Noam ArztA recent article in HealthAffairs describes a significant decline in the number of both operational HIEs and HIEs in the planning stage from several years earlier. The authors note continuing barriers to broad-based HIE and a shift to vendor-driven exchange which diminishes the effectiveness of community-based networks. In effect, this translates to a shift away from geographic-based/dominated HIEs to product-dominated HIEs. We have already noted (see The Interoperability of Things) the lack of a national strategy on HIE, and ONC’s Nationwide Interoperability Roadmap barely mentions the concept.
public health
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The Forgotten History Of Vaccinations You Need To Be Aware Of
Joseph Mercola | Mercola.com | January 18, 2015
Vaccines are one of the most controversial medical therapies, and it's impossible to make an informed decision unless you know both sides of the story. In the process of knowing both sides, the historical context is critical...
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The Grim Future If Ebola Goes Global
Maryn McKenna | WIRED | October 27, 2014
If you listened hard over the weekend to the chatter around the political theater of detaining a nurse returning from the Ebola zone in a tent with no heat or running water, you might have heard a larger concern expressed. It was this: What happens if this kind of punitive detention — which went far beyond what medical authorities recommend — deters aid workers from going to West Africa to help?...
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The Grim Propect of Antibiotic Resistance
Staff Writer | The Economist | May 21, 2016
When people hear about antibiotic resistance creating “superbugs”, they tend to think of new diseases and pandemics spreading out of control. The real threat is less flamboyant, but still serious: existing problems getting worse, sometimes dramatically. Infections acquired in hospital are a prime example. They are already a problem, but with more antibiotic resistance they could become a much worse one. Elective surgery, such as hip replacements, now routine, would come to carry what might be seen as unacceptable risk. So might Caesarean sections. The risks of procedures which suppress the immune system, such as organ transplants and cancer chemotherapies, would increase...
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The Growing Field of Ecotherapy
James Hamblin | The Atlantic | October 1, 2015
The first time J. Phoenix Smith told me that soil has healing properties that can help thwart depression, I just nodded slowly. Smith is an ecotherapist, a practitioner of nature-based exercises intended to address both mental and physical health. Which means she recommends certain therapies that trigger in me, as a medical doctor, more skepticism than serenity: Listen to birdsong, in your headphones if necessary. Start a garden, and think of the seeds’ growth as a metaphor for life transitions. Find a spot in a park and sit there for 20 minutes every week, without checking your phone, noting week-to-week and seasonal changes in a journal...
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The Next Generation: A Comprehensive Electronic Health Record
Katie Lutts | 5AM Solutions | October 12, 2012
The Network for Public Health Law is holding their 2012 Public Health Law conference this week in Atlanta, focusing on the Practical Approaches to Critical Challenges in Public Health Law, and I have been in attendance...But what struck me, was how little we really take time to think about the impact the work we are doing has upon our individual lives and those of our families. Read More »
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The Pentagon Contract That Could Shape EHRs For Years To Come — Epic Pays Out To Win Friends And Influence Congress
Arthur Allen | Politico.com | October 17, 2014
GENTLEMEN (AND WOMEN) START YOUR (INTEROPERABLE) ENGINES: The Department of Defense’s $11 billion, 10-year contract for a new electronic health records system won’t just shape military health for the next decade, reports Ashley Gold, it could very well predict the future of electronic health records and their handling of interoperability. Read More »
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The Ransomware Attacks on Hospitals Are (Cyber) Criminal
By Kim Bellard | November 2, 2020
One of the redeeming aspects of crises is that, amidst all the confusion, suffering, and loss, there are usually moments of grace, of humans showing their best nature... Unfortunately, crises also tend to bring out the worst of our natures... And then there are the cyberattacks. Last week the federal Cybersecurity & Infrastructure Security Agency, the FBI, and HHS issued a joint alert Ransomware Activity Targeting the Healthcare and Public Health Sector, warning that they have "credible information of an increased and imminent cybercrime threat to U.S. hospitals and healthcare providers." I'll spare you the technical details of the expected attack strategies or suggested mitigation efforts, but I will note that they warned: "CISA, FBI, and HHS do not recommend paying ransom." Read More »
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The Reduction of State-coordinated HIE: How Should Public Health React?
By Noam H. Arzt, Ph.D. | August 2, 2016
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The Rising Clout of the Patient
Sarah Krüg | PharmExecBlog | January 9, 2012
In 2011, the patient’s clout as a stakeholder was firmly established, as reflected in several industry conferences. What’s next for the patient in 2012? Read More »
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The Roles I Play
John Halamka | Healthcare IT News | January 15, 2014
As 2014 begins, I marvel at the evolution of the CIO role from 1997 to 2014. Gone are the days when my role was to serve as technical expert, configuring web servers, optimizing data bases, or simplifying code. [...] Here are a few examples of the roles I play today from the past few weeks: Read More »
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The Shame of US Health Care Dysfunction: Hookworm Returns to Alabama
Roy M. Poses, MD | Health Care Renewal | September 7, 2017
An article just published online(1), and reported so far in only one major media outlet (the Guardian, based in the UK) showed how hookworm, now considered a disease of poor, third world countries, has returned to the American south. This in a country which spends more per capita on health care than any other supposedly developed country. A 2009 article in Health Affairs documented the supposed elimination of common diseases once found in US.(2) The background of the article included...
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The Shutdown Will Harm the Health and Safety of Americans, even After it's Long Over
By Morten Wendelbo | January 15, 2019
With the U.S. federal government shutdown now the longest in history, it's important to understand what a shutdown means for the health and safety of Americans. The good news is that in the short run, the consequences are relatively few. But, as a researcher who studies natural disaster planning, I believe that Americans should be worried about the federal government's long-term ability to ensure good public health and protect the public from disasters. As the shutdown drags on, it increasingly weakens the government's ability to protect Americans down the road, long after federal workers are allowed to go back to work. Many of these effects are largely invisible and may feel intangible because they don't currently affect specific individuals...
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The Threat From Antibiotic Use On The Farm
Donald Kennedy | The Washington Post | August 22, 2013
When I was commissioner of the U.S. Food and Drug Administration (FDA), the agency’s national advisory committee recommended in 1977 that we eliminate an agricultural practice that threatened human health. Routinely feeding low doses of antibiotics to healthy livestock, our scientific advisory committee warned, was breeding drug-resistant bacteria that could infect people. Read More »
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The Time to Stop Giving Antibiotics to Cows, Pigs, and Chickens Is Now
Ed Silverman | STAT | December 29, 2015
Antibiotic resistance has been blamed for at least 2 million illnesses and 23,000 deaths in the US. Researchers are especially concerned about the widespread use of antibiotics in raising cattle, pigs, and other animals for food production. The drugs help the animals bulk up, which boosts their value, but experts warn that they can also promote antibiotic resistance. I’ve asked two guest authors, Josh Bloom and Dr. David Shlaes of the American Council on Science and Health, to share their insights on this issue. They warn that more needs to be done to curb the use of antibiotics in food-producing animals.
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The Toxins That Threaten Our Brains
James Hamblin | The Atlantic | March 18, 2014
Leading scientists recently identified a dozen chemicals as being responsible for widespread behavioral and cognitive problems. But the scope of the chemical dangers in our environment is likely even greater. Why children and the poor are most susceptible to neurotoxic exposure that may be costing the U.S. billions of dollars and immeasurable peace of mind.
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