Is There a Consumer Pay-off for Investing in Health IT?

California HealthCare Foundation
From the Foundation

Is There a Consumer Pay-off for Investing in Health Information Technology?

The California HealthCare Foundation will present findings from a ground-breaking new study on Americans' attitudes and experiences with health information technology. The findings document-for the first time-specific health benefits reported by people who have been using personal health records. Other findings will provide new insights to people developing new health information technologies and encouraging their use-with sometimes surprising results. Join us for a provocative conversation.

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When:

Tuesday, April 13, 2010

8:45 - 10:30 a.m. ET
Breakfast buffet starting at 8:45 a.m.

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Where:

National Press Club - The Murrow Room

529 14th Street, NW, 13th Floor - Washington, DC

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Presenter:

Sam Karp

Vice President of Programs, California HealthCare Foundation

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Panel:

Joshua Seidman, PhD

Acting Director of the Meaningful Use Division, Office of Provider Adoption Support, National Coordinator for Health Information Technology, U.S. Department of Health and Human Services

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Steve Findlay, MPH

Senior Health Policy Analyst, Consumers Union

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Kate Christensen, MD

Medical Director, Internet Services Group, Kaiser Permanente

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Jane Sarasohn-Kahn, MA, MHSA

Health Economist/Principal, THINK-Health and Health Populi Blog

To RSVP for the briefing, please e-mail Kristin Brown atkbrown@gymr.com or call 202-745-5117.


The California HealthCare Foundation (CHCF) is an independent philanthropy committed to improving the way health care is delivered and financed in California. By promoting innovations in care and broader access to information, our goal is to ensure that all Californians can get the care they need, when they need it, at a price they can afford. CHCF commissions research and analysis; publishes and disseminates information; convenes meetings of key health care groups; and funds development of programs and models aimed at improving health care in California.

 

Chart of the Day: Two-thirds of U.S. adults live with chronic disease - their own or a loved one's

The broader footprint of chronic disease emerges when loved ones are taken into account. This survey finds that 29% of adults say that although they do not have a chronic disease, someone close to them has a chronic medical condition such as asthma, diabetes, heart disease, high blood pressure, or cancer. Since half of health searches are conducted on behalf of someone else,7 the social life of chronic disease information may be more wide-ranging than might be suspected by looking only at the population of adults who live with these conditions. A forthcoming report from the Pew Internet Project will focus on family caregivers.
One internet user may collect information to send to multiple friends and relatives, hoping to jump-start an interest in that person’s health. As an e-patient wrote, "Both my brother and sister are diabetics. Neither is very concerned or tries hard to avoid foods that are bad for them. I send them reprints and copy anything I find. I am a pest but they need it. I also have a 58-year-old friend who is afraid to know his [A1C] numbers.8 I also bombard him. Not knowing is no longer an excuse."

Gene ruling a boon for genetic research and benefit for public health

Update on the genetics case I previously wrote about...

A federal judge's decision Monday to strike down several patents on human genes could ultimately be a boon for genetic research and a benefit for public health, medical experts said.

The ruling adds legal weight to the argument by some geneticists and others that companies and institutions shouldn't be allowed to patent basic genetic information that makes people human.

[GENE] Photo Researchers, Inc.

A human chromosome bears genetic information.

The ruling by U.S. District Judge Robert Sweet invalidated seven patents covering the BRCA1 and 2 genes linked to hereditary forms of cancer that were licensed exclusively to Myriad Genetics Inc., Salt Lake City, by the University of Utah Research Foundation. Myriad says it plans to appeal.

The decision's near-term impact on companies that develop and market gene-based tests and treatments is likely to be limited, in part because most rely on patents that protect their drugs, not specific gene sequences.

And Peter Meldrum, Myriad's chief executive, said the litigation involves only seven of the company's 23 patents related to BRCA genes.

Patents for human genes, or DNA sequences found in the body, have been controversial since they were first issued. According to U.S. law, products of nature cannot be patented because they are pre-existing substances found in the wild.

"The idea that our ability to look at them, to analyze them, to utilize them would be constrained by the issue of a patent strikes many people viscerally," said James Evans, chairman of a federal task force on the effect of gene patents on diagnostics and patient care. "Genes represent something we see as quite fundamental to who we are."

When companies hold exclusive licenses for human genes, competition to develop gene-based applications can be restricted, prices inflated and innovation slowed, some geneticists say.

Academic research has also been impeded, though to a lesser extent, by companies who want to protect their intellectual property, they add.

"If this decision is upheld, it in the end is a win for patients and providers," said Dr. Evans, also a medical geneticist at the University of North Carolina, Chapel Hill.

