Diagnostic Reading #38: Five “Must Read” Articles on HIT and Radiology from the Past Week

EHRs and security threats for healthIT and rads taking a leadership role are in the news

Articles include: Mamba ransomware is attacking healthcare, crippling computers by encrypting entire hard drives; University of Texas breast radiologists are calling for the creation of a national imaging repository in the cloud; Apple designers work to expand its HealthKit to aid in diagnosis; Electronic health record data could hold the key to predicting the onset of sepsis; and most physicians are using some digital tools and expect to increase the use of assistive technologies in the near future.


New virus disables computers by encrypting hard drives – Health Data Management

A new strain of ransomware called Mamba is circulating through multiple industries including healthcare and crippling computers by encrypting entire hard drives. So far there really isn’t much that can be done except pay the ransom to gain a key to decrypt the hard drive, experts say. Ironically, Mamba emulates protections found in commercial data security products, but uses the protections against the victim.open lock

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Marchés et utilisateurs favorisent le développement de l’échographie

La rationalisation des dépenses de santé et le plébiscite du corps médical font la part belle à l’échographie

Markets and Markets rapporte que le marché global de l’échographie devrait atteindre les 6,86 milliards de dollars d’ici 2020, comparativement aux 5,25 milliards de dollars en 2015. L’adoption croissante de cette technique d’imagerie médicale est en partie nourrie par deux facteurs : ses capacités cliniques grandissantes et le contexte économiques en faveur de techniques d’imagerie peu onéreuses. Continue reading

Diagnostic Reading #8: Five Must-Read Articles From the Past Week

This week’s articles include: a study examining healthcare IT technology adoption in rural areas; the need for additional training on correct interpretation of digital breast tomosynthesis scans; a study showing remote patient monitoring does not reduce readmissions or mortality for patients with heart failure; a Q&A with radiologist Stamatia Destounis, Healthcare ITMD; and news that more than 100 health industry stakeholder organizations have agreed to push the industry and policymakers to take six steps—many supported by information technology—which they say can immediately improve the nation’s healthcare system.

A study entitled “Variation In Rural Health Information Technology Adoption and Use,” recently published in Health Affairs, noted that while initial health IT adoption and meaningful use achievement were higher among rural providers and hospitals than those in urban areas, these populations were less likely to return in Continue reading

Diagnostic Reading #52: Five Must-Read Articles From the Past Week

Carestream LogoAnother week means another issue of Diagnostic Reading. This week we share articles about DBT cutting recall rates, Yelp revealing patient opinions on imaging services, patient data breaches, mobile health, and EHR adoption.

DBT Cuts Recall Rate in Women with No Prior Mammograms – AuntMinnie

Digital breast tomosynthesis (DBT) cuts the number of recalls in a subset of women vulnerable to higher recall rates: those who have never had a prior mammogram, according to a new study in the November issue of theAmerican Journal of Roentgenology. Baseline mammography studies tend to have significantly higher recall rates than those with available comparisons, so using DBT in this population could be a way to maximize the technology’s benefits. Matching DBT’s strengths to specific patient populations is a crucial “best practice” skill in an environment of decreasing reimbursement and limited resources for implementing new technologies.

Yelp Reveals What Patients Value About Imaging Services – AuntMinnie

The online consumer ratings website Yelp.com isn’t just for restaurant reviews: Patients are using it to grade their imaging center experiences, according to a study published online in the Journal of the American College of Radiology. It turns out patients are most focused on service-related factors such as how long they had to wait and whether the receptionist was friendly, rather than issues such as the quality of equipment or the education and training of radiologists.

Patient Data Breaches Widespread, Beyond Healthcare – Healthcare IT News

Some 392 million health records have been accessed in 1,931 protected health information breaches across a staggering 90 percent of industries, according to preliminary findings from a new Verizon report. These industries, across 25 countries, have seen health insurance information, personnel files or other data outside of traditional healthcare settings or industries stolen, the study shows.

