Tuesday, September 16, 2014

#Health Articles saved on Delicious by @ekivemark

It’s Tuesday, September 16, 2014 at 09:01AM
and time to bring you some Delicious #Health posts




via WordPress http://2.healthca.mp/1qbh5QI

Monday, September 15, 2014

#NHITWeek Supporting Provider Readiness for #MU2 Patient Engagement Measures

  1. Digital Divide Tech Access
  2. Workflow Integration
  3. Consumer Demand
  4. Tech Issues
  5. Privacy/Security

Experience from The VA

“Its all about what is in the box”
“What you say and how you say it”

You have to understand what is in it for them “VDT – View Download Transmit – shorthand for Meaningful Use Stage 2 measures”

Focus on what people need.

People want to be able to communicate with their provider
They want results of their tests
They want to get at their notes
They want transactions like refill prescriptions.

Usage = Value

Every person on the team plays a role. eg. Is the url on the prescription refills

Front Office staff love secure email. It saves phone time.

Patients love it. It improves self care. Patients are better prepared for appointments. Patients reading notes are not bombarding physicians with follow up questions.

This is also reinforced by Kaiser Permanente releasing tens of thousands’ of notes to patients.

What goes on the Portal

Give context for patients. Numbers alone don’t work.
Automate what you can.

INOVA

Patient Portal was implemented based upon traffic.
- Ambulatory,
- ER
- Out-patient (for pre-surgical questionnaire.)

Secure patient messaging is successful.

Need to implement lab result release
- Offer hispanic language support.

GetReal_Health

Providers want to avoid multiple PHRs.
Untethered PHRs help offer better experience for patients and also benefit all providers that are connected to a patient.

Secure Messaging – big confusion between secure messaging and the Transmit component of VDT.

Voting on top issues:

  1. Technology – Capturing and reporting of un-reported patient generated data 2. Consumer Demand – 1 Place to get data not multiple portals.

Customers are confused when the same patient portal in different organizations can’t hold their information.

The direction is towards untethered PHRs. Let the Patient data move between organizations. It will reduce the data input at each organization.

Will there be a standard for releasing imaging data and comments.

Even the VA provides the report but not the image (in three business days).

Increasing Reach:

VA is building in Proxy capabilities
Point of Service kiosks – increasing the range of services through these kiosks. Back to basics – working with UK NHS to use Texting (FLO) Algorithmic texting



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#NHITWeek Karen DeSalvo closing thoughts (@KBDesalvo)

Karen DeSalvo gives here closing thoughts from the Consumer Health IT Summit.

Using tools beyond the EHR.

This will involve partnership across the healthcare sector – INCLUDING Patients/consumers.



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#NHITWeek Incorporating Patient Generated Health Data into Practice

Claudia Williams – Sr Advisor HIT, white House Office of Science and Technology leads a panel and point out the challenge:

  • The Average american has 3 visits per year with the doctor. Each visit averages 20 minutes.

This is the %0.5 engagement I have talked about for so long.

Claudia asked how data will inform care in 2 years.

Nwando Eze, Pediatrician, Neonatology Fellow at CHOC Children’s / Harbor UCLA and Mother of Two @chocchildrens

Patient access to information is empowering.
Data collection is collaborative.

Want to see platforms that allow providers to share information with patients. How do we do this without devaluing the provider-patient relationship.

Arielle Carpenter, Director of Marketing, Withings @BWellArielle

Patients are already there. They are using tracking tools.

When will we see devices and apps for prevention in the home being re-imbursable by the payer. The Apple announcements will take health devices mainstream.

The general public should have more awareness of their health through measurements. This will require a lot of education.

Janet Wright, Exec Director, Million Hearts, @geisingerhealth

1 in 3 adults in USA have high Blood pressure. Only 50% chance it is controlled.
How do we transfer the locus of control from the physician to the patient. The Physician becomes coach. Data and advice needs to flow back and forth.

We need actionable information.

Better control of blood pressure.

Michael Evans, Director, Ambulatory Clinical Pharmacy Program, Geisinger Health System

Patient adherence to chronic medications is at about 15%.
Medication Lists – Medication Reconciliation is accurate about 50% of the time.

