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Has Technology Changed The Way We Interact With Each Other, Our Healthcare Providers And Healthcare Organizations?

Posted on July 19, 2016 I Written By

The following is a guest blog post by Brittany Quemby,  Marketing Manager of Stericycle Communication Solutions as part of the Communication Solutions Series of blog posts. Follow and engage with them on Twitter: @StericycleComms
Brittany Quemby - Stericycle

In this blog series, we have talked a lot about healthcare consumerism, the importance of communication in the patient/provider relationship and how embracing technology can lead to an increased patient experience. Today I want to talk about how technology is changing the way we interact with each other in the healthcare industry.

The other day I tried to book a doctor’s appointment with my family physician.  I looked up my family physician’s phone number online and called in. After about 25 rings, 20 minutes on hold and a cranky voice on the other end, I hung up the phone feeling extremely frustrated and couldn’t event remember the time of my appointment.

This left me thinking. Everyday we rely and crave the use of technology to help us be more efficient and to simplify our lives.  I would argue, even more so, when it comes to our health. Approximately 58% of patients believe that technology leads to better care.  Technology has truly transformed the way patients want to interact with providers.  And to be fair, a lot of healthcare organizations and clinicians have been quick to adopt as they see the efficiency and patient experience benefits – so what was the hold up with my family physician?  I think perhaps they just weren’t aware of the facts.

So let’s take a look at them:

Fact 1 – Mobile Health

The truth hurts.  Many of us are addicted to our phone and are guilty of driving home when we were almost at work to retrieve it. When it comes to mobile health, the addiction is just as strong. Over 50% of smartphone owners, have used their phone to look up health or medical information.  A staggering 80% of patients want the option of using their smartphone to interact with healthcare providers.  Traditional methods of inquiring about our health and interacting with healthcare providers are long gone. Today’s technology makes it much more convenient for both physicians and patients to connect, research and communicate right from their smartphone.

Fact 2 – Online Health

Face it! Most of us have gone down the rabbit hole of searching a particular ailment online.  At least 35% of U.S. adults say they have gone online to try to figure out what medical condition they or someone else might have. Research indicates that 77% of online health seekers began their last session at a search engine such as Google, Bing, or Yahoo.  The presence of the internet has given patients easy access to information and has empowered them to make more informed choices about their health. It has also allowed physicians to easily update new information and build interactive treatment plans that can increase patient adherence and retention.

Fact 3 – Online Scheduling

Truth be told, I did scream when I got off the phone with doctor’s office.  Why was calling in to book my doctor’s appointment the most painful thing I had done all week? I am not alone, 77% of consumers think that the ability to book, change or cancel healthcare appointments online is important. Technology has us conditioned to want the quickest and easiest way of getting things done.  It is much quicker and convenient to go online to book the next available appointment than the 8.1 minutes it takes for a patient to complete a scheduling call.  Online scheduling helps to satisfy a patient’s need for quick gratification and alleviates the significant amount of time staff spend scheduling appointments.

Fact 4 – Digital Communication Platforms

The fact that I couldn’t remember the time of my appointment the moment I got off the phone was a bit embarrassing. But let’s face it, we’ve become so reliant on technology telling us where we need to be and what time we need to be there that our brains begin to ignore certain timelines. The truth is, the sticky note no longer holds the top spot in patient’s minds. A whopping 85% of consumers say that they would welcome digital appointment reminders, medication reminders and general health tips.   This type of technology is a win-win for both patients and clinicians.  Patients receive a simple reminder that can be added into their calendar allowing them to show up and be better prepared and clinicians receive appointment confirmations allowing them to increase their operational efficiencies, revenue and better manage their daily schedule.

Fact 5 – Tracking Health

Tracking health is not a new concept, but the exchanges and the method patients are tracking their health has revolutionized with newer technology. When recommended by a doctor, 3 in 4 consumers followed advice to wear technology to track their health. Over 20% of patients track their health indicators with the use of technology.  Technologies that assist in tracking one’s health have allowed for higher patient engagement which can lead to better monitoring and increased outcomes.  Both US consumers (77%) and doctors (85%) agree that using wearables helps a patient engage in their own health.

