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Telemedicine Startup Offers Providers A Shot At Equity

Posted on April 22, 2015 I Written By

Katherine Rourke is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

Over the last couple of years, the number of telemedicine vendors out there fighting for business has exploded.  These include DoctoronDemand, GoTelecare, HealthTap, MDLIVE, American Well and many, many more.

Health plans are jumping on the bandwagon too. For example, United Healthcare  has been running a popular national television campaign advertising its “virtual clinic” services. UHC is my plan, so I can attest that this service — shown as embedded in its member site — hasn’t been rolled out yet, but that only makes its desire to get out in front of the trend more noteworthy.

Telemedicine models in play include companies that recruit providers and sell them to consumers, vendors who enable telemedicine via proprietary platforms and firms that lead with community building. At present the direct-to-consumer players seem to be somewhat ahead, simply because they’ve already begun developing a national brand, but the story doesn’t end there.

Though consumer-facing telemedicine companies probably have a viable business model, they’ll have to build a memorable consumer brand to make it, something that takes a great deal of  time and money.  On the other hand, vendors that offer white-label telemedicine technology to hospitals and health plans have at least as much to gain, without having to win the loyalty of fickle consumers.

One telemedicine player doing just that is Nashville-based PointNurse, which has developed a distributed collaboration and communications platform providers can use to deliver telemedicine services. I just spoke to CEO Cyrus Maaghul, who gave me a company overview, and was interested to hear that his venture is taking things in some new directions.

PointNurse is different than most companies in the telemedicine space for a few reasons.

For one thing, the platform includes block chain capabilities, which allow providers to accumulate credits for both community participation and actual care delivery. (In case you aren’t familiar with block chain technology, which powers crypto currency Bitcoin, you may want to click here.)

These credits aren’t just for fun. Eventually, when providers accumulate enough credits, they get a pro-rata share of a dedicated pool of equity.

Consumers, for their part, are given a multi-signature wallet which stores both their personal and clinical information, resulting more or less in a PHR with added capabilities. PointNurse hasn’t yet devised a way to share the data with provider EMRs, but that’s a short-term goal.

A wide range of providers can participate in PointNurse, including not only MDs but also nurse practitioners, pharmacists, RNs, LPNs and elder advocates.

A sister venture, HealthCombix, will license the technology underlying PointNurse to hospitals and payers. HealthCombix will provide APIs and tools to build their own distributed applications.

As Maaghul sees it, it’s critical for providers to realize more than a short-term benefit from participating in telemedicine. “I wanted to make providers feel highly motivated — that they can gain from this [arrangement],” Maaghul said. “This creates value for the patient.”

Of course, there’s no proof yet that this or any particular telemedicine business model is going to capture its market niche.  In fact, it’s not even clear what niches will emerge in this space; after all, though it’s moving fast it’s far from mature.

That being said, this approach has some intriguing aspects. I’ll be interested to see whether its business model and and unusual underlying technology work out.

Some High Level Perspectives on FHIR

Posted on April 20, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Before HIMSS, I posted about my work to understand FHIR. There’s some great information in that post as I progress in my understanding of FHIR, how it’s different than other standards, where it’s at in its evolution, and whether FHIR is going to really change healthcare or not. What’s clear to me is that many are on board with FHIR and we’ll hear a lot more about it in the future. Many at HIMSS were trying to figure it out like me.

What isn’t as clear to me is whether FHIR is really all that better. Based on many of my discussions, FHIR really feels like the next iteration of what we’ve been doing forever. Sure, the foundation is more flexible and is a better standard than what we’ve had with CCDA and any version of HL7. However, I feel like it’s still just an evolution of the same.

I’m working on a future post that will look at the data for each of the healthcare standards and how they’ve evolved. I’m hopeful that it will illustrate well how the data has (or has not) evolved over time. More on that to come in the future.

One vendor even touted how their FHIR expert has been working on these standards for decades (I can’t remember the exact number of years). While I think there’s tremendous value that comes from experience with past standards, it also has me asking the question of why we think we’ll get different results when we have more or less the same people working on these new standards.

