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07/17/2023

This AI Chatbot Has Helped Doctors Treat 3 Million People–And May Be Coming To A Hospital Near You

Article Excerpt: The problem with turning to the internet for medical advice is that you can come away thinking that you either have a headache or a brain tumor – but the reality is you probably just have a headache. With K Health, Allon Bloch is creating an antidote to “Dr. Google” that ingests your symptoms and medical history via an AI-powered chatbot, sifts through the data of millions of patients and suggests a medical condition based on how you compare to other people like you. “We’re trying to mimic the best doctor in the world,” says Bloch, 53, cofounder and CEO of the seven-year-old New York-based startup.

Full Article: https://tinyurl.com/4awtf4ua

Article Source: Forbes

Posted in: Emerging Technologies // Tagged: ; ; ; ; ; ; ; ;
07/11/2023

Telehealth Proves Successful for Opioid Use Disorder Treatment

Article Excerpt: Virtual care provider Ophelia found 56% of its OUD patients remained in treatment for six months and 48% stayed for one year, with retention rates significantly higher than traditional in-person care…”These study findings help take another step forward in proving what we already know: telehealth-based medication-assisted treatment for opioid use disorder is highly effective in reducing overdoses and preventing relapse,” (Chief medical officer at Ophelia) said.

Full Article: https://tinyurl.com/3z5umm7w

Article Source: Healthcare IT News

Posted in: Emerging Technologies, Methodologies & Analytics // Tagged: ; ; ; ; ; ; ; ;
06/27/2023

Training Staff Across the Veterans Affairs Health Care System to Use Mobile Mental Health Apps: A National Quality Improvement Project

McGee-Vincent P, Mackintosh M, Jamison A, Juhasz K, Becket-Davenport C, Bosch J, Avery T, Glamb L, Hampole S. Training Staff Across the Veterans Affairs Health Care System to Use Mobile Mental Health Apps: A National Quality Improvement Project. JMIR Ment Health 2023;10:e41773 DOI: 10.2196/41773

This paper described and evaluated a training program for staff in the Veterans Affairs (VA) healthcare system to increase the reach of mobile mental health apps for veterans. Sites from all VA’s geographic regions were enrolled in this study with at least 25 staff members with direct contact with veterans recruited to participate. A total of 1110 staff from 19 VA sites completed the training program. Sixty-seven percent of participants provided mental health care. Staff training was delivered via a live, web-based format and consisted of a 3-hour core module for all staff and 1-hour module designed specifically for mental health clinicians. Program reach, satisfaction, and effectiveness of the training were assessed pre- and post-training by staff self-reported surveys. Most participants (93.9%) were satisfied with the training and 92.4% would recommend it to other staff. Knowledge about mobile apps and confidence in ability to demonstrate to veterans how to install and use mental health apps significantly increased after training (p<.001). Participants also expressed motivation to refer veterans to apps and encourage other VA staff to share apps with veterans. Overall, this study exceeded their recruitment target, indicating a higher-than-anticipated interest among staff. Further, the training program was well received and effective in promoting awareness about and motivation to recommend mobile health apps. About a third of participants came from other settings besides mental health, which suggests the value of VA mental health apps across the healthcare system. Future work is needed to evaluate the extent to which providers follow up on recommending mobile health apps to patients and patients accessing the mobile health apps.

Posted in: Cutting Edge Literature // Tagged: ; ; ; ; ;
06/06/2023

Implementation and workflow strategies for integrating digital therapeutics for alcohol use disorders into primary care: a qualitative study

Mogk JM, Matson TE, Caldeiro RM, Garza Mcwethy AM, Beatty T, Sevey BC, Hsu CW, Glass JE. Implementation and workflow strategies for integrating digital therapeutics for alcohol use disorders into primary care: a qualitative study. Addict Sci Clin Pract. 2023 May 8;18(1):27. doi: 10.1186/s13722-023-00387-w.

This study aimed to identify implementation needs and strategy design considerations for integrating digital therapeutics for alcohol use disorders (AUD) into primary care. Qualitative interviews were conducted with clinicians, care delivery leaders, and implementation staff (N=16). All participants had experience implementing digital therapeutics for depression or substance use disorders in primary care in the United States. Participants were asked to share successes and challenges from implementation efforts and how these experiences could inform the implementation of digital therapeutics for AUD. Common themes were identified across health system staff roles. Participants were committed to digital therapeutics for AUD and anticipated high patient demand for such treatments. Reported facilitators of successful implementation included: 1) use implementation strategies that align with the needs of patients with varying AUD severity, 2) use strategies that minimize burden on clinicians, and 3) offer digital therapeutics as an adjunct to other treatments for AUD. Other helpful implementation strategies included clinician training and electronic health record support. Findings inform future efforts to implement digital interventions for AUD in primary care.

