Interviews Personal Health Records How to Search Bar Code Campaign Ducknet.net

Beth Israel Deaconess Medical Center – Using an Internal Cloud for Virtualized Electronic Health Records for Private Physician Groups

One very incidental item here is the cost, when you read below you can see how virtualization does save money by using existing or less hardware imagethe virtual servers operate on one or a few host machines.  The hospital is using an internal cloud to host the medical records for the physicians on staff to use at their offices.  There are other virtual applications available to day as well that can do pretty much the same as well.  VMware was one of the first virtual applications to hit the market a few years ago.  

The physicians now have software as a service for their medical records with the hospital being the storage silo.  One other essential service deployed was security for the virtuals and they selected a vendor with full integration services.  Even though it is a virtual operating system on a host machine, they still need security and anti virus software.  Virtual servers can also talk to each other in essence and with fall over capabilities, so if one has a problem it simply falls over to the other virtual machine and it is business as usual.    Backing up virtuals is pretty efficient as well.  eClinicalWorks is the ambulatory EHR system used by the physicians at their offices.  The records system at the hospital already has the capability to use both the personal health records of Google Health and Microsoft HealthVault as well.  BD 

PALO ALTO, Calif.--(BUSINESS WIRE)--VMware, Inc. (NYSE:VMW), the global leader in virtualization solutions from the desktop to the datacenter, today announced that Beth Israel Deaconess Medical Center has deployed the VMware platform and transformed its Electronic Health Records (EHR) datacenter into an internal cloud that allows it to deliver a software-as-a-service (SaaS) solution for electronic health records to more than 200 private physician practices throughout Massachusetts. image

Beth Israel Deaconess Medical Center is a preeminent teaching hospital and its renowned staff treats more than 250,000 patients annually. In addition, the Beth Israel Deaconess Physician Organization (BIDPO) provides a variety of services to support hundreds of its member physician practices that are independently owned. BIDPO recently implemented a solution from eClinicalWorks that provides electronic health records and practice management capabilities to help clinically integrate its member practices.

In fact, the value of the cloud-based solution was tested early in the project. A specification was changed unexpectedly and Gillis estimates it would have cost $300,000 to make the necessary adjustments in a traditional hardware-based environment. In the virtualized cloud environment, the cost was $20,000, which represents a savings of 93 percent compared to the traditional approach. Furthermore, changing a hardware-based solution would have required weeks to implement, delaying the project significantly.

VMware Enables Beth Israel Deaconess Medical Center to Deliver Secure, Virtualized Electronic Health Records for Private Physician Groups via Internal Cloud

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eClinicalWorks EHR and Wal-Mart – More Details and Information

Massachusetts Medical Angels Forms to Invest in Life Sciences Startups

I guess there is hope and some the believe in Life Science research after all.  It is tough though trying to figure out which product(s) will make it and even more difficult sometimes is the amount of time for R and D before a product is brought to market.  I didn’t realize that Partners Health Care licensed technology, of which two of the founding members of another fund.  BD 

Richard Anders, a veteran Boston-area entrepreneur and investor, has long shown an interest in life sciences through his affiliations with imagethe Museum of Science in Boston, the Dana-Farber Cancer Institute, the Harvard-MIT Health Sciences and Technology program, and other organizations. Along the way, he’s seen a major problem: many promising life sciences inventions never reach the market. So after spending more than a year thinking about how to solve this problem, he led the formation of an angel investment group called Mass Medical Angels (MA2).

“I had been frustrated,” says Anders, “I wondered what can we do to bring more cash and innovation into life sciences.” The angel group aims to help entrepreneurs in the biotech, medical devices, and other science-related fields raise enough money to make sure that their great ideas for products don’t die on the vine. And though the challenge of raising seed money for life sciences startups predates the financial meltdown, the formation of the angel group could be extremely timely because the down economy has forced many venture firms to reduce their bets on seed-stage companies.

The group’s founding team includes Carl Berke and Roger Kitterman, who are also both partners at Boston-based Partners Innovation Fund, which invests in startups with technology licensed from Partners HealthCare System hospitals, and physician Pushwaz Virk.  “In the software business it’s very tough now to figure out something that hasn’t already been done,” Anders says. “In life science there are enormous needs, tremendously bright minds, and lots of ideas.”

Mass Medical Angels Forms to Invest in Life Sciences Startups—And Get the Ball Rolling for VCs | Xconomy

It’s Raining Medical Records…They’re Blowing in the Wind

Is there any thing else that needs to be said for the beauty and advantage of electronic medical records?  Somebody with a video camera captured all the charts, treatment records, social security numbers, etc. just blowing around.  Thank goodness there are good citizens who took time to take imagenotice.  Everybody in town will now know about the corn on your big toe, and much worse the blemishes on the physician or office manager who won’t return any calls.  At least one office worker made an attempt to pick up some of the papers.  BD  

A CBS 6 viewer called our station early Tuesday morning to say medical records were blowing around the parking lot near Babies R Us on West Broad Street. The caller was concerned that the information could leave people vulnerable to identity theft.

When our Shelby Brown arrived she says she saw hundreds of papers, including medical records for patients who had recently visited the Richmond Dermatology and Laser Specialists, located several blocks away on Mayland Drive.

Shelby says the paperwork was a combination of patient lists, insurance information, social security information, phone numbers and treatment records that included one patient being treated for the herpes virus.

