Free EMR Newsletter Want to receive the latest news on EMR, Meaningful Use, ARRA and Healthcare IT sent straight to your email? Join thousands of healthcare pros who subscribe to EMR and EHR for FREE!

E-patient Update: Remote Monitoring Leaves Me Out of The Loop

Posted on May 24, 2016 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.

As some readers may recall, I don’t just write about digital health deployment — I live it. To be specific, my occasional heart arrhythmia (Afib) is being tracked remotely by device implanted in my chest near my heart. My cardiac electrophysiologist implanted the Medtronic device – a “loop recorder” roughly the size of a cigarette lighter though flatter — during a cardiac ablation procedure.

The setup works like this:

  • The implanted device tracks my heart rhythm, recording any events that fit criteria programmed into it. (Side note: It’s made entirely of plastic, which means I need not fear MRIs. Neat, huh?)
  • The center also includes a bedside station which comes with a removable, mouse shaped object that I can place on my chest to record any incidents that concern me. I can also record events in real time, when I’m on the road, using a smaller device that fits on my key ring.
  • Whether I record any perceived episodes or not, the bedside station downloads whatever information is stored in the loop recorder at midnight each night, then transmits it to the cardiac electrophysiologist’s office.
  • The next day, a tech reviews the records. If any unusual events show up, the tech notifies the doctor, who reaches out to me if need be.

Now, don’t get me wrong, this is all very cool. And these devices have benefited me already, just a month into their use. For example, one evening last week I was experiencing some uncomfortable palpitations, and wondered whether I had reason for concern. So I called the cardiac electrophysiologist’s after-hours service and got a call back from the on-call physician.

When she and I spoke, her first response was to send me to my local hospital. But once I informed her that the device was tracking my heart rhythms, she accessed them and determined that I was only experiencing mild tachycardia. That was certainly a relief.

No access for patients

That being said, it bugs me that I have no direct access to this information myself. Don’t get me wrong, I understand that interacting with heart rhythm data is complicated. Certainly, I can’t do as much in response to that information as I could if the device were, say, tracking my blood glucose levels.

That being said, my feeling is that I would benefit from knowing more about how my heart is working, or failing to work appropriately in the grand scheme of things, even if I can’t interpret the raw data of the device produces. For example, it would be great if I could view a chart that showed, say, week by week when events occurred and what time they took place.

Of course, I don’t know whether having this data would have any concrete impact on my life. But that being said, it bothers me that such remote monitoring schemes don’t have their core an assumption that patients don’t need this information. I’d argue that Medtronic and its peers should be thinking of ways to loop patients in any time their data is being collected in an outpatient setting. Don’t we have an app for that, and if not, why?

Unfortunately, no matter how patients scream and yell about this, I doubt we’ll make much progress until doctors raise their voices too. So if you’re a physician reading this, I hope you’re willing to get involved since patients deserve to know what’s going on with their bodies. And if you have the means to help them know, make it happen!

3 Benefits of Virtual Care Infographic

Posted on May 20, 2016 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.

The people at Carena have put out an infographic that looks at 3 ways virtual clinics are improving care quality. I’d like to see better sources since most of the sources for the data in this infographic come from virtual care providers. However, it’s also interesting to look at the case virtual care providers are making so we can test if they’re living up to those ideals.

What do you think of these 3 benefits? Are they achievable through virtual care?

3 Ways Virtual Clinicals are Improving Care Quality

Too Many Healthcare Apps

Posted on May 4, 2016 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.

As we all know, if we want something, there’s probably an app for that. From head to toe, from bank to restaurant to club, in most places in the world, there’s probably an app to meet your needs.

Apple is rightly lauded for its contribution in this area. While it didn’t invent the smart phone as such — early devices mashing together PDAs and connected computing preceded the march of i-Everything by some time — but obviously, it popularized this technology and made it usable to virtually everyone, and for that it deserves the kudos it has gotten.

