Archive for February, 2010

Headlines: VA Stops IT Projects

Thursday, February 25th, 2010

Health_Safety_Recall_NewsFALLS CHURCH – Today’s roundup of top headlines in the field of healthcare compiled daily by the library services department of Noblis Health Innovation.

  • VA kills 12 health IT projects, puts 32 back on track: Several health IT projects at the Department of Veterans Affairs have been canned following evaluations performed under a stringent project management program while still others have earned a new lease on life as a result of the same program.

Want the Noblis Health Innovation headlines in your inbox each morning? Sign up for our RSS feed. And follow the latest news on health safety and recall on Twitter at http://twitter.com/healthrecall.

Headlines: Indian Health Service Upgrades EHR System

Tuesday, February 23rd, 2010

FALLS CHURCH – Today’s roundup of top headlines in the field of healthcare innovation compiled daily by the library services department of Noblis Health Innovation.

  • Indian Health Service to upgrade its EHR system: The Indian Health Service (IHS) plans several upgrades to its electronic health record (EHR) system this year, including changes to conform to new federal regulations for “meaningful use,” according to a new report from IHS’ Office of Information Technology published in Federal Consumer Week.
  • Obama stays on offense with healthcare proposal: The Washington Post reports that there had been rampant speculation that the White House would narrow its ambitions for healthcare legislation after the loss of the Democrats’ filibuster-proof Senate majority last month. Instead, the president’s proposal is striking for the extent to which it hews to the basic scale and framework of the bills on which Congress has toiled for months.
  • White House calls for governmentwide HIT task force: The White House, according to Government Health IT, has called for the creation of a government-wide task force to strengthen coordination of health IT among federal agencies that hold key roles in carrying out the administration’s plans for a digital healthcare system.
  • Medicare spending growth signals shift from inpatient care: Over the past 20 years, the factors driving Medicare fee-for-service spending growth have changed, say the authors of a new study published on-line at the journal Health Affairs.
  • Ft. Hood suspect was Army dilemma: Army superiors were warned about the radicalization of Major Nidal Malik Hasan years before he allegedly massacred 13 soldiers at Fort Hood, Texas, but did not act in part because they valued the rare diversity of having a Muslim psychiatrist, military investigators wrote in previously undisclosed reports. That report according to Bryan Bender of The Boston Globe.

Want the Noblis Health Innovation headlines in your inbox each morning? Sign up for our RSS feed or follow us on Twitter at http://twitter.com/healthrecall.

Headlines: HHS Moves to Cloud Computing

Monday, February 22nd, 2010

Health_Safety_Recall_NewsFALLS CHURCH – Today’s roundup of top headlines in the field of healthcare innovation compiled daily by the library services department of Noblis Health Innovation.

  • HHS plans move to cloud for regional centers: The Health and Human Services’ Office of the National Coordinator for Health Information is looking to deploy cloud-based customer relationship and project management software over the next six weeks to its Regional Extension Centers, according to Rutrell Yasin reporting for Government Computer News.
  • HHS to survey Medicare patients on PHR use: The Health and Human Services Department plans to survey 500 Medicare beneficiaries this fall about difficulties and benefits they may have experienced using personal health record (PHR) systems, reports Mary Mosquera of Government Health IT.
  • CDC starts online surveillance of blood transfusion events: The Centers for Disease Control and Prevention (CDC) will collect data about the after effects of blood transfusions in a new application of its Internet-based National Healthcare Safety Network, the agency has announced. That report according to Alice Lipowicz of Federal Computer Week. Lipowicz also reports that the FCC will boosts telemedicine in its review of a plan for broadband.
  • Obama invites G.O.P. lawmakers’ health care ideas: As the president prepares for his bipartisan summit meeting on health care this week, he challenged Republicans to come forward with their ideas, reports Sheryl Gay Stolberg of The New York Times.

Want the Noblis Health Innovation headlines in your inbox each morning? Sign up for our RSS feed or follow us on Twitter at http://twitter.com/healthrecall.

Today’s Hospital Headlines

Friday, February 19th, 2010

FALLS CHURCH – A roundup of top hospital-related news headlines for Friday, Feb. 19.