Posted in: Cutting Edge Literature // Tagged: ; ; ; ; ;
05/16/2023

Augmenting project ECHO for opioid use disorder with data‑informed quality improvement

Murray OB, Doyle M, McLeman BM, Marsch LA, Saunders EC, Cox KM, Watts D, Ryder J. Augmenting project ECHO for opioid use disorder with data-informed quality improvement. Addict Sci Clin Pract 18, 24 (2023). https://doi.org/10.1186/s13722-023-00381-2

Learning collaboratives can address barriers to medication for opioid use disorder availability by training clinic staff on best-practice performance data collection and quality improvement (QI). Project ECHO is an evidence-based method using teleconferencing to link experts with community-based providers to enhance opioid use disorder (OUD) care. This study examined the feasibility of training of 18 clinics in New Hampshire using an additional component, ECHO-AMPLIFI, to collect and review performance data and develop QI initiatives for best practice of OUD care. Feasibility was assessed descriptively through each clinic’s participation in training sessions, data collection, and QI initiatives. At the end of the project, clinic staff completed surveys on their perspectives of usability and acceptability of the project. Five of the 18 clinics joined the ECHO-AMPLIFI project for 8 months and met the minimum engagement requirements (completed at least one training session, at least one month of performance data, and at least one QI initiative). Results from staff surveys showed the training and data collection was useful. However, there were several problems identified with data collection, including lack of staff time and lack of standardization of documentation in electronic health records. Findings indicate that implementing performance data-informed QI as a supplement to Project ECHO has potential to inform best practices, but challenges to collecting consistent performance data must be addressed. Future assessments could provide further information on the utility of performance data in helping clinics.

Posted in: Cutting Edge Literature // Tagged: ; ; ; ; ; ; ;
03/15/2023

ONC: Majority of Office-Based Physicians Used Telehealth in 2021

Article Excerpt: A report from the Office of the National Coordinator for Health Information Technology found that telehealth use grew noticeably over the course of the COVID-19 pandemic, with high rates of not only provider adoption but also satisfaction. Throughout the COVID-19 pandemic, it became apparent that telehealth was an effective method for providing and receiving care. However, as the severity of the public health emergency diminished, questions surrounding telehealth and its continued use arose.

Full Article: https://tinyurl.com/4cru2w4c

Article Source: mHealth Intelligence

Posted in: Methodologies & Analytics // Tagged: ; ; ; ; ;
03/06/2023

Opioid Prescription Decision Tool May Be Feasible Option to Curb Overprescribing

Article Excerpt: A new report shows that an app designed to help clinicians make better opioid-prescribing decisions following surgery can be a useful tool, although not all clinicians said they would continue using it. The study, published in BMJ Open, highlights one potential strategy to help curb the overprescription of opioids, which is believed to be a major factor in the current epidemic of opioid addiction in the United States. The study investigators said persistent postsurgical opioid use is a common problem that occurs in about 6% of opioid-naive patients who are given the drugs. In about 15% of cases, patients are discharged with opioid prescriptions that are inconsistent with their opioid usage while in the hospital.

Full Article: https://tinyurl.com/yhxbwnc2

Article Source: AJMC

Posted in: Emerging Technologies, Uncategorized // Tagged: ; ; ; ; ;
02/28/2023

MHT Delivers New Technology for Measuring and Improving Mental Wellness

Article Excerpt: Mental Health Technologies (MHT) offers a rapidly growing cloud-based platform primary care physicians and mental health professionals use to screen and test for mental health disorders, including depression and substance abuse. MHT helps providers identify areas where their patients are struggling and refers them to the proper behavioral healthcare professional…SmarTest is a tool that uses intelligence and historical data to define when-and how-a patient should be tested for various mental health conditions. It can base its decisions on patient information, such as age, gender, or other demographics.

Full Article: https://tinyurl.com/6ruxh22t

Article Source: Accesswire

Posted in: Emerging Technologies // Tagged: ; ; ; ; ; ;
11/21/2022

Use of telemedicine for opioid use disorder treatment – Perceptions and experiences of opioid use disorder clinicians

Riedel L, Uscher-Pines L, Mehrotra A, Busch AB, Barnett ML, Raja P, & Huskamp HA. (2021). Use of telemedicine for opioid use disorder treatment – Perceptions and experiences of opioid use disorder clinicians. Drug and Alcohol Dependence, 228, 108999–108999. https://doi.org/10.1016/j.drugalcdep.2021.108999

Researchers conducted a national online survey to assess clinician use of and perspectives about telemedicine for opioid use disorder (OUD) during the COVID-19 pandemic. Clinicians, including psychiatrists, nurse practitioners, primary care providers, and physician assistants, were recruited from WebMD/Medscape’s online panel (N=602). The survey focused on the use of telemedicine to treat OUD in the last month. Questions included clinician training, patient population served, OUD visit delivery, barriers to telemedicine, and opinions on effectiveness of telemedicine. Findings showed that on average 57% of visits were via telemedicine. The majority of clinicians (63%) reported telemedicine was as effective as in-person care. Ninety percent said they were comfortable using video for clinically stable patients and 49% said the same for clinically unstable patients. Seventy percent of clinicians preferred to return to in-person care following the pandemic, but 95% wanted to continue to offer telemedicine in some form. Significantly higher comfort levels were found among clinicians with at least 30% of their patient caseload composed of those with OUD compared to clinicians with fewer patients with OUD. Further, clinicians with at least 60% Medicaid and uninsured patients were significantly more likely to have conducted visits via audio-only methods and also preferred to continue using telemedicine after the pandemic compared to those with fewer Medicaid patients. These findings could inform how telemedicine is used for OUD treatment moving forward; however, there remains uncertainty about the use of audio-only visits and reimbursement levels.

Posted in: Cutting Edge Literature // Tagged: ; ; ; ;