While at AHIMA, I asked Dr. Jon Elion, Founder and CEO of ChartWise Medical Systems, the million dollar question, “Are Physicians Ready for ICD-10?” I love his comparison of the fear mongering we saw with Y2K with the move to ICD-10. Here’s his video answer:
What do you think? Are most physicians ready for ICD-10?
While at AHIMA, I was lucky enough to meet John Trader from RightPatient (A part of M2SYS Healthcare Solutions). During our meeting he showed me the coolest technology I’ve seen in quite a while. Ever since I first started this blog, I had a serious interest in seeing how biometric solutions could benefit an EHR implementation. I’ve tried fingerprint, facial (and this review), voice, typing, etc and been amazed by the technology. Facial recognition was probably my favorite despite its weaknesses.
The funny thing is that I always shot down anyone that suggested the use of some sort of eye related biometric identification. Thinking to my only reference for retina scanning biometrics (movies like Mission Impossible), I didn’t see how that was going to integrate well with healthcare.
Turns out that I was wrong, and my big mistake was that I was looking at the technology from a doctor, nurse, front desk staff identification perspective as opposed to a patient identification perspective. Plus, I didn’t get the difference between retina scanning and iris recognition.
With this background, you can imagine my surprise when I fell in love with the RightPatient iris recognition technology that John Trader demoed to me at AHIMA. I shot this short video embedded below where John discusses the differences between retina scanning (the laser scan you see in the movies) and iris recognition. Then, John demos their iris recognition technology.
Much more could be said about how the iris technology works, but I think it’s best deployed at a hospital front desk during registration. Imagine the number of duplicates that could be avoided with good biometric iris recognition. Imagine the insurance abuse that could be avoided with iris recognition.
In the video I only showed one of the model’s that RightPatient deploys. They have another model that automatically swivels until it locates your iris. It’s hard to explain on the blog, but when you try it first hand it’s like magic.
In March I asked why we haven’t seen stories of all the benefits of ICD-10 to patients. Considering many other countries around the world have been using ICD-10 for years and years, I wondered why we hadn’t heard more stories of the benefits of ICD-10 to patients.
In the following video I asked Doris Gemmell, BSc, MBA, CHIM, Director of Coding Services at Accentus Inc. this same question and she provided a simple but thoughtful example of how ICD-10 could benefit the patient.
I’m also a big fan of Doris because she blogs about ICD-10 on her blog. I always love when smart people share their knowledge on a blog.
AHIMA 2012 has been quite the whirlwind for me. I’ve met with some fantastic people and I’ll soon be sharing many of the things I learn with you in future blog posts. Plus, I’ve been taking the time to capture a lot of videos of people talking about some of the hot topics at AHIMA and other topics that I think you will find interesting. You’ll see many of those videos coming out across all of the Healthcare Scene blogs over the next month.
One video that I did today was me just walking through the AHIMA show floor getting some video of the various exhibitors at AHIMA. My video camera didn’t like me walking and shooting the video that much, but I think many of you will find it interesting to see some of the companies exhibiting at AHIMA and the types of booths they have.
As each day goes by, a shift is happening in healthcare. It’s a shift that’s easy to see and many, including myself, have noted before. The shift is hospitals acquiring ambulatory practices. It’s happening at such a rapid pace and before we know it, a small percentage of doctors are actually working for themselves. This change is going to have a dramatic impact on EHR.
One of the biggest elements of this change is who is making the EHR decision. Previously, a large portion of ambulatory EHR decision making had been done by the doctors who owned the medical practice. As doctors have started working for hospitals, the decision making process has shifted to IT executives (To be fair, many IT executives are also doctors, but often not practicing).
This change in EHR decision making is having a dramatic impact on the health IT world and will continue to have an even greater one going forward.
I and others have noted that we believe that the movement of doctors working directly for hospitals is cyclical. As one person said today at AHIMA, “doctors are the most independent people I’ve ever met.” Independence and working for a big company don’t mix very well. So, I’m sure we’ll see many doctors go back to their independent practices. In fact, one guy I mentioned this to at AHIMA said, “It’s already happening, but it’s going to take a different form.”
He’s right about this. Doctors leaving their new found masters (hospitals), aren’t likely going to be able to go back to the traditional practices they did before being acquired. I’m not sure of all the ambulatory medicine models that we’ll see, but I think those entrepreneurial doctors who want to be on their own are likely going to have to be creative in their approaches to practicing medicine. Otherwise, they won’t survive in this rapidly evolving world of ACOs.