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Clinical Innovations Play a Key Role in Improved Healthcare Delivery

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Recent studies suggests that kids with overinvolved parents and rigidly structured childhoods suffer psychological blowback in college. Every generation is different in their experience and the social environment in which they live and grow. This generation definitely has different issues to confront, including parentig in the age of digital/social media.

Categories: Technology, Public Health

Next time you reach into the medicine cabinet seeking relief for a headache, backache or arthritis, be aware of important safety information for non-steroidal anti-inflammatory drugs. Always weigh the risk and benefit for any medication treatment. Even if a medication has been available for a long time, we may learn new risks … later rather than sooner.

Categories: Medication Management

We’ve long know the sentinel effect, which is the tendency for improved human performance, when participants are aware that they are being evaluated. Now, the challenge is to evolve this to continuous quality improvement where higher levels of performance are possible … not just benchmark.

Categories: Benchmarking, Analytics

Virtual relationships are different from physical relationships, especially when it comes to bullying. Cyberbullying is a major concern for young people and it has been implicated in many adolescent (and younger) suicides. Understanding the personality patterns of cyberbullies may help identify different cues to protect victims.

Categories: Depression, Technology, Suicide, Youth, Narcissism, Bullying

The fastest growing group of heroin users are young, white, low-income females. What is causing this? The unfortunate perfect storm: Rising cost of and harder access to prescription opioids, along with lower cost of heroin.

Location, location, location. It’s the realtors’ mantra in home sales. But it could also be an International Classification of Diseases, 10th edition (ICD-10) rallying cry.

Categories: DSM-5, ICD-10

Part of the problem with electronic healthcare record (EHR) adoption is that some EHRs were “cobbled together” as components were purchased or acquired across different existing systems, giving rise to usability issues.

Categories: Electronic Health Records

The strategy of getting naloxone in the hands of those in the community where there is risk of opioid overdose seems to having positive impact.

Risperdal has led to the developing of breasts in prepubescent boys and girls, which has resulted in many lawsuits. The article is a warning to clinicians to beware with the non-FDA approved use of Risperdal.

Lessons from physical medicine.: 1) No medicine is completely innocuous. 2) When we continue medications not intended for continuous use, unintended consequences, even if infrequent, are risks.

Categories: Medication Management

Almost all psychotropic drugs could be stopped without causing any harm and with little loss of benefits, saving hundreds of thousands of lives and leading to happier and longer-lived populations, says a Danish expert in a head-to-head editorial debate.

Categories: Pharmaceuticals , Mental Health, Behavioral Health

Interoperability between disparate electronic systems plays an important role in breaking down information silos. When effective and meaningful data exchange occurs, the results are improved efficiency, quality, safety and cost of consumer care.

Categories: Comorbidities, Consumer-driven Care, Care coordination

Boston-based Partners HealthCare announced its selections for their first annual “Disruptive Dozen” that highlights 12 emerging technology that can potentially revolutionize neurological and psychiatric care over the next decade.

Categories: Healthcare IT, Technology, Behavioral Health

Social anxiety is a common problem for autistic adults, especially those that function well enough to be pressured by social norms. Individuals with autism are also known to respond poorly to usual treatments. Conventional anti-anxiety medications don’t work well in autistic adults possibly because of the neurophysiological differences associated with autism.

A California-based study comparing telemedicine to telephone consults for pediatric cases in rural hospitals has found that telemedicine saves more than $4,500 per use.

Categories: Healthcare IT, Technology

We continue to push the boundaries of what we consider as care or treatment. There is still much to research and learn, but there are signs that thinking different about care and leveraging technology may prove beneficial.

Categories: Depression, Healthcare IT, Mental Health, Behavioral Health

There are many reasons for repeat visits to the emergency room and readmission within 90 days. This articles says how important it is to consider underlying or concurrent physical illnesses along with the presenting mental illness.

Categories: Mental Health, Behavioral Health, Diagnosis, Emergency Room (ER)

Prescribing medications is never completely without some risk. There is evidence that there can be a statistical increase in risk of diabetes from the use of statins, but the increase risk is at a small rate that must be weighed against the risk of cardiovascular events.

We are now learning the neurological roots of things such as intimacy, judgment, moral reasoning and trust. Scientists and philosophers have begun to imagine ways in which our brains could be altered and perceptions or actions changed as a result of these studies and what effect this might have on relationships, politics and society.

Only 5% of Medicaid-enrolled Americans account for 50% of total Medicaid spending, and the top 1% account for almost 25% of spending, according to a new study from the Government Accountability Office (GAO).

Abilify remains among the top dozen of the most prescribed brand medications. However, it is now No. 2 in terms of dollars. It was No. 1 in September 2014.

This interesting partnership speaks to new experimental models of healthcare. This one targets elderly, but much of the same needs experienced by the elderly are faced by people with serious mental illnesses.

