Well being details exchanges can engage in a important part, particularly in value-dependent care because medical info shared with and by way of HIEs signifies that the most full and current info can be applied as medical choices are getting made.
HIEs evolved during the pandemic and state well being departments are doing the job to even more evolve by merging sources, making use of for federal certification and strategizing strategies to include companies.
Certifying New Jersey health care knowledge trade
The Facilities for Medicare & Medicaid Products and services granted the New Jersey Health Information Community Medicaid Enterprise Program certification, the New Jersey Innovation Institute declared yesterday.
NJHIN is the point out-designated entity advancing interoperable health info engineering and the only community facilitating the electronic exchange of shielded wellness info in New Jersey, according to the announcement.
The HIE serves 2.2 million Medicaid beneficiaries and features 14 million patient data in its Grasp Individual Index. At this time, the firm has enrolled additional than 36,000 providers, which include all New Jersey hospitals, lengthy-time period treatment, assisted dwelling and Federally Capable Health Facilities, according to the statement.
“This is a enormous accomplishment for our teams and allows to even further validate the great importance of our operate in the state of New Jersey and in the U.S.,” explained Jennifer D’Angelo, NJII Health care Division senior vice president and basic supervisor.
“It is an critical milestone on the journey to achieving our mission of revolutionizing the health care marketplace and generating a much healthier, extra linked population.”
New Jersey, immediately after a two-calendar year procedure, joins 11 other states in earning MES certification.
Building a progressive health care info shipping and delivery model in Ohio
Before this month The Overall health Collaborative partnered with the Ohio Wellbeing Details Partnership, also acknowledged as CliniSync, to create a statewide HIE and streamline affected individual data trade throughout Ohio’s 88 counties.
In accordance to an announcement, THC, which connects 70 hospitals and far more than 18,000 healthcare companies throughout 14 counties, will changeover its HIE prospects to CliniSync by the close of 2023.
THC will concentrate on neighborhood wellbeing transformation to expand and diversify the health care workforce, coordinate regional catastrophe preparedness and response, and carry out other endeavours.
“The evolution of nationwide interoperability is driving the need to have for HIEs to adapt and create new options to present worth and strengthen individual care,” Amy Andres, board chairwoman for Clinisync, claimed in the statement.
“Getting one information exchange serving the whole point out will not only aid broad obtain to medical facts in a secure, productive and price tag-efficient fashion, but support ground breaking styles to make improvements to overall health results for all Ohioans.”
“This partnership will make it possible for us to supply a cost-helpful company that supports Ohio’s healthcare ecosystem to enhance treatment coordination, minimize inefficiencies, handle treatment gaps and enhance the client expertise,” Debbie Hayes, board chairwoman for THC, extra.
Oklahoma dials psychological wellness info reporting needs again
Soon after Oklahoma passed the development of a statewide health and fitness information and facts trade in 2022, the Oklahoma Well being Treatment Authority and its new Place of work of the Point out Coordinator for Overall health Info Trade proposed rules in September that had been satisfied with additional than 300 remarks, in accordance to a new report on 2 Information Oklahoma.
Psychological overall health suppliers preferred to be excluded from necessary reporting – which starts July 1 – simply because they say it violates their clients’ privateness, according to the report.
OHCA is necessitating companies to upload and share consenting patient data in a statewide online databases.
A previous HIE in the state ceased operations in 2017. Now, behavioral and psychological health and fitness clientele will have to opt into the plan.
The up-to-date rules will enable the OHCA to grant many exemptions for monetary hardship, measurement and technological abilities, as effectively.
Kevin Corbett, the Oklahoma Secretary of Overall health, claimed that individuals will make the selection on wherever their data is shared and confirmed that psychotherapy notes, diagnoses and other behavioral overall health information and facts can be marked as delicate and only despatched to the new statewide well being exchange with published consent, in accordance to a separate report on Information9.com.
“If the patient states no,” explained Corbett, “no knowledge receives transmitted.”
OHCA has submitted the regulations to condition lawmakers.
Andrea Fox is senior editor of Health care IT Information. Email: afox@himss.org Healthcare IT News is a HIMSS Media publication.
Dr. Shelly Nash will provide much more particulars all through the HIMSS23 session “Generating Technological know-how to Empower Individuals and the Household Dialysis Experience.” It is scheduled for Wednesday, April 19, at 2:30 p.m. – 3:30 p.m. CT at the South Creating, Degree 4, room S406 A.