  • Navy Reviews Murtha’s Care: A Navy spokesman, Cmdr. Danny Hernandez, said yesterday that an in-depth review had begun of the care Rep. Murtha received at the National Naval Medical Center.

Recall FAQ: Common Answers on Recalled Products

Tuesday, February 16th, 2010

 

FALLS CHURCH – Noblis Health Innovation’s RASMAS is one of the most extensive alert databases in the country, including over 19,400 alerts since 2004. In 2009, more than 3,200 alerts were released to healthcare organizations.

With recalls regularly in the news, we put some common questions about recalls to Bill Klein of RASMAS.

RASMAS tracks recalls in fields that include biologics, biomedical devices, blood products, children’s consumer products, engineering and facilities, food, information systems, laboratory products, medical supplies, OR products, pharmaceuticals, radiology products, tissue and veterinary products.

Q: What are the federal agencies that issue recalls?

Klein: In the U.S., those agencies are the Food and Drug Administration, United States Department of Agriculture, National Highway Transportation Safety Agency and Consumer Products Safety Commission. Centers for Disease Control also will release product related health notices including vaccines.

Q: It seems that with the growing volume of recalls, it is hard for the consumer to keep up. What is an easy way for the consumer to handle these risks?

Klein: Most, if not all, of the above agencies have RSS feeds or e-mail distribution lists.  There also are  aggregation sites that cover most consumer alerts. Recalls.gov is a good place to start.

 

Q: Should consumers go through medicine cabinets and pantries looking for recalled items, or is that overkill? And if they should, how often and what procedure should they use?

Klein: They definitely should look at their shelves when they can get the details of the recall such as product lot numbers or expiration dates. These lot numbers then can be checked against the notice. Some bulk foods are problematic (e.g. spinach, melons, cilantro) as they may not have any identifier other than the brand on the label or carton.

Q: Compared to other risks in life, how frequent are the risks from most recalled items?

Klein: The likelihood of being impacted by the typical recall is probably low. However, when impacted the consequences could be severe. This is particularly the case for individuals that are vulnerable for medical or age reasons.

Q: How many types of recalls are there?

Klein: There are various notices from manufacturers and regulators such as Public Health Notices, Recalls, Field Corrections, Market Withdrawals, etc., that have a concise definition and circumstance. Recalls do not always mean the product must be returned to the manufacturer, and  Market Withdrawals do not necessarily mean that a company must take the item off the shelves.  Recall notices specify the course of action for the recipient of the notice .

Q: Is the government more or less aggressive about recalls today than in the past?

Klein: That’s hard to determine exactly, and it depends upon whom you ask.  We’ve seen a dramatic increase in the number of recalled products, but we may be getting better at finding them.

Q: Do companies voluntarily issue their own recalls, or are most recalls started at the urging of government?

Klein: Most recalls are initiated by the manufacturer.  I’ve heard 1 percent quoted as the number of involuntary, government mandated, recalls.

Q: Do you see companies getting over their fear of recalls and instead treating them as a normal and occasional part of the cost of doing business in a modern economy?

Klein: More and more. At RASMAS, we take an approach that recalls are a fact of life for companies. With the increasing complexity and number of products on the market, recalls will occur. Many products that are tested and put on the market later are found to have problems that are not readily apparent when the product is designed. With the addition of software to many products, products that may be defective can be reprogrammed to repair the issue. Much of industry is moving to a place where recalls are not a manufacturing and distribution issue alone, and effectively managing recalls are part of good brand management and exemplary customer service.

Q: What is the statute of limitations on a safety recall? When is it finished? Or does it have to do with how much of that item is in circulation?

Klein: There is no single answer to this. A recall is “complete” when the company meets the agreed upon expectations of the agency that regulates the product.

Q: Are goods made overseas inherently more dangerous, or do we pay more attention to them?

Klein: They are less regulated, inspected less frequently, and therefore there is more risk. However, American distributors have the same responsibilities, no matter where the product originates.