They decided to do this outside of the medical visit. They developed a survey and a patient portal to the patient prior to an office visit.
The elderly are tech savvy. They will take the time even if they are on 25-30 medications.

The question shifted to what does the practice do with this data.
Now Geisinger is rolling out across their system. If it more accurate and the visit is more efficient.

Payers need to catch up with aligning payments with benefits.



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#NHITweek Expanding Broadband for better health

Connct2Health@fcc.gov

The FCC has a role in health by ensuring rural areas have access to broadband. Consumers can drive health.

Connectivity is needed for Healthcare facilities and consumer.

The FCC vision is that everyone is connected everywhere. All consumers need access to tools that enable them to be healthy.



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#NHITWeek Patient Engagement for Outcomes Research @Pfizer is using BlueButton

Prashila Dullabh – HIT Program Director, National Opinion Research – University of Chicago

Panel:
- Craig Lipset, Head of Clinical innovation – Pfizer @craiglipset
- Wendy Nilsen, Health Scientist Administrator, NIH @wnedynilsen
- Jean Slutsky, Chief Engagement and Dissemination Officer – PCORI
- Sharon Terry, CEO, Genetic Alliance @sharonfterry
- Keith Marsolo, Associate Professor, Cincinnati Children’s Hospital @improvecarenow

Q: Strategies for Patient Engagement
A: Improving Awareness and making information available
In Cancer – 85% of patients are unaware of how to participate in a clinical trial or whether there is a trial they could participate in.
Using iPads to communicate in the consent process.
80% of patients want to see the results of the trials they participate in. Pfizer now creates a lay version of their clinical trial reports..
Pfizer is working with BlueButton to download a patient’s clinical record from a trial.

Unintended Consequence: Open the door between Pharma and Life Sciences as a result of BlueButton – Kudos to @AdamDole

Developer resources at Pfizer to help devlopers tie in to Clinical trials. http://2.healthca.mp/1wwrGyl

Craig Lipset:

  • Interested in diverse data (EMR, Sensor Data, Genotyping data)
  • Interested in supporting the ecosystem as data holder and data generator

Excited to see patients aggregate and share their data for research

Wendy Nilsen:

  • How to turn data into knowledge
  • How do we implement user centered design
  • How to share and crowd-source data
  • interested in mobile and EHRs.

Really engaging the User Design community.
Involving the users from the beginning is critical

Data is not knowledge. We need to work on translating data in to knowledge

Jean Slutsky:

  • Patient Centered Outcomes Research Institute. Patient-Centricity is key!
  • Drive transparency

4 people perform merit reviews of research proposals. This includes 2 stakeholders.

Healthcare is not user friendly. We are on a track to change this.

Sharon Terry:

  • Genetic Alliance is a network of 10,000 advocacy organizations.

How do we develop real engagement and not just a transaction.
Consent is part of the Transaction. Healthcare is not (or should not be) transactional.

How do we keep the urgency and stay aware of the people that suffer.

Keith Marsolo:

  • Working on Quality Improvement initiatives. Developing learning networks.

It is hard to bridge cultures and deal with regulatory frameworks.

[category News, Health]

[tag health cloud]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark@ekivemark.com
Stay up-to-date: Twitter @ekivemark
Disclosure: I began as a Patient Engagement Advisor and am now CTO to Personiform, Inc. and their Medyear.com platform. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today. Medyear: The Power Grid for your Health.



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#NHITWeek Closing the HealthCare Digital Divide (using #BlueButton?)

Dr Ivor Horn leads a panel on closing the digital divide for the underserved

Ivor Horn – Director for Center for Diversity and Health Equity, Seattle Children’s Hospital @Drivorhorn

Panel:
- Rod Manifold – Exec Director – Central Virginia Health Services and Association of Clinicians for the Underserved
- Paul Meyer, President, Voxiva @voxivapaul
- Vanessa Mason – Sr manager eHealth, ZeroDivide @vanessamason

Rod Manifold operates in a rural area. They were last health centre in VA to implement electronic records.
Moving from paper to electronic. Bandwidth was a limitation. (50Mbs at central site, 10Mbs at each regional site)
About to double bandwidth to add dental support and phone service.

