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patient safety in assisted living facilities

Best Practices for Keeping Patients Safe in Assisted Living Facilities

patient safety in assisted living facilities

The following guest post on patient safety in assisted living facilities was submitted by Paul Birung.

Assisted living facilities are modern health solutions that enable patients to live in the much-needed comfort of their home. These are centers that cater for varying services depending on who they are caring for. It is therefore important to note that in the same facilities considered a safe haven, every patient has his or her own character. There are those that remain calm during their stay, but there are others that are known to wander depending on the issue at hand. Especially those suffering from Alzheimer’s diseases including other forms of dementia.

patient safety in healthcare

Learn more about best practices to ensure the highest levels of patient safety in assisted living facilities.

It is for this reason that assisted living in Hilton Head including other areas should consider the following best practices for keeping patients safe and at ease in the health facility.

Identify and control wandering triggers

This is mostly important for patients with dementia and other types of illness that may increase the risk of wandering. Caregivers should meet and share with the family members so as to gain more insight into what issue is actually causing the patient to wander. Dementia patients have varying beliefs; one may believe that he/she is going to work, and another believe that he is looking for a lost family or friend – each day comes with its own assumption. Understanding these beliefs will give the nurse the best approach to take this information and use it to gain a more personal focus that will help manage the patient.

Embrace and connect with the patient

The feeling of having people that care around you by itself is therapy at some level. The patient should experience the sense of togetherness – one family. Assisted living facility should always train their staff to embrace the patients, to make them feel safe, and have a sense of belonging. To display the Zen atmosphere, make sure the room temperature is habitable, do not play loud music, and always avoid bright lighting.

Proper Supervision of at-risk patients

A detailed evaluation test should be done on all the patients to identify the different levels of at-risk patients. If a patient is deemed extreme, he/she should never be left unwatched especially when waiting for test or treatment. Constant supervision of these patients is strictly advised in assisted living facilities.

Explore the beauty of the exterior

Assuming that the assisted living facility has colorful and clean exterior, as long as there is supervision the outside is considered the excellent habitat during the day. Fresh air, green grass, artistic pathways, beautiful flowers and the natural lighting provides the ideal relaxation atmosphere that would calm a racing heartbeat. Recent studies have proven that daily exercise, as well as the freedom of moving around, have a tendency of reducing the constant movement of dementia patients.

patient safety in assisted living facilities

Design protocols in case the worst happens

Effective protocols should be put in place to take care of the nomadic patients who fail to stay at a single place. This should include working with the police and the local residents when a patient is missing or has sneaked out of the facility. The facility should have a recent image of the patients as well as a few possessions kept in a plastic bag. These possessions can be used by the canine unit to pick up the scent for easy tracking of the patient.

Digital solution to the problem at hand

There are also digital solutions such as specialized pressure pads and sensors that can be installed on patient’s chairs and beds that would alert the caregiver once the patient gets up. Radio transmitters are also available to determine where the patient actually is. It is imperative that these practices are implemented to ensure the patients are safe and always at ease within an assisted living facility.

Author bio:

Sean Riggs is an enterprise correspondent and SEO expert. You can connect with him here: LinkedIn

data centers in healthcare

Technology In The Medical Field: How Data Centers Have Transformed The Industry

data centers in healthcare

The following guest post was submitted by Kara Masterson.

While hospitals and health care centers once used paper records only, today’s clinics and hospitals use almost entirely electronic health records, including digital scans, online drug records and web-based diagnostics. All of these technologies are hidden in the data center, which is typically a large building on or away from the campus. These data centers have certainly changed the face of health care.

data centers in healthcare

The advent of data centers has helped the healthcare industry connect with the rapid rise in digitization.

They Allow for Seamless Patient Records

Data centers make it much easier for clinics and hospitals center to share patient records. For example, someone who has completed a medical technologist online program and who is studying blood samples in one part of the country can upload test results to a doctor across the country, and the doctor can then store the results in the data center.

They Speed Up Health Care

Because patient data is kept in one centralized area, health care can be sped up from the moment one steps in the emergency room until he or she is discharged. Doctors no longer have to wait to treat a patient until they receive and look through a lengthy patient chart. In addition, doctors who are at home can view how their patients are doing via records and results on data centers.

They Improve Patient Outcomes

According to healthit.gov, electronic health records significantly improve patient outcomes in numerous ways. They keep new doctors from prescribing medications that would interact with other prescriptions. They keep a close eye on patient allergies, and they automatically bring up warnings for doctors to see on certain patient diagnoses. This is particularly important in the emergency room setting.

They Help with Mobile Health

According to Exscribe doctors are increasingly taking advantage of data centers and electronic health records to communicate with and even treat their patients using mobile technology. They can communicate via health records and check test results online. This is particularly important for doctors practicing in remote and rural settings.

