Collaboration and Communication Key to Health Information Sharing Success

A recent article from Healthcare IT News, citing a poll of hospital and health system business leaders, found that 71 percent are more than halfway complete with their EHR adoption.

While this seems like promising news, only 48 percent of those polled believed that they are ready to meet initial Stage 1 Meaningful Use requirements.

“Industry leaders’ lack of confidence in their ability to integrate electronic health information throughout an enterprise is a concern as the healthcare industry moves toward creation of a nationwide health information network,” according to the article’s author, Gary Palgon.

Palgon asserts that many organizations that have adopted EHRs are not fully utilizing their systems and he recommends the use of e-prescription, e-lab, and e-radiology systems to collect information as a part of the EHR. This, he states, will “eliminate the data silos that typically exist.”

Palgon mentions that collaboration is key to success. “Once an organization can communicate seamlessly within its own four walls, the groundwork is set to share information with entities outside those walls.”

 

2013: The Year of the EHR Switch?

A recent article in HealthCare IT News cites Black Book Rankings showing that “as many as 17 percent of medical practices could be switching out of their first choice EHR by the end of the year.”

17,000 active EHR adopters were interviewed for the study, which found that Stage 2 Meaningful Use requirements had made it difficult for some EHR providers to keep up and meet the needs of clients.

“Most concerning to current EHR users are unmet pleas for sophisticated interfaces with other practice programs, complex connectivity and networking schemes, pacing with accountable care progresses and the rapid EHR adoption of mobile devices,” according to the survey.

And while 31 percent of respondents stated that their dissatisfaction was high enough to consider changing systems, many added that internal issues might keep them from making the switch. Reasons to stay with the current EHR? Upcoming mergers and acquisitions, management issues, and internal staff training issues.

Read the full article below or click to HealthCare IT News (login required).

World Health Organization Warns of NCoV Spread

With flu season winding down, public health professionals may soon have a new virus to focus on—the coronavirus. Coronavirus is in the same family as SARS and the common cold. According to a recent CNN article, coronavirus was found in Jordan, Qatar, Saudi Arabia, and the United Kingdom.

Six people have died from the virus worldwide, prompting Vanderbilt University Medical Center infectious disease specialist Dr. William Schaffner to state, “I wouldn’t be shocked if it came here.”

The CDC is working closely with the World Health Organization and is requesting that doctors ask patients exhibiting certain symptoms where they’ve recently traveled. Infection symptoms include an acute respiratory infection, fever, and a cough.

Experts warn that this virus, which the World Health Organization has dubbed NCoV (novel coronavirus), has a range of effects that include pneumonia and kidney failure. There is no evidence of sustained human-to-human transmission, according to the article.

But human-to-human transmission is possible and was documented in a case within the United Kingdom.

Learn more about NCoV by visiting the World Health Organization’s website.

 

New Study Questions Thinking About How Vector-Borne Pathogens Spread

A study published in the Proceedings of the National Academy of Sciences suggests that the “trail of the most rapid transmission of human infections does not lead through large, public gather places, but from house-to-house.”

The study took place on the island of Iquitos in Peru as researchers sought to discover how dengue fever outbreaks started. “The findings provide a different way for thinking about how a vector-borne pathogen may spread through a population, and have implications for better disease surveillance and control,” according to disease ecologist and Emory University researcher Gonzalo Vazquez-Prokopec.

To discover how the virus spreads from person to person, researchers tracked and mapped outbreak patterns of two large neighborhoods. “When a case of dengue was confirmed through a blood test, social workers would interview the patient, recording all the places the patient went during the 15 days leading up to the onset of fever,” according to the article. The data was then plotted using GIS technology.

Dengue fever has not impacted the United States since a 2009-10 outbreak in the Florida Keys. But while we are relatively unaffected by dengue here, the results of the study provide food for thought about how we perceive infection to spread.

“We suspect that the importance of human movement that we observed in Iquitos will hold in other populations,” according to Vazeuez-Prokopec.

 

Energy Drinks Related to Increased ER Visits?

A recent study by the Substance Abuse and Mental Health Services Administration asserts that emergency rooms across the country are treating increasing numbers of patients who experience complications from consuming energy drinks. The study refers to the drinks as a “rising public health problem,” adding that 20,000 ER visits in 2011 were linked to the drinks.

Energy drinks can increase blood pressure and heart rates—and cardiologists interviewed for the study stated that ER patients “frequently complain of heart racing, heart skipping, and panic-attack like symptoms.”

The symptoms, which have resulted in a doubling of energy drink-related ER visits in just four years, have even caused Chicago to consider banning energy drink sales to individuals under the age of 21.In a response by the American Beverage Association, it is noted that the study did not “share information about the overall health of those who may have consumed energy drinks.”

To dive further into the topic, HMS attempted to confirm the study’s results by looking at data collected in ERs across the country. We found that there was not much evidence in the data that showed a direct correlation between energy drinks and ER visits.