Near the end of his rocky rookie season, in April 2021, Golden State Warriors center James Wiseman learned he had a torn meniscus requiring surgery on his right knee. He cried as he sat in the Chase Center garage, struggling to digest the news. Then he cried for the next several days.
Wiseman plunged into a dark place at times over the next 15 months. He couldn’t play basketball and daily life was daunting: He wore a brace and needed crutches, making it difficult to use the bathroom or take a shower.
Wiseman also bottled his emotions, leaving him engulfed in frustration.
“Just going through my adversity, it made me stronger mentally but also took a toll on me mentally,” he said in a recent Chronicle interview. “I had to go to therapy and express myself. … When you hold everything in, it kind of tears you apart.”
In acknowledging he needed help, and extolling the benefits of his therapist sessions, Wiseman joined a growing list of NBA players to openly confront mental health challenges. From DeMar DeRozan to Kevin Love to John Wall, several prominent players have gone public with their stories, prompting the league and National Basketball Players Association (NBPA) to launch programs to protect mental health and wellness.
James Wiseman, Warriors Summer League player, answers questions in the interview room at Chase Center on Wednesday, June 29, 2022 in San Francisco, Calif.
Lea Suzuki / The Chronicle
Now the NBA and its players union are contemplating a landmark step: adding a mental health designation to the official injury report. That possibility has been discussed in collective bargaining talks between the two sides, The Athletic’s Shams Charania reported in September.
Warriors head coach Steve Kerr understands the complications such a move would bring — especially in this era of social media, which gives every fan a platform — but he still welcomes the possibility.
“The more we normalize (mental health), the less stigma there is and the more comfortable people will be getting the help they need,” Kerr said.
As Kerr realizes, it’s easy for fans to look at professional athletes — coping with pressure and scrutiny, yes, but also awash in fame and wealth — and wonder how they could face mental health challenges. That helps explain the backlash 76ers-turned-Nets guard Ben Simmons encountered last year.
Simmons missed the 2021-22 season with a back injury and mental health issues, sparking strong criticism from fans. Simmons, on former teammate JJ Redick’s podcast in September, said he also didn’t receive support from his Philadelphia coaches and some teammates.
Even Warriors guard Stephen Curry, the often-smiling face of a marquee franchise, occasionally struggled earlier in his career. Long before he became a four-time NBA champion and two-time MVP, Curry missed more than 50 games with ankle injuries that raised doubts about his long-term durability.
And that tested his mental health in a profound way.
Golden State Warriors guard Stephen Curry (30) goes to his family following the NBA game against the Cleveland Cavaliers at Chase Center in San Francisco, Calif., Friday, Nov. 11, 2022. The Warriors won 106-101.
Santiago Mejia, Staff / The Chronicle
“I’m forever grateful for the circle I had around me to keep tabs on me through those years,” Curry told The Chronicle. “You’re away from the game, away from your team, stuck in rehab — your identity is kind of threatened a little bit because you can’t do what you love. … Those were dark times, for sure.”
The sports world is facing a mental health reckoning. This story is a part of a series examining the challenges faced at all levels of competition and how they are being addressed.
If you need help
National Suicide Prevention Lifeline: Call 800-273-8255 to reach a counselor at a locally operated crisis center 24 hours a day for free.
Crisis Text Line: Text “Connect” to 741741 to reach a crisis counselor anytime for free.
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Jerry West, the logo himself, battled depression throughout his life because of a physically abusive father, according to West’s memoir. Lakers forward Ron Artest, now known as Metta Sandiford-Artest, thanked his psychiatrist during a live national-television interview after he helped the Lakers win Game 7 of the 2010 NBA Finals.
Still, in many ways the league’s mental-health awakening traces to the tweet DeRozan posted at 3:06 a.m. on Feb. 17, 2018. He was 28 and playing for Toronto at the time, preparing to make his fourth All-Star Game appearance the next day in his hometown of Los Angeles.
“This depression get the best of me…” DeRozan tweeted.
Those words, quoting rapper Kevin Gates’ song “Tomorrow,” resonated deeply. DeRozan didn’t specify why he was depressed, but it did not go unnoticed that such an accomplished player — who had survived a rough, violence-scarred upbringing in Compton — felt compelled to reveal his psychological struggles.
