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://www.digitalhealth.net/2020/06/nao-report-highlights-complexity-of-the-nhs-digital-landscape/
NAO report highlights “complexity of the NHS digital landscape”
The team
behind a troubling report into digital transformation across the NHS in England
have said they think it highlights the “complexity of the NHS digital landscape”.
Hanna Crouch
– 25 June, 2020
Published in
May, the National Audit Office’s (NAO) report concluded that local NHS
organisations are facing “significant challenges” when it comes to working
towards digital transformation.
Prior to the
Covid-19 pandemic, the NAO looked into the state of digital services across the
NHS in England and its readiness to deliver digital transformation, focusing on
plans, governance arrangements, resources and technical challenges.
The report
also concluded that while the main bodies plans for digital transformation are
“ambitious”, the track record in the NHS has been “poor”.
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https://www.digitalhealth.net/2020/06/lack-of-robust-digital-systems-gps/
Lack of ‘robust’ digital systems is pilling pressure on GPs
A lack of
robust digital systems and sustainable plans is leading to extra work for GPs,
a British Medical Association (BMA) survey has revealed.
Hanna Crouch
– 24 June, 2020
Due to
reduced numbers of patients attending hospital because of the coronavirus
pandemic, family doctors across the country are now expected to perform blood
tests for hospital outpatients, prescribe medication that would normally be
given in secondary care, and complete tests before making a possible cancer
referral, which could lead to delays in treatment.
This is often
due to a lack of digital solutions to enable hospital doctors to do this, as
well as a lack of planning for alternatives in the community, the BMA found.
In fact, half
of the 7,497 doctors who responded to the survey said that they were having to
now provide care that would normally be delivered by secondary care colleagues.
And
a further 81% said they had been asked to carry out new investigations and
manage ongoing care, which would also usually be done in hospitals, further
adding to GPs’ growing workload.
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https://federalnewsnetwork.com/veterans-affairs/2020/06/how-va-drastically-expanded-telehealth-during-the-pandemic/
How VA drastically expanded telehealth during the pandemic
By Nicole Ogrysko
@nogryskoWFED
June 24, 2020 5:41 pm
As
the Department of Veterans Affairs canceled and postponed in-person medical
appointments, the agency moved mountains to quickly expand its telehealth
capacity during the coronavirus pandemic.
The
numbers tell most of the story.
VA
conducted about 2,500 telehealth video sessions daily at the beginning of
March. Today, VA is conducting nearly 25,000 sessions — a 1000% increase.
The
department also boosted bandwidth for concurrent video sessions up by factor of
five during the pandemic.
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https://www.reuters.com/article/us-health-coronavirus-usa-cases/coronavirus-may-have-infected-10-times-more-americans-than-reported-cdc-says-idUSKBN23W2PU
June 26, 2020
/ 2:22 AM / a day ago
Coronavirus may have infected 10 times more Americans than reported, CDC
says
Steve
Holland
WASHINGTON
(Reuters) - Government experts believe more than 20 million Americans could
have contracted the coronavirus, 10 times more than official counts, indicating
many people without symptoms have or have had the disease, senior
administration officials said.
The
estimate, from the Centers for Disease Control and Prevention, is based on
serology testing used to determine the presence of antibodies that show whether
an individual has had the disease, the officials said.
The
officials, speaking to a small group of reporters on Wednesday night, said the
estimate was based on the number of known cases, between 2.3 million and 2.4
million, multiplied by the average rate of antibodies seen from the serology
tests, about an average of 10 to 1.
“If
you multiply the cases by that ratio, that’s where you get that 20 million
figure,” said one official.
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https://www.healthcareitnews.com/news/europe/ai-used-rank-nhs-patients-order-urgency-clear-covid-19-backlog
AI used to rank NHS patients in order of urgency to clear COVID-19 backlog
NHS hospitals
are using AI to prioritise urgent appointments with a scoring system, as number
waiting for treatment could reach 10 million by Christmas.
By Sara Mageit
June 26, 2020
06:06 AM
With
a large backlog of appointments caused by coronavirus, some hospitals in
England and Wales have started using algorithms to prioritise patients most
urgently in need of care and to help clear the mounting numbers.
Multiple
companies are vying to get into this space from Babylon's AI
services which provide health information, to DrDoctor, which
recently released a new AI software adopted to collate and automatically rate
patient’s responses with digital questionnaires.
DrDoctor’s
software assesses the urgency of a patient's illness with a traffic light
scoring system, giving patients either a green, amber or a red score.
Tom
Whicher, CEO of DrDoctor estimates that if every hospital in the country
adopted his technology, the time needed to get through the backlog would be
dramatically reduced from four years to ten months.
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https://www.healthcareitnews.com/news/successes-and-pitfalls-using-telehealth-home-based-primary-care
The successes – and pitfalls – of using telehealth for home-based primary
care
Although
providing services to patients virtually can improve provider efficiency, it's
important to consider individual technological capabilities.
By Kat Jercich
June 26, 2020
03:00 PM
Home-based
primary care allows individuals with chronic conditions – especially older
people – to stay in their homes longer, so reducing hospitalization rates and
improving quality of life. As the COVID-19 crisis has made evident, telehealth
can be a useful tool to help connect patients with services remotely.
However,
experts say it is vital to consider the capabilities of patients when trying to
implement an at-home care model – and the capabilities of their caregivers.