My guess is that they’d argue that they’ve learned a lot from the past standards that they can incorporate or avoid in the new standards. I don’t think these experienced people should be left out of the process because their background and knowledge of history can really help. However, if there isn’t some added outside perspective, then how can we expect to get anything more than what we’ve been getting forever (and we all know what we’ve gotten to date has been disappointing).

Needless to say, while the industry is extremely interested in FHIR, my take coming out of HIMSS is much more skeptical that FHIR will really move the industry forward the way people are describing. Will it be better than what we have today? I think it could be, but that’s not really a high bar. Will FHIR really helps us achieve healthcare interoperability nirvana? It seems to me that it’s really not designed to push that agenda forward.

What do you think of FHIR? Am I missing something important about FHIR and it’s potential to transform healthcare? Do you agree with the assessment that FHIR very well could be more of the same limited thinking on healthcare data exchange? I look forward to continue my learning about FHIR in the comments.

Engaging Clinician Leadership to Adopt Healthcare Technology – Breakaway Thinking

Posted on April 15, 2015 I Written By

The following is a guest blog post by Carrie Yasemin Paykoc, Senior Instructional Designer / Research Analyst at The Breakaway Group (A Xerox Company). Check out all of the blog posts in the Breakaway Thinking series.
Carrie Yasemin Paykoc

In many healthcare organizations, IT leaders are given the ultimate responsibility of implementing and adopting electronic health records (EHRs) and other health information technology (HIT) because the build and installation fall within their responsibility. While their technical skills and experience are necessary to select, install and maintain the HIT system, clinician leadership should ultimately own the use of the system.

Ownership of the system requires commitment to establish best practice workflows and system parameters that clinicians follow and evolve over time. The risk is that the technology won’t be used to its fullest potential and could even pose potential harm when used incorrectly or without knowledge of how information is entered, accessed, and used by other providers. In a recent alert from the Joint Commission, 23 percent of all reported HIT-related events were due to poor design and data associated with clinical content. Ensuring nurses, physicians, pharmacists, and other clinical staff are involved in decisions about how the system will be used will help alleviate these issues and ensure proper system use.

Over the years, The Breakaway Group’s research has shown that clinician leadership must be highly engaged to effectively adopt new EHRs and HIT systems. In fact, it is the most important predictor of successful EHR adoption. While clinician leader engagement may appear straightforward, competing priorities make it difficult to maintain the degree of engagement required after a new EHR system goes live.

For example, clinician leadership may see fewer patients or put certain responsibilities on hold until the system is implemented. In reality, responsibilities associated with the HIT system must shift and evolve among all stakeholders throughout the adoption journey. After go-live, clinician leadership involvement shifts from decisions around clinical applications and best practice workflows to decisions around upgrades, optimization of the system, and identifying workarounds. Both pre- and post-go-live responsibilities take time and need to align with the overall responsibilities for each role within the healthcare organization.

Involvement of clinician leadership early on in the adoption journey helps create a culture that embraces change and instills a sense of ownership to all levels in the organization. This cultural shift is not easy and requires the right mix of calculated planning and visionary leadership that must resonate with clinicians. A recent article published by The New York Times, describes the paradox of clinicians resisting new EHRs and creating “technology that physicians suddenly can’t live without.” On one hand this technology is causing resistance among clinicians to the point of reverting to paper, while on the other, this technology is helping mitigate countless medical errors and waste. Clinician leadership must engage to address both sentiments and create a culture conducive to change. With the rate of technological advances, a cultural status quo will not suffice.

Naturally clinicians are data scientists and lifelong learners. Show them data and provide them a comfortable learning environment to get up to speed quickly. Then they can help review the data and identify areas for improvement. For example, clinicians can query orders associated with quality outcomes such as electronic orders for flu vaccinations and determine if the rate ordered aligns with internal quality metrics. If the rate is below the agreed upon threshold, clinician leaders can focus efforts on systematically improving the rate ordered.