But as we work to build mobile healthcare models, I’d argue, the notion of there being an app for each need is falling flat. Healthcare organizations are creating, and clinicians prescribing, targeted apps for every healthcare niche, but consumers aren’t showing a lot of interest in them.

Healthcare consumers have shown interest in a subsection of health app categories. According to a study completed last year, almost two-thirds of Americans would use a mobile app to manage health issues. The study, the Makovsky/Kelton “Pulse of Online Health” survey, found that their top interests included tracking diet/nutrition (47%), medication reminders (46%), tracking symptoms (45%) and tracking physical activity (44%).

But other research suggests that consumers aren’t that enthused about other categories of healthcare apps. For example, a recent study by HealthMine concluded that while 59% of the 500 respondents it surveyed had chronic conditions, only 7% used digital disease management tools.

I’ve made the following argument before, but I think it’s worth making again. From what I’ve observed, in talking to both providers and patients, the notion of developing a multitude of apps covering specialized needs is a failed strategy, reflecting the interests of the healthcare industry far more than patients. And as a result, patients are staying away in droves.

From what I’ve observed, it appears that healthcare organizations are developing specialized apps because a) that strategy mirrors the way they are organized internally or b) they’re trying to achieve specific outcomes (such as a given average blood sugar level among diabetics). So they build apps that reflect how they collect and manage data points within their business.

The problem is, consumers don’t care what a facility or clinician’s goals are, unless those goals overlap with their own. They certainly don’t want to open a new app every time they take on a new health concern. And that sucks the benefit right out of app-creation efforts by healthcare providers. After all, aren’t people with multiple conditions the expensive patients we’d most like to target?

What’s more, apps designed to capture data aren’t terribly motivating. Clinicians may live or die on the numbers, but unless those numbers come with a realistic path to action, they will soon be ignored, and the app discarded. Consider the humble bathroom scale. For most people, that one data point isn’t particularly helpful, as it says nothing about where to go from there. So people generally give up when they’re neither motivated nor taught by the apps they download.

To be successful with mobile healthcare, providers and clinicians will need to back the development of apps which guide and sustain users, rather than turn them into data entry clerks.  It’s not clear what should replace the current generation, but we need to turn to a more patient-centric model. Otherwise, all our efforts will be wasted.

Health Organizations Failing At Digital Health Innovation

Posted on May 3, 2016 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.

Few healthcare providers are prepared to harvest benefits from digital health innovations, a new study suggests. The study, by innovation consultancy Enspektos LLC, concludes that digital health innovation efforts are fairly immature among healthcare organizations, despite the enormous wave of interest in these technologies.

While this should come as no surprise to those of us working in the industry, it’s a little depressing for those of us — including myself — who passionately believe that digital health tools have the potential to transform the delivery of care. But it also reminds providers to invest more time and effort in digital health efforts, at least if they want to get anything done!

The study, which was sponsored by healthcare IT vendor Validic, chose 150 survey participants working at health organizations (hospitals, pharmaceutical firms, payers) or their partners (technology firms, startups and the like) and asked them to rate digital health innovation in the healthcare industry.

The results of this study suggest that despite their high level of interest, many healthcare organizations don’t have the expertise or resources needed to take full advantage of digital health innovations. This tracks well with my own experience, which suggest that digital health efforts by hospitals and clinics are slapdash at best, rolling out apps and doling out devices without thinking strategically about the results they hope to accomplish. (For more data on digital health app failures see this story.)

According to Enspektos, only 5% of health organizations could demonstrate that they were operating at the highest level of proficiency and expertise in digital health innovation. The majority of health organizations worldwide are experimenting with and piloting digital health tools, researchers concluded.

Apparently, digital health is moving slowly even with relatively mature technologies such as mobile platforms. One might think that mobile deployments wouldn’t baffle IT departments, but apparently, many are behind the curve. In fact, health organizations typically don’t have enough technical expertise or large enough budget to scale their digital health efforts effectively, Enspektos researchers found.