"It
wasn't perfect, but we did learn a lot," said Rachael-Linn Spooner, vice
president of clinical transformation at Northwell Health, in an American
Telemedicine Association 2020 deep-dive session on employing telehealth for
primary care.
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https://patientengagementhit.com/news/sdoh-affect-patient-health-literacy-knowledge-about-covid-19
SDOH Affect Patient Health Literacy, Knowledge About COVID-19
Research
shows disparities in health literacy and knowledge about COVID-19 among people
of color, men, and younger individuals.
By Sara Heath
June 25, 2020
- Patient health literacy and knowledge about the COVID-19 pandemic falls
along sociodemographic lines, further evidence of the fact that the social
determinants of health (SDOH) dictate an individual’s ability to be and stay
healthy, according to new research
from the Harvard Kennedy School.
More
specifically, individual knowledge about COVID-19 and health behaviors were
dependent upon individual race, sex, and age.
Black people,
males, and individuals younger than age 55 were less likely to know how the
novel coronavirus spreads and the key symptoms of the disease.
Additionally,
individuals in those populations were less likely to engage in key healthy
behaviors known to prevent COVID-19 spread, including regular handwashing and
adherence to stay-at-home or better-at-home orders, the researchers found.
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https://www.smartbrief.com/original/2020/06/how-defend-against-ransomware-attack
How to defend against a ransomware attack
Patrick Hopkins
June 24, 2020
It’s
Monday morning. SmartBrief on Cybersecurity arrives in your inbox. You open it,
wondering who’s been hit recently and for how much money or data.
The
brief includes news about four breaches. If malware is involved in all four,
there’s a 27%
chance
one of them is a ransomware attack. If so, the criminals have probably struck a
hospital,
a
school,
a
city
government
or
a
manufacturing
plant,
and they might get paid a
sizable
ransom.
The
entity that was struck probably had insurance. ProPublica
reported
that “[o]ne cybersecurity company executive said his firm has been told by the
FBI that hackers are specifically extorting American companies that they know
have cyber insurance.” That insurance probably paid out because paying
is
cheaper
than
trying
to
reconstruct
everything,
when reconstructing is even possible.
What is ransomware, and how does it work?
You
might not have heard much about ransomware, which accounts for less than 1 in
20 cyberattacks. But it’s so well-known in the cybersecurity world that Merriam Webster has gone through the trouble of defining it: “Malware
that requires the victim to pay a ransom to access encrypted files.” If the
encrypted files are the files your business uses to make money, you may have
just lost everything.
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https://news.cornell.edu/stories/2020/06/study-online-trackers-follow-health-site-visitors
Study: Online trackers follow health site visitors
By Melanie
Lefkowitz
June 24, 2020
Internet
trackers are more likely to follow people who visit popular health sites, such
as WebMD.com and mayoclinic.org, to other types of sites, a Cornell Tech study
has found – suggesting that advertisers might be more likely to target people
based on sensitive health information than previously understood.
A
visualization of one of the researchers’ experiments, browsing from health to
news to educational contexts, which shows particularly dense connections of
user IDs between health care and news websites.
The
study examined how the order in which users visit 15 major health, education
and news sites affects the way third-party trackers follow them around the
internet. Although the health sites may have fewer trackers than other types of
sites, the researchers found, those trackers are more persistent in following
page visitors.
“The
health care context is really appealing to advertisers, since it’s such
sensitive data that allows advertisers to know a lot about you, or even
manipulate you to click on an ad that relates to your health problem,” said Ido
Sivan-Sevilla, a postdoctoral fellow at Cornell Tech’s Digital Life Initiative and first
author of “Unaccounted
Privacy Violation: A Comparative Analysis of Persistent Identification of Users
Across Social Contexts.”
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https://www.healthcareitnews.com/news/massachusetts-ehealth-collaborative-calling-it-day
Massachusetts eHealth Collaborative is calling it a day
After 15
years as health IT innovation leader, the nonprofit MAeHC will be winding down
operations in 2020, with many of its assets transferred to other like-minded
organizations.
By Mike Miliard
June 25, 2020
03:56 PM
The
Massachusetts eHealth Collaborative says it is winding down its operations,
having made big progress over the past decade and a half enabling
technology-driven healthcare improvements in Massachusetts and beyond.
WHY IT
MATTERS
Founded in 2005 with the mission of boosting the safety, quality and
cost-effectiveness of healthcare with technology and data analytics, MAeHC has
helped hospitals, practices and others across the state hone their clinical and
operational efficiencies over the years.
It
has also modeled health IT best practices, policy innovation, interoperability
standards development and thought leadership nationwide.
Now,
MAeHC officials say the group will distribute many remaining assets to other
"like-minded local nonprofits" around Massachusetts.
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https://www.healthcareittoday.com/2020/06/25/are-digital-only-health-systems-on-the-horizon/
Are Digital-Only Health Systems On The Horizon?
June 25, 2020
Anne Zieger
Over
the past few years, health systems have made increasingly large bets on digital
health and telemedicine applications. The question is, now that COVID-19 has
forced many of them to beef up their digital capabilities dramatically, can
they leverage this experience to deliver virtual care more effectively?
