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

Saturday, September 26, 2015

WEDI and NATE Announce Partnership re: Virtual Clipboard Initiative

The Virtual Clipboard

Patient centered medicine requires an increase in perception of how patients view the medical system.  In the past patients were passive participants in a highly complex system. Today, the system is even more complex, even defying the ability of health professionals to navigate the maze.  Health Information technology may be one source of 'rescue'. I like to thinks so. Collaboration is necessary to achieve the goal: Our article today addresses what partnerships are occurring in this space


 
 
 

   

NATE's NBB4C makes it easier for providers to share health information with their patients so that their patients can do what they want with it.
 
 

  
 
WEDI and NATE Announce Partnership
Collaboration will support further development of Virtual Clipboard Initiative and research promoting health care interoperability
RESTON, Va. and WASHINGTON, D.C. - September 25, 2015 - The Work group for Electronic Data Interchange (WEDI), the nation’s leading nonprofit authority on the use of health IT to create efficiencies in health care information exchange, and the National Association for Trusted Exchange (NATE), the nation’s leading nonprofit authority in consumer-mediated electronic health information exchange, announced a partnership to cooperate on Phase II of the Virtual Clipboard Initiative and to advance research concerning health care interoperability.
“Our collaboration with NATE is instrumental to our mission as we work to broaden interoperability in health care technology in a consistent manner across all stakeholders in the industry,” said Devin Jopp, Ed.D., president and CEO of WEDI. “The expertise of NATE’s leaders, membership and partnering stakeholders will be invaluable as we further the Virtual Clipboard Initiative into the next phase of the program.”
Building off recommendations contained in the 2013 WEDI Report, the Virtual Clipboard Initiative was developed by The Sullivan Institute for Healthcare Innovation, in collaboration with WEDI, the Health care Information and Management Systems Society (HIMSS) and the Medical Group Management Association (MGMA) to leverage advanced technologies to dramatically enhance the patient experience while improving patient safety.
“This is an important partnership for our industry, and one that will afford tremendous advantages to the members of both organizations,” said Aaron Seib, NATE CEO. “We are confident that the synergies of our organizations will produce amazing returns as we look to enhance the use of additional interoperable technologies that include the consumer, bringing about a new era in health care.”
WEDI’s mission is to provide leadership and guidance to the health care industry on how to use and leverage the industry’s collective knowledge, expertise and information resources to improve the quality, affordability and availability of health care. NATE brings the expertise of its membership and other stakeholders together to find common solutions that optimize the appropriate exchange of health information for greater gains in adoption and outcomes. Both NATE and WEDI welcome the participation of all interested stakeholders and encourage them to get engaged with either or both organizations’ collaborative activities.

About National Association for Trusted Exchange
The National Association for Trusted Exchange (NATE) brings the expertise of its membership and other stakeholders together to find common solutions that optimize the appropriate exchange of health information for greater gains in adoption and outcomes. Emerging from the Western States Consortium, a pilot project supported by the Office of the National Coordinator for Health Information Technology (ONC), NATE was established as a not-for-profit organization in May 2013. Consistent with NATE’s mission to address the legal, policy, and technical barriers that inhibit health information exchange between entities within a state and across states, NATE leads and participates in a number of ongoing and emerging projects in the HIE domain. NATE has been operating its ownTrust Bundles in production since November 2012 and took over administration of the Blue Button Plus Patient and Provider Trust Bundles in 2014. Working with a broad set of stakeholders through multiple task forces, crowd sourcing and a call for public comment, NATE is proud to make available the first release of NATE's flagship Blue Button for Consumers (NBB4C) Trust Bundle beginning in 2015. NATE will soon move into a new phase of development around Blue Button Trust Bundles. Stakeholders interested in participating in the next phase of NATE’s work in consumer mediated exchange should consider NATE membership or subscribe to news from NATE’s PHR Community.
About WEDI
The Workgroup for Electronic Data Interchange (WEDI) is the leading authority on the use of health IT to improve health care information exchange in order to enhance the quality of care, improve efficiency, and reduce costs of our nation’s health care system. WEDI was formed in 1991 by the Secretary of Health and Human Services (HHS) and was designated in the 1996 HIPAA legislation as an advisor to HHS. WEDI’s membership includes a broad coalition of organizations, including: hospitals, providers, health plans, vendors, government agencies, consumers, not-for-profit organizations, and standards development organizations. To learn more, visit www.wedi.org and connect with us on TwitterFacebook and LinkedIn.
 
Copyright © 2015 National Association for Trusted Exchange. All rights reserved.
Contact email: meryt.mcgindley@nate-trust.org

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Thursday, September 24, 2015

Modi Coming to Silicon Valley, Asking Entrepreneurs to Reconnect to India | Immigrant Shift: The Changing California Workforce | The California Report | KQED News

The Digital Health Space takes a tour of the Asian continent.