The longer clinician leadership involvement is delayed, the more likely resistance will fester and organizational culture will be at risk. Adopting technology, especially technology associated with government requirements, is painful and simply takes time. The difference is whether clinician leadership is involved early in the decision making process. If you do not want your clinician reverting to paper charts and/or throwing laptops and mobile devices out of sheer frustration, give clinicians the time and resources to fully engage in the adoption journey.

Xerox is a sponsor of the Breakaway Thinking series of blog posts.

Three Key Capabilities to Manage Population Health

Posted on April 7, 2015 I Written By

The following is a guest blog post by Marc Willard, President of Transcend Insights.
Marc Willard - Trascend Insights
The health care industry’s transition from fee-for-service to value-based reimbursement models demands a dramatic shift in how medical information is used and shared. The ability to generate a single, comprehensive patient view from an individual’s acute care, ambulatory care and wellness data is vital to support this transition. Ten years ago, the technology to move data out of silos to create real-time, physician-friendly, patient-centered population health management (PHM) systems was simply not available.

Fast-forward to 2015, where recent technological breakthroughs are fueling a new era in PHM that promises to help patients achieve their best health while allowing health care systems to create population health platforms that reward value, improve outcomes and reduce costs. For PHM vendors to successfully navigate this profound shift in the health care industry and provide actionable insights on an individual’s complete health care and health status, they need to deliver three key technologies:

  • Community-wide interoperability;
  • Real-time health care analytics; and
  • Intuitive care tools.

Community-Wide Interoperability

In developing a successful PHM system, one of the greatest challenges is working with disparate electronic health record systems that are not designed to communicate with each other, consequently keeping patient data entrenched in silos. Nothing is more frustrating for health care systems, physicians and care teams than dealing with multiple views and logins that impede the flow of information.

For PHM vendors to be successful, they must offer sophisticated health information exchange technology that integrates both clinical and claims data from diverse sources into a single, comprehensive patient view. Recent advances in cloud-based interoperability technology allow health care systems, physicians and care teams to literally get on the “same (electronic) page” with their patients’ complete health care history and real-time treatment strategies.

Interestingly, for health information exchange technology to successfully meet the needs of PHM, we must think beyond traditional electronic health record system interoperability. In addition to integrating data from health information generated outside the four walls of the hospital in ambulatory settings, successful PHM companies will be able to incorporate the valuable insights generated from the latest wearable health technologies that track activity levels, heart rate and other health information into a single, comprehensive patient view. This patient engagement is crucial in the new value-based reimbursement environment, with its focus on wellness and preventive medicine. PHM companies must know how to capture it and deliver meaningful insights to physicians and care teams without overwhelming them.

Several capabilities are required to ensure successful PHM, including bi-directional semantic interoperability, master patient indexing, both clinical and claims data capture and integration, real-time information sharing, results distribution and order processing, care and consent management tools, and of course privacy and security.

Another aspect that is crucial for interoperability is unobstructed access to patient information within traditional silos, so that data can truly be shared. Allowing data to flow requires open systems and interoperability standards that are clean, and widely and easily adopted.

Real-Time Health Care Analytics

A strong PHM tool combines community-wide interoperability with real-time health care analytics capabilities. Effective health care analytics should be able to identify evidence-based gaps in care, drug safety concerns and other opportunities for health improvement while ensuring compliance with the latest clinical guidelines and national quality measures to maximize reimbursement.

Yet the true value in health care analytics is the ability to deliver these insights quickly and simply at the point of care. Every minute counts in health care delivery, and even a five-minute delay in processing information is unacceptable during an office visit, as the physician needs to move on to his or her next patient in a timely manner.

Rather than processing health care data in batch mode, over hours or days, a real-time analysis engine should process data in milliseconds. This enables more informed decisions at the point of care to further ensure that every individual can achieve his or her best health. Physicians now have the ability to take a longitudinal view of how these analytic insights contribute to their patients’ past, present and future health.

Effective real-time health care analytics also allows physicians and care teams to compare an individual’s health status against population benchmarks. By doing so, they can track clinical trends such as readmission rates to further support intervention strategies, reduce risk and decrease costs.