Data centers have taken all of the information that doctors, nurses and other health care workers used to have to dig for and have put it at their fingertips. With a few keystrokes and clicks, clinicians can know a patient’s health history, find out if there are any potential drug interactions, regulate a pacemaker and diagnose a patient who is miles away from them. Certainly in the next decade or two, even more tremendous changes will come to the health industry thanks to impressive data centers.

About the author: Kara Masterson is a freelance writer from West Jordan, Utah. She graduated from the University of Utah and enjoys writing and spending time with her dog, Max.

Accurate-patient-identification-with-RightPatient

The True Meaning of Patient Identification Innovation

Accurate-patient-identification-with-RightPatient

The following post on patient identification innovation was submitted by Michael Trader, Co-Founder of RightPatient®

I get it. Change is hard. It’s human nature to resist change, yet as we are often reminded, true progress in life comes when we step “outside the box” and “outside of our comfort zone” to change our perspective and foster growth (thank you mom and dad for that advice) Despite our inherent inability to accept it, change is inevitable and a fact of life. Anywhere you look around, change exists in one form or another and there is little doubt that change can be challenging.

Accurate-patient-identification-with-RightPatient

Patient identification “innovation” is defined by the ability to address both present and future complexities and nuances of patient behaviors.

 

In the healthcare industry, patient identification as we know it is going through radical changes. While this may have been breaking news a few years ago, most in the industry are now well aware that traditional patient identification methods are no longer effective and have the potential to place a patient in harm’s way via medical errors, duplicate records, and medical identity theft. As more healthcare organizations recognize and understand the importance of abandoning antiquated patient ID procedures in favor of more modern, secure technology to improve patient safety I think it’s important to put into context what it actually means to be “innovative” in patient identification. In other words, I often see the word “innovative” used to describe technology solutions built to only address one facet of patient ID instead of being designed to not only address the complexities of today’s environment, but also equipped to cover the challenges of patient identification in the future. 

I recently wrote a post for Health Data Management where I discuss how the behavior of current and future generations plays an important role in designing patient ID technology that has the capability to ID a patient no matter where they enter and exit along the care continuum. This is an important innovation “ingredient” that must be built into any modern patient identification solution and any technology that limits where and when healthcare organizations can accurately identify a patient is simply not innovative. 

How does RightPatient define patient identification innovation? I’m glad you asked.

When we began our patient identification technology solution journey a few years ago we understood a key fact that is often overlooked and frequently not factored into the discussion and analysis of platforms designed to address the complexities of today’s patient ID environment. That simple fact is that the digitization of the industry has broke down traditional barriers of where and when a patient can either receive care along the continuum or access protected health information (PHI). Patients seeking care or data access no longer see brick and mortar healthcare facilities as the first and only place where they can consume healthcare.

The dawn of patient portals, telemedicine, connected health apps, and other virtual environments has fundamentally altered healthcare consumption by shifting care from traditional environments to virtual ones. For many patients, the first thought when they seek care or data access is to grab their phone, or login to their PC or tablet instead of hopping in their car and driving to the doctor’s office or local emergency department (ED).  To us, innovation is bringing to market a patient identification solution that has the capability to truly address patient identification at ANY point along the care continuum, brick and mortar OR virtual environments.

RightPatient’s innovative spirit doesn’t stop there. We also define patient identification “innovation” by these additional solution attributes and milestones in our company’s history:

  • The RightPatient team was recently honored to be named a finalist in the CHIME National Patient ID Challenge. This is a true testament to the viability of our biometric patient identification solution and it should be noted that RightPatient was the only entry submitted from an individual/vendor who currently has customers actively using the technology in the healthcare market. 
  • We officially launched the RightPatient Smart App during this year’s HIMSS show, which turns any smartphone or tablet into a powerful recognition device. The RightPatient Smart App uses augmented reality and deep learning to identify patients, can quickly and easily identify unconscious patients, allows clinicians to verify a patient’s identity bedside prior to medical procedures, and has the potential to drastically improve patient safety and reduce the risk of adverse events.
  • We built the RightPatient platform to enable healthcare organizations to capture a high resolution image of the patient during the enrollment and identification process. This photo is immediately linked to the patient’s unique medical record and subsequently stored in our cloud environment, following them wherever they go within the care continuum. The photo allows healthcare organizations to verify a patient’s identity in virtual environments (e.g. telemedicine, patient portals) outside of brick and mortar settings. After all, the value of any patient identification technology rests in its ability to accurately ID a patient, no matter where they are. Patient photos also help to humanize health IT by putting a face to a name. Many of our existing customers have commented that the patient’s photo helps them to personalize their approach and make patients feel safer and more comfortable. 
  • The RightPatient patient identification solution uses photo biometrics to identify patients, a non-contact, hygienic form of biometrics that supports hospital infection control policies. Considering the increased attention on managing infection control in healthcare by keeping hands clean, we understood that patient ID innovation meant offering a solution to providers where a patient does not have to make physical contact with a biometric hardware device to avoid the spread of germs and illness.