Of course, as a digital health technology vendor, Validic is one of many hoping to be the solution to these problems. (It offers a cloud-based technology connecting patient-recorded data from digital health apps, devices and wearables to healthcare organizations.) I’m not familiar with Validic’s products, but their presence in this market does raise a few interesting issues.

Assuming that its measures of digital health maturity are on target, it would seem that health organizations do need help integrating these technologies. The question is whether a vendor such as Validic can be dropped into the technical matrix of a healthcare organization and bring its digital health program to life.

My guess is that no matter how sophisticated an integration platform they deploy, healthcare organizations still have a tremendous amount of work to do in thinking about what they actually want to accomplish. Most of the digital health products I’ve seen from providers, in particular, seem to be solutions in search of a problem, such as apps that have no bearing on the patient’s actual lifestyle and needs.

On the other hand, given how fluid digital health technology is at this point, perhaps vendors will be creating workflow and development models that healthcare organizations can adapt. It remains to be seen who will drive long-term change. Honestly, I’m betting on the vendors, but I hope more healthcare players step up, as I’d like to see them own this thing.

Digital Disease Management Tools Aren’t Too Popular

Posted on April 19, 2016 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.

Despite having a couple of chronic illnesses, I don’t use disease management tools and apps, even though I’m about as digital health-friendly as anyone you can imagine. So I guess the results of the new survey, suggesting that I’m not alone, shouldn’t come as a surprise.

The study was conducted by HealthMine, which recently surveyed 500 insured consumers to find out whether they used digital health devices and apps. Researchers found that while 59% of respondents suffer from chronic conditions, only 7% of these individuals used a disease management tool.

This was the case despite the fact that 50% reported using fitness/activity trackers or apps, and that 52% of respondents were enrolled in a wellness program. Not only that, two thirds of those involved in a wellness program said their program offered incentives for using digital health tools.

Disease management tools may not be in wide use, but that doesn’t mean that the consumers weren’t prepared to give digital health a try. When they drilled down further, HealthMine researchers learned that in addition to the half of respondents that used fitness trackers, consumers were interested in a wide variety of digital health options. For example, 46% used food/nutrition apps, 39% used weight loss apps, 38% used wearable activity tracker apps, 30% used heart rate apps, 28% used pharmacy apps, and 22% used patient portals or sleep apps.

To get consumers interested in disease management tools, it might help to know what motivates them to pick up any digital health app for their use. The biggest motivators cited were desire to know their numbers (42%), followed by improving their health (26%), the knowledge that someone on the other side of the app is tracking results (19%), and incentives for using the app (10%). (It’s worth noting that while incentives weren’t the biggest motivator to use digital health tools, 91% of respondents said that incentives would motivate them to use digital health tools more often.)

All that being said, I think I know what’s wrong here. In my experience, the apps consumers reported using are directed at helping consumers handle problems which, though complex, can be addressed in part by measuring a few key indicators. For example, achieving fitness is a broad and multifactorial goal, but counting steps is simple to do and simple to grasp. Or take food/dieting apps: eating properly can be a life’s work, but drawing on a database to dig out carb counts isn’t such a big deal.

On the other hand, managing a chronic illness may call for data capture, interaction with existing databases, monitoring by a skilled outside party and expert guidance. Pulling all of these together into a usable experience that consumers find helpful — much less one that actually transforms their health — is far more difficult than, say, tracking calories in and calories burned.

I’d argue that truly effective disease management tools, which consumers would truly find useful, calls for institutional commitment by vendors or providers that neither is ready to supply. But if disease management tools came with a particularly intuitive interface, a link to live providers and perhaps more importantly, education as to why the items being tracked matter, we might get somewhere.

Heads Up Health Displays Everywhere…Yes Everywhere!

Posted on April 18, 2016 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.