Heathcare Headlines: PTSD Needs Greater Than Availability

Friday, February 12th, 2010

FALLS CHURCH – A roundup of today’s headlines in healthcare compiled by the library staff at Noblis. Click on the headline for the actual story:

  • Study: Many Veterans Not Getting Enough Treatment for PTSD
    Although the Department of Veteran Affairs is rolling out treatments nationwide as fast as possible to adequately provide for newly diagnosed PTSD patients, there are still significant barriers to veterans getting a full course of PTSD treatment, according to a study published in the latest issue of the Journal of Traumatic Stress.
  • Few Vendors Supporting Health Information Exchange, Report States
    Four vendors appear to be market leaders in health information exchanges, according to a new report from Klas Research.
  • Bill Expands EHR Incentives to Hospital Outpatient Docs
    The Senate Finance Committee has released the draft of a jobs bill that that removes a ban against physicians in hospital-based outpatient clinics from participating in the health IT incentives in the HITECH Act.
  • Multi-Payer Portal Launched in N.J.
    An initiative begun last October in Ohio to enable providers to access multiple health insurers through a single Web portal, using standardized transactions and processes, now is moving into New Jersey.

Health Safety Headlines: Sony Moves into Biotechnology

Friday, February 12th, 2010

Sony_Press_Conference_with_iCyt_enCHAMPAIGN, Ill. - Sony Corp. said Feb. 10 that it had acquired iCyt Mission Technology Inc., a University of Illinois Research Park biotech company.

Machines from iCyt count and sort cells and chromosomes for diagnostic and research purposes. iCyt’s customers include university research labs, hospitals and private labs.

Sony’s acquisition of a flow cytometry firm represents a new venture into healthcare for the electronics company. Keiji Kimura, Sony’s executive vice president, also cited his company’s bringing “expertise in manufacturing consumer products” to the enterprise.

The company iCyt, at www.i-cyt.com, was founded in 1995 and has 44 full-time employees.

Other health safety news:

  • Kaiser Permanente awarded $346,000 to the National Association of Community Health Centers’ “Medical Home Initiative for America’s Safety Net.” The purpose of the Medical Home Initiative is to incorporate the patient-centered health model into community clinics in order to improve efficiency, effectiveness and timeliness; generate patient and community engagement in health, and to emphasize equity and eliminate health disparities.
  • A new survey from Health Leaders Media says that non-medical factors such as fear of lawsuits and pressure from patients are a major influence in their decision-making when it comes to ordering tests. The No. 1 priority among all respondents is quality/patient safety, which retains that ranking in 2010, but with a smaller share than the 2009 results. Last year, 69 percent of respondents put quality/patient safety in their Top 3 list of priorities; for 2010, that dropped to 40 percent, still enough to be No. 1, but with a smaller consensus.

Healthcare Today: States Race to Pre-Empt Reform

Thursday, February 11th, 2010

HealthSafety_RecallFALLS CHURCH – A roundup of today’s headlines in healthcare compiled by the library staff at Noblis. Click on the headline for the actual story:

  • Sankaran: Use IT as healthcare ‘force multiplier’
    Speaking in Boston Tuesday at the Healthcare Stimulus Exchange Roadshow, Vish Sankaran, director for the Federal Health Architecture Program, outlined his vision for the government’s role in promoting broader healthcare IT adoption via the Nationwide Health Information Network (NHIN). A report from Government Health IT.
  • States race to pre-empt health reform
    President Barack Obama and fellow Democrats may be stymied in their drive for health care reform,  Politico reports. But state lawmakers in at least three dozen states are pushing ahead with a series of measures aimed at pre-empting whatever might come out of Washington.
  • Long-term care hospitals face little scrutiny
    Lawsuits, state inspections and federal statistics paint a troubling picture of the care offered at some hospitals, The New York Times reports.
  • CQ examines concerns over Obama’s FY2011 global health budget
    Congressional Quarterly examines concerns among health advocates and international development experts about what President Obama’s FY 2011 budget request might mean to U.S. commitments to particular diseases abroad, such as HIV/AIDS, tuberculosis and malaria.

Honda Recalls 2001-02 Models

Thursday, February 11th, 2010

TORRANCE, Calif. - Honda has expanded a previously announced recall of certain 2001 and 2002 model-year vehicles to replace the driver’s airbag inflator in an additional 378,758 Honda and Acura vehicles in the U.S. The driver’s airbag inflators in these vehicles may deploy with too much pressure, which can cause the inflator casing to rupture and could result in injury or fatality.

Honda owners can go to http://owners.honda.com/recalls or call (800) 999-1009; Acura owners can go to http://owners.acura.com/recalls or call (800) 382-2238 to find out more and schedule repairs.

