The new Congenital Heart Disease review: 35th update

We continue to receive your feedback to the consultation and welcome your comments.   Although the “road show” has finished, the consultation period continues until 5pm on 8 December and we are keen to encourage as many people as possible to share their views with us; further details are available here.  More information about the deadlines for returning responses can be found here

Spotlight

Grand Itasca Clinic & Hospital

Grand Itasca Clinic & Hospital with a mission of "Patient Centered Excellence" is one of rural Minnesota's few non-profit, independent, multi-specialty health care facilities. The clinic and hospital employs over 600 employees including more than 60 providers...

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Health Technology

Accelerate Growth with Top 7 EHR Analytics Courses

Article | September 12, 2023

Stay at the forefront of the digital healthcare revolution by mastering EHR analytics. Discover the top EHR certifications that provide comprehensive training and industry-recognized credentials. As healthcare organizations increasingly embrace digital solutions, the demand for skilled professionals well-versed in EHR analytics continues to soar. Numerous certifications and courses have emerged to meet this demand, offering comprehensive training and industry-recognized credentials. This article delves into the top EHR certifications and courses, exploring their unique features, advantages, and opportunities for professional growth and advancement. 1. Certified Electronic Health Records Specialist By pursuing this course, participants will gain knowledge and practical skills in EHR, medical billing & coding, anatomy & physiology, medical terminology, medical law and ethics, and health insurance in the United States. This electronic health record specialist certification includes hands-on exercises using specialized software to create patient records, generate lab reports, and take notes & codes. Furthermore, it emphasizes the legal aspects of patient confidentiality and the responsible disclosure of medical records, ensuring a solid understanding of privacy regulations and ethical obligations within the healthcare industry. 2. Deep learning in Electronic Health Records - CDSS 2 The course provides a comprehensive overview of the fundamental principles of electronic health records (EHR) while also addressing the challenges of applying time-series classification methods to EHR data, such as missing values and variable heterogeneity. Professionals will learn various imputation techniques and encoding strategies to handle these challenges effectively. Upon completion of the course, University of Glasgow awards a certificate. Additionally, this electronic health records certification explores the role of clinical decision support systems (CDSS) in analyzing data to aid healthcare providers in making informed decisions and improving patient care. 3. Introduction to Electronic Health Records The course aims to provide an introduction to the field of digital health, covering essential concepts and definitions in this emerging area. It encompasses various vital topics, including Learning Health Systems, EHR, and a wide range of digital health technologies such as mobile applications, wearable devices, health information systems, telehealth, telemedicine, ML, AI, and big data. The EHR analytics course evaluates these technologies by examining the opportunities and challenges they present and the evidence of their effectiveness in the context of digital health, both globally and within public health and healthcare domains. This electronic health record certification includes a case study on using digital health technologies to address various aspects of the global response to COVID-19. 