Tuesday, November 24, 2015
Tuesday, November 17, 2015
Tuesday, November 10, 2015
Monday, November 9, 2015
Wednesday, October 28, 2015
Tuesday, October 27, 2015
Thursday, October 22, 2015
Wednesday, October 21, 2015
Tuesday, October 20, 2015
Thursday, October 15, 2015
Tuesday, October 6, 2015
Friday, May 29, 2015
and patient engagement rank among the top priorities for CIOs. In fact, they rank above improving care coordination, streamlining operational efficiencies, and achieving Meaningful Use.
The tides are clearly changing. We’ve all been talking about what the shift to a value-based care model means for healthcare organizations. What we haven’t been talking about is how this shift is transforming our patients into “prosumers.”
There’s a saying, “To a worm in horseradish, the world is horseradish,”
meaning we are predominantly aware of that which we are surrounded by on a daily basis. Health IT, in all its intricacies and expansiveness, has become hyper focused on making sense of its nebulous infrastructures, working hard to prepare healthcare organizations for next new wave of regulations. Our world, while not horseradish, is composed of goals and milestones that are 100 percent contingent upon these systems.
But, as yet one more unintended consequence of this pursuit, we have become myopic. The business of healthcare is no longer simply confined to a hospital or an IDN site map.
Patients are reaching for their phones, not to call their doctors, but to research their symptoms. They’re educated buyers, looking up reviews before seeing a new specialist, just as they would before buying the latest gadget on Amazon. And, as we enter the era of the Internet of Everything (IoE), they want their wearable devices to meaningfully connect as simply as when they use their phones to play songs from the playlist on their laptop.
It becomes a challenge of sustaining the momentum of the moment. As the wearable trend continues to grow, it is not merely enough to count steps or measure the amount of UV rays absorbed. That won’t keep patients engaged. We need statistics and personal health trends that can be used to foster a richer, ongoing dialogue between patients and their physicians.
Consider the positive health implications for patient who receives a treatment plan from her doctor, which is entered into the EMR during the visit and connected to a three-question daily check-in for three months via a mobile device. The patient could provide a thumbs-up, thumbs-down, or neutral rating (think Pandora playlist) on how the treatment is working, with perhaps an option to enter free text should she choose to expound upon her responses. These daily reports could be aggregated into trends and reviewed by a clinician to make adjustments to the treatment plan as needed, extending patient care beyond confines of the four walls and the 12 minutes of an office visit.
Connectivity and personalization is the zeitgeist. CIOs know this. We are all unique snowflakes, and as more and more people submit their genes for analysis and mapping, we’re proving the increased drive for individuality. While the industry is pushing for population health (a laudable vision indeed), patients are looking not to be considered in aggregate, but to be treated with the same personalized attention they experience when they go to a favorite restaurant where the wait staff recalls their usual order or when they go to a website that remembers all their previous preferences. It’s about not starting from square one every time.
Patients aren’t going to tolerate the disconnect in healthcare forever. And as digital natives,some generations won’t tolerate it at all. The day is coming where a patient will ask her doctor, “Did you notice that that my headaches seemed to lessen on those days I go to the gym? I’m wondering if there’s a connection?” If her physician isn’t paying attention to her, she will find a physician, or perhaps even an intelligent medical assistant, who will.
This post originally featured on HISTalk
Saturday, May 23, 2015
This memorial day is a good time to reflect and give thanks - in fact this visual gives a great sense of the sacrifices of so many for our freedoms and life today
Original from Facebook
Here's one for the SHARE button. A truly powerful image that tells it like it is.
So while thinking about how lucky we are we should try hard to be happy as Bobby McFerrin suggested: “Don’t Worry, Be Happy” So in the spirit of focusing on happiness which is well proven to improve your life this piece in Time Magazine: Happy Thoughts: Here Are the Things Proven To Make You Happier choked full of great ideas and principles - starting with Gratitude which
Showing gratitude for the good things you have is the most powerful happiness boosting activity there is....which seemed a perfect match for today. But there are many other elements starting with
Doing what you are good at - no matter what that might be as often as possible - Starving Artists are happier with their jobs which goes a long way to explain the power of Regina Holliday and her amazing presence and power in medical advocacy (She’s just a published her first book “The Writing on the Wall” which should be required reading and would definitely be on Oprah's book list if that were still thing)
As for you time - spend it with the people you like - the happiest people are social with strong relationships and that describes much of the online community around Healthcare and Patient advocacy that i consider myself very lucky to be part of. There have been some studies that suggest a causation between happy social networks influencing others and helping them to be happier (I know could just as easily be correlation but either way Happiness is infectious)
Money can help but is not essential to happiness and it is not good to focus on money or the desire for it.
