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So What Happens Next Now The Consultation On The PCEHR Review Has Finished?

Regular readers will be aware that over approximately the last 2 months Deloitte has been assisting DoH in consulting stakeholders on the PCEHR as produced by the Royle Committee the report of which was released in May.There is a link...Show More Summary

AusHealthIT Poll Number 233 – Results – 31st August, 2014.

Here are the results of the poll.Do You Believe The NEHTA Leadership Should Be Held Accountable For The Slow Progress In E-Health Over Almost The Last Decade? For Sure 48% (79) Possibly 34% (56) Neutral 6% (10) Probably Not 5% (8) No Way 4% (7) I Have No Idea 2% (3) Total votes: 163 This is a clear cut outcome. Show More Summary

How many servings of fruits and vegetables should we eat a day?

Many organizations cook up recommendations for the number of fruit and vegetable servings you should eat every day.  Well known examples include the USDA which suggests two cups of fruit and two and a half cups of vegetables daily (approximately 8 to 10 servings), the American Heart Association which recommends 8 to 10 and the […]

Disappointing outcomes despite a massive investment in EHRs

The Health Information Technology for Economic and Clinical Health Act of 2009 committed to the expanded adoption of health information technology, expecting electronic health records (EHRs) to transform medical care while promising dramatic improvements in quality, efficiency and safety. Show More Summary

Deciphering hospital bills is not for the faint of heart

An excerpt from The Cost of Cutting: A Surgeon Reveals the Truth Behind a Multibillion-Dollar Industry. Deciphering the hieroglyphics of hospital bills, especially when it involves surgery, is not a job for the faint of heart. As Mr. Wilkes discovered when comparing notes with a friend, there’s another puzzle: the huge variation in charges between hospitals […]

An American doctor’s experience with the NHS

You know it’s going to be one of those days when one of the first tweets on vacation inquires about the closest hospital. Victor, one of my 11-year-olds, had something in his eye courtesy of a big gust of wind outside of Westminster Abbey. He was complaining enough to let me flip his eyelid and […]

Health care data is meaningless without context

Cholesterol is bad. Cholesterol is an essential building block for important hormones. Eggs are bad. Eggs are a complete protein food. Salt is bad. Salt is essential for life. High blood pressure kills people. No blood pressure defines death. High blood sugar causes eye and kidney damage. Low blood sugar causes falls, fractures and car […]

Management of intracerebral hemorrhage following TPA for ischemic stroke

If there are any effective reversal treatments there is no good evidence to guide their use according to a systematic review in JAMA Neurology. A discussion of the paper in Medpage Today notes the need for better evidence. The discussion...Show More Summary

MKSAP: 55-year-old man with a wrist fracture and anemia

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 55-year-old man is reevaluated during a follow-up examination for a wrist fracture and anemia. The patient is otherwise asymptomatic. He was treated in the emergency department 2 weeks ago after he slipped in his driveway and sustained a right wrist […]

Novartis fails to report side effects, fatality

6:52 pm, August 30, 2014 Jiji Press Novartis Pharma K.K. said it has failed to report to the health ministry at least 2,579 cases of serious side effects, including a fatality, from its drugs for leukemia and other diseases even though its employees were aware of the problems. Show More Summary

Weekly Overseas Health IT Links - 30th August, 2014.

Here are a few I have come across last week. Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration...Show More Summary

New CMS rule allows flexibility in certified EHR technology for 2014

Today is my one day of Summer vacation, enabled by the large number of people taking a long labor day weekend.Some things are worth interrupting your vacation.This afternoon, CMS published he long awaited final rule on Meaningful Use...Show More Summary

How to be a great health care administrator

In no other field is unity and collaboration between administrators and frontline staff more important than in health care. Unfortunately my own experience is that the disconnect and mistrust, especially from doctors and nurses, towards hospital administration is growing larger all the time. Continue reading... Your patients are rating you online: How to respond. […]

New CMS rule allows flexibility in certified EHR technology for 2014

The Department of Health and Human Services (HHS) published a final rule today that allows health care providers more flexibility in how they use certified electronic health record (EHR) technology (CEHRT) to meet meaningful use for an EHR Incentive Program reporting period for 2014. Show More Summary

Encryption at rest and encryption in transit for HIPAA compliance are not easy questions to answer

Given the number of breaches we’ve seen this Summer at healthcare institutions, I’ve just spent a ton of time recently on several engineering engagements looking at “HIPAA compliant” encryption (HIPAA compliance is in quotes since it’s generally meaningless). Show More Summary

Health care big data will fail unless we remove the silos

A few days ago a colleague of mine was inching south through the mother of all traffic jams: 60 straight miles of construction work on I-95 just south Washington, DC. The three-lane highway was jammed. Route 1, which runs parallel to I-95 was also jammed. Cars were stalled in the middle of the highway having […]

EHRs and patient safety

If you wonder where I’ve been, I’ve, for one thing, been blogging a bit for (very little) pay over at Forbes.com and writing a lengthy cover story for the September issue of Healthcare IT News. The Healthcare IT News piece actually breaks...Show More Summary

CanGaroo ECM Envelope Bioscaffold Holds Cardiac Implants, Turns Into Vascularized Tissue

Implantation of medical devices such as pacemakers and defibrillators can cause significant damage to nearby tissue, while afterwards the implants can move around, causing more problems. CorMatrix, a company that develops novel biomaterials,...Show More Summary

Hansen Medical Magellan Transport System

Hansen Medical has received the final clearance necessary from the FDA to introduce the Magellan Transport System for its Magellan robotic arm. The device allows a single clinician to move the robotic arm, which is used for intravascular...Show More Summary

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