Intuitive Care Tools

Physicians and care teams are more willing to utilize real-time insights generated by sophisticated analytics if they can be easily accessed in a matter of seconds, with just one or two clicks. Even more useful is mobile technology that provides a single, comprehensive view at the physician’s fingertips.

When developing intuitive care tools, PHM vendors should consult directly with physicians to better match and accommodate their unique information needs. For example, offering physicians access to comprehensive clinical trends across a population provides vital insights. When equipped with this information, physicians can improve care delivery through proactive interventions that create meaningful change.

Getting patients involved in the health care equation is equally important when developing intuitive care tools. For example, real-time insights available via mobile point of care solutions allow physicians to maintain eye contact with their patients, have a more meaningful discussion and improve the overall patient experience. As a result, mobile point of care solutions can help physicians encourage their patients to become active participants in their own health, for example, increasing a patient’s medication adherence to help with reducing readmissions.

In addition, once we understand a patient’s total health status and health care needs, physicians and care teams can recommend customized wellness programs that directly address current or future health care concerns. Patient engagement tools as well as a single, comprehensive consumer view can help empower individuals to take control of their own lifestyle choices. For example, smoking cessation classes, nutrition counseling or exercise programs, can help keep individuals healthy and minimize the need for medical interventions.

Keep the Focus on the Patient

With the movement from fee-for-service to value-based reimbursement models, the demand has never been greater for population health management systems that accomplish the industry’s triple aim: improving population health, enhancing the patient experience and reducing costs.

PHM vendors can simplify this transition by developing platforms that offer community-wide interoperability, real-time health care analytics and intuitive care tools. The health IT industry’s transformation must continue to be centered on the patient, whose health and well-being remain the focus of today’s population health management initiatives.

About Marc Willard
Marc Willard is the president of Transcend Insights, a wholly owned subsidiary of Humana Inc., dedicated to simplifying population health. The company, which launched in March 2015, represents the merging of three leading health care information technology businesses: Certify Data Systems, Anvita Health and nliven systems. For more information about Transcend Insights, visit: www.transcendinsights.com.

The Healthcare Penalties Are Coming!!

Posted on April 3, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

We all know about the Meaningful Use penalties. The PQRS penalties. The Value Based Modifier penalties. Individually, they’d all be annoying, but I don’t think most healthcare organizations have understood what these penalties will be in aggregate.

This hit home to me when I was reading a smartly titled post by Jim Tate called “What you don’t do in 2015 will cause 9% CMS penalties in 2017” Here’s how he describes the penalties that are in store for healthcare:

MU: Failing to achieve MU in 2014 will bring a 2% penalty beginning in 2016 with a 1% annual increase up to 5%.

Physician Quality Reporting System (PQRS): Non-participation brings a Medicare reimbursement reduction of 2.0% in 2016 based on 2014 data.

Value-Based Modifier(VBM): The VBM, which many providers are not aware of, is linked to PQRS. Beginning in 2016, eligible providers (EPs) in groups with 10 or more EPs will be subject to a penalty based on performance. In 2017, this will include all EPs, not just those in larger groups.

Taken together, this adds up to a 9% penalty in 2017 based on 2015 participation.
To avoid these penalties, immediately assess your current participation in the MU, PQRS, and VBM programs. If you are not on track you must take steps to mitigate your risk as soon as possible.

Risk mitigation is the right way to describe it. As I mentioned in the beginning, I don’t think that many providers are planning ahead to avoid these penalties. I also don’t think they realize the long term consequences of the choices they make today.

Thanks Jim for waking us up to the reality.

Healthcare IT Marketing and PR on the Mind

Posted on April 2, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Healthcare IT marketing and PR have been on my mind lately as I’ve been preparing for the Healthcare IT Marketing and PR Conference (HITMC) and for HIMSS. We’ve published the full HITMC program if you haven’t seen it yet. It’s going to be a really amazing 2 days of learning for me and everyone who attends. Hopefully many EMR and HIPAA readers can make it. There’s only 5 days left to register for the event, so do so now if you’d like to attend.