Well known that giving is better for happiness than receiving - notable during the holiday that the giving of gifts is more satisfying than receiving. Interestingly striving for ambitious goals has a positive effect and being optimistic (even bordering on delusional) has positive effects but it is this list of “big life regrets” that is worth highlighting
- I wish I’d had the courage to live a life true to myself, not the life others expected of me.
- I wish I didn’t work so hard.
- I wish I’d had the courage to express my feelings.
- I wish I had stayed in touch with my friends.
- I wish that I had let myself be happier.
and as someone pointed out - no one says as they near death - I wish I had worked much harder and spent more time at work.
Relish the time off, enjoy your life, family and friends, savor the positive experiences and do so frequently even in small doses.
Wednesday, April 15, 2015
Social Media is rapidly becoming an integral part of our lives. Despite the pervasive nature of the communication channel healthcare remains a technology laggard. This presentation from HIMSS15 Wednesday Apr 15) will offer insights to help understand why healthcare professionals should join the community, participate in the discussion and how can do so successfully.
I presented this topic at HIMSS15 on Wednesday Apr 15 - you can find the listing here. As promised I am posting a summary of the points as well as a link to the Slideshare for that presentation
- 68 percent of patients bring a list of questions to each doctor's consult;
- 39 percent have checked WebMD or another online source in advance; and
- 20 percent bring personal health data from outside monitors.
- It’s a conversation, not a lecture
- It’s an extension of everyday interaction
- It’s group driven, not top-down
- It’s messy, disorganized & hard to control
- It’s a tool, not an end-point
- But most of all…
- What you have read that you want to share with others
- When and where you are speaking
- Something you post on your blog
- A link to a Web site that you find interesting
- Listen to conversations happening online using keywords (hashtags, lists and searches) – learn from your colleagues, friends and patients
- Befriend people – and then earn their trust by solve problems, answering queries, helping and providing useful information
- Share information, valuable content with them
- Questions and Requests for information and help – crowdsourcing answers
- At a minimum – Lurk, Listen and Learn
What Not to Do
- Social Media for Physicians is a Game Changer
- Social media, when effective, will establish a physician’s brand and connect him/her with those in need of their services
- With increased deductibles, more consumers will “shop” using social media sites.
- Social Media will Expand the Physician’s Role with Patients
- Social media is shaping patient encounters with physicians and that impact is expected to increase significantly
- Extending the patient experience will foster existing patient relationships and improve patient outcomes, especially for long-term chronic conditions.
Friday, April 10, 2015
First off - download the HIMSS Mobile APP that now comes with GPS intelligence which hopefully will start to provide keen insights into activities and opportunities that are nearby as you move around Chicago, the convention center and beyond
Download and print (I know not very environmentally friendly but there is a lot to absorb) the HIMSS Conference Guide (72 Pages) - or if you are feeling really clever send it to you iDevice, Pocket, Kindle or some other reading device
Or use the online version of the HIMSS of the guide - here
For the physician centric guide - head on over to this living breathing dynamic Google Document - put together by Wen Dombrowski (@HealthcareWen)
For the HIT Centric Guide from John Lynn (@TechGuy)
For the latest and greatest news be sure to follow the #HIMSS15 hashtag, and others linked to the conference including #DrHIT
And your best option for keeping up with the latest and greatest from Symplur tracking system on #HIMSS15 and that page features additional topics and tags worth following and tracking
And of course follow your Social Media (#SoMe) Ambassadors can all be found in this list on twitter
Tuesday, March 24, 2015
Health and fitness apps, smart devices and connected products are making us more aware of our own health—and more active participants in our efforts to stay healthy. At the same time, health providers are looking to technology for smarter ways to deliver quality care, whether we are in the hospital or at home.