We continue to innovate and evolve parallel to the rising challenges of establishing accurate patient ID in healthcare. For us, understanding the true meaning of patient ID innovation means designing and building a solution that not only address today’s obstacles and complexities, but has the flexibility to adapt to the challenges of tomorrow.

For a free, no obligation demo of the RightPatient patient identification solution, please contact us.

The True Meaning of Patient Identification InnovationMichael Trader is President and Co-Founder of RightPatient®. Michael is responsible for overseeing business development and marketing activities, government outreach, and for providing senior leadership on business and policy issues.

 

 

 

patient safety infection control in healthcare

Key Steps To Keeping Infections Low For Your Patients During and After Surgery

patient safety infection control in healthcare

The following is a guest post on how infection control impacts patient safety in healthcare.

While most patients undergoing surgery do not experience infection, surgical site infections still present a consistent challenge for surgeons and their patients. Surgical wound infections are one of the more common types of surgical site infection and postoperative complications. Detected approximately one week following surgery, surgical wound infections are often attributed to poor surgical technique and contamination of the operative field.

patient safety infection control in healthcare

Strong infection control policies are an important factor in maintaining patient safety in healthcare.

The primary symptoms of surgical site infections are redness and pain at the surgical site, cloudy fluid draining from the wound and fever. Surgical wound infections will become red and inflamed if infection occurs.

When surgical site infections do occur they can raise treatment costs substantially. This is due to the fact that they necessitate prolonged hospitalization, antibiotic treatment, diagnostic care, and in rare cases, additional surgery.

Unfortunately, eliminating bacterial exposure of patients entirely pre-, during, and post-surgery is not possible. This is why broad-spectrum antibiotic use has become de rigeur for nearly all surgeries conducted with an anesthetic. However, even this preventive method does not prevent all infections, and additional steps should be taken. Contrary to popular belief, pre-surgery preparations can be just as important as precautions taken during and after surgery.

Before Surgery

Surgeons often fixate on sterilization practices that pertain to them, sometimes at the expense of site sterilization of the patient. While washing the hands and arms up the elbows with antiseptic soap and wearing a mask, gloves, and gown are certainly important, the cleansing of the surgical site and attention to the patient is just as important.

The skin at and around the surgical site should be washed with a bar of antibacterial soap, prior to the patient’s arrival in the operating room. The patient should also be sure to wear a fresh, clean hospital gown to the surgery. Even though the surgical site will be dressed post-procedure, this will reduce any additional exposure is critical to reducing infection rates as much as possible.

The patient should also be advised to not shave the area in the 48 hours leading up to surgery since razors can irritate the skin, making the area more prone to infection. If hair removal needs to occur in order to increase the visibility of the site, it should be clipped rather than shaved.

In many instances, it is also advisable to administer preoperative antibiotics. Awareness of any other health indicators, such as a history of diabetes or smoking, can also help determine the patient’s likelihood of infection.

During Surgery

During surgery, the anesthesiologist may be of more use in preventing infection than the surgeon. There is evidence that maintaining normothermia and supplementing with oxygen can help to reduce the risk of surgical infection. Consulting with the anesthesiologist prior to surgery in order to develop an ideal procedure can be useful.

While concern for maintaining sterile surgical tools and a sterile field is certainly important, it is also imperative to consider that most contamination comes from the patient’s own microbiology. Bacteria, yeast, and viral strains living on the patient’s skin are the primary sources of contamination.

This necessitates the use of a pre-surgical scrub at the operation site. Those used most commonly are iodine- or chlorhexidine-based solutions. Alcohol-based solutions work differently than the first two by denaturing bacterial cell walls. There is some evidence that using a combination of scrub preparations yields better results.

Microbiota within the organ cavity may also play a role. The area of the body operated on is a key determinant in the prevalence of certain infections over others. For instance, cardiac, neurosurgery, and ophthalmic surgery all carry an increased risk of S aureus infection. Noncardiac thoracic surgery also increases the risk of Streptococcus pneumoniae infection. Abdominal and gastrointestinal surgeries carry an increased risk of infection by gram-negative bacilli.

Being mindful of the operative field and reducing the number of tissues a single instrument touches can help to reduce infection rates.

how to improve patient safety in healthcare through infection control

After Surgery

Hand washing is just as important following the operation as it is in the scrub room. Advice nurses and all other staff to wash their hands prior to interacting with the patient, and certainly before assisting with examinations or arranging bed clothing. The patient’s visitors should also be advised to wash their hands and discouraged from touching the wound site or dressing.

When the patient is ready to be discharged, make sure that they have received clear instructions on how to care for their wound, quizzing them and caretakers if needed. Antibiotic care should be continued as indicated. Insisting on your availability for any questions involving follow-up treatment can go a long way towards making sure that your patient takes the best care possible, preventing postoperative infection.