CBS 6 - WTVR, Richmond Va - Medical Records Blowing in the Wind

New Study Shows Nuance’s Dragon Medical Accelerates Transition to Electronic Medical Records

Speech recognition is one more tool that can ease the acceptance and use of electronic medical records.  If you read this blog often enough, there are quite a few posts here relative to their products and acquisitions.  Dragon does work with software vendors to provide an integrated solution not only with electronic medical records, but has also expanded into other areas such as radiology.  The related reading below has links relative to other products from Nuance.  BD

Press Release:

69 Percent of Physicians Say Speech Recognition Makes EHRs Faster and Easier to Use; Nuance & EHR Vendors Launch Dragon Medical EHR Certification Program

“Not only can Dragon Medical pay for itself in three months, but it also integrates with products by Epic®, Allscripts®, Cerner®, GE®, McKesson®, NextGen®, eClinicalWorks® and Eclipsys®. Over 15% of all clinicians have already adopted Dragon Medical in the last four years alone.”

HIMSS 2009, Chicago, April 6, 2009 —  Nuance Communications, Inc. (NASDAQ: NUAN), a leading supplier of speech solutions, today announced results from a new study that shows how Nuance’s Dragon Medical® software, the healthcare industry’s most widely used real-time speech recognition software, can significantly accelerate the transition to, and utilization of electronic health records (EHRs).

image

As EHRs have risen to the forefront of the healthcare information technology (HIT) agenda at the physician, provider organization, government and consumer levels, Dragon Medical software is increasingly recognized as an essential component to successful EHR rollout. According to a survey completed by 1,255 physicians who have adopted Nuance’s Dragon Medical software:

· 83 percent said that it improved the quality of their electronic patient notes;

· 81 percent said that it significantly reduced transcription spending; and,

· 69 percent said it made their EHR faster and easier to use.

Despite strong endorsements for EHRs, their adoption is lagging. Today, less than two percent of U.S. hospitals have fully switched to EHRs, according to a study from the New England Journal of Medicine that was released on March 25, 2009, and a third of the 3,000 hospitals surveyed cited reluctance among doctors to change work habits as a leading hurdle.  To facilitate EHR migration further, Nuance is collaborating with leading EHR vendors, such as Allscripts, to launch the Dragon Medical EHR Certification Program.  While Dragon Medical software already works “out-of-the-box” with more than 150 EHR systems, the Certification Program is designed to optimize clinician use of EHRs by introducing a new standard of speech recognition interoperability.

“Our physician clients have embraced Dragon Medical as the primary and best means of speech-enabling their electronic health records, because Dragon Medical helps them to quickly and easily create high-quality, real-time patient documentation,” said Glen Tullman, chief executive officer of Allscripts.  “Speech is a key component of the electronic healthcare revolution, and Nuance’s certification program will ensure that physicians have a reliable list of electronic health records that will optimize their use of this vital clinical capability.” image

As part of the Dragon Medical EHR Certification Program, EHR vendors complete a Nuance-managed evaluation during which they work with Nuance engineers to further optimize The Dragon Medical software’s interoperability with their EHR. By adding this additional layer of interoperability, physicians and healthcare organizations can confidently make their EHR migration, knowing speech recognition is not only possible, but has been pre-tested and optimized for utmost clinician efficiency.

Dragon Medical and the EHR, Accelerating the Transition 

“The biggest challenge facing the roll-out of electronic medical records contemplated in the American Recovery and Reinvestment Act is achieving meaningful use without adding to physicians’ documentation burden.  This can be accomplished by closely coordinating voice entry with structured notes, rather than treating voice and structured entry as an ‘either-or’ proposition,” said Wes Rishel, vice president and analyst in Gartner’s healthcare provider research practice.

As the Health and Human Services Department  works to define “meaningful use” of an EHR, Nuance believes that Dragon Medical software can help physicians and organizations move toward complying with what will ultimately be considered “meaningful” EHR use, by ensuring that clinicians actually utilize the EHR and that the physician narrative is not lost during the documentation process.  As proven by the more than 100,000 physicians already using Dragon Medical software to dictate the narrative component of their patient visits, speech-driven clinical documentation is available in real-time, notes are more complete and patient care is improved. 

“Today, more than 20 percent of all physicians in North America use speech solutions from Nuance to generate over 800 million electronic medical records a year,” said Peter Durlach, senior vice president of marketing and product strategy, Nuance Healthcare. “Dragon Medical is increasingly recognized as an essential component to EHR rollout as healthcare provider organizations work to implement, and effectively utilize EHR systems to comply with the federal government’s five-year adoption goal, as well as earn their fair share of incentive payments from the American Recovery and Reinvestment Act.”

Dragon Medical software is proven to make clinicians up to 25 percent more efficient with an EHR when compared to using a non voice-enabled system. And, as supported by a May 2007 report issued by KLAS, 76 percent of clinicians using “desktop” speech recognition – to directly control an EHR system - report faster medical report turn-around time, better service to patients, sharply reduced costs and increased productivity. Benefits for healthcare organizations that provide physicians with a speech-enabled EHR include:  

· Reduced Transcription Costs - By enabling clinicians to dictate directly into the EHR system with real-time speech recognition, healthcare provider organizations can eliminate significant operating costs associated with traditional manual transcription.

· Faster Medical Report Creation - Using speech, physicians can create patient documents at the point of care, resulting in faster turn-around times and more accurate, thorough patient records.