We’ve certainly seen the evolution of marketing here on EMR and HIPAA. At first people mostly wanted to buy a link to their site from us since we were on the first page of Google for the term “EMR”. (Side note: Don’t buy links. That’s a bad strategy today.) Then, we started doing banner ads and those have always performed really well for our advertisers since we have such a targeted, niche audience. Recently we’ve been expanding our email marketing, event marketing and sponsored content packages. They’ve really become fully integrated marketing packages that touch on email, social media, blogs, and display advertising. It’s exciting what we’re able to deliver sponsors of our site.

10 years later it’s amazing to think back on the 2239 posts we’ve published, the 9743 comments that readers have contributed and the 10,689,418 pageviews for EMR and HIPAA. I wonder how many emails we’ve sent out with our content over the years, but I don’t have a good way to track it. Just last year I estimate that this blog has sent out 1.25 million emails. Wow! Thanks to all of you who read and contribute.

Every 6 months or so I like to highlight the companies who support the work we do here at EMR and HIPAA. Without them, I wouldn’t be able to be a full time blogger and provide you the content I do. Take a second to look through the list and see if one of them might be able to help you solve a problem you’re working on in your job.

Vocera – Vocera is an interesting story for me, since they acquired a secure messaging company I advised (docBeat). Since that acquisition, I’ve been lucky to advise them on some marketing and they’ve also been sponsoring a number of Healthcare Scene email campaigns. They offer a pretty compelling set of secure, real-time communication solutions for healthcare. Plus, they have a good announcement coming out at HIMSS that I think will set them apart from the other secure messaging solutions out there. Although, I’m not allowed to talk about the announcement yet. You can see Vocera’s HIMSS 2015 plans if you want to meet with them in person and learn about the announcement.

Iron Mountain – It was fun working with Iron Mountain on their Healthcare Information Governance Predictions and Perspectives series. You can find all the entries in that series here and my entry here. Plus, I was able to participate in their #InfoTalk Twitter chat which was really well done as well. I hope they continue the discussion, because it’s an important one.

ClinicSpectrum – Regular readers should be familiar with ClinicSpectrum. They’ve been contributing some great content in our Cost Effective Healthcare Workflow Series. I love how they’re interested in taking the discussion beyond just EHR and meaningful use into how a practice or hospital can optimize their use of technology. Plus, they’re really passionate about the hybrid workflow which mixes technology and people to find the optimal solution. We need more of this optimization in healthcare.

The Breakaway Group (A Xerox Company) – You’ll also likely be familiar with The Breakaway Group and their Breakaway Thinking Series. I’ve always loved the researched based perspective that they provide to the challenges that face healthcare IT. Plus, they offer some unique perspectives on training and learning in healthcare. One of the biggest challenges with any healthcare IT implementation is getting the training right. The Breakaway Group is dead set on solving that problem.

Ambir – Ambir’s been supporting the work we do here since January of 2010. Amazing that they’ve been with us for 5 years. I think that was before I even quit my day job. Most people know them as a scanner company, but word on the street is that at HIMSS 2015 they’ll be announcing a new tablet based product. I’ve heard the concept and I think it’s a really creative approach to solving healthcare’s workflow challenges.

HIPAA Secure Now! – We’re seeing a big wave of healthcare organizations and business associates finally starting to do something about HIPAA. Much of this has been pushed by meaningful use’s risk assessment requirement, but it’s also been driven by all the breaches. HIPAA Secure Now! is offering our readers Free HIPAA Security Training.

Colocation America – Colocation America has been supporting us for 2 years. It’s no surprise that more and more companies are looking to outsource their hosting to a HIPAA compliant hosting solution. Healthcare companies don’t want to be in the hosting business. They want to be in the healthcare business. So, working with a company like Colocation America for their HIPAA compliant hosting needs just makes sense.

A massive thank you to all the companies that support the work we do. We look forward to seeing many from the EMR and HIPAA community at HIMSS in Chicago and then at the Health IT Marketing and PR conference in Vegas.