To
be sure, some are already making big bets on digital care management and
delivery. High-profile efforts we’ve covered in Healthcare IT Today include
the Mercy Virtual Care Center, a “hospital
without beds” which focuses exclusively on telemedicine and remote
monitoring, and the hybrid model rolled out by LifeBridge Health, whose virtual
hospital service integrates with brick-and-mortar services by both treating
patients online and routing them to appropriate levels of in-person care.
That
being said, until recently few systems have followed in their footsteps, if for
no other reason than, getting there isn’t cheap. (For example, Mercy apparently
spent $54 million to launch its virtual hospital project in 2015.)
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https://www.healthcareittoday.com/2020/06/25/what-is-social-recruiting-and-why-should-i-care/
What is Social Recruiting and Why Should I Care?
June 25, 2020
Erin Kennedy
Recruiters
and hiring managers want to know about you before they offer an interview
invitation. And in today’s technological age, they can find out about you easy
enough…just go online and “google” you. They look at your social networks to
get a picture of who you are. Too many executives believe they don’t need an
online presence since the experience on their resume speaks for itself.
However, sometimes not having an online presence at all is perceived as being
just as bad as having a negative presence. At the very least, it’s important to
work with a LinkedIn
profile service to develop a profile you can point to online for
recruiters. Here’s what you need to know about social recruiting today.
What
is Social Proof?
A
recruiter will still want you to have a stellar resume, but you have to back it
up with social proof. Employers want to be able to validate who you say you are
from your resume and learn more about your life in general. They will look at
your LinkedIn profile, Twitter, Facebook, and any other profiles you have to
gather this information. They aren’t necessarily stalking you, but rather, they
just want to be sure you are who you say you are before they make an investment
in hiring you.
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https://healthitanalytics.com/news/big-data-analytics-dashboard-shows-greatest-risk-factors-for-covid-19
Big Data Analytics Dashboard Shows Greatest Risk Factors for COVID-19
The
dashboard leveraged big data analytics tools to reveal that social deprivation
is a leading factor in determining COVID-19 risk.
By Jessica Kent
June 23, 2020
- Parkland Center for Clinical Innovation (PCCI) has
developed a big data analytics dashboard to accurately identify communities
at high risk for COVID-19 infection.
The PCCI COVID-19
Vulnerability Index incorporates socioeconomic, clinical, mobility, and
demographic risk factors. The index showed that social deprivation is a leading
factor in determining an individuals’ risk for COVID-19 and is the primary
reason for racial and ethnic disparities in COVID-19 risk – more so than age,
race, or comorbidity rates.
The
Vulnerability Index determines communities at risk by examining comorbidity
rates, including chronic illnesses like hypertension, cancer, diabetes, and
heart disease; areas with large density of populations over the age of 65;
increased social deprivation such as lack of access to food, medicine,
employment, and transportation.
The
index also evaluates communities’ levels of mobility by modeling the rate at
which individuals are able to observe stay-at-home and social distancing measures.
Historical racial
and ethnic disparities are also seen with COVID-19, with African American
and Hispanic neighborhoods at greatest risk.
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https://patientengagementhit.com/news/4-key-sdoh-impeding-chronic-disease-management
4 Key SDOH Impeding Chronic Disease Management
Geography,
income, educational attainment, and housing security are key SDOH that affect
chronic disease management and engagement.
By Sara Heath
June 23, 2020
- Meaningful chronic disease management is a key aspect of value-based
healthcare. After all, a sizeable portion of healthcare spending can be
attributed to a small share of the nation’s sickest patients, underscoring the
need to manage illness.
But with this
shift comes a growing realization that care management is more than just
medical practice; it’s an acknowledgment that the social determinants of health
(SDOH) impact chronic disease.
These factors
that determine a patient’s ability to obtain wellness can keep patients from
engaging in healthy behaviors, accessing healthcare, and keeping their disease
state of symptoms under control.
Below,
PatientEngagementHIT
outlines the key social determinants of health that affect chronic disease
management and how the healthcare industry has begun to address them.
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https://khn.org/news/pandemic-forced-insurers-to-pay-for-in-home-treatments-will-they-disappear/
Pandemic Forced Insurers To Pay For In-Home Treatments. Will They
Disappear?
By Julie Appleby June
23, 2020
After
seven days as an inpatient for complications related to heart problems, Glenn
Shanoski was initially hesitant when doctors suggested in early April that he
could cut his hospital stay short and recover at home — with high-tech 24-hour
monitoring and daily visits from medical teams.
But
Shanoski, a 52-year-old electrician in Salem, Massachusetts, decided to give it
a try. He’d felt increasingly lonely in a hospital where the COVID pandemic
meant no visitors. Also, Boston’s Tufts Medical Center wanted to free up beds
for a possible surge of the coronavirus.
With
a push from COVID-19, such “hospital-at-home” programs and other remote
technologies — from online visits with doctors to virtual physical therapy to
home oxygen monitoring — have been rapidly rolled out and, often, embraced.
As
remote visits quickly ramped up, Medicare and many private insurers, which
previously had limited telehealth coverage, temporarily relaxed payment rules,
allowing what has been an organic experiment to proceed.
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https://www.politico.com/news/2020/06/24/lancet-study-hydroxychloroquine-health-data-industry-337663
Bungled Lancet study casts shadow over health data industry
Retracted
paper linking hydroxychloroquine to increased deaths in Covid-19 patients
relied on reams of suspect data.