· More Detailed Documentation - According to physicians, the narrative is the most important part of a patient note. A medical record that combines point-and-click EHR templates with dictated physician narrative promotes ongoing higher quality care.

· Increased Overall User Productivity and Satisfaction -  By using speech recognition to navigate and dictate directly into the EHR system, clinicians can eliminate hours of typing, clicking and scrolling, allowing them to spend more time providing high quality patient care and increasing their satisfaction with the entire documentation process

For more information on the Dragon Medical EHR Certification Program or Dragon Medical software visit http://www.nuance.com/CertifiedEHRs

Nuance’s Healthcare Business

Nuance’s healthcare portfolio of proven, speech-enabled clinical documentation and communication solutions enable healthcare provider organizations to improve financial performance, enhance patient care, and increase patient safety. With more than 3,000 healthcare customers worldwide, Nuance has the experience and solutions that meet the individual needs of any size healthcare provider organization.

Related Reading:

Nuance Previews Enterprise Workstation Version 8 at HIMSS

Medical Transcription Jobs Not Recession Proof – Speech Recognition and Some Outsourcing Moving In

RadWhere from Nuance brings speech recognition to the Radiology Department
Nuance RadCube - New Business Intelligence for Radiology Announced..
Nuance Paying 35 Million for the Acquisition of Zi – Canada
U.S. Military Embraces Nuance's Dragon NaturallySpeaking Medical to Drive Clinical Documentation with AHLTA
Nuance and IBM to license and integrate speech technologies
Nuance to Buy eScription
Nuance to Acquire eScription...software as a service...
Nuance takes over Philips Speech Recognition Systems
More Than 70,000 Healthcare Providers Use Dragon Medical for Voice-Driven Clinical Documentation

Customer Service with Twitter – Blue Cross Blue Shield Health Insurance Will find You

After this post there may be more learning how to use Twitter.  The individual in the video wanted to sign up for health insurance and just sent out a tweet.  This happened to be the office for Blue Cross Blue Shield in Illinois, so no word on if all the branch offices may work with Twitter, or how soon they will scan Twitter, but that is how they found her by scanning Twitter for posts relative to Blue Cross Blue Shield insurance. 

The companies scan the tweets and you could always use a Twitter hash as well.  Interesting in watching the video, the employee here was serious about Twitter and had Tweet Deck (a software client used to read tweets) up on the screen and was working it!  I like Tweet Deck too as a Twitter Aggregator to organized my reading material. 

It just so happens earlier today I made a post relative to getting help and some links to find books on the subject, so if you need more help being social on the web, this link may offer a few hints. 

Need Help with Social Media and How to Use It – Books, Online Training and Help

On the other side of the coin also remember, everything you put on Twitter is open territory for all to read unless you protect your updates and allow only selected individuals.   Other companies such as Dell are also using Twitter, although I could not see doing a customer support call with PC problems on Twitter, but it might do the trick and put you in contact instead of being transferred around a busy pbx system. 

This is part of the reason Twitter is so popular, it’s easy and you have 141 characters to make your statement, and it is mobile and works on cell phones too, so you tweet whenever you desire.  Who’s going to be next on Twitter scanning?  Hopefully we don’t end up with the equivalent of phone solicitors on Twitter as a result of someone else trying to make a buck with customer service, as this looks to be pretty nice and easier than email too.  BD 

 

http://www.myfoxchicago.com/dpp/news/twitter_feedback

Orange County Doctor Gives up License – Medicare and Medicaid Billing Fraud

In southern California, another case of fraud.  Not too long ago there were 3 other senior doctors involved in medication fraud in other states.  It’s strange to see a rising number of physicians over the age of 65 involved in fraud.  He also received 3 years probation.  BD 

A Huntington Beach doctor will surrender his medical license because of his involvement in a scam that bilked government health insurance out of $1.5 million.

Dr. Neil Hollander agreed to give up his license, effective June 1, in an agreement reached with the state medical board.

According to the attorney general's office, Hollander worked at Scott Medical Center in Burbank, where patients were recruited to undergo unnecessary exams. Medical records were allegedly falsified by a physician's assistant to bill Medi-Cal and Medicare for procedures that were never performed.

OC doctor gives up license in Medi-Cal fraud | medical, hollander, license, scam, board - Life - OCRegister.com

Related Reading:

Senior Doctors: Drug allegations/convictions in the News

i-FACTOR™ Bone Graft – Enhanced Healing processes for Growth

The product is under clinical trials here in the US but is available outside the US.  I seem to remember having some of this done when I had my dental implants to create bone mass in my jaw, maybe not the same product but it sounds like the same or similar type of process.  I know it worked.  BD 

i-FACTOR™ bone graft is the only bone graft substitute that uses a unique anorganic bone mineral (ABM) and small peptide, P-15™, that imageacts as an attachment factor for specific integrins in osteogenic cells. This novel mechanism of action enhances the natural bone healing process in orthopedic applications resulting in safe, predictable bone formation at a fraction of the cost of conventional growth factors.

ABM/P-15 was originally developed for use as a bone substitute in dental applications and later for orthopedic applications

image 

The Series B financing will be used to accelerate the company’s investment in sales and marketing to meet the demand for i-FACTOR products outside the United States as well as continue to fund ongoing FDA clinical trials in the USA for spinal applications and other indications of i-FACTOR technologies under development.

http://www.cerapedics.com/intl/Home

Medtronic – 1000s of the Sprint Fidelis Defibrillator Cables May Stop working in the next few years

This is somewhat scary as with a medical device it is not a visitor, it comes to live with you.  Tissue over time grows over the cables which in some instances can make the removal process even more complicated.  Many have had the cables removed/replaced, but it is not a simple process.  It is imagealmost easier to replace a device and reconnect to existing cables, but not an option here. 

