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China event – ChinaBio® Forum, May 2016 in Suzhou

China – Global Partnering in China™

ChinaBio® Partnering Forum is the premier life science partnering event in China. Held on May 18–19, 2016, in Suzhou, the event will attract biotech and pharma leaders from around the world along with hundreds of China-based developers of novel technologies for two days of productive partnering.

ChinaBio® Partnering Forum 2015 had more than 858 delegates from 435 companies and 22 countries, making it the largest partnering conference in China. The 2016 edition promises to be even better with top notch attendance from pharma and biotech companies as well as leading researchers from China’s top universities and institutes.

The conference also features partneringONE®, enabling delegates to efficiently identify, meet and network with companies from across the life science value chain.

Who will you meet?

  • Senior executives of leading China-based pharma and biotech companies
  • Senior management and business development executives from global biotech and pharma companies
  • Venture capitalists and other investors active in life science

With over one-third of the attendees being C-level decision makers, ChinaBio® Partnering Forum is the event to get partnerships started in China.

Profile of participants at ChinaBio® Partnering Forum 2015

China - ChinaBio® Partnering Forum 2015
For more information, please follow this link

Application to Present

Innovative companies, organizations or researchers interested in partnering their technologies or products, initiating strategic alliances, or tapping into the financing network are welcome to apply to present at the ChinaBio® Partnering Forum 2016.

A panel of industry experts will select the presenting companies. The panel will make each decision based on the company profile submitted in the partnering system, on the interests of the biotech industry, and the licensability of products or technology.

Presenting companies will be selected based on the corporate profile they have submitted.

Delegates of a presenting company other than the presenter will need to register separately and will be invoiced for the registration fee.

Your registration fee covers

  • Submission of up to 150 requests per company for one-to-one meetings during the conference
  • Access to all workshops, presentations, panel discussions and the exhibition area
  • Publication of your company and personal profiles on partneringONE®
  • Breakfast, lunch, snacks, coffee and other non-alcoholic beverages in the conference center
  • Evening networking events

Multiple attendee discount

Companies with three full-paying delegates will receive one complimentary ticket for the fourth attendee from that company.

Company profile

Your company profile will be published in the password-protected Partnering section of the ChinaBio® Partnering Forum website.

Payment

Companies selected for a presentation will receive an invoice shortly after they have been notified of their assigned presentation slot. Payment must be made in advance of the event.

Cancellation policy

Please email Philipp Dormeier at pdormeier@ebdgroup.com if you are registered and will not be able to attend the conference so that your partnering account can be deactivated.

We are sorry, but we do not allow refunds of paid registration/presentation fees for this conference. However, a paid registration is transferable to a replacement from your company.

Please note that no-shows will be billed for the full registration fee and, if applicable, the full presentation fee.

ChinaBio® Partnering Forum Sponsors

Platinum Sponsors

Hanmi
Johnson & Johnson Innovation

Gala Reception Sponsor

Roche

Gold Sponsors

Ascentage
BioBay
Covance
Covington
Dechert
Medidata
Morrison Foerster
MSD
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EHR

EHR notification overload costs doctors

EHR notifications – Primary care doctors are subject to twice as many notifications as specialists, researchers found, but both are facing information overload.

By Jack McCarthy

“Information overload is of concern because new types of notifications and ‘FYI’ (for your information) messages can be easily created in the EHR (vs in a paper-based system),” the researchers wrote in the Journal of the American Medical Association  Internal Medicine.

Making the workload harder to endure, reading and processing these messages is uncompensated in an environment of reduced reimbursements for office-based care, according to the study.

Physicians are receiving these increasing amounts of notifications in EHR-based inboxes such as Epic’s In-Basket and General Electric Centricity’s Documents. The messages include test results, responses to referrals, requests for medication refills, and messages from physicians and other healthcare professionals.

The system is crying out for change the researchers wrote. “Strategies to help filter messages relevant to high-quality care, EHR designs that support team-based care, and staffing models that assist physicians in managing this influx of information are needed.”

What’s more, optimistic predictions that EHRs would improve patient care through better doctor-patient communications have not ubiquitously materialized.

“Unfortunately, we are far from this promise and now also grapple with the unintended consequences of EHRs,” Joseph Ross, MD wrote in an editorial accompanying the research.

In fact, electronic “paperwork” has burdened doctors and reduced the time for patient care.

Ross advocated that inbox notification capabilities be periodically reviewed to be sure EHRs are working in the best interests of patient care and not creating an unnecessary burden on physicians.

