November

Cleveland Clinic Selects Top Medical Innovations for 2009

Cleveland.com

Physicians and consultants affiliated with the Cleveland Clinic announced their list of the top 10 cost-effective innovations that could greatly benefit patients in 2009, including plans for a comprehensive, national health care information exchange.

http://www.cleveland.com/news/plaindealer/index.ssf?/base/news/1226568655266710.xml&coll=2

Political Temperature May Be Just Right for Healthcare Overhaul

Los Angeles Times

When Barack Obama takes office in January, healthcare reform will join a list of priorities that include a ballooning budget deficit and an economy mired in one of the worst slowdowns since the Great Depression. But the bleak environment may paradoxically spur the kind of costly, sweeping overhaul of the nation's healthcare system that has eluded policymakers in Washington for decades, many political strategists, industry leaders, and economists say. "Healthcare reform is very much linked to the broader economic issues that the country is facing," said Todd Stottlemyer, president of the National Federation of Independent Business. "Our view is that there is the energy now to make this a top priority."

http://www.latimes.com/features/health/la-na-health18-2008nov18,0,1244119.story

Frost & Sullivan Recognizes StatCom as Healthcare Technology Innovator of the Year

Frost & Sullivan

Based on its recent analysis of the hospital management systems market, Frost & Sullivan recognizes StatCom with the 2008 North American Frost & Sullivan Award for Healthcare Technology Innovation of the Year for its development of a Hospital Operations System that enables all patients to collectively flow at their best possible rate with regard to service, quality, safety, and resource consumption. "The StatCom solution transcends the current patient flow solutions by effectively facilitating interactions between and across departments to reduce errors, improve patient satisfaction, and improve hospital operational and financial performance," says Frost & Sullivan Research Analyst, Miriam C. Nagel.

http://www.frost.com

Federal Study Details Barriers to Health Care IT Adoption

Diana Manos, HealthcareITNews

A study released by the Agency for Healthcare Research and Quality found that patients not seeing the benefit of using health IT to manage their health conditions is a barrier to adoption by doctors and patients. The study was conducted by Oregon Health and Science University's Evidence-Based Practice Center. Researchers found the most common factor influencing the successful use of interactive technology by the special populations occurred when consumers perceived a benefit from using the system. Convenience was also an important factor.

http://www.healthcareitnews.com/story.cms?id=10423

IT Infrastructure Needed for Potential Public Health Emergencies

Kathryn Foxhall, Government Health IT

Local communities will be in danger during a public health crisis because of a shortage of relevant information technologies, according to Department of Homeland Security officials. Maribeth Love, deputy director of HHS's office of preparedness and emergency operations, says her office is trying to come up with IT solutions that bridge the gap between when a disaster hits and when the federal government responds. "We have serious health communications and IT infrastructure issues to deal with," she said.

http://www.govhealthit.com/online/news/350680-1.html

Survey: PHR Adoption Could Lead To Big Savings

Health Data Management

The widespread adoption of personal health records could save the U.S. health care system more than $19 billion annually after expenses, according to a new survey by the Center for Information Technology Leadership at Partners Healthcare System. Start-up costs to provide interoperable PHRs to 80% of the population would total $3.7 billion, the study estimates.

http://www.healthdatamanagement.com/news/PHRs27281-1.html

Donald Berwick: Curing the Healthcare System

Business Week

Consider the problem of how to move patients through a hospital efficiently, from patient admission to the emergency room through surgery and recovery to discharge. ERs in the U.S. are typically operating beyond their capacity, and hospitals often respond by expanding the ER to accommodate more patients. But this worsens the problem by bringing more patients into the system (who will ultimately need more operating rooms or in-patient beds) and adds to hospital costs because more patients end up "parked" in expensive ER beds as they wait to be transferred. To solve the problem, IHI studied how hotels manage patient flow and found that the answer lay in eliminating unnecessary fluctuations in demand.