The built in batteries of the devices have a lifetime of around 5 years, so at that point, when replacing a device, the decision is there to replace the cables at the same time.  The physicians performing the removal process state that the learning curve is pretty large too, which brings up the next issue, finding a facility and physician who is qualified and knows how to do the removal procedure of the wires.  

One patient had tissue so overgrown that the wire ended up in a vein.  The Sprint Fidelis was formally recalled by Medtronic, as it sometimes failed to give the life saving jolt and on other occasions the opposite occurred with a number of jolts when not needed.  There are over 1000 legal cases filed and so far Medtronic has been shielded, and either Medicare or private insurance pays for the $15-20k procedure.  Normally I don’t have much in the way to say about insurance coverage, but in this particular case to me it seems like it should involve some monetary compensation from Medtronic to replace the wires, and in return the patient would not go to court, it comes right back around to somebody paying the bill.  BD 

BOSTON — Pulling a medical device off the market is one thing. Removing it from the bodies of thousands of patients is a lot more complicated and dangerous.

Consider the Sprint Fidelis, a heart defibrillator cable. In 2007 its maker, Medtronic, stopped selling it after five patients who had the imagecables died.

But only now is the full scope of the public health problem becoming clear for the Sprint Fidelis, which is still used by 150,000 people in this country.

Medtronic estimates that the cable has failed in a little more than 5 percent of patients after 45 months of being implanted. But as a preventive measure, some patients with working cables are having them removed.

Already, four patients have died during extractions. Experts fear that the toll could quickly rise if such procedures are not performed by skilled doctors at medical centers that have performed many of the operations. 

Even experienced cardiologists at well-regarded hospitals, like Dr. Laurence M. Epstein at Brigham and Women’s Hospital here, consider the procedure challenging.

Dr. Epstein recently operated on a patient, a 63-year-old man, whose Sprint Fidelis cable had become so overgrown with tissue that it was stuck inside a major vein.  Medtronic is supplying replacement cables, but the cost of the operation to implant a cable, which can run $15,000 to $20,000 is being borne by Medicare or private insurers.

Removing Medtronic Heart Cables Is Hard Choice - NYTimes.com

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Need Help with Social Media and How to Use It – Books, Online Training and Help

This site has some offerings for those who are socially challenged, on the internet that is.  There are even a few books, screenshots of a few below that can help.  Just my opinion here on books and I am a geek, it’s just as easy for me to use F1 (help) and start socializing, but I realize everyone is not perhaps as fast as I am so perhaps there’s some help with reading a book.  The Twitter book appears to be marketing the business crowd and as I understand we have new Twitter marketing practices and programs on the horizon.  BD 

LinkedIn®, Twitter®, Ecademy®, Facebook®...You've heard the names and may even be using some of the social media tools for personal communication and networking.  But, have you considered how you can use them to promote your business?

image image image

Jim Browning's "What is Social Media?" FREE Web Based T... - Eventbrite

Simple Finger Device May Help Predict Future Heart Events – Endo-PAT2000 System

Screening and detection is getting to be more interesting by the day.  By having your finger screened, the odds of having a major cardiac event can now be determined, as the report from May states it worked pretty well.  The company already has a watch that can be worn as well which is also FDA approved and has ambulatory coverage for Medicare and Medicaid for diagnosing and treating sleep apnea.  Perhaps this is a sign of the times with new technology, one may not have to spend a couple nights in a sleep center eventually. 

The finger device basically assesses risk by measuring blood flow.  It is to be used in a physician’s office so the devices could begin showing up at a cardiologist office near you soon.  BD 

Results of a Mayo Clinic study show that a simple, noninvasive finger sensor test is “highly predictive” of a major cardiac event, such as a heart attack or stroke, for people who are considered at low or moderate risk, according to researchers.image

The study will be presented Tuesday, March 31, 2009 at 11:30 a.m. EDT at the American College of Cardiology Annual Scientific Session in Orlando (0917-7).

The noninvasive finger test device, called the EndoPAT by Itamar Medical, measures the health of endothelial cells by measuring blood flow. Endothelial cells line the blood vessels and regulate normal blood flow. Research has shown that if the cells don’t function properly — a condition called endothelial dysfunction — it can set the stage for atherosclerosis (hardening of the arteries) and lead to major cardiovascular health problems. Previously, there was no simple test for endothelium function, says Amir Lerman, M.D., a cardiologist at Mayo Clinic and the senior author of the study.

From the website:

Endothelial Function Assessment with Endo-PAT2000

Endo-PAT2000 System is a noninvasive method to evaluate endothelial function.

Endo-PAT2000 adds an important dimension to cardiovascular prevention by enabling physicians to reliably measure endothelial function and identify pathological cases of endothelial dysfunction. Endothelial dysfunction is the earliest clinically detectable stage of cardiovascular disease.

Endothelial Function Applications:image

  • Basic science and clinical research
  • Pharmacological protocols - assessment of drug efficacy
  • Primary prevention of Coronary Artery Disease (CAD) - implementation of clinical protocols for early diagnosis
  • Evaluation of treatment protocols

Endo-PAT2000 is an easy to use, office-based device for assessing endothelial function. The PAT signal is recorded using Itamar Medical's, noninvasive, pneumatic, finger bio-sensor. The data recorded is analyzed automatically. Advanced Digital Signal Processing (DSP) algorithms and reports are available within seconds of completing the test.