By VINCENT
MANANCOURT and ASHLEIGH FURLONG
06/24/2020
09:53 AM EDT
Health data
has long been touted as the key to a revolution in medical research, fueled by
billions of dollars from tech investors and Silicon Valley giants eyeing new
markets.
But in the
wake of a botched study on the benefits of an anti-malarial drug against
Covid-19, leading academics warn that big sets of health data need to be
treated with caution — and can by no means replace tried-and-true scientific
methods in the search for medical treatments.
The study,
published in leading medical research journal the Lancet in May, linked the use
of hydroxychloroquine to increased deaths in patients infected with Covid-19.
It immediately led the World Health Organization to pause its own trial
on the drug, while some countries went so far as to ban its use as a treatment for
the coronavirus.
Yet as
questions emerged over the quality of the data used to support the study's
conclusions, the authors withdrew their support and the journal took the rare
step of yanking the paper.
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https://www.healthcareitnews.com/news/cms-creates-new-office-burden-reduction-and-health-informatics
CMS creates new Office of Burden Reduction and Health Informatics
In addition
to reducing the hours and costs clinicians and providers incur for CMS-mandated
compliance, the office will also focus on how health data can be harnessed for
more efficient healthcare and improved patient experience.
By Mike Miliard
June 24, 2020
11:13 AM
"The
work of this new office will be targeted to help reduce unnecessary burden,
increase efficiencies, continue administrative simplification, increase the use
of health informatics and improve the beneficiary experience," said CMS
Administrator Seema Verma.
The
Centers for Medicare and Medicaid Services has formed the new Office of Burden
Reduction and Health Informatics – an outgrowth of its Patients over Paperwork
Initiative whose mission is eliminating red tape in healthcare documentation
and, officials say, "permanently embeds a culture of burden reduction
across all platforms of CMS agency operations."
WHY IT
MATTERS
The new office is meant to bolster CMS's efforts to decrease the hours and
costs clinicians and providers incur for CMS-mandated compliance.
Across
Medicare, Medicaid, the Children's Health Insurance Program and the Health
Insurance Marketplace, the agency will take a more proactive approach to
reducing provider burden, officials said, as new regulations are rolled out.
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https://www.healthcareitnews.com/news/how-telemedicine-can-help-close-maternal-health-gap
How telemedicine can help close the maternal health gap
A number of
pregnancy-related services, including lactation support, at-home monitoring and
mental healthcare can be provided virtually.
By Kat Jercich
June 24, 2020
09:32 AM
In
2012, there were fewer than 1,400 maternal-fetal medicine specialists in the
United States, and 98% resided in metropolitan areas.
This
left pregnant patients in rural areas without the ability to access care,
especially if travel was not an option.
Today,
telehealth can be used to fill that gap – but providers still may face
challenges in ensuring patients get the services they need.
As
Dr. Craig Sable, associate division chief of cardiology at Children's National
Hospital in Washington, D.C., noted during a virtual ATA2020 session Tuesday,
the COVID-19 pandemic has only clarified the potential usefulness of telehealth
for expectant parents.
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https://www.healthcareittoday.com/2020/06/24/arm-yourself-a-healthcare-cios-introductory-guide-to-apple-silicon/
ARM Yourself – A Healthcare CIO’s Introductory Guide to Apple Silicon
June 24, 2020
Mitch Parker, CISO
For
the first time in 15 years, Apple has announced a major architecture change for
the Macintosh platform. They are moving their primary processor from
Intel to ARM-based Apple Silicon using the same architecture that powers the
iPhones, iPads, and iPod Touch. Apple has grown to be one of the
largest suppliers of electronic devices in healthcare. Their use by
medical staff is indispensable and has enabled significant
innovation. The 21st Century CURES Act Final Rule
also provides for their use by applications so patients can retrieve and use
their information to improve their care via FHIR 4.0.1 APIs. The Apple
Watch and HealthKit have provided significant benefit to organizations.
Don’t
Panic!
The
first thing to remember is not to panic over this and make technology decisions
that will have negative repercussions down the line because of initial
thoughts. Apple has switched processor architectures three times.
Microsoft has made epochal changes to their technology stack several
times as well. Yet we didn’t throw out Microsoft when XP had massive
security issues, or when they twice laid turkeys with Vista and 8 (although
some will argue that maybe we should have). There’s been a lot of people
who have voiced initial thoughts of dumping Apple because of a processor
switch. This is not something to panic over. This is something a
CIO or IT Director manages.
This
article is going to go over several steps you can take as a CIO or IT Director
now to more effectively manage what you have and set yourself up for success
with Apple Silicon in your environment. Our end goal here is for you to
avoid the major pitfalls that beset your predecessors during the 68K to PowerPC
and PowerPC to Intel transitions, specifically with legacy applications.
We want you to be able to meet customer demand and use these devices as part of
a good long-term healthcare technology strategy that supports and reinforces
the organization’s.
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https://hitinfrastructure.com/news/nih-to-collect-patient-data-with-new-covid-19-analytics-platform
NIH to Collect Patient Data with New COVID-19 Analytics Platform
The
COVID-19 analytics platform will leverage patient data from the medical record
to support research efforts around understanding the disease and finding
treatments.
By Samantha McGrail
June 19, 2020
- The National Institutes of Health (NIH) recently launched
a new COVID-19 analytics platform that will provided a centralized, secure
enclave to analyze medical record data from coronavirus patients to understand
the disease and develop effective COVID-19 treatments.