The Nursing staff have risen to take on new responsibilities. They were given laptops and provide help to patients.

Providers need to re-learn how they communicate Provider to Patient. Communication is VIA the record. Real change took place when providers shared information with patients rather than writing for a colleague in case they had to cover for them.

Paul Meyer: The changes to incentives has been instrumental in driving interest in improving population health.
Digital tools enable engagement at a new level of intensity that isn’t possible in the traditional health care environment.

The holy grail is to integrate consumer digital tools with healthcare delivery systems.

How do we create shared utilities – such as PHRs. “We don’t want 15 patient portals”

Vanessa Mason: ZeroDivide looks at the entire ecosystem for the communities where the underserve live.
An example is using Faith-based organizations to reach in to the community to help their congregations be healthier.
ZeroDivide is trying to meet people where they are. Where they eat, meet, work, play.

How can technology fit in to people’s lives easily and seamlessly.

How can we make data actionable that brings better health for patients?

The Broadband divide in the USA makes the Library a natural place for communities to gain access to the Internet.
ZeroDivide is working on Health Insurance literacy.

[category News, Health]

[tag health cloud]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark@ekivemark.com
Stay up-to-date: Twitter @ekivemark
Disclosure: I began as a Patient Engagement Advisor and am now CTO to Personiform, Inc. and their Medyear.com platform. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today. Medyear: The Power Grid for your Health.



via WordPress http://2.healthca.mp/1Db1OcU

#NHITWeek Lana Moriarty takes over from @Lygeia at Office of Consumer eHealth at ONC

Lana Moriarty leads a panel discussion on Delivering IT solutions to Underserved Youth

Panel members:
- Barbara Sorenson – CEO Altruit
- Alexis Barries – Youth Ambassador, HealthShack @healthshackinfo

Healthshack is a web-based health record for youths. Designed by youths. The account owner controls who has access to their data.

http://2.healthca.mp/1tWmdfz

The system helps to generate a resume and it records other life information.

[category News, Health]

[tag health, NHITWeek]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark@ekivemark.com
Stay up-to-date: Twitter @ekivemark
Disclosure: I began as a Patient Engagement Advisor and am now CTO to Personiform, Inc. and their Medyear.com platform. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today. Medyear: The Power Grid for your Health.



via WordPress http://2.healthca.mp/1tWlsmJ

#NHITWeek Enabling Patients with Immunization Data via #BlueButton

Rebecca Fish, Sr Policy Advisor, National Vaccine Program Office.

Provide faster, simpler access to vaccine history

  • Messaging and Promotion
  • Technology

20-50,000 people per year die from vaccine preventable diseases.

It looks like this will encourage doctors to sign up and then patients will use BlueButton to download their official vaccination record.

This is a really cool initiative that can make a big difference for families.

[category News, Health]

[tag health cloud]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark@ekivemark.com
Stay up-to-date: Twitter @ekivemark
Disclosure: I began as a Patient Engagement Advisor and am now CTO to Personiform, Inc. and their Medyear.com platform. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today. Medyear: The Power Grid for your Health.



via WordPress http://2.healthca.mp/1ww7HQm

#NHITWeek Expanding Patient Rights to Access their Health Information

Jocelyn Samuels – Director – Office for Civil Rights (OCR), HHS

Access and Empowerment is extraordinarily important

HIPAA established patients have rights to access their health information. This was a critical doctrine.

Patients have an express rights to their Electronic records.
Patients will have a right to get their lab results directly from the laboratory. The deadline for compliance is October 6th.

Providers will have access to OCR information via smartphone and tablet via the medscape.com

[tag health cloud Genomics]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark@ekivemark.com
Stay up-to-date: Twitter @ekivemark
Disclosure: I began as a Patient Engagement Advisor and am now CTO to Personiform, Inc. and their Medyear.com platform. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today. Medyear: The Power Grid for your Health.



via WordPress http://2.healthca.mp/1ww7HzS