4. Interprofessional Healthcare Informatics This course is offered jointly by the University of Minnesota and its National Center for Interprofessional Practice and Education. It provides a hands-on and interactive exploration of fundamental informatics tools and techniques, incorporating technology-enabled educational innovations to enhance the learning experience. The ten modules in the course will help participants create an online learning community and a functioning healthcare informatics network. The EHR analytics course covers multiple topics, such as emerging technologies, telehealth, gaming, simulations, and eScience. It aims to collectively imagine and shape the future of healthcare informatics within the rapidly evolving landscape. The course welcomes healthcare professionals and IT enthusiasts, encouraging a diverse and interdisciplinary approach to learning. 5. Certified Electronic Health Records Specialist The Certified Electronic Health Records Specialist (CEHRS) course is a fully-online program designed to train individuals to become certified specialists in electronic health records. It equips participants with the necessary skills to navigate EHR systems and pass the CEHR certification exam. In this EHR certification program, professionals will learn essential tasks such as auditing patient records for compliance, extracting clinical information, coding for reimbursement claims, processing medical record requests, reviewing documents for accuracy, collecting patient data, and facilitating communication with healthcare professionals and insurance providers. The course focuses on hands-on experience with actual EHR software, provides an overview of EHR systems, emphasizes compliance with HIPAA regulations, explores various medical record components, and trains students to track vital patient information and report public health data effectively. 6. Electronic Healthcare Records Basics, Plain & Simple This EHR analytics course emphasizes the critical role EHRs play in improving healthcare services. The course holds immense importance as it delves into topics such as the comparison between digital and paper patient records, definitions of EMR, EHR, and PHR, the necessity for a unified view of records, the critical components of EHR systems, perspectives from both patients and clinicians, technology-related challenges, the concept of meaningful use, and the impact of the 21st Century Cures Act in facilitating advancements in healthcare. By undertaking this course, participants will acquire comprehensive knowledge as well as an understanding of EHR systems and their potential for revolutionizing healthcare delivery. 7. Records and Health Information Management This comprehensive EHR training certification program has been designed for professionals looking to advance their careers or seeking to stay up-to-date in the medical field and prepare for industry-standard certification exams. The course covers essential skills such as processing patient admission and discharge documents, accurately recording and maintaining information in the electronic medical record (EMR), understanding third-party reimbursement terminology and concepts, and utilizing computer hardware as well as software to enter and process data using medical record software. Learners can get an excellent opportunity to gain comprehensive insights into electronic health records and enhance career prospects in the healthcare industry. Closing Lines The EHR analytics certifications discussed in this article offer healthcare professionals invaluable opportunities for long-term success and growth in the evolving realm of healthcare informatics. By acquiring the necessary skills and knowledge through these programs, professionals can enhance their proficiency in managing and utilizing EHR systems, positioning themselves as highly sought-after assets within the healthcare industry. The comprehensive EHR certification training provided by these certifications and courses not only equips individuals with the technical know-how but also grants them industry-recognized credentials that validate their expertise. This recognition opens doors to diverse career pathways, including positions in healthcare organizations, consulting firms, research institutions, and governmental agencies. Moreover, staying abreast of the latest developments in EHR systems through continuous education ensures professionals remain at the forefront of technological advancements, enabling them to adapt and thrive in a fast-paced digital healthcare landscape.