Mindful attention to detail in the prevention of infection from the time is admitted into the hospital to the time that they leave is the only way to reduce infection rates.

Author Bio: Andrew is a keen student studying to become a dentist. His passion for dentistry first ignited when visiting his father at the local practice he worked for. He currently writes for Twentytooth.com and hopes that after studying he can open his own dental practice and help people in need with their oral health.

patient safety in healthcare

5 Tools and Tips for Safely Transporting Patients

patient safety in healthcare

The following guest post on patient safety in healthcare was submitted by Dixie Somers.

Patient transportation is a key component of most hospital care, and if you are in any role in the hospital that brings you into direct patient contact, you will have a part in this vital event as well. Whether you are the unit clerk inputting transport orders or the registered nurse who prepares the patient for transport, you are responsible for the safety and the comfort of the patient. Consider these five tips that will help you safely transport patients between rooms and floors.

patient safety in healthcare

Learn more about 5 practical tips to increase patient safety during transportation.

Use a “Ticket to Ride”

A “ticket to ride” is a piece of paper that goes with the patient as he or she is transported to a different area of the hospital. It keeps your patient safe by providing transport personnel as well as personnel in the unit to which the patient is going with pertinent patient information. Information that should be included would be patient name, allergies, procedure to be performed, safety risks and information about mobility.

Correctly Identify the Patient

Before a patient is transported, he or she should be correctly identified to the transport personnel using at least two pieces of pertinent data, such as name and birth date. Not knowing their medical history is dangerous for unidentified patients, so it’s important to use a technology like biometrics to verify their identity if they are unconscious. Fortunately, RightPatient can help with patient identification – it has been correctly identifying patients for years. 

Bring Appropriate Equipment

Depending on the patient, certain equipment may be needed for safe transportation. For example, you may need to gather a wheelchair or a stretcher. You may also need to ensure that an IV pole, oxygen tank or heart monitor accompanies the patient. Keep the patient safe at all times by locking devices when they are in a stopped position and by keeping side rails up on stretchers.

Nitrile Gloves

For many years latex had been the chosen material for hand gloves used for medical and surgical procedures as well as for various industrial use. Also known as examination gloves that are disposable type, these gloves protect the hand, especially during surgery and other medical examination. With the rise in HIV across the world, the demand for hand gloves increased
exponentially as these became necessary for daily applications. Latex gloves proved quite costly, and there came a time when nitrile gloves proved to be more affordable and as effective as latex gloves and soon became the primary choice. While latex is pure rubber, nitrile is a synthetically derived product from latex that goes by the name NBR or acrylonitrile butadiene rubber. It has high chemical resistant property, highly durable, and does not tear easily.

Using Transfer Boards or Rollers for Bed-Ridden Patients

A transfer board or roller will take a great deal of the weight out of the patient when you are moving them from one bed to a stretcher for transportation. Be sure to maintain the patient’s dignity at all times by using gowns and blankets and by closing the door or curtain to the patient’s room. Always have at least two people to help a mobile patient get out of bed and at least four people to help move an immobile patient from one bed to a stretcher. If you do not have adequate staff for transport and you injure your back, meet with a personal injury attorney who can help you recoup your financial losses for physical and emotional trauma.

Incorporate Gait Belts for Mobile Patients

Patients who are able to walk should still be secured using a gait belt placed comfortably yet snugly below the armpits. The gait belt will ensure that the patient does not fall while walking down a hallway. It is important to use the belt even if the patient is holding onto a walker because hospital hallways can be slippery.

With the incidence of patient identification errors on the rise today, you must be sure that you are transporting the correct patient and that you are doing so safely. In fact, up to 10% of patients are misidentified in hospital records and around 6% of these individuals experience negative health consequences. Be sure that you are part of the cure for your patients by using these tips to keep them comfortable and secure during hospital transportation.

Dixie Somers is a freelance writer and blogger from Phoenix, Arizona, who loves most to write for health, technology, and business niches. Dixie is the proud mother of three beautiful girls and wife to a wonderful husband.

how to increase patient safety in healthcare

The Last 10 Years: How Technology Has Increased Patient Safety

how to increase patient safety in healthcare

The following guest post on how health IT technology has increased patient safety in healthcare was submitted by Hannah Whittenly.

With healthcare demand growing in an aging population, medicine has become a competitive field. It’s increasingly difficult for administrators and staff to manage facilities and costs while still maintaining quality and safety in patient care. Thankfully, new technologies over the past decade are helping to keep patients protected. Here are just a few of them:

how to increase patient safety in healthcare

Advances in health IT have increased patient safety in healthcare.

Image Archives
Picture archiving and communications systems (PACS) are cross-platform, online repositories for medical imaging records like x-rays and MRIs. PACS enables file sharing so that medical consultants and specialists from anywhere in the world can review diagnostic imaging in moments. Even within the same facility, all physicians and nurses are looking at one common, complete set of medical images.

