Harvard Business Review: Apple’s Pact with 13 Health Care Systems Might Actually Disrupt the Industry

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An interesting Harvard Business Review article by David Blumenthal and Aneesh Chopra propels some common misconceptions about Apple’s focus.

mHealth Insights

“An announcement on January 24 didn’t get the large amount of attention it deserved: Apple and 13 prominent health systems, including prestigious centers like Johns Hopkins and the University of Pennsylvania, disclosed an agreement that would allow Apple to download onto its various devices the electronic health data of those systems’ patients — with patients’ permission, of course”

I was think the reason it “didn’t get the large amount of attention it deserved” is because the David and Aneesh are talking about the mainstream media. Anyone with any real interest in seeing Patients and Carers get documented care was talking about Apple’s news but why would be media brands be overly interested in something that’s going to disrupt the situation from which their major advertising partners are generating their profits? Hasn’t the media always been like this with innovative new approaches? eg. it’s not like there were photography magazines writing about Philippe Kahn and the soldering work he did while his wife was in the labour ward.

“It could herald truly disruptive change in the U.S. health care system. The reason: It could liberate health care data for game-changing new uses, including empowering patients as never before”

All signs show it is eg. Dr Ricky BloomField’s demo at HIMSS18 stole the show and he wasn’t even on a proper stage.

“Since electronic health records (EHRs) became widespread over the last decade, there has been growing frustration over the inability to make electronic data liquid — to have it follow the patient throughout the health system and to be available for more sophisticated analysis in support of improved patient care and research. Most efforts to liberate and exchange health data have focused on getting doctors and hospitals to share it with one another. Those efforts continue, but progress has been slow. Frustration has increased interest in a very different approach to data sharing: Give patients their data, and let them control its destiny. Let them share it with whomever they wish in the course of their own health care journey”

I think it’s clear that this problem existed even before records went electronic and Patients and caring Clinicians have been frustrated for decades eg. Prof Sam Lingam was at Great Ormond Street Hospital in London 30 years ago sharing medical records with the Parents of some of the sickest children in the world.

“Several technology companies — including Google and Microsoft — tried this in the early 2000s, but their efforts failed. There just wasn’t that much electronic health data available at the time, since only a tiny fraction of doctors and hospitals had electronic records. Health systems were reluctant to share what data existed, seeing it as a valuable proprietary asset. The technology for giving outside entities access to electronic records kept by hospitals and doctors was underdeveloped. And EHR vendors were uninterested in promoting such access because the demand was weak and data sharing could spur competition from other vendors”

I think this overlooks the fact that we hadn’t had the Nokia Decade and most people didn’t have a personal means of being reached 24×7 or connecting to the internet. Apple is the world’s largest and most profitable corporation because it seized the opportunity to leverage the newest mass media. It’s now time for Clinicians and Patients to seize the opportunities to advance how healthcare is accessed.

“Those obstacles have now mostly melted away. Electronic health records and digitized health data are now ubiquitous. Various federal incentives and regulations now require providers to share data with other providers and with patients or face significant financial penalties. The Argonaut Project, a voluntary private sector collaborative, has provided guidelines for an open source, standardized application programming interface (API) that provides ready access to data stored in providers’ electronic records. Think of APIs as gateways into electronic data warehouses that now populate the health care landscape. Of note, the federal government now requires all vendors of electronic records to include these open APIs in their products to be federally certified.”

I don’t think the obstacles have mostly melted away. EHRs’and digitalised health data is far from ubiquitous. There’s also a massive issue that arises because Electronic Health Records are all too often just billing records rather than clinical records and in most cases have never even be reviewed by the Patients they relate to.

“A world in which patients have ready access to their own electronic data with the help of facilitators like Apple creates almost unfathomable opportunities to improve health care and health. First, participating patients would no longer be dependent on the bureaucracies of big health systems or on understaffed physician offices to make their own data available for further care. This could improve the quality of services and reduce cost through avoiding duplicative and unnecessary testing”

I think it’s becoming obvious: healthcare is going to become a Mobile Experience, just another thing we do with our mobiles (2012).

“Second, the liberation of patients’ data makes it possible for consumer-oriented third parties to use that data (with patients’ permission) to provide new and useful services that help patients manage their own health and make better health care choices. Such consumer-facing applications — if they are designed to be intuitive, useable, and accurate — have the potential to revolutionize patient-provider interactions and empower consumers in ways never before imagined in the history of medicine. Imagine Alexa- or Siri-style digital health advisors that can respond to consumer questions based on users’ unique health care data and informed by artificial intelligence. Health care could start to function much more like traditional economic markets”

It always amazes me how healthcare  industry professionals always seem to want to add the caveat that applications have to be “designed to be intuitive, useable, and accurate” in order to improve things. Maybe they don’t realise that unlike all the software that healthcare organisations waste $billions on every single bit of software that someone downloads to an iPhone comes with a universal rating system.

Related posts: “Majority of mHealth apps fail to engage patients”How Mobile First Clinical Trials & Ratings will transform the $100B Clinical Research Industry.

“Nevertheless, this vision of the future faces obstacles and uncertainties. First, large numbers of hospitals and doctors have to follow the lead of the 13 systems that have already jumped on board. There are encouraging signs that many more will join, but ultimately, there needs to be a clear business case for both providers and their IT allies to invest in this new partnership. Perhaps the most compelling would be widespread consumer demand for the service. For that demand to materialize, consumers have to receive something they value in return for giving third parties like Apple access to their data. This means that Apple and its future competitors will have to develop nifty consumer-facing apps that solve consumer health-related problems easily and cheaply. Those apps simply don’t exist at the moment”

This paragraph reminds of me of the age old definition of an expert: someone that can tell you exactly why you can’t do something. It’s interesting to note that the number of partner systems following the lead has already exceeded the authors expectations eg. the number of partners has already doubled.

“Second, the opportunities for fraud and abuse in this new world of data access are daunting. Most consumers will want to delegate to third parties the job of accessing, storing, managing, and analyzing their data. Making sure those third parties are trustworthy is critical, and unscrupulous actors will inevitably take advantage of unsophisticated patients. Health data is extremely valuable on illicit markets. And even honest but unsophisticated data stewards can create huge problems if they don’t adequately protect patient information. Federal and private sector organizations are trying to develop a voluntary but enforceable code of conduct to govern the behavior of private data stewards. This would be an important first step toward assuring that consumers are not victimized on the way to a brighter health care future”

I cannot see how we can be in a worse situation than that we have today where the Patient the data relates to isn’t even getting to access it.

“Third, once new companies start to develop consumer-facing health applications based on patients’ own health care data, the quality of those applications could become an important issue. If they offer advice, it needs to be reliable. If they promise a service, they need to deliver. Some applications may fall within the existing regulatory authorities of U.S. federal agencies like the Food and Drug Administration or the Federal Trade Commission. If not, the question of whether and how to assure that the advice furnished consumers is valid and reliable will certainly arise as a matter of public policy”

I cannot see how we can be in a worse situation than that we have today where the Patient information is being misused and Patients aren’t even getting to access it.