Mobile Health: A Largely Untapped Market for Healthcare – Healthcare IT News

A recent study published by the Journal of Medical Internet Research and designed by New York University revealed the consumer perspective of health app use in the U.S. Consumers want health apps to do more for their lives, to “more accurately communicate and monitor their health.” But product sophistication and an accurate understanding of consumer profiles limit capability. More than half of mobile users have downloaded mobile health apps, with the majority seeking fitness and nutrition goals. However, while mobile health app usage is extensive throughout the population and increasing in popularity, there are a vast number of people not engaged. Even more stop using them.

Research: Hospital EHR Adoption Increases, but Challenges Continue – Healthcare Informatics

While electronic health record (EHR) adoption has increased steadily in U.S. hospitals since 2010, challenges—such as getting small and rural hospitals to adopt the technology—do remain, according to new research published in Health Affairs. The research team, led by Julia Adler-Milstein, Ph.D., from the University of Michigan, looked at 2008–14 national data, which includes the most recently available, to examine hospital EHR trends. They found large gains in adoption, with 75 percent of U.S. hospitals now having adopted at least a basic EHR system—up from 59 percent in 2013.


Diagnostic Reading #51: Five Must-Read Articles From the Past Week

Carestream LogoIn this week’s Diagnostic Reading, we’re looking at the Meaningful Use HIT program, ultrasound mammography, redefining the role of the CISO, patient communication, and patient satisfaction.

Medical Groups Rebel Against Meaningful Use HIT Program – AuntMinnie

The American Medical Association (AMA) and 110 other medical associations have asked U.S. lawmakers to intervene in the meaningful use (MU) program before physicians decide to no longer participate in the initiative, designed to spur the adoption of healthcare IT. In a November 2 letter to leaders of the Senate and House of Representatives, the associations detailed their concerns over the administration’s plans to move ahead with implementing stage 3 of the meaningful use program, “despite the widespread failure” of stage 2.

Breast Ultrasound Mammography Find More Cancer – AuntMinnie

Adding ultrasound to mammography screening detects more early invasive breast cancer and probably reduces mortality, according to a 4 November study in the journal Lancet. The Japanese trial is thought to be the first of its kind in a large randomized multicenter population, and that focused on younger women at average risk with dense breast tissue.

Increased Cyber Risks Redefining the CISO – Healthcare IT News

Increased cyber risks and a recent string of major breaches have changed the game for chief information security officers, making cybersecurity a top priority for board members and helping CISOs more effectively make the case for bigger budgets. A recent IBM-sponsored research project performed by the Darwin Deason Institute for Cyber Security at Southern Methodist University in Dallas sought to explain this new shift. The results concluded there were three types of CISOs effectively innovating the way their firms handle cybersecurity.

Patients Lack Access to Digital Health Communication Tools – Healthcare Informatics

Many Americans lack access to or awareness of digital health tools, such as text appointment reminders and patient portals that can increase communication with their healthcare providers, according to a survey by The Council of Accountable Physician Practices (CAPP) and Bipartisan Policy Center (BPC). The survey also found most physicians don’t recommend using these digital tools, according to the consumer respondents. Just 29 percent receive electronic reminders for appointments, medication refills or suggested care and 14 percent report having the ability to check medications online. In addition, only 15 percent receive communication via online messaging platform and 9 percent get text reminders, and that digital interaction is growing very slowly, such as only 4 percent growth for email correspondence about patient health.

Online Review Show Technologists, Receptionists Impact Patient Satisfaction More Than Radiologists – Radiology Business

Patient reviews are becoming increasingly popular and influential throughout the healthcare industry, but that momentum doesn’t always carry over to radiologists. For example, in a study  published back in August by the Journal of the American College of Radiology,  researchers searched five popular physician-rating websites and only found reviews for 197 of 1,000 randomly selected radiologists.

Diagnostic Reading #50: Five Must-Read Articles From the Past Week

Carestream LogoA new week means a new Diagnostic Reading. This week we’re looking at digital breast tomosynthesis, patient portals, how hospitals use cloud services, hospital safety, and the future of healthcare.

1. DBT Finds 54% More Cancers than Mammography – AuntMinnie

Digital breast tomosynthesis (DBT) finds 54% more cancers than 2D mammography and reduces recall rates by almost 20%, according to a new study published in Radiology. Even better, the technology identifies lesions in dense breast tissue, which mammography tends to miss.

