ICD-10 preparation must begin now. Indiana, Ohio HIEs reach milestone in clinical data. TIGER nursing informatics final report. Measuring the Ability to Interpret Medical Informati. Speerpunten Zorg 2.0 vormen top 2 tot en met 6 van w. Roles of Technology-Usability-Requirements in eHealt. Is your health privacy at risk? Coming to a bedside near you: Body sensor networks. ‘Risk of harm’ breaches require notification: HHS. Microsoft HealthVault service sheds its beta tag. What’s Ahead for Clinical Computing? 5 decisions that will determine the fate of e-health. BlackBerry Handhelds Save Heart Attack Victims. For All the Right Reasons. Smart home knows just how you like your breakfast.
Keeping the Resident in the Loop: Adapting the Smart. Recent advancements in supporting fields have increased the likelihood that smart-home technologies will become part of our everyday environments. However, many of these technologies are brittle and do not adapt to the user’s explicit or implicit wishes. Here, we introduce CASAS, an adaptive smart-home system that utilizes machine learning techniques to discover patterns in resident’s daily activities and to generate automation polices that mimic these patterns. Our approach does not make any assumptions about the activity structure or other underlying model parameters but leaves it completely to our algorithms to discover the smart-home resident’s patterns.
Another important aspect of CASAS is that it can adapt to changes in the discovered patterns based on the resident implicit and explicit feedback and can automatically update its model to reflect the changes. More bibliographic information. Getting Doctors and Staff On Board With EHR. Survey of Spanish docs online. AHRQ surveys physician practices on e-prescribing. A telehealth nursing intervention reduces hospitaliz. The U Special Kids Program (USK) at the University of Minnesota provides care coordination and case management services by telephone to children with special health-care needs. We measured the effect of the USK programme on hospital resource utilization using a retrospective record review. Information on hospitalizations was collected for children enrolled in the programme for at least two years and validated for accuracy against inpatient claims data. Hospitalizations were classified as planned, unplanned or due to lack of home care.
A total of 43 children enrolled in the USK programme between July 1996 and December 2006 met the study criteria. Telehealth applications in speech-language pathology. We conducted a modified narrative review of the literature on telehealth applications used in speech-language pathology assessment and treatment. The following databases and information resources were used: MEDLINE, CINAHL, PSYCInfo, ERIC, Digital Dissertations, CSA Social Services Abstracts, CSA Sociological Abstracts, On-line ASHA publications and personal contacts. Sixty-two full-text documents were located. Twenty-eight provided sufficient detail to be reviewed using a checklist adapted from the Scottish Intercollegiate Guideline Network (SIGN) recommendations for level of evidence rankings and quality assessment ratings.
Five of the 28 studies received a ranking indicating a high level of evidence (larger sample sizes, assessed outcomes with valid and reliable measures, performed statistical analysis of study results, measured reliability of study results, ensured internal and external validity, and ensured randomization of participants to groups). More bibliographic information. Compliance and technical feasibility of long-term he. We developed a system consisting of both wearable and ambient technologies designed to monitor personal wellbeing for several months during daily life. The variables monitored included bodyweight, blood pressure, heart-rate variability and air temperature. Two different user groups were studied: there were 17 working-age subjects participating in a vocational rehabilitation programme and 19 elderly people living in an assisted living facility.
The working-age subjects collected data for a total of 1406 days; the average participation period was 83 days (range 43-99). The elderly subjects collected data for a total of 1593 days; the average participation period was 84 days (range 19-107). Usage, technical feasibility and usability of the system were also studied. Some technical and practical problems appeared which we had not expected such as thunder storm damage to equipment in homes and scheduling differences between staff and the subjects. More bibliographic information. Home-based exercise rehabilitation with telemedicine. We evaluated the feasibility of a home-based rehabilitation programme, which was designed to resemble an in-hospital rehabilitation programme.
Patients who underwent cardiac surgery (EuroSCORE 0-10) followed a one-month home rehabilitation programme supervised by a nurse-tutor and a physiotherapist. Physiotherapy was performed at home with calisthenic exercises and bicycle-ergometer tests. Patients transmitted the recorded ECGs by telephone to a service centre. They also performed a 6-minute walking test and filled in a satisfaction questionnaire at the end of the programme. A total of 47 patients were enrolled in the study. There were 3050 telephone calls, of which 3012 (99%) were scheduled and 38 were unscheduled. No further action was required in 95% of calls. Abstract Scalvini, Simonetta; Zanelli, Emanuela; Comini, Laura; Tomba, Margherita Dalla; Troise, Giovanni; Giordano, Amerigo, J Telemed Telecare, 15(6), 297-301, DOI: 10.1258/jtt.2009.090208 More bibliographic information. The attitudes of multiprofessional teams to teleheal. A telehealth network was established between seven health centres, the local university and the university hospital in the Oulu Arc Subregion in a rural area of northern Finland.
