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Multiple Patient Portal Logins

Posted on June 29, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

A long time reader, first time e-mailer recently emailed me some really interesting questions and comments about meaningful use. One thing that they pointed out in that email is the issue of multiple patient portal logins. It was a good point that I think is worth discussing.

When you look at the market for patient portals, you quickly realize that at least in the current environment we’re not going to get close to having one patient portal for all the doctors. Think about an elderly patient that goes to 5 different doctors. This would likely mean that this one patient will have 5 different patient portal logins. That’s a lot of logins just to manage your healthcare. Not to mention, you have to learn 5 different portals. Some you can schedule an appointment online. Some you can pay online. Others you can get refills. Others you can’t. Yep, it’s going to get really confusing really fast.

I’m sure many reading this are thinking, we’re already juggling multiple logins in our life so why does it matter if we have a few more. While annoying, I actually agree with this statement for the younger generation. I probably have a few hundred logins that I use regularly (I’m probably at the high end) and I’m able to manage without too much trouble. In fact, lately I’ve learned how to reset my password quickly on those that I’ve forgotten and/or don’t use regularly. It’s rarely been an issue for me.

However, remember that many of those that are patients aren’t part of this younger, tech savvy generation. I think about my mom and the fear she has of trying something new on the computer. If she’s never done it before, she’s literally afraid to screw something up. As much as we try to convince her otherwise, you can sense the fear and trepidation she has when she’s never used a website before. I should also add, that my mother isn’t even that old. I think you can see the challenge that these patient portals are going to face with the not so tech savvy patient population (which is the majority of the patient population).

I think most of us agree that the meaningful use stage 2 measure that requires patients to interact with the patient portal is going to be taken out or modified. Everyone I’ve talked to agrees that it would be a huge mistake for ONC to hinge meaningful use dollars on something the physician doesn’t control: patient actions. I expect and hope that it will be modified appropriately.

With that said, I still think there will be a push by ONC towards patient portals. The idea of one login per doctor has me a little concerned. I wonder if more patient portals shouldn’t start more fully embracing Facebook logins or other unified logins like OpenID for their portals. Although, I’m sure many of the patients don’t have Facebook logins either so that won’t solve all the problems.

Am I overstating the challenge? Is there a solution out there? Am I wrong about their being so many portals that patients will have to log into? I’d love to hear your thoughts.

HFMA ANI Las Vegas: That’s a Wrap

Posted on June 28, 2012 I Written By

As Social Marketing Director at Billian, Jennifer Dennard is responsible for the continuing development and implementation of the company's social media strategies for Billian's HealthDATA and Porter Research. She is a regular contributor to a number of healthcare blogs and currently manages social marketing channels for the Health IT Leadership Summit and Technology Association of Georgia’s Health Society. You can find her on Twitter @JennDennard.

Though it was only my second time attending the annual HFMA ANI show, I think it’s fast proving to be my favorite when compared to HIMSS – at least when both are held in Las Vegas. The shorter exhibit hall hours; a smaller, more manageable venue; and a general feeling of being less rushed to accomplish every task I set myself was a welcome contrast to the breakneck speed at which we all seem to attend HIMSS.

Though the ANI show had a more laid back vibe, it was by no means any less meaningful to its attendees and exhibitors. Some of the exhibitors I spoke to noted that while booth traffic wasn’t as brisk as they’d have liked, they were having deeper, more meaningful conversations with the folks that did stop by. Others told me that it didn’t seem like many members of the hospital C-suite were in attendance, and decided to send their seconds-in-command instead. (Perhaps they were too busy back home attending to projects related to any of the following healthcare IT acronyms – EMR, HIE, ACO, CPOE, ICD-10, SCOTUS.)

I didn’t get a chance to attend any educational sessions, but from the tweets that I saw, most folks really enjoyed keynotes from Olympian Carl Lewis and renowned pilot Sully Sullenberger. Speaking of tweets, the volume of chatter on Twitter was pretty dismal. There were a few devoted tweets around the #ANI2012 hashtag of course, but for the most part, Twitter (and social media in general) was non-existent.

I walked the show floor Tuesday to see if I could spot any technologies tied into EMRs, and didn’t find much to choose from – at least not as many as I came across last year. I did have some interesting conversations with the folks at Nuance about new solutions being sold under the Dragon Medical umbrella.