2. Do Patient Portals Exacerbate Healthcare Disparities? – Healthcare IT News

Portals and personal health records have been touted as ways to spur better patient engagement and set the stage for improved outcomes. But a new study shows they often aren’t used at all by the very people who may need them most. The report, Disparities in Electronic Health Record Patient Portal Use in Nephrology Clinics, was published this month in the Clinical Journal of the American Society of Nephrology. Of 2,803 patients, 1,098 (39 percent) accessed the portal. Of those, more than 87 percent of users reviewed their laboratory results, 85 percent reviewed their medical information, 85 percent reviewed or altered appointments, 77 percent reviewed medications, 65 percent requested medication refills and 31 percent requested medical advice from their renal provider, according to the CJASN study.

3. Hospitals to Triple Use of Cloud Services – Healthcare IT News

Globally, the healthcare organization cloud market could triple in within five years. That would mean skyrocketing from $3.73 billion in 2015 to nearly $9.5 billion by 2020, according to research firm MarketsandMarkets. Adoption of cloud computing in healthcare is likely to increase owing to the rising need to curtail costs and enhance the quality of care, reforms benefiting healthcare IT, proliferation of new payment models, the cost-efficiency of cloud technology, and the implementation of the Patient Protection and Affordable Care Act (PPACA).

4. New Hospital Safety Scores Report Shows Modest Patient Safety Improvements – Healthcare Informatics

The Leapfrog Group released its Fall 2015 Hospital Safety Score report showing consistent top safety performance by 133 “straight A” hospitals, while patient safety improvements across the board were more modest. Of the 2,530 hospitals issued a Hospital Safety Score, 773 earned an A (down from the 782 in spring 2015), 724 earned a B (up from 719), 866 earned a C (up from 859), and 133 earned a D (down from 143). And the latest scores indicate that 34 hospitals earned an F grade, which is up from 20 hospitals from the Spring 2015 Scores.

5. New Survey Forecasts the Future of Healthcare in 2025 – Imaging Technology News

Critical advancements in modern technology will play an integral role in progressing the Future of Healthcare, according to a new survey sponsored by Polycom, Inc.  The study, which polled more than 1,000 healthcare industry professionals from around the world, anticipated that over the next decade, a growing and aging population globally will lead to challenges in quality healthcare, including funding, easy access and a strain on current healthcare infrastructure. However, according to the research, technology developments, such as mobile, the Internet of Things (IoT) and big data, offer a promising opportunity for overcoming healthcare bottlenecks by 2025.

Diagnostic Reading #49: Five Must-Read Articles From the Past Week

Carestream LogoThis week’s Diagnostic Reading articles look at appropriate ages for breast screening, ICD-10, the cost of cyberattacks, big data, and interoperability.

ACS: Breast Cancer Screening Should Begin at Age 45 – AuntMinnie
Until this guideline revision, published in the Journal of the American Medical Association, ACS had marched in lockstep with groups including the American College of Radiology (ACR) and the Society of Breast Imaging (SBI) in advocating that screening start at 40. However, accumulating evidence has suggested that accurately assessing breast cancer risk could be more complicated than simply an age-based calculation — a realization that prompted ACS to review its previous guidelines, most recently issued in 2003.

Preparing ICD-10: Documentation for Fractures – AuntMinnie

A large number of diagnostic imaging exams deal with the assessment of fractures, and the documentation of these exams will require some pieces of information that were not always included in radiology reporting until now. Identification of the episode of care was not usually included in most radiology reporting, but it will now be essential for the correct coding of fractures or other injuries. Providing this information as a part of the patient history will assist your coders in applying the proper ICD-10 code.

Cyberattacks Could Cost Providers $305B – Healthcare IT News

Over the next five years, U.S. health systems stand to lose a total of $305 billion from coordinated cyberattacks, according to Accenture. Even worse, their patients are at big financial risk themselves. The report – The $300 Billion Attack: The Revenue Risk and Human Impact of Healthcare Provider Cyber Security Inaction – predicts that some 25 million people, one out of every 13 patients, will have sensitive financial data stolen from their healthcare provider’s IT systems over the next half-decade.