During the period 2004-2007, the videophone network was used for different types of teleconsultation (orthopaedics, psychiatry, diabetes, rehabilitation), continuing education and various patient care and administrative meetings. Qualitative research with observation and interviews with 30 professionals (physicians, nurses, psychiatric nurses, physiotherapists) was carried out in early 2007 to find out health-care professionals’ attitudes toward telehealth and to see how the attitudes were connected to telehealth usage. Overall, the attitudes were more positive than negative, ranging from negative to enthusiastically positive. Diversity of attitudes occurred in relation to time, situation, profession, health centre and telehealth application. More bibliographic information. Telepsychiatry appointments in a continuing care set. We reviewed the appointment data for a psychiatry service in California that provided consultations and also therapy through telepsychiatry.
Over an 18-month period, there were 7523 telepsychiatry appointments and 115,148 conventional (face-to-face) appointments. A higher proportion of the telepsychiatry appointments was kept (92% telepsychiatry vs. 87% non-telepsychiatry). Also, telepsychiatry appointments were significantly less likely to be cancelled by patients (3.5% vs. 4.8%) and significantly less likely to be no-shows (4.2% vs. 7.8%). These findings were similar in three of the four counties where the service was delivered. However, one county was different, and further examination suggested that the morale of the staff and patients may have contributed to the unenthusiastic acceptance of telepsychiatry. Feasibility of blood pressure telemonitoring in pati. Experience with videoconferencing between a neonatal. Parents of preterm-born infants need support after returning to their homes with their baby.
We studied the experience of certified paediatric nurses (CPNs) with the use of videoconferencing between the neonatal intensive care unit and the families’ home. Families were given a home videoconferencing unit, which allowed them to contact staff at the neonatal unit, day and night. Over a period of 12 months, ten families used the videoconferencing equipment. Families made a median of 4 telemedicine calls each (range 2-30). Narrative interviews were performed with 10 CPNs after the study ended. Qualitative thematic content analysis was applied to the interview data and one theme was identified: smoothing the transition of infants from the neonatal unit to the families’ home. The CPNs found that videoconferencing helped them to assess the overall situation at home and facilitated the relationship between parents and the infant.
Implementation of a broadband video consultation ser. We evaluated the implementation of a video consultation service in a regional community of paediatric physiotherapists. Twenty-two paediatric therapists in primary care settings and a rehabilitation centre participated in this study. The implementation comprised three phases: introduction, learning and consultation. Evaluation of the implementation focused on the participants’ satisfaction with regard to the implementation procedure, the education received, the technical helpdesk support and the usage of the application once put into practice.
The introduction phase was very short (only two sessions) but the learning phase took much longer; it took 12 months for 21 therapists to complete the learning phase. Abstract Visser, Jacqueline J.W.; Bloo, Johan K.C.; Grobbe, Frans A.; Vollenbroek-Hutten, Miriam, J Telemed Telecare, 15(6), 269-274, DOI: 10.1258/jtt.2009.081214 More bibliographic information. A strategic approach to m-health. This article proposes a strategic framework or road map for sustainable m-health. The drivers and critical success factors of this framework are identified from the literature and a survey of the views of senior strategists in the New Zealand health sector.
The success factors are associated with key tasks in the framework that identify suitable applications, channel development activity, and confirm activity by continued support of innovation whilst moving successful applications into the mainstream. The two most important outcomes from the research are that m-health has a crucial, even inevitable, role to play in future healthcare, and the development and exploitation of m-health demands a top-down strategy or framework to match and encourage bottom-up innovation by healthcare practioners. How does national culture affect citizens’ rights of. Two widely discussed and debated aspects of health law literature are ‘informed’ consent to medical treatment and the right of access to personal health information. Both are tied to the larger subject of patients’ rights, including the right to privacy. This article looks at the issue of informed consent internationally, and goes further to explain some of the inequalities across the world with respect to informed consent and patients’ rights legislation via an analysis of the take-up of key legislative attributes in patient consent.
Specifically, the effect that national culture, as defined by the GLOBE variables, has on the rate and pattern of adoption of these consent elements is analysed using binary logistic regression to provide evidence of the existence or otherwise of a cultural predicate of the legislative approach. The article concludes by outlining the challenges presented by these differences. [Internet use by primary care and hospital doctors: Paper-based versus computer-based records in the eme. Although the potential benefits of computer-based records have been identified in different areas of the healthcare environment, in many settings paper-based records and computer-based records are still used in parallel.
In this article, emergency department (ED) staff perspectives about the use of paper- or computer-based records are presented. This was a qualitative study in which data were collected using in-depth semi-structured interviews with the ED staff. The interviews were transcribed verbatim and data were analysed using framework analysis. In total, 34 interviews were undertaken. St Jude connects to implantable devices. How technology will change the future of healthcare. Kentucky government to compile citizens’ health reco. MIE 2009 Tweets Follow 5. HHS Certification vs. CCHIT. ICD-10 Coding…What it is all about…What Effect Will. Summary Care Record rollout begins in London.
HealthPartners One Of First To Integrate Electronic. Bionic brain chips could overcome paralysis. RFID comes of age. Monitoring pioneer is at it again with ’smart’ pill. Software allows public to map medicine shortages. MIE2009 – final day. Dashboards available from October. Health Information Trust Alliance to create security. H1N1 intensity helps drive push for electronic healt. Internet complicates doctor-patient relationships. Mobile technology could help contain a flu pandemic.