Patients can accumulate quite a lot of these images over a lifetime of medical care. New PACS systems can automatically archive older images that are no longer relevant and organize new ones. Shared, updated information leads to faster diagnoses and more effective treatments.

Bar Codes and RFID

Bar codes and RFID chips are a way to instantly provide information. While they’ve been around for a while, mobile apps and better optical and radio frequency scanners are making them incredibly convenient. Bar codes or chips can be affixed to equipment, bottles of medication, patient beds, entry and exit points, and even patient and employee badges.
Strategically placed scanners can record and track movements so that nothing is misplaced and workflows can be analyzed for better efficiency. Monitoring also helps to provide better physical security for staff and patients. In emergencies, wandering patients or needed staff members or equipment can be almost instantly located.

Health Information Technology

Modern HIT systems are becoming praised as the solution to streamlining hospital practices. Efficient digital record keeping and reporting is helping to eliminate medical errors that were once a source of concern for patients, administrators, and insurers. Mistakes sometimes led to a patient being forced to undergo needless surgeries or treatment, or given the wrong medication.
Unique patient IDs associated with electronic records have helped to overcome this problem. Sinus and allergy tests and treatments, like those that Premier Surgical Associates does, improve the quality of life for patients of all ages, and now become permanent records for future reference. Every detail in any treatment is electronically documented to keep records updated and provide opportunities for analysis and improvement.

Biometric Patient Identifiers

There are a few areas of the human body that are unique to individuals: fingerprints and iris patterns for example. Because those areas are completely unique, they can actually be used to identify a person. This is important in the case of death, hospital emergencies, and in the case of a missing person situation. Although technology has been being used to track fingerprints for a while now, iris cameras are becoming more available and are being used as biometric patient identifiers.

Due to the fact that such devices require that a patient willingly interacts with the technology, acceptance is a key part of any biometric patient identification deployment. It is critical that healthcare organizations that deploy biometrics for patient identification offer a clear and transparent explanation to patients that the technology is in place to protect their identities and help prevent medical errors.

Though technology continues to evolve, once proven and put in place it provides advantages and consistent results. Today’s medical technology is developing into a reliable system for improving care and patient safety.

Hannah Whittenly is a freelance writer and mother of two from Sacramento, CA. She enjoys kayaking and reading books by the lake.

smart devices are improving our health

The Medical Industry’s Smart Solutions

smart devices are improving our health

The following guest post on smart solutions in healthcare was submitted by Ronald McCarthy.

The medical industry is now progressing more rapidly than ever. Innovations are being made yearly and people’s lives are changing so much that the expected lifespan of a person born in this decade can be over a hundred years old. The life expectancy has increased because medical technology has allowed humans to detect diseases that would previously go undetected until the ailment was in its last stages and had affected the sufferer’s health very harshly. This would conclude to doctors being unable to treat the patient back to health and many cases would result in fatalities.

smart devices are improving our health

Advances in medical technology are extending life expectancies and improving our health and well-being.

The medical field has progressed so much that applications have been introduced to keep track of our health and lifestyle. This not only helps the patient have a better life with a stricter schedule, but it can provide the doctor with the information he/she needs to diagnose any disease and give a clear insight into the patient’s problems. Multiple gadgets and machines are now under development that will let users connect them to the internet. This internet connection does not mean that you will be watching YouTube and surfing through Facebook or Twitter, but instead, they will let machines stay connected with each other. The internet connection will guarantee that the machines stay updated to their surroundings and carry out their assigned tasks efficiently. Here are the following things that have now been introduced to assist the doctors in their prognosis.

Smart Watches:

Wearable technologies have stepped into the health sector and are helping people keep a record of their sugar levels, blood pressure, and their dietary needs. One fine example of this is a smartwatch, MOTIO HW. It has been specifically designed to detect any signs that show whether the person is having difficulty in breathing or not breathing at all. This is especially useful for people with apnea. It uses its sensors to monitor the wearer’s movements and daily behavior.

Smart Patch:

Technology doesn’t get smaller than a patch on your underarm. TempTraq is a specially designed pad like a patch that can be stuck on your underarm and be used to monitor your temperature. Upon placement, it reads your body heat and sends the information to your smartphone. It is specifically very handy as you can place it on your baby and check her fever without you having to get up from bed.

Smart Scalpel:

These devices are designed in a way which lets them target a specific tissue that indicates any form of cancer. It can also detect and remove a defected vascular or nerve tissue. This piece of equipment is specifically used for processes which require extreme precision and are related to microsurgeries. Other procedures that could use this technology are anastomosis of blood vessels or nerves, cerebral aneurysms, acoustic neuroma removal and brain tumor resection.

Heart Rate Monitor:

For people with heart problems, it is rather a painstakingly long task to go to the doctor to check if their heart is healthy and has a normal BPM. Yet QardioCore is a belt-like structure that you wear around your chest and its sensors close just over your heart. The sensors then update your heart rate to your smartphone, hence letting you keep track of your health.