“These problems notwithstanding, the announcement of this collaboration between leading American providers of health and information technology services likely signals a new era in health and medicine. The partnership and its results will not solve all our health care problems. But they could really shake things up. And that is what the U.S. health system needs”

I remember the news said the Apple’s original iPhone “Could really shake things up” whereas Mobile industry gurus who understood the complexities of the industry (like Tomi Ahonen) straight out called it a new era and the ‘Jesus Phone’.

We’ve got the same happening with Apple’s push into healthcare except now they’re the  world’s most valuable corporation, have a $300Billion cash reserves, own the world’s most valuable brand and have had their senior management already tell the world that they are going all in on Healthcare and expect the revenues they generate by helping Patients to dwarf their existing business.

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Help us produce 2 new mHealth lectures for Medical Students next week

George B Shaw Apples and Ideas

Next week (Thursday 29th March 2018) I’m giving a couple of lectures at University College Dublin Medical School on the topics of “How would the BornMobile generation redesign Medicine?”  and “The Future role of the Doctor“.

The lectures will build on the mHealth course for Healthcare Professionals that we built for the Healthcare Informatics Society but I thought it would be a good idea to crowdsource ideas here by outlining a draft skeleton of the presentations and inviting your thoughts and suggestions (easiest way is via email or the comments box below – and messages will remain private unless you request otherwise).

In appreciation of your help I’ll give you a credit at the end of the lectures (both lectures will be video recorded and shared on YouTube).

How would the BornMobile generation redesign Medicine?

  • Introduction

Background.

Why the most powerful lesson I got at Medical School came from a Patient as we looked at the internet together.

  • Keeping current with the tools of our time.

Moores Law: Your iPhone has a faster CPU than that used by a £10Million Surgical Robot

Half of US Medical Students believe that using a Mobile in front of Colleagues & Patients would make them appear less competent

If you attend a Medical School that still doesn’t give you mHealth tools the data now shows that they are failing you

If Patients see you uncomfortable using a mobile they may doubt how current your medical knowledge is.

It’s critical we also appreciate that the mobile phone in your pocket provides the quickest way to end your career…

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…or even worse.

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PLEASE TAKE THESE POWERFUL DEVICES SERIOUSLY AND TAKE TIME TO LEARN HOW TO USE THEM because ‘here’s my mobile number’ is now one of the most caring things you can say to a Patient or Carer.

  • Description of the Born Mobile Generation & the disconnect with modern medicine.

Joined up medical records: Dog Vs Child

Treat me like a statistic and save my life.

There’s probably not a Doctor in Ireland who wouldn’t get a sizeable GDPR fine if they were inspected today yet Cancer Research charities are paying private investigators to research the family and friends of children who have cancer, the NHS is giving away the detailed healthcare records of millions of Patients to the world’s biggest advertising company (Google) without even notifying Patients who never even had access to the same info and referral agents are paying google millions while masquerading as free helplines for drug addicts (while generating millions in finder fees for rehab services).

      • Describe how the Healthcare Industry is failing to keep up with the changing needs of Patients and Carers

“Go and Get Help” no longer makes sense.

International Diabetes Federation: Let’s embed mHealth and make it a compulsory embedded part of care for Patients who have diabetes.

The ability to use “Voice to Text” should be an entry requirement for Medical School in 2018.

  • Imagine how we could use the internet together?

Mobile is transforming the Internet and creating the Internet of Things: how will that transform medicine.

  • Beyond the office visit model

Nutrition, Chronic Disease and Behaviour Change Focus.

  • We need to bring the tools we use socially to work

You’re probably going to start working in a Hospital that expects you to use as many as 20 different software programmes and a heap of obsolete tech like fax machines and pagers. It’s time Medical Schools required students to always carry the latest smartphone & use it in their exams because we need to prepare them for a career in which they will always have a connected smartphone (at least as powerful as an iPhone X) and your Patients will have one too. How do you plan to leverage that?

Imagine a world where Medical Notes are shared with Patients and Carers…

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Imagine a world where Patients create the Healthcare Record?

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Imagine a world where Patients bring the Healthcare Record to the Consultation?

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  • News & Published Research Literacy training

A Doctors career is being transformed by Patients/Carers looking up information. The phrase “Can we talk about this information” is coming at the profession like a freight train.

      • Online sharing of lectures

Instills Transparency, Confidence in the profession. Useful Patient information: imagine how it might help the Parent of a child on dialysis if they watched the UCD nephrology course.

UCD should pride itself on the number of Medical Schools around the world that copy their lectures. When information is cheaper to distribute than water the value you offer is determined by the quality of the information you share.

      • What would the world’s best Medical School look like?

Paperless, socially connected tuition designed to teach and build team working skills.

MD FastTrack for Experienced Nurses.

International students graduating at UCD after resitting their Final year in the world’s most modern medical school.

“The Future Role of the Doctor?

The future Doctor is one that is capable of asking “What Does John Need?” and confident to not just intensify treatment.

The Future Patient brings their own data – why do we need this to happen (Primary care physicians in the US spend nearly 2 hours on EHR tasks per hour of direct patient care) and what changes do we need to make to accommodate this?

Imagine if every Patient you treat is in a Clinical Trial

Long term commitment to proving your Trustworthiness and Professionalism so that you can be an Independent impartial advisor capable of reducing over treatment and overdiagnosis and making preventative connections with Patients that will help them change their behaviours.

How do you develop trust with Patients in a world that’s upside down and while Doctors get threatened with GDPR fines the leading teaching Hospitals are being rebranded by corporations that sell Patients down the road to scammers, the world’s biggest corporation was practically seed funded by illegal drug adverts and is now selling personal data on insured Patients to rehab referral agents who masquerade as a ‘free helpline’ for addicts:

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Where will the Smartphone Medical take us?

From: “Please give me 36 seconds to tell my story” to “The Doctor Can See you now & thanks to data Doctors are able to select Patients that they know, understand and feel a connection with”.

How do you prepare for a career in which you won’t be allowed to practice without a smartphone loaded with up to date content, mHealth accessories and exhaustive clinical decision support tools?

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The implications of Artificial Intelligence and Machine Learning.

The need to get good at discerning between potential, hype and opportunities:

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What if you never got to diagnose a Patient? What type of a Doctor will we need when every Patient you ever meet already has a diagnosis?

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What if the Ageing process is slowed or abolished?

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Does this pass your “Mother Test”?

Don’t strive for perfection, instead pledge to never to repeat a mistake.

UPDATE: Draft slides for first lecture:

 

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What Do Tomorrow’s Doctors REALLY Think of mHealth Technology?