Endo-PAT2000 – Assessing Endothelial Function
  • Noninvasive
  • Easy to use
  • User independent
  • Automatic data analysis
  • Supports both clinical and research applications
  • Reliable and reproducible results
  • FDA cleared and CE marked

Mayo Study Shows Simple Finger Device May Help Predict Future Heart Events, Such as Heart Attack « Mayo Clinic News

Schwarzenegger and Celebrities Lobby for Better Health Care

Dr. Oz has been talking quite a bit of late.  We now have stimulus funds for electronic medical records, so how about some funds to help keep the doors open in some areas.  This month I will have a lengthy listing on my Desperate Hospitals update, thanks to readers supplying me with many more additional details than I normally post.  The documents will be in in web  based embedded format with all the details.  I started the series back in August of 2008 when Century City Hospital, that sits right there with all the big corporate headquarters in Los Angeles had to go bankrupt. 

For me, that was the first sign that something was wrong.  Hospitals and not just failing corporations need help.  BD 

LOS ANGELES (Reuters) - California's Gov. Arnold Schwarzenegger, CEOs and celebrity doctors took up U.S. President Barack Obama's campaign for healthcare reform on Monday, saying millions of Americans need help.

The gathering in Los Angeles marked the fifth and final White House forum on healthcare across the nation and came as the deepening economic crisis added new urgency to calls for reform. Millions of people have lost jobs and their employer-provided health insurance.

"The American system of healthcare is falling far short of its mission -- leaving millions of our fellow citizens in poor health and with inadequate care or no care at all," said Schwarzenegger, who along with other governors, has taken a crack at state reform.

"The most expensive healthcare is bad healthcare," said Dr. Mehmet Oz, who moderated Monday's forum and is best known for his appearances on Oprah Winfrey's television talk show.

Care is not equally distributed, expensive emergency rooms have become a dumping ground for the legions of uninsured and medical bills are the No. 1 cause for personal bankruptcy.

Schwarzenegger, stars lobby for U.S. health reform | Reuters

Nuance Previews Enterprise Workstation Version 8 at HIMSS

If you are not at HIMMS, here’s a new addition being demonstrated at the show.  Last year when I was there I actually was looking for trouble and decided to try and dictate in the noisy convention hall, and I was actually surprised as the speech recognition did better than I thought it would and I was using dual array microphones with no headset.  I have posted several articles about Nuance and there’s additional information on their products under the related reading area.  BD 

Press Release:

HIMSS 2009, Chicago, April 6, 2009 Nuance Communications, Inc. (NASDAQ: NUAN), a leading supplier of speech solutions, will preview version 8 of its Enterprise Workstation at booth 1448 at the Healthcare Information and Management Systems Society (HIMSS) 2009 annual conference, held at McCormick Place in Chicago this week.  The latest version of Enterprise Workstation is offered as a documentation workflow add-on for the Dictaphone Enterprise Speech System, allowing physicians the option to dictate, self-correct, and electronically sign medical reports in a single step without the need for imagetranscription.

Building on the latest Dragon Medical-based speech recognition technology that powers Nuance’s successful Dictaphone Enterprise Speech System, an on-premise computer aided medical transcription (CAMT) solution, Enterprise Workstation v8 introduces significantly-improved front-end speech recognition as a physician alternative to the background-speech-assisted clinical documentation process.

“With Enterprise Workstation, physicians can eliminate the time lag associated with traditional medical transcription and healthcare organizations can reduce the costs of these services. By allowing physicians to create and sign medical reports in one sitting, Nuance solutions make the whole documentation process more efficient,” said Peter Durlach, senior vice president of marketing and product strategy, Nuance Healthcare. “Our solution provides a single enterprise-wide, on-premise platform with the latest medical speech recognition technology, delivering both front-end, real-time speech capabilities and background-speech-assisted transcription. These dual workflow options make it easy for healthcare facilities to manage physician documentation preferences and reduce transcription costs.”

With Enterprise Workstation, physicians can choose to eliminate the traditional clinical documentation process of sending dictations to transcription. Rather, clinicians can easily use Enterprise Workstation from their desktop or notebook computer to automatically recognize their dictation for real-time documentation, edit and electronic sign-off. Physicians can edit using a keyboard, mouse, and standard word processing tools, or with voice editing capabilities can utilize voice commands and microphone controls to navigate the document. Physicians also have the option of hands-free dictation, via a USB headset and foot pedal.

The latest version of Enterprise Workstation supports all physician dictation styles, offers multiple medical language models, multi-user voice editing, sophisticated shortcuts and templates, along with other enhanced features. Enterprise Workstation also provides remote connectivity from multiple locations or home for dictation, review and sign-off. Physicians simply open a browser and connect to a web server to access their profile and speech files.

In addition to the Dictaphone Enterprise Speech System on-premise CAMT solution, Nuance also offers the eScription on-demand, enterprise-wide CAMT platform. For more information on which CAMT solution is best for your organization, visit http://www.nuance.com/healthcare/ or call 1-800-350-4836.

Nuance’s Healthcare Business

Nuance’s healthcare portfolio of proven, speech-enabled clinical documentation and communication solutions enable healthcare provider organizations to improve financial performance, enhance patient care, and increase patient safety. With more than 3,000 healthcare customers worldwide, Nuance has the experience and solutions that meet the individual needs of any size healthcare provider organization.