The study is
part of an effort called the National COVID Cohort Collaborative (N3C), which
aims to transform clinical information needed to identify health risk factors
that indicate better or worse outcomes of COVID-19.
The
initiative will combine information into a standard format and make it
available for researchers and healthcare
providers to find potentially effective COVID-19 treatments.
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https://healthitsecurity.com/news/majority-of-covid-19-contact-tracing-apps-lack-adequate-security
Majority of COVID-19 Contact Tracing Apps Lack Adequate Security
Guardsquare
analyzed 17 global government COVID-19 contact tracing apps, including those
from the US, finding most lacked sufficient security and pose a serious hacking
risk.
By Jessica Davis
The vast
majority of government COVID-19 contact tracing
apps from across the world, including the US, don’t employ sufficient security
protections, making the apps easy targets for hackers, according to a report
from Guardsquare.
Guardsquare
assessed 17 Android mobile contact tracing apps from 17 different countries,
including Europe, the Americas, and Asia-Pacific, using static and dynamic
analysis. All apps were built by government entities, some supported by
third-party contractors. Researchers noted it was not an exhaustive list, but
designed to shed light into security flaws of these apps.
In the US,
Google and Apple recently released a contact tracing API designed to support government
agencies in creating their own contact tracing apps. The American
Civil Liberties Union, a group of 200 scientists, Congress, and the Electronic
Frontier Foundation have all warned of potential privacy and security issues
posed by these apps.
-----
https://patientengagementhit.com/news/what-makes-a-patient-choose-telehealth-care-access
What Makes a Patient Choose Telehealth Care Access?
A new
study looks at different factors influencing whether a patient would choose
in-person or telehealth care access, using pre-COVID data.
By Sara Heath
June 22, 2020
- Patients facing care access barriers but no technology limitations are
more likely to opt for a telehealth visit with their providers, compared to
those with limited access barriers or challenges with technology, according to
new data
published in JAMA Network Open.
This data,
while collected prior to the COVID-19 pandemic, could have implications for
healthcare organizations leaning on telehealth to expand patient access to care
while cutting the risk for COVID spread in the office.
Even before
the outbreak of the novel coronavirus, telehealth presented key opportunities
for patient care access. The technology allowed patients to visit with their
medical providers without having to travel into the clinic, posing a serious
convenience factor that could boost patient engagement and satisfaction.
But
telehealth access does not come without its challenges. The technology relies
on strong broadband and internet signal, something of a threat in rural areas
or for families in low-income neighborhoods where access is typically limited.
-----
https://healthitanalytics.com/news/big-data-analytics-dashboard-shows-greatest-risk-factors-for-covid-19
Big Data Analytics Dashboard Shows Greatest Risk Factors for COVID-19
The
dashboard leveraged big data analytics tools to reveal that social deprivation
is a leading factor in determining COVID-19 risk.
By Jessica Kent
June 23, 2020
- Parkland Center for Clinical Innovation (PCCI) has
developed a big data analytics dashboard to accurately identify communities
at high risk for COVID-19 infection.
The PCCI COVID-19
Vulnerability Index incorporates socioeconomic, clinical, mobility, and
demographic risk factors. The index showed that social deprivation is a leading
factor in determining an individuals’ risk for COVID-19 and is the primary
reason for racial and ethnic disparities in COVID-19 risk – more so than age,
race, or comorbidity rates.
The
Vulnerability Index determines communities at risk by examining comorbidity
rates, including chronic illnesses like hypertension, cancer, diabetes, and
heart disease; areas with large density of populations over the age of 65;
increased social deprivation such as lack of access to food, medicine,
employment, and transportation.
The
index also evaluates communities’ levels of mobility by modeling the rate at
which individuals are able to observe stay-at-home and social distancing
measures. Historical racial
and ethnic disparities are also seen with COVID-19, with African American
and Hispanic neighborhoods at greatest risk.
-----
https://www.businessinsider.com/microsoft-johns-hopkins-partner-to-advance-precision-medicine-2020-6?r=AU&IR=T
Microsoft Azure and Johns Hopkins Medicine have partnered to accelerate
precision medicine
Erum Ahmed
23 June, 2020
Johns
Hopkins Medicine (JHM) and Microsoft Azure have teamed up in a five-year deal
in which JHM will leverage Microsoft's AI and analytics tools to facilitate precision medicine breakthroughs. This
partnership will expand on JHM's Precision Medicine Analytics Platform — which
was built in 2019 in collaboration with Microsoft to facilitate data
collection and analysis and help providers improve patient care plans.
AI
could help unlock the full potential of precision medicine to improve health
outcomes by accelerating providers' ability to sift through data to tailor
treatment options for patients. For context, precision medicine uses
genetic and molecular testing to better predict which particular disease treatment will work
best for each patient — instead of using a blanket approach to treatment
by recommending therapies that don't take a patient's unique biology into
account. For example, UCSF experts note that precision medicine will take into account
factors like genetic predisposition, ethnicity, sex, and age. But in order for
precision medicine to be effective, researchers need to be able to sift through
and analyze large sets of data.
