Category Archives for Industry News
Eliminating Hospital Acquired Infections
Hand-hygiene helps. But, studies show hospital workers wash their hands less frequently by end of workday
A few weeks back we talked about how hand-hygiene can significantly decrease hospital-contracted infections, and by extension reduce healthcare organization costs — not to mention reduce unnecessary infection-related deaths. A new study out shows that hand washing frequency drops off near the end of healthcare professional worker’s shifts.
Led by Hengchen Dai, a Ph.D. candidate at the University of Pennsylvania, researchers analyzed three years of hand-washing data from more than 4,000 caregivers in 35 hospitals across the U.S. They discovered that hand-washing compliance rates plummeted an average of 8.7% by the end of a normal 12-hour shift.
Hospital-contracted infections account for nearly 100,000 deaths per year in the United States, making it a serious problem in need of attention. From December 2006 through December 2008, the Institute for Healthcare Improvement (IHI) initiated the 5 Million Lives Campaign with the aim of supporting the improving medical care, and significantly reducing levels of morbidity (illness or medical harm such as adverse drug events or surgical complications) and mortality.
Hospitals participating in the Campaign were asked to prevent 5 million incidents of medical harm over the two-year period. The IHI continues its efforts to reduce incidents of medical harm in the article What Zero Looks Like: Eliminating Hospital Acquired Infections.
There is no doubt that hospital-acquired infections are a serious issue. There are also large amounts of evidence that shows a few simple methods can significantly reduce their number.
The road to lower mortality rates, and reduced hospital costs, begins with establishing a commitment to a culture of quality. Then providing staff with the tools they need to easily record, measure and report their performance.
Top 14 Healthcare Stories of 2014
1) Healthcare.gov Gets Clean Bill Of Health… Kind Of.
Few health stories in 2013 captured as much news coverage and attention than the launch of the Federal Health Exchange website and its rocky beginnings. Many were excited by the prospect of lower health insurance costs, promised by the administration, and flocked to the website to sign up. But, due to technical difficulties, hundreds of thousands of customers were left out in the cold and unable to enroll in coverage. Insurance companies reported very few applications received even months after the site’s launch.
By November, 2014, the problems that plagued the site earlier had seemed to be fixed with the officials announcing 100,000 application submissions on the first day of open enrollment. But, higher than expected premium cost and lower coverage for consumers — combined with complicated and costly systems for hospitals — highlights just how much further ‘Obamacare’ has to go before it will be seen as a success.
2) The Ebola Outbreak: Death in Africa
While Ebola didn’t start in 2014, it sure came on like a lion then. The Centers for Disease Control and Prevention reported that, as of January 6, 2015, a total of 21,007 cases were reported, and nearly 9,000 deaths were attributed to the disease.
3) The Ebola Outbreak: Coming to America
The inevitable happened which captured headlines around the country, igniting a firestorm, sending people running for surgical masks and hazmat suites to protect themselves from the disease. But, was it much-ado-about-nothing? Within a few weeks, everything seemed back to normal again.
4) Enterovirus Grips The Nation
Enterovirus D68 (EV-D68) took the U.S. by surprise in 2014, with a confirmed total of 1,153 people within 49 states and the District of Columbia affected.
5) E-Cigarette Use Soars
Amid the ongoing debate whether e-cigarettes are a less dangerous alternative to smoking, the use of these devices soared in 2014. A U.S. National Institutes of Health survey found that more than double number of 10th graders are likely to have tried e-cigarettes, to those who will have tried traditional cigarettes.
6) War In The Lunchroom: Kids vs Healthy Eating
No matter where you land on the issue of healthy meals in public schools one thing is for sure, the kids weren’t happy in 2014. Championed by First Lady, Michelle Obama, federal regulations on what constitutes a healthy meal were met with opposition from the recipients of those lunches. Kids around the country took to social media, tweeting photos of their meals along with the trending hashtag #ThanksMichelleObama.
7) Right To Die
When most think about a patient seeking assisted suicide we picture a face of many more years than that of Brittany Maynard’s, an attractive 29-year old woman from California. Brittany suffered from cancer and moved to Oregon in 2014 to take advantage of the state’s “Death With Dignity Act” — at the same time capturing the nations attention to the serious subject of an individuals right to die.
8) Vaccines…pssh! Who Needs ‘Em? We Do, Apparently.
A small but growing number of parents who have shun vaccinating their children, based on beliefs that vaccines cause conditions like Autism, are unwittingly playing a role in the resurgence of once-rare childhood diseases. In 2014, California suffered its worst outbreak of pertussis, also know as ‘whooping cough’, in 70 years. CDC statistics also show that U.S. measles cases have reached a 20-year high.