Two-plus weeks later, Cleveland forward Kevin Love posted a first-person essay in The Players’ Tribune, titled “Everyone Is Going Through Something.” Love vividly detailed his long bout with anxiety, including a panic attack earlier that season during one game.
He acknowledged DeRozan’s tweet about depression helped convince him to share his own story.
“If you’re suffering silently like I was, then you know how it can feel like nobody really gets it,” Love wrote. “… People don’t talk about mental health enough, and men and boys are probably the farthest behind.”
Soon thereafter, the players association launched a mental health and wellness program. The NBPA hired William Parham, a respected Loyola Marymount professor with more than 30 years of experience in the field — working with the NFL, MLS, the U.S. Olympic Committee and UCLA, among others — to lead its efforts.
The NBA also started its own program, Mind Health, within months after DeRozan and Love spoke out (the league had started making clinical psychologists available to teams in 2015). Now all 30 teams are required to make a licensed, experienced mental health professional available to players.
Both programs are designed to assure players confidentiality if they seek treatment. If a player chooses the NBPA option, for example, Parham recommends three people in the desired NBA city and encourages the player to have a brief, get-acquainted conversation with each without revealing his real name.
“We have phenomenal performers, but within each performer is a person,” said Kensa Gunter, director of the NBA’s program since January 2020. “So we’re trying to humanize the conversation. It’s more than science and symptoms.”
NBA players hardly are alone in shining a light on mental health challenges in the sports world. Gymnast Simone Biles, tennis player Naomi Osaka and swimmer Michael Phelps also have shaped the conversation.
Clippers guard John Wall did the same with his own first-person Players Tribune piece in September. Wall started by writing, “I was this close to taking my own life,” then offered a powerful account of how his mom’s death, atop his torn Achilles tendon, sent him spiraling into deep depression two years ago.
Experts like Gunter and Parham acknowledged the impact of prominent athletes, including Wall, addressing long-taboo topics such as suicide. That helps bring mental health into the normal discourse and leads to more people understanding its importance.
Plus, as Gunter put it, more people are talking about what they’re doing to get help — seeing therapists, using their support system, seeking solutions. That’s a striking step, she said, from the days when “mental health” often was interpreted as “mental illness.”
Parham pointed to DeRozan, Love and Wall for influencing people far beyond the sports realm.
“It’s akin to a pebble in a pond, creating ripples far beyond,” Parham said. “These personal, courageous, raw disclosures really give people a moment to pause: ‘If these players are hooping at Hall of Fame levels, and they’re vulnerable, maybe I can surround myself with people and resources to get healed earlier.’
“So their disclosures are the gift that keeps on giving.”
Kerr offered some context here. In his playing career, he said, NBA players didn’t say anything about their psychological state for fear of being perceived as mentally weak. That could prevent them from landing their next contract.
Steve Kerr, coach of the Golden State Warriors, at a press conference following the Golden State Warriors-Washington Wizards game at Saitama Super Arena, on September 30, 2022.
Benjamin Parks, Freelance / Special to The Chronicle
Now the dynamic has shifted dramatically. Kerr compared the wave of candid, first-person stories about mental health to gay athletes coming out over the past 20 years. That helped normalize same-sex marriage in society, in Kerr’s mind.
But are NBA players really ready to embrace a “mental health” category on the injury report, right there alongside “sprained ankle” and “wrist soreness”? Gunter and Parham agreed the chance to rest, recover and decompress can be valuable, if a person engages in things like meditation, a massage or counseling. Parham cautioned that “simply taking time off is not as important as what you do with the time.”
Still, adding a new designation on the injury report seems like a big step, even with everything that has happened in the past five years.
“The discussion is a sign of progress, but actually bringing it to fruition is a lot more complex discussion,” Parham said. “It’s so progressive, they really have to make sure they get this right.”
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Warriors officials highlighted this increased mental health awareness in their design of Chase Center. Rick Celebrini, the team’s director of sports medicine and performance, created a “mindfulness” room, a phone-free area where players can meditate, nap or play iPad games to help with vision and focus.
This fits well with Kerr’s holistic approach. He frequently reminds his players they earn their salaries not for playing basketball, but for getting cut, traded, injured, booed, criticized in the media and ridiculed on Twitter. That’s the more daunting challenge.
