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Is Medicare for all the future? Only the public can decide that.

As Congress returns from its summer recess, the health care debate is sure to heat up … again. And over the past few months, the debate has had a significant impact on public opinion. A recent report describes how Americans currently view the ACA. According to national polls, over 90 percent of Americans would change […]

CBI’s Gross-to-Net Summit

CBI’s Gross-to-Net SummitNovember 15-16, 2017 | Philadelphia, PAwww.cbinet.com/GTNWith the total value of off-invoice discounts and rebates increasing over the last few years, it is pivotal that pharmaceutical and biotech manufacturers stay on the forefront of gross-to-net management. Show More Summary

AtriClip PRO•V Left Atrial Appendage Exclusion System Cleared by FDA, Now Available in U.S.

AtriCure, a firm based outside of  Cincinnati, Ohio, is now making available in the United States its AtriClip PRO•V Left Atrial Appendage (LAA) Exclusion System. The device, used to occlude the LAA as necessitated by other open heart procedures, received FDA clearance in March of 2016. The LAA is a cul-de-sac where blood experiences quite a bit […]

Risk factors for atrial fibrillation in the elderly

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What does trust mean to a patient?

I have been working on this essay for some time now. It has been difficult for me to convey in words this complex issue of physician-patient relationships that, to me, is the crux of the art of medicine. The first time I met Rachel was when she showed up at my office with Mary, her […]

How Predictive Analytics Brings Operational Clarity to Healthcare

Editor’s Note:  Rich Krueger is the CEO at Hospital IQ, a provider of analytic services and hospital management solutions. Prior to joining Hospital IQ, Rich was the founder and CEO of DynamicOps, a cloud automation software company that was acquired by VMware in 2012.  The healthcare industry is grappling with a perfect storm of critical issues, each with the... Read More

Mayo Clinic Integrates System Assessment Tool with Epic MyChart App

Mayo Clinic is now offering their secure, web-based symptom assessment tool, Ask Mayo Clinic online through Epic’s MyChart App. Available 24/7 through the patient portal via any computer or mobile, MyChart App, users are guided through a series of questions about presenting symptoms. Driven by 36 standardized algorithms based on the real-time data entered, users... Read More

"The Censorship That It is" - Now Threatens US Government Health Agencies (DHHS, CMS, CDC)

On Health Care Renewal we discus the dark side of health care, particularly of the leadership and governance of health care, that has enabled health care dysfunction. Our discussions are based on publicly available information, often produced by dogged health care journalism. Show More Summary

Weekly Australian Health IT Links – 18th September, 2017.

Here are a few I have come across the last week or so.Note: Each link is followed by a title and a 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...Show More Summary

Skirting around language is a disservice to your patients

Sexuality can be hard to talk about. I think this is true for adults far more than for children. Children are naturally curious and nonjudgmental. They just want to know: What is that, what’s it for, why are yours different from mine, and why does he have one of those and I don’t? It’s we […]

Here’s how your attitude affects patients

I have a very interesting job: I travel around the country providing neuromonitoring to surgeons in the operating room. I’m also an anesthesiologist assistant, certified and licensed to provide anesthesia. Throughout my ten-year career in the OR, I’ve been the guest of nearly a hundred hospitals in the U.S. and the UK. No two hospitals […]

An insurance company denies a test. Here’s what physicians should do next.

What should you do if an insurance company denies a test?  Record the name of the denying physician in the chart and take the burden of the denial off of your shoulders and onto the shoulders of a faceless, algorithm-following insurance clinician. Your patients are rating you online: How to respond. Manage your online reputation: […]

A pleural effusion may have more than one etiology

p { margin-bottom: 0.1in; line-height: 120%; }a:link { } ---especially given recent trends toward increasingly frequent complex comorbidities. From a recent review: Abstract: Purpose of review: Historically, pleural effusions have been attributed to a single cause. There is growing recognition that a substantial proportion of pleural effusions may have more than one

The interventional primary care physician

She came to me with complaints of weight gain. I gave her a pill, and she shed 200 lbs. in 2 weeks. No, of course not. There is no such pill. Mrs. Lopez did not lose weight. At her follow up four months later, she had gained 11 pounds. I went back to my note, […]

The Game Has Now Changed And It Is Now Clear That The MyHealth Record is Rapidly Becoming Obsolete.

The following very important announcement appeared last week:Epic unveils interoperability tool for patientsThe EHR vendor says Share Everywhere is designed to empower MyChart users to allow clinicians to view medical records.By Bernie...Show More Summary

Building Unity Farm Sanctuary - September 2017

I’m on a flight to New Zealand as part of my international government service. The 26 hour commute means that even with just two days of meetings in Auckland, I will be gone from the farm for 5 days.I spent Saturday morning cleaningShow More Summary

Women physicians are both less productive and more likely to burn out. We need to fix that.

Is the practice of medicine a different experience for male and female physicians? Two recent studies from athenahealth suggest that it is — in ways that should make us rethink what we value in health care. The first study found that male physicians are more productive than their female counterparts. In an analysis of 47 […]

DACA Repeal is Bad for Medical Students, Healthcare, and the Public

BY SUHAS GONDI The Trump administration’s recent announcement to end the Deferred Action for Childhood Arrivals (DACA) program has instilled fear and outrage in communities across the country. As a medical student with friends and classmates with DACA status, I am particularly disappointed in the poor and compassionless judgment of our nation’s leader. I fear

AusHealthIT Poll Number 398 – Results – 17th September, 2017.

Here are the results of the poll.Should The ADHA Sponsor And Fund The Introduction Of A National Clinical Information Access Program (CIAP) For Journal Articles, Guidelines, etc. Like Presently Offered In NSW?Yes 12% (17) No 79% (112) I Have No Idea 9% (12) Total votes: 141 I was surprised as this result emerged and so I asked for comments. Show More Summary

Improving drug adherence will take more than money and technology

I recently asked, “Who’s to blame?” for patients not taking their medications and cited a couple of papers describing the poor state of medication adherence. I concluded nonadherence was a huge problem, and doctors failing to educate their patients was not a major cause. To support my contention that physicians are not the reason why patients […]

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