Healthcare Communication, The Future of Healthcare

Consumerizing Healthcare

If you have a smartphone, you might use one of the many banking apps that exist to manage your finances. From depositing checks to paying back your coworkers, technology has turned the complicated world of banking into a simple, convenient, and consumer friendly task.

Why can’t healthcare do the same? It’s also a complicated system. Why can’t we get all our prescriptions filled in a couple taps, get a diagnosis online, or get a For one, your health is a lot more complicated than money. The math that’s required to paint a picture of your health is a lot more complicated than calculating your available balance. It involves tests, scans, and years of health history: data, data, data.

Still, some things have got to be simplified. It’s called “consumerization,” and simply put, it means making  services more accessible to its everyday users, which helps change the system. When it comes to healthcare, however, we’re talking about a relationship. You have a relationship with your banking institution, but it’s not quite the same type of relationship you have with your doctor. That relationship is supposed to be more like a partnership. Our doctors are not just service providers—they’re human beings working with us (i.e. we have to do some of the work!) to make us the healthiest people we can be.

So when we think about consumerizing or simplifying healthcare, we really have to find those solutions that not only give us better access to our care but in turn that help our doctors provide us with the best care possible. Technology can provide this in the form tools, apps, and services, that not only help us reach our doctors, but provide them with accurate and organized information about our health.

In order to simplify healthcare, both doctor and patient need easier access to records. Patients need to be able to self-track data that makes sense for the doctor (that is, all those calorie counting apps we use need to be able to spit out a report that’s usable to your doc!). And most of all, communication has to improve on both ends. Instead of pressing “0″ to leave a message, we should know our message got delivered to our doctor. And instead of having to tack on an extra hour to their workday calling patients back, taking notes, and filing paperwork, doctors need an easy way to review their patients’ questions and respond on their own time. Removing barriers reduces cost and improves productivity—and that improves care!

We’re optimistic about the future of healthcare. We’ve spoken to enough innovators, physicians, and patients to believe a change is on the horizon.

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Healthcare Communication, The Future of Healthcare

Technology for Teen Patients

Teenage Girl Using Laptop And Mobile Phone Whilst Eating BreakfastSpend any amount of time with a teenager and odds are you’ll observe them interacting with some form of technology. Today’s young adult doesn’t know a world without friending, tweeting, or blogging. And while their parents hardly have to worry about depleting the minutes on their mobile plan, they’re in trouble if they don’t have unlimited texting.

According to a Pew Internet survey published this month:

  • 78% of teens now have a cell phone, with 47% of those owning smartphones.
  • 74% of teens access the internet on mobile devices
  • 1/4 teens are “cell-mostly” Internet users, vs. 15% of adults.

(Source: Pew Research Center “Teens and Technology 2013.”)

The average teen has more access to online information than ever before. This means she can get news, educational resources, and entertainment whenever she wants. It also means the answer to some of her most pressing questions lies at the end of a quick online search.

You can probably recall the trials and tribulations that came with being a teen. From acne to STI’s to bullying—the teenaged years bring with them a whirlwind of changes that can have a lasting impact on a person’s emotional and physical health. And for many young adults, the thought of consulting their parents—let alone their doctor—about such issues is nothing short of mortifying. So, how can doctors ensure their young patients are getting the right information?

Many doctors have come up with a solution. Many involve some form of texting combined with the creative use of social media and blogs. The doctors profiled in this New York Times piece from last year have all found great ways to reach their teen patients. Unfortunately, many have to do so at the sacrifice of HIPAA compliance.

Doctors are understandably wary about opening up access to any patients—let alone the text-savvy teen! But young adults are comfortable communicating online. What may seem impossible to discuss over a phone call may be easily divulged by sending off a message to their doctor. To young adults, communication like this feels second nature. It feels safe. Isn’t that exactly what we want for our youth?

With so many young adults owning and accessing Internet-capable devices, there is huge potential for doctors to reach and treat their young patients like never before. HIPAA-compliant technology like PINGMD, for example, offers a secure way for young adults to reach their doctors.

With secure messaging, teens can be confident that every message that reaches their doctor is private and protected—no matter how sensitive the topic. And that means they may be more likely to reach out when they don’t have to worry about dad checking the phone records or asking mom to leave the exam room.

The teenage years are not an easy time—these young patients deserve a stress-free way to get advice about their health. Moreover, they deserve the full reassurance that whatever they discuss with their doctor is secure and confidential. We owe it to all our patients to adopt the tools that will ultimately improve the quality of their care.

