The digital health space refers to the integration of technology and health care services to improve the overall quality of health care delivery. It encompasses a wide range of innovative and emerging technologies such as wearables, telehealth, artificial intelligence, mobile health, and electronic health records (EHRs). The digital health space offers numerous benefits such as improved patient outcomes, increased access to health care, reduced costs, and improved communication and collaboration between patients and health care providers. For example, patients can now monitor their vital signs such as blood pressure and glucose levels from home using wearable devices and share the data with their doctors in real-time. Telehealth technology allows patients to consult with their health care providers remotely without having to travel to the hospital, making health care more accessible, particularly in remote or rural areas. Artificial intelligence can be used to analyze vast amounts of patient data to identify patterns, predict outcomes, and provide personalized treatment recommendations. Overall, the digital health space is rapidly evolving, and the integration of technology in health

Monday, January 27, 2014

Radiology One of the Highest Paying Medical Specialties

Contributions to this post are from:
Mike Bassett, 



One of the   principal determinants some medical specialties is salary. However, that is not the only factor in specialty selection by trainees.  Some of the other factors are:

Relatively good hours and call schedule
Flexibility of work locations
Group Practice insulated from  financial issues
Hospital based employment, an option
Support as consultant for most specialties
Technological advancements in CT, MRI, PET and other new imaging techniques

Fierce Medical Imaging reports that although Radiology reimbursement has flattened out and perhaps decreased there are an abuncance of job seekers in Radiology.



  1. Study: Two job seekers for every new radiology position
An analysis of the American College of Radiology job board suggests that for every job posted there are two radiologists seeking jobs, according to a study published online in the Journal of the American College of Radiology.

According to Anand M. Prabhakar, M.D. of the department of radiology at Harvard Medical School and Massachusetts General Hospital, while the general impression of the radiology job market has been "grim," there has been little research done tracking employment statistics. 
The researchers found that the during the study period, the mean number of new job seekers was 168 per month--twice as many as the 84 job postings found on average per month. 

No appreciable difference in the number of new job postings between 2011 and 2012 was found, while the number of newly registered job seekers ranged from 80 in May 2012, to a high of 418 in October 2010. October through November of 2010 represented one of the peak periods of job competitiveness (represented by the number of newly registered job seekers), along with August through November of 2011 and October and November 2012.
Consequently, the researchers concluded that there is a seasonal variation in interest in the ACR jobs board coinciding with the July 1 start date of fellowship training programs.

The study is a relatively short term study and in a period of rapid change with the Affordable Care Act and the imminent development of Accountable Care Organizations.

Radiology suffers from the same pessimism stimulated by reductions in earnings. 

In the face of what appears to be a shrinking job market, practicing radiologists have an obligation to those just starting their careers "to help them get through this difficult time," write David Levin, M.D., and Vijay Rao, M.D. in an article published in the April issue of the Journal of the American College of Radiology.
report last year by physician recruiting firm Merritt Hawkins illustrates how job prospects have declined for prospective radiologists over last several years. According to the report, demand for radiologists--Merritt Hawkins' most requested specialty in 2003--ranked just 18th last year.
The reasons for the fall in demand, according to Levin and Rao? Slowdowns in utilization and reimbursements; longer radiologist hours to maintain compensation levels (consequently decreasing the need to hire new radiologists); current radiologists deferring retirement; and the advent of picture archiving and communications systems and other digital enhancements that have increased efficiency.






Sunday, January 26, 2014

Medical Tutorial Helpouts



Google has released a new hangout application called "Help Outs".  They have been designed to offer one on one tutorial and/or instructional platform for professionals, hobbyists or anyone who like to teach or consult on a one on one format.



The Helpout format meshes nicely with the missions of Health Train Express and Digital Health Space. It will give an opportunity for questions in a private setting which may be stimulated by my blog writings.  Or you may have bold and fresh new ideas.

Are You a Connector?  

Certainly our world is changing, not only in the health field but in general, the labor force is changing, and old opportunities are probably gone forever.  The economy and medicine in general have been reset and it is time for a fresh re-boot





The Guide to Helpouts on Google +



Health Train Express and Digital Health Space are currently being "vetted" to use the Helpout API.  We have had our iniitial background check. (quite extensive...consisting of a sweep of all major databases for criminality, license status by a professional screening company, Hireright . Somehow or other I managed to slip in under the radar.  I had a Helpout Interview, and hopefully passed the final step in assessing the 'studio' and my stage presence.

In about one week I should have a start date.

Keep your RSS feed open and subscribe to our blogs.

Monday, January 13, 2014

HIPAA COMPLIANT GOOGLE + HANGOUTS

Google announces Helpouts: the Hangout that’s so good you’ll pay for it









This service marries the video chat features of Hangouts with the payment processing of Google Wallet, the identity management of Google+, and a slew of other Google service features. The end result is a gorgeous Frankenstein monster that lets you find expert help instantly via video.

Google + Helpouts is its own separate division within Google, but it uses all existing Google technologies.  And actually the service is free unless you charge for it.  Google's take is 20%.  The helpouts are scheduled or on demand.   




Many providers have been asking if Google + hangouts are HIPAA compliant. Up until now the answer has been 'no'.   Now for a charge it can be.  Further details are forthcoming from Google.

The challenges for telemedicine have been several. 1. Cost. 2. Non-reimbursement due to insurance limitations 3. Lack of an easily accessible platform.

Previous offerings have included expensive contracting with a telehealth provider. 

Providers and patients are now aware of new resources to provide an additional component to home health and alternative to time consuming  office visits.

Google also announced an API for Google Helpouts. For more information, Google hosts a 'help' tutorial.

Several medical offices and clinics may be available in your area.  Note that this service is so new that you should verify their participation.  It is not necessary to have a visit initially, however in many states,  for you to receive treatment advice law prohibits telemedicine treatment other than in an advisory capacity.








One Medical Group (Beverly Hills)

Meet the Doctors


There are other participating One Medical Groups in  San Francisco, New York,  Boston and Washington, D.C.




Sunday, January 12, 2014

HIPAA Compliaint Video Chats on Google + Hangouts

Introducing Helpouts by Google




This service marries the video chat features of Hangouts with the payment processing of Google Wallet, the identity management of Google+, and a slew of other Google service features. The end result is a gorgeous Frankenstein monster that lets you find expert help instantly via video.

Google + Helpouts is its own separate division within Google, but it uses all existing Google technologies.  

Many providers have been asking if Google + hangouts are HIPAA compliant. Up until now the answer has been 'no'.   Now for a charge it can be.  Further details are forthcoming from Google.

Until now telemedicine has been limited by not having a reimbursable computer code (Current Procedural  Terminology) CPT.  These are computer codes which define the procedure or service provided by a physician, hospital, or alliled health provider such as a nurse pracitioner, laboratory or imaging facility.