Electromagnetic Acoustic Imaging:

Combining bioelectromagnetism along with acoustics for a biopsy result similar to a CT scan may seem like a crazy idea, but science has proved that its a great step towards medical success. It is a much safer method and is able to provide images that are parallel to MRI in quality. The cost of having a CT scan is also high but this particular method can help you get the job done for a much cheaper price.

Science has proven time and again that it has the capacity to help us live a better and a longer life. The methods that were considered expensive can now be done in a cheaper way with more precision, while your everyday routine can be tracked down, therefore motivating you to follow a healthier diet and workout regime. There is no denying that this is perhaps only the beginning of the smart devices age and there are a lot more things to come in the future.

Ronald Mccarthy is a lifestyle and Health enthusiast. He uses his interests to share valuable insights through passionate writing in the domain. His aim is to spread knowledge about his interests to a larger audience and share interesting topics for the interest of the valued and general reader. For recent updates Follow him on Facebook and Twitter

Mary Mirabelli Thrive presentation at 2017 Northern CA HFMA Conference

Thrive: What Did I Take Away From The HFMA Northern California Spring Conference

Mary Mirabelli Thrive presentation at 2017 Northern CA HFMA Conference

I was staying in Silicon Valley for a few weeks when I realized my visit overlapped with the HFMA Northern California Chapter’s spring conference. I decided to join Mike and meet some interesting individuals, fluent in the language of healthcare, of course. Words cannot express how valuable that decision proved to be.

The weekend began effortlessly enough, as the drive from San Francisco was a mere hour and a half. I walked into the conference just in time to be greeted by a group of friendly and charming people, one of whom was a grinning and caffeinated Mike.

Our booth was decorated by stunning, new pop-up banners his team had designed to perfection.  So far, the stage was set for an unforgettable and impactful conference. I quickly learned how unforgettable it would truly be.

Thrive: What Did I Take Away From The HFMA Northern California Spring Conference

Mary Mirabelli, Vice President at Global Healthcare Services at HP as well as HFMA National Chairperson, took the stage at the show’s onset. As she began speaking, my mind raced with the sole thought of talking to her after her presentation about a potential partnership with HP (of course J). After giving an introduction and describing some of her accomplishments, Mary suddenly shifted to the topic of the show for this year – Thrive. What I imagined was a topic limited to “thriving” within the realm of healthcare suddenly took a turn to encompass a far more expansive and meaningful definition.

Mary shared her story with us – not the edited version, but the real one including life’s challenges and difficult moments. Taking the crowd through a short journey of her own life, she shared the impact of losing her parents at age 14 as well as being a double cancer survivor. Life had taken the craziest jabs at her, but her spirit never shattered. She always stood up and kept moving forward. I was surreally touched by this woman’s story, so much so that I requested to take a photograph with her to show my daughter.

 Thrive: What Did I Take Away From The HFMA Northern California Spring Conference

The day proceeded as well as it had began, with great insights from Dignity’s Head of Innovation, to a superb lunch with a side of fantastic conversation with Gary Krboyan from St. Mary’s Home Health Services. Gary is a numbers man, and provided a wise perspective on who RightPatent should target in the home health market. To add to all the fascinating conversation, Mike got to talking with Dignity and Sutter about our mobile app. Suffice it to say, the conference was an amazing experience.

Thrive: What Did I Take Away From The HFMA Northern California Spring Conference

Unfortunately, I had to head out of the conference early to meet a self-proclaimed “connected guy” for dinner at Fisherman’s Wharf.  As I was driving back to San Francisco through the rolling green hills to the left and never ending orchards to the right, I kept thinking about Mary and how she thrived regardless of the obstacles that stood in her way. As an entrepreneur, I experience my moments of extremes, as Vinod Koshla of Koshla Venture always mentions: “For entrepreneurs, highs are high and lows are low. It’s a lone journey.” Mary’s experience and tenacity inspires me today, and I hope it does the same for you – to always get back up and thrive.

5 Reasons Why Health Care Needs Better Cybersecurity

5 Reasons Why Health Care Needs Better Cybersecurity

5 Reasons Why Health Care Needs Better Cybersecurity

The following is a guest post submitted to RightPatient on improving cybersecurity in healthcare.

When healthcare first started to go digital, the problems were largely related to mechanical reliability. Computers weren’t so reliable, and there was no internet to really bring them together. Keeping hard backups was really the biggest concern.

Yet that’s changed considerably in the past decade. Nearly all healthcare providers store at least some of their records online. As a result, there are fewer opportunities to completely lose a patient’s records and collusion among practitioners is becoming considerably easier. Conversely, the chance of having records stolen is dramatically increased.

healthcare cybersecurity to improve patient safety

The rapid digitization of healthcare has pushed many providers to improve cybersecurity.

According to the US Department of Health and Human Services, there were over 300 data breaches in 2016 (with over 500 victims), and that’s just in the United States. The question so many are asking is why.