In addition, doctors should be reimbursed for time spent reviewing EHR notifications.

“Although many of these notifications are in the service of patients,” Ross wrote, “we need to be sure that physicians’ reimbursement, particularly for primary care physicians, is taking into account the full time needed to manage patients’ care.”

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HIMSS16 – Frustrations linger around EHR

HIMSS16 – Experts say healthcare providers need to turn up the pressure on tech vendors to create more intuitive products.

By Mike Miliard, March 10, 2016

HIMSS16 – Electronic health record usability might not have been the hottest topic at HIMSS16 this past week – our polling shows big data and interoperability tied for that honor, with privacy/security just nudging population health for the second spot – but it was certainly top of mind for many.

The multi-day User Experience HIMSS16 Forum, for instance, explored the human factor and design choices that can directly impact the use and efficacy of health information technology, examining UX from the perspective of physicians, nurses, patients, vendors and more. Sessions gave voice to end-user frustrations, looked to tear down the barriers to innovation and tracked the clinical and financial return that can be gained from improved software interfaces.

In a provocative prime-time speech, meanwhile, Acting CMS Administrator Andy Slavitt threw down the gauntlet: “I’m certainly not bashful about what we need to do better, and I’m not going to be bashful here, even in the face of some very good reasons for optimism, about ways we need to take our game up across the board.”

The health IT industry has done very well in the years since the HITECH Act, said Slavitt. “But we’re still at the stage where technology often hurts rather than helps physicians providing better care.”

To bolster his case, he rattled off a series of actual quotes from frustrated clinicians. One complained that in his EHR, “to order aspirin takes eight clicks; to order full-strength aspirin takes 16.”

Slavitt said at HIMSS16, CMS is newly committed to taking a “user-centered approach to designing policy.” He asked vendors to do the same, with a similar spirit of empathy: “Step back and look at what you don’t think is working, and make it better.”

In recognizing that health IT still “often hurts rather than helps physicians,” Acting CMS Administrator Andy Slavitt said at HIMSS16 that the agency is newly committed to taking a “user-centered approach to designing policy.” He asked vendors to do the same, with a similar spirit of empathy: “Step back and look at what you don’t think is working, and make it better.”

‘Dissatisfaction with EHRs has been immense’

The rigors of federal policy requirements, combined with the suboptimal UX of many EHR products has left doctors and nurses feeling less like clinicians and more like clerks, said one chief medical information officer at HIMSS16. Ceaseless data entry is bad enough. But even worse when done through a clunky or dated user interface.

“Dissatisfaction with EHRs has been immense,” said George Gellert, MD, associate system CMIO at CHRISTUS Health. “Understandably, physicians are looking for release.”

Increasingly, many of them are finding it by using unlicensed medical scribes, who often have minimal training, as data-entry workarounds. If that poses obvious patient safety risks, it also hinders the progress of EHR product improvement, he argued.

“If you insert a scribe permanently between the physician and the EHR, and the physician totally disengages from using the EHR, you are going to have a significant deceleration of technological advancement because there’s no market pressure,” said Gellert at HIMSS16.

As problematic as UX often still is, many IT vendors have made big design and usability improvements in recent years, as a direct result of pointed and specific clinical feedback – including at CHRISTUS, where docs and nurses now enjoy an updated EHR made better thanks to the health system’s commitment to capture “every single physician complaint” and relay them to its vendor.

Market pressure works, said Gellert, and a rising sub-industry of scribes could be counterproductive as doctors’ dissatisfaction comes to a boil.

At least scribes still engage with technology, in contrast with one New York Times item that garnered a bit of attention in health IT circles this past December. “In Age of Digital Records, Paper Still Carries Weight,” was the headline.

The good news? We’ve come a long way in a short time: “In 2009, fewer than 10 percent of hospitals had any kind of electronic medical records,” wrote Abigail Zuger, MD. “By 2014, 75 percent had at least a basic system.”

The bad news? That “rushing” has led to some severely problematic products that often have care providers gnashing their teeth in frustration. Or, sometimes, making use of workarounds that defeat the purpose of well-meaning federal policies such as the Affordable Care Act and meaningful use.

“Paper has become our lingua franca, our fallback and standby,” wrote Zuger. “In our new digital universe, we have peculiarly seen a retro explosion of paper. We may no longer write paper prescriptions, but we fax or hand-deliver paper versions of our electronic dealings routinely now. When you don’t know what electronic language the receiver speaks (and you never do) you go with paper.”

