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Showing posts from February, 2020

Amazon discreetly launches into health

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The world champion of e-commerce has launched an offensive in the medical sphere.  Less visible than that of Google, its global strategy includes telemedicine, pharmacy, and insurance. ALEXA. " I need to see a doctor " That request is not so far fetched, and will probably be the reality very soon.  The hardware and technology have come together exponentially in the past two years.  The use of the internet, voice recognition, machine learning, poor access to health care in rural areas, combining with telehealth combining with consumer demand assure the success of this method of medical care for many consumers.  Combining this with secure medical records and pharmaceutical records, Amazon will also offer prescription ordering and renewals, all charged to your Amazon rewards card. Imagine an American woman named Jenna Miller. After a day spent nose taken, she decides in the evening to take care of herself. She opens the Amazon Care application on her phone and clicks on...

As The Coronavirus Spreads, Americans Lose Ground Against Other Health Threats | California Healthline

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Health care experts thought the battle was won against heart disease, measles, smoking, STDs and other life-threatening conditions and behaviors. Better think again. For much of the 20th century, medical progress seemed limitless. Antibiotics revolutionized the care of infections. Vaccines turned deadly childhood diseases into distant memories. Americans lived longer, healthier lives than their parents. Yet today, some of the greatest success stories in public health are unraveling. Even as the world struggles to control a mysterious new virus known as COVID-19, U.S. health officials are refighting battles they thought they had won, such as halting measles outbreaks, reducing deaths from heart disease and protecting young people from tobacco. These hard-fought victories are at risk as parents avoid vaccinating children, obesity rates climb and vaping spreads like wildfire among teens. Things looked promising for American health in 2014 when life expectancy hit 78.9 years. Then, life ex...

Catalyst. Three Key Opportunities for Excellence in Health Care Delivery

Pre-release: A Webinar Register in the Catalyst link below March 12, 2020 11:00 am - 3:00 pm PDT Ochsner Health System We have access to the content for this webinar from Health Catalyst Redefining excellence for health care, with sessions on chronic care, centers of excellence, and information technology. Excellence in care delivery is the goal of every health care leader and provider. Why, then, do so many organizations fall short of what is possible? This free, live Web event from NEJM Catalyst, hosted by Ochsner Health System, will feature an outstanding slate of experts who will share their experiences, best practices, and frameworks for excellence with you. The challenges of health care today are different than in the past, and so are the solutions. Through engaging talks and live, moderated Q&A, we will address three pain points shared across the health care continuum: chronic care, centers of excellence, and health IT. Our speakers and moderators – health care leaders, res...

Humanizing the Annual Physician Performance Review

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Transforming the review process from a punitive, deflating experience to a valuable one that strengthens the relationship between physician and organization. With increasing health system consolidation and growing pressure to standardize care delivery, ineffectual annual performance reviews have flourished. These physician performance assessments are often superficial, and comments are not actionable, timely, nor constructive, leaving physicians feeling deflated. At their worst, these assessments may contribute to physician burnout. Meaningful  physician engagement  is essential to organizational success. Despite their common use, little has been written about how to do physician reviews well. We propose a framework for an annual physician performance review that aims to learn about the physician, share organizational values, and identify  specific improvements  to achieve individual and organizational goals. Administrative reviews have little to do with clinical exc...

I wanted to care for people, so I became a primary care doctor

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Are we still steadfastly patient-focused? Do we still show patients that we care in all our actions? The twelve-minute visit with your doctor In line with my desire to have a career that served others, I had the opportunity to do my residency in family medicine at a federally qualified health center in Denver that also served as that metro area’s international refugee intake clinic. We saw people from all walks of life and tended to each and every person in the same way, under the same constraints and system that dominates health care. As I advanced in my training, more and more patients were added to my schedule. At first, I was expected to see 12 patients in a day. Then it crept to 16, 18, 20 and peaked at 22 at the end of my training. A schedule like that meant I was starting a new patient visit every 20 minutes. If I wanted to place any orders, coordinate care, look up the best medical evidence, seek advice (I was, after all, in training), or simply document the visit, that face-to...

Biotech company Moderna says its coronavirus vaccine is ready for first tests

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London (CNN Business) US biotech firm Moderna has shipped an experimental  coronavirus  vaccine to US government researchers just six weeks after it started working on the immunization. Initial trials of the potential vaccine could begin in April, but the process of testing and approvals would last at least a year. Coronavirus is fast becoming an 'economic pandemic' Moderna   ( MRNA )  said in a statement Monday that the first batch of its novel  coronavirus  vaccine, called mRNA-1273, has been sent to the National Institute of Allergy and Infectious Diseases (NIAID). Moderna said the first vials of the experimental vaccine would be used in a planned Phase 1 study in the United States, which typically involves testing a vaccine on a small number of healthy humans. NIAID Director Anthony Fauci said that a clinical trial could start by the end of April, the "first step" in potentially making a vaccine available for use. Fauci previously announced researchers ...

Hormone Blocker Shocker: Drug Costs 8 Times More When Used For Kids

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Two drug implants are nearly identical. The one for children has a list price of $37,300. For adults, the list price is $4,400. One dad fought for his daughter to be able to use the cheaper drug. Read th is for a great explanation of how to deal with an outrageous hospital or pharmaceutical bill. More often than not your hospital bill has been generated by a computer with fees taken from a file that organizes charges for services, operating rooms, drugs, and supplies. The system automatically reads a CPT code that assigns a dollar amount.  It is a dumb blind process, and most likely not reviewed by anyone without authority. In some circumstances, the charges may be adjusted according to an algorithm assigned to your insurance company.  Much of the time it gets mailed out to patients, unreviewed or audited for accuracy. The takeaway from this article is to always review and question charges that do not make sense.  It will trigger a review from someone knowledgable and you...