Quote Of The Year

Timeless Quotes - Sadly The Late Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"

or

H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."

Saturday, August 15, 2020

Weekly Overseas Health IT Links – 15 August, 2020.

Here are a few I came across last week.

Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.

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https://healthitanalytics.com/news/artificial-intelligence-may-accelerate-heart-failure-diagnosis

Artificial Intelligence May Accelerate Heart Failure Diagnosis

A routine ECG enhanced by artificial intelligence is better at identifying heart failure than a standard blood test.

By Jessica Kent

August 05, 2020 - Artificial intelligence-enhanced electrocardiogram (ECG) may be able to accurately detect heart failure in patients being evaluated in the ER for shortness of breath, according to a study published in Circulation: Arrythmia and Electrophysiology.

The method could detect decreased heart function more accurately and quickly than standard blood tests, the study found.

In a typical year, about 1.2 million people go to emergency departments because they are experiencing shortness of breath, researchers stated. This year, those numbers are much higher because difficulty breathing is a major sign of COVID-19. When providers suspect a patient is having heart problems, they usually perform an ECG, a 10-second recording of the heart’s electrical activity.

“An abnormal ECG raises concern about underlying cardiac abnormalities but are not specific for heart failure,” said Demilade Adedinsewo, MD, MPH, lead author of the study and chief fellow in the division of cardiovascular medicine at Mayo Clinic in Jacksonville, Florida.

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https://www.digitalhealth.net/2020/08/video-consultations-to-apps-how-digital-tools-can-transform-maternity-care/

Video consultations to apps – how digital tools can transform maternity care

As the country was sent into lockdown technology played a huge role in helping people stay connected with their health and care, and maternity care was no different. Senior reporter Andrea Downey takes a look at how digital tools can keep expectant parents in touch with their midwife.

Andrea Downey 4 August, 2020

When it comes to maternity care it’s often seen in the more traditional sense, being very hands on and requiring face-to-face appointments.

But while check-ups with a midwife will never be entirely replaced, technology has an important role to play in keeping pregnant women connected with their midwife.

Never was this more evident than during the Covid-19 pandemic when the country was forced into lockdown and our reliance on health tech suddenly became more crucial.

Dr Lucy Mackillop, chief medical officer at Sensyne Health, explains that the acceleration of digital offerings in maternity care was about more than just transferring face-to-face appointment to video. A greater focus was placed on apps and remote monitoring technology.

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https://ehrintelligence.com/news/cerner-integrates-ehr-digital-health-platform-to-boost-patient-experience

Cerner Integrates EHR Digital Health Platform to Boost Patient Experience

The collaboration between Cerner and Xealth aims to allow clinicians to order solutions and manage health conditions within the EHR workflow.

By Christopher Jason

August 06, 2020 - Cerner announced it is partnering with digital health platform, Xealth, in an effort meant to enhance the patient care experience and enable patients to be active treatment participants throughout the healthcare process.

The connection with Xealth aims to give patients their digital data so they can be more engaged in their health plans. It also intends to help clinicians integrate, prescribe, and monitor EHR-integrated tools for patients into a single workflow.

“Today, we have the unique opportunity to improve people’s lives by allowing active participation in their own treatment plans,” David Bradshaw, senior vice president of consumer and employer solutions at Cerner, said in a statement.

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https://www.theatlantic.com/health/archive/2020/08/telemedicine-has-resurrected-house-call/614992/

What a Doctor Learns From Watching You on Video Chat

Patients and doctors are rediscovering the unexpected virtues and hidden pitfalls of homebound care.

In the 1880s, a few short years after the telephone’s invention, futurists envisioned a modern doctor unrestricted by time and space. “That specialist would sit in a web of wires,” the Johns Hopkins medical historian Jeremy Greene told me, “and take the pulse of the nation.” At the time, and for decades after, medical practice remained circumscribed by geography. Black bag in tow, packed with every tool a physician would need, roaming doctors traveled by automobile or horseback and tended to the bedridden wherever they lay. But by the mid-20th century, clinicians stopped trekking from household to household.

“The old-school home visit is just totally impractical,” Charles Owens, the director of Georgia Southern University’s Center for Public Health Practice and Research, told me. “It’s logistically kind of a train wreck.” Cars, public transportation, and sprawling hospital systems eventually converted home visits from a standard of care—40 percent of physician encounters in 1930—to a relic, just 1 percent by 1980. Patients, then and now, flocked to doctor’s offices.

Today, telehealth has resurrected the house call more than a century after it fell out of favor. This newfangled iteration of a bygone practice is less intimate than having a doctor sitting at your bedside, but more personal than sitting on your doctor’s exam table. For some people, virtual home visits are about as uncomfortable as being poked and prodded in a hospital gown, but they allow doctors to once again observe quotidian details of their patients’ health that they might not otherwise glimpse. “The doctor’s office is a stressful place for everyone,” Mark Fendrick, a primary-care doctor with Michigan Medicine, told me. “There are some things we look for that are more artificial in a doctor’s office and more real-world at home.”

 

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