While her primary complaint was about systems’ lack of interoperability, it’s a safe bet that she and many of her colleagues would add poor usability to their list of EHR gripes.

That dissatisfaction is getting worse, not better. A study published this summer by the American Medical Association and the American College of Physicians found that physicians are more frustrated with EHRs than they were five years ago.

Forty-two percent of respondents said their EHR system’s ability to improve efficiency was “difficult or very difficult.” Some 72 percent said the same about its ability to decrease workload.

We saw similar feedback in HIMSS16 Healthcare IT News’ first-ever EHR Satisfaction Survey this past fall. In addition to numerical scores, we also asked for anecdotal feedback from more than 400 people who took the poll. Opinions such as “not very intuitive,” “cumbersome” and “too many clicks” cropped up over and over again.

‘Limited in their understanding of people’In his landmark book, The Design of Everyday Things, Don Norman, director of The Design Lab at University of California San Diego wrote:

“The reasons for the deficiencies in human-machine interaction are numerous. Some come from the limitations of today’s technology. Some come from self-imposed restrictions by the designers, often to hold down cost. But most of the problems come from a complete lack of understanding of the design principles necessary for effective human-machine interaction, Why this deficiency? Because much of the design is done by engineers who are experts in technology but limited in their understanding of people.”

Of course, in healthcare IT there are other challenges. EHR vendors would probably love to have all their products look as sleek and intuitive as the latest iOS release. But they also have to ensure they check all the boxes to comply with certification criteria from the Office of the National Coordinator – all 560 detailed pages of the 2015 Edition.

“I know some people inside big EMR companies who want to do excellent design, but in an organization that’s owned by IT, it’s difficult for even a design advocate to have their voice heard and affect the process,” Amy Cueva, co-founder of the design-centric Health Experience Refactored conference, told Healthcare IT News in 2013.

Meaningful use spurred uptake, of course, but that doesn’t necessarily mean the end-users are looking at EHRs with joy in their hearts.

“You don’t have to pay people to use Facebook or Google or their iPhone,” Cueva said. “They use it because it’s valuable and meaningful and it gives them something they can’t get anywhere else.” In many cases there was too much of a rush to get hospitals online – to the point where many were “just sort of throwing software out there,” she said.

That’s changing, thankfully, as more and more efforts are being made industry-wide to make EHRs easier to use and perhaps a bit better-looking. One of those ONC certification criteria, after all, is that vendors employ a user-centered design process when developing their tools, and report the results of usability testing.

A recent study published in the Journal of the American Medical Informatics Association took a look at UCD processes at 11 unnamed vendors, seeking to understand the challenges and opportunities for better design practices.

“Our analysis demonstrates a diverse range of vendors’ UCD practices that fall into 3 categories: well-developed UCD, basic UCD, and misconceptions of UCD,” wrote AMIA officials – noting that the latter category might refer, say, to the mistaken belief that responding to end-users’ requests and complaints qualifies as user-centered design.

“Specific challenges to practicing UCD include conducting contextually rich studies of clinical workflow, recruiting participants for usability studies, and having support from leadership within the vendor organization,” according to AMIA.

Dishearteningly, the researchers found some respondents still didn’t see the business case for investing in UCD processes. It even found that some smaller EHR vendors didn’t even have any usability experts on their staff.

But there’s evidence that many are moving in the right direction. In December, for instance, the EHR Association and American College of Physicians joined forces for a workshop to discuss ways to improve EHR usability – enlisting clinicians, developers and usability experts to explore ways to improve the experience.

“The workshop also included a ‘design-a-whirl’ where the group rotated through examples of different techniques for obtaining and validating clinician feedback during the development process, which was an important opportunity for the attending clinicians to learn more about the software development life cycle,” according to a brief in Politico.

Meanwhile, a recent report looking at EHR usability and clinical decision support called upon AHRQ research to explore ways improved health IT interfaces  – websites, apps, dashboards  – can lead to better patient care.

It’s “promising that electronic health records and clinical decision support tools are rapidly being implemented in hospitals and clinics nationwide,” wrote Thomas McGinn, MD, chair of medicine at Hofstra North Shore-LIJ School of Medicine, in the study’s introduction.

But implementing EHR and CDS into clinical workflow “continues to be challenging,” he added. Poor integration runs the risk of “substantially reducing adoption and use.”

Lately, there has been some movement toward thinking a bit more closely about the clinical users of these technologies. 

