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.”

 

Friday, August 14, 2020

Telehealth Seems To Be Something Of A Hit With Docs And Patients.

 A couple of surveys on Telehealth have appeared this week. First we have:

GPs have embraced telehealth, survey finds

RACGP survey results from July show GPs and patients are seeing the benefits of telehealth consultations – but there is room for improvement.

Anastasia Tsirtsakis

06 Aug 2020

GPs who use video said they find it to be more personal, it helps them in assessing the patient, and that it aids them in undertaking a physical examination.

Since telehealth was rapidly unrolled in March in response to the coronavirus pandemic, GPs have proven their ability to adapt – as have patients. 
 
Among more than 420 GPs surveyed by the RACGP, one in five respondents reported that 61–80% of their patients have requested a telehealth consultation.
 
While the majority of GPs opt for the telephone when undertaking a telehealth consultation, more than half (54%) of those surveyed had used video at least once.
 
GPs who use video said they find it to be more personal (19%), it helps them in assessing the patient (26%), and that it aids them in undertaking a physical examination (18%).
 
The most common types of video consultations undertaken are standard consultations, follow-up consultations, prescriptions, referrals, and for mental health.
 
Dr Steven Kaye, a GP and Deputy Chair of the RACGP Expert Committee on Practice Technology and Management, said it is positive to see GPs transforming the way they operate and adopting video technology.
 
‘We campaigned so strongly for the expansion of telehealth and telephone consultations for good reason,’ he said.
 
‘These services allow patients with a variety of health conditions to talk on the phone or via online platforms with their GP while minimising the risk of transmitting or spreading the COVID-19 virus.’
 
A survey of more than 1100 GPs conducted by the RACGP in April showed more than 99% are offering consultations via video or telephone.
 
That survey also found that almost 97% of practices are still offering face-to-face consultations, providing patients with flexible access options to seek the care they need.
 
However, a June survey of more than 700 Australians revealed 32% of respondents had delayed or avoided seeing their GP in the previous three months due to fears of contracting COVID-19.
 
While the trend started to reverse with the easing of restrictions, there are fears patients may again put off seeing their GP as metropolitan Melbourne faces even harsher restrictions.
 
While patient concerns are understandable, Dr Kaye cautioned against delaying care. 
 
‘GPs from across Australia have reported significant drops in patient numbers. We must reverse this trend immediately,’ he said.
 
Lots more here:

https://www1.racgp.org.au/newsgp/professional/gps-have-embraced-telehealth-survey-finds

There was also this survey.

Patients prefer their own GP for telehealth

Nationwide survey shows 95% booked a non-face-to-face consult with a practice they'd been to before

5th August 2020

By Heather Saxena

When it comes to telehealth, patients like to consult with their regular GP, a new survey has found.

Nearly all (95%) patients who booked a telehealth consult between April and June had been to the practice before. 

And one quarter booked a follow-up appointment at the same practice, according to the research by HealthEngine.

The results are based on data from nearly 220,000 telehealth appointments at 730 practices and 496 patient surveys.

Other findings showed some 59% of patients turned to telehealth to avoid COVID-19.

Most patients booked a telehealth consult with a clinic within 4km of their home.

However, one patient booked an appointment with a GP 3836km away. The patient was in Carnarvon, WA, and the doctor in Brisbane, Qld.

The vast majority of consults were by phone and nearly all patients (97%) said the telehealth process was easy to understand.

But 15% of patients surveyed said they would prefer a video consultation.

More informationRead the full report

Here is the link:

https://www.ausdoc.com.au/news/patients-prefer-their-own-gp-telehealth

Between these two surveys we get quite a good idea as to what is going on out there now. What will be interesting to see what impact is sustained in the long term for the use of telehealth and how much migration we see over time to the use of video rather than telephone.

The impact of GPs income and viability is also of interest I believe.

Look forward to progress reports.

David.