As technology evolves, so will our interactions as patients, providers and healthcare organizations.   It’s imperative to capitalize on the many benefits healthcare technology has given us to ensure we expand our connectivity, grow our data, increase our health outcomes and continuously improve our communication and collaboration. However, and unfortunately, in the meantime while we wait for everyone to catch up some of us will suffer from the frustration of expecting technology and not getting it. #Siricantyoujustrunmylife

The Communication Solutions Series of blog posts is sponsored by Stericycle Communication Solutions, a leading provider of high quality telephone answering, appointment scheduling, and automated communication services. Stericycle Communication Solutions combines a human touch with innovative technology to deliver best-in-class communication services.  Connect with Stericycle Communication Solutions on social media:  @StericycleComms

An Alternate Way Of Authenticating Patients

Posted on July 5, 2016 I Written By

Anne Zieger 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.

Lately, I’ve been experimenting with a security app I downloaded to my Android phone. The app, True Key by Intel Security, allows you to log in by presenting your face for a scan or using your fingerprint. Once inside the app, you can access your preferred apps with a single click, as it stores your user name and passwords securely. Next, I simplified things further by downloading the app to my laptop and tablet, which synchs up whatever access info I enter across all devices.

From what I can see, Intel is positioning this as a direct-to-consumer play. The True Key documentation describes the app as a tool non-techies can use to access sites easily, store passwords securely and visit their favorite sites across all of their devices without re-entering authentication data. But I’m intrigued by the app’s potential for enterprise healthcare security access control.

Right now, there are serious flaws in the way application access is managed. As things stand, authentication information is usually stored in the same network infrastructure as the applications themselves, at least on a high-level basis. So the process goes like this, more or less: Untrusted device uses untrusted app to access a secure system. The secure system requests credentials from the device user, verifies them against an ID/PW database and if they are correct, logs them in.

Of course, there are alternatives to this approach, ranging from biometric-only access and instantly-generated, always-unique passwords, but few organizations have the resources to maintain super-advanced access protocols. So in reality, most enterprises have to firewall up their security and authentication databases and pray that those resources don’t get hacked. Theoretically, institutions might be able to create another hacking speed bump by storing authentication information in the cloud, but that obviously raises a host of additional security questions.

So here’s an idea. What if health IT organizations demanded that users install biometrically-locked apps like True Key on their devices? Then, enterprise HIT software could authenticate users at the device level – surely a possibility given that devices have unique IDs – and let users maintain password security at their end. That way, if an enterprise system was hacked, the attacker could gain access to device information, but wouldn’t have immediate access to a massive ID and PW database that gave them access to all system resources.

What I’m getting at, here, is that I believe healthcare organizations should maintain relationships with patients (as represented by their unique devices) rather than their ID and password. While no form of identity verification is perfect, to me it seems a lot more like that it’s really me logging in if I had to use my facial features or fingerprint as an entry point. After all, virtually any ID/PW pair chosen by a user can be guessed or hacked, but if you authenticate to my face/fingerprint and a registered device, the odds are high that you’re getting me.

So now it’s your turn, readers. What flaws do you see in this approach? Have you run into other apps that might serve this purpose better than True Key? Should HIT vendors create these apps? Have at it.

What If Your Doctor Knew All Your Health Searches?

Posted on June 30, 2016 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.

Back in 2013, the Pew Research Internet Project found that 72% of internet users looked online for health information. This was well before the most recent update to Dr. Google. It’s only a matter of time that those health searches will end up going through some sort of AI solution (Siri, Alexa, Galaxy, etc) we bring into the home.

Imagine if we connected this font of health information and questions together with the healthcare establishment. What if your doctor had access to all of the health related searches you were doing? Might he be able to provide better service to you and your family?

Yes, I realize that this idea will be extremely controversial. There are some major privacy challenges and issues with this idea, but there’s also a lot of potential benefits. It seems a little bit hypocritical that we ask doctors to be open and transparent with our health records if we as patients aren’t going to be open and transparent with our medical concerns. Certainly, we should be able to control what and with whom we share this information, but I believe that many will be willing to share it with their doctors.

Yes, this will require a pretty dramatic shift in how our medical professionals will handle a patient visit. However, if I’ve been doing a bunch of searches around back pain, imagine how much different my visit to the doctor for an earache would be. Could that provide the opportunity for the doctor to talk to me about my back pain searches?

