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University of Kansas Health System Using mHealth for Stroke, Sepsis Treatment

April 7, 2017
by Rajiv Leventhal
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The University of Kansas Health System will pilot a program in which physicians and nurses will use a mobile app to help guide them through timely diagnosis and treatment of stroke and sepsis.

The Kansas Heart and Stroke Collaborative, a grant-funded program of the University of Kansas Health System, will begin using software from Kansas-based Redivus Health as a pilot program in selected rural hospitals in the state. The Kansas Heart and Stroke Collaborative currently serves 40 hospitals in rural Kansas.

Undoubtedly, time is critical in the management of acute ischemic stroke, the fifth leading cause of death in the U.S. Keeping a timeline and determining whether the patient is eligible for administering tPA, the clot-busting drug, are important steps that affect the patient’s ability to survive and recover from a stroke.

“For rural hospitals that see fewer strokes, we expect this tool to provide both education and time-sensitive guidance to follow the stroke treatment steps,” Marilyn Rymer, M.D., neurologist at The University of Kansas Health System, said in a press release. “When every minute counts for the stroke patient, we hope to improve confidence in making critical decisions and increase identification of tPA-eligible patients.”

Meanwhile, sepsis, often referred to as the “silent killer,” kills more Americans than any single cancer. The first challenge with sepsis is identification as the diagnosis can be complicated and the standards difficult to remember. Once identified, sepsis requires a time-sensitive treatment regimen to quell the infection and stabilize the patient. As such, the idea is that with this tool, clinicians will have bedside access to evidence-based protocols with Redivus to aid in diagnosing and caring for sepsis patients.

The Redivus Health tool was designed by physicians and improved through field-testing and the input of medical experts. Officials say it delivers step-by-step standardized protocols for cases of cardiac arrest, stroke and sepsis, with new treatment areas in development

“As doctors, we witnessed and experienced the daily challenges with adhering to evidence-based medicine, and we developed this solution to provide colleagues with a simple, intuitive way to follow standards and reduce error at the point of care,” said Jeff Dunn, D.O., Redivus co-founder and CEO. “As entrepreneurs, we are thrilled to work with a nationally recognized academic health system like The University of Kansas Health System to fine-tune our product and collect valuable feedback from medical professionals using it.”

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LabCorp Joins Apple Health Records Project

November 5, 2018
by Rajiv Leventhal, Managing Editor
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LabCorp, a provider of clinical laboratory and end-to-end drug development services, has announced that it has enabled Apple’s Health Records feature for its patients.

This iPhone feature aims to make it easier for LabCorp patients to access their LabCorp laboratory test results, along with other available medical data from multiple providers, whenever they choose, according to officials.

In January, Apple announced that it would be testing the Health Records feature out with 12 hospitals, inclusive of some of the most prominent healthcare institutions in the U.S. Since that time, more than 100 new organizations have joined the project,  according to Apple.

LabCorp test results are viewable in the Apple Health app for LabCorp patients who have an account with the company, and enable integration with the Health Records app. In addition to their LabCorp test results, patients will have information from participating healthcare institutions organized into one view, covering allergies, medical conditions, immunizations, lab results, medications, procedures and vitals.

Patients will receive notifications when their data is updated, and the Health Records data is encrypted and protected with the user’s iPhone passcode, Touch ID or Face ID, according to officials.

“LabCorp on Health Records will help provide healthcare consumers with a more holistic view of their health. Laboratory test results are central to medical decision making, and broadening access to this information will help patients take charge of their health and wellness, and lead to more informed dialogues between patients and their healthcare providers,” David P. King, chairman and CEO of LabCorp, said in a statement.

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HIMSS Analytics Introduces Infrastructure Adoption Model for Health Systems

October 25, 2018
by Rajiv Leventhal, Managing Editor
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HIMSS Analytics, the research arm of the Healthcare Information and Management Systems Society, announced the introduction of the Infrastructure Adoption Model, or INFRAM, which is designed to measure the technical infrastructure used within a health system.

The INFRAM focuses on five technical subdomains, allowing organizations to benchmark how their infrastructure operates within the following areas: mobility; security; collaboration; transport; and data center.

Similar to HIMSS Analytics’ well-known Electronic Medical Record Adoption Model, or, EMRAM, the INFRAM is an eight-stage model (0 – 7) that allows healthcare IT leaders to map the technology infrastructure capabilities required to reach their facility’s clinical and operational goals, while meeting industry benchmarks and standards.  The final stage, Stage 7, guides organizations towards optimized information integration, contextualization and orchestration essential for the delivery of higher order local and virtualized care processes.

For reference purposes, Stage 0 on the model represents that an organization does not have a VPN, intrusion detection/prevention, security policy, data center or compute architecture. Stage 3 signifies that an organization has an advanced intrusion prevention system, while Stage 5 represents having video on mobile devices, location-based messaging, firewall with advanced malware protection, and real-time scanning of email hyperlinks.

HIMSS officials note that by identifying specific benchmarks for organizations to reach before they go live with EMR, systems, the INFRAM aims to ensure that a health system’s infrastructure is stable, manageable and extensible. Through this, organizations can ideally improve care delivery and create a pathway for infrastructure development tied to business and clinical outcomes.

 “The INFRAM is a welcome addition to our maturity model suite and addresses a longstanding need – guiding healthcare organizations in securely implementing the infrastructure with which their EMRs are built upon,” Blain Newton, executive vice president, HIMSS Analytics, said in a statement. “We have seen health systems engage with advanced clinical applications, only for them to ‘glitch’ under infrastructure that isn't powerful enough to support their tools. With the INFRAM, healthcare providers can develop a detailed, strategic technology plan that defines their organization's current state, desired future state, and each stage in between to achieve their clinical and operational goals.”

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