Individuals with type 2 diabetes reported increased intentions to walk after using an interactive personalized simulation demonstrating the effect physical activity has on blood glucose, according to a study of 1,335 patients published in JMIR Diabetes. Researchers discussed how the results could be applied to mobile health intervention design.
A ransomware attack against Adams Health Network in Decatur, Ind., on Jan. 11 resulted in business interruption, but the incident did not affect patient care or compromise patient files, officials said. The cyberattack prevented access to patient histories and appointment schedules and affected up to 80 patients, said Susan Sefton, a spokeswoman for Adams Memorial Hospital.
A recently released update on the Spectre and Meltdown vulnerabilities from the Healthcare Cybersecurity and Communications Integration Center emphasizes the importance of installing risk management processes to ensure the security of protected health information within health care and public health entities. HCCIC also noted key differences between the two vulnerabilities and advised entities to follow up with their software vendor if a security update has not been offered.
Allscripts officials and users reported that on Thursday, a ransomware attack prevented some clients from accessing the Allscripts Professional EHR system and applications such as clinical decision support, direct messaging and regulatory reporting. Allscripts spokeswoman Concetta Rasiarmos said there was no evidence that data were removed from the company's systems.
Medical residents who received education and an electronic progress note template that included best practice guidelines wrote shorter, higher-quality clinical notes and completed them more quickly, a study in the Journal of Hospital Medicine found. The template had an inpatient checklist for patient concerns, quality measures and discharge planning, and it encouraged residents to enter only relevant information and limit the use of efficiency tools such as copying-forward and autofill.
Hospitals that want to move to a cloud model can begin by creating that culture, because "most IT departments are not thinking cloud-first," said David Chou, CIO at Children's Mercy Hospital in Kansas City, Mo. Children's Mercy has more than 600 apps, most of which are in the cloud, and it moved its EHR to a hosted model.
The Society for Vascular Ultrasound and other organizations are collaborating on a vascular ultrasound registry to help standardize vascular information related to treatment. The registry, which will supplement existing registries, will include actual patients' ultrasound images to facilitate future machine learning and analysis.
Analyzing EHR data can show the prevalence of low-value medical testing and identify the causes of unnecessary tests, according to a study in the American Journal of Managed Care based on 13 measures identified by the Choosing Wisely campaign. Researchers said EHR data combined with manual chart review and administrative claims can help find low-value testing overuse and identify risk factors.
Two studies in the American Journal of Managed Care suggest that health care providers use mobile health linked to smartphones to increase engagement of minority populations. Researchers said that while minorities have lower access to health care resources, those who use patient portals or personal health records are gaining access through a mobile phone instead of a tablet or personal computer.
CMS Administrator Seema Verma said the agency will make health IT innovation and regulatory relief related to documentation a priority this year. As part of the Patients Over Paperwork initiative, Verma said the agency will seek to modernize Medicare and Medicaid through innovative health IT.
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