-----
https://healthitsecurity.com/news/dhs-cisa-serious-vulnerabilities-found-in-6-medical-device-systems
DHS CISA: Serious Vulnerabilities Found in 6 Medical Device Systems
System
vulnerabilities found in medical devices from Baxter and Biotronik could allow
an attacker to compromise patient information and alter system configurations
if exploited.
By Jessica Davis
22 June, 2020
The
Department of Homeland Security Cybersecurity and Infrastructure Security
Agency issued alerts for vulnerabilities found in six different medical devices
manufactured by Biotronik,
Baxter,
and BD Alaris.
If exploited,
some of these flaws could enable a hacker to launch a DDOS attack or alter
system configurations or device data, as well as compromise patient information.
Four of the
six flaws are found in Baxter medical devices: ExactaMix, PrismaFlex and
PrimsaMax, Sigma Spectrum Infusion Pumps, and Hemodialysis Delivery System. The
vulnerabilities were identified by the the manufacturer and reported to CISA.
The flaws in
the PrismaFlex and PrimsaMax devices pertain to the system’s method of
cleartext transmission of sensitive data, along with hard-coded passwords and
improper authentication. If a hacker successfully exploited the flaw with
network access, they could view and change device data.
-----
https://www.healthcareitnews.com/news/telehealth-ata-president-says-we-have-lot-more-work-do
Telehealth: ATA president says 'we have a lot more work to do'
Video-based
real-time services are just the beginning, said American Telemedicine
Association President Dr. Joe Kvedar during his keynote for the virtual ATA2020
conference.
By Kat Jercich
June 23, 2020
09:56 AM
"Telehealth
is now a household world," said American Telemedicine Association
president Dr. Joe Kvedar during his keynote address Monday, the first day of
the virtual ATA2020 conference.
For
the past 25 years, Kvedar said he's been explaining to people what he does for
a living, working to advance virtual care.
Kvedar,
who has run the Center for Connected Health at Boston's Partners HealthCare
since 1995, has been a self-described "telehealth evangelist" over
those decades. Now, technology and policy have finally aligned to show virtual
care's promise on a large scale, even if it took a crisis to force the issue.
After
decades of under-fulfilled promise for telehealth, "we have successfully
brought the doctor's office into the home," said Kvedar.
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https://www.healthcareitnews.com/news/screeners-navigators-and-nudgers-future-conversational-ai-healthcare
Screeners, navigators and nudgers: The future of conversational AI in
healthcare
By limiting
medical jargon and concentrating on closed-ended questions, chatbots can reduce
clinical workload and make patient care more efficient – and maintain empathy
in the process.
By Kat Jercich
June 23, 2020
12:38 PM
Using
virtual agents to offload human work and support customers' needs is nothing
new. Think of the process of calling your cable company to inquire about
service outages: You will almost certainly be met with an automated
number-based menu, along with the invitation to "listen carefully, as our
options have changed."
The
difference today, say experts, is that the agents are often conversational.
Using natural language processing, they're intended to bring much more of an
empathetic – some might even call it human – model to customer service.
"The
commerce world has been doing this for a while," said Nathan Treloar,
president and cofounder of conversational AI vendor Orbita, during an ATA2020
virtual presentation Monday.
In
the healthcare industry, he said, the potential for a virtual agent to support
a patient seeking services through basic triaging is "pretty
obvious."
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https://www.healthcareittoday.com/2020/06/23/telehealth-features-whats-required/
Telehealth Features – What’s Required?
June 23, 2020
John Lynn
As
the telehealth adoption wave continues in healthcare, we thought we’d take the
time to do a series of articles on a number of aspects of telehealth. In
this first series we’re going to look at various Telehealth features.
We’ll talk about whether those features should be considered essential.
We’ll evaluate nuances of when a feature might be nice to have and in other cases
where it’s a deal breaker. Hopefully, we’ll expose you to the best
telehealth options out there.
Along
the way, our goal is to help you get a better understanding of what features
are possible with telehealth as you evaluate which
telehealth company is best for you organization. Yes, I’m sure you’ve
all done some sort of telehealth implementation already, but did you implement
the right telehealth software? Are there better software out there?
Are there features on this list that other telehealth vendors have that make
you want to switch telehealth companies? Can you use the features on this
list to drive your telehealth vendor to add new features?
A
big thank you to Jim Tate, Chief Product Officer at MediVisum Telehealth Solutions, for
writing this article
which inspired and started as the seed topic for this list. As he aptly
pointed out, we learned during EHR adoption was that many were looking for a
list of features that an EHR platform should include. The same is true as
healthcare organizations select a telehealth platform. Regardless of what
you’ve implemented already, you want a “complete” solution as Jim Tate
described.
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https://healthitanalytics.com/news/chronic-disease-management-projects-leverage-ai-data-analytics
Chronic Disease Management Projects Leverage AI, Data Analytics
Howard
University College of Medicine is partnering with AARP to improve chronic
disease management using artificial intelligence and data analytics.
By Jessica Kent
June 18, 2020
- Howard University College of Medicine’s 1867 Health Innovations Project
and AARP Innovation Labs will
leverage artificial intelligence and data analytics to boost chronic
disease management in medically underserved communities.
The
partnership will examine age-tech solutions to expand healthcare access for
people with chronic conditions, and will focus on developing new models of
care.
AARP and
Howard University will conduct two clinical pilot projects to improve diabetes
management and medication adherence. The first is a proactive voice-technology
that uses facial recognition to remind individuals to take their medication.