It’s fascinating to think how this is almost the complete opposite of the office visit today. I’ve seen doctors that wanted to only deal with one issue at a time. Those doctors have learned the special dance that allows them to avoid talking about more than the presenting concern. Many doctors learn essentially a new language that makes sure that they get in and out of the exam room quickly without bringing up the rabbit hole of potential health problems a patient might be actually experiencing.

That’s the reality of today’s medicine. This is what we pay them to do. That’s changing with things like CCM where a healthcare provider is paid to dig in a little deeper. It’s certainly not enough to fully change these behaviors.

Until the reimbursement fully changes over to doctors getting paid to keep you healthy, a doctor knowing your health searches won’t be of interest to most doctors. However, once reimbursement changes, a doctor will become much more interested in what’s really ailing you. Your online searches certainly will say a lot about your health, both physical and mental.

AMA’s Digital Health ‘Snake Oil’ Claim Creates Needless Conflict

Posted on June 22, 2016 I Written By

Anne Zieger 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.

Earlier this month, the head of the American Medical Association issued a challenge which should resonate for years to come. At this year’s annual meeting, Dr. James Madara argued that many direct-to-consumer digital health products, apps and even EMRs were “the digital snake oil of the early 21st century,” and that doctors will need to serve as gatekeepers to the industry.

His comments, which have been controversial, weren’t quite as immoderate as some critics have suggested. He argued that some digital health tools were “potentially magnificent,” and called on doctors to separate useful products from “so-called advancements that don’t have an appropriate evidence base, or that just don’t work that well – or that actually impede care, confuse patients, and waste our time.”

It certainly makes sense to sort the digital wheat from the chaff. After all, as of late last year there were more than 165,000 mobile health apps on the market, more than double that available in 2013, according to a study by IMS Institute for Healthcare Informatics. And despite the increasing proliferation of wearable health trackers, there is little research available to suggest that they offer concrete health benefits or promote sustainable behavior change.

That being said, the term “snake oil” has a loaded historical meaning, and we should hold Dr. Madara accountable for using it. According to Wikipedia, “snake oil” is an expression associated with products that offer questionable or unverifiable quality or benefits – which may or may not be fair. But let’s take things a bit further. In the same entry, Wikipedia defines a snake oil salesman “is someone who knowingly sells fraudulent goods or who is themselves a fraud, quack or charlatan.” And that’s a pretty harsh way to describe digital health entrepreneurs.

Ultimately, though, the issue isn’t whether Dr. Madara hurt someone’s feelings. What troubles me about his comments is they create conflict where none needs to exist.

Back in the 1850s, when what can charitably be called “entrepreneurs” were selling useless or toxic elixirs, many were doubtless aware that the products they sold had no benefit or might even harm consumers. And if what I’ve read about that era is true, I doubt they cared.

But today’s digital health entrepreneurs, in contrast, desperately want to get it right. These innovators – and digital health product line leaders within firms like Samsung and Apple – are very open to working with clinicians. In fact, most if not all work directly with both staff doctors and clinicians in community practice, and are always open to getting guidance on how to support the practice of medicine.

So while Dr. Madara’s comments aren’t precisely wrong, they suggest a fear and distrust of technology which doesn’t become any 21st century professional organization.

Think I’m wrong? Well, then why didn’t the AMA leader announce the formation of an investment fund to back the “potentially magnificent” advances he admits exist? If the AMA did that, it would demonstrate that even a 169-year-old organization can adapt and grow. But otherwise, his words suggest that the venerable trade group still holds disappointingly Luddite views better suited for the dustbin of history.

UPDATE:  An AMA representative has informed me that I got some details in the story above wrong, and I’m eager to correct my error. According to Christopher Khoury, vice president of environmental analysis and strategic analytics with the group, the AMA is indeed investing in digital health innovation. He notes that in January, the group announced the formation of San Francisco-based Health2047 (www.health2047.com), for which it serves as lead investor. Health2047 is dedicated to furthering the commercialization of digital tools and solutions that help practicing physicians. It also sponsors Matter, a healthcare incubator based in Chicago.

Vendors Bring Heart And Lung Sounds To EHR

Posted on June 3, 2016 I Written By

Anne Zieger 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.

In what they say is a first, a group of technology vendors has teamed up to add heart and lung sounds to an EMR. The current effort extends only to the drchrono EHR, but if this rollout works, it seems likely that other vendors will follow, as adding multimedia content to patient medical records is a very logical step.