”It is believed that thoughtful systems engineering approaches, including consideration of user experience and improvements in user interface, can greatly improve the ability of CDS tools to reach their potential to improve quality of care and patient outcomes,” wrote McGinn.

Exploring topics such as UX and system redesign, EHR-based visualization tools and integration patient-reported data, the multi-part study aims to spur some rethinking about the ways EHR decision support is presented to clinicians.

“We are at the very early stages of the science of usability,” wrote McGinn. “Much more research and funding is needed in this area if we hope to improve the dissemination and implementation of evidence in practice.”

IT Idea

“The reasons for the deficiencies in human-machine interaction are numerous,” writes design guru Don Norman. One of the biggest, he says, is that “much of the design is done by engineers who are experts in technology but limited in their understanding of people.”

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EMR – Canadian MDs Can Improve Patient Care With it

EMR, MarketWire – Opportunity for Primary Care Physicians to Fully Embrace EMR Functionalities

EMR (Electronic medical records) among Canadian primary care physicians continues to grow, but the use of advanced functions that support improved patient care varies, according to the Commonwealth Fund’s 2015 International Health Policy Survey of Primary Care Physicians.

Initial survey results released in December 2015 revealed that EMR use among Canadian primary care physicians tripled in the past nine years (73 per cent versus 23 per cent). New analysis released today includes provincial EMR adoption rates, benefits being realized and advanced use patterns.

“In a relatively short period of time, the rate of EMR adoption and use in Canada has reached strong levels,” explained Lynne Zucker, Vice President, Canada Health Infoway. “What we see in the Commonwealth Fund survey results is that here and globally there is opportunity to further advanced EMR use to fully realize the benefits to patients and the health care system.”

Most provinces saw growth in EMR use since the previous survey in 2012. Alberta, British Columbia and Ontario continue to have the highest adoption rates in Canada. Quebec, Manitoba and Saskatchewan experienced the highest increases in EMR uptake by primary care physicians since 2012.

Physicians with EMRs report the ability to better manage their patients’ care compared to physicians operating without an EMR:

  • 79 per cent of physicians with EMRs report that they are able to generate a computerized list of patients by diagnosis compared to 20 per cent without an EMR
  • 70 per cent can generate a list of all medications taken by an individual patient compared to 17 per cent without an EMR
  • 62 per cent are able to produce a list of patients overdue for tests or preventative care compared to those without an EMR at 11 per cent

Canadian primary care physicians using EMRs are more likely to use some functionalities that support patient care and less likely to use others, when compared to the 10 country average from the Commonwealth Fund survey. For instance:

  • They are more likely to:
    • Receive and review data on patients who received recommended preventive care (41 per cent versus 36 per cent internationally)
    • Receive reminders for guideline-based interventions and/or screening tests (34 per cent versus 30 per cent)
  • They are less likely to:
    • Receive alerts and reminders for potential problems with medication doses or interactions (55 per cent versus 76 per cent internationally)
    • Track all laboratory tests ordered until results reach clinicians (34 per cent versus 51 per cent)
    • Send reminders to patients for regular preventive or follow-up care (22 per cent versus 48 per cent)

Additionally, the survey also highlighted two areas of digital health that present significant opportunities to provide further value to Canadians:

  • Information exchange: 19 per cent of primary care physicians say they can electronically exchange patient clincial summaries with doctors outside of their practice
  • Consumer services: 15 per cent of primary care physicians say they offer patients the option to email them about medical questions or concerns and 11 per cent offer patients the means to request an appointment or referral online

Canada Health Infoway (Infoway) co-invested with most of the provinces and territories in Canada to encourage EMR use in community-based physicians’ offices. Many EMR systems are also connected to electronic health record (EHR) systems outside the practice, which provides access to valuable clinical information, such as lab results, medication information, or hospital discharge reports. As of September 30, 2015, over 19,000 community-based physicians and/or nurse practitioners are benefitting from Infoway EMR investments.

Additional Canadian Commonwealth Fund survey data may be viewed in the Canadian Institute for Health Information (CIHI)’s new report How Canada Compares: Results from the Commonwealth Fund 2015 International Health Policy Survey of Primary Care Physicians Report.

About The Commonwealth Fund Survey

The Commonwealth Fund’s 2015 International Health Policy Survey of Primary Care Doctors findings are based on responses from primary care physicians in 10 countries, including 2,284 Canadian physicians. The survey was conducted between March and June 2015.