- Wearable technology - 80% of consumers would benefit from the use of wearable technology
- Connected devices - Using remote monitoring to reduces readmissions
- EHRs - 71% of physicians now use EHRs and 85% meeting current meaningful standards
- Telehealth 70% patients comfortable communicating with their doctor using digital technology vs hauling themselves in to the officer
- Predictive analytics - More than 80% of standard tasks (BP, glucose etc) and even complex testing (e.g. genomics) will change the way we deliver care as described by Eric Topol in "The Patient Will See You Now"
- Population health management - 70% of providers reporting patient care benefits from population health initiatives
- mHealth apps - 71% of want providers to use mobile apps not least of because they do...going where everyone else is
- Data security - rightly ranked as a major issue among consumers given the ongoing debacle of healthcare related security breaches (Premera and Anthem Blue Cross, the HHS wall of shame)
- Partnerships - increasing healthcare companies entering new healthcare partnership - Tenet seem to be the latest
- Cloud-based technology - importantly seen in conjunction with "Data Security" expect this to grow at a staggering 20% rate and heading to $5.4 billion in annual revenue.
Saturday, March 14, 2015
Here’s to those who choose to defy reality and instead envision a future world – a world that ventures beyond even Mr. Spock’s wildest dreams.
Monday, March 2, 2015
It’s always comical to watch movies from the 1980s, not only for the distinct style choices that typified that decade, but to see the type of technology most of us can still recall using. It’s nearly impossible to believe we used to happily lug around three pound mobile phones with antennas and back-up battery packs, but they offered a convenience the likes of which we had never seen before. While heading to the 2015 Mobile World Congress (MWC)
one of the most prominent tradeshows in the tech industry, I couldn’t help but think about the pace of change and get excited about the digital health innovations that will be showcased.
We tend to take for granted the conveniences and time-saving effects such innovation has on our lives. Prior to the pervasiveness of mobile technology, if you were walking down the street and you saw someone collapse, you would need to find the nearest store or phone booth to call for help. In fact, most of us probably knew which corners on our daily commute had pay phones. Now, even if you’ve left your phone in the car (an unthinkable these days) you can comfortably rely on the fact that someone nearby will have theirs in the case of an emergency.
Is your heart in it?
From a healthcare perspective, the interconnectivity of devices is fascinating and holds a lot of potential for engaging patients and improving health outcomes. Innovations such as smart watches, which are being outfitted with fitness trackers and heart rate monitoring sensors, can alert the wearer he has achieved 10,000 steps that day or that a runner has reached her target heart rate
While innovations such as these are always exciting, the bigger picture is about creating a healthier population. According to the World Health Organization, cardiovascular disease is the number one cause of death in the world today. Factors such as poor diet and lack of physical activity are some of the main contributors to the disease— and they are also elements most of us struggle to balance. In other words Lifestyle is the biggest contributor to your health as you can see in this video
Wearable devices designed with intuitive interfaces hold the possibility of helping us maintain that balance, remind us of our inactivity, track our daily caloric intake, remind us of how many hours, minutes, and days it has been since our last cigarette (even Spock spoke out against smoking)
When smart watches and fitness bands are tethered to mobile devices, we can layer on more practical applications for personal health management. What if you were walking down the street and your wearable could sense you were having a minor heart arrhythmia, send a signal to your phone, and have it call for help or advice? Or, perhaps, much like our phones can now alert us to poor traffic for our daily commute, what if your wearable, knowing you are diabetic, could sense low blood sugar, sync this data with your phone and tell you some appropriate restaurants and grocery stores nearby? They will be able to translate personal health data into steps and actions we, as patients, can take to better manage our care and keep ourselves healthier.
