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Vol. 11 No. 10, May 7, 2014


EMR Market Surpasses $23 Billion
The global market for electronic medical records (EMR) has shot up to $23.2 billion in 2013, according to a new report from research firm Kalorama: “EMR 2014: The Market for Electronic Medical Records.”
Government incentives and the increasing use of EMR for quality of care and cost-saving reasons continue to drive the market, researchers found. They also noted that upgrading is also a factor in the booming market, in addition to new purchases.
The forecast assumes the trend of adoption will continue to move forward, although slowing somewhat. Hospital EMR adoption will supersede doctors' EMR adoption; it is anticipated that existing EMR owners will upgrade and train on systems, and that the threat of penalties will force doctors and hospitals to make upgrade decisions.
This is the seventh year Kalorama has studied the market for EMR. In its total, Kalorama includes revenues for EMR/EHR systems, CPOE systems and directly related services such as installation, training, servicing and consulting which are key profit areas for companies. It does not include PACS or hardware.


Airport Security-Style Technology Could Help Doctors Decide on Stroke Treatment
A new computer program could help doctors predict which patients might suffer potentially fatal side-effects from a key stroke treatment. The program, which assesses brain scans using pattern recognition software similar to that used in airport security and passport control, has been developed by researchers at Imperial College London. Results of a pilot study funded by the Wellcome Trust, which used the software are published in the journal Neuroimage Clinical.
Third Eye Panoramic Clip-On Adds Side Viewing Cameras to Any Colonoscope
For many years, colonoscopes have been forward-looking devices that provided a single view of the intestinal lumen. The Third Eye Retroscope from Avantis Medical Systems changed that by having a rear facing camera that can allow a physician to see polyps hidden behind the distal side of the colon’s folds. But there are a lot of different colonoscopes out there and physicians have their preferred models, so Avantis has developed a clip-on device that turns just about any colonoscope into an imaging device with a wide field of view. The Third Eye Panoramic has cameras and LED lights on both sides of the clip which slips onto the tip of a colonoscope.


Global Privacy Enforcement Network Targets Apps in Second Online Sweep
The exploding popularity of mobile applications is raising a number of privacy concerns, prompting the Global Privacy Enforcement Network (GPEN) to focus its 2014 international Privacy Sweep on mobile apps. The Sweep from May 12 to 18, 2014, involving 27 privacy enforcement authorities from around the world, is aimed at shedding light on the collection and use of personal information on mobile apps. “The number of mobile applications offered to consumers is growing at an astonishing rate and many of them collect a great deal of personal information,” says Chantal Bernier, Interim Privacy Commissioner of Canada. Sweep participants will be looking at the types of permissions an app is seeking, whether those permissions exceed what would be expected based on the app’s functionality, and most importantly from a transparency perspective, how the app explains to consumers why it wants the personal information and what it will do with it.
Philips Partners with the Stockholm County Council and Karolinska University Hospital to Meet Future Demands of Healthcare
Philips announced that it has signed a partnership agreement with the Stockholm County Council (SCC) to jointly innovate in healthcare. This comprises R&D, an innovation program and education, and the procurement, installation, maintenance, upgrading and replacement of most of the medical imaging equipment for the new hospital site for Karolinska in Solna, Sweden for a 14-year term. The contract was awarded following a public European tendering process and has an option for the SCC to extend the contract with another six years. Financial details of the agreement will not be disclosed.
Monitoring the Safety of Medicines: European Medicines Agency Presents the Commission with Its First Report
The European Medicines Agency (EMA) has presented the European Commission with its first report on the tasks it undertook during the first year of application of the EU’s new pharmacovigilance legislation. Responsibility for implementing the new legislation is shared between the European Commission, the national competent authorities and EMA. The report, which covers the period 2 July 2012 to 1 July 2013, reveals positive results for ensuring the main objectives of the new legislation, i.e. better collection of key information on medicines, improved analysis and understanding of data and information, improved timeliness of procedures and greater transparency.

Imaging Gives Clearer Picture of Cancer Drugs' Chances of Success
The quest for new cancer treatments could be revolutionised by advances in technology that can visualize living cells and tissues, scientists claim. Researchers at the University of Edinburgh are leading the way in using biological imaging to make the development of new cancer treatments more efficient. Recent advances mean that scientists can now check how experimental drugs are working inside living cells and in real time. Using automated microscopes to track fluorescent dyes, researchers can rapidly test thousands of potential drugs in different cancer cell types to find the most promising new treatments. This pioneering approach - known as phenotypic drug discovery - monitors the effect of a trial drug on the disease as a whole rather than its impact on an individual target protein, which has been the approach until now. Writing in the journal Nature Reviews Cancer, scientists argue that the new technologies will help to better predict how a drug will work in real life, not just in the test tube.
Patient or Healthcare Consumer? Is There a Difference?
The role of the patient and, indeed, whether we should even use the word patient is a hotly debated topic among many healthcare thought leaders and commentators. TEDMED has identified “The Role of the Patient” as one of 20 “Great Challenges in Health and Medicine.” According to TEDMED – a multi-disciplinary organization and community whose mission is to “help health and medicine move forward faster and better by connecting the broadest possible range of people, science and innovations from every country in the world” – these challenges are “knotty issues that cannot be fixed with a simple cure and require a deeper understanding to truly resolve.”
UK: Mobile App Puts 'Doctor in Your Pocket'
A mobile app lets users see their GP through video consultations and order prescriptions on their smartphone or tablet. Speaking at Wired Health, part of EHI’s Digital Health Festival, Ali Parsa, the creator of the ‘Babylon’ app, said he wants to provide people with a “doctor in your pocket”, and give patients access to GPs and specialist nurses six days a week. The app, which has been registered and endorsed by the Care Quality Commission, allows patients to send a text message or photo to a doctor for a basic query about their health. They can also book a full appointment with a consultant via a secure video connection that is recorded and can be replayed afterwards, and be referred to specialists.
The app has designated body status from NHS England.

Canada: Health Sciences North Wins National Award for Health Technology and Expands Its Use of Electronic Health Records
Health Sciences North/Horizon Santé-Nord (HSN) has been recognized as a national leader for its use of electronic health records. HSN is one of seven healthcare providers across Canada to receive the LEADing Practice Award from Canada Health Infoway (Infoway), in partnership with Accreditation Canada. HSN's Ambulatory (Outpatient) Care Clinics earned the LEADing Practice Award for developing a system of electronic patient scheduling, documentation, decision support and record sharing. This system enables authorized members of the care team to access a patient's electronic health record (EHR) and to work collaboratively with local and regional team members to improve patient health outcomes, deliver high quality patient-centred care, and promote best practices.
Ryerson Nursing Student Recognized for Digital Health Leadership
Ryerson University nursing student Patricia Yu Howatt began her placement at a community-based hospice that was spearheading the development of a pediatric hospice in 2012. In the eight months she spent there, she supported the creation and collection of resources and content for unique digital resources for staff, pediatric patients and their families, including an improved website with links to palliative care services, bereavement support programs as well as online referral forms to streamline the admission process.
Yu Howatt's work has earned her the 2014 Student e-Health Leadership Award from the Canadian Association of Schools of Nursing (CASN) and Canada Health Infoway (Infoway). The recipient was announced recently by the Canadian Nursing Students' Association. The Student Award for Excellence in e-Health is part of the Nurses in Training initiative led by the CASN and Infoway. It recognizes undergraduate nursing students who demonstrate leadership in e-Health through the adoption and use in practice, advancing the delivery of evidence-based, patient-centred care.

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