Urgent care provider Direct Urgent Care, a Berkeley, CA-based urgent care provider with 30,000 patients, is rolling out the Eko Core Digital Stethoscope for use by physicians. The heart and lung sounds will be recorded by the digital stethoscope, then transmitted wirelessly to a phone- or tablet-based mobile app. The app, in turn, uploads the audio files to the drchrono HR.

Ordinarily, I’d see this as an early experiment in managing multimedia health data and leave it at that. But two things make it more interesting.

One is that the Eko Core sells for a relatively modest $299, which is not bad for an FDA-cleared device. (Eko also sells an attachment for $199 which digitizes and records sounds captured by traditional analog stethoscopes, as well as streaming those files to the Eko app.) The other is that the recorded sounds can be shared with remote specialists such as cardiologists and pulmonologists, which seems valuable on its face even if the data doesn’t get stored within an EMR.

Not only that, this rollout underscores a problem just been given too little attention. At present, what I’ve seen, few EMRs incorporated anything beyond text. Even radiology images, which have been digital for ages (and managed by sophisticated PACS platforms) typically aren’t accessible to the EMR interface. In fact, my understanding is that PACS data is another silo that needs to be broken down.

Meanwhile, medical practices and hospitals are increasingly generating data that doesn’t fit into the existing EMR template, from sources such as wearables, health apps and video consults. Neither EMR developers nor standards organizations seem to have kept up with the influx of emerging non-text data, so virtually none of it is being integrated into patient records yet.

In other words, not only is it interesting to note that an EMR vendor is incorporating audio into medical records, at a modest cost, it’s worth taking stock of what it can teach us about enriching digital patient records overall.

Eventually, after all, patients will be able to capture — with some degree of accuracy — multimedia content that includes not only audio, but also ultrasound recordings, EKG charts and more. Of course, these self-administered tests and will never replace a consult by a skilled clinician, but there certainly are situations in which this data will be relevant.

When you also bear in mind that the number of telemedicine consults being conducted is growing dramatically, and that these, too, offer insights that could become part of a patient’s chart, the need to go beyond text-based EMRs becomes even more evident.

So maybe the Eko/drchrono partnership will work out, and maybe it won’t. But what they’re doing matters nonetheless.

What Data Do You Need in Order to Guide Behavioral Change?

Posted on June 2, 2016 I Written By

Andy Oram is an editor at O'Reilly Media, a highly respected book publisher and technology information provider. An employee of the company since 1992, Andy currently specializes in open source, software engineering, and health IT, but his editorial output has ranged from a legal guide covering intellectual property to a graphic novel about teenage hackers. His articles have appeared often on EMR & EHR and other blogs in the health IT space. Andy also writes often for O'Reilly's Radar site (http://oreilly.com/) and other publications on policy issues related to the Internet and on trends affecting technical innovation and its effects on society. Print publications where his work has appeared include The Economist, Communications of the ACM, Copyright World, the Journal of Information Technology & Politics, Vanguardia Dossier, and Internet Law and Business. Conferences where he has presented talks include O'Reilly's Open Source Convention, FISL (Brazil), FOSDEM, and DebConf.

This is an exciting time for the health care field, as its aspirations toward value-based payments and behavioral responses to chronic conditions converge on a more and more precise solution. Dr. Joseph Kvedar has called this comprehensive approach connected health and has formed both a conference and a book around it. BaseHealth, a predictive analytics company in healthcare, has teamed up with TriVita to offer a consumer-based service around this approach, which combines access to peer-reviewed research with fine-tuned guidance that taps into personal health and behavioral data and leverages the individual interests of each participant.

I have previously written about BaseHealth’s assessment engine, which asks individuals for information about their activities, family history, and health conditions in order to evaluate their health profile and risk for common diseases. TriVita is a health coaching service with a wide-ranging assessment tool and a number of products, including cutely named supplements such as Joint Complex and Daily Cleanse. TriVita’s nutritionists, exercise coaches, and other staff are overseen by physicians, but their service is not medical: it does not enter the heavily regulated areas where clinicians practice.

