Bosses tell people what they want them to do, whereas leaders are collaborative and empower people to do their jobs, writes John Stoker, who offers 12 characteristics that separate leaders from bosses. "Good leaders will understand what is required of each team member and will support and encourage them in ways that motivate them to do their best," he writes.
Fifty-seven percent of hospital IT and business leaders responding to a Center for Connected Medicine survey said their institution has moved to a single EHR system to improve the sharing of medical data within the organization, and 44% said they have hired new staff to improve interoperability. Other actions leaders have taken include working with interoperability technology vendors, improving existing employees' analytics skills and joining health information exchanges.
A stretchy, stick-on skin patch composed of an antenna and sensor monitors heart and respiration rates by detecting how the skin stretches and contracts with each heartbeat or breath and can track arm and leg motions by sensing when the skin tightens and relaxes as underlying muscles flex. The readings are sent wirelessly to a receiver worn on clothing, and developer Zhenan Bao says the technology could be used in hospitals to monitor sleep patterns and heart conditions.
The HHS Office of Inspector General is auditing selected state Medicaid managed care organizations to find out how they use telehealth to deliver behavioral health care services. The OIG will also review how states monitor telehealth-based behavioral health services and identify practices for maximizing the benefits and minimizing the risks.
An online community of people looking for better diabetes control methods are using open-source software to connect insulin pumps with continuous glucose monitors, but the method, called looping, works only on older insulin pumps, which some people have acquired on the secondary market. The FDA has issued a warning that some older devices might have been recalled, and that looping poses cybersecurity risks.
Health tech firm Mahmee recently received $3 million in new funding to further development of an app designed to reduce maternal complication and death rates by connecting new mothers with health care and support, and by giving them access to a dashboard that includes surveys and other tools to assess their postpartum emotional and physical health. CEO Melissa Hanna says the app has helped women who have had severe blood loss and postpartum hemorrhaging, prenatal anxiety, and postpartum depression.
The health care sector is catching up with other industries in the use of big data and advanced analytics technology, "making it possible to overcome the decades of siloed, inaccessible, consumer data," writes Faraz Shafiq, chief artificial intelligence officer at Cambia Health Solutions. Artificial intelligence and machine learning promise to personalize care and help patients make decisions, but developers must prioritize patient privacy, confidentiality and security, Shafiq writes.
Physician practices should make sure their revenue cycle management technology is the right fit for their office and understand what the technology can and cannot do, experts said. Practices should start with a core information system to avoid workflow and interoperability issues, according to Scott Herbst, senior vice president and general manager of provider solutions at Availity.
Telehealth utilization between patients and health care providers not based at hospitals grew from 0.007% of all medical claim lines in 2014 to 0.104% in 2018, according to a FAIR Health analysis of data from more than 29 billion private health care claims. The usage increase was more pronounced in urban than in rural areas, and 31- to 40-year-olds accounted for 21% of all telehealth claim lines.
Using present-on-admission codes instead of grouped codes could better characterize risk and improve payment predictions within 30 days of hospitalization for acute myocardial infarction, heart failure or pneumonia, researchers reported in JAMA Network Open. "With POA codes, it is possible to know that the condition was not a complication during hospitalization, allowing the use of more diagnoses from the index with the possibility of model improvement," the researchers wrote.
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