Population health management was a phrase I heard (or saw) a number of times, as was predictive analytics and the ubiquitous “Big Data” – all three of which tie together in the world of hospital CFOs. In my mind, it seems that it will be necessary from a financial standpoint for hospitals to get a firm grasp of what “Big Data” means to their organization, and then how to use predictive analytics to derive meaning from that data in their population health management programs, especially if they plan on successfully participating in any sort of coordinated or accountable care program. MedAssets is doing some interesting work around this concept that I hope to learn more about once I get back home and settled.

I’d be interested to hear your thoughts about the show, especially if you were an attendee. How did it compare to last year? Did you think, like me, that many folks were seduced by the lure of the pools at Mandalay Bay to the detriment of folks working the exhibit booths? Gather your thoughts while you peruse a few pictures I took on the show floor:

I stopped by the MedAssets booth to talk population health management with Carol Romashko, Director of Marketing.

AfterHours UR intrigued me with its pleasant logo and hospital utilization review service founded by nurses.

The folks at Executive Health Resources had a catchy come-by gimmick with a caricaturist creating portraits on etch-a-sketches.

 

EnableComp definitely had kid-friendly schwag. I'm still kicking myself for not going by there during the last hour of the show.

Emdeon's Cash Stacker games seemed to be a big hit on the show floor.

HumanArc knows that creativity really does pay off, at least when it comes to attracting passers by with Lego-inspired logos.

It was interesting to me, being an Atlanta native, to note how many Georgia-based revenue cycle management clients MediRevv has.

My favorite part of the Nuance booth was the tag line "Use it for Good."

Objective Health, formerly known as McKinsey Hospital Institute, had a very inviting booth. It was nice chatting with their CEO, Dr. Russ Richmond.

I didn't see any "whack a mole" type attractions, but this game from PNC definitely grabbed attendees' attention.

I didn't get a chance to stop by the Premier booth, unfortunately, but it was certainly eye-catching.I heard several interesting customer success stories from the Protiviti team, which I hope to cover in greater detail in the near future.

The VisiQuate booth impressed me with its high-tech feel.

It certainly wasn't all work and no play. I enjoyed Dell's evening event at the Shark Reef Aquarium with Stephen Outten, Content Marketing and Social Media Strategist at Dell, and Amanda Woodhead, Manager of Corporate Communications at Emdeon.

Treating Healthy Patients

Posted on June 27, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Almost a year ago I started writing about what I call Treating Healthy Patients. In my discussions with people in the healthcare IT industry this topic keeps coming up. In any discussion on the cost of healthcare, the idea of treating “healthy” patients comes to the forefront.

At the core of the treating healthy patient problem is that if a patient feels that they’re healthy, then they don’t see any need to be treated. Turns out that many of us think and feel that we’re healthy when in fact our body has indicators that we are heading in the wrong direction. The real challenge is that we don’t have a personal health dashboard which lets us know that our indicators are headed in the wrong direction.

As most of you know, I’m a website stats addict. I check how my blogs are doing all of the time (and most other bloggers do the same). If we love looking at the health of our blogs so much, why don’t we have a way to look at the health of our body? With this in mind, you can imagine I was intrigued by this quote I found on the WellnessFX website:

WellnessFX is like Google Analytics for your own body. It totally changes the way you think about taking control of your health through measurement and ongoing experimentation with different diet, exercise, and supplements.
-Mike Maples, Floodgate Ventures

That’s exactly what I would love. A Google Analytics (that’s a great website stats program) for my body. Sadly, I’m not able to use WellnessFX to see all the details of how it works. It’s currently only available in California, Oregon, and Washington, and they say they’ll soon be available in Texas, Colorado, and Massachusetts. I’ll have to wait until they make it to Nevada to try, but I love the concept.

It seems that WellnessFX uses a series of blood tests to set the baselines for your health dashboard. I’ll be interested to see how they integrate physicians into their product. While it’s great to have a service that’s monitoring my health, I also want to have a doctor involved in the process as well. They have a physician involved on at least the front end analysis of your health data which is great. However, for this to be really valuable the doctor needs to have some involvement throughout your experience. They need to treat you even if you’re a “healthy” patient.

One thing I do think we have to be careful with in the idea of treating healthy patients is not driving unneeded paranoia about a person’s health. The companies that go after this concept are going to walk a fine line between warning you of things that really matter and causing emotional harm and paranoia for something it finds that really doesn’t matter. One thing patients aren’t very good at is understanding the context of the results. There’s a definite balance there. However, that balance can be achieved if done properly.