9) Pot gets legalized
Although the legalization of marijuana in Washington state, Oregon, and Colorado was for recreational use, I have added it to this list for the social significance it points to. Namely, the changing tide in public sentiment toward pot and its use. Many states have already, up-till-now, had laws for its legal medical use. However, in many cases, the wider view of pot as a ‘bad thing’ stymied its spread as a potential option for those seeking a serious alternative to pharmaceuticals. This recent wave of states legalizing its use could signal a change in opinion, and open doors for patients looking for other options.
10) America Looses An Icon
America, and the world, was shocked when it learned that one of its beloved stars had committed suicide. Robin Williams took his own life after years of struggling with depression. After his death, Williams’ wife revealed he had also recently been diagnosed with Parkinson’s disease, and an autopsy revealed his brain showed signs of Lewd Body Disease, a form of dementia that can cause hallucinations and concentration problems.
Although it’s not confirmed these conditions played a role in William’s suicide, his death has shed light on several frequently misdiagnosed or understood disorders.
11) “I’ll have the small ‘650 calorie’ popcorn please.”
Restaurants and concession stands must now post calorie counts on their menus. Under newly finalized FDA rules, chain restaurants, vending machines, and theatre and amusement park snacks must post their calorie counts. Personally, I don’t want to know my ‘elephant ear’ is 1,500 calories… I just want to shove it in my face while spinning 800 rpm’s on the tilt-a-whirl.
I want to end this list on a high note, because, while there were some really terrible things that happened in 2014, there were some really heart-warming and amazing things that happened as well.
12) Grow-Your-Own Ears
By first depositing living cells encapsulated in a hydrogel with a 3D printer, scientists at Weill Cornell Medical College were able to construct and grow the first artificial ears that look and act like real ones. Using human cells, specifically from the same patient, reduces any possibility of rejection.
13) Congratulations Nurses!
Nurses once again topped the list of ‘professions with the highest ethical standards’ in Gallup’s 2014 survey on honesty and ethics. Way to go nurses… Whoop, whoop!
14) The Six-million Dollar Men: Bionic Eyes and Arms
A North Carolina man became the first patient in state history to receive a “bionic eye”, Argus II retinal prostheses, allowing him to see light for the first time in 30 years. Then, in the later half of the year, a double arm amputee was fitted with robotic arms that he was able to control… wait for it, with his mind! How freakin’ cool is that?
So, here is to 2015, and to the possibilities it holds. It will undoubtedly come with its own share of trials and tribulations, just as 2014 did. But, will surely be filled with amazing new health technologies to make life all a little easier as well.
How can Health IT increase scheduled patient visits?
Researchers from Oregon Health & Science University and Kaiser Permanente Northwest’s Center for Health Research argue in an article published in the November/December issue of Annals of Family Medicine that Health Information Technology, in particular health records and health information exchange, can be a conduit for keeping patients insured — which can lead to higher percentages of scheduled visits.
“There is a significant business case for implementing health IT systems to help keep patients insured,” the authors say. “Patients who lose coverage are often unable to schedule visits, so they seek care outside of visits … in ways that are not commonly reimbursed.”
One way to help keep patients insured is by sending them a simple reminder of their policy renewal dates.
“A good starting place is the data already being collected and/or automatically imported,” the researchers say. “[Patient-centered medical homes] could work with their healthcare systems and/or EHR vendors to create or enhance electronic interfaces with insurance plans, populating EHR fields with more detailed information about patients’ health insurance coverage status.”
The full article can be found here.
eHealth Initiative roadmap calls for alignment of HIT regulatory efforts
The eHealth Initiative has unveiled its 2020 roadmap for transforming health IT.
Calling it “much broader” than the Office of National Coordinator for Health IT’s interoperability roadmap, the eHealth plan calls for an extension of time between Stages 2 and 3 of the Meaningful Use program, and also says that compliance with ICD-10 by next October is mandatory.
Wikipedia tracking helps with disease prediction
Researchers at Los Alamos National Laboratory in New Mexico say that tracking Wikipedia page views can forecast the spread of influenza and dengue fever.
The researchers claim their algorithm allows them to overcome the challenges that hamper the reliability of other similar data surveillance methods based on Internet information.
Google Flu Trends, is a web service operated by Google, which provides estimates of influenza activity by aggregating Google search queries. But, early last year it was reported that they drastically overestimated peak flu levels, casting some doubt on the search giant’s ability to predict flu trends.
“Using simple statistical techniques, our proof-of-concept experiments suggest that these data are effective for predicting the present, as well as forecasting up to the 28-day limit of our tests,” the Los Alamos researchers say. “Our results also suggest that these models can be used even in places with no official data upon which to build models.
Though there are still detractors to the notion of using such systems to predict disease outbreaks, it is no doubt amazing to witness the many uses to which the growing volumes of meta data available on the internet will be used.
Read the full report here.