 

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Healthcare Communication, The Future of Healthcare

Access Solutions in a Changing World

A recent NPR Health blog reported on the rising popularity of the group doctor visit. Much like a regular doctor’s visit, these sessions allow the patient to get their vitals and symptoms checked, followed by a chance to speak to their doctor and ask questions. The only difference is that much of this occurs with a group of strangers: all looking for some extra time with their doctor. The blog explains:

With an estimated 27 million people expected to get insurance coverage in coming years as the federal health law’s mandate kicks in, group medical appointments may help ease a shortage of primary care physicians, proponents of the practice say.

Group medical appointments can work for all kinds of routine care — from post-surgical joint replacement follow-up to chronic conditions, such as diabetes or heart disease. 

http://n.pr/XsItgv

The idea of discussing symptoms in front of a group of strangers may horrify some patients, but the concept of the group visit can really be looked at as an innovative solution to a growing problem: an imbalance between the number of physicians available and patients needing care. Instead of trying to cram an office visit into a rushed 10 minute session (during which the patient may not even have the chance to absorb the information given, let alone ask questions) the group visit allows for patients to connect with their doctor, as well as patients with similar conditions. Though at first glance such visits may seem a bit impersonal, they actually may have the side effect of better connecting patients to their doctor and their condition.

It’s no secret that getting access to our own physician is a problem in healthcare today. The concept of the group visit, although innovative, is not a one-size fits all solution. We still need to find ways to ensure patients can easily reach their own provider when they need advice.

We live in a connected and fast-paced world, and healthcare is part of it: 24/7 urgent care centers and online concierge services are becoming the convenient norm for many patients. It’s comforting to know we have access to healthcare almost anytime, anywhere. But when we look for care outside of our medical home, we ultimately lose out on the personalized care that can only come from a provider who is familiar with our health history.

In order for physicians to establish a medical home for their patients, we need to keep coming up with solutions like these that better connect patients to their care provider both in and outside the office.

When doctors are more connected to their patients at home they gain deeper insight into their health and unique needs. That insight ultimately enriches each office visit, no matter how long.

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Patient Empowerment, The Future of Healthcare

Why Do So Many Doctors Disapprove of Patient Access to Medical Records?

iStock_000008283372MediumA recent survey by Harris Interactive offered some insight as to how doctors feel about patients accessing their own medical records:

A survey of 3,700 doctors in eight countries showed that only 31 percent believe that patients should have full access to their own medical records via electronic means. That’s less than one in three. The majority of those surveyed, some 65 percent, supported “limited access,” while the remaining 4 percent believe there should be no access granted to patients. So, despite the fact that we have rights to review and amend our records, doctors don’t want it to be easy for us to do so via electronic means.

- Arstechnica. (Original article here.)

These numbers are perhaps disappointing, but not entirely surprising. This is a hot-button issue for many doctors.  Physicians are the experts. They generate much of the data contained in these records, and use their medical training to make long and short term assessments regarding this data. When physicians consider opening up access to their patients, there is always the concern that patients may misunderstand or be unnecessarily worried over doctor-entered data in their records. They may even embark on self-made treatment plans without the proper guidance.

But there are plenty of reasons patients should have access to their own records. As the author of this article points out, it’s not unusual to discover incorrect or incomplete information in one’s own personal record. When patients have access to their own records, they’re ultimately more informed, and can more easily analyze their own health and talk to their doctors about issues. Plus, the proliferation of health apps and devices have lead to extremely valuable self-tracking of patient data. Including this data dynamically in the patient’s medical record will help them determine when its time to see the doctor and help the doctor, in turn, tailor an appropriate treatment plan.

We need to change the way we think about this issue. Docs must trust their patients just as much as their patients trust them. Instead of fearing the worst, we need to consider how we can optimize medical records for both patient and doctor readability.

Because when patients and their doctors work collaboratively to develop a personalized health plan, everyone benefits.

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Healthcare Communication, The Future of Healthcare

Physicians Texting & HIPAA Audits

 

If you would rather send a text than make a phone call or be paged, you’re far from alone.

Texting is the #1 most used data service in the world, and physicians and healthcare professionals are big users. For residents, texting is a quick and easy way to reach their attending. For private practices, it may help physicians and nurses quick picture of a hard to describe symptom. And there’s no easier way to get an initial consult from your colleagues and specialists in your network. The ability to text is probably one of the most convenient tools physicians have.

Or it would be… if it were at all secure. Ask yourself: if you were using text to communicate about cases in your practice or hospital, how fast would you scramble to change your habits once you got your HIPAA-audit letter?

This may be the position many physicians find themselves in when HIPAA audits begin  this September. The audits will assume compliance by the provider and their approved service providers. Auditors will be looking for any evidence of gaps in a hospital’s security and risk management.

Non-secure texting of patient data is a discernable gap, yet it’s still prolific among doctors and hospitals. You could switch to a messaging solution that comes built into your EMR or portal, but these tools are often clunky, lack mobility and lack relevance for unique medical cases.