Categories: Healthcare IT, Health, Elderly

Shared decision making is a fundamental component of consumer-centered care and consumer directed care and has been linked to positive health outcomes. Increasingly, researchers are turning their attention to shared decision making in mental health. However, few studies have explored decision making in these settings from consumers’ perspectives. This study looked at the consumers’ perspective in a veterans’ hospital.

Categories: Consumer-driven Care, Consumer Engagement, Veterans

The use of genetic testing has been discussed and debated with strong arguments for and against. Testing people genetically pales in comparison (and in controversy) to actually manipulating an embryo’s genetic code. Yet, it is hard to imagine that this technology can — or will — be contained.

“After $28 billion in taxpayer dollars spent subsidizing electronic health records, ‎doctors don’t like these electronic medical record systems and say they disrupt workflow, interrupt the doctor-patient relationship and haven’t been worth the effort,” said Senate health committee Chairman Lamar Alexander (R-Tenn.). EHR vendors need to design EHRs to mirror the information-to-decision-making process, and not just present data in silos.

Categories: Healthcare IT, Technology, Electronic Health Records

A double benefit! The technology discussed in this article will allow people with artificial hearts or cardiac assist devices to help power their implants while meeting their need for exercise.

This report provides trends on participation, incentive eligibility, and incentive payments since the beginning of PQRS and the eRx Incentive Program, including measure performance and program participation broken down by specialty and state.

Categories: Healthcare IT, Technology, Electronic Health Records

This article points out (once again) the need to carefully weigh the risk/benefit of antipsychotic medications for elderly with dementia.

This article offers an example of using EHR data to identify a predictive model for suicide risk. The question is whether this model can be used prospectively so the right intervention and care can reduce the risk.

The use of antipsychotic medications for treatment of children and adolescents has increased during the past 2 decades. Antipsychotic agents are often prescribed outside of indications approved by the US Food and Drug Administration (FDA) and before other types of treatments have been attempted, suggesting possible overuse of this class of medications. Adverse effects of antipsychotic medications may be more common in youth than in adults.

The American Heart Association has set out seven ideal health metrics: not smoking, a normal body mass index (BMI), physical activity, a healthy diet, normal cholesterol, normal blood pressure and a normal fasting plasma glucose. Helping individuals with behavioral health issues achieve these physical goals isn’t easy, for many intrinsic and extrinsic reasons.

The 5 percent highest cost consumers accounted for 47 percent of total VA costs. Approximately two-thirds of these consumers had chronic conditions affected more than three body systems.

Young people are more engaged with digital technologies than ever before. Despite this, it remains unclear how young people’s use of high-tech may be harnessed for the better management of youth mental health problems.

The aim of this systematic review was to evaluate the effectiveness of toolkits as a knowledge translation (KT) strategy for facilitating the implementation of evidence into clinical care. Toolkits include multiple resources for educating and/or facilitating behavior change.

This is a promising and interesting intervention to managing obesity. Given the significant problems of obesity and metabolic syndrome people with serious mental illness face, this could help improve their quality of life and help kick start them to higher levels of activity.

There is some uncertainty and skepticism around this study at this time. However, it definitely warrants more evaluation and raises the constant question about risk/benefit decision making with medication.

The move toward consumer autonomy came as a reaction to the paternalistic approach often adopted by doctors in the past. This author argues that the pendulum may have swung too far, to the detriment of consumers themselves.

For some of the approximately 10 million people worldwide with traumatic brain injury (TBI), forming and holding onto new memories can be one of the hardest things they do in a day. Research indicates a new device could be implanted in the brain to help these individuals encode memories by means of small electric shocks.

As the healthcare community pushes to addresses transitions of care and the need to reduce hospital readmissions, this study indicates stratification of the discharged clients can aid in client prioritization and resource allocation.

Categories: Evidence-based Practices, Meaningful Use, Transitions of Care, Care coordination, Accountable Care, Affordable Care Act

Treating placebo effect as a therapeutic tool rather than a problem to be controlled can have positive effects for providers of all disciplines. Various recent research studies have identified differential degrees of responsiveness.

Magnetic Resonance Imaging and the Prediction of Outcome in First-Episode Schizophrenia: A Review of Current Evidence and Directions for Future Research

A review of currently available studies are suggestive of the value of neuro-imaging and stratification for poor symptomatic and functional outcomes. However, nothing will change until further clinical trials and research takes place.

The absolute effect of antipsychotics on mortality of people over the age of 65 with dementia may be higher than previously reported. Based on this research, it is ever more important to weigh the cost-benefit of treatment for people with dementia with antipsychotic drugs. If necessary, clinicians should use the minimum dose.

We’ve all been seeing hype and excitement around artificial intelligence, big data, machine learning and deep learning. There’s also a lot of confusion about what these terms really mean and what’s actually possible today.

As healthcare becomes more integrated, expanding blood pressure screening to non-primary care settings can help identify more consumers with hypertension.

Categories: Comorbidities, Diagnosis, Care coordination, Health Information Exchange (HIE), Primary Care

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