The technology labor market is tight and likely to get tighter amid growing reliance on digital infrastructure, automation and software. Cross-training and reskilling of existing employees, ensuring employees are challenged and have career opportunities and offering hybrid and remote work may improve retention, and placing less emphasis on resume and academic requirements when assessing candidates may help fill vacancies and improve diversity, experienced tech executives say.
The transition period from inpatient to outpatient is often marked by miscommunication, missteps and missed opportunities to improve patient care and outcomes, writes primary care physician Fred Pelzman. "Instead of insisting that a discharge summary be a long and contorted document that no one's ever going to actually read, it would probably be better if we turned the time of discharge into an active conversation, a time and place to engage and discuss and take on roles and responsibilities," Pelzman writes.
The US Court of Appeals for the District of Columbia Circuit rejected RemoteICU's assertion that health care providers outside the US can bill Medicare for services provided through telehealth under emergency rules put in place for the COVID-19 public health emergency. The court said hospitals that use the company's services would have to file "a concrete claim" for Medicare reimbursement.
A study of EHRs at an urban academic medical center found hints of bias and racism in how health care professionals described certain patients' behaviors. The study, in Health Affairs, found Black patients' EHRs were 2.54 times as likely as white patients' to contain at least one negative descriptor in the notes or history, and the EHRs of patients who were not married or were covered by public health insurance were also more likely than married or commercially insured patients' EHRs to have negative descriptors.
An artificial intelligence service called tl;dr papers translates scientific abstracts into language a 7-year-old could grasp. The results may be oversimplified, inaccurate or even comical sometimes, but they are also "a good illustration of what good science communication should look like," says Michelle Ryan, who directs the Global Institute for Women's Leadership at the Australian National University, who submitted a paper to the translator.
Tampa General Hospital is using $1 million from the Federal Communications Commission to expand telehealth for urgent care triage, include more specialists in the hospital's virtual specialty consult program, and increase access to virtual primary care in low-income and underserved communities. Mercy health system is using $2.2 million in FCC funding to expand access to telehealth at rural facilities in Arkansas, Missouri and Oklahoma through the purchase of more telemedicine carts and monitors and will expand virtual care in COVID-19 and critical care units.
Karen MacDonell, an associate professor of family medicine and public health sciences at Wayne State University School of Medicine, is using a five-year $2.5 million NIH grant to study four technology-based asthma management programs, individually and in combination, geared toward young Black adults. "At the completion of the study, we will have an empirically supported, optimized mobile asthma management intervention to improve asthma control for African American emerging adults," MacDonell said in a news release.
HHS has extended the COVID-19 public health emergency for the eighth time, continuing flexibility and resources granted to health care professionals to care for COVID-19 patients, among other benefits, for another 90 days. Meanwhile, sources said the White House today plans to unveil details of its plan to distribute hundreds of millions of N95 masks for free through community sites and pharmacies, as part of efforts to mitigate the surge in COVID-19 cases.
Luisa Whitelaw, head of clinical coding intelligence with Discovery Health, spent a year as a nurse before taking a job in clinical coding at Discovery in 1999, where she says she discovered "that clinical coding is a critical component of a well-functioning and well-understood health care industry." Whitelaw subsequently earned a master's degree in health informatics, joined AHIMA's international ICD-11 work group, and is moving to Chicago, where she will establish Discovery's International Clinical Coding Center of Excellence.
The Office of the National Coordinator for Health IT and the Sequoia Project have published the Trusted Exchange Framework and Common Agreement establishing nonbinding principles and defining technical terms for the secure exchange of clinical data. "The Common Agreement includes support for treatment, payment, health care operations, individual access services, public health, and government benefits determination," write National Coordinator Micky Tripathi and Sequoia Project CEO Mariann Yeager.