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Telehealth

  • Upstate New York insurer will cover telehealth
    BlueCross BlueShield in New York will cover a new telehealth service provided by the American Well Online Care platform that links patients to medical assistance via the telephone or Internet starting soon with western New York. Plans are in the works to expand the service to the northeastern part of the state later in the year, the insurer said. InformationWeek (3/10)
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March 12, 2010 Posted by | Creative disruption, Health care delivery, health information technology, healthcare, insurance | , | Leave a comment

Gawande: More facilities should use checklists

Medicine is so complex that even the smartest physicians can’t remember everything and should use a checklist to ensure proper patient care, says Harvard Medical School surgeon Dr. Atul Gawande. Author of “The Checklist Manifesto,” Gawande says the checklist gets the “dumb stuff out of the way” so a medical team can focus on more important tasks. USA TODAY (1/26)

February 10, 2010 Posted by | Creative disruption, healthcare, hospitals, innovation, quality | , , | Leave a comment

Smart phones allow quick diagnosis of acute appendicitis

CHICAGO – Radiologists can accurately diagnose acute appendicitis from a remote location with the use of a handheld device or mobile phone equipped with special software, according to a study presented today at the annual meeting of the Radiological Society of North America (RSNA).

http://rapiddiagnostics.blogspot.com/2009/11/smart-phones-allow-quick-diagnosis-of.html

December 1, 2009 Posted by | Creative disruption, healthcare | | Leave a comment

Now Here is Some Disruptive Health Care Technology

A cough into a cell phone may diagnose what ails you
U.S. and Australian researchers are developing technology to allow people to cough into their cell phones to find out if they have a cold, the flu or other respiratory diseases. The software differentiates the coughs by sound, comparing them to a pre-recorded database of coughs linked to all respiratory ailments. Telegraph (London)

November 12, 2009 Posted by | Creative disruption, healthcare | | Leave a comment

Health Care Transition to the Medical Home

Editor’s note: There will be challenges and hurdles to move towards the medical home concept. Health systems will need to line up a myriad of resources to make the transition. From Medical School education to practice processes, from health care technology to integration with the supporting providers.

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One insight being gleaned from the medical home pilots now underway is that the underlying theory is true: from both a patient and increasingly a financial perspective, the focus of care needs to shift from disease to patient, and ultimately to person.

At Elliot Family Medicine, one of 11 practices in a New Hampshire pilot program, Dr. Daniel J. Rosenbaum acknowledges that old treatment practices die hard. Switching to the medical home model is challenging for doctors accustomed to a more traditional method of patient care.

“It’s amazing how much we had to re-train ourselves,” he says in a report in the New Hampshire Union Leader. “We’re wired so that everything for us is about the visits.” In addition, both time and money are required to make medical records available electronically to better coordinate care.

“There’s no recipe for creating a medical home,” he says. “I’m amazed with how much had to be created.”

The transition to a medical-home model requires a fundamental shift in doctors’ view of their role. Yet the rewards of the patient-centered medical home practice are worth it. “It makes people healthier; it’s the right thing to do,” says Rosenbaum.

http://www.ahiphiwire.org/FocusMed/News/Default.aspx?doc_id=407292&utm_source=9/22/2009&utm_medium=email&utm_campaign=HiWire_Newsletter&uid=TRACK_USER

September 22, 2009 Posted by | Creative disruption, healthcare | , | Leave a comment

Government’s Impact on Innovation in Health Care

The link to this piece is a must read. It discusses the impact of a centralized, single payer, government controlled plan on innovation.

http://www.coyoteblog.com/coyote_blog/2009/09/ezra-klein-there-is-a-reason-you-cant-get-an-answer-to-your-question.html

September 19, 2009 Posted by | Creative disruption, Federal Government, healthcare | , , | Leave a comment

Retail Clinics – Creative Innovation Taking Hold

Study Gives High Marks to Retailers’ Clinics 

Walk-in medical clinics run by CVS, Wal-Mart and other retailers provide care for routine illnesses that is as good as, and costs less than, similar care offered in doctors’ offices, hospital emergency rooms and urgent care centers, according to a new Rand Corp. study. The cost savings over emergency rooms, in particular, was quite dramatic. — September 15 (Washington Post)

September 17, 2009 Posted by | Creative disruption, healthcare | | Leave a comment

Retail Clinics

Retail Clinics Providing Similar Quality of Care as EDs, Physicians’ Offices

HealthLeaders Media – September 1, 2009
Retail medical clinics are becoming a common site in many cities and towns.

September 4, 2009 Posted by | Creative disruption, healthcare | , | Leave a comment

Health Care: You Get What You Pay For

Editor’s note: It has been long recognized that in health care (as elsewhere) you get what you pay for. In health care if you pay have a fee for service model you get services. If you have more physicians or MRIs per capita you get more physician services or MRIs performed per capita.

We need to move to more of a hybrid model that pays for care. In the following story, one locale is testing a new model based on fee for care.

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Minnesota groups test new health care payment model
Minnesota’s second-largest insurer, Medica, and the local nonprofit Fairview Health Services are testing a reimbursement model that pays providers a fixed rate for patient care instead of the usual fee-for-service payment structure. Fairview’s challenge is to improve care and lower costs in the long run, which will mean higher payments, while Medica is investing in the project to help change the system of care delivery. National Public Radio (text and audio)

September 3, 2009 Posted by | Creative disruption, healthcare, Reimbursement | , | Leave a comment

Health Care Delivery

Editor’s note: Creative disruption is the key to efficient health care delivery. Customers (patients of health care services) are effectively telling the delivery system about their needs for  better health care delivery systems. Voice of the customer can be a powerful tool in health care reform.

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911 system becoming stopgap measure for primary care
The nation’s 911 emergency system is being used as a stopgap primary care source for people, some who call several times each day for ailments such as headaches or toothaches, experts say. Some experts recommend more public education, and some areas are testing a “nurse triage” system to evaluate 911 calls. CNNMoney.com/Fortune

August 30, 2009 Posted by | Creative disruption, Health care delivery, healthcare | , , | Leave a comment