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Health Technology, Digital Healthcare

Danny Cain discusses safety considerations for night-time transport projects

Article | August 21, 2023

© 2019 American Cranes & Transport Magazine. Night moves Moving over-sized, over-dimensional loads during the day is no easy task. Adding darkness and poor visibility to your trip adds numerous hazards that must be thoroughly identified and mitigated. When planning a specialized transportation project, there are three primary objectives: Ensure the safety of the transport crew and the general public. Protect the integrity of the cargo and transport equipment. Protection of Infrastructure – roads, bridges, traffic control devices, utilities and the like. For the most part, specialized carriers perform night transports to reduce the impact on day-time commuter traffic. Route challenges – construction, road closures, lane crossovers, bridges and other obstacles – are often better solved at night. Police and utility support are often more readily available at night. Night transport hazards include employee fatigue, slowed reaction time and poor visibility for both the transport crew and motorists. Decreased visibility increases potential for trips, falls, runovers, back overs and equipment strikes. It can’t be emphasized enough how critically important it is to ensure that all transport crew members have had adequate rest for these projects. Workers need complete rest before the transport takes place. A fatigued worker is a danger to himself as well as his fellow crew members. And while impaired drivers can be out on the streets during the day, there is often an increased number of these drivers on roadways at night. Limited visibility is a given when it comes to night-time transports. Limited visibility increases the chance of going off route and striking objects, and the transport driver’s maneuverability and reaction time maybe be reduced. Road conditions can abruptly change during a night-time transport. Therefore, it is critically important to know the route and to have drivers run it in advance. Statistically speaking, accident frequency increases when the transporter goes off route and attempts to correct itself. While providing the necessary lighting to make night transport is important, artificial lighting can pose visibility hazards, especially to the drivers. Other hazards may include bright work lighting that produces glare. OSHA has identified the “Focus Four” accident events that make up the most serious injuries and fatalities in the construction business. They are also known as the “Fatal Four.” Many carriers have had employees injured in the past as a result of one of these four incidents. Caught-in-between hazards are injuries resulting from a person being squeezed, caught, crushed, pinched or compressed between two or more objects or between parts of an object. This is also referred to as “pinch points or entrapment.” As the transporter navigates its designated route the landscape is continuously changing. It is imperative that all ground crew members maintain situational awareness and not place themselves between the moving transporter and fixed objects such as guardrails, parked vehicles, buildings, etc. Struck-by hazards are injuries produced by forcible contact or impact between the injured person and an object or piece of equipment. There are many potential struck-by hazards. Guide wires that must be raised can snap and strike workers on the ground. Tag lines should be used to control loads. The primary purpose of using tag lines is to control the load but more importantly give the worker a safe buffer distance away from suspended and the uncontrolled movement of these loads. Fall hazards are anything that could cause an unintended loss of balance or bodily support and result in a fall. To prevent fall hazards all workers should have either fall prevention or a means of fall protection in place. As a rule, 100 percent tie off is required when using a fall arrest system (FAS). FAS’s should be thoroughly inspected before each use. Electrocution hazards result when a person is exposed to a lethal amount of electrical energy. Maintaining minimum approach distances (MAD) is a critical safety practice. As everyone knows, equipment does not have to physically make contact with energized equipment or lines to cause serious injuries and even death. Electrical energy can “jump” from lines into equipment that has encroached the Minimum Approach Distance based on its voltage. As noted above, it is critically important to ensure that crew members have had adequate rest and are not fatigued. Night transports are difficult enough, and the last thing you want to introduce are tired and fatigued workers. Being fatigued creates a risk for anyone who undertakes an activity that requires concentration and a quick response. All companies should have an “Hours Worked Policy” that clearly spells out the number of hours allowed to work before a mandatory rest period. This policy should ensure that the transport crew has had adequate rest during day, that a fatigue