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Nuance Paying 35 Million for the Acquisition of Zi – Canada
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Nuance to Buy eScription
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Microsoft Amalga at Wisconsin Health Information Exchange – Video about their RHIO Solution

For those not at HIMMS this week, here’s a video with the Wisconsin Health Exchange discussing their choice of Amalga from Microsoft for their solution for integrating and aggregating data in the ER rooms.  I covered the original release a short while back, additional information here. 

In addition, I had the chance to speak with Steve Shihadeh, vice president, Microsoft Health Solutions Group and we talked about this particular solution as well.  More information here and under the related reading section.  Amalga uses the technology of SQL Server as part of the entire solution to connect all the emergency rooms.  In the video they discuss the reasons for their selection and how the system is functioning.  BD  

image

Related Reading:

Steve Shihadeh, VP Microsoft Health Solutions Group – The Amalga Software Solution for Aggregating Hospital Information (Interview)

Wisconsin Health Information Exchange RHIO connected with Amalga from Microsoft

There’s No Good Reason to Delay Data Liquidity and Information Sharing in Healthcare..

Two More Hospitals Sign for Amalga from Microsoft
Wisconsin Health Information Exchange RHIO connected with Amalga from Microsoft

FDA approves AirStrip’s iPhone application – Doctors can Track Expectant Mothers and Unborns

This has been out for other phones but now add the iPhone.  The hospital needs to have the AirStrip system in order to use the software.  The FDA also approved use for the Blackberry today.  BD 

San Antonio-based AirStrip developed the AirStrip OB mobile medical software application as a way to give doctors the ability to track expectant mothers and their unborn babies via their wireless devices.image

Cupertino, Calif.-based Apple (NASDAQ: AAPL) will sell AirStrip’s software online to qualified doctors at the Apple App Store. Doctors will be able to download the application directly onto their phones. Through the application, doctors are able to remotely access data on the mother and child, including heart rate and contraction patterns as well as notes and exam results. In order for doctors to use the application, a hospital must first buy the AirStrip system, which works with the hospital’s existing patient-monitoring.

The AirStrip OB/iPhone application is already available on PDAs and Smartphones and other Windows Mobile-based devices.

FDA approves AirStrip’s iPhone application - San Antonio Business Journal:

What’s the Future of the Pap Smear versus the DNA Test

This article goes into both the pros and cons of the DNA test, and there are advantages on both sides.  More than likely when it comes right down to brass tacks, who will pay for it, like everything else out there.  If it is only $5.00 like it is in China, then no problem; however as one physician stated, some conditions cure themselves in a couple years and could lead to over treatment. 

The DNA test is faster, hours instead of days, but more than likely the pap smear will be around for a number of years as DNA testing is still fairly new as well.  BD 

A new DNA test for the virus that causes cervical cancer does so much better than current methods that some gynecologists hope it will eventually replace the Pap smear in wealthy countries and cruder tests in poor ones.

Not only could the new test for human papillomavirus, or HPV, save lives; scientists say that women over 30 could drop annual Pap smears and instead have the DNA test just once every 3, 5 or even 10 years, depending on which expert is asked.

Their optimism is based on an eight-year study of 130,000 women in India financed by the Bill and Melinda Gates Foundation and published last week in The New England Journal of Medicine. It is the first to show that a single screening with the DNA test beats all other methods at preventing advanced cancer and death.

Significantly, none of the women who were negative on their DNA test died of cervical cancer. “So if you have a negative test, you’re good to go for several years,” Dr. Blumenthal said.  Cervical cancer is caused by a few of the 150 strains of the human papillomavirus. Women pick strains up as soon as they start having intercourse, but more than 90 percent of cases clear up spontaneously within two years. Early DNA tests would find these, but lead to useless overtreatment.

Dr. Jan Agosti, the Gates Foundation officer overseeing its third world screening, said Qiagen’s new $5 test — which proved itself in a two-year study in China — runs on batteries without water or refrigeration, and takes less than three hours. In countries where women are “shyer about pelvic exams,” she added, it even works “acceptably well” on vaginal swabs they can take themselves.

DNA Test Outperforms Pap Smear - NYTimes.com

Frank Torti Says Goodbye to the FDA

What happens when you tell people not to leak information today, they leak it.  We saw plenty of that action on Wall Street as well with the same types of inter office memos, etc.  He states that it is too bad that much of what goes on inside the FDA is perhaps not visible to those outside the FDA and for good reason on some projects, but there’s always someone ready to leak any information today.

I think it’s a tough trying time today at the FDA as the lack of technology set them back and forced a few surprises that may have been dealt with differently if technology and business intelligence had been present, but that’s only one side, the other side with drug, device and food safety is another and the technology for all 3 has also grown, so challenges are there too as we read in the news.  BD 

Not long after sending out a memo warning FDA staff about leaking confidential information — and then seeing the memo get leaked — Frank Torti sent out a farewell message to the staff on Friday. That, too, was leaked, and it offered some interesting words on the state of the agency:

Torti’s Farewell Memo to FDA Staff: ‘Take the FDA Back’ - Health Blog - WSJ

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Sun Microsystems’ Future – HHS Uses many of their technologies

It was just published that a buyout from IBM is not looking likely, so what will happen to Sun?  If the IBM offer dries up, who’s left, Oracle or Microsoft, anyone else?    Hopefully someone will buy before a bail out issue would appear I hope.  We all use Java in our browsers as well, which many of us remember from years ago going from Windows Virtual Java to the real Java.  That represents only one portion of their business.  image

“Chicago HIMSS, April 6, 2009 Open source software from Sun Microsystems Inc. (NASDAQ: JAVA) is enabling the United States Department of Health and Human Services (HHS) to build a secure, open technology platform to connect federal government agencies and health information exchanges in a "network of networks"--the Nationwide Health Information Network (NHIN)--built over the Internet.”