Learning Health Care System

Posted on March 27, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

In a recent post by Andy Oram on EMR and EHR titles “Exploring the Role of Clinical Documentation: a Step Toward EHRs for Learning” he introduced me to the idea of what he called a Learning Health Care System. Here’s his description:

Currently a popular buzzword, a learning health care system collects data from clinicians, patients, and the general population to look for evidence and correlations that can improve the delivery of health care. The learning system can determine the prevalence of health disorders in an area, pick out which people are most at risk, find out how well treatments work, etc. It is often called a “closed loop system” because it can draw on information generated from within the system to change course quickly.

I really love the concept and description of a learning healthcare system. Unfortunately, I see so very little of this in our current EHR technology and that’s a travesty. However, it’s absolutely the way we need to head. Andy add this insight into why we don’t yet have a learning health care system:

“Vendors need to improve the ability of systems to capture and manage structured data.” We need structured data for our learning health care system, and we can’t wait for natural language processing to evolve to the point where it can reliably extract the necessary elements of a document.

While I agree that managed structured data would be helpful in reaching the vision of a learning healthcare system, I don’t think we have to wait for that to happen. We can already use the data that’s available to make our EHRs smarter than they are today. Certainly we can’t do everything that we’d like to do with them, but we can do something. We shouldn’t do nothing just because we can’t do everything.

Plus, I’ve written about this a number of times before, but we need to create a means for the healthcare system to learn and for healthcare systems to be able to easily share that learning. This might be a different definition of leaning than what Andy described. I think he was referencing a learning system that learns about the patient. I’m taking it one step further and we need a healthcare system that learns something about technology or data to be able to easily share that learning with other outside healthcare systems. That would be powerful.

What are your thoughts on what Andy calls a popular buzzword: A Learning Health Care System? Are we heading that direction? What’s holding us back?

Finding Simple Healthcare IT Solutions to Annoying Problems

Posted on March 23, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

In my recent video interview with Lindy Benton, CEO of MEA|NEA, I came away with the feeling that there are a wide variety of simple healthcare IT solutions for many of the problems that annoy us in healthcare. In Lindy’s case, they work on solving the secure document transfer problem in healthcare. They work mostly with claims remediation and other billing related documentation, but the secure document transfer applies to a lot of areas of healthcare.

As a tech person, I was interested in how rather simple technology can solve such an important problem. However, Lindy and I talk about why many organizations still haven’t adopted these technologies in their office (Spoiler: The divide between billing organizations and IT). We also talk about why EHR vendors aren’t just providing these types of secure document transfer solutions.

You can watch my full video interview with Lindy Benton below:

Healthcare Applies Innovation from Other Industries for Big Impact – Breakaway Thinking

Posted on March 18, 2015 I Written By

The following is a guest blog post by Jennifer Bergeron, Learning and Development Manager at The Breakaway Group (A Xerox Company). Check out all of the blog posts in the Breakaway Thinking series.
Jennifer Bergeron

Healthcare is applying innovations from other industries to make advancements in the study of disease, surgery, and research. If you’re fascinated by new ways to use everyday tools and at the same time make life easier, also known as lifehacks, you can appreciate the same concept in healthcare.

3D imaging, cellphone camera technology, and sonograms like those used in underwater navigation are all being used in healthcare. Let’s begin with a look at cellphone technology and one way it is being applied to healthcare.

UCLA researchers developed a lens-free microscope that, through a series of steps, allows tissue samples to be formed into a 3D image using a microchip that is the same type found in your cellphone camera. The image shows contrast so the researcher can see tissue depth. This lens-free microscope also offers a broader, clearer view than conventional microscopes. The result is that “the pathologist’s diagnosis using the lens-free microscopic images proved accurate 99% of the time”, according to a recent study.   In order to apply this same concept to disease, imagine that a researcher could isolate a section of diseased tissue, remove it from its environment, color code the tissue to easily spot abnormalities, and have the ability to study it from all angles.