Today I’ve started the first day at the NAB conference in Las Vegas. It’s a unique conference that showcases the best in broadcast media. There’s a lot of things that are of interest to healthcare. One of those things is the variety of displays that are being used to stream the various broadcast media. It’s not hard to see the hospital or home of the future that’s essentially one big electronic display of information.

With that as a backdrop, I was intrigued to read about this electronic tattoo that turns your skin into a screen:

It still has a ways to go before you’ll find it in a hospital or doctor’s office near you. However, it’s fascinating to see how we’re literally working on ways to have a display everywhere. In healthcare that’s really exciting. Plus, the tattoo includes a health sensor as well. Imagine if in a hospital or doctors visit you had one of these “tattoos” that was always showing your vital signs. Would be nice to have all of that information available. No doubt it would be streamed to your EHR or other data store in the cloud.

As this technology progresses it’s not hard to see that these tattoo displays could be a great way for your healthcare team to communicate messages to you. Add a few sensors and/or voice and you’ll be able to communicate back with them. Pretty powerful since some patients can’t lift a smart phone, but they might be able to lift their arm. Or if they can’t life their arm, they could have it left in a position where they could see it.

Getting the right health information communicated to the right people at the right time is going to be a major theme going forward in healthcare IT. We’re already working on it from a hundred different angles, but I think most of us can’t even imagine how much better this communication and data sharing will be over the next 5-10 years.

Lessons Learned from Patient Engagement Efforts in Louisiana

Posted on March 28, 2016 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.

UPDATE: Check out the video recording of our interview:

2016 March - Lessons Learned from Patient Engagement Efforts in Louisiana-blog

For our next Healthcare Scene interview, we’ll be chatting with Jamie Martin and Linda Morgan from the Louisiana Health Care Quality Forum (LHCQF) on Wednesday, March 30, 2016 at Noon ET (9 AM PT). After putting on an incredible session on patient engagement at HIMSS, I can’t wait to have LHCQF join me to share many of the experiences and learnings that have taken place in their efforts to promote patient engagement in Louisiana.

You can join my live conversation with Jamie Martin and Linda Morgan and even add your own comments to the discussion or ask them questions. All you need to do to watch live is visit this blog post on Wednesday, March 30, 2016 at Noon ET (9 AM PT) and watch the video embed at the bottom of the post or you can subscribe to the blab directly. We’re hoping to include as many people in the conversation as possible. The discussion will be recorded as well and available on this post after the interview.

As we usually do with these interviews, we’ll be doing a more formal interview with Jamie Martin and Linda Morgan for the first ~30 minutes of this conversation. Then, we’ll open up the floor for others to ask questions or join us on camera. Jamie, Linda and the team at LHCQF have done some phenomenal work in promoting patient engagement in Louisiana. I’m looking forward to learning from their experience and insights so we can see more of it happen across the nation and world.

If you’d like to see the archives of Healthcare Scene’s past interviews, you can find and subscribe to all of Healthcare Scene’s interviews on YouTube.

The Amazing Power of Tablets Does More for Seniors’ Health Than Just Health Monitoring

Posted on March 18, 2016 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.

This post is sponsored by Samsung Business. All thoughts and opinions are my own.

One of the exploding areas of opportunity for healthcare is the growing senior market. It’s also one of its greatest challenges. Thanks to breakthroughs in medicine, we’re living longer and the number of seniors hitting retirement age continues to grow at an extraordinary rate.

With this growth in mind, we hear over and over again about healthcare solutions for seniors. This makes sense since seniors make up a large portion of healthcare dollars spent. Most of the health solutions targeted at seniors have focused on things like home health monitoring and remote health data collection.

While these solutions are powerful and interesting, lately I’ve come to realize that technology could play a much more powerful role in the health of seniors and it has nothing to do with the home health and remote monitoring technologies that are so in vogue. No, after many conversations I believe that even more powerful than health monitoring technologies is the way technology can improve a senior’s life.