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Nathan Ratner, a third-year medical student at the University of Minnesota and third-place finisher in last year’s Elsevier Hackathon in Finland, talks to Eric Wicklund at mHealth Intelligence, about the promise of mobile health technology.

mHealth Insight

The ability to look up information in an efficient and targeted way is critical to getting the right information, right when I need it.  For instance, UpToDate, which is an online resource designed by clinicians for clinicians, is a type of Wikipedia for healthcare professionals, and it has an incredibly wide database of peer-reviewed articles, written by MDs and PhDs. In addition, Johns Hopkins University produces an antibiotic guide. I use it through an app on my phone. Those are just a couple of examples of digital resources that I have utilized extensively throughout my medical education so far, and I plan to continue utilizing them throughout my career. It shows the potential for how much impact these kinds of services can have to really improve both the efficiency and efficacy of education”

I think despite survey results suggesting that ‘Half of US Medical Students believe that using a Mobile in front of Colleagues & Patients would make them appear less competent’ I think it’s clear that even medical students who are studying in medical schools that are failing them because they haven’t gone paperless with made for iPad course materials they still don’t think twice about using their mobile as a tool. How long before we update the dinosaurs and start examining medics on their ability to use a content loaded smartphone and requiring them to have/use it when with Patients?

 

The mobile phone or tablet is like the modern-day doctor’s bag. Suddenly we as physicians have vast resources at our fingertips that enable us to better educate patients about their disease process, our recommendations for a treatment plan and possible side effects or complications. This is a huge benefit to the therapeutic relationship”

 

The amazing thing is I think the Smartphone Medical from 2013 URL showed that it’s already so much more than that eg. your smartphone has a faster processor than a surgical robot from just a few years ago (and no one ever had a surgical robot or an ECG machine in their Doctors bag did they?).

“I would like to use mHealth to facilitate greater interaction with patients. This is not mentioned that often, but I think it is one of the greatest benefits of mHealth. When you have a situation where you have an expert who has all of this knowledge in their head, and they’re just dispensing edicts, such as, “This is what I think you have (and) this is what I think the appropriate treatment is,” whether intentionally or not, it can create an asymmetric power dynamic. However, if you are able to look up information with the patient, that facilitates a more collaborative relationship. Building that therapeutic alliance is more important than ever, because there are so many conditions that require a tremendous amount of active patient management and self-care in order to ensure successful outcomes”

I really hope when Doctors get to properly experience looking up information with Patients (this was the most transformational thing that I experienced 20 years ago at Medical School back in he early days of the internet) because when they do that its only a very small step before they realise Patients have more often than not got more time, interest and ability to look things up so we need to start teaching medics to work with Patients who have already looked things up.

“An easy criticism to make is we’re devaluing the doctor. People may say, “Well, anyone can just look this information up.”  But I don’t think it’s the access to the information that’s actually going to change medicine, because doctors still need to know all of this.  Medical school is not going to get easier. What’s going to change is how we share information, how we communicate, and my hope is that, as the system of global health becomes more robust for physicians, the same thing will happen for patients. I want to see the health literacy patients possess increase”

I see this as a common misconception amongst Doctors who don’t share online content with their Patients. It’s surprising that young medical students still think it’s possible (or desirable) for us to try and produce Doctors who know everything.

“I think the greatest risk is how information is shared with the general public. If it’s done right, then the good information gets through, and it’s accessible. When it goes wrong, patients can end up doing themselves a disservice. Patients do their own research and develop ideas about what may be wrong with them and what it will take to cure them based on that information. When physicians inform patients the interpretation of the patient’s research is not correct or does not fit the situation, physicians risk losing physician/patient trust. That’s happening now. Information that’s made accessible to patients needs to be done in such a way that there’s a clear bright line between the information that’s valid and information that is not. The mHealth ecosystem is being formed right now; if there isn’t a lot of care taken to really educate patients and form these systems so that there’s a clear delineation between what’s information you can trust and what’s information that may have an agenda behind it, you could see issues at a much bigger scale than we have now. But this is also one of the issues that mHealth can have a tremendous role in solving”

With government healthcare systems giving the health records of millions of their citizens to foreign advertising companies without even thinking about consent, the pharmaceutical giant Roche now owning FlatIron – the leading US provider of EHR’s for Oncologists and Teladoc and IBM Watson partnering to give 2nd opinions to Patients who are already under the care of an oncologist I think this is without doubt a major challenge but it’s not going to be solved by mHealth per se but by smart clinicians who are prepared to make themselves accessible and work transparently in order to help Patients and Carers trust them.

I’m most looking forward to services that can interact with patients in a way that help to give them critical information when they need it. I imagine a SIRI-like device that could access your medical record, know your history and, with the algorithm, be able to synthesize that information and give you a quick and reliable answer to the question, “Do I need to go to the emergency room for this?” “No, you called a bunch of times before about this, and you don’t need to worry,” or “Yeah, you should go to the emergency room.””

I think we’ll arrive at that situation by recording millions of fully documented Consultations with Doctors and incorporating the feedback from the Patient journey. A great reason in and of itself to evolve on from the 2000+ year old office visit only model of care.

“Medicine, especially at the primary care level, and even at the specialist level, will become more automated. It’s inevitable. One thing I hope to pursue through my career is to maintain the human element, to really emphasize communication and relationship-building within these technologies, like the economist Richard Thaler, who was awarded the 2017 Nobel Prize for Economics. All of his work was building humans back into these very analytical economic models, and I think there’s a lot of benefit and cost savings that comes with automation, but I do think that we run the risk of losing the human relationship, that research shows, is in fact critical to positive therapeutic outcomes”

I think it’s abundantly clear that in the drive for efficiency and profiteering the sick care system has disrupted the very thing that Patients want: a human relationship with someone who cares about them. It’s optimistic to hear a medical student expressing such an observation but hopefully it’s not another one of those common sense things that US medics are being taught to ‘grow out of’.

“Honestly, the thing I’ve been most interested in recently is the success of telehealth in sharing medical knowledge, especially for places where there are physician shortages. The two most prominent examples right now are stroke codes in rural hospitals, where there’s no on-staff neurologist. There’s a service that allows emergency physicians to immediately have access to a neurologist. For example, I’m in Minnesota, and in northern Minnesota there are some rural areas where there’s just no on-staff neurologist at these critical access hospitals, but with the push of a button they can have a neurologist – literally, a world-class neurologist at an academic health center here in the Twin Cities, on the video screen, and they can look up a patient’s records and talk through the entire management of the stroke with the emergency doctors. What that does is saves critical minutes and seconds from having to transport that patient to a different hospital, to being able to manage it right there and try to save as much brain tissue as possible”

Such a simple innovation that’s been obivous for years. It stuns me that we still have major Professional bodies representing tens of thousands of Doctors whining about the Physician shortage while just paying lip service to the opportunity to use the tools of our time.

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Apple gives a beta product demo and has a booth offering jobs at #HIMSS18

 

There’s no livestream from #HIMSS18 but in a classic example of what happens when you let pesky Patients come along to medical conferences: they point their mobile at the presenter, video what they see and share it.

Thank you “e-Patient Dave deBronkart” for so generously sharing this talk by Dr Ricky Bloomfield, Apple’s Clinical & Health Informatics Lead.

mHealth Insight

Apple Health is being presented at a Healthcare conference. 

I know it’s becoming a thing for Apple to talk at external conferences but it’s still very rare for their executives to present at a conference that isn’t organised by Apple Inc. particularly on such a low key stage (why didn’t HIMSS schedule this as a keynote talk in the main ballroom or as a fireside with Hal Wolf??).