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Lawyers say the ruling could give rise to challenges over patents that cover the links between genetic sequences and various medical conditions, such as hearing loss and Alzheimer's disease.

Judge Sweet's ruling, lawyers say, reflects a broader trend of judges taking a more skeptical view about whether certain subject matters can be patented.

Last year, in a pending U.S. Supreme Court case, many of the justices on the court expressed skepticism about whether there should be broad patent protection for financial strategies and other methods of doing business.

 

3D without the glasses: introducing pCubee (w/ Video)


3D without the glasses: introducing pCubee

 

pCubee: A Perspective-Corrected Handheld Cubic Display. Image credit: University of British Columbia

After a wave of 3D movies such as Alice in Wonderland and Avatar, and a number of television manufacturers producing 3D TVs this year, there is growing interest in a three-dimensional viewing experience. The usual 3D technology uses a stereoscopic principle in which a slightly different image is presented to each eye, thanks to the special glasses the viewer has to wear. Now a device named pCubee gives you the experience of 3D without the need for the glasses.

The pCubee consists of five LCD screens arranged as a cubic “fish tank” box that viewers can pick up, tilt, shake or turn to watch the 3D content or play games with virtual objects that seem to be within the box. Instead of stereoscopy, the device uses a principle called motion parallax, which is one of the means by which we usually perceive depth in a three dimensional scene. Motion parallax is a cue the brain is able to use to sense depth, because the movements of objects across our field of view depends on their relative distance from us. Having the box move means viewers do not need to move their heads to see the effect.

pCubee: a Perspective-Corrected Handheld Cubic Display

The five flat-panel LCD screens on the sides of the box are driven by three graphics pipelines. The perspective rendered on the screens is kept synchronized with the user’s view by a motion tracker that monitors both the user’s head and the pCubee box. That, and the real-time physics simulation engine, make the display look like a tank containing real objects. The box allows you to view a static 3D scene, or you can manipulate the box to navigate through the scene or play with objects colliding in the scene. You can also manipulate virtual objects using a stylus.

pCubee was developed at the Human Communication Technologies Laboratory at the University of British Columbia in Canada. Leader of the engineering team, Sidney Fels, said the group wanted to offer “a fish-tank-like experience” in a handheld device. Fels hopes the pCubee will be commercially available soon, but the researchers are continuing to refine the design, and may replace the current LCD panels with OLED screens. They are also building pCubees in different sizes for different applications.

3D without the glasses: introducing pCubee
The pCubee will have many more applications than 3D games, since it also has the potential to become a CAD-CAM platform, and could be used in museum displays. It was awarded Best Demonstration at the 2009 ACM International Conference on Multimedia in Beijing.                  Stumble it

 

Discussion with Dr. David Blumenthal

I was honored to have a wide ranging conversation with Dr. David Blumenthal today. The primary topics centered around transparency at the ONC, HITREC and communities of shared learning, Personal Health Records and how they fit within the strategic vision of the ONC, and finally overcoming challenges to adoption of electronic health records for rural providers, critical access hospitals and small practices. Some of the material that is helpful as you listen along:

ONC Blog - http://healthit.hhs.gov/blog/onc/

Institute for Health Improvement - http://www.ihi.org/ihi

Electronic Health Records in Ambulatory Care — A National Survey of Physicians by Catherine M. DesRoches, Dr.P.H., Eric G. Campbell, Ph.D., Sowmya R. Rao, Ph.D., Karen Donelan, Sc.D., Timothy G. Ferris, M.D., M.P.H., Ashish Jha, M.D., M.P.H., Rainu Kaushal, M.D., M.P.H., Douglas E. Levy, Ph.D., Sara Rosenbaum, J.D., Alexandra E. Shields, Ph.D., and David Blumenthal, M.D., M.P.P. - http://content.nejm.org/cgi/content/full/359/1/50

"Information Technology Comes to Medicine" by David Blumenthal, M.D., M.P.P., and John P. Glaser, Ph.D. - http://www.ipalc.org/EMR/Information%20Technology%20Comes%20to%20Medicine%20(NEJM%206-14-2007).pdf

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Families USA Praises CMS Pick

 

PRESIDENT MAKES EXCELLENT CHOICE SELECTING DON BERWICK TO RUN

MEDICARE AND MEDICAID

It appears that President Obama will select Dr. Don Berwick to become the Administrator of the Center for Medicare and Medicaid Services (CMS) – the agency that will take lead responsibility for implementing the health reform measures recently enacted into law. The following is the statement of Ron Pollack, Executive Director of the consumer health group Families USA, about this apparent appointment:

“Dr. Berwick’s selection is an excellent choice to administer Medicare and Medicaid. His internationally renowned work promoting quality of health care will enable him to bring unparalleled expertise and experience in implementing the new health reform legislation.

