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

Tuesday, July 14, 2015

Doctor, Forget Meaningful Use !

Much time and effort have gone into Meaningful Use and it's stages. It has been used as the bully pulpit for meaningless changes in collecting health information for  big data and analytics.  It has been used more as a penalty than an incentive in the road to electronic health records.  Vendors, you must be in compliance to market your EHR and expect physicians to buy it.



Doctors, in a recent article by Dike Drummond, M.D. (The Happy MD) he might be the only "Happy MD" , and it is probably because he may not run a medical practice


Dr.Drummond approaches physician burnout from a variety of sources:

1..Stress
2..Depression
3. Frustration
4. Anger

According to the Medscape 2015 Survey, 46% of doctors are suffering from burnout right now. When you survey doctors, EMR and documentation are always three of the top five stressors.

Electronic Records have become a major factor for physician burnout.  Dr Drummond points out there are only three things that are essential and will focus your efforts.

1. Legible notes, for continuity of care by another provider.
2..Medico-legal importance
3. Enter only significant information relating to the visit or disease. Significant information to justify the billing and diagnosis codes.


Most repetitive tasks are built into a good EHR to be performed automatically and transparently. If your EHR does not perform this it is a waste of your money.

Only the three areas mentioned above are essential to your EHR.  The rest of it is the responsibility of the vendor and/or your staff.  Offload those things you don't need to do.

Go Home on time.

Friday, July 10, 2015

Mobile Health Nirvana: Mastering Health and Wellness through Mobile





Mobile Nirvana: Mastering growth through mobile

Mobile is exploding. How are you going to capitalize on the biggest change in Health consumer behavior in decades?

It is truly a revolution- In 2015 there will be 2 billion smartphones worldwide, those users will spend on average 3 hours per day on them (more than TV!), and the number of ways to reach them is expanding exponentially. This all sounds great, but capitalizing on this is not always obvious, and if you don’t, you risk missing big growth opportunities, or losing them to a competitor that acts faster.
Hence MobileBeat. Now in its 8th year, MobileBeat 2015 is the place to meet and learn how to win on mobile from the most disruptive brands and thought-leaders in the mobile industry.
If you are serious about growing your health care business through mobile, this is a must-attend event.
Join us to learn from case studies from the largest brands and most disruptive mobile technology companies. Network with the industry’s most innovative thought leaders and brands. Discover cutting edge findings based on the world’s deepest research in mobile marketing that you can only find at MobileBeat.
Take a lesson from businesses that have already developed the power of mobile apps. Health care through the  power of telehealth, telemedicine, remote monitoring, wearables, and two way communication by video or audio with providers offers efficiency, savings and improved quality of care.
This year, mobile advertising spend will hit $51 billion, according to VB Insight’s latest report on brands and mobile ads. By 2019, it’ll hit $105 billion — mostly because brands and “traditional” companies are joining mobile-first startups in advertising online.
GAMIFICATION AND VIDEO go hand in hand in the mobile health space. Role playing and animation are significant enagement activities for your health business.
The powerful seamlessness of new video technology shows once again that mobile-oriented design and UI can disrupt established ways of thinking in marketing. At next week’s MobileBeat 2015 event, held July 13 and 14 in San Francisco, panelists and speakers will address some of the questions raised by the explosion of mobile video advertising and marketing.
How are smart brands and other companies using video to market on mobile — a place of short attention spans, rich interactivity, and instant gratification? When do you invest in emoji packs, or product videos for Vine or Snapchat? What role do the new hot offerings — messaging platforms and video advertising — play in driving growth?
What does the emergence of new platforms like WhatsApp, Snapchat, Instagram, and others mean for companies? Well, for a start, you can address your customers directly where they are, instead of trying to force them to join your platform. If you can’t beat Facebook, Pinterest, and Twitter, you may as well join ’em.
Find out who are developers health providers can use to enhance their mobile health applications.  
Examples: (video)

IMS Health Mobile Health Apps - Making and Prescribing the Best Apps


Why mobile technology may well define the future of healthcare... for everyone.

*Tickets are non-refundable within 30 days of the event.*
Have questions about MobileBeat 2015? Contact VentureBeat

UPDATED: FDA OKs Novartis' megablockbuster heart failure drug Entresto - FierceBiotech

UPDATED: FDA OKs Novartis' megablockbuster heart failure drug Entresto - FierceBiotech



The FDA has approved Novartis' ($NVS) big 2015 blockbuster, the heart failure drug Entresto, better known in development circles as LCZ696.
Novartis wowed regulators with data demonstrating that the drug reduced the rate of cardiovascular death and hospitalizations among thousands of patients with a particular form of heart failure in a late-stage study, successfully treating a condition that afflicts some 5 million-plus Americans. And the agency responded with an approval that arrived 6 weeks ahead of their scheduled deadline.