“we’re very excited about this but it’s a first step and we think it’s very important to engage the ecosystem and we’re very excited about the response that we’ve got to see other EHR vendors and other healthcare systems come onboard and work with a standards based approach supporting the architectural implementation guide, and we’re also interested in doing a lot more and becoming and so shameless plug at the recruiting fair tomorrow we have a booth if you’re interested in learning more about what we do and possibly exploring job opportunities there feel free to stop by…”.

It would’ve been great to see this talk live streamed on Apple’s website (as they do with normal Apple product launches/presentations) particularly given that Apple are wanting transparency in all they do in healthcare and welcoming feedback (they are after all dealing here with people’s most private information).

“We announced this in January with 12 health systems and we now have over twice that listed and this list is growing quickly and the feedback that we have gotten since we announced this has been phenomenal.  People are really excited to be a part of this because they want to empower consumers with their health information”

Although I’m surprised to hear Apple referring to ‘Patients’ as ‘Consumers’ (as this could become very problematic down the road) it should be obvious that EHR Provider valuations are going to fall off a cliff when their investors see that this hasn’t just happened but it’s getting substantial traction.

“Consumers might not always know the branded name of a health system that they went to, they might just remember the location so (we made it possible to search via location)”

This must be quite awkward for the marketing teams at the big healthcare provider brands that are already involved. It’s obviously true but I’m surprised Apple isn’t feigning a little to them to let them think their brands have some value in the eyes of Patients (until they’re at least a little further down the road with this).

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That screenshot says 1000 words. I better get working on an update to the mHealth course that I produce for the Computer Society. How long before Patients are expected to share their record with their Doctor (instead of the other way around)?

I think my new module will be titled something catchy like: “Can you airdrop me a copy of that please?”.

Dr Ricky Bloomfield

It’s great that there’s a 37 year old Doctor giving this demo but it’s surprising that they haven’t got a more experienced clinician (perhaps a Family Doctor – and yes I know they’re like hens teeth in the USA) but Ricky has all the right credentials to help Apple disrupt the EHR market with a MobileFirst approach eg. prior to working for Apple on the HealthKit ResearchKit and Health Record products he was Director of Mobile Strategy at Duke University Health System and he used to blog as “The Mobile Doc” and he’s active on Twitter too @RickyBloomfield:

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NOTE: Katie McMillan at Duke Mobile App Gateway has authored a useful guide to getting started with Apple Health Record:

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Related Posts:

Apple’s Health Records App: a ripple or a roar

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mHealth Insights live from #HIMSS18

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Unfortunately my travel plans for HIMSS have fallen victim to the ‘Beast From The East’ (a storm that has brought sub-zero Siberian temperatures from Siberia to us here in the UK and Ireland) and it’s been so hectic at 3GDoctor the past few days I’ve not had time to try and replan my cancelled flight schedules. Fortunately I’ve managed to convince/beg the brilliant Dr Chris Bickford MD to step into my conference-floor-pounding-shoes and provide some opinions and live updates from the world’s biggest Health IT Conference and Exhibition being held in Las Vegas.

Chris has done this before (for example at the brilliant Singularity Universities Exponential Medicine conference in San Diego) and is a super smart and caring Doctor so if you’re there at the HIMSS Conference and would like to be video interviewed by Dr Bickford for this post please either find him or comment below with your mobile number (it won’t be published) and we’ll arrange a meet up for you via SMS.

* * * Refresh this page to see live mHealth Insights from Dr Bickford MD * * *


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Chris plans to attend the following Conference tracks that have a mHealth focus:

Monday 5 March (13:45pm Lando 4302): INTEGRATING DATA SOURCES TO SUPPORT CARE DELIVERY

Description: The advances in and availability of data from disparate sources create new opportunities and frontiers in care coordination for complex patients. These can range from mHealth/IoT applications which support real-time patient engagement to unstructured data associated with social determinants to data based upon genomic-screening. Developing an interoperable infrastructure that supports these use cases is a process that has already begun.

Learning Objectives: Classify the sources of data required to provide coordinated care in serving complex patients. Evaluate how new approaches to improving interoperability between stakeholders to support improved approaches in caring for complex patients. Describe the challenges in workflow integration for providers and payers when supported by an interoperable system which supports new data sources from disparate sources

Speakers include: Dan Chavez, Executive Director, San Diego Health Connect
and Edwin W Miller, CTO, Aledade.

Monday 5 March (14:00pm Lando 4401): THE JOURNEY TO MOBILITY

Description: This session will highlight the opportunities and challenges associated with patients generating their own health data and the role of nurses in facilitating these new technologies and data sources.

Learning Objectives: Discuss the role of nurses in training patients to use new mHealth technologies.  Outline current innovative uses of mHealth data.  Describe the state of the industry is in terms of mobile technology.

Speakers include: Victoria L Tiase, Director, Research Science, New York Presbyterian Hospital.

Tuesday 6 March (10:40am Bellini 2105/2106): CONNECTED HEALTH AND THE HUMAN ELEMENT: CREATING A BETTER HEALTH SYSTEM IN THE NEW MOBILE AGE

Description: As the number of older adults continues to grow, connected health technologies can help close the gap between patients and providers and enable individuals to remain vital, engaged and independent as we age. Social robots, artificial intelligence, vocal biomarkers and facial decoding will analyze emotion, anticipate health problems, improve quality of life, enable better relationships with healthcare providers, and address the neglected crisis of caregiving. So rather than deploying technologies like online communication, wearables and mobile apps in competition with human interaction, we must free up technology to do what it does well — capture and analyze data — and enable healthcare providers to focus on the human elements: caring, emotional intelligence and judgment. When we start using connected health technologies appropriately, we can create one-to-many care delivery models, and enhance and support human interaction between a healthcare provider and patient. The New Mobile Age, as described in Dr. Kvedar’s new book, is a busi.

Speakers include: Joe Kvedar, Vice President, Connected Health, Partners Connected Health.

Tuesday 6 March (11:30am Marcello 4405): IMAGINE A HOSPITAL WARD WITHOUT CODE BLUE ALARMS

Description: Can you imagine a hospital ward with no code blue alarms? This speaker has been leading the team at Hamilton Health Sciences to achieve an audacious goal: to improve hospital safety by eradicating in-hospital cardiac and respiratory arrests. Through clinical research in support of Early Warning Scores, it was found that in-hospital arrests are often preceded by a period of abnormal vital signs. “We believe that most cardiac arrests in an acute care setting should be considered a failure to rescue.” Hamilton Health Sciences (HHS) has been on a journey since 2010 to implement their modified early warning score. In 2016, HHS undertook work to make their Early Warning Score real-time with the use of mobile devices and an automation platform. This session will discuss Hamilton Health’s journey and their outstanding results!

Learning Objectives:  Explain the process Hamilton Health Sciences undertook to create a digital early warning score.  Assess the effectiveness of the early warning score at Hamilton Health Sciences.  Discuss the challenges – clinical, technical, human behavioural – encountered during the early warning project.  Identify the lessons learned during the stages of the Early Warning Project.  Describe the strategic roadmap for future uses and improvements of the early warning score.