I recently talked with BaseHealth’s CEO, Prakash Menon, and Dan Hoemke, its Vice President of Business Development. They describe BaseHealth’s predictive analytics as input that informs TriVita’s coaching service. What I found interesting is the sets of data that seem most useful for coaching and behavioral interventions.

In my earlier article, I wrote, “BaseHealth has trouble integrating EHR data.” Menon tells me that getting this data has become much easier over the past several months, because several companies have entered the market to gather and combine the data from different vendors. Still, BaseHealth focuses on a few sources of medical data, such as lab and biometric data. Overall, they focus on gathering data required to identify disease risk and guide behavior change, which in turn improves preventable conditions such as heart disease and diabetes.

Part of their choice springs from the philosophy driving BaseHealth’s model. Menon says, “BaseHealth wants to work with you before you have a chronic condition.” For instance, the American Diabetes Association estimated in 2012 that 86 million Americans over the age of 20 had prediabetes. Intervening before these people have developed the full condition is when behavioral change is easiest and most effective.

Certainly, BaseHealth wants to know your existing medical conditions. So they ask you about them when you sign up. Other vital signs, such as cholesterol, are also vital to BaseHealth’s analytics. Through a partnership with LabCo, a large diagnostics company in Europe, they are able to tap into lab systems to get these vital signs automatically. But users in the United States can enter them manually with little effort.

BaseHealth is not immune to the industry’s love affair with genetics and personalization, either. They take about 1500 genetic factors into account, helping them to quantify your risk of getting certain chronic conditions. But as a behavioral health service, Menon points out, BaseHealth is not designed to do much with genetic traits signifying a high chance of getting a disease. They deal with problems that you can do something about–preventable conditions. Menon cites a Health 2.0 presentation (see Figure 1) saying that our health can, on average, be attributed 60 percent to lifestyle, 30 percent to genetics, and 10 percent to clinical interventions. But genetics help to show what is achievable. Hoemke says BaseHealth likes to compare each person against the best she can be, whereas many sites just compare a user against the average population with similar health conditions.

Relative importance of health factors

Figure 1. Relative importance of health factors

BaseHealth gets most of its data from conditions known to you, your environment, family history, and more than 75 behavioral factors: your activity, food, over-the-counter meds, sleep activity, alcohol use, smoking, several measures of stress, etc. BaseHealth assessment recommendations and other insights are based on peer-reviewed research. BaseHealth will even point the individual to particular studies to provide the “why” for its recommendations.

So where does TriVita fit in? Hoemke says that BaseHealth has always stressed the importance of human intervention, refusing to fall into the fallacy that health can be achieved just through new technology. He also said that TriVita fits into the current trend of shifting accountability for health to the patient; he calls it a “health empowerment ecosystem.” As an example of the combined power of BaseHealth and TriVita, a patient can send his weight regularly to a coach, and both can view the implications of the changes in weight–such as changes in risk factors for various diseases–on charts. Some users make heavy use of the coaches, whereas others take the information and recommendations and feel they can follow their plan on their own.

As more and more companies enter connected health, we’ll get more data about what works. And even though BaseHealth and TriVita are confident they can achieve meaningful results with mostly patient-generated data, I believe that clinicians will use similar techniques to treat sicker people as well.

Steps In Integrating Patient-Generated Health Data

Posted on May 24, 2016 I Written By

Anne Zieger 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.

As the number of connected health devices in use has expanded, healthcare leaders have grappled with how to best leverage the data they generate. However, aside from a few largely experimental attempts, few providers are making active use of such data.

Part of the reason is that the connected health market is still maturing. With health tracking wearables, remote monitoring set-ups, mobile apps and more joining the chorus, it might be too soon to try and normalize all this data, much less harvest it for clinical use. Also, few healthcare organizations seem to have a mature strategy in place for digital health.

But technical issues may be the least of our problems. It’s important to note that providers have serious concerns around patient-generated health data (PGHD), ranging from questions about its validity to fears that such data will overwhelm them.

