accidentally attached the information in a Dec. 1 e-mail to 61 health providers. The e-mail went to nursing homes, home health-care agencies and Service Link offices that help seniors choose their Medicare Part D plans each year.

http://www.unionleader.com/article.aspx?headline=Personal+information+mistakenly+given+out&articleId=ec080ba8-e1b2-4a2b-8f0d-be09d10c0339

Long Beach Memorial Medical Center Integrates RFID Automatic Tracking System With Epic Documentation Software

Epic is the same company that supplies the electronic medical records system used by Kaiser.  Long Beach Memorial is one very large and busy facility.  Patients as well as assets will now use the technology and can be tracked.  There’s also the business intelligence side of this for reporting and will allow for employees to be moved from one department to another based on real time information, such as patient flow, emergencies, etc.  The tracking system measures and interprets location, movement and interactions between people and equipment.  The software is using standard HL-7 standards, thus it can be formatted to an XML data format and so on as needed.image

Information will contain room assignments as well as staff assigned to the patients.  BD 

Long Beach Memorial Medical Center in Long Beach, California, has successfully interfaced the Amelior EDTracker(R) patient and asset tracking system to their Epic emergency department documentation system. The interface provides real-time patient location information to their documentation system without requiring manual data entry. The automatic tracking system has been in use in the department since 2002 and has assisted the department in reducing patient wait times and length of stay in a department that now treats over 90,000 patient visits annually.

The Amelior EDTracker system automatically tracks patient, staff and movable medical equipment location through an interface to a facility's choice of real-time location network including active-RFID, infrared, ultrasound, ultra-wideband, Wi-Fi and ZigBee. Using emergency department workflow intelligence, the tracking system measures and interprets location, movement and interactions between people and equipment to recognize patient care milestones. Additional intelligence recognizes the significance of events and alerts the appropriate caregivers. By visualizing the real-time care progression of patients based on interfaces to RTLS and department information systems, caregivers are able to manage their workflows more efficiently. This enables departments facing rising patient volumes to increase their effective capacity. Integrated reporting tools including a real-time dashboard and on-demand reports help departments to optimize patient flow further.

Long Beach Memorial Medical Center Integrates PCTS Automatic Tracking System With Epic Documentation Software – MarketWatch

FDA Dr. Andrew C. von Eschenbach Staying until inauguration day

Many others are also leaving and the FDA post is a tough one to fill after the transitions and grilling from the public and Congress over the last year.  I might think the next Commish might even carry a Blackberry, maybe?    I say this in view of the lack of technology in many area of the FDA that has been in the press the last year.  In recent news though, they are not alone, looks like the SEC is next up on the list.  BD  image

WASHINGTON — The Food and Drug Administration commissioner, Dr. Andrew C. von Eschenbach, said Tuesday that he would resign on Inauguration Day, Jan. 20, part of a parade of expected departures at the nation’s crucial public health agencies.   

Leaders of these agencies have sometimes straddled administrations, but the Obama administration is expected to make a clean sweep in part because of repeated assertions that the Bush administration allowed politics to play an unusually forceful role in science policy, and because each of the current leaders has fierce critics on Capitol Hill and in the public health community.

Dr. Elias Zerhouni has already left his post as director of the National Institutes of Health. Dr. Julie Gerberding, director of the Centers for Disease Control and Prevention, wrote in a November e-mail message to her staff that she expects to leave “after the administration changes.” And Dr. John E. Niederhuber, director of the National Cancer Institute, is expected to surrender his leadership job, although he may remain at the institute.

http://www.nytimes.com/2008/12/17/health/17FDA.html?_r=1&ref=us

Twittering from the womb? Tweets via Blue tooth Device

Every time the baby kicks, it uploads a message to the server and can send out a text message to a cell phone.  Just think, migrate this on over to Facebook and Friend Feed.  Good way for the future dad to stay in touch!  You may want to make the tweets private though as you may not have too many followers on Twitter, depending on how often the baby moves, and if you get enough folks doing the same, well all of us who use Twitter know what happens when overload occurs.  BD  image

A new pregnancy belt created by an NYU grad student and worn by his wife notifies him whenever their unborn baby kicks inside the womb.

Dad-to-be Corey Menscher, whose wife, Ellen, is eight months pregnant with the couple's first baby, wanted to (at least digitally) feel each and every kick their active little pre-born babe was making. 

For a class project, the second year grad student invented what he dubbed the Kickbee.

The wearable device made of a stretchable band with embedded electronics and sensors isn't exactly a model of comfort.

Small Piezo sensors attached directly to the band transmit small but detectable voltages when they are triggered by movement underneath.

An Arduino Mini micro-controller wirelessly transmits the signals to an accompanying Java application via Bluetooth.

http://www.nydailynews.com/lifestyle/2008/12/17/2008-12-17_twittering_from_the_womb_how_soon_is_too.html

Fired legal employee can pursue court case against Amgen

 Once more, algorithms and whistleblowers are still two hot words in healthcare.  This case, being an attorney from the company appears to be a imagelittle different from some of the cases in the past.  At least we don’t send whistleblowers mental hospitals as referenced in a recent post regarding a similar story in China.  BD 

A former Amgen Inc. patent lawyer won a victory Tuesday in his effort to get restitution for his firing last year for what he called whistle-blower activities targeting the pharmaceutical giant. A Ventura County Superior Court judge ruled that Darrell G. Dotson of Newbury Park can pursue his case in court -- often a more lucrative path -- rather than through the company's arbitration process. Dotson contended he was fired in August in retaliation for reporting to an Amgen internal investigator what he believed to be "legal and ethical improprieties" at the Thousand Oaks company, said one of his attorneys, Rob Hennig of Century City.

Fired lawyer can pursue court case against Amgen - Los Angeles Times

Related Reading: 

Amgen Sales Rep Can Pursue Wrongful Firing Suit

Whistle-blowers in China sent to mental hospital
Corporate Whistleblowers....Health Care
Merck Whistle blower Wins $68M Award
The 2 New Hot Words in Healthcare: Algorithms and Whistleblowers

Wall Street Greed and Fraud Hits Boston Hospitals and Healthcare - donors bilked out of millions

California Real Estate Bust Meets Amgen Layoffs

Amgen to End Controversial Anemia-Drug Sales Practices

Amgen Sued Over Patient Records Campaign

Face Transplant a First for the US

When the tissue turned pink, the surgeons knew they had succeeded.  This was one very long procedure and was done in teams, starting at 5:00 imageam and all blood had to match of course.  In the related reading there are a couple other post with pictures of previous transplants done outside the US.

80% of the face came from the donor, and this has to be a success as one could not eat or drink should something not work.  Other parts of her body could be used for a skin transplant if needed, but it would not of course look anywhere near the same.  BD 

Siemionow, director of plastic surgery research at the hospital, worked with a dozen specialists to rebuild the face of a woman who was missing her right eye, nose and upper jaw. The deformities left her unable to speak, smell and taste properly. The team transplanted 80 percent of the donor's face, painstakingly hooking up arteries, blood vessels, nerves, muscle and bone; the recipient still has her own chin, forehead, upper eyelids and lower lip.

Face Transplant a First for U.S.: Scientific American

Related Reading:

Two More Face Transplants Show Promising Results - in Surgery

World's First Full Face Transplant Hailed