One recent example: New Orleans forward Zion Williamson, one of the NBA’s most physically imposing players, has talked of sobbing in the arms of assistant coach Teresa Weatherspoon at one point last season, as he struggled to cope with his long absence (broken foot) and ensuing social-media vitriol.
“Athletes are viewed as powerful and physically strong, mentally strong,” Kerr said. “So when young people realize these people, who seemingly have everything and do all these amazing things under pressure, even they feel vulnerable when emotional adversity comes their way …
“It hits all of us, really. There’s no shame in it, obviously, but it’s great for young people to see athletes are vulnerable too.”
As Wiseman recovered from his knee injury last season, he also ultimately regained his mental health. Wiseman had endured a difficult childhood — sometimes studying by candlelight because his family couldn’t afford its electricity bill — but he hadn’t previously spent time in therapy.
He began writing poetry, putting his thoughts in a daily journal and meditating. Wiseman also benefited from long talks with Atlanta guard Dejounte Murray, who missed all of his third season in the NBA because of a torn ACL.
Now, even amid a sluggish start to this season (including a recent assignment to the Warriors’ G-League affiliate in Santa Cruz), Wiseman said he’s “at peace with myself.” He’s mostly grateful to be healthy and playing basketball, rather than wandering in the darkness.
“We all need help sometimes,” Wiseman said. “It doesn’t matter what kind of status you have: We’re all humans, we have emotions and we’re not perfect. So if you need help or have any problems, don’t be afraid to ask for help.”
Ron Kroichick is a San Francisco Chronicle staff writer. Email: rkroichick@sfchronicle.com Twitter: @ronkroichick
President Vladimir Putin, 69, was filmed limping while he was given a tour of a military services museum as section of a weekend of festivities marking Russia’s Navy Working day. The Kremlin chief was also witnessed having difficulties to swat away flies from his experience making use of his left arm although his correct hung limply at his side. The video is a person of several that have brought into question the wellbeing of the chief.
But the issue did not prevent Putin from issuing a more menace by asserting that the Russian navy would receive hypersonic Zircon cruise missiles in just the up coming few months and that the space of their deployment would depend on Russian passions.
Talking in the previous imperial money of St Petersburg, Putin praised Peter for generating Russia a great sea electrical power and growing the world standing of the Russian state.
Right after inspecting the navy, Putin created a brief speech in which he promised that what he touted as Russia’s distinctive Zircon hypersonic cruise missiles, cautioning that Russia experienced the military services clout to defeat any possible aggressors.
Shortly just before the speech, he signed a new 55-web site naval doctrine, which sets out the wide strategic aims of Russia’s navy, together with its ambitions as a “wonderful maritime ability” which lengthen in excess of the total entire world.
Study A lot more: ‘No weapon like it’: Putin problems ominous hypersonic missile threat
The main risk to Russia, the doctrine suggests, is “the strategic plan of the Usa to dominate the world’s oceans” and the movement of the NATO military services alliance closer to Russia’s borders.
Russia could use its military force correctly to the scenario in the world’s oceans really should other delicate powers, these as diplomatic and financial tools, be fatigued, the doctrine states, acknowledging that Russia does not have adequate navy bases globally.
Russia’s precedence was to create strategic and naval cooperation with India as effectively as broader cooperation with Iran, Iraq, Saudi Arabia and other states in the location, in accordance to the doctrine.
“Guided by this doctrine, the Russian Federation will firmly and resolutely protect its national pursuits in the world’s oceans, and obtaining ample maritime energy will ensure their protection and safety,” the doc said.
Putin said the supply of Zircon hypersonic cruise missiles to the Admiral Gorshkov frigate would get started in just months. The area of their deployment would depend on Russian interests, he explained.
“The critical issue right here is the capability of the Russian navy…
It is able to reply with lightning speed to all who decides to infringe on our sovereignty and liberty.”
Hypersonic weapons can vacation at 9 moments the speed of seem, and Russia has performed former check-launches of the Zircon from warships and submarines over the earlier calendar year.
In Crimea, Sevastopol governor Mikhail Razvozhayev reported Ukrainian forces struck the headquarters of Russia’s Black Sea Fleet in the Russian-held port city early on Sunday, wounding 5 members of staff.
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