However, it’s possible to calm these fears, argues Christina Caraballo, senior healthcare strategist at Get Real Health.  Here’s her list of the top five concerns she’s heard from providers, with responses that may help put providers at ease:

  • Fear they’ll miss something in the flood of data. Add disclaimers, consent forms, video clips or easy-to-digest graphics clarifying what consumers can and can’t expect, explicitly limiting provider liability.
  • Worries over data privacy and security: Give consumers back some of the risk, by emphasizing that no medium is perfectly secure, including paper health records, and that they must determine whether the benefits of using digital health devices outweigh the risks.
  • Questions about data integrity and standardization: Emphasize that while the industry has made great process and standardization, interoperability, authentication, data provenance, reliability, validity, clinical value and even workflow, the bottom line is that the data still comes from patients, who don’t always report everything regardless of how you collect the data.
  • Concerns about impact on workflow: Underscore that if the data is presented in the right framework, it will be digestible in much the same way as other electronic medical data.
  • Resistance to pressure from consumers: Don’t demand that providers leverage PGHD out of the gate; instead, move incrementally into the PGHD management by letting patients collect data electronically, and then incorporate data into clinical systems once all stakeholders are on board.

Now, I’m not totally uncritical of Ms. Caraballo’s article. In particular, I take issue with her assertion that providers who balk at using PGHD are “naysayers” who “simply don’t want to change.” While there are always a few folks fitting this description in any profession, the concerns she outlines aren’t trivial, and brushing them off with vague reassurances won’t work.

Truthfully, if I were a provider I doubt I would be comfortable relying on PGHD, especially biometric data. As Ingrid Oakley-Girvan of Medable notes, wearables giant Fitbit was hit with a lawsuit earlier this year alleging that its heart rate monitoring technology is inaccurate, and I wouldn’t be surprised other such suits arise. Digital health trackers and apps have transitioned from novelty to quasi-official medical device very quickly — some might say too quickly – and being cautious about their output just makes sense.

Nonetheless, PGHD will play a role in patient care and management at some point in the future, and it makes sense to keep providers in the loop as these technologies progress. But rushing them into using such data would not be wise. Let’s make sure such technologies are vetted before they assume a routine role in care.

Patient Portal Security Is A Tricky Issue

Posted on April 25, 2016 I Written By

Anne Zieger 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.

Much of the discussion around securing health data on computers revolves around enterprise networks, particularly internal devices. But it doesn’t hurt to look elsewhere in assessing your overall vulnerabilities. And unfortunately, that includes gaps that can be exposed by patients, whose security practices you can’t control.

One vulnerability that gets too little attention is the potential for a cyber attack accessing the provider’s patient portal, according to security consultant Keith Fricke of tw-Security in Overland Park, Kan. Fricke, who spoke with Information Management, noted that cyber criminals can access portal data relatively easily.

For example, they can insert malicious code into frequently visited websites, which the patient may inadvertently download. Then, if your patient’s device or computer isn’t secure, you may have big problems. When the patient accesses a hospital or clinic’s patient portal, the attacker can conceivably get access to the health data available there.

Not only does such an attack give the criminal access to the portal, it may also offer the them access to many other patients’ computers, and the opportunity to send malware to those computers. So one patient’s security breach can become a victim of infection for countless patients.

When patients access the portal via mobile device, it raises another set of security issues, as the threat to such devices is growing over time. In a recent survey by Ponemon Institute and CounterTack, 80% of respondents reported that their mobile endpoints have been the target of malware the past year. And there’s little doubt that the attacks via mobile device will more sophisticated over time.

Given how predictable such vulnerabilities are, you’d think that it would be fairly easy to lock the portals down. But the truth is, patient portals have to strike a particularly delicate balance between usability and security. While you can demand almost anything from employees, you don’t want to frustrate patients, who may become discouraged if too much is expected from them when they log in. And if they aren’t going to use it, why build a patient portal at all?

For example, requiring a patient to change your password or login data frequently may simply be too taxing for users to handle. Other barriers include demanding that a patient use only one specific browser to access the portal, or requiring them to use digits rather than an alphanumeric name that they can remember. And insisting that a patient use a long, computer-generated password can be a hassle that patients won’t tolerate.

At this point, it would be great if I could say “here’s the perfect solution to this problem.” But the truth is, as you already know, that there’s no one solution that will work for every provider and every IT department. That being said, in looking at this issue, I do get the sense that providers and IT execs spend too little time on user-testing their portals. There’s lots of room for improvement there.

It seems to me that to strike the right balance between portal security and usability, it makes more sense to bring user feedback into the equation as early in the game as possible. That way, at least, you’ll be making informed choices when you establish your security protocols. Otherwise, you may end up with a white elephant, and nobody wants to see that happen.