Speakers include: Alison Fox-Robichaud, Director of Medical Education, Project Lead HEWS, Hamilton Health Sciences Centre

Tuesday 6 March (12:00pm Level 1,Hall G,Booth 11657 ): MOBILE STRATEGY FOR THE HOSPITAL OF THE FUTURE

Description: This presentation will explore the various applications of location services in a healthcare setting with a focus on mobile technology. Learn about the long- and short-term benefits of a mobile strategy that can improve the patient experience and optimize operational efficiency for hospitals.

Speakers include: Robert Tabb Senior Director of Sales, Phunware, Inc.

Tuesday 6 March (14:00pm Level 2,Bellini Meeting Room,Booth 8700): THE VIRTUAL WAITING ROOM

Description: The last thing congested patients want to encounter is a congested waiting room. Eliminate the wait and liberate your patients with QLess. Patients can join a virtual waiting room by phone call, text message, mobile app, your website, or via an on-site kiosk. Our patented forecasting algorithms ensure your patients’ time is optimized and no one is left idly waiting. #TheWaitIsOver

Speakers include: Evee Burgard, VP of Marketing, QLess

Tuesday 6 March (14:30am Venetian Convention Centre,Palazzo B): TRANSFORMING PATIENT EXPERIENCE WITH A MOBILE WAYFINDING PLATFORM

Description: Navigating and accessing large hospital systems can be difficult for patients. Piedmont Healthcare, a $3.5 billon, seven-hospital system in North Georgia developed a mobile wayfinding platform allowing patients to use smartphones to get from home, to the right parking garage, and step-by-step guidance to their destination to vastly improve patient experience and address additional patient experience challenges of the growing health system. This session discusses the best practices for developing a hospital-branded mobile app including prioritizing patient experience, leading with wayfinding to drive adoption, realizing clinical improvements with feature-rich content, and evaluating analytics for ROI.

Learning Objectives: Identify key objectives of a mobile platform to promote patient experience.  Identify clinical improvement opportunities such as access to care, decreasing missed appointments and staff interruptions that can be addressed with a mobile way finding solution.  Recognize way finding as a significant motivation to adopting a hospital’s mobile platform.  Demonstrate the value of one hospital-branded, mobile platform with feature-rich content and multiple patient engagement opportunities. Assess ROI and sustained engagement of a mobile app based on real time analytics.

Speakers include: Katie Logan Vice President, Experience Piedmont Healthcare, Piedmont Healthcare

Tuesday 6 March (16:00pm Bellini 8700): The New Mobile Age: Tech Extending the Healthspan

Description: The New Mobile Age, Dr. Kvedar’s latest book, describes how connected health technologies will enable individuals to remain vital, engaged and independent as we age, and create a better healthcare system for everyone. But it has to be the right technology, designed for an aging population, not just what technologists and app developers think people want. The New Mobile Age is a business model but, more so, it’s a new way of life.

Speakers include: Joe Kvedar, Vice President, Connected Health, Partners Connected Health.

Wednesday 7 March and Thursday 8 March (9:30-6:30pm Interoperability Showcase 11955 VA Area): VA MOBILE: A TOUR OF THE VA APP STORE

Description: VA is growing its VA App Store (mobile.va.gov/appstore), which today features more than 30 web and mobile apps. These online tools help Veterans with mental health, health and wellness, women’s health and other pressing topics. VA also has developed a number of mobile apps to provide VA clinical staff with access to real-time Veteran information to inform clinical decisions. This session will provide demonstrations of many of these apps and discuss VA’s plans for additional mobile development.

Speakers include: Shawn Hardenbrook, Director of Web & Mobile Solutions, US Department of Veterans Affairs

 

Wednesday 7 March (10:00-11:00am Venetian Convention Centre Murano 3304): EFFICACY OF MULTIMEDIA IN PATIENT-PHYSICIAN INTERACTIONS

Description: Traditionally, patient education has taken one of two forms: written brochures or orally communicated instructions. There is substantial literature that indicates neither approach is effective, due to the lack of information retention. This lack of retention is usually due to disengagement and disinterest in information presented in the form of brochures or due to the inability to recall and reference verbally communicated information. The first, brochures, is often provided with no explanation from a clinician and the latter, verbal dialogue, is commonly not documented and archived. In 2017, we initiated a study involving the participation of over 400 patients for the purpose of determining the efficacy of 3-D multi-media patient education enabled through mobile devices. This session will reveal major findings from our research, and provide recommendations for implementing an effective patient engagement program focused on improved physician-patient interaction.

Learning Objectives: Assess areas for improvement in the delivery of patient education as a technique in addressing patient engagement needs.  Identify impacts of using integrated mobile computing devices for the delivery of multiple-media patient education in patient care.  Compare provider and patient perspectives about multi-media patient education content used during clinical consults (usability and value).  Apply concepts and lessons learned in the integration of multi-media patient education via mobile computing devices during provider-patient interactions.

Speakers include: Nick Patel Executive Medical Director, Palmetto Health-USC MG, Benjamin Schooley, Assistant Professor/Integrated Information Technology, University of South Carolina and Lakisha McNeil, Ambulatory Registered Nurse Case Manager, Palmetto Health.

 

Wednesday 7 March (10:00-10:50am Venetian Convention Centre Level 1 Casanova Booth 14000): HELPING TO EXPAND THE SCOPE/DELIVERY OF POP HEALTH

Description: There are many components to defining and delivering Population Health and Improvement. There are many new players and delivery options available. Through customer and industry use cases and examples, I will review how MicroStrategy is helping its customers improve the health and wellbeing of the communities and constituents they serve with improved insights and actions via Advanced and Predictive Analytics, Mobility, and innovative IoT and Security solutions. Come see and hear how to be involve

Speakers include:  Erik Senior, Sales Engineer, MicroStrategy

Wednesday 7 March (10:00-10:50am Sands Convention Centre Level 1, Hall G, Booth 11657): 20 QUESTIONS – WHEN DEVELOPING MOBILE HEALTH APPS

Description: The MEDIC team at Mohawk College is the national Technology Access Centre for digital health in Canada and has developed or deployed several complex mobile health solutions that impact millions of patients. Professor Bender is the Principal Researcher for the MEDIC Digital Health Centre at Mohawk College in Hamilton, Ontario, Canada and will share his experiences in developing and deploying mobile health applications in Canada, the USA and around the world.

Speakers include:  Duane Bender, Principal Investigator, eHealth & mHealth, Mohawk MEDIC

Wednesday 7 March (10:00-10:30am Venetian Convention Centre, Palazzo Ballroom): VIRTUAL HEALTH: TELADOC AND CUSTOMER CASE STORY

Description: Learn how Azure enables Teladoc to provide on-demand remote health care services through mobile devices, secure online video and phone, an attractive option for patients in need of fast help for non-emergency medical conditions.

Speakers include:  TBC.