The second
project will launch a digital online health community that connects individuals
to others with similar health challenges. The collaboration will aim to develop
additional pilot projects to address health conditions such as hypertension,
cardiovascular disease, genetic disorders, cancer, and neurodegenerative
diseases.
AARP
Innovation Labs will provide Howard University researchers with cutting-edge
technologies and resources like design thinking training to improve the health
of adults 50 and older.
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https://healthitanalytics.com/news/machine-learning-tracks-ehr-data-to-predict-disease-risk
Machine Learning Tracks EHR Data to Predict Disease Risk
A machine
learning technique can track patients’ EHR data over time to predict their risk
of developing different diseases.
By Jessica Kent
June 19, 2020
- A new sequential approach uses machine learning to connect patients’ EHR
data, including medications and diagnoses, to quantify disease risk, according
to a study
published in Cell Patterns.
While EHRs
contain important information about patients’ health conditions and the care
they receive, these records are not always precise. EHRs may not be direct
indicators of patients’ true health states at different points in time, but
rather reflect clinical processes, patients’ interactions with the system, and
the recording process.
Researchers
from Massachusetts General Hospital developed a strategy that uses machine
learning to collect information on patients’ diagnoses and medications over
time, rather than from independent health records.
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https://www.fiercehealthcare.com/tech/patients-board-health-tracking-devices-but-don-t-trust-consumer-wearables-survey-finds
Patients on board with health trackers but don't trust consumer wearables,
survey finds
By Heather Landi
Jun 22, 2020
2:30pm
Patients
who manage chronic conditions are eager to use a monitoring device to
manage their health. But consumer smartwatches might not be the answer.
Three
in four patients say they would wear a specialized monitoring device only
used for their specific condition if prescribed by their doctor, a survey from
electronics company Sony found.
Nearly
90% of those surveyed believe they could better manage chronic conditions with
a health monitoring device. More than half of patients said they would
potentially switch doctors if another doctor prescribed a specialized device,
according to the survey of 2,000 people conducted by Sony.
However,
while consumer-facing companies like Apple and Fitbit offer wearables with
health tracking capabilities, only 28% of patients would trust a consumer
device to help manage their chronic condition and 45% said they were unsure,
according to the survey.
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https://www.bleepingcomputer.com/news/security/ransomware-operators-lurk-on-your-network-after-their-attack/
Ransomware operators lurk on your network after their attack
By Lawrence Abrams
·
June 21, 2020 12:28 PM
When
a company suffers a ransomware attack, many victims feel that the attackers
quickly deploy the ransomware and leave so they won't get caught.
Unfortunately, the reality is much different as threat actors are not so quick
to give up a resource that they worked so hard to control.
Instead,
ransomware attacks are conducted over time, ranging from a day to even a
month, starting with a ransomware operator breaching a network.
This
breach is through exposed remote desktop services, vulnerabilities in VPN
software, or via remote access given by malware such as TrickBot, Dridex, and QakBot.
Once
they gain access, they use tools such as Mimikatz, PowerShell Empire, PSExec,
and others to gather login credentials and spread laterally throughout the network.
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https://techcrunch.com/2020/06/22/tiktok-joins-the-eus-code-of-practice-on-disinformation/
TikTok joins the EU’s Code of Practice on disinformation
Natasha Lomas @riptari / 9:34 pm AEST•June 22, 2020
TikTok is
the latest platform to sign up the European
Union’s Code of Practice on disinformation, agreeing to a set of voluntary
steps aimed at combating the spread of damaging fakes and falsehoods online.
The
short video sharing platform, which is developed by Beijing based ByteDance and topped
2BN downloads earlier this year, is hugely
popular with teens — so you’re a lot more likely to see dancing and
lipsyncing videos circulating than AI-generated high tech ‘deepfakes’. Though,
of course, online disinformation has no single medium: The crux of the problem
is something false passing off as true, with potentially very damaging impacts
(such as when it’s targeted at elections; or bogus health information spreading
during a pandemic).
The
EDiMA trade association, which counts TikTok as one of a number of tech giant
members — and acts as a spokesperson for those signed up to the EU’s Code —
announced today that the popular video sharing platform had formally signed up.
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https://www.mobihealthnews.com/news/europe/covid-19-tracing-apps-bahrain-kuwait-and-norway-spark-privacy-concerns
COVID-19 tracing apps in Bahrain, Kuwait and Norway spark privacy concerns
In a new
investigation by Amnesty International, the two Gulf states and Norway have
released apps that reportedly operate as mass surveillance tools.
By Ahmed El Sherif
June 19, 2020
09:00 am
Bahrain
and Kuwait are using their COVID-19 contact tracing apps as mass surveillance
tools, it has emerged. According to a new report released by Amnesty International, the two
Gulf states, along with Norway, have released “some of the most invasive
COVID-19 contact tracing apps around the world, putting the privacy and
security of hundreds of thousands of people at risk.”
In
its investigation, Amnesty’s Security Lab reviewed apps released in Europe, the
Middle East and North Africa, focusing on 11 products from Algeria, Bahrain,
France, Iceland, Israel, Kuwait, Lebanon, Norway, Qatar, Tunisia and United
Arab Emirates. According to the NGO, Bahrain’s ‘BeAware’, Kuwait’s ‘Shlonik’ and Norway’s
‘Smittestopp’ emerged as the “most alarming mass surveillance tools” with the
three reportedly carrying out live or near-live tracking of users’ locations by
frequently uploading GPS coordinates to a central server. Most contact-tracing
apps rely solely on Bluetooth signals.