The Power of WeChat for Chinese Health Trackers

Posted on March 24, 2016 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.

I’ve been meaning to write this post ever since CES at the start of this year. It was one of the most impressive and interesting things I saw at CES. However, it requires a real international perspective to understand the impact of the story. Hopefully I can flesh it out for you.

While at CES I ran into a company called Lifesense (All in Chinese). I almost didn’t stop at their booth because their booth was in Chinese, but I did recognize the pictures they had and the guy at the booth came out and said hi. I try to respectful so I stopped and talked for a minute.

At first appearance I just thought they were one of the hundreds of copy cat companies I’d seen all over the Fitness area of CES. They had a fitness tracker, a scale, a blood pressure cuff, etc. I guess in some ways they were/are a copy cat company since none of those things made them special (at least nothing I could see). However, it turned out that there was more than meets the eye and there was a reason their booth and website were in Chinese.

Turns out that Lifesense was only in China. They had no US presence (although, he thought that one day they might). As someone who’s always curious I wondered how well their health tracking products had done in China. He then recounted to me that they were lucky to be major partners with WeChat and so they’d had tremendous success in the Chinese market.

This is where I got most interested. For those not familiar with WeChat, it’s the go to IM/SMS/Facebook Messenger/SnapChat/Kik/Whatsapp/etc app for China. Everyone in China is pretty much on WeChat. Plus, unlike the companies that I just listed WeChat also has a built in commerce platform and engine for running third party apps. It’s amazing to think that an IM platform could be so powerful, but WeChat has shown that it can be. You literally can order Pizza or an Uber from within WeChat.

With that in mind, building a health tracking platform on WeChat solves so many of the challenges that US based fitness tracking applications have going against them. Take for example the experience with Fitbit. You can connect with your friends and “compete” against them to see who takes the most steps. However, it can be a pain to get all of your friends on the Fitbit platform so you can compete. Plus, this doesn’t even take into account that your friend has to have a Fitbit device.

Turns out that since Lifesense has built their Fitness tracking on WeChat, they can already connect you to all your other friends that are tracking their fitness with no work on your part. That feature literally just comes built in with WeChat. That’s so incredibly powerful since the social element to health is so important.

The problem in the US is that we don’t have a WeChat. There are a lot of platforms that are trying to do what WeChat’s done in China in the US, but they still have a long ways to go. Plus, it’s hard to imagine them ever becoming the dominant force that WeChat is in China.

As usual, I think there’s lots that we can learn from other countries. I think that’s the case with simple integrations like WeChat that open up all sorts of easy doors to improving health.

Here are some screenshots of the LifeSense app in WeChat for those that are interested to see how the app looks on top of WeChat:

Accessing Near-Real Time Patient Data In & Out of the Hospital with Alan Portela

Posted on March 15, 2016 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.

UPDATE: If you missed the live video of this chat with Alan Portela, you can watch the recorded version below:

Accessing Near-Real Time Patient Data In and Out of the Hospital

On Thursday, March 17, 2016 at 3 PM ET (Noon PT) join us for a live video interview with Alan Portela, CEO of AirStrip. Alan is one of the most insightful people I’ve ever met in healthcare. He has a great mix of experience and vision for what’s happening in healthcare IT and where it needs to go in the future. Not to mention he understands some of the reasons it hasn’t gotten there yet. I always learn something when I talk with Alan and so I’m excited to share this live interview with the Healthcare Scene community.

The great part is that you can join my live conversation with Alan and even add your own comments to the discussion or ask him questions. All you need to do to watch live is visit this blog post on Thursday, March 17, 2016 at 3 PM ET (Noon PT) and watch the video embed at the bottom of the post or you can subscribe to the blab directly. We’ll be doing a more formal interview for the first 30 minutes and then open up the Blab to others who want to add to the conversation or ask us questions. The conversation will be recorded as well and available on this post after the interview.

We hope you’ll join us live or enjoy the recorded version of our conversation. You won’t be disappointed by Alan Portela’s insights into the world of near real-time streaming of health data to mobile devices. AirStrip has done some really amazing things in this regard and Alan has a deep knowledge of this industry.

If you’d like to see the archives of Healthcare Scene’s past interviews, you can find and subscribe to all of Healthcare Scene’s interviews on YouTube.