HIMSS polled 269 health IT leaders in the US and found that security, cybersecurity and privacy are the top concerns among hospital IT leaders, followed by improving quality outcomes; clinician engagement and clinical informatics; process improvement, workflow and change management; and care coordination and culture of care. Researchers also found that the expanding role of information security leaders on hospital IT leadership teams could create internal tensions.
The CDC reported that there have been 127 confirmed measles cases in the US this year as of Feb. 14, surpassing the annual total for each of 2016 and 2017. Ten states have reported measles cases this year, and almost half of the cases occurred in Clark County, Wash.
Rep. Peter Welch, D-Vt., has introduced legislation that would allow patients, pharmacists and wholesalers to import cheaper insulin from Canada and other countries with similar safety standards as the US. Under the bill, patients would still need prescriptions to purchase the insulin, while the FDA would be required to certify and inspect all foreign insulin exporters.
Meetings can be improved by auditing the existing process, Lila MacLellan writes -- maybe a few people speak too much, the meeting is too crowded or differing opinions aren't welcomed. "A leader's experience of the meeting appears to be fundamentally different from the experiences of other meeting attendees, with leaders thinking things were, well, quite glorious," says Steven Rogelberg, author of a book about meetings.
The CMS Office of the Actuary expects US health care spending to grow an average of 5.5% annually from 2018 to 2027, increasing from $3.6 trillion to $6 trillion, driven by an influx of baby boomers enrolling in Medicare, rising prices for health care goods and services, and income growth. Medicare is projected to see higher spending growth compared to Medicaid and private insurance due to the aging population and increased use of covered services, while prescription drug spending is expected to rise by 5.6% annually as new and costly drugs enter the market, according to a report published in Health Affairs.
University of Calgary social work student Kloie Picot says her decision to pursue social work and help marginalized people was inspired by the years she spent in Southeast Asia photographing sex workers and transgender performers. An exhibition of Picot's work is included in an Alberta, Canada, photography festival.
Dutch researchers recruited 1,616 patients with type 2 diabetes and found that a hybrid deep learning-enhanced device had a sensitivity of 100% and a specificity of 97.8% for detecting vision-threatening diabetic retinopathy and a 79.4% sensitivity and a 93.8% specificity for more than mild DR, compared with the reference standard. Researchers said t findings, published in Diabetes Care, could help improve the accuracy of DR detection.
A study in Diabetes Care showed a comparable percentage of type 1 diabetes patients with similar A1C levels measured using a glucose management indicator and laboratory A1C tests. Researchers conducted randomized controlled trials of the Dexcom, Guardian 3 and Navigator 2 glucose sensors and found a significant number of patients with clinically meaningful differences in glucose sensor-derived A1C using GMI and laboratory-derived A1C levels.
Diabetes was still tied to an 18% increase in cardiovascular disease-related death and a 16% increase in dying from any cause from 2002 to 2014, despite medical advances and lower diabetes-related deaths since the 1980s and 1990s, according to a study in the Journal of the American Heart Association. Researchers analyzed data on more than 960,000 individuals and also found the lowest levels of death among those with diabetes whose A1C levels were between 6% and 6.9%.
Researchers found sex differences across major cardiovascular risk factors, with women having an average body mass index of 29.6 compared with 29 for men, and 42% of women having high blood pressure compared with 49% of men. The findings, published in the journal Circulation, showed that 13% of men and 11% of women had diabetes, but only 20% and 30% had their disease under control, respectively.
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