Tuesday, April 25, 2017

Prepare for the Digital Health Revolution

 Digital Health Care Revolution | 

The next wave of 'catalytic innovation' also known as 'disruptive innovation is upon us. This next wave will insert and add new capacity and functionality to the HIT domain,

The business of medicine is inefficient, expensive,
and ripe for disruption. Here are 21 companies that
are using technology to reinvent it—and to change
our lives in the process.

This status quo is ripe for disruption. And while true reform will require all the relevant parties—government, industry, and health care consumers themselves—to make major adjustments, an insurgent group of digital health companies is doing its best to drag American medicine into the 21st century kicking and screaming as well as  34 Leaders Who Are Changing Health Care

To offer a preview of what this tech-optimized future might look like, we identified 21 innovative companies in five categories—each of which is challenging the conventional approach to medicine.

­American Well
­Doctor On Demand,
Nomad Health
Braeburn PharmaceuticalsIntarcia Therapeutics, and Proteus Digital Health 

Digital Petri Dish

Sirion Biotech
Titan Pharmaceuticals


The CARIN alliance is a bipartisan, multi-sector collaborative working to advance consumer-directed exchange of health information. Convened by David Blumenthal, David Brailer, Aneesh Chopra, and Mike Leavitt in early 2016, its members include leading U.S. organizations in three categories:
  • Consumers – Consumer advocates, purchasers, and others.
  • HIPAA covered entities – Providers, plans and clearinghouses, and their business associates.
  • HIPAA non-covered entities – Consumer-facing digital health apps, devices and services, consumer platforms, researchers, and infrastructure firms including standards setting organizations, identity providers, certifiers, and data exchange networks.
CARIN’s vision is to rapidly advance the ability for consumers and their authorized caregivers to easily get, use, and share their digital health information when, where, and how they want to achieve their goals.
Guiding Principles
CARIN’s work is guided by the following guiding principles:
  • Collaboration – Empower consumers and providers to partner in health care decisions at every level, wherever the consumer seeks care.
  • Availability – Make consumer health information easy to get, use, and share by consumers and their care teams.
  • Usability – Make consumer health information digital, valuable, and intuitively understood by the end user.
  • Multi-platform – Use an ecosystem of innovative platforms while remaining platform agnostic.
  • Consensus best practices – Support industry best practices with implementing consumer-directed exchange.
Strategic Priorities
In 2017, CARIN is focused on overcoming barriers to consumer-directed exchange in four areas:
  1. Trust barriers. CARIN is developing a trust framework for consumer-directed exchange.
  2. Technical barriers. CARIN is developing ways to help providers and others share best practices on how they are implementing the FHIR-based APIs and using them to advance consumer-directed health information exchange.
  3. Adoption barriers. CARIN is developing ways to assist organizations who are implementing consumer-directed exchange with the goal of improving quality, outcomes, affordability, and patient satisfaction.
  4. Policy barriers. CARIN is developing policy recommendations to help inform HHS, ONC, OCR, FTC, and other regulators about ways to support the private sector in implementing the above strategies.
Work is done through workgroups organized to support progress in each area.
To learn more about CARIN, or explore opportunities to participate in our activities, please contact us.

Monday, April 24, 2017

Health Internet of Things . HIoT

More pain than gain,  according to expert Internet of Thingsologists.

This term is being applied to many already existing health information technology services.

The Internet of Things (IoT) is a system of interrelated computing devices, mechanical and digital machines, objects, animals or people that are provided with unique identifiers and the ability to transfer data over a network without requiring human-to-human or human-to-computer interaction. Central to this thesis is connectivity...via wired or wireless means.

Adapting and integrating these advances will bring new disruptive technology to all industries including health care.

There are two choices, sit idly by and continue using old methods to work in an increasingly hostile environment of government regulations, new forms of reimbursements (decreasing), and increasing patient volume, to mention a few.
thing, in the Internet of Things, can be a person with a heart monitor implant, a farm animal with a biochip transponder, an automobile that has built-in sensors to alert the driver when tire pressure is low -- or any other natural or man-made object that can be assigned an IP address and provided with the ability to transfer data over a network. 
IoT has evolved from the convergence of wireless technologies, micro-electromechanical systems (MEMS), microservices and the internet. The convergence has helped tear down the silo walls between operational technology (OT) and information technology (IT), allowing unstructured machine-generated data to be analyzed for insights that will drive improvements.
Taken together all of the functions become the IoT. It is a new language. In some ways it parallels the development of electronic health records, but much more pervasive. EHRs collect data and make it available from silos to other silos. They also provide data for analytics. With EHR the Health Information Exchange is attempting to tear down silos for EHR.  The results have been mediocre at best.  Although almost all states have health information exchanges, they participation rate is low.  Demonstration of ROI is still meager. IoT will undoubtedly follow a similar path.
Applications in the near future.
In Office Remote monitoring of ICU data in real time, ie, Temp, pO2, P, BP, EKG (alarm monitoring)
Real time reporting of insurance processing.
Currently in use:
Patient portal  for appointment scheduling, laboratory, messaging, billing information and demographics, as well as CCR.
One only has to sit down and think about the possibilities.
The pain will originate from change and cost. Resistance will occur from ROI and breaking old work flows.

Improving patient engagement with health-care-specific CRM |

2016 STATE OF CONSUMERISM IN HEALTHCARE:The Words Don’t Match the Pictures

box_article_footer_blueProgressive industries are embracing advanced customer relationship management tools to create personalized experiences for consumers. Health care organizations can do the same.

Improving patient engagement with health-care-specific CRM

Progressive industries are embracing advanced customer relationship management tools to create personalized experiences for consumers. Health care organizations can do the same.
By Michael Sengbusch | Posted: April 24, 2017
Executives at hospitals and health systems are beginning to realize the need for advanced consumer and patient engagement tools.
The first annual State of Consumerism in Healthcare report found the following:
  • Two-thirds of health care professionals consider insights into patient behaviors, needs and expectations a priority.
  • Fewer than a quarter of those organizations have the capability to gather and analyze patient data.
  • Though respondents ranked patient experience as the highest priority, only 18 percent use advanced means to understand and improve patient experience.
In 1980 there were patients. In 2017 these same patients are consumers.

Providing value and personalization
By taking on a consumer-first approach, heBy taking on a consumer first approach organizations can deliver timely, relevant and personalized information; build trust and loyalty; and, ultimately, improve upon their services. Provider organizations must ensure that the technology they adopt will manage the right data and offer the best features to create and measure value.
Health care consumers are a dynamic audience with different needs from those of retail, hospitality or banking clients. Generic CRM doesn’t give health providers the information they need nor the analytics necessary to determine actionable information.
Health care organizations face unique privacy, security and data collection challenges that standard marketing technology doesn’t address. To make the most of consumer engagement and bring value to prospective and current patients, hospital executives should consider health-care-specific CRM.

There are hundreds of Customer Relations Programs on the market.  Most of them are contact lists, designed as sales tools to engage sales targets and store details about each one. The most visible are Salesforce.com  InfusionSoft . and ProsperworksCRM.  

In addition to those offerings there are a hundred or more available at moderate cost. There are tools available for demos and guides to rating the programs.

Nevertheless most of them are not suited for health care use. Progressive industries are embracing advanced customer relationship management tools to create personalized experiences for consumers. Health care organizations can do the same. To be successful in today’s consumer-centric market, health care organizations would do well to focus on customer relationship management (CRM) that’s holistic and tailored to the industry. Health care organizations must implement innovative tools that gather the right information to provide value and improve the health care experience.

Improving patient engagement with health-care-specific CRM