As it turns out, there are many reasons.

Healthcare is Going Paperless

Both for space and for purposes of preservation, healthcare practitioners are doing what they can to cut down on the rooms filled to the brim with patient files. Instead, that information is stored on servers, both onsite and offsite. There’s less room for losing physical files, patient information can be located and sent faster, and providers can more easily see a complete history.

This centralization is certain to improve patient outcomes but it comes with the risk of creating major “honey pots” for hackers and thieves. Rather than stealing file folders, these cybercriminals only need to breach a single database to acquire hundreds, if not thousands of patient records.

The only recourse is to improve cybersecurity measures to help reduce or avoid breaches entirely. Otherwise, patients (and we’re all patients, including providers) face the risk of identity theft or worse.

Fraudulent care is a major problem because per the law, all treatment must be recorded. Care rendered to the wrong person can prove very difficult to remove from records, which could prove problematic or even dangerous for the victim, although the FDA contends that thus far no one has been injured or died as a result of data breaches.

It’s the Law

Not everyone realizes that maintaining cybersecurity that meets current procedural standards is actually the law. HIPAA compliance doesn’t just extend to patient confidentiality in person, but also applies to information stored digitally.

Faith-blog-post-2-042417

Those in practice that do get hacked face stiff legal penalties, particularly if they are shown to be taking inadequate care in preserving their patient records safely. Although state requirements vary, there are a few basic requirements both for minimizing liability and for complying with the law:

• At least two hard copies of records need to be maintained, one of which is stored offline
• Digital records must have copies stored online
• Health care providers must perform risk assessments and provide security measures that are adequate* to minimize risks to patient information and privacy

*Note that what constitutes “adequate” seems to vary and the requirement is generally vague at best.

Breaches are Increasingly Common

Earlier we discussed that 2016 was a year that featured over 300 major cybersecurity breaches in the healthcare industry. What’s important about that value is that it represents an over 20 percent increase in the number of hacks as compared to the year before, which numbered in the mid-200s.

Far from becoming less frequent and more controlled, data theft is actually on the rise. And the cost of theft isn’t getting any cheaper either. Research done by the Ponemon Institute continues to show yearly increases in costs to providers as a result of cybersecurity woes.

At present, there doesn’t seem to be any indication that the number of breaches or the cost per incident is likely to decrease through 2017 or beyond.

Most predict a continued increase in cost.

Private Practices Are Favorite Targets

The victims of data theft aren’t just major hospitals or data centers. In fact, private practices face just as many, if not more risks than do large institutions. Small practices tend to have a considerably lower budget for cybersecurity and thus are actually more vulnerable because it’s just that much easier for hackers to force their way in.

Government entities have been concerned for years that the problem isn’t limited just to large institutions. In 2012, the FBI director actually stated that “only two types of companies” exist: “those that have been hacked and those that will be.

Private practitioners and their patients would be wise to heed this warning and take steps to minimize the inevitable fallout that comes with data theft. Not taking the risk seriously could prove devastating particularly for offices with just a single doctor on staff.

BYOD Also Means BYOP

One last addition both to healthcare and standard businesses that presents a major risk to patient records is the so-called “Bring Your Own Device” (BYOD for short) policy. This procedure has grown in popularity because many employees own devices that are far more capable than those being provided by offices.

But BYOD can quickly become a BYOP (bring your own problems) policy if not handled appropriately. Employees rarely maintain security on their personal devices in a way that sufficiently protects the businesses they work with.

Employers would be wise to implement security requirements for their workers in the form of locked devices and security software. That means both anti-malware apps—for preventing infected software from being installed—and internet security apps, with Virtual Private Networks (VPNs) increasingly the most important due to the amount of hacks that involve direct invasion of unsafe connections.

Solving the Problems

Putting a stop to security breaches isn’t likely something that will happen overnight. But it is something we should all be cognizant of enough to begin minimizing risks. Nothing replaces vigilance and there may not ever be a catchall solution to cybercrime.

The cost of negligence may be more than we can imagine. And with insurance premiums up and healthcare costs continuing to rise, this is one bill we can’t afford to pay.

How will you help healthcare improve its cybersecurity? Do you have any concerns? Tell us in the comments.

About the Author: Faith is a cybersecurity expert and technology specialist. As a professional and patient, she is interested in helping businesses maintain more secure environments for the safety of themselves and those they serve. With medical hacks on the rise, Faith finds herself speaking out on the topic of patient records often.

patient safety in healthcare

Patient Safety Awareness Week 2017 – We Are All Patients

patient safety in healthcare

The following post on patient safety in healthcare was submitted by Emma Turner.

Everyone is a patient. Whether it’s a simple cold or a complicated surgical procedure, sooner or later, we all need a doctor – and Patient Safety Awareness Week is a time to reflect on how healthcare organizations and patients can work together to keep everybody safe, healthy and happy.