assessment is conducted on all team members, that crews are never allowed to work double shifts and that employees are prohibited from driving long distances to return home. Dealing with darkness Visibility and slowed reaction times should be a part of the project planning. A limited amount of ambient light that only projects upward and outward impedes vision and increases blind spots for drivers. Lights cast shadows, increasing the potential for slips, trips and falls. All transport moves should establish pre-planned Emergency Action Plans. When an emergency occurs, time is of the essence and can mean the difference between life and death. If it is a long-distance move the emergency numbers and first responder information can change. Crews should know when it’s time to seek emergency “safe harbor.” When approaching overhead obstructions such as guide wires, electrical lines, communication lines and overpasses, travel speed is of utmost importance. Again, pre-route surveys provide advance knowledge of obstructions. At night, visual identification of roadway obstructions is reduced and delayed and last second reactions to oncoming hazards can lead to accidents. Support personnel in bucket trucks also have the challenge of reduced visibility. In darkness, overhead hazards often require more utility support for height clearances, which means the need for raising energized lines, lifting traffic control devices, trimming tree limbs, releasing tension on guide wires, removing highway signs, repositioning street lights and raising railroad crossing arms. Traffic control can also create hazards. The general public may ignore pilot car lights at night, so it’s often advisable to also use police escorts. All support vehicles and trucks should be properly marked and equipped with strobe lights. The configuration of the transport system can also be a hazard. Navigating sharp turns or crossovers is greatly reduced based on the length of transporter. Snake-like maneuvers of trailers pose an increased risk. It’s important to never allow personnel to take shortcuts by walking through or under transporter while it’s in motion. Stop or have the worker go around. Situational awareness The transport crew must always maintain “situational awareness” to prevent being in line of fire or entrapped between moving and fixed objects. All the equipment used in the transport must be deemed safe. You should have procedures to conduct thorough assessment of all new equipment. Ensure machine guard devices are in place especially around moving components. Provide secured areas using catwalks/railing system. All steps should be designed with slip resistant material. Ensure that all deck openings are properly protected and covered. Components that hydraulically extend and retract should be clearly posted with DANGER signs. Roadway conditions are always a bigger concern at night. Assess weather conditions prior to start of the project and don’t take chances. A “Go – No Go” criteria should be developed for each project. Once the decision is made to transport the load there is no turning back. Changing weather can cause the transporter to lose traction. Underpasses that are shaded during the day will likely freeze up more quickly. If the temperatures drop significantly during the move, equipment performance may be affected – especially those with hydraulics. Because the reaction time of the transport crew is reduced, speeds are often reduced, causing potential for curfew violations. Boarding and deboarding the transporter increases risk for slips and falls. Other potential road condition hazards include grade of road, width of road, shoulder surfaces, railroad crossing clearances and bottoming out, overpasses, tight and narrow turning lanes, parked vehicles and frequent grade changes. Crew prep is essential and should be a part of the job plan and job training. The team should be briefed each day to identify the responsibilities of all crew members. The crew should know it is empowered; everyone has the authority to stop the transport if something looks unsafe or when someone is unsure. In the event of a complication, crews should be informed of how to regroup and formulata mitigation plan. There should be an established means of communication that is limited only to transport issues. Most importantly, crew should embrace these words: When in doubt, call time out! A Task Hazard Analysis (THA) should address all scope of work activities, identify hazards and have a mitigation plan for each, clear channels of communication, the traffic control plan and an “Emergency Preparedness Plan.” And finally: Know the route; ride the route and expect the unexpected. Edwards-Moving_Faktor-5 (2).jpg Edwards Moving performs a night move using it’s Goldhofer Faktor-5 transport system. Keys to a successful night transport Early planning and attention to detail. Anticipate roadway hazards such as guardrails, poles & hydrants that pose obstruction with travel path or turning radius. Preparing a detailed traffic control plan. Thorough due diligence throughout scope of work. Established contingency plan for equipment.