Big Data: The Lifeblood of Precision Medicine – Healthcare IT News

Perhaps second only to a learning health system, precision medicine is healthcare’s grandest vision today. The idea is to essentially roll together massive population health data sets with individuals information – including genomics, lifestyle, chronic conditions – then analyze it to more effectively tailor treatments and preventative care plans for patients. At the heart of that, of course, is data. And that is going to require a major shift in terms of both business philosophy and technologies.

An Interoperability Crossroads: As Feds Continue the Push, Health IT Stakeholders Push Back for Faster Results – Healthcare Informatics

When the federal government (CMS) released the final rules for both meaningful use Stage 2 modifications and Stage 3 earlier this month, and at the same time, the final version the Office of the National Coordinator of Health IT (ONC) Roadmap, there were a few loud messages that it was clearly trying to convey: the need for a “person-centered” healthcare and a commitment to interoperability.

Diagnostic Reading #48: Five Must-Read Articles From the Past Week

Carestream LogoIn this week’s Diagnostic Reading we look at a new breast screening study, response time for stat mobile x-ray, consumers and healthcare technology, EMR adoption, and gamma imaging dense breast tissue.

BMJ: Dutch Data Show Breast Cancer Screening Works – AuntMinnie

According to the authors of a new study published in BMJ, the Dutch example of breast cancer screening works, and mammography screening is a clear way of detecting cancer early, along with increased breast cancer awareness. Women have a greater chance of five-year survival if breast cancer is detected early while tumors are small, fewer in number, and early-stage, noted the authors from Erasmus University Medical Center in Rotterdam.

Hospital Slashes Response Time for Stat Mobile X-ray – AuntMinnie

According to an article in the Journal of the American College of Radiology, A Texas hospital was able to cut radiologic technologist response time to 10 minutes for orders for stat mobile x-ray exams from the facility’s medical intensive care unit (ICU). Implementing a series of improvements that included workflow changes, an equipment upgrade, and — perhaps most importantly — changes in ordering patterns by ICU physicians enabled the radiology department at Memorial Hermann-Texas Medical Center in Houston to reduce technologist response times from over 45 minutes to 10 minutes.

Deloitte: Consumers Using More Healthcare Technology – Healthcare IT News

Americans are increasing their use of technology to improve their health, navigate the health system and flex their shopping muscles, according to a new report from The Deloitte Center for Health Solutions. The report, “Health Care Consumer Engagement: No One-Size-Fits-All Approach,” found that 22 percent of respondents used technology to access, store and transmit health records in the last year, up from 13 percent in 2013. Use was higher for those with major chronic conditions: 32 percent compared to 19 percent in 2013.

Study: Full EMR Adoption Can Help Hospitals Overcome “Weekend Effect” – Healthcare Informatics

The weekend effect refers to patients who undergo surgeries on weekends, leading patients to experience longer hospital stays, and hospitals to face higher mortality rates and readmissions. The study, published in the Annals of Surgery, identified five resources that can help hospitals overcome this effect: increased nurse-to bed ratio; full adoption of EMRs; inpatient physical rehabilitation; a home-health program; and a pain management program.\

Gamma Imaging and Dense Breasts: Clinicians Evaluate its Role Along with MRI and Ultrasound – Radiology Today

Looking for the best adjunct imaging to complement mammography for women with dense breasts can be as challenging as reading the mammograms themselves. Comparing the functional imaging that comes with nuclear gamma imaging modalities such as molecular breast imaging (MBI) and breast specific gamma imaging to anatomical imaging of ultrasound and MRI results in debates over the pros and cons of these options. The need for images to drive diagnosis and treatment decisions is continually weighed against the chance of false-positives and the potential long-term effects of radiation exposure.

Diagnostic Reading #46: Five Must-Read Articles From the Past Week

Carestream LogoThis week in Diagnostic Reading, we are looking at ICD-10, as yesterday marked the deadline for the code implementation. We also look at the effects of patient consultations, breast computer-aided detection, and the security of medical imaging technology.

1. ICD-10: Inside the War Rooms – Healthcare IT News

A closer look at how consultants, hospitals, and IT vendors are working on ICD-10, the new-to-us 20-year old classification system that U.S. healthcare payers and providers must start using as of October 1, 2015.