The week marks the culmination of the United in Patient Safety campaign, and this year, will take place from 12 to 18 March.

We put a lot of faith in our doctors – and in theory, medical professionals take a great deal of pride in ensuring you receive the highest quality of care. But no matter how knowledgeable or skilful your doctor may be, accidents happen.

patient safety in healthcare

What can patients and doctors do together to ensure better patient safety in healthcare?

Here’s the reality: hospitals are places of trauma, where sick and seriously injured people look for help. This means that doctors are often overrun with a variety of crises, and feel compelled to work long hours seeing many different patients, often long into the night.

These working conditions would make anyone crabby – but they can make doctors exhausted, and prone to making serious errors under pressure. And those mistakes can put your health, safety and even your life at risk.

How Many Fatal Medical Mistakes Occur Every Year?

New research shows medical errors are a major problem. A study by Johns Hopkins Medicine suggests that as many as 250,000 deaths per year in the United States alone are due to some form of medical error. The study’s authors believe that medical error should now be regarded as the third leading cause of death in the country – and that many of these fatal mishaps are preventable.

In fact, the researchers caution against blaming so-called “bad” doctors, and point instead to an array of systemic failures that could lead to mistakes being made. These oversights include poor coordination of care between doctors and facilities, fragmented insurance networks, absent safety protocols, and avoidable variations in physician practice patterns.

Good News! Our Hospitals Are Becoming Safer

Efforts to avoid these mistakes from happening are working. The Agency for Healthcare Research and Quality (AHRQ) recently concluded that the number of illnesses or injuries that occur in hospital, or hospital-acquired conditions (HACs), has been steadily declining since 2010.

The agency estimates that between 2010 and 2014, hospitals were able to reduce HACs by 17 percent, a sure sign that local and national efforts to improve patient safety are paying off. A total of 2.1 million fewer HACs were experienced by patients in those four years, which is good news for anyone who finds that they need to be admitted to hospital, as it represents an overall increase in safety – and comes at a time when hospitals all over the country have ramped up their attempts to reduce adverse events.

Clearly, hospitals are embracing their duties of safety and care – and it’s not just your health that stands to benefit. By paying attention to the negative impact of unnecessary errors, the nation’s hospitals managed to save as much as $19.85 billion in costs between 2010 and 2014. Those savings are crucial, as they enable healthcare practitioners to offer their patients an ever-improving standard of care.

What Can Doctors Do About the Safety Standard in Hospital?

The resident experts in each hospital are responsible for improving conditions – and a new poll shows that more and more of those specialists are making progress. In the AHRQ’s Hospital Survey on Patient Safety Culture, 76 percent of respondents graded their work area or unit as either very good or excellent – while less than half of them reported at least one safety-related incident in their facility in the past 12 months.

While each medical error is as unique as the patient being treated, there are patterns and trends that present themselves over time. Some common causes of serious medical errors include poor planning, doctor fatigue, and failure in communication among healthcare staff, prescription of incorrect medication or dosage, and pharmacist error.

Some steps doctors and other healthcare workers can take to prevent mistakes are:

1. Plan meticulously before each and every surgical procedure or outpatient treatment;
2. Get enough rest and adhere to federal guidelines regulating doctors’ working hours;
3. Ensure open lines of communication between staff members and specialists, and from one stage of treatment to the next;
4. Look out for medication interaction issues due to previous prescriptions; and
5. Print each prescription notice neatly and clearly, and make sure the patient understands how, and how regularly, to administer their medication.

What Can You Do to Avoid Becoming the Victim of a Medical Error?

Hospitals are unique places, where traumatized patients seek help from frazzled or fatigued doctors. While strict safety standards are designed to prevent serious accidents, the combination of high stakes and human nature is bound to lead to mistakes every so often.

Fortunately, there is a lot you can do to ensure those errors don’t leave you more ill than when you walked in, or worse.

The first and most important step to take in avoiding a serious or even fatal medical mistake is to look past the white coat. Doctors are people too – they face challenging working conditions and a range of other strains and stressors, and despite their years of training and insights into mysterious illnesses, they are capable of making mistakes.

Here’s how to check in on your doctor’s diagnosis, and guarantee that you are receiving proper care:

1. Research as much as you can about your condition and the required treatment plan;
2. Study your doctor for signs of fatigue, and report them to management if you feel they are too tired or overworked to examine your case properly;
3. Make sure you know each individual in your healthcare team by name, including not just your primary care physician but nurses, surgeons and specialists, and ask questions to check that they are communicating openly with each other;
4. Be honest with your doctors about your full medical history, and tell them about any other medications you might have been prescribed by another doctor; and
5. Double-check your pharmacist’s instructions and make sure you understand how and when to take your medication.

improving patient safety in healthcare saves lives

Author: Emma Turner is a blogger writing for http://nursingschoolsnearme.com, a website helping students and established nursing professionals in a range of topics.