"The U.S. wholesale acquisition cost will be $12.50 a day ($4,562 a year), less discounts," a spokesperson for Novartis tells FierceBiotech. "This is in line with the current price of other new CV therapies and well below other recently launched life-saving products for other diseases. The cost to patients will vary as this is ultimately set at the retail level and many factors contribute to an individual's out-of-pocket costs."

"The very meaningful survival advantage of Entresto seen in the PARADIGM-HF trial should persuade physicians to consider Entresto for all appropriate patients, in place of traditional ACE inhibitors or angiotensin receptor blockers," said Dr. Milton Packer, chair for the Department of Clinical Sciences at University of Texas Southwestern Medical Center. "Entresto is expected to change the management of patients with HFrEF for years to come."
The most common side effects seen in participants being treated with Entresto were low blood pressure (hypotension), high blood potassium levels (hyperkalemia), and poor function of the kidneys (renal impairment).

- here's the release from the FDA
- here's the release from Novartis

Thursday, July 9, 2015

Free ICD-10 Converter


My staff here at DHS did a deepdyve into the ICD-10  event horizon. For all of us who trepidate and fear the coming date of October 2015, please breathe a sigh of relief

ICD-10 CODES, ARE YOU READY ?

There are multiple converters available.


ICD-10 TRAINING ACADEMY

CMS in it's infinte wisdom has maintained the deadline for October 2015, with a big escape clause. As long as you submit ICD-10 codes, whether they are correct or not, CMS states they will be accepted without penalty.

The Centers for Medicare and Medicaid Services tossed hospital executives and industry observers something of a surprise on Monday by conceding to a one-year period in which it will not deny erroneous claims after the October 1, 2015, compliance deadline, so long as those are submitted in ICD-10.

Until that comes along here is the quick fix, and it is free of charge. The program was developed by a first year medical student. (that will say something about the rest of us who are mired in 1990s technology.) Actually ICD-10 is in use around most of the globe. The US Army has been using it for several years in their AHLTA EHR system used around the world.

From my experience ID-10 is not difficult to use and affords many details which are helpful when a user looks back at old history and diagnoses.


Non-profit startup launches free ICD-10 conversion tools


Providers looking for software to ease the ICD-10 transition got a new quiver of options – thanks to a medical student. 
ICD-10 Charts, in fact, joined a growing crop of software tools coming to market as the countdown to compliance keeps moving ahead. What makes it unique, however, is the bold claim that the free software it updated on Tuesday essentially walks providers through the conversion in four steps.
The first tool, ICD-10 Charts Bulk Converter, can be used to transition a user's existing ICD-9 data to ICD-10 for as many as 10,000 codes. Second is to organize that information and once the new codes are in Chart Builder, providers can sort, search, edit, rearrange and remove them and by using the Combination Coder functionality users can consolidate related ICD-9 codes into a single ICD-10 instance. 
The third step is to integrate ICD-10 Chart into the providers practice. That tool enables physicians to save, print or export charts into either Excel files or a variety of EHRs.
For the fourth and final step ICD-10 Charts also made available the Training Academy portal comprising more than 25 modules with both general ICD-10 information and specifics for specialists.

Whereas ICD-10 Charts is not likely to have broad appeal among large or tech-savvy providers already making way toward ICD-10, CMS' move means that now is a good time for any mid-size or small practices and specialty groups to evaluate their options for migrating to the new codes.
Indeed, plenty of options exist, ranging from 3M Health Information Systems recently-launched suite of conversion and workflow tools for ICD-10, offerings from Trizetto and Proviti.
Some EHR vendors, including Amazing Charts, athenahealth, NextGen, Practice Fusion and others are advertising that they will help customers meet the mandate.
Industry associations such as the AAPC, AHIMA and Healthcare IT News owner HIMSS, meanwhile, are making available crosswalks, educational and other resources. And there are some easy-to-find online tools for anyone who only needs to convert to ICD-10 one code at a time. 

Why it's free

ICD-10 Charts co-founder Parth Desai first met ICD-9 back in high school. At that time he was working for his father, in the family's internal medicine practice, where his mother served as, among other roles, a medical coder.
Then, two years after earning an undergraduate degree, Desai moved back home before medical school, was introduced to ICD-10, and recognized immediately how difficult it could be for physicians.
"My mom said, 'you have to find us a training program to get our codes done,'" Desai said. "There were plenty of good tools on the market, but none of them catered to practices. They were just too expensive."
So ICD-10 Charts went a different direction. This spring, in fact, with about 10,000 visitors to its site and some 5,000 users, Desai took the beta to his school, Mercer University School of Medicine, and switched to a virtual private server with capacity for at least 1 million simultaneous users and the ability to add more if needed.
"I'm in medical school, my dad's a physician, my brother's a physician, my girlfriend, she's in med school. Our main interest is in helping people – especially these practices struggling with so much," Desai explained. "The last thing I wanted was for my dad to shut his practice and work at a hospital because of regulations and not because he's ready to retire."

And that goes for all of us Parth Desai !