I myself look forward to the day when a tab on my browser includes my health stats and the health stats of my family. Imagine things like diabetes that are preventable. If we had a better understanding of our risks of diabetes, I think many of us (certainly not all) would change some of our behaviors. What a great outcome that would be!

My First Impressions from ANI 2012

Posted on June 26, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’m in the middle of my first time attending the ANI 2012 conference in Las Vegas. For those not familiar with ANI, it’s HFMA’s (Healthcare Financial Management Association) National Institute. It’s kind of like HIMSS for the financial side of healthcare. I must admit that I was mostly driven to attend ANI because a number of advertisers and other connections I had started emailing me asking me if I was going to be at ANI since it was conveniently located in Las Vegas. I have to admit that I’m really glad I’ve been able to attend.

Some of my initial reactions are that ANI has a very different audience than most of the other healthcare IT conferences I’ve attended. Sure, many that attend ANI are at the other conferences, but when I first got to the ANI reception I tweeted that I bet the average age of ANI attendees was about 20 years higher than the other healthcare IT conferences I attend. When you think about healthcare financial management (the people who hold the purse strings) it makes some sense that the audience would be a bit older.

I sent the following tweet late last night which also captures my initial impressions of ANI 2012 quite well:

I can tell that many of the same people at ANI were also at HIMSS. Although, the pace feels more relaxed at ANI and I’ve been able to connect with some of the very same HIMSS people on a much deeper level. I think both things have their place, but I’ve enjoyed some of the deep conversations and understanding that’s come from ANI.

Another great story from my ANI experience was from this tweet that I sent:

While waiting in line for a Joe Montana signature, I struck up a conversation with a CFO who was in line next to me. Upon learning that I was a blogger, he asked if I was the one that tweeted about all the tweets coming from vendors and not attendees. How funny that indeed I was the one and what a great lesson. Many of the CFO attendees aren’t tweeting, but it was a great illustration that many are still reading and following the tweets. The power of social media to bring people together.

One final observation before I head back to the ANI exhibit floor. Maybe it’s just me, but there’s a palpable sense of money flowing at ANI. Maybe it’s because it’s a healthcare financial management event, but I think if we dug into the underpinnings of the event we’d see a lot of financial transactions happening. One illustration of this was in a meeting with Craneware where they talked about one of their hospital clients who found $6.2 million in previously unfound revenue.

Direct Project Should Reach Most US States By Summer

Posted on June 25, 2012 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of FierceHealthcare.com and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. Contact her at @ziegerhealth on Twitter or visit her site at Zieger Healthcare.

It’s looking like a victory for the Direct Project, the clinical messaging protocol designed to make information sharing easier for providers. ONC reports that state HIE grantees in almost 30 states are using the Direct Project protocol, with a dozen more planning to kick off Direct within the next month or two.

As many readers may know, providers can send Direct Project messages using traditional e-mail.  Messages are packaged using MIME extensions, protected by S/MIME encryption and signatures.  Messages are authenticated on both ends using X.509 digital signatures.  All told, it’s not only a “direct” way of sharing information, it’s a relatively simple one too.

How are providers using Direct?  Here’s a few examples, courtesy of FierceHealthIT:

  • In Florida, hospitals are using Direct to send newborn hearing screening test results to a state agency, which sends back confirmation of the state-mandated screening tests by the same route.
  • In California, Redwood MedNet, an HIE in northern California, and St. Joseph Health System in Orange County are collaborating on a project to use Direct to improve care coordination for newborns
  • In Guam, the Guam HIE and the Department of Veterans Affairs are employing Direct to refer patients to providers for mammograms and are looking to expand the use of the protocol to all referrals.

Enthusiasm for Direct seems to vary across different parts of the country. For example, none of the northeastern states have gone live on Direct yet, while Wisconsin, Delaware, Arkansas Illinois, California, Florida and West Virginia have already signed up 300 or more providers, FHIT notes.

Don’t know about you folks, but I’m excited by this news. I think we’re seeing the beginnings of some really significant change. Yes, like most of us, I’d like to see full-scale, enterprise-class data sharing, but billions of bucks and years of development lay between us in that goal in many cases.  Let’s appreciate what we’ve got, eh?

VC Firms Eyeing Mobile Health App Investments

Posted on June 22, 2012 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of FierceHealthcare.com and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. Contact her at @ziegerhealth on Twitter or visit her site at Zieger Healthcare.

Well, well, well. After years of industry growth and excitement that seems to have been lost on investors, the mobile health app industry has finally begun to attract their notice.

