Since data could be exchanged, providers have been accused of hoarding it. Government pressure and business incentives may be changing that. CMS Administrator Seema Verma told a packed room of health care execs earlier this year that it would no longer be tolerated. "Let me be crystal clear, the days of finding creative ways to trap patients in your system must end. It’s not acceptable to limit patient records or to prevent them and their doctor from seeing their complete history outside of a particular healthcare system," she said speaking at HIMSS in March. In addition, within months the Office of the National Coordinator, as mandated under the 21st Century Cures Act, will issue a proposed rule to set ground rules to prevent data blocking. Efforts tackling the issue couldn't have come at a better time. At the same time, digital health startups are beginning to accrue value and build out robust data sets. From platform companies such as Vida Health to … [Read more...] about Days of information blocking look numbered
Coordination of care through patient engagement
(Reuters Health) - People with schizophrenia who are treated early in their disease course, with extra support in addition to drugs and psychotherapy, may do better than they would with usual treatment, which often lacks coordination and starts after psychosis has taken hold, a recent study suggests. Researchers examined data from 10 previous trials involving a total of 2,176 patients with schizophrenia. All of the experiments randomly assigned some patients to receive usual treatment and others to get earlier intervention with more comprehensive services. With early intervention, patients had greater improvement in the severity of psychotic symptoms than with treatment as usual, the study found. Early-intervention patients were also less likely to discontinue treatment or need inpatient psychiatric care. “Early integrated services go beyond the building block of medication management and integrate into the treatment plan elements, such as psychoeducation of patients and … [Read more...] about Schizophrenics may do better with earlier, team-based care
HEALTH 04/24/2018 01:24 pm ET Recuperative care facilities offer a safer and ultimately cheaper alternative. By Anna Almendrala LOS ANGELES — Two years ago, Sherolyn Scott lost the apartment she had been living in for 16 years due to rising rent costs. She took the money from her security deposit and started sleeping in motels, but when that money was gone, she resorted to parks and porches. Sleeping outdoors, unprotected, set off a cascade of medical emergencies, often the result of violence. Attackers raped Scott, she said, and as she was recovering from the assault, she suffered a stroke. Later, robbers beat her so viciously that she ended up with her jaw wired shut. Each of these events sent Scott to the hospital, after which she was released back to a life on the streets. It wasn’t until the third hospital visit that police, worried that those who assaulted and robbed Scott would return to hurt her again, suggested the hospital find … [Read more...] about Hospitals Are Releasing Homeless Patients Back To The Streets. There’s A Better Way.
Abstract BackgroundTranslational research is required to ensure exercise referral schemes (ERSs) are evidence-based and reflect local needs. This article reports process data from the co-development phase of an ERS, providing an insight into (i) factors that must be considered when translating evidence to practice in an ERS setting, and (ii) challenges and facilitators of conducting participatory research involving multiple stakeholders.MethodsAn ERS was iteratively co-developed by a multidisciplinary stakeholder group (commissioners, managers, practitioners, patients and academics) via five participatory meetings and an online survey. Audio data (e.g. group discussions) and visual data (e.g. whiteboard notes) were recorded and analysed using NVivo-10 electronic software.ResultsFactors to consider when translating evidence to practice in an ERS setting included (i) current ERS culture; (ii) skills, safety and accountability; and (iii) resources and capacity. The co-development process … [Read more...] about Making a move in exercise referral: co-development of a physical activity referral scheme
Public-private partnership integrated health-care delivery: experience and lessons from Nepal Author : Ryan Schwarz and Prajwol NepalRyan Schwarz, MD, MBA is an Instructor of Medicine, Harvard Medical School, and Chief Operating Officer of Nepal-based non-profit healthcare company Possible Prajwol Nepal MBA is the Finance Director of Nepal-based non-profit healthcare company Possible The UN Sustainable Development Goals (SDGs) include the achievement of universal health coverage (UHC) globally by 2030—an historic endorsement, yet one for which there is no clear path forward. As former Director General of WHO Margaret Chan said, "The challenge now before us is implementation". Given limited capacity in many countries globally, further resources and innovation will be required to achieve UHC. There is significant debate regarding the utilisation of public versus private sectors for UHC delivery, with each having strengths and weaknesses, though increasingly it … [Read more...] about Public-private partnership integrated health-care delivery: experience and lessons from Nepal