 

 

Wednesday 7 March (10:30-10:50am Venetian Convention Centre, Level 2, Bellini Meeting Room, Booth 8700): CAN YOU HEAL ME NOW? VOICE IN HEALTHCARE

Description: Connected devices promise to make healthcare more efficient. But what of a growing pantheon of lifestyle devices including voice assistants like the Amazon Echo and Google Home? Why is voice a logical next step in the evolution of user experience? Attendees will see demonstrations of conversational agents across multiple web and mobile environments, and learn about real-world voice-first deployments of voice for outpatient education, home health, care management and clinical trial research.

Speakers include:  Nathan Treloar President/COO, Orbita, Inc

 

Wednesday 7 March (11:00-11:20am Venetian Convention Centre, Level 2, Bellini Meeting Room, Booth 8700): TEAM UP WITH PATIENTS FOR VALUE-BASED CARE SUCCESS

Description: Improving patient adherence and family engagement can lead to better health outcomes for your patients and financial outcomes for your organization. This session explores how putting mobile care management tools in patients’ hands allows clinicians to focus their efforts where they can have the most impact.

Speakers include:  Jennifer Bowers, Senior Clinical Strategist, Get Real Health 

Wednesday 7 March (12:30-12:50am Sands Level 1, Hall G, Booth 11657): WIRELESS, CONTINUOUS BLOOD PRESSURE & VITAL SIGNS

Description: Blood pressure (BP) monitoring is an essential component of patient care in both hospital and mobile health environment and is typically relegated to intermittent “spot check” arm cuffs, or invasive catheters which tether patients to machines. Challenges of current BP and Vitals monitoring, particularly in the hospital-setting, will be discussed. Development and future aspects of continuous non-invasive BP monitoring and wireless vital signs applications will be introduced.

Speakers include:  Younghoon Kwon MD, Cardiovascular and Critical Care Professor of Medicine, University of Virginia

Wednesday 7 March (13:30-13:50am Venetian Level 2, Bellini Meeting Room, Booth 8700): TAILORED CONVERSATIONS FOR CONSUMER ACTIVATIVATION

Description: Driving behavior change among healthcare consumers requires understanding how people use both language and technology to communicate and then leverage that understanding to effectively connect with them. This presentation highlights how mPulse Mobile’s solutions drive healthy behavior change through tailored and meaningful dialogue. Three case studies will be discussed.

Speakers include:  Chris Nicholson, CEO, mPulse Mobile

Wednesday 7 March (14:00-14:20pm Venetian Level 2, Veronese Meeting Room, Booth 8500): 4 DANGEROUS SECURITY HOLES IN YOUR MOBILITY POLICY

Description: Hackers know the easiest way to access and steal healthcare data is through mobile devices, as they are becoming ubiquitous among doctors, nurses and patients, and are always on and connected to the Internet. Sophisticated attacks and well-researched social engineering make any healthcare organization vulnerable to determined mobile attackers. Attend this session to learn about mobile security best practices and how to best secure both managed and unmanaged devices throughout your organization.

Speakers include:  Varun Kohli, Senior Director Strategic Market, Symantec Corporation

Wednesday 7 March (15:00-15:20pm Sands Level 1, Hall G, Booth 9900): HALO HEALTH SYSTEMS – SMART CLINICAL TRIALS

Description: Halo Health Systems is enabling creation of next generation clinical trials to reduce costs, provide greater operational efficiency and create higher levels of patient engagement. Halo Health Systems harnesses IoT and mobile technologies to create a flexible solution for pharma, clinical research organizations and clinical research institutes. halohealth.io

Speakers include:  V Mehta Co-Founder, Halo Health Systems

 

Wednesday 7 March (16:00-17:00pm Venetian Lando 4301): THE POWER OF HEALTH IT – PREDICT, PREVENT, INNOVATETHE POWER OF HEALTH IT – PREDICT, PREVENT, INNOVATE

Description: In today’s world you’ll find savvy digital technologies that assist the patient through the continuum of care. Remote consulting. Telehealth. Internet of Things (connected mobile carts, IV pumps, sensor beds, etc). And this continuum of care can take place in the home, clinics, hospitals, or post-acute settings. Perimeters are no longer fixed and more devices are connected, assisting in delivering high quality of care. In this session, speakers will review common mistakes to avoid, scenarios to consider and how the secure, connected hospital can enhance the patient, clinician, and operational experience.
Learning Objectives: Outline seven scenarios highlighting why device and clinical system connectivity as part of IoT and convergence is necessary when delivering critically sensitive patient data for caregiver analysis and decision making. Identify best practices and common mistakes for planning IT platform transformation to support new telehealth and quality/prevention care models. Describe how clinicians can utilize data from connected devices and networks to deliver contextual information for precision-guided decision support across the continuum of care. Explain the typical stages and progression of digital transformation related to IoT, mobility and beyond. Provide attendees with a better understanding of how the latest technology tools available can improve operational efficiency, clinical outcomes and the patient experience by gathering and analyzing data across the continuum of care.

Speakers include: Gary Horn, Vice President – Technical Services CTO & CISO, Advocate Health Care, and Tom Bradicich, Vice President and General Manager Servers and IoT Systems, Hewlett Packard Enterprise.

Wednesday 7 March (16:00-17:00pm Venetian Delfino 4002): CHIEF EXPERIENCE OFFICER: NEW LEADER DRIVING INNOVATION TO TRANSFORM HEALTHCARE

Description: A new cadre of healthcare executives, Chief Experience Officers (CXOs), are driving innovations to improve communication, patient engagement, staff resiliency, and much more. Gaining prominence in healthcare organizations around the country, these change agents are creating sustainable system transformation that delivers optimal care to patients and families while empowering care teams and staff to achieve their highest healing potential. This speaker will present the hospital’s strategy for building The Office of Patient Experience and discuss how this academic research center is restoring human connections using mobile communication technology, building trusted relationships, and reconnecting people to purpose.
Learning Objectives:  Define the role of the Chief Experience Officer in healthcare and outline the attributes that make this emerging c-suite executive successful.  Describe how to unify quality, safety, efficiency and experience strategies; and discuss who to engage in multi-disciplinary teams by getting to the heart of what they do.  Analyze the impact that physician and nurse burnout has on patient care, safety and satisfaction; and discover ways to restore people to purpose, increase resiliency, and optimize performance.  Recognize the power of capturing patient, family and staff voice; and discuss ways to co-design innovations with these stakeholders to improve the healthcare experience for all.  Explain how healthcare technology is essential to elevating care team communication, improving workflows, engaging patients, families and staff, and hard wiring processes that drive better experiences for all.

Speakers include: Sue Murphy, Chief Experience and Innovation Officer, University of Chicago Medicine

 

Wednesday 7 March (16:00-17:00pm Venetian Palazzo G): DIGITAL COMMAND CENTER FOR EHR IMPLEMENTATION

Description: There is tremendous irony in many areas of IS&T. One of them is that so much of the go-live operations management process is often done on paper. One such example of this is how go-live command centers are managed. These command centers are often manned by staff who are constantly updating whiteboards, transcribing issues into electronic issue management systems, and manually generating status reports for overall progress. These procedures are quite cumbersome, and adds delay into the process of identifying support issues which may be pervasive. Leveraging technology to record support issues at the point of incident allows an easier input method and an issue to be triaged more quickly. Simple mobile apps and other technology can be used to record these incidents and electronic dashboards can be used to highlight pervasive issues and generate automated status reports of overall system health. A digital command center can add value and efficiency to an organization’s go live operations.
 