On one level, this is merely the logical,  predictable advance of money into an exploding space. The VCs are already all over the health IT space. According to the National Venture Capital Association, HIT investments shot up 78 percent between 2010 and 2011, reports iHealthBeat.

But there’s also a lot of investors looking for the next paradigm-rattling possibility, including both apps and enterprise tech. Just check out the rapidly growing number of VC-backed health incubators, including  Rock Health, StartUp Health, Blueprint Health and healthbox. (To learn more about the incubators, I strongly encourage you to check out the excellent overview of their business models and focus pulled together by The Health Care Blog.)

And the market is producing plenty of opportunities for them to consider. In fact, the market for mobile health apps could grow at 25 percent annually for the next five years, according to Kalorama Information. I’d argue that 2013 will see more like 50 percent growth, but either way, we’re talking big money.

These days, money from both incubators and VC funds is increasingly going to mobile apps, as the iHealthBeat wrap-up notes:

* AirStrip Technologies, which offers an app allowing doctors to view electrocardiograms on the iPhone, got fu nding from the $100 million Qualcomm Life Fund

* Sharecare, which offers doctors online tools helping them connect with potential patients, received $14 million in a funding round led by Galen Partners.

* Kinnser Software, which offers mobile apps and online tools to help home healthcare providers access and record medical data, got an eye-popping $40 million investment from Insight Venture Partners.

Also check out more healthcare IT investments on EMR Thoughts.

While these numbers are big wins for the startup companies involved, they still represent a small percentage of the overall money chasing good healthcare investments. But I predict that this won’t be the case for long.

With the number of highly practical apps useful in remote monitoring, patient care and even decision support increasing — and the bandwidth available on mobile devices climbing rapidly — I’m betting we’ll hear about dozens of pivotal investments in mobile apps this year.

Am I going to take a guess as to which apps are next? Not yet. But stay tuned and I’ll share overviews of the more interesting apps I hear about along the way.  And please feel free to share the news of great, practical, usable apps you’re seeing out there.

A HFMA ANI Postcard is Worth a Thousand Words

Posted on June 21, 2012 I Written By

As Social Marketing Director at Billian, Jennifer Dennard is responsible for the continuing development and implementation of the company's social media strategies for Billian's HealthDATA and Porter Research. She is a regular contributor to a number of healthcare blogs and currently manages social marketing channels for the Health IT Leadership Summit and Technology Association of Georgia’s Health Society. You can find her on Twitter @JennDennard.

I’m heading back to Vegas this weekend, as the world of healthcare finance, compliance and IT gets ready to converge at Mandalay Bay for the annual HFMA ANI show. It seems like I was just there for HIMSS, somewhat under the weather the entire time thanks to East Coast jet lag. Hopefully this time around the warmer weather and smaller event (and hopefully better wifi throughout) will help me to spend more time on the show floor, checking out EHR-related technologies and clever marketing gimmicks. (I still remember the Captain Jack look-alike from last year’s show, and the great caricature I got at Paragon Revenue’s booth.) I might also end up showing our fearless leader John Lynn around, as he attends for the first time.

I’ve been stockpiling postcards from vendors as they’ve arrived in my mailbox, sending out a tweet here and there if one strikes my fancy for no particular reason. (I didn’t receive a single one prior to HIMSS, oddly enough.) I’ve culled a few that caught my attention, either for their EHR tie-ins or marketing schtick. Here are a few of my favorites, with additional details in case you feel like stopping by their booths.

EHR-Related

Microsoft Dynamics for Healthcare
Booth #1163
Solution: MazikCare, an EMR/ERP Solution built on Microsoft Dynamics AX2012
My take: Since they picture the EMR on a mobile phone, I’ll likely stop by to have a larger conversation around mobile health. I might even see if they’ve got a new Surface tablet just lying around, waiting to be tested.
Giveaway: Windows phones, free training

M*Modal
Booth #750
Solution: an EHR that helps maximize value, according to the postcard
My take: I’d be interested to learn just HOW their EHR maximizes value.
Giveaway: $500 donation to the charity of your choice

Cutest

TransUnion
Booth # 528
Solution: Smart revenue cycle solutions
Giveaway: potentially an iPad 3, provided you play their trivia game first

Most Clever

Parallon Connect
Booth # 844
Giveaway: Invites to a special HFMA concert featuring Eddie Money, $1,000 Best Buy gift card

Best for Book Lovers

Medical Management Professionals
Booth #1043
My take: Being a book lover, I’m very interested to see what titles their Emergency Medicine Book Club will be reading in the coming months.
Giveaway: “If Disney Ran Your Hospital – 9 ½ Things You Would Do Differently” by Fred Lee