http://www.businessweek.com/innovate/content/nov2008/id20081117_820750.htm

Uninsured Not To Blame for Long Emergency Waits

Reuters, Julie Steenhuysen

Contrary to conventional wisdom, hospital emergency departments in the United States are not overrun by uninsured people with minor ailments who want free treatment, U.S. researchers said on Tuesday. The findings, published in the Journal of the American Medical Association, contradict widespread assumptions that the nation's 46 million uninsured are to blame for long wait times and overcrowding in U.S. hospital emergency departments. "In spite of a common belief, the uninsured don't cause emergency department overcrowding. They are not showing up with non-urgent conditions. They are not overwhelming the emergency department," said Dr. Manya Newton of the University of Michigan, who led the study, in a telephone interview.

http://www.reuters.com/article/domesticNews/idUSTRE49K7WL20081021?sp=true

St. Clair Hospital Unveils New State-Of-The-Art Emergency Wing

Pop City

The seventh largest hospital in Southwestern Pa., St. Clair's emergency room is the busiest in the region, having treated 52,000 patients in 2008. The $13.5 million center will increase the capacity to 46 patient treatment rooms, 30 equipped for everything up to acute adult care, six for pediatric needs and three for behavioral and mental health. The facility is equipped to accommodate 80,000 visits per year. Perhaps the most impressive feature is the increased efficiency of emergency operations, or door to doctor time. One of the first hospital's in the region to embrace the Toyota Production Model, a patient-care method promoted by the Pittsburgh Regional Healthcare Initiative, St. Clair expects to drastically reduce the bane of all emergency rooms, wait time.

http://www.popcitymedia.com/timnews/stclairhosp1119.aspx

Nursing and Technology

Carolyn Bloch blog

Nurses agreed that technology is absolutely essential to be able to retain nurses and to generally help the workforce. However specifically, they want to see the rapid retrieval of data at the point-of-care, the use of smart voice activated devices-especially wireless devices, the use of technology to do accurate tracking and scheduling, improved interoperable, integrated, and globally accessible communication systems, functionality that eliminates "work arounds," and more robots used in hospitals. Nurses would like to see hospital executives and technology vendors listen to the staff when designing and installing equipment. Essentially nurses want to be partners up front in the design of the technology and demand that the vendor's products be thoroughly developed, tested, and affordable.

http://telemedicinenews.blogspot.com/2008/11/nursing-and-technology.html

More Hospitals Use Electronic Tracking Systems

Wall Street Journal

More hospitals have started to use electronic tracking systems, including infrared sensors and RFID tags, to monitor medical equipment and laboratory specimens, as well as to locate patients and staff. The increased use of these systems, however, has raised some concerns related to privacy and safety, as tracking technology could disrupt the operation of medical devices or be used to access personal information.

http://online.wsj.com/article/SB122645364411819495.html?mod=dist_smartbrief

Even the C-suite Isn't Safe

Carrie Vaughan, HealthLeaders Media

Hospitals are looking at every way possible to keep their organizations financially stable. Unfortunately, for many providers, staying financially stable has meant cutting service lines and laying off employees. What's interesting is that these cuts aren't just happening in housekeeping or food service. Many hospitals are trimming staff from administrative levels-even as high up as the C-suite.

http://www.healthleadersmedia.com/content/223478/topic/WS_HLM2_LED/Even-the-Csuite-Isnt-Safe.html

Health IT Group CEO Urges Obama to Alter Health IT Strategy

Health Data Management

C. Peter Waegemann, CEO of the Medical Records Institute, sent a letter to President-elect Barack Obama offering advice on how to promote health IT adoption, Health Data Management reports. In the Nov. 11 letter, Waegemann writes, "A new start is needed that corrects the well-intentioned but misguided strategies of the Office of the National Coordinator and its affiliates that have contributed to slowing the transition to electronically supported health care." He adds, "Your new administration has the capacity and opportunity to correct the mistakes of the past and to create new strategy for health information technology."

http://www.healthdatamanagement.com/news/NHIN27273-1.html

Global CEOs Cautiously Optimistic for Growth

Rick Johnson, for HealthLeaders Media

Well, the next U.S. president won't be the only one wrestling with the economy. CEOs of international health systems are closely tracking the financial markets, and those I've recently connected with expect that new business development will be challenging. Some are putting new deals on hold. At the same time, many of these health leaders are optimistic that capital access will improve soon and new growth plans will return.

http://www.healthleadersmedia.com/content/222755/topic/WS_HLM2_GBL/Global-CEOs-Cautiously-Optimistic-for-Growth.html