“Bahrain,
Kuwait and Norway have run roughshod over people’s privacy, with highly
invasive surveillance tools which go far beyond what is justified in efforts to
tackle COVID-19,” stated Claudio Guarnieri, head of Amnesty International’s
Security Lab. “Privacy must not be another casualty as governments rush to roll
out apps.”
-----
https://www.healthcareitnews.com/news/new-covid-19-wave-coming-how-can-health-systems-prepare
A new COVID-19 wave is coming – how can health systems prepare?
Two potential
areas to consider are supply chain management and telehealth tool selection.
By Kat Jercich
June 22, 2020
04:23 PM
Epidemiologists
have warned that a second wave of COVID-19 is on its way. In fact, in some
countries, it's already here.
When
coronavirus cases begin to grow in early spring, health systems were forced to
pivot quickly – sometimes within a matter of days – to allocate scant resources
and implement new technologies and workflows. Now, experts say administrators
have the chance to start preparing for the next spike.
Manage supply chains effectively
"COVID
has taught us a lot, particularly around bandwidth and supply chain," said
Gordon Krass, CEO of inventory-management-system vendor IntelliGuard.
"We
learned how fragile the supply chain is, particularly for critical items like
personal protective equipment and ventilators," Krass continued.
-----
https://www.healthcareittoday.com/2020/06/22/epic-partners-with-health-insurer-to-make-two-way-data-exchange-possible/
Epic Partners With Health Insurer To Make Two-Way Data Exchange Possible
June 22, 2020
Anne Zieger
Historically,
health insurers have relied on one form of patient data, while providers
operated in a different world.
Because
it lines up with how they do business, health insurance companies have focused
on analyzing patient care using claims data. Providers, of course, are far more
focused on the contents of medical records, which offer a depth process and
decision-making-related data that doesn’t show up in a claim.
However,
over time both sides of come to realize that they need to speak in each other’s
data language more fluently. In particular, providers are more likely to be
successful at value-driven care if they can reap the benefits of both clinical
and initiative/claims data.
In
that spirit, health plan operator Health Care Service Corporation has struck a deal
with Epic in which the two will allow providers using its EHR to engage in
two-way information change. HCSC operates health plans in Illinois, Montana,
New Mexico, Oklahoma and Texas, and has almost 16 million members across the
five states.
-----
https://patientengagementhit.com/news/racial-health-disparities-by-age-paint-starker-picture-of-covid-19
Racial Health Disparities by Age Paint Starker Picture of COVID-19
When
adjusted by age, racial health disparities run deeper than previous reports,
underscoring the rampantness of chronic illness in underserved populations.
By Sara Heath
June 18, 2020
- New data confirms the stark racial health disparities for COVID-19
health outcomes. When adjusted for age, black patients are dying at a rate 3.6
times that of their white peers, according to data
from the Brookings Institution. For Hispanic patients, that number comes in at
2.5 times the death toll of white patients.
The COVID-19
pandemic has shone a glaring light on racial
health disparities that have plagued the US health system for decades. Per
the Brookings Institution report, black patients are overall twice as likely to
die from COVID-19, and Hispanic patients are equally as likely to die from the
condition as their white peers.
Most
experts agree this is not because people of color are predisposed to contract
COVID-19; the virus is an equal opportunity illness that does not know race or
ethnicity. Instead, years of structural inequity in the healthcare system have
made it more likely a black patient will develop a chronic illness. And while
COVID-19 may not know race, it does affect those with comorbidities more than
generally healthy patients.
-----
https://tass.com/society/1170011
CORONAVIRUS PANDEMIC
21 Jun, 03:43
Putin calls for artificial intelligence to be used in healthcare
To date,
576,952 coronavirus cases have been confirmed in Russia, with 334,592 patients
having recovered from the disease
NOVO-OGAREVO,
June 20. /TASS/. Russian President Vladimir Putin has ordered to roll out
digitalization and phase in artificial intelligence (AI) technology in the
healthcare sector.
"Unconditionally,
we should provide broad digitalization and the application of artificial
intelligence technology at the all-level medical institutions," he said at
a video conference with health workers on Saturday.
"Now,
we must move on relying on the experience gained during the fight against
coronavirus, honestly analyzing both achievements and unsolved issues,"
the president added, emphasizing that not only was he talking about the fight
against epidemics, but also about an increase in the reliability of the entire
system.
-----
https://histalk2.com/2020/06/19/weekender-6-19-20/
Weekly News Recap
- Health Care Service Corporation,
the country’s fifth-largest insurer, will create a Payer Platform to
connect its health plans to Epic-using health systems.
- Epic cancels UGM 2020.
- Proteus Digital Health, once valued
at $1.5 billion, files Chapter 11 bankruptcy.
- Walmart acquires the technology
assets of online pharmacy CareZone for a rumored $200 million.
- Surgisphere, the tiny company whose
questionably sourced aggregated EHR data was responsible for two major
research article retractions, appears to have shut down.
- Milliman acquires Wisconsin-based
employee health monitoring technology vendor Healthio.
-----
Enjoy!
David.