Most Intriguing (and Best for Those with Lots of Dexterity)

Emdeon
Booth # 608
My take: Their Cash Stacker challenges intrigue me. I’ve never heard of the “Tube Topper,” “Stack Nicklaus,” “Popstackle,” “Chopped Nuts,” or “Change it Up,” but perhaps I don’t go to Vegas enough.
Giveaway: iPads and cash

By Far the Biggest

Athenahealth
Booth #1629
My take: The size of the postcard certainly got my attention, as did the blurb about the “athenaCoordinator, athenahealth’s cloud-based care coordination service.”
Giveaway: Kindle 4

Most Charitable

US Bank
Booth #1461
My take: Their partnership with Children’s Miracle Network hospitals will prompt me to definitely stop by their booth, as they’ll make a donation to the network for every business card received.
Giveaway: Warm fuzzies

SPi Healthcare
Booth #1645
My take: While I didn’t receive a postcard from them, the email I did receive caught my attention for its call for attendees to stop by and enter its charity poker chip drawing. For every entry, SPi will donate $1 to Helping Kids Clinic
Giveaway: $100 poker chips

So there you have it, folks! These are just a sneak peek into the many companies that will be exhibiting at the show. I’m looking forward to learning about many more, and sharing my recap in next week’s post. If you’re going to be there, feel free to send me a “let’s connect” tweet via @SmyrnaGirl. I can’t guarantee I won’t be wearing my Elvis glasses.

What Meaningful Outcomes Will Come from Meaningful Use?

Posted on June 20, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I recently came across this video (embedded below) of Farzad Mostashari doing an Ignite talk about meaningful use and the EHR incentive money. If you’ve never been to an Ignite event they can be really cool (see some of the videos here). I love the format of them: “At the events Ignite presenters share their personal and professional passions, using 20 slides that auto-advance every 15 seconds for a total of just five minutes.” Would be cool to do an Ignite at HIMSS or something. but I digress.

In Farzad’s Ignite presentation he says that meaningful use and the HITECH act will lead to improved outcomes, higher quality care, safer healthcare, patient centered care, and coordinated care. When you hear him talk, he’s quite confident that all of these are going to happen and I really think he’s genuine in this being the goal.

Before I bias you too much on my views, I’d love to hear your thoughts on if the HITECH act and meaningful use will achieve the valuable goals of: improved outcomes, higher quality care, safer healthcare, patient centered care, and coordinated care

“Non Structured Data Is More Valuable to Practitioners Than Discrete Research Oriented Data”

Posted on June 19, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

In my post on the EHR Bubble, Don B offered this strong statement:

“Recognizing the non-structured information is more valuable to the practitioner than discrete researcher oriented data.”

I love people that make strong statements and this is no exception. This is a comment that will no doubt hit people the wrong way when you consider how much focus things like meaningful use have focused on discrete data. I can already hear the chorus of doctors asking why meaningful use wants all this discrete data if the non-structured data is where the value is for practitioners.

There are a lot of nuances at work that are worth discussing. I agree with Don B that at this point in time the non-structured information is more valuable to a physician than the discrete data. I’d also extend that comment to say that non-structured information will likely always have value to a practitioner. There are just certain parts of physician documentation that can’t be discrete or at least cost far too much to make them discrete. I’m sure the EHR narrative crowd out there will love this paragraph.

Although, even proponents of the EHR narrative realize the value of discrete data elements. That’s why companies like Nuance and MModal are investing so much money, time and effort into their various NLP (Natural Language Processing) and CLU (Clinical Language Understanding) offerings. The key question for these companies has never been whether there was value in discrete healthcare data, but in how you capture the discrete healthcare data.

When thinking about discrete healthcare data I hearken back to a post I did in 2009 that asserts the Body of Medical Knowledge Too Complex for the Human Mind. This concept still resonates with me today. The core being how does a physician take in all the patient data, device data, lab data, medical data, research data, etc and provide the patient the best care possible. This will never replace the physician (I don’t think), but I expect the tools will become so powerful that a physician won’t be able to practice medicine without them.

Much of the power required for computers to assist physicians in this way is going to come through discrete data.

Over the next 2-3 years we’re going to start seeing inklings of how healthcare will improve thanks to discrete data (often captured through and collected by an EHR). Then, in the next 5-10 years we’re going to see how healthcare couldn’t survive without all the detailed healthcare data.