The Commonwealth Fund provided core funding with co-funding from the following organizations: Bureau of Health Information; Health Quality Ontario; the Canadian Institutes of Health Research; the Canadian Institute for Health Information; Canada Health Infoway; le Commissaire à la santé et au bien-être du Québec; la Haute Autorité de Santé; the Caisse Nationale d’Assurance Maladie des Travailleurs Salariés; BQS Institute for Quality and Patient Safety; the German Federal Ministry of Health; the Dutch Ministry of Health, Welfare and Sport; the Scientific Institute for Quality of Healthcare, Radboud University Nijmegen; the Norwegian Knowledge Centre for the Health Services; the Swedish Ministry of Health and Social Affairs; the Swiss Federal Office of Public Health; and The Health Foundation.

About Canada Health Infoway

Infoway helps to improve the health of Canadians by working with partners to accelerate the development, adoption and effective use of digital health across Canada. Through our investments, we help deliver better quality and access to care and more efficient delivery of health services for patients and clinicians. Infoway is an independent, not-for-profit organization funded by the federal government.

Attachment Available

For more information:
Dan Strasbourg
Director, Media Relations
Canada Health Infoway
Tel: (416) 595-3424
dstrasbourg@infoway-inforoute.ca

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wireless sensors

Sensors, one of top 10 healthcare technology for 2016

Wireless sensors and Mobile stroke units among key advances that will transform industry.

Wireless sensors will transform the Healthcare industry and eMEDICS.org is part of this transformation. We found an interesting article regarding this hot topic, written by Jessica Davis on January 07, 2016, Twitter: @JessiefDavis

The Affordable Care Act’s new payment models have hospital leaders searching for effective ways to reduce costs, while increasing care quality. As the 2016 technology market will be inundated with innovations, ECRI Institute has released its annual list of the top technologies, many pointing the way toward value-based care.

“Hospital leaders have to deal with a lot of new technology issues – and demands from different departments in their facilities,” said Robert P. Maliff, director of ECRI’s applied solutions group, in a press statement. The list is meant to assist leaders attempting to update and implement new technology.

ECRI takes an “evidence-based” approach in their assessments of healthcare innovations over the course of the year, officials say.

“We present hospital leaders with unbiased guidance to support informed decision making and help them understand how new innovations will affect care delivery,” said Diane C. Robertson, ECRI’s director of health technology assessment, in a statement. The topics and trends  it expects will most affect healthcare over the next year:

1. Mobile stroke units. MSUs use specially-outfitted ambulances and staff members, in conjunction with telemedicine to perform blood tests, CT scans and TPA tests before the patient arrives at the hospital.

2. Medical device cybersecurity. Most healthcare IT leaders integrate stringent security features for network infrastructures and EHRs – but not for their mobile devices. As many devices are attached to patients’ EHRs, C-suite members must perform threat assessments and know the devices and software connected to crucial patient data.

3. Wireless wearable sensors. As an increasing number of consumers turn to wellness apps, devices and wearable sensors, healthcare officials must learn how to utilize this data to reduce hospital stays and readmissions for those with serious and chronic conditions.

4. Miniature leadless pacemakers. Next-generation pacemakers are 10 percent of the size of conventional pacemakers and are designed for only one heart chamber. It’s more effective than traditional models, but only ideal for 15 percent pacemaker patients.

5. Blue-violet LED light fixtures. These lights provide continuous environmental disinfection technology to kill harmful healthcare-related bacteria – a major cause of morbidity, mortality and increased healthcare costs in the U.S.

6. New high-cost cardiovascular drugs. Three newly-approved homecare cardiovascular drugs are expensive compared to standard-of-care medications, but short-term data has lauded efficacy.

7. Changing landscape of robotic surgery. The robotic surgery landscape is rapidly changing; vendor competition is set to explode in early 2016 with a switch from mainframe to tablet-type programs.

8. Spectral computed tomography. Spectral computed tomography will reenter the health tech conversation due to new tools and increased marketing. The tool builds on traditional CT scans by adding depth to the physiologic function of soft tissue with a dual-layer detector.

9. Injected bioabsorbable hydrogel (SpaceOAR). Approved for prostate cancer patients, SpaceOAR is designed to protect tissue and healthy organs from radiation treatment. Currently there is limited reimbursement for this product’s use, but studies have shown the barrier to be highly effective.

10. Warm donor organ perfusion systems. New technology provides warm perfusion of lungs and hearts to eliminate the issue that two-thirds of organs are never used by hospitals, as viability deteriorates harvesting, preserving and transporting.

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January 8, 2016 / Posted by / Sensors, one of top 10 healthcare technology for 2016