Thursday, 4 August 2016

Some Are Actually Making An Effort To Make Practical Improvements In The Technology Supporting Healthcare!

Some Are Actually Making An Effort To Make Practical Improvements In The Technology Supporting Healthcare!

This appeared a little while ago.

Taking Bids on the Hospital of the Future

In Silicon Valley, Kaiser is testing new hardware and software.

July 22, 2016 — 9:00 PM AEST
Leo, a 68-year-old retiree, is out shopping when his heart rate becomes irregular. He doesn’t notice, but his wrist monitor does, and it notifies a distant team of doctors. They dispatch a driverless car packed with sensors and medical gear to get a closer look at him and, if necessary, bring him to the pharmacy or emergency room.
This is the future as imagined by Kaiser Permanente, which has built a mock-up of Leo’s home in a test facility not far from its Oakland, Calif., headquarters, and is looking for equipment makers who can help fill the rooms’ empty spaces. As Silicon Valley’s principal hospital system and insurer, Kaiser has a history of focusing on advances rooted in technology, but in the past few years, instead of forcing its 10.6 million patients to use the systems on offer, it’s begun pushing hardware and software makers to respond to patient demands, and supply what it thinks they’ll want in 10 years. “It frees us up so we don’t get so stuck on the realities of today,” says Chief Executive Officer Bernard J. Tyson.
The auditions take place in a spartan 37,000-square-foot warehouse in the Oakland suburb of San Leandro. There, the model apartment for Leo—with spots marked out for motion detectors, sleep trackers, and a smart fridge—abuts mock hospital rooms, an operating room, and a neonatal intensive care unit, where doctors and nurses test equipment and practice new procedures.
Other staffers and patients try out some of the less exotic equipment, too, including telehealth software and a TV entertainment system that lets patients lying in hospital beds review their treatment plans, order food, call a janitor, or adjust the blinds on their windows using a remote, a keyboard, or their smartphone. Kaiser physicians now handle more patients via telehealth (59 million a year) than they do in person (50 million). Jennifer Liebermann, who runs the test facility, says patient feedback guided development of the TV remote system rolling out to a handful of hospitals and helped fine-tune it over the course of two years to make sure it was easy to use. Kaiser rejected at least one system interface, she says, after elderly patients deemed it too confusing.
Lots more (with pictures) here:
Compare and contrast how those who actually deliver care and politicians envision the future. I think I much prefer the former!
David.
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Wednesday, 3 August 2016

I Never Thought Pokémon GO Would Feature On This Blog – Well Now It Does!

I Never Thought Pokémon GO Would Feature On This Blog – Well Now It Does!

This appeared last week:

Pokémon GO as a health tool

Christopher Timms
Monday, 25 July, 2016
THOUSANDS of Australians have been walking the streets, parks and beaches of their cities with eyes glued to their smartphones following the recent release of a game called Pokémon GO.
Pokémon GO is a new, free, smartphone game that augments reality and requires users to walk around in the physical world to progress through the game. The smartphone’s camera captures the surrounding environment and integrates Pokémon characters into the scene.
Players are rewarded for exploring their environment and walking between certain landmarks, or “PokéStops”, which tend to be places of cultural significance, museums, scenic lookouts or even government buildings.
Walking is an integral part of the game – allowing players to capture more Pokémon, hatch eggs or obtain useful tools, such as health potions.
It’s the walking part of the game that may just make Pokémon GO an exciting tool that health care professionals should be aware of, and one that highlights the need for further discussion about the use of video gaming in health care.
An in-game feature, called a “lure”, can be used to create a location abundant in Pokémon. Now, imagine how the ability to attract people to locations could be used for health. If particular demographics could be targeted, potential uses might be a rare Pokémon appearing near a health careers booth in a rural area, near a dietitian’s stall or appearing at a mental health awareness event.
These are things health care providers should be thinking about, talking about and be familiar with for our patients. 
Gaming is prevalent in the patients we see, simply because so many people play. The Bond University Digital Australia Survey 2016 showed that 98% of homes with children have video games, the average age of video game players is now 33 years old, 47% of video game players are female, and approximately 68% of the population plays. This is a huge percentage of patient demographics from school age through to our oldest citizens.
While many doctors are familiar with using a game to distract a crying child in the emergency department, there is a much broader potential in paediatrics.
Twenty years ago, the use of video games at school was limited to crunching numbers on Math Blaster. Health care professionals might now be required to discuss Pokémon GO as a weight-loss tool or know to ask if a teenager is experiencing cyber bullying via a game.
In America, in 2010, the state of West Virginia committed to installing the active video game DanceDance Revolution in all 765 of its public schools to encourage students to exercise.
In the same way we learn about Peppa Pig so we can interact with our younger patients, we should understand gaming in order to better connect with our patients who are gamers.
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Dr Christopher Timms is a GP registrar based in Port Macquarie, NSW.
Lots more here:
Congratulations to Dr Timms for making the game understandable for non-players and then for explaining how the game might have some health benefits!
Normal service will now be resumed!
David.
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Tuesday, 2 August 2016

Just Stop This Blame Rubbish! It Is Totally Clear Who Is To Blame!

Just Stop This Blame Rubbish! It Is Totally Clear Who Is To Blame!

I am a specialist anaesthetist.

On this nonsense of who is responsible for the gas mess up disaster at a Sydney Hospital it is utterly clear.

Some utterly incompetent and utterly guilty person did not check what gas was coming out of each pipe in the Hospital.

He/She needs serious jail time. You need (as a clinician) to be utterly sure what comes out when you open a gas flow - and you can hardly check every time in every place.

The engineers need to make this utterly certain and safe or go to jail.

Simple!

David
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Yet Again We Find The Department Of Health Really Struggles With Technology.

Yet Again We Find The Department Of Health Really Struggles With Technology.


Medicare’s new PBS authority service went live on 1 July promising an “online solution” for doctors to get approval for most authority PBS medications, as well as increased quantities and repeats.
But the lack of an interface with medical desktop software makes for a slow and clunky experience, leading early users to say they’ll stick to the phone.
“We’ve been asking for 15 years for an authority system that links with clinical software, but that is apparently not what they are delivering,” Dr Nathan Pinskier, chair of the RACGP’s eHealth and Practice Systems committee, told The Medical Republic.
It appears the Department of Human Services expects medical software vendors to sort out the many problems with the online service.
“The system allows prescribers to get a PBS authority approval online using either the Health Professionals Online Services (HPOS) or an upgraded version of their existing prescribing software that integrates web services,” DHS General Manager Hank Jongen said in a statement to TMR last week.
“A small number of prescribers have started using HPOS to request PBS authority approvals, and we expect the rollout of upgraded prescribing software in coming months to prompt a significant shift to the online channel.”
For now, the lack of an interface with clinical software means doctors need to pick their way through 20 steps online for each application for authority approval.
“There are a number of steps which are really quite annoying,” Sydney GP Dr Brian Morton, one of the few GPs to take part in the trial, said.
Dr Morton said he did not mind having to register for a Provider Digital Access Account (PRODA), but there were many instances of red tape and legalistic language that were not doctor or patient friendly.
More here:
Yet again we see the left and right hands failing to talk and co-operate to deliver a sensible outcome for the GPs.
Rather than inventing nonsense strategies for compulsory enrolment in the myHR program maybe the ADHA could be trying to sort out stupid, time wasting issues like the one above.
It would be hard to say credibly that the DoH is from the Government and here to help! They are clearly just wanting things to remain as annoying as ever!
David.
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