Techradar.com reminds us that lasers, used in missile defense, in the world’s fastest camera (which takes 6.1 million pictures per second), in entertainment devices such as Blu-ray players, and in grocery check-out lines, are also used in surgery and diagnoses. Lasers can decrease the diagnosis time and cause less disruption to a patient’s comfort. Zero-dilation Scanning Laser Opthmalogy (cSLO), a new imaging technique, can diagnose a patient with diabetic retinopathy, which causes progressive damage to the retina, in as little as 3 minutes.

Technology is not only impacting the patient experience, but how caregivers are brought up to speed on new technologies. In fact, the founder of The Breakaway Group based the company’s electronic health record (EHR) learning concept on flight simulation. Flight simulators train pilots how to maneuver in extreme circumstances, situations that would be difficult to create in real life. At The Breakaway Group, we use simulation technology to increase adoption of EHRs by training providers, nurses, and healthcare professionals.

Speed to proficiency, one of four key adoption elements of The Breakaway Method, provides learners with real-life situations in a safe environment.  Learners can quickly experience many different circumstances, fail, and learn to complete tasks correctly, all without affecting patient outcomes. In addition, The Breakaway Group can cut classroom time in half on average by using simulations.

Healthcare is reaching into other industries to become more efficient and effective. Whenever information is shared and innovations are repurposed to make a process better, we all benefit.

Xerox is a sponsor of the Breakaway Thinking series of blog posts. The Breakaway Group is a leader in EHR and Health IT training.

Top Ten Reasons for EHR’s to Use Middleware for Connectivity

Posted on March 10, 2015 I Written By

The following is a guest blog post by Thanh Tran, CEO, Zoeticx, Inc.
Thanh Tran, CEO, Zoeticx
Where should CIOs and IT professionals look to address EHR interoperability?  Middleware!

A middleware architecture has been shown to be the best technological solution for addressing the problem of EHR interoperability. The middleware platform facilitates the transparent, yet secure, access of patient health data, directly from the various databases where it is stored. A server-based middleware framework supporting access to the various patient health data stores allows for a scalable, unified and standardized platform for applications to be developed upon. The middleware architectural design has been successfully used to link data from multiple databases, irrespective to the database platform or where the database is located.

Don’t take my word for it.  Here are ten good reasons to consider middleware.

  • Application Developers Can Focus on Healthcare Apps—Enables medical record app developers to focus on their healthcare solution by freeing them from dealing with a diverse, complex EHR infrastructure.
  • Inspires the Next Generation of Healthcare Innovative Solutions—These solutions are inspired by expanding the market for the next generation of healthcare applications rather than being tied down to a stack approach, depending on the particular EHR vendor.
  • Improves Patient Care OutcomesPatients will receive better healthcare outcomes when application developers can inspire more Patients will also benefit from the next generation of applications as they will address providers’ specific needs in diverse operational care environments.
  • Saves Healthcare IT Dollars—Focuses the healthcare IT budget on addressing providers’ needs instead of building and re-building the patient record infrastructure.
  • Proven Technology—A proven technology used for decades in many industries such as financial, retail, manufacturing and other markets.
  • Easy Integration—Enables healthcare integration with diverse, deployed legacy systems, including EHR systems. It addresses EHR interoperability as part of overall integration challenges.
  • Passive to Active Healthcare IT Environment—It turns passive healthcare IT environments into active ones to enhance communication and collaboration among care providers.
  • Avoids Data Duplication—Cost efficient, simplified administration. Offers a better privacy protection solution than HIEs by addressing EHR interoperability while fulfilling the demand to support the patient care continuum in an operational care environment.
  • Eliminates Wastefulness—Addressing healthcare IT integration is much more cost efficient than the “Rip-and-Replace” approach.
  • Extends EHR Usefulness—Protects and extends healthcare IT investments in EHR and EMR systems.

About Thanh Tran
Thanh Tran is CEO of Zoeticx, Inc., a medical software company located in San Jose, CA. He is a 20 year veteran of Silicon Valley’s IT industry and has held executive positions at many leading software companies.