A team at the Ohio State University Wexner Medical Center is applying two well-tested applications in new ways in an attempt to improve mobility in people who have suffered a stroke. Researchers specializing in rehabilitation use smart phone technology to evaluate the progress of stroke survivors who are learning to walk again.
“In our study, we’re measuring how well people walked before and how they walk after intervention with a new system of wireless sensors that use the same technology found in cell phones and tablets,” said Stephen Page PhD, Associate professor of Occupation Therapy at Ohio State’s School of Health and Rehabilitation Sciences. “This is the first time this approach has been used.” (more…)
The VA is increasing the use of telehealth according to the 400 page report “Department of Veterans Affairs 2012 Performance and Accountability Report” released last November. The report states, “In 2012, the VA implemented new innovative practices such as telemedicine and mobile clinics to provide care to more than 6 million unique patients.” In 2012, nearly 500,000 veteran patients received 1.4 million telehealth-based consultations delivered from 150 VA Medical Centers and 750 Outpatient Clinics.
A few years back, GlobalMed’s offerings were chosen by the VA to deploy multifaceted telemedicine systems throughout the VA’s Medical Centers, Community-based Outpatient Clinics, and Community Living Centers. (more…)
NIH’s National Heart, Lung, and Blood Institute (NHLBI) and the National Center for Advancing Translational Sciences (NCATS) seek applicants for the Funding Opportunity Announcement (FOA) titled “Small Market Awards: SBIR Phase IIB Competing Renewals for Heart, Lung, Blood and Sleep Technologies with Small Commercial Markets” (RFA-HL-14-012).
The awards are to help Phase II SBIR awardees develop technologies needed by NHLBI that can address small commercial markets, as in the case of rare diseases or technologies needed by the young pediatric population ages 0-12 years. (more…)
State Withdraws Proposal to CMS
A longstanding barrier to coordinating care for Medicare-Medicaid enrollees has been the financial misalignment between Medicare and Medicaid. To help solve the problem, CMS is going to test tow models to help states better align the financing for these two programs and to integrate primary, acute, behavioral health, and long term services to help Medicare-Medicaid enrollees.
To participate in Financial Alignment Demonstrations, states had to submit a proposal outlining their approach. On April 10th, Thomas Betlach, Director of Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency sent a letter to Melanie Bella, Director for the Medicare-Medicaid Coordination Office at CMS to withdraw Arizona’s proposal to pursue the CMS demonstration for members in Medicaid and Medicare.
Betlach gives several reasons why Arizona is withdrawing their proposal:
- Arizona is in the midst of two significant procurements for managed care plans with October 1, 2013 start dates involving complex transitions for members and services
- Additional procurements are scheduled during the three year demonstration period
- Significant political and operational challenges are involved with restoring coverage for childless adults and developing the infrastructure required for the ACA
- All current health plans help dual eligible Special Needs Persons or D-SNPs
- 43,000 members are currently aligned with contracted health plans
- General mental health/substance abuse services are currently not integrated for some members
In addition, some of the other risks for Arizona include the start date for implementation, the path forward after the three year demonstration, and the issues surrounding capitation rates and supplemental benefits.
The state of Arizona has therefore decided to pursue alignment through the use of the state’s managed care model. The State is looking to build off the D-SNP platform and move forward. In addition, the state is going to pursue partnerships with other states and the National Association of Medicaid Directors to leverage D-SNPs and build upon the success the state has had so far.
Dr. John H. Noseworthy, President and CEO of the Mayo Clinic in Rochester Minnesota remarked at the National Press Club, “Putting knowledge into practice quickly will create value that will benefit patients and produce high quality care at lower cost”. He realizes the Mayo Clinic and others need to obtain knowledge on what works and best practice protocols. (more…)
The threat of the emergence of infectious disease epidemics continues to concern policymakers and public health services. Better data is needed in terms of knowledge and tools to improve our knowledge of the emergence, surveillance, and detection of events alone along with knowledge on how to prevent these events. In order to complete these efforts, scientists need to be able to collect, analyze, and interpret the relevant data by developing models to guide the collection of further data. (more…)
The National Committee for Quality Assurance (NCQA) along with the Robert Wood Johnson Foundation (RWJF) is developing a new approach to measuring quality. The goal is to provide a more sensitive gauge of risk factors that will make it possible to create clinically meaningful incentives for providers to improve disease prevention.
Under a grant from RWJF, NCQA will evaluate a new measurement tool that focuses on improving the health outcomes of patients with heart disease and diabetes. The “Global Cardiovascular Risk” (GCVR) score, co-developed by NCQA and Archimedes, Inc., is considered the next generation quality improvement tool to measure how well providers can reduce the risk of future adverse outcomes such as heart attacks, strokes, and diabetic complications in the populations they serve. (more…)