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Healthtech Security

Why Medical Drones Are Taking Off in Healthcare

Article | August 31, 2023

With their speed and maneuverability, drones have long captured attention for their potential to deliver shopping orders and photograph the world from above. But the machines can also serve a medical purpose by shuttling drugs, defibrillators and other equipment to emergency sites or care facilities. Improvements in battery life, GPS navigation and artificial intelligence functions are making drones a more practical option in healthcare, says Dr. Daniel Kraft, faculty chair for medicine and neuroscience at Singularity University, an executive education program that also serves as a business incubator and consultancy service. Theft is also a concern, says Will Stavanja, chief technical officer at AirBox Technologies, which is testing its DroneX fleet for medical deliveries in the Caribbean. “Right now, most drones land, drop the package and leave,” says Stavanja, whose team has developed smart mailboxes for secure delivery. Addressing that risk will be key to determining whether drones can handle sensitive cargo. “You want a very high degree of certainty,” Kraft says. “It’s one thing if you lose a urine sample or a blood sample; you can get another one. It’s another to lose an organ.”

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Digital Healthcare

The digital hospital of the future

Article | June 4, 2022

​As the cost of care continues to rise, many hospitals are looking for long-term solutions to minimize inpatient services. Learn how technology and health care delivery will merge to influence the future of hospital design and the patient experience across the globe in this report developed by Deloitte US. Five use cases for the digital hospital of the future The future of health care delivery may look quite different than the hospital of today. Rapidly evolving technologies, along with demographic and economic changes, are expected to alter hospitals worldwide. A growing number of inpatient health care services are already being pushed to home and outpatient ambulatory facilities. However, many complex andv very ill patients will continue to need acute inpatient services. With aging infrastructure in some countries and increased demand for more beds in others, hospital executives and governments should consider rethinking how to optimize inpatient and outpatient settings and integrate digital technologies into traditional hospital services to truly create a health system without walls. To learn what this future of health care delivery may look like, the Deloitte Center for Health Solutions conducted a crowdsourcing simulation with 33 experts from across the globe. Participants included health care CXOs, physician and nurse leaders, public policy leaders, technologists, and futurists. Their charge was to come up with specific use cases for the design of digital hospitals globally in 10 years (a period that can offer hospital leaders and boards time to prepare). The crowdsourcing simulation developed use cases in five categories Redefined care delivery Emerging features including centralized digital centers to enable decision making (think: air traffic control for hospitals), continuous clinical monitoring, targeted treatments (such as 3D printing for surgeries), and the use of smaller, portable devices will help characterize acute-care hospitals. Digital patient experience Digital and artificial intelligence (AI) technologies can help enable on-demand interaction and seamless processes to improve patient experience. Enhanced talent development Robotic process automation (RPA) and AI can allow caregivers to spend more time providing care and less time documenting it. Operational efficiencies through technology Digital supply chains, automation, robotics, and next-generation interoperability can drive operations management and back-office efficiencies. Healing and well-being designs The well-being of patients and staff members—with an emphasis on the importance of environment and experience in healing—will likely be important in future hospital designs. Many of these use-case concepts are already in play. And hospital executives should be planning how to integrate technology into newly-built facilities and retrofit it into older ones. Technology will likely underlie most aspects of future hospital care. But care delivery—especially for complex patients and procedures—may still require hands-on human expertise. Laying the foundation for the digital hospital of the future ​Building a digital hospital of the future can require investments in people, technology, processes, and premises. Most of these investments will likely be upfront. In the short term, hospital leadership may not see immediate returns on these investments. In the longer term, however—as digital technologies improve care delivery, create operational efficiencies, and enhance patient and staff experience—the return result can be in higher quality care, improved operational efficiencies, and increased patient satisfaction. These six core elements of an enterprise digital strategy can help you get started as you begin to push your hospital into the future Create a culture for digital transformation It is essential that senior management understands the importance of a digital future and drives support for its implementation at all organizational levels. Consider technology that communicates Digital implementation is complex. Connecting disparate applications, devices, and technologies—all highly interdependent—and making certain they talk to each other can be critical to a successful digital implementation. Play the long game Since digital technologies are ever evolving, flexibility and scalability during implementation can be critical. The planning team should confirm that project scope includes adding, modifying, or replacing technology at lower costs. Focus on data While the requirements of data interoperability, scalability, productivity, and flexibility are important, they should be built upon a solid foundation of capturing, storing, securing, and analyzing data. Prepare for Talent 2.0 As hospitals invest in exponential technologies, they should provide employees ample opportunities to develop corresponding digital strategies. Maintain cybersecurity With the proliferation of digital technologies, cyber breaches can be a major threat to hospitals of the future. Executives should understand that cybersecurity is the other half of digital implementation and allocate resources appropriately.

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Spotlight

Grand Itasca Clinic & Hospital

Grand Itasca Clinic & Hospital with a mission of "Patient Centered Excellence" is one of rural Minnesota's few non-profit, independent, multi-specialty health care facilities. The clinic and hospital employs over 600 employees including more than 60 providers...

Related News

Fitbit launched a large-scale study to validate its technology to detect atrial fibrillation

