Technology & Information Systems

A study published in the February 2014 issue of Health Affairs concludes that the use of telemedicine by nursing homes can reduce hospitalizations and generate savings for Medicare. However, there are several barriers to successful implementation, including the cost of the technology, the willingness of staff to utilize the service and traditional Medicare and Medicaid payment methodologies.

The researchers noted previous studies suggesting that the lack of on-site physicians in many nursing homes during off-hours (evenings, weekends and holidays) may be one cause of inappropriate hospitalizations. Typically, if a medical issue arises off-hours, an on-call physician is phoned by nursing home staff. The physician can then either travel to the nursing home or, more likely, recommend that the resident be transferred to a hospital emergency room. Could the availability of telemedicine prevent some of these transfers?

Eleven for-profit Massachusetts nursing homes, owned by a single company, and all dually certified to accept both Medicare and Medicaid, were studied. All were very similar in terms of resident characteristics, staffing and quality scores. The nursing home residents received their primary care through physician group practices; prior to the study, most after-hours medical services involved the nursing home staff phoning the residents’ on-call physicians. Telemedicine services were introduced in six of the eleven nursing homes, with five serving as a control group. The six nursing homes utilizing telemedicine services each received a cart with equipment for two-way videoconferencing and a high-resolution camera for wound care. A remote medical call center staffed by an RN, a nurse practitioner and a physician provided the telemedicine services (most of the nursing home residents’ treating physicians had signed over their off-hours coverage to this remote center). Before the telemedicine service was introduced in the six nursing homes, separate training sessions were held for the direct care staff and the residents’ physicians. The annual cost of the telemedicine service was $30,000.00 per facility.
Continue Reading Could Your Facility Benefit from Telemedicine?

Remember the paper-based world when junk mail was clearly junk? When we could easily identify the important mail? When there was no middle ground? When we were not afraid to throw anything away? Deborah Juhnke, Director of Information Governance Consulting at Husch Blackwell, reminds us that when it comes to information governance, at some

Alzheimer patients wandering off.  Jewelry stolen from a resident’s room.  Arthritic hands unable to maneuver a key in a lock.  All of these can be issues at senior living communities.  However, these issues may become less common as more and more senior communities are moving toward digital key systems.

According to an article in Seniors

Are healthcare providers at your facility texting patient information to each other?  This type of communication is becoming more and more common, but such text messages are often in violation of HIPAA.  To address this issue, Sprint announced last week that it is now offering two texting products that provide the proper security for PHI

This post was provided by Debbie Juhnke in Husch Blackwell’s Information Governance group.

According to a recent KPMG report on data loss, the healthcare industry’s greatest exposures for data loss are hard copy loss/theft, PC theft, and social engineering, ranking first (in a tie), second, and third against other sectors respectively for percentage of data

Pediatric critical care transport teams at the Alfred I. duPont Hospital for Children in Wilmington, Delaware participated in a study using iPads to communicate about the patient’s condition prior to and during transport.  The study, which was funded by the Nemours Fund for Children’s Health, found that use of iPads provided better communication between the transport

Recently, the U.S. Department of Health and Human Services (HHS) announced a settlement with the Hospice of North Idaho (HONI) for potential violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Security Rule.  The settlement, which was for $50,000, is unique because it is the first settlement involving a breach of electronic