Engagement ROIThe benefits of an engaged patient population are numerous. Not only will people be healthier, but consider the above World Health Organization cardiovascular disease statistics and the associated costs of care, medication, and lost productivity, not to mention the personal impact on each of us. For coronary heart disease alone, the U.S. spends $108.9 billion. If people were more dialed in to their health— tracking, monitoring, and being rewarded by insurance companies for adherence to healthy lifestyle activities— imagine the savings both in lives and dollars. And with the pervasiveness of health IT innovation, we are seeing more consumer-facing health apps, such as Sharecare’s AskMD, becoming standard features on mobile devices. People can now use these apps to walk them through their symptoms, offer guidance on managing chronic conditions, and remind them to check in with their doctors.
We’ve come a long way from the shoe-box sized mobile phones of the ‘80s and it will be interesting to see a glimpse of our future technologies, widgets and devices on display at CES 2015. One thing is certain: whether you’re a physician or a patient, we’re all still consumers and our expectations for efficiency and conveniences on mobile devices will play a large role in the next phase our health evolution. In fact, I imagine the current wearable will be considered clunky and dated in as little as 10 years. We might find our lives equipped with even more svelte tools integrated with all of our healthcare data and real-time advisors, apps or avatars that coach, coerce or cheer us on through daily choices to keep our lives and health on the ideal track.
The original article appeared in WhatsNext
Saturday, February 28, 2015
Like many I was saddened to hear the loss of one of my heroes growing up - Leonard Nimoy was Spock to me as he was to many others. He epitomized the value of science and logic in the resolution of problems
As my good Friend Jane Sarasohn-Kahn highlighted in her tribute on Healthpopuli: Learning from Mr. Spock and Leonard Nimoy about living long and prospering. Her selection of this iconic moment with Spock were right on target - from one of the great movies from the franchise - Wrath of Khan
Spock: “Do not grieve, Admiral. It is logical: the needs of the many outweigh…”He spoke out on smoking - something that in the end killed him before his time in this tweet from January 2014:
Kirk: “The needs of the few…”
Spock: “Or the one.”
I quit smoking 30 yrs ago. Not soon enough. I have COPD. Grandpa says, quit now!! LLAP
I quit smoking 30 yrs ago. Not soon enough. I have COPD. Grandpa says, quit now!! LLAP30% of people will suffer serious Chronic Obstructive Airways Disease (COPD) as a result of smoking - and that's just one of a slew of diseases inextricable linked to smoking. Smoking while in decline in some countries is on the rise in others and this major health risk remains one a negative impact on personal health
— Leonard Nimoy (@TheRealNimoy) January 30, 2014
You can explore WHO data in this interactive chart from who here
But don't limit the application of science to health and smoking - you can put Vaccines in the same category of Science and Logic. Jimmy Kimmel captured the sentiments aptly in this segment featuring real doctors
So much of your health boils down to Lifestyle choices that was so elegantly captured by Brigitte Piniewski, MD in this chart
Where would you rather be - fun or no fun
Spock the Hero with Super Powers
We may wish for the seriously cool vulcan Nerve Pinch
But we don’t need the vulcan nerve pinch. He and his character have taught us that science while not infallible has been working for us for millennium. We have started to tap into the power of science and the opportunity offered to our health and well being.
When it comes to science and healthcare Doctors are your trusted advisor - the relationship may be changing from the paternalistic role to a collaborative role as Eric Topol so eloquently describes in his latest book - The Patient will See you Now. But as captured in this piece by this Trauma Surgeon (@DocBastard) on the Daily Beast: Why You Trust the Internet More Than Your Doctor
...for god’s sake don’t think that you know as much as a doctor because you Googled something. Medical training takes up to a decade or longer (depending on the specialty), so a 0.452 second Google search does not substitute for consulting with an actual physician whose only interest is your health.We are only at the beginning - what comes next and in our future is unimaginable. Our innovation, inventiveness and abilities continue to expand our universe and our understanding. Science wins- every time. Be logical with that splash of human emotion and honor his legacy - open your mind, analyze the facts and apply the science. As Jesse: Yeah, Mr. White! Yeah, science!
On a side note - if you are interested in the history of the Spock Vulcan Salute - Live Long and Prosper you can watch his explanation of his Jewish Origins here (derived from the Hebrew letter shin and the first letter of several hebrew words Shaddai (god), Shalom (hello/goodbye/peace) and Shekhinah (feminine word for god) - How Fascinating!