Fitbit | May 07, 2020

Fitbit launched a sweeping heart study on Wednesday aimed at exploring whether its devices can detect atrial fibrillation. The company's focus on health care, along with its work in clinical trials to alert users to conditions like hypertension and sleep apnea. Fitbit's strategy is to make easy-to-use health tools that detect a range of conditions more accessible to the general population. Wearables giant Fitbit launched a sweeping heart study on Wednesday aimed at exploring whether its devices can detect atrial fibrillation. It's part of Fitbit's broader ambitions in healthcare to use its wearable technology for preventive health to reduce the risk of life-threatening events like stroke by detecting problems earlier. With the launch of the heart study, Fitbit is chasing down competitor Apple which received FDA clearance in 2018 for its ECG feature and more recently launched a study with Johnson & Johnson to explore whether its own wearables can detect Afib. "Wearable data and the kinds of information wearable data can provide will serve as another tier in the healthcare system," Eric Friedman, Fitbit co-founder and chief technology officer told FierceHealthcare. Read More: DOXIMITY LAUNCHES DOXIMITY DIALER VIDEO- A FREE TELEHEALTH APP FOR PROVIDERS The company's focus on health care, along with its work in clinical trials to alert users to conditions like hypertension and sleep apnea, makes it clear that it wants to pivot its wearables from just fun accessories to health devices. Fitbit’s user-generated health data, combined with the company’s analytics, can provide an "early warning sign" to users about potential problems like irregular heart rhythms suggestive of atrial fibrillation (Afib), Friedman said. "It could serve as a 'check engine light' to help get that person to the appropriate level of care, and that could be, at first, a telehealth physician or a personal health coach. That's another layer in the healthcare system. Fitbit devices will be a "Minute Clinic' on your wrist before you have to go see a physician," he said. Fitbit's strategy is to make easy-to-use health tools that detect a range of conditions more accessible to the general population, according to the company. Until recently, tools for detecting AFib had a number of limitations and were only accessible if you visited a doctor, My hope is that advancing research on innovative and accessible technology, like Fitbit devices, will lead to more tools that help improve health outcomes and reduce the impact of AFib on a large scale. - Steven Lubitz, M.D., principal investigator of the Fitbit Heart Study Fitbit launched in 2007 and now has close to 30 million active users. In November, tech giant Google announced plans to buy the company for $2.1 billion, but that deal still needs to be approved by regulators. Scripps Research Institute and Stanford Medicine are collaborating with Fitbit on research aimed at using Fitbit data to help detect, track and contain infectious diseases like COVID-19. The two studies are examples of where Fitbit can fit in healthcare, Friedman said. The heart study looks at individual wearable data to detect heart health trends and the second study looks at population-level wearable data—including heart rate, sleep, and activity levels—to try to detect the early onset of a virus. "We're not trying to replace the healthcare system. Doctors and clinicians are dealing with acute healthcare issues and they don't have the bandwidth to look at longitudinal trends," Friedman said. "Where Fitbit wants to play and where we have value is that all-day, continuous health monitoring and guidance to help users stay healthy and manage their health conditions." Focus on heart health The Fitbit Heart Study aims to enroll hundreds of thousands of people, and its results will support the company’s regulatory submissions globally. To track heart rate, Fitbit’s devices use photoplethysmography (PPG) technology to measure the rate of blood flow directly from a user’s wrist. Theoretically, these measurements can be used to determine a user’s heart rhythm, which Fitbit’s algorithm will analyze for irregularities in the Fitbit Heart Study. Study participants who receive a notification about an irregular heart rhythm will be connected with a doctor for a virtual appointment at no cost and may receive a free electrocardiogram (ECG) patch in the mail to confirm the notification. One of the goals of the study is to understand how wearable data and virtual care can be used as a model of healthcare that does not involve in-person care, according to Tony Faranesh, senior research scientist at Fitbit. This model of care can be used to both offload the in-person care so the healthcare system can focus on more complicated, more acute health issues, and it's also a way of empowering and educating users about their own health and enabling them to make positive changes before they see a doctor. - Tony Faranesh, senior research scientist at Fitbit. AFib affects nearly 33.5 million people globally and patients with Afib have five times higher risk of stroke. But it also can be difficult to detect. Fitbit wearables have the potential to accelerate Afib detection because the devices provide 24/7 heart rate tracking. This enables long-term heart rhythm assessment, including when users are asleep. The optimal way to identify irregular rhythm through heart rate tracking technology is to screen when the body is at rest, according to the company. "We have the opportunity to develop and provide access to technology that may be able to improve public health and save lives," Friedman said. Fitbit also is pursuing approval from the U.S. Food and Drug Administration and other global regulatory authorities for its Afib detection software. Read More: HOSPITAL AND PROVIDER GROUPS CHEER NEW CMS FLEXIBILITY ON TELEHEALTH, CAPACITY AND ACO LOSSES Fitbit inked a multiyear partnership with pharmaceutical giants Bristol Myers Squibb and Pfizer last year to develop programs to identify and support people found to be at increased risk for stroke. Those programs will be implemented following FDA clearance for Fitbit's Afib detection software. Fitbit completed a clinical trial of its new ECG feature for spot detection of AFib and plans to seek review by the FDA and global regulatory authorities. About Fitbit We're a passionate team dedicated to health and fitness who are building products that help transform people's lives. While health can be serious business, we feel it doesn't have to be. We believe you're more likely to reach your goals if you're encouraged to have fun, smile, and feel empowered along the way.