However, the very nature of the symptoms described—racing heart, heart skipping—means that the chief complaints may not stand out in an analysis as being directly related to energy drinks.

This analysis gets to the heart of the “fun” part of data collection—sifting through data to find correlations that can better serve the public’s health. For more information on the study, visit the HLN website.

 

CDC Releases Info on New Norovirus Strain

On January 24, the CDC reported that over 130 cases of the “GII.4 Sydney” norovirus strain had been confirmed in the United States. Also known as the stomach flu, or viral gastroenteritis, the new strain first appeared in Australia in March 2012.

An article in the Washington Post cites the CDC’s Morbidity and Mortality Weekly Report as showing that two-thirds of this season’s norovirus outbreaks occurred in long-term care institutions. Thirteen percent involved restaurants.

“There are five main types of norovirus,” according to the article. ”Historically, GII.4 strains are more severe than others.”

The norovirus is very contagious and can be picked up just about anywhere. You can get the virus from eating contaminated food or using utensils that have been contaminated with the virus, from touching contaminated surfaces, and from being around someone who is sick with the virus.

As there are no vaccines that protect one from the norovirus, prevention is the best cure! Washing your hands with soap & water, especially before preparing or eating food is essential and generally better than using alcohol based hand sanitizers as these do not kill viruses.

Medical/Tech groups urge postponement of MU stage 3

According to an article on MedPageToday, leading medical groups have contacted the Department of Health and Human Services, requesting a delay in Meaningful Use Stage 3 implementation.

The medical groups state that many providers continue to struggle with MU Stage 1 and 2 implementation.

“Rather than prematurely impose Stage 3 requirements, HHS should first focus on improving the ability for physicians to achieve Meaningful Use Stage 1 and 2 requirements,” states the American Academy of Family Physicians.

The group requested that the implementation be delayed until 2017. Current regulations are scheduled to take effect in 2016.

Joining the chorus the HIMSS EHR Association submitted comments to HHS that noted their belief that the deadline for MU 3 not only needs to be pushed back but that a change in the focus of the regulations is also necessary. HIMSS believe it would be better to focus on interoperability and the full use of MU 2 requirements before additional technical capabilities mandated.

Clearly this is a legitimate debate to have. There is a real risk that meaningful use incentive payments could direct the development of EHR’ in a negative way by forcing the addition of features and functionality that were not added due to the demand/need of healthcare practitioners but instead were added simply to meet the regulatory requirements.  If this where to happen it would undermine the whole reason for the regulations in the first place- the meaningful use of EHR in particular and of healthcare information technology in general.

 

Influenza: Digging in its Viral Heels

There’s one word on the minds of Public Heath professionals nationwide—“flu.” According to the CDC, 41 states are reporting widespread geographic influenza activity and some cities, including Boston, have declared a public health emergency.

“We are into what would classically be described as a flu epidemic,” Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases at NIH stated.

This season’s flu is hitting children particularly hard. Over 20 children under the age of 18 have died from complications of the flu.  Thankfully, there are positive trends emerging. It appears that the flu has dropped off in portions of the South and Southeast, according to an article on cnn.com. “[It appears] to have done so because that was where the flu season started earliest,” according a health official interviewed for the story.

View the CDC’s influenza situation update page by clicking here.

Outbreak at Watersedge: Health Outbreak Simulation for Teens

The University of Minnesota’s Public Health Discovery Game, “Outbreak at Watersedge,” simulates an outbreak and challenges players to discover its source. The game, targeted at high school students who might be considering a career in public health, provides an informative glimpse into the analytical, verbal, and communications issues involved in dealing with a critical public health issue.

Another key concept of the game is to demonstrate how public health professionals promote health while working to prevent illness.

The game’s not new—but it does provide valuable insight into a career in public health. And it makes players aware of the general actions taken if and when a public health outbreak occurs.

Give Outbreak at Watersedge a try and let us know how you do!

Flu Season off to Early and Strong Start

Each week, the CDC publishes an influenza summary update and as public health professionals already know, this year’s flu season has started strong and early. This year’s flu season got the earliest start since the “moderately severe” season of 2003, according to WebMD Health News.

So far, flu-like illnesses have been reported as “widespread” in Alabama, Louisiana, Mississippi, Tennessee, and Texas. And WebMD’s cold and flu map is showing additional “severe” flu activity in Georgia, South Carolina, and South Dakota.

EpiCenter’s data is showing a similar uptick in national flu-related ER visits. From October through mid-December, fever-related ER visits have increased nearly threefold—while respiratory-related ER visits have slightly increased.

The CDC estimates that 112 million Americans have already received flu shots this season—meaning 37% of the eligible population endured the needle or nasal spray. HMS will keep tabs on the flu data that EpiCenter collects and continue to post updates to provide public health professionals with additional information on this year’s flu season.