Take a look around at Engineering schools in the United States of America.  As  one of my sons entered the program at UC Berkeley in C.S.E.E. he noticed the prominence of many Indian engineers-to-be. It is also evident when looking at the tech staff and C-suite at prominent enterprises such as Google, Facebook, and twitter. Many of them are becoming 'start-up' entrepeneurs in the United States

There is however a conundrum for Indian entrepeneurs in their home states of India.  In India there has been a  barrier for entrepeneurs:

Prime Minister Narendra Mod has launched initiatives called “Digital India” to increase electronics manufacturing, expand Internet access and use apps to improve government services.  The Silicon Valley-India connection — and venture capital investments — are critical if Modi’s initiative is to succeed, especially since several of the CEOs of major tech companies are from India and 16 percent of Silicon Valley startups are run by Indian-Americans, said Venkatesan Ashok, consul general of India in San Francisco.

“Silicon Valley has a culture of innovation and entrepreneurship,” said  Ashok.  “And I hope it is a culture that we in India can also imbibe.” In addition to his role as Consul General as Consulate General of India, San Francisco Ashok also attended Indian Institute of Technology, Delhi where he earned a Bachelor of Technology (B.Tech.), in Civil Engineering  There is much to overcome, both politically and in investment in India by American and other countries.
“Successful entrepreneurs have learned from failure,” said Ashok. “In many ways that’s the opposite of what we see in India, because there we have a rather traditional mindset where we’re told, ‘Don’t think outside the box, don’t get out of the system, don’t do something disruptive.’ Here disruptive technology is the keyword.”
While startup failures  may be accepted in Silicon Valley, that’s still not an option for entrepreneurs  in India, Ashok said.
You fail in India, you’re seen as a failure and people say, ‘This guy is useless,’ ” said Ashok. Modi’s trip to Silicon Valley will not be without controversy. A variety of groups want to use the prime minister’s visit to highlight concerns about his politics.More than 100 professors signed an open letter protesting India’s recent crackdown on groups like Greenpeace. Others want Modi held accountable for his alleged complicity in anti-Muslim riots more than a decade ago. 

Protests are expected online and in person as he makes the rounds of the major tech campuses and speaks before 19,000 people at the SAP Center in San Jose on Sunday.  In reviewing the outcry, none are from anyone in the tech field. All are from ethical and humane departments at prominent American Universities. The summation is government surveillance in India and the introduction of more technology for surveyance.  While it is easy to compare this with what is happening in the U.S. Nevertheless surveyllance has certainly not stunted the growth of IT, the internet, nor Silicon Valley.  Digital Health Space posits this is a weak reason to oppose  American's interest in a two way venture.


Vivek Wadhwa, a fellow at Stanford Law School who has studied Indian-American entrepreneurs who have returned to their native  country, agrees. “India is a very difficult place to work because of corruption, bureaucracy, pollution, noise, you name it,” said Wadhwa. “But somehow Indian entrepreneurs have been able to rise above it.” Ashok and Modi do not fit the stereotype of conservative Indian tech and venture capital.“Successful entrepreneurs have learned from failure,” said Ashok. “In many ways that’s the opposite of what we see in India, because there we have a rather traditional mindset where we’re told, ‘Don’t think outside the box, don’t get out of the system, don’t do something disruptive.’ Here disruptive technology is the keyword.”
Indians have contributed much to the American economy. Perhaps it is time for payback from Silicon Valley.
Stay tuned




Modi Coming to Silicon Valley, Asking Entrepreneurs to Reconnect to India | Immigrant Shift: The Changing California Workforce | The California Report | KQED News

Healthcare Policy Getting Reimbursed: Its Complicated


Billing and Delivery for health services has become extremely complex. Although fee for service (volume-based care) is deemed to be on it's deathbed by proponents of payment for quality of care and outcomes, the complexity of obtaining a payment becomes more of a juggernaut. This is occuring in the face of  a system that is not ready to convert to accountable care organizations. The infrastructure for such a conversion is completely absent. The marketplace has abundant vendor offerings.  
Although the majority of health providers now are using electronic health records and are required to be certified for meaningful use, many providers are ignoring these standards.  Interoperability remains a major hindrance to  connecting all the systems of an accountable care organization
In order to address this issue and many others take this course.
You will learn about:
  • The relationship between healthcare expenditures and provider compensation.
  • Payment models under Medicare and the Affordable Care Act.
  • The future distribution and cost of healthcare services
  • Define the 3 types of provider payment schemes.
  • Recite the types of national healthcare expenditures and the proportion that each contributes to the total spending.
  • Compare the compensation for US and international physicians as a multiple of gross domestic product per capita.
  • Describe the methods by which Medicare determines physician payments.
  • List the provider components of a healthcare delivery system.
  • Describe how healthcare services will be distributed in the future.
  • List the types of costs associated with healthcare delivery.
  • Describe bundled payments under the Affordable Care Act and how bundled payments are different from prior programs such as global surgical fees.
  • Define the incentives to achieve Medicare bonus pay within a Pay-for-Value program.
  • Review the concepts in the case studies.

Health Care Policy: Delivery and Payment