Learning Objectives:  Identify the process for a Digital Command Centre.  Analyze the metrics after a Go-Live.  Discuss process improvement for Steady State

Speakers include: Matthew Ernst, Director Training Documentation & Support, Thomas Jefferson University and Jefferson Health System  and Neil D. Gomes, Chief Digital Officer and SVP Tech. Innovation and Consumer Experience, Thomas Jefferson University and Jefferson Health System.

 

Thursday 8 March (08:30-09:30am Venetian Lando 4301): PUSH NOT PULL: USING DATA SCIENCE TO IMPROVE OR OPERATIONS

Description: Data science and machine learning – typically regression or classification analysis – are powerful tools for healthcare. While much of the attention given to data science in healthcare focuses on improving clinical outcomes, using these tools to identify opportunities for improving operational metrics have gone largely overlooked. While most hospitals administrators have a dashboard for operational data, including room utilization, the number of cases, first case on-time starts, turnover metrics, length of stay, etc., most use these tools in a “pull” manner; they start with something in mind and then look for the data. This causes problems when administrators aren’t clear on what to look for or just get lost in the reams of data. The problem is not lack of data, it’s lack of the insight of what data to use. Data science and machine learning – especially trend and anomaly detection – combined with innovative mobile data delivery mechanisms can turn “pull” into “push”, and uncover details that dashboards and EHR reports can miss.
 
Learning Objectives:  Identify what metrics mean the most when optimizing hospital operations and understand why dashboards and reports often fail to disclose opportunities for improvement.  Discuss how predictive analytics, machine learning, and mobile technologies were used to improve OR operations.  Explain why “push” is the preferred method of data gathering versus “pull”.

Speakers include: Ashley Walsh, Senior Financial Analyst, UCHealth  and  Sanjeev Agrawal, President and CMO, LeanTaas.

 

Thursday 8 March (08:30-09:30am Venetian Gallileo 904): IMPROVING FEBRILE INFANT CARE USING MOBILE TECHNOLOGY

Description: Implementing evidence-based clinical practices requires a multi-faceted approach. Electronic clinical decision support (ECDS) tools may enhance adoption of evidence-based practices. We developed a freely-available smartphone-based ECDS tool for use as part of an American-Academy of Pediatrics-sponsored national practice standardization project that aimed to improve the treatment of infants with fever. The application, CMPeDS: Pediatric Decision Support, was developed using evidence-based recommendations created by an expert panel. The app workflow and content were customized to align with the national project’s benchmarks, and the app interface was developed using human factors principles. Since release, CMPeDS has been downloaded by over 12,000 users who access project-relevant content >80% of the time. Our experience demonstrates how mobile decision-support technology can help disseminate current evidence-based practice on a national scale.
 
Learning Objectives:  Identify common processes clinicians use to make medical decisions.  Discuss strategies for enhancing medical decision-making and disseminating evidence-based practices in diverse settings using electronic decision support tools.  Recognize the importance of human factors principles to the design of a mobile electronic clinical decision support tool.  Develop a plan for creating a mobile electronic clinical decision support tool relevant to your own health system or patient population

Speakers include: Russell McCulloh, Assistant Professor, Children’s Mercy Hospital  and  Sarah Fouquet, Assistant Professor, Children’s Mercy Hospital.

 

Thursday 8 March (08:30-09:30am Venetian Gallileo 904): IMPROVING FEBRILE INFANT CARE USING MOBILE TECHNOLOGY

Description: Implementing evidence-based clinical practices requires a multi-faceted approach. Electronic clinical decision support (ECDS) tools may enhance adoption of evidence-based practices. We developed a freely-available smartphone-based ECDS tool for use as part of an American-Academy of Pediatrics-sponsored national practice standardization project that aimed to improve the treatment of infants with fever. The application, CMPeDS: Pediatric Decision Support, was developed using evidence-based recommendations created by an expert panel. The app workflow and content were customized to align with the national project’s benchmarks, and the app interface was developed using human factors principles. Since release, CMPeDS has been downloaded by over 12,000 users who access project-relevant content >80% of the time. Our experience demonstrates how mobile decision-support technology can help disseminate current evidence-based practice on a national scale.
 
Learning Objectives:  Identify common processes clinicians use to make medical decisions.  Discuss strategies for enhancing medical decision-making and disseminating evidence-based practices in diverse settings using electronic decision support tools.  Recognize the importance of human factors principles to the design of a mobile electronic clinical decision support tool.  Develop a plan for creating a mobile electronic clinical decision support tool relevant to your own health system or patient population

Speakers include: Russell McCulloh, Assistant Professor, Children’s Mercy Hospital  and  Sarah Fouquet, Assistant Professor, Children’s Mercy Hospital.

 

Thursday 8 March (11:30-12:30pm Venetian Palazzo B): HARVESTING WEARABLE DEVICE DATA

Description: There is an immense amount of non-clinical data points being recorded by remote wearable health devices and smartphone applications available to consumers. The challenge is how that data can be leveraged to improve population health management. This session provides an overview of how, what and why such data from wearable devices can be collected and integrated with clinical registry data to formulate a more comprehensive profile of patient health data. As a pilot project, the American College of Cardiology (ACC) identified a set of devices, mobile applications, and data elements and focused on a solution to capture data from these sources. This non-clinical data can provide additional insights to the longitudinal perspective of a patient that might otherwise be missing and can help guide physicians to effective healthcare decisions.
 
Learning Objectives:  Explain why it is important to capture ‘non-episodic’ health data from wearable devices and integrate it with registry data for a comprehensive clinical picture.  Define typical devices, apps and the data to be collected and the rationale for identifying the data elements.  Illustrate how non-episodic data can be collected from various devices and mobile applications using one-time user login and consent.  Identify and analyze challenges related to data and privacy concerns related to wearable devices.