Heart Association Warns on Medication-Induced Rhythm

Tuesday, February 9th, 2010

Health_Safety_Recall_NewsDALLAS – A joint scientific statement from the American Heart Association and American College of Cardiology reminds health care providers that they need to be more aware that cardiac arrest from a medication-induced heart rhythm problem is a rare but potentially catastrophic event.

The statement, published online in Circulation: Journal of the American Heart Association and Journal of the American College of Cardiology, is endorsed by the American Association of Critical-Care Nurses. The rhythm disturbance, called Torsade de Pointes (TdP), has a characteristic electrocardiogram, or ECG, pattern described as a “twisting” of points on the read-out. The abnormal rhythm is associated with a drop in blood pressure, which can lead to fainting.

Co-authors of the study include Barbara J. Drew, R.N., Ph.D., (Chair); Michael J. Ackerman, M.D., Ph.D.; Marjorie Funk, R.N., Ph.D.; Brian Gibler, M.D.; Paul D. Kligfield, M.D.; Venugopal Menon, M.D.; George Philippides, M.D.; Dan M. Roden, M.D.; and Wojciech Zareba, M.D., Ph.D.

Other Health Safety news :

  • Kaiser Permanente’s Sacramento trial project to use tablet PCs could free physicians and nurses from paper files. The trial being conducted in Sacramento is part of a broader program dubbed “Destination Bedside,” reports the San Jose Mercury News. Kaiser expects to choose an electronic tablet by the end of the year for use at its hospitals nationwide. If the trial works, patient safety could be improved with easy access to X-rays, medical charts, prescriptions and notes.
  • Florham Park, N.J.-based Nestle HealthCare Nutrition announced a new initiative to promote safer medication delivery through an enteral feeding tube in hospitals based on ideas from the group American Society for Parenteral and Enteral Nutrition, or A.S.P.E.N. The checklist includes:
    • Ceasing addition of medication directly into an enteral feeding formula

    • Administering each medication separately

    • Flushing the tube before and after each medication is administered

    • Diluting solid or liquid medication as appropriate

    • Administering medication using a clean oral or enteral syringe

Feb 8, 2010 11:39 ET
Click this link to view linked Blogging Services

RSS

Nestle HealthCare Nutrition and HealthCare Professionals Join Forces to Improve Patient Safety

‘Be A.W.A.R.E.’ Initiative Drives Awareness for Improving the Safety of Enteral Medication Delivery

FLORHAM PARK, N.J., Feb. 8 /PRNewswire-USNewswire/ — Nestle HealthCare Nutrition today announced the launch of a new initiative to promote safer medication delivery through an enteral feeding tube in hospitals based on the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Enteral Nutrition Practice Recommendations.

The “Be A.W.A.R.E.” campaign is designed to increase awareness and knowledge of the simple steps needed to increase patient safety among medical professionals who deliver medications to hospital patients. The “Be A.W.A.R.E.” campaign will be implemented in hospitals nationwide to help reduce the risk of medication errors and improve patient outcomes.

In releasing recommendations for improving enteral feeding safety last year, A.S.P.E.N. noted that practice differs considerably from guidelines for medication delivery through the enteral route. Surveys found that practitioners failed to complete certain simple practices and that such failures may contribute to measurable adverse outcomes. Practices that have been noted to be of concern include:

  --  Failing to flush enteral feeding tubes before or between medications
  --  Administering multiple drugs together
  --  Improperly diluting liquid medication
  --  Crushing modified-release dosage forms

“We are committed to raising awareness about safe tube-feeding practices,” said Carol Siegel, MS, RD, head of medical affairs for Nestle Nutrition. “Medication delivery errors can have serious consequences. This is a serious problem that needs industry-wide recognition. It will require the attention and collaboration of hospitals, healthcare professionals, quality improvement groups and manufacturers to improve patient safety.”

  The "Be A.W.A.R.E." campaign promotes simple steps including:
  --  Ceasing addition of medication directly into an enteral feeding
      formula
  --  Administering each medication separately
  --  Flushing the tube before and after each medication is administered
  --  Diluting solid or liquid medication as appropriate
  --  Administering medication using a clean oral or enteral syringe