Read More

The 5:2 Fasting Diet Benefits the Heart

LabRoots | March 21, 2018

A popular fasting diet called the 5:2 or “Fast Diet” may actually be better than traditional calorie-restricting diets for heart health. Scientists from the University of Surrey found recently that the 5:2 diet lowered levels of fat in the blood and reduced blood pressure. The 5:2 diet was popularized by British doctor and journalist Michael Mosley. The diet contains no requirements about which foods to eat, only about when you should eat them. Five days of the week are normal eating days, and the other two days of the week restrict calories to 500-600 per day, with at least one non-fasting day in between the two restricted calorie days.

Read More

Heart Failure from Pressure Overload is Preventable

LabRoots | March 20, 2018

Heart failure that ultimately results from disease factors like high blood pressure can be predicted and potentially prevented. In a new University of Alabama at Birmingham study, scientists show how macrophages from the immune system contribute to pressure overload-related heart failure. Pressure overload that leads to heart failure can either be in the form of high blood pressure or aortic stenosis, a condition where the aortic valve opening in the heart narrows and causes the heart muscle to work harder than it should.

Read More

Fitbit launched a large-scale study to validate its technology to detect atrial fibrillation

Fitbit | May 07, 2020

Fitbit launched a sweeping heart study on Wednesday aimed at exploring whether its devices can detect atrial fibrillation. The company's focus on health care, along with its work in clinical trials to alert users to conditions like hypertension and sleep apnea. Fitbit's strategy is to make easy-to-use health tools that detect a range of conditions more accessible to the general population. Wearables giant Fitbit launched a sweeping heart study on Wednesday aimed at exploring whether its devices can detect atrial fibrillation. It's part of Fitbit's broader ambitions in healthcare to use its wearable technology for preventive health to reduce the risk of life-threatening events like stroke by detecting problems earlier. With the launch of the heart study, Fitbit is chasing down competitor Apple which received FDA clearance in 2018 for its ECG feature and more recently launched a study with Johnson & Johnson to explore whether its own wearables can detect Afib. "Wearable data and the kinds of information wearable data can provide will serve as another tier in the healthcare system," Eric Friedman, Fitbit co-founder and chief technology officer told FierceHealthcare. Read More: DOXIMITY LAUNCHES DOXIMITY DIALER VIDEO- A FREE TELEHEALTH APP FOR PROVIDERS The company's focus on health care, along with its work in clinical trials to alert users to conditions like hypertension and sleep apnea, makes it clear that it wants to pivot its wearables from just fun accessories to health devices. Fitbit’s user-generated health data, combined with the company’s analytics, can provide an "early warning sign" to users about potential problems like irregular heart rhythms suggestive of atrial fibrillation (Afib), Friedman said. "It could serve as a 'check engine light' to help get that person to the appropriate level of care, and that could be, at first, a telehealth physician or a personal health coach. That's another layer in the healthcare system. Fitbit devices will be a "Minute Clinic' on your wrist before you have to go see a physician," he said. Fitbit's strategy is to make easy-to-use health tools that detect a range of conditions more accessible to the general population, according to the company. Until recently, tools for detecting AFib had a number of limitations and were only accessible if you visited a doctor, My hope is that advancing research on innovative and accessible technology, like Fitbit devices, will lead to more tools that help improve health outcomes and reduce the impact of AFib on a large scale. - Steven Lubitz, M.D., principal investigator of the Fitbit Heart Study Fitbit launched in 2007 and now has close to 30 million active users. In November, tech giant Google announced plans to buy the company for $2.1 billion, but that deal still needs to be approved by regulators. Scripps Research Institute and Stanford Medicine are collaborating with Fitbit on research aimed at using Fitbit data to help detect, track and contain infectious diseases like COVID-19. The two studies are examples of where Fitbit can fit in healthcare, Friedman said. The heart study looks at individual wearable data to detect heart health trends and the second study looks at population-level wearable data—including heart rate, sleep, and activity levels—to try to detect