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Blog Posts (637)

April 22, 2014

Hospital Patients’ End-of-Life and Care Wishes Now Part of Electronic Medical Records

Lumināt today announced a development partnership with UMass Memorial Health Care for an advance care planning technology platform to integrate patients' end-of-life directives into their electronic medical records (EMR). 

Lumināt's development partnership is ground-breaking because:
  • It is the first time that advance care plans have been integrated into an EMR system.  Previously, advance care plans were filed away with a patient's physician, leaving them open to interpretation from doctor to doctor.
  • It leverages cloud-based technology to enable all providers in the UMass Memorial system to access, understand and implement the patients end-of-life wishes.
  • It helps family members capture and understand the patient's end-of-life preferences, too.
  • Ultimately, it saves the patient and family emotional and financial stress associated with unwanted health care services at the end of life.

Here is the official new release:

MINNEAPOLIS (April 21, 2014) — Lumināt announces a development partnership with UMass Memorial Health Care (UMass Memorial) for an industry-leading advance care planning platform to fully integrate patients’ end-of-life directives into their electronic medical records. This ground-breaking development partnership will equip all UMass Memorial providers to access, understand and implement patients’ wishes, reducing the cost of care at end of life while improving care quality and satisfaction of patients and their families.

“Unwanted end-of-life health care services can have a significant emotional and financial impact on patients and their families. It’s estimated that $40 to $70 billion in unwanted health care services will be delivered at patients’ end of life in the next decade,” says Tom Valdivia, M.D., M.S., chief executive officer of Lumināt. “Advance care plans should not be viewed as a ‘nice to have.’ Not having an advance care plan should be considered a medical error.”

The partnership between Lumināt and UMass Memorial will enable physicians to consistently document the end-of-life wishes from patients – from palliative care preferences and specific spiritual beliefs, to identifying the individuals who should be involved and informed in the decision-making process. The data is then fed into the patient’s electronic medical record via cloud-based technology, giving the entire provider system the same information and instructions, and helping family members understand the patient’s end-of-life preferences.

“Lumināt’s advance care planning platform integrated with UMass Memorial’s electronic medical records is a first in the industry,” says Valdivia. “Up to this point, patients completed the advance care directive on paper and submitted it to their physician to be filed away. As a result, the instructions weren’t accessible by all providers and were left open to interpretation from doctor to doctor.”

Lumināt and UMass Memorial’s development partnership is based on a shared dedication to improving care for patients near end of life.

“Unless communicated in advance, many medical treatments provided at the end of life are inconsistent with patients’ wishes,” says David Fairchild, M.D., senior vice president of clinical integration at UMass Memorial. “As UMass Memorial transitions to being an accountable care organization, we recognized the opportunity to use Lumināt technology to enable and support conversations about end of life.”

About Lumināt
Lumināt is a leading advance care planning solutions company that helps health care providers achieve the Triple Aim for people at end of life. Lumināt’s cloud-based, private-label technology offers a way for patients to document their wishes, share them with providers at the right time, and get the end-of-life care they want. Founded in 2012, Lumināt is committed to helping provider organizations deliver better care at a lower cost. For more information, please visit www.luminat.com.

About UMass Memorial Health Care

UMass Memorial Health Care is Central Massachusetts' largest not-for-profit health care delivery system, covering the complete health care continuum with UMass Memorial Medical Center, its academic medical center, member and affiliated community hospitals, freestanding primary care practices, ambulatory outpatient clinics, a rehabilitation group and mental health services. UMass Memorial is the clinical partner of the University of Massachusetts Medical School. To learn more about UMass Memorial, please visit www.umassmemorial.org, Facebook, Twitter and YouTube.

April 21, 2014

Medicare Choices Empowerment and Protection Act (S. 2240)

I recently blogged about the Medicare Choices Empowerment and Protection Act (S. 2240).  I have since heard quite a few bioethicists criticize this bill.     Much of this criticism seems appropriate.  There are a lot of ill...
April 21, 2014

HealthCare & Immigration: A Summary to Accompany BioethxChat Twitter Event (4/21/14)

I recently did a TwitterChat sponsored by BioethxChat on the relationship of healthcare and immigration through a bioethical lens. Here is the transcript of that chat. This was a great event and I hope self-explanatory. But Twitter’s 140 character limitation means things are expressed in such a condensed way that they might not always be […]
April 21, 2014

Easter, Fertility, Surrogacy

Most of us who celebrated Easter yesterday likely took part in the tradition of the Easter egg hunt. The egg, an obvious symbol of fertility, is an essential part of our spring celebration. Interestingly, the subject of fertility and “social surrogacy” was the focus of an article in Elle magazine last week. The piece told the story of an aging professional who felt she needed... // Read More »
April 21, 2014

People in the US Are Footing the Bill for Switzerland’s Medical Care

People have criticized The Affordable Care Act for amounting to a large transfer of wealth, from wealthy Americans to those not as well off. But the real transfer of wealth has been from United States to other developed nations, whose … Continue reading
April 21, 2014

Being Wrong is Unacceptable: The Continued Saga of Justina Pelletier

by Theresa Spranger, Bioethics Program Alumna (MSBioethics 2012) Alright, as many of you certainly know I have developed an addiction to the Justina Pelletier case.  I promise someday I will write on another topic, but today is not that day.  If you haven’t been privy to my latest obsession please see: When Doctor’s Disagree. An opinion […]
April 21, 2014

To boldly go? Experts issue ethics guidelines for health standards on NASA’s next generation of risky missions