“Dr. Berwick has been a pioneer in the field of health care quality. As a result, he is in an excellent position to strengthen Medicare and Medicaid in the years ahead.

“I had the opportunity to work with Dr. Berwick and Health and Human Services Secretary Kathleen Sebelius when we were appointed by President Clinton to an advisory group that drafted the patients’ bill of rights.

“Their work was extraordinarily thoughtful, and they will no doubt be an effective team for the Obama Administration as it implements the historic law designed to provide high-quality, affordable health care for all Americans.”

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Families USA is the national organization for health care consumers. It is nonprofit and nonpartisan, and its

mission is to achieve high-quality, affordable health coverage and care for all Americans.

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Families USA | 1201 New York Ave., NW, Suite 1100, Washington, DC 20005

www.familiesusa.org | info@familiesusa.org

 

Calorie Counting Smartphone Applications Can Stoke Eating Disorders

Dieters have a new secret weapon in the battle of the bulge. Thanks to the smartphone and its instant technology, eating right has finally become an easy choice. New applications can help calculate caloric intake and provide on-the-go nutritional information.

But while this tool is helping some people lose weight in a healthy manner, doctors are worried that in the wrong hands, it can be dangerous.

Lara Pence, a clinical psychologist and clinical supervisor at the Renfrew Center, an eating disorder treatment center in Dallas, is seeing increased use, and abuse of these applications.

"I think that it's tying into the eating disorder mentality of making sure that you know everything that's going into your body, having those obsessive thoughts of calorie counting, keeping track of your weight, keeping track of what goes in and what goes out through exercise," Pence said.

Application Addition: Calorie Counting Application Controls One Girl's Life

Growing up with two brothers didn't help Hannah Kula's relationship with food.

"Food was always clean your plate, finish it all up. There wasn't really another option," Kula said. "Looking at myself when I came to high school I felt like I was a little bit chubby. You start to notice maybe the girls don't eat as much as boys."

It wasn't until Kula, now 20, went away to college that her eating disorder fully developed.

"It was obsessive calorie counting," Kula said. "I pushed away friends I could have had and pushed away friends I still had and ended those relationships. My eating disorder just took over."

When she discovered an application that could help her keep track of her calories, she soon became hooked.

"Just having that technology right there at my fingertips, I could get everything that my eating disorder needed," Kula said. "I could cut down on my weight and control what my body looked like, and that's what I wanted."

The app soon took control of Kula's life. She checked calorie content at every meal, especially when eating out. And browsing nutritional information became a constant diversion.

"It's like, well, if I go to this place, what's the best thing to get when I'm there? You know, what's something that has the lowest fat in it when I go there, just to be safe?" said Kula.

According to Pence, Kula's application addiction was typical for girls with eating disorders.

"I think a lot of these women will sometimes download the applications just thinking that it's something fun for them to have and something that they can keep track of," Pence explained. "I think before they know it, it's become something that's spiraled out of control. It's something that starts out small but grows into an extreme, and that's when it becomes a problem."

And for Kula, that problem had reached its peak. "It became to where I needed it. I had to have it, and I was anxious without it," she recalled. "I took that tool and used it in the wrong way, and it was very harmful to myself. I used it to hurt myself when I know it could be helping others."

via abcnews.go.com

Robert Gupta: Music is medicine, music is sanity

Violinist Robert Gupta joined the LA Philharmonic iat the age of 19 -- and maintains a passionate parallel interest in neurobiology and mental health issues. He's a 2010 TED Fellow. He made his solo debut, at age 11, with the Israel Philharmonic under Zubin Mehta. He's got a master's in music from Yale. But his undergraduate degree? Pre-med. As an undergrad, Gupta was part of several research projects in neuro- and neurodegenerative biology. He held Research Assistant positions at CUNY Hunter College in New York City, where he worked on spinal cord neuronal regeneration, and at the Harvard Institutes of Medicine Center for Neurologic Diseases, where he studied the biochemical pathology of Parkinson's disease. Gupta is passionate about education and outreach, both as a musician and as an activist for mental health issues. He has the privilege of working with Nathaniel Ayers, the brilliant, schizophrenic musician featured in "The Soloist," as his violin teacher.

HIT Policy Committee Conference Call

Media_httphealthithhs_phavr

There will be a short conference call of the HIT Policy Committee (HITPC) on Monday, April 5th, 10-11 a.m. ET. HITPC will be discussing their comments on the Certification IFR.

Members of the public may listen in via phone (there will be no Web conference).

Dial In US Toll Free: 1-877-705-6006

For more information on the HIT Policy Committee, visit: http://healthit.hhs.gov/PolicyCommittee