Just as a novice speaking here it appears that their technology is too interwoven for any of it to go by the wayside by all means.  One of the products I like is Virtual Box which was purchased by Sun a couple years ago, and I use it for all my virtual desktops so I can switch to Ubuntu or another operating system quickly and have been happy with how it performs.  BD 

The murk surrounding Sun Microsystems (NSDQ: JAVA) and its stalled acquisition talks with IBM (NYSE: IBM) isn't stopping the federal government from awarding key contracts to the troubled tech vendor.

The U.S. Department of Health and Human Services is relying on Sun for a number of critical open source technologies as it builds out a so-called "network of networks" designed to electronically connect key players in the nation's health care system and help fulfill a major campaign promise.

On Monday, Sun disclosed that HHS is using a range of Sun open source technologies to build out the Nationwide Health Information Network (NHIN). Among them: Sun's GlassFish application platform, its Java Composite Application Suite SOA platform, and the Sun Java Identity Management Suite.

Yet the company retains key widely used assets, including the Solaris operating system, the open source MySQL database -- which boasts more than 11 million installations -- and the Java programming language.

Feds Tap Sun For Healthcare IT Despite Uncertain Future -- InformationWeek

Layoffs and Budget Cuts hit the AMA (American Medical Association)

This is not quite ten percent, but still a big chunk as 1200 employees total is not huge.  BD 

Citing the need to reduce its operating budget “to offset declining revenues,” the American Medical Association announced this afternoon that it would eliminate 100 selected open and existing staff positions from its 1,200-employee staff with layoffs occurring at both its Chicago and Washington offices. The cuts amount to 8.3% of its staff.

The staff reductions go in effect May 4.

AMA cutting 100 positions - Modern Physician

U.S. Congress has an inadequate understanding Value of Health IT – HIMMS Opening Session

I am glad someone else besides me chimed in on this topic.  We do need the “smart people” in areas where complicated data issues are decided.  I have coined a term “Magpie Healthcare” which is what we end up with with individuals on the front line not having some expertise in at least some areas of technology, other than being just a mediocre end user.  The SEC/Madoff scandal certainly made a big case there, as when presented with information in a format unfamiliar, nothing was done as it was not understood, so we need some individuals to be the nerds and bring the algorithms at a top level. 

The Right People, but Maybe in the Wrong Job

Technology “It’s for Those Guys Over There” said the CEO – I Don’t Do Digital Notes

The whistle blowers and creators of healthcare business intelligence algorithms seems to be areas of healthcare making the money. 

The 2 New Hot Words in Healthcare: Algorithms and Whistleblowers

I do have to admit this was taking a pretty vocal stand on his part, but if it’s the truth, it is what it is.  We need education all the way around, from Congress on down.  Again, when watching the Senate testimonies, it shocked me to see how little was known and that I believe only one member spoke out about having experienced a physician using an electronic record, and PHRs were almost no where to be found on the map and were explained to the Senate by both Kaiser and Microsoft in a very congenial and informative manner, although PHRs have been out now for almost 2 years. 

There’s also the issue of science that enters the picture and as much as any of us would like to get our heads around forecasting and budgeting for research and development, I don’t see where that’s going to happen, as it is a science, but it is also merging with the clinical side of healthcare, so those 2 facts added together make it somewhat impossible accurately forecast and perhaps Congress can set up some padding the the budgets to accommodate this fact, as if we don’t, we will always be behind the 8 ball with money.   What good is the research and development if nobody can afford it?  BD 

CHICAGO – The U.S. Congress has an inadequate understanding of the cost savings that healthcare information technology can provide, said a Pennsylvania Congressman at HIMSS09 Sunday.

Rep. Tim Murphy (R-Pa.) participated in the opening session of the special Economic Stimulus Education Program offered at the HIMSS Annual Conference this year. Murphy and Massachusetts state senator Richard Moore (D) answered questions from Dave Roberts, HIMSS vice president of government relations, and audience members about the goals of economic stimulus for healthcare IT.

"Unfortunately, Congress and the Congressional Budget Office are not that good at determining value," Murphy said.

Industry News | Healthcare IT News

Related Reading:

AIG: You Bring the Nerds and the Algorithms and I’ll give you a AAA Rating…a little history from 1987

More Income Tax Issues – 2nd HHS Confirmation Delayed

Nancy-Ann DeParle and Kathleen Sebelius – Business Intelligence?
US Loses it’s Cutting Edge on Innovation – Time to Wake Up…
Obama's Healthcare Economic Plan – Leaders with “Hands On” Technology Experience and Algorithms Needed
Microsoft Security Strategist Named Cybersecurity Leader – Finally shopping at the “Smart Store”
Scientists gather to chart out a 'total reboot' for medicine – Science and Medicine Coming Together
Bringing Providers, Health Care Executives and Administrators into the 21st Century

Wall Street and Healthcare – Was it the Mob or have the rest of us been operating like a PC with no anti-virus protection?

