All Videos Tagged Technology (MedTech I.Q.) - MedTech I.Q.

Informatics: "Meaningful Use" Final Rule Official Announcement - Sebelius, Berwick, Blumenthal, Benjamin

2010-07-19T11:49:15.493Z

Colleagues,

For U.S. advocates of Health Information Technology (HIT), see historic press conference on final rules for "Meaningful Use"...

I found Director, ONC HIT, Dr David Blumenthal's comments particularly interesting on core professionalism in handling medical information and EHRs ...

... Also, get an introduction to Dr Donald Berwick, in his first speech as Director, CMS ...

Present:
- Kathleen Sebelius, Secretary, US Dept of Health & Human Services (HHS)
- Dr. Donald Berwick, Director, Center for Medicare & Medicare Services (CMS)
- Dr. David Blumenthal, Director, ONC for Health IT
- Dr Regina Benjamin, US Surgeon General
- Reginal Holliday, patient advocate

Health and Human Services Secretary Kathleen Sebelius announces final rules to help improve Americans' health, increase safety and reduce health care costs through expanded use of electronic health records (EHR).

A CMS/ONC fact sheet on the rules is available at http://www.cms.gov/EHRIncentivePrograms/

Technical fact sheets on CMS's final rule are available at http://www.cms.gov/EHRIncentivePrograms/

A technical fact sheet on ONC's standards and certification criteria final rule is available at http://healthit.hhs.gov/standardsandc...

Robotics: Medical Robotics Bioports to the Human Body

2010-06-05T17:43:58.984Z

citrisuc — October 28, 2009 — Jacob Rosen [Prof. of Computer Engineering, UC Santa Cruz]
Abstract :
Medical Robotics is an emerging sub-discipline of robotics in which humans are the focal point of its creation. Humans interact with medical robotics either as health providers such as physicians or as the healthcare recipients - the patients. Introducing a medical robot at the interface between a physician and a patient is based on an understanding of the medical treatment itself and its related biology, physiology and anatomy. Inherent to the field of medical robotics is a unique synergy between medicine, life and health sciences, and many sub-disciplines of engineering. In this talk, two categories of Medical robotics will be explored: surgical robotics and wearable robotics.

The operating room of the future is envisioned as fully automated cell that includes only one human being - the patient. The local surgeon will be replaced by a surgical robot that will be teleoperated through wired and wireless communication, from any place around globe. The system will manage all the aspects of surgery, from monitoring the movements of the surgical robot to managing the supply chain. Achieving such a system depends on answering research questions such as what are the physical variables that lead to tissue damage; how to optimize the robotic arms to minimize their footprint in the operating room; how to objective assess surgical skill, and how to control the system from a distance to perform telesurgery.

A wearable robot is a system that humans wear as an extension of their body. In case of a missing limb a wearable robot serves as prosthetic device. In case of an existing limb with disabled functions it serves as an orthotic device. As opposed to surgical robotics where the human machine interface is limited to the physical level, wearable robot may interact with the patient at the neural level, utilizing the body's own control signals. The end result is to achieve a natural control of the wearable robot by the human operator as an extension of his or her body. Establishing the human machine interface at the neural level leads to research questions such as how to predict the muscular activity in real time and utilize this information for the exoskeleton operation along with additional questions in biosignals processing, neuromuscular modeling, and human motor control.

Biography:

Jacob Rosen received his B.Sc. degree in Mechanical Engineering, M.Sc. and Ph.D. degrees in Biomedical Engineering from Tel-Aviv University in 1987, 1993 and 1997 respectively. From 1987 to 1992 he served as an officer in the IDF studying human-machine interfaces. From 1993 to 1997 he was a research associate developing and studying the EMG based powered Exoskeleton at the Biomechanics Laboratory, Department of Biomedical Engineering, Tel-Aviv University. During the same period of time he held a position in a startup company developing innovative orthopedic spine/pelvis implants. From 1997 to 2000 he was a Post-Doc at the departments of Electrical Engineering and Surgery, University of Washington while developing surgical robotic and medical simulation systems. From 2001- 2008 he served a faculty member at the Department of Electrical Engineering, University of Washington in Seattle with adjunct appointments with the Departments of Surgery, and Mechanical Engineering. Since 2008 he has been an associate professor at the Department of Computer Engineering, University of California - Santa Cruz (UCSC). His research interests focus on medical robotics, biorobotics, human centered robotics, surgical robotics, wearable robotics, rehabilitation robotics, neural control, and human-machine interface.

Informatics: HIMSS10 Aprima

2010-06-05T16:55:19.097Z

Michael Nissenbaum, CEO of Aprima and Dr. Eric Fishman speak about the Aprima product line at HIMSS10. Currently, there are over 2,200 providers using the Aprima EHR/PM product. Mr. Nissenbaum reviews the history of Aprima, and its target market that is mostly 1-10 physician practices. Mr. Nissenbaum further discusses the Aprima EHR, which is not template based, but rather based on speed and usability. It was built at Stanford University using the input and direction of 18 physicians. The product is unique in that it is chief complaint driven, with 400,000 relevant terms.

Mr. Nissenbaum and Dr. Fishman talk about Aprimas connectivity with different technologies, such as the new Patient Portal, Patient Kiosk, Speech Recognition, dictation, etc. The discussion closes with Mr. Nissenbaums projections for the EHR market in 2010, and affirmations that Aprima is well positioned to remain a strong industry leader.

Informatics: HIMSS - Practice Fusion - Ryan Howard, CEO

2010-06-05T16:50:04.185Z

At HIMSS10, Dr. Eric Fishman had the opportunity to speak with Ryan Howard, CEO of Practice Fusion. As an EHR product and service completely free to physicians, they review Practice Fusions unique place in the EHR market. Mr. Howard discusses how Practice Fusion evolved out of the need to assist small, cash constrained physician practices in adopting EHR systems. With the Practice Fusion business revenue model, the company is able to provide licensing, training, secure hosting, backup, and support completely free to physicians. Lastly, Mr. Howards talks about Practice Fusions upcoming product launches, such as Chart Share. Chart Share utilizes Practice Fusions complex back-end system to share real time data between physicians, which will be a key interoperability feature.

Informatics: HIMSS10 IBM

2010-06-05T16:47:10.277Z

At HIMSS10, Dr. Fishman had the opportunity to speak with Dan Pelino, General Manager of Healthcare and Life Sciences at IBM. Mr. Pelino explains that IBM is involved in several aspects of Health Information Technology. First, the company has partnered with many EHR vendors to help small practices identify which EHR solution is best for their specific needs, and it can also offer various hosting solutions. Second, IBM has the ability to help practices integrate their EHR system with referral networks. Third, IBM has embarked on a collaborative effort with the American Academy of Family Physicians and the American College of Physicians to implement pilot projects based on the Patient-Centered Medical Home (PCMH) approach. Mr. Pelino provides an a example of this pilot with the Community Care of North Carolina, which applied the PCMH approach to successfully prevent hospitalizations among asthmatics and saved 150 million dollars in the process. Dr. Fishman and Mr. Pelino close by discussing IBMs involvement in international healthcare systems, specifically the development of an Electronic Health Record system in Denmark.