2. Health IT Leaders Call ICD-10 Transition “A Step Forward” – Healthcare Informatics

Yesterday marked the deadline for ICD-10 code implementation and many health IT leaders have applauded the nationwide transition as a necessary step to build more robust medical records. In a statement, the Coalition for ICD-10, a broad-based healthcare industry advocacy group, said the transition to ICD-10 “is a historic moment for U.S. healthcare and a major milestone in the evolving transformation of our 21st century healthcare delivery system.”

3. Patient Consultations Boost Pediatric US Experience – AuntMinne

According to a study published in the American Journal of Roentgenology, when it comes to the parents of children receiving ultrasound studies patients really want to get imaging findings directly from radiologists. Researchers from Stanford University School of Medicine implemented radiologist-patient consultations after routine outpatient pediatric ultrasound studies at Lucile Packard Children’s Hospital. They found that more than 90% of parents indicated they would prefer to meet directly with the radiologist at every visit going forward.

4. Study Raises New Doubts About Value of Breast CAD – AuntMinnie

According to a new study published online Monday in JAMA Internal Medicine, radiologists who used computer-aided detection (CAD) software to read screening mammography exams had no better accuracy than those who didn’t.

5. Are Your Secure? PACS, MRIs and Other Medical Devices at Risk of Being Hacked, Says Security Experts – Radiology Business

According to a presentation made by two security researchers at DerbyCon 5.0 in Louisville, Ky., many healthcare provider computer systems and medical devices in the U.S. are vulnerable to hackers. Using the search engine Shodan, which finds computers based on software, operating software or other specific details, the researchers found access to tens of thousands of hospital computer systems and medical devices. This included a “very large U.S. healthcare system” with more than 12,000 employees and more than 3,000 physicians. The system included 97 MRI systems, 323 PACS Systems, and hundreds of other devices.

Diagnostic Reading #45: Five Must-Read Articles From the Past Week

Carestream LogoThis week’s Diagnostic Reading focuses on duplicate imaging on emergency patients, medjacking, the cost doctors are paying for technology, tomosynthesis implementation, and the importance of setting up a data security plan.

1. Study: Emergency Patients Get Duplicate X-ray, CT Exams – AuntMinne

Researchers from Emory University examined the cases of more than 3,600 patients who underwent both x-ray and CT studies on the same body part as part of their workup after admission to the emergency department (ED). The team found that many of these exams were unnecessary, with both x-ray and CT sometimes ordered simultaneously, or CT ordered before results from an initial x-ray study were received.

2. Medjacking: The Newest Healthcare Risk? – Healthcare IT News

A recent article in WorldNow proclaimed, “It may sound like a science fiction novel, but medical devices could someday be the target of hackers.” But the fact is that these devices are already being hacked, a trend that is alarming hospitals and other healthcare organizations. In fact, this kind of hacking is already widespread enough to have a new name: medjacking.

3. Docs are Paying More for Technology Than Ever Before – Healthcare IT News

According to a new MGMA report, medical practices across the U.S. are now spending a lot more on technology this year, up nearly 34 percent from four years ago. The annual report published by Medical Group Management Association shows that just from last year alone, physician-owned multi-specialty groups reported nearly a 12 percent increase in technology-related operating costs.

4. Imaging Department Reaps Benefits of Tomo After Careful Implementation – Radiology Business

The Baylor College of Medicine department of radiology recently implemented DBT at their breast imaging department. They wrote about the experience for the  Journal of the American College of Radiology, stressing the importance of taking things one step at a time. Ebuoma and colleagues wrote that the first step was getting staff fully prepared for the transition. From the person answering questions from behind the front desk to the radiologists interpreting the images, each staff member had to adapt to this new technology and how it would impact their day-to-day operations.

5. Data Security: The Importance of Planning, Training, and Having a Risk-Management Strategy – Healthcare Informatics

According to a recent report from the Breach Level Index, the healthcare industry had the highest number of data breaches in the first half of 2015 and also led the way in number of records breached by industry, with 84.4 million records. These findings represent a dramatic shift from the past few years when healthcare had relatively small numbers of records involved in data breaches, according to the report. The report findings are just one more reminder of the ongoing threats to healthcare information security and highlight the importance of building a strong information security program.