Lawmakers Consider Adding Health IT to Stimulus Package – We Need some Congressional Algorithms

HIMMS 2009 New Vendor Listing This Year

Healthcare IT News was kind enough to compile a listing of new vendors at HIMMS this year.  I looked through the list myself and there are quite a few new names, a number of them in hardware.  BD  

image

Products A-F
Products G-M
Products N-S
Products T-Z

New Products | Healthcare IT News

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Illinois hospital bill cap to help uninsured patients goes into effect

According to this article, 200% over cost for uninsured patients?  That’s a big chunk of money.  Many hospitals have already begun a standard of helping the uninsured with discounts as well.  What good are the charges if you can’t collect.  Inflated numbers can also skew the amount of income reported as well, and perhaps not show a realistic accurate view of receivables.  BD 

The Hospital Uninsured Patient Discount Act reduces charges for uninsured Illinois patients and prevents discriminatory pricing based on a patient’s insurance status, Illinois Attorney General Lisa Madigan’s office said Monday.

On average, hospitals charge uninsured patients rates that exceed 200 percent over cost, according to Madigan’s office.

When the law goes into effect Wednesday, hospital charges to the eligible uninsured cannot exceed the costs of the services plus 35 percent. The new law also places an annual cap on the amount that hospitals can collect from eligible uninsured patients, limiting the total amount to 25 percent of the patient’s family income during a 12-month period.

Illinois hospital bill cap goes into effect Wednesday - St. Louis Business Journal:

CVS Caremark – Import Medication Records to Google Health

This is good news, more information you can import into your Google Health personal health record.  There’s an entire section on the blog related to imagepersonal health records, and it contains quite a bit about what you can do with Google Health.  It’s a one time set up process, but not difficult to do at all.  With having your medication records, you now have the ability to share this information with physicians and hospitals.  The first step though is to get a a PHR, and you can used the image here to link to Google Health to get started.  BD 

WOONSOCKET, R.I., April 6 /PRNewswire/ -- CVS Caremark today announced the expansion of its partnership with Google Health by providing CVS/pharmacy customers the ability to securely download their prescription and medication histories to their Google Health Account. Consumers filling prescriptions at CVS/pharmacy stores can now add their medication history to their online medical record directly from CVS.com.

CVS Caremark has been a Google Health partner since it was launched in May 2008. Consumers using CVS Caremark for pharmacy benefit management services can already store, organize, and manage their prescription history information online using Google Health. In addition, patients who receive treatment at MinuteClinic, the retail-based health clinic subsidiary of CVS Caremark, can also securely import their visit summaries into their Google Health Accounts.

"With CVS/pharmacy now integrated on Google Health in addition to our other pharmacy and PBM partners, we estimate there are over 100 million Americans that can get access to their prescription history online and securely download it to Google Health," said Sameer Samat, Director of Product Management, Google Health. "This is good news, because having a current list of all your medications in one place helps your doctor, pharmacist, hospital and other care providers do a better job of taking care of you."

CVS Caremark Extends Google Health Partnership Enabling CVS/pharmacy Customers to Add Prescription Information to Personal Health Records | SYS-CON UK

Related Reading:

CVS Drug Stores – CEO Talks about Recession Plans
CVS/Caremark join the Generic Discount Club – Connect information to Personal Health Record Accounts
Google Health Online Services – Connections Beyond Medications – Personal Health Records

Google Health Information Can be Shared - New Vendors and Services have been added

Google Health Vendors you can connect with and import records – Personal Health Records

Dennis Quaid Keynote Address at HIMMS – Emphasis on Technology

This is great and nice that celebrities are also speaking out.  The related reading below has a history of all the past articles about Dennis McQuaid’s story and problems at the hospital, medical errors.  We all have so much on our plates today, there is no way we can manually handle the workloads and not be subject to errors, the computer can do that better than a human in a much shorter length of time. 

If you hang around this blog enough, there are many posts to read, not only about technology updates, but clinical and personalized medicine as well.  All the elements need to come together and technology is the key to making it all work.  BD 

CHICAGO – Actor Dennis Quaid brought the importance of electronic prescriptions and bar-coding close to the heart with the story of the near-deaths of his newborn twins from a medical error in 2007.image

Quaid, Sunday's opening keynote speaker at HIMSS09 and founder of the Quaid Foundation, said he hopes many lives will be saved as a result of his children's ordeal.

In the past few months, Quaid has testified before Congress and appeared on Oprah Winfrey's television show to promote his cause.

In a large hall filled nearly to capacity, an emotional Quaid thanked the scores of attendees "from the bottom of my heart" for their dedication to advancing health IT.

"You are the leaders and I have faith that you will lead us to a better and brighter future," Quaid said.

Industry News | Healthcare IT News

Related Reading:

HIMMS Healthcare IT Conference and Exhibition 2009 – Dennis Quaid Keynote Speaker
Dennis Quaid tours Dallas hospital
Medical device makers' worst fear: Dennis Quaid
FDA Chief Relents, Asking Congress to Fund More Foreign Inspections
Dennis Quaid Acts on Medical Errors
Hospital in Fremont fined for fatal error; Los Angeles hospital cited in case involving actor Dennis Quaid's twins
Quaid's Twins Got 2,000X Dosage: Probe
Quaid Sues Maker (Baxter HealthCare) of Drug Given to Twins
Quaid's Twins Get Accidental Overdose