Speakers include: Ajay K. Mittal, Associate Director IT, American College of Cardiology

 

Thursday 8 March (12:00-12:20pm Sands Level 1 Hall G Booth 9900): DIGITAL TRANSFORMATION OF YOUR HEALTHCARE SYSTEM

Description: This presentation offers a framework for incorporating innovative digital health methods – new diagnostic or treatment technologies, mobile apps, IoT, telemedicine and analytics – into your current healthcare system. Best practices for achieving digital transformation while maintaining data security are explored. And recommendations for overcoming common organizational obstacles are offered. The presentation provides an actionable roadmap for both health enterprises and emerging health companies
 

Speakers include: Alan Winters, Head of US Business Development, MobiDev

 

Thursday 8 March (13:30-14:30pm Sands Interoperability Showcase 11955 Theatre): OFFICE OF CONNECTED CARE/TELEHEALTH

Description: The VA presents the Office of Connected Care presentations -The VA Blue Button: Empowering VA Patients With Information. This session will provide an overview of how My HealtheVet improves patient access in pursuit of seamless -VA/Telehealth Services Overview – Enhancing Access, Quality, and Capacity. This session will provide an overview of VA Telehealth and current projects, as well as national VA telehealth targets and planned activities. It also will highlight VA Video Connect, which enables Veterans at home or on the go and/or teleworking VA providers, to connect by video using any device (e.g., laptop, tablet, smartphone, desktop with webcam) -VA Mobile Program: An Overview VA is developing web and mobile applications aimed at improving Veterans’ health by providing technologies that expand clinical care beyond the traditional office visit. This session will highlight current program successes, lessons learned and future plans. It also will explore how VA is leveraging technology to encourage Vets to be proactive participant.
 

Speakers include: Kim Nazi, Blue Button Project Lead, Office of Connected Care, Veterans and Consumer Health Informatics U.S. Department,  Neil Evans, Chief Officer, Office of Connected Care, Department of Veterans Affairs  and  Shawn Hardenbrook, Director, Web & Mobile Solutions, US Department of Veterans Affairs.

 

Thursday 8 March (15:00-15:20pm Venetian Level 2 Bellini Meeting Room Booth 8700)HOW DATA FRAG. SLOWS ADOPTION – DIGITAL HEALTHCARE.

Description: Real-world problems with non-standard device data. How fragmented data sources from mobile health apps, devices, personal sensors and devices, complicate care for millions of patients… by limiting physician access to coherent patient data. How the Continua standard helps improve continuity of care and outcomes by eliminating this fragmentation, and “siloization” of essential medical data for remote care delivery.
 

Speakers include: Mark Winter, Chief Executive Officer, Carespan USA, Inc

 

Thursday 8 March (16:00-17:00pm Venetian Marcelo 4405)MACHINE LEARNING AND BIG DATA TO DRIVE PATIENT ENGAGEMENT AND BETTER HEALTH OUTCOMES.

 Description: For many years, companies in the retail, telecom, insurance, and banking industries have used machine learning techniques to analyze terabytes of real-time data representing a wide range of customer interactions (across all channels), demographic characteristics, and lifestyle events. This session will explain how CIGNA has leveraged some of the machine learning techniques used to influence consumer behavior in other industries for their own purpose of influencing consumer behaviors towards lower medical costs and better healthcare outcomes. One example to be discussed is how they used a combination of claim data, demographic data, lab data, call center data, and click-stream data from web-interactions and mobile phone interactions to improve the timing, channel, and content they use to engage members with chronic conditions in coaching that lowers medical costs and improves healthcare outcomes for those patients.

Learning Objectives:  Recognize opportunities to use machine learning to increase patient/consumer engagement.  Analyze customer interaction data to identify ways to reduce total medical cost.  Apply machine learning and big data techniques to improve health outcomes for patients and customers.

Speakers include: Doug Melton, Senior Director of Customer Engagement and Experience Analytics, Cigna  and Christer A. Johnson, Principal, EY.

Friday 9 March (12:00-13:00pm Venetian Delfino 4004)USER-CENTERED DESIGN OF A MOBILE EPRESCRIPTION SERVICE.

Description: User-centered design, while already utilized in several technologically-focused industries, is a relatively new topic to the healthcare sector. We present the development steps of a mobile service that allow citizens of Veneto Region, Italy, to manage their drug prescription, dispensing and remote renewal request. A set of methods has been introduced to address users’ needs, co-design the mobile app and evaluate its usability. Despite the challenges faced, related in particular to the negotiation of design issues between users, technical team and developer, the mobile app resulted usable (95.4% of task completed) and perceived as user-friendly. The process also led to an early definition of a methodological and organizational framework for user-centered design of healthcare mobile solutions in Veneto Region.

Learning Objectives:  Analyze the user-centered design steps taken by the team.  Outline challenges you may face in a user-centered design process.  Influence usual development approach with user-centered design hints.

Speakers include:  Claudio Saccavini, Chief Information Officer, Arsenàl.It Consortium  and  Enrico Dal Pozzo, Anthropologist, ehealth service designer, Arsenàl.IT Consortium.

 

 

 

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From Cheap Phone Calls with Doctors to Machine Learning Second Opinions for Patients who are already in the Care of an Oncologist

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Teladoc taps IBM Watson machine learning for second opinion service

Can a quick phone call substitute for a Doctor Visit

mHealth Insights

This is a classic case of wait long enough and the crazy becomes real. Can you even begin to imagine the typical Patient experience?

1) Go to your Doctor with some symptoms
2) Get Tests done
3) Go to your Doctor and get test results and referral to an oncologist
4) Go to Oncologist and get diagnosis and treatment plan
5) Pick up prescriptions
6) Go home and press some buttons on your mobile
7) A Doctor you don’t know video calls you and based on a program run on your electronic health record information tells you (33% of the time) that your oncologist’s diagnosis is incorrect and that (66% of the time) you need to change the treatment.
8) Patients will be expected by their insurers to follow the advice given to them by a Doctor over a Video Call who has never read or understood why they are giving you this advice. Don’t accept this and you’ll not get approval for treatment.

I understand most other national Cancer Care systems are also fundamentally flawed but only in a topsy turvy world focused on serving the needs of the US Health Insurers does this make any sense. I imagine Apple are going to do very well with their new Healthcare clinics and strategic decision to not focus on Patients (and not reimbursement).

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I think IBM is going to make huge profits out of the misaligned incentives in the US sickcare system as the following is going to happen in quick succession:

1) A law firm is going to start advertising to Patients who are googling their diagnosis/medications encouraging them to use the second opinion service to see if their IBMWatsonOncologist has made an incorrect diagnosis (highly likely as they are going to be making decisions based on US Healthcare Records that are in many cases just detailed billing records) and treatment recommendation and if they are entitled to compensation.

2) Rival law firms will start advertising to Patients who are in the care of IBM Watson finding problems with the algorithms and winning claims against IBM

3) Either IBMWatson will go bankrupt or the medical indemnity insurers will require Oncologists to use the IBM Watson system before giving a diagnosis (otherwise their insurance will become unaffordable)

4) Oncology Patients will realise this is a race driven by expensive law firms and legalese and have to choose to either complete exhaustive tests, questionnaires and wearing of medical sensors or accept that they don’t want paint by numbers medicine and will let their Oncologist have their autonomy back.

5) Patients will become more accepting of the idea of sharing information electronically with a Doctor instead of Going to get help.

Can’t wait to find out more on Monday at HIMSS18 in Las Vegas. See you there?

Related posts:

If AI is supposed to be all about trust why has IBM Watson seemingly been programmed to generate hype & operate like a dodgy accountant? (Feb, 2017)

Can the IBM Watson team move beyond creating Paint by Number Style Medicine and grasp the disruptive innovation opportunity? (July 2013)

Will IBM’s Watson write for CNN before treating patients? (Feb 2012)

 

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