[Johns Hopkins Berman Institute of Bioethics] Nearly two years after the conclusion of its space shuttle program left Americans wondering what would become of the spacefaring dreams of decades past, NASA has sought the advice of health and ethics experts for protecting astronauts on its “next generation” of long duration and exploration-class human spaceflights. Such […]
April 21, 2014

Doing Everything Possible: The Best or Worst Thing about American Medicine (VIDEO)

The World Affairs Council of Philadelphia has posted a video of my March 2014 debate with Wesley Smith: "Doing Everything Possible: The Best or Worst Thing about American Medicine."
April 20, 2014

Astellas to pay $7.3M in drug-marketing settlement

[Bloomberg] — A unit of Japanese drugmaker Astellas Pharma will pay the U.S. government $7.3 million to resolve claims it illegally marketed its antifungal drug Mycamine for children before that use was approved. The U.S. Department of Justice says Astellas’ illegal marketing took place between 2005 and 2010. Mycamine was approved for use in adults […]
April 20, 2014

Italian court overturns divisive ban on donor eggs, sperm

[Reuters] Italy’s constitutional court overturned a ban on using donor sperm and eggs in fertility treatments on Wednesday, knocking down part of a divisive set of restrictions on assisted reproduction. The court said in a statement the ban breached the constitution, without going into further detail, and lawyers in the case said the ruling was effective […]

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Published Articles (14)

American Journal of Bioethics: Volume 14 Issue 2 - Feb 2014

Ethical Review of Health Systems Research in Low- and Middle-Income Countries: A Conceptual Exploration Adnan A. Hyder, Abbas Rattani, Carleigh Krubiner, Abdulgafoor M. Bachani & Nhan T. Tran

American Journal of Bioethics: Volume 14 Issue 2 - Feb 2014

Connecting Health Systems Research Ethics to a Broader Health Equity Agenda Bridget Pratt

American Journal of Bioethics: Volume 13 Issue 9 - Sep 2013

An Ethical Analysis of Mandatory Influenza Vaccination of Health Care Personnel: Implementing Fairly and Balancing Benefits and Burdens Armand H. Matheny Antommaria

American Journal of Bioethics: Volume 13 Issue 9 - Sep 2013

Vaccine Mandates Are Justifiable Because We Are All in This Together John D. Lantos and Mary Anne Jackson

American Journal of Bioethics: Volume 13 Issue 8 - Aug 2013

Treating Patients as Persons: A Capabilities Approach to Support Delivery of Person-Centered Care Vikki A. Entwistle & Ian S. Watt

American Journal of Bioethics: Volume 13 Issue 8 - Aug 2013

Justice Between Age Groups: An Objection to the Prudential Lifespan Approach Nancy S. Jecker

American Journal of Bioethics: Volume 13 Issue 8 - Aug 2013

Global Aging and the Allocation of Health Care Across the Life Span Norman Daniels

AJOB Primary Research: Volume 4 Issue 2 - Apr 2013

Using the Best Interests Standard to Generate Actual Duties Loretta M. Kopelman

American Journal of Bioethics: Volume 12 Issue 12 - Dec 2012

The Morality of Saved Lives Rajaie Batniji & Paul H. Wise

American Journal of Bioethics: Volume 12 Issue 12 - Dec 2012

Global Health Justice and Governance Jennifer Prah Ruger

News (1961)

April 22, 2014 12:51 pm

Cloning advance using stem cells from human adult reopens ethical questions

Scientists have grown stem cells from adults using cloning techniques for the first time — bringing them closer to developing patient-specific lines of cells that can be used to treat a whole host of ailments, from heart disease to blindness.

March 25, 2014 2:53 pm

Marijuana pills and sprays ease MS symptoms

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March 5, 2014 3:04 pm

Planned Parenthood, Tucson gynecologist, fighting tighter regulations on abortion drugs

Planned Parenthood and a Tucson gynecologist are asking a federal judge to block new rules that will sharply restrict ability to perform abortions using drugs instead of surgery.

March 3, 2014 4:08 pm

Women Still Left Out of Medical Research: Report

Two decades after the passage of a landmark law mandating that women be represented in government-funded medical research, a new report reveals that the world of science is still ignoring women’s unique health issues far more than it should.

February 28, 2014 4:00 pm

Nurse Education, Workload Impact Patient Post-Op Mortality

Nurse staffing and education are associated with in-hospital mortality after common surgical procedures, according to a study published online Feb. 26 in The Lancet.

February 21, 2014 2:37 pm

$5B initiative proposed for stem cell research

Supporters of California’s multibillion-dollar stem cell program plan to ask for $5 billion more to bring the fruits of research to patients.

February 20, 2014 5:45 pm

Insured patients are often not transferred for better care, study finds

Patients with insurance may not be transferred to specialized trauma centers as quickly as those without, a Stanford study has found.

February 12, 2014 4:02 pm

Vast Study Casts Doubts on Value of Mammograms

One of the largest and most meticulous studies of mammography ever done, involving 90,000 women and lasting a quarter-century, has added powerful new doubts about the value of the screening test for women of any age.

February 11, 2014 7:38 pm

Did AOL CEO Tim Armstrong Violate HIPAA?

Tim Armstrong has already acknowledged (and apologized) for his sizable gaffe last week, but is he also guilty of violating healthcare’s privacy law known as HIPAA?

February 10, 2014 6:44 pm

Teen Pregnancy Rates Much Higher for Girls With Serious Mental Illness: Study

Teenage girls diagnosed with major mental illness are much more likely to give birth, suggesting such girls should become a special target for anti-pregnancy efforts.

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