the early onset of a virus. "We're not trying to replace the healthcare system. Doctors and clinicians are dealing with acute healthcare issues and they don't have the bandwidth to look at longitudinal trends," Friedman said. "Where Fitbit wants to play and where we have value is that all-day, continuous health monitoring and guidance to help users stay healthy and manage their health conditions." Focus on heart health The Fitbit Heart Study aims to enroll hundreds of thousands of people, and its results will support the company’s regulatory submissions globally. To track heart rate, Fitbit’s devices use photoplethysmography (PPG) technology to measure the rate of blood flow directly from a user’s wrist. Theoretically, these measurements can be used to determine a user’s heart rhythm, which Fitbit’s algorithm will analyze for irregularities in the Fitbit Heart Study. Study participants who receive a notification about an irregular heart rhythm will be connected with a doctor for a virtual appointment at no cost and may receive a free electrocardiogram (ECG) patch in the mail to confirm the notification. One of the goals of the study is to understand how wearable data and virtual care can be used as a model of healthcare that does not involve in-person care, according to Tony Faranesh, senior research scientist at Fitbit. This model of care can be used to both offload the in-person care so the healthcare system can focus on more complicated, more acute health issues, and it's also a way of empowering and educating users about their own health and enabling them to make positive changes before they see a doctor. - Tony Faranesh, senior research scientist at Fitbit. AFib affects nearly 33.5 million people globally and patients with Afib have five times higher risk of stroke. But it also can be difficult to detect. Fitbit wearables have the potential to accelerate Afib detection because the devices provide 24/7 heart rate tracking. This enables long-term heart rhythm assessment, including when users are asleep. The optimal way to identify irregular rhythm through heart rate tracking technology is to screen when the body is at rest, according to the company. "We have the opportunity to develop and provide access to technology that may be able to improve public health and save lives," Friedman said. Fitbit also is pursuing approval from the U.S. Food and Drug Administration and other global regulatory authorities for its Afib detection software. Read More: HOSPITAL AND PROVIDER GROUPS CHEER NEW CMS FLEXIBILITY ON TELEHEALTH, CAPACITY AND ACO LOSSES Fitbit inked a multiyear partnership with pharmaceutical giants Bristol Myers Squibb and Pfizer last year to develop programs to identify and support people found to be at increased risk for stroke. Those programs will be implemented following FDA clearance for Fitbit's Afib detection software. Fitbit completed a clinical trial of its new ECG feature for spot detection of AFib and plans to seek review by the FDA and global regulatory authorities. About Fitbit We're a passionate team dedicated to health and fitness who are building products that help transform people's lives. While health can be serious business, we feel it doesn't have to be. We believe you're more likely to reach your goals if you're encouraged to have fun, smile, and feel empowered along the way.

Read More

The 5:2 Fasting Diet Benefits the Heart

LabRoots | March 21, 2018

A popular fasting diet called the 5:2 or “Fast Diet” may actually be better than traditional calorie-restricting diets for heart health. Scientists from the University of Surrey found recently that the 5:2 diet lowered levels of fat in the blood and reduced blood pressure. The 5:2 diet was popularized by British doctor and journalist Michael Mosley. The diet contains no requirements about which foods to eat, only about when you should eat them. Five days of the week are normal eating days, and the other two days of the week restrict calories to 500-600 per day, with at least one non-fasting day in between the two restricted calorie days.

Read More

Heart Failure from Pressure Overload is Preventable

LabRoots | March 20, 2018

Heart failure that ultimately results from disease factors like high blood pressure can be predicted and potentially prevented. In a new University of Alabama at Birmingham study, scientists show how macrophages from the immune system contribute to pressure overload-related heart failure. Pressure overload that leads to heart failure can either be in the form of high blood pressure or aortic stenosis, a condition where the aortic valve opening in the heart narrows and causes the heart muscle to work harder than it should.

Read More

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