The days of the pager are fast disappearing—doctors recognize that they need to be able to exchange info quickly in a way that does not require calling, often sacrificing security to do so. The communication tools that will succeed will be those that marry the simplicity of text messaging with HIPAA-compliant security and integrate seamlessly into the doctor’s communication workflow.

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Guest Blog, Uncategorized

A Young Doctor in the Digital Age – Guest Post

As a young doctor at a NYC area hospital, I always have to be prepared for my next case.  So when a crying 3-year-old came in to the ER clutching her stomach, I knew just what to do. I ran to the computer and— with a click of a button—read through her history of clinic visits, medications, and hospital admissions. In minutes, I was able to glimpse into her complex medical history of prematurity and multiple surgeries. I breathed a sigh of relief, thankful that I was a doctor in the digital age, where a patient’s information is instantly available at my fingertips.

However, when I sat down to talk to this cute 3-year-old, I was quickly blindsided. Just last week, the patient had seen a gastroenterologist after a visit at an emergency room closer to her home.  She wasn’t getting better, so she returned here to my hospital where her primary care physician admits patients. The patient’s parent couldn’t tell me what had happened at the ER, nor or at the doctor’s office except that she went through a machine and was told to take a medication. How was I going to get the results of her scan or talk to the gastroenterologist she saw? Did that hospital know of her complete medical history when taking care of her?

I called the ER where my patient had visited. The local operator transferred me to the medical record system where they asked for a signed release and promised me the results would be faxed within a couple days after they received the form. I was able to identify the gastroenterologist through a quick Google search, but when I called the line was busy. I had no luck deciphering the handwritten note from the visit. How am I supposed to help this patient today if I cannot confirm the medications she’s been taking or see her latest scan?

As a child of the 90s, technology is all I know. I vaguely recall the days pre-cell phone and Internet. I welcome and expect technology to be a part of my daily life as a physician. I’d rather type than write. I welcome it because I know it will make my life faster, allow me to communicate better, and bring new life into the medical field.

Every day I use a banking app that integrates my husband’s and my purchases into a clean budget.  We use our credit cards across states at multiple locations and it automatically integrates the information. I can pull up this information wherever I am. And although banking is much simpler (with fewer players), shouldn’t our healthcare system be better connected too?

Will there ever be a day of integrated medical record data or personalized health zip drives we carry around? Isn’t there a better way for me to talk to a physician at a nearby hospital? Why hasn’t medicine allowed for this kind of convenience? And although our protection under HIPAA (Health Insurance Portability and Accountability Act) is often cited, this protection also makes it hard to integrate systems and share information  And that hinders our ability to treat.

Despite these setbacks, I see great promise for technology in healthcare. I see a day when technology will indeed make doctors more efficient and allow them to spend more time with patients. A time where our health records will be integrated and I will no longer have to order a second test or a second lab because the medical record department can’t get through to an outside hospital. Perhaps if we redesigned the system based on management flows and not just coding, this could be achieved. I truly believe this is coming— because in the end, our health is much more important than my budget.

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The Future of Healthcare

Thoughts on “Liberating the Data”

In an article released on Healthcare IT News last week, we heard the viewpoints of Susan Abbot, associate professor of nursing at the University of Michigan School of Nursing, on mobile health.

Abbot, an advocate of mobile health, explained that the mHealth movement was about “liberating the data,” or “making maintenance of health something irrelevant to time and place.” Simply put, this means anytime, anywhere access to patient data, or public health records. Such access may ultimately allow patients to better understand their own health and enable doctors to better target treatment.

We also believe that “data liberation” is an important facet when it comes to healthcare communication. Think of the typical phone call to your doctor’s office. Do you typically gather an organized list of the appropriate information your doctor needs before you call? Most of us do not have our medical history available at a glance. Likewise, your doctor cannot give you truly individualized advice without first looking at your records, usually kept in an EMR.

But if the capture of patient data were instant with each interaction, we could ultimately quicken and improve the care delivery process. What if, when you reached out to your doctor, you were already armed with piece of advice he or she had given you on that particular issue? What if, when your doctor received that message, he or she could instantly pull up your PHR and offer you advice, instead of having to return your call from their office? No more note taking or transcribing—every piece of your interaction with your healthcare provider would be instantly recorded for future reference.

Data capabilities like these ultimately help improve continuity of care. When patients have better access to their own data, they take a more participatory role in managing their health. This strengthens their relationship with their doctor. When doctors have such simple access to their patients’ information, they can offer better, more targeted and cost-effective care.

Through better data management, mobile health makes care delivery efficient—which ultimately means healthier, more informed patients.

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