This Samsung blog post highlights 5 major benefits seniors can receive from tablet usage:

  1. Social media: Keeping in touch with friends and family
  2. Content: Accessing information for leisure, learning and emergency preparedness
  3. Commerce: Convenient online shopping and access to user reviews for informed decision making
  4. Entertainment: Games and content that promote mental engagement
  5. Health: Accessing medical information, care plans, health apps and wellness content

One of the keys to keeping seniors healthy is to keep them engaged. Looking through this list might seem pretty rudimentary for the rest of us that live on technology. However, for a senior those social connections can mean the difference between life and death. Not to mention happiness in the life they still have left.

I saw this illustrated perfectly when my mother, who’s nearing retirement, told me that she was thinking about joining Facebook. This came as quite a shock to me since she’d always kind of shunned it as a waste of time and my mother (sweet as she may be) doesn’t have (or want) a cell phone. When I asked her why she was going to get on Facebook, she told me that she wanted to be on there because she believed that it would help her stay in touch with so many people she knows and loves (I hope that includes me, but is more likely my kids).

The great thing is that technology has now become really accessible for seniors. Take for example, the Samsung Galaxy Tab Pro S that was just announced today. It’s taken a number of years, but they’ve finally gotten the mix of tablet and laptop in one device right.

The Galaxy Tab Pro S has a really slim design that’s light. Both of these features are enjoyed by seniors, but especially the light part. As you get older, the weight of items really matters. Plus, the keyboard option is great for seniors since many of them know how to type, but don’t do well with the touchscreen keyboards. The 10.5 hours of battery life is great too since that means they can use it all day and charge it through the night.

Before I hear from all the naysayers about seniors’ aversion to technology (that’s generally a myth that needs to be debunked), It’s surprising how many seniors are really adept at technology. Plus, for those that are less adept, there are great companies like Breezie and grandPad that are building software on top of tablets that simplify using a tablet even more. It’s now easier than ever for seniors to access the internet using tablets.

What we need to remember in healthcare is that our health is determined by much more than visits to the doctor’s office and our vital signs. Our ability to connect with the ones we love impacts our health. The entertainment and education we consume affects our health. Our ability to be independent affects our health. The right technology in seniors’ hands can impact all of these health factors in a significant way.

For more content like this, follow Samsung on Insights, Twitter, LinkedIn , YouTube and SlideShare

Patients Favor Tracking, Sharing Health Data

Posted on February 3, 2016 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.

To date, I’d argue, clinicians have been divided as to how useful medical statistics are when they come straight from the patient. In fact, some physicians just don’t see the benefit of amateur readings. (For example, when I brought my own cardiologist three months of dutifully-logged blood pressure and pulse readings, she told me not to bother.)

Research suggests that my experience isn’t unique. One study, released mid-last year by market research firm MedPanel, found that only 15% of physicians were recommending wearables or health apps to patients as tools for growing healthier.

But a new study has found that patients side with health-tracking fans. According to a new study released by the Society for Participatory Medicine, 84% of respondents felt that sharing self-tracking stats such as blood glucose, blood pressure, heart rate and physical activity with their clinician would help them better manage their health. And 77% of respondents said that such stats were equally important to both themselves and their healthcare professional.

And growing numbers of healthcare professionals are getting on board. A separate study released last year by Research Now found that 86% of 500 medical professionals said mHealth apps gave them a clearer understanding of a patient’s medical condition, and 76% percent felt that apps were helping patients manage chronic illnesses.

Patients surveyed by the SPM, meanwhile, seemed downright enthusiastic about health trackers and mobile health:

* 76% of adults surveyed would use a clinically-accurate and easy-to-use personal monitoring device
* 57% of respondents would like to both use such a device and share the data generated with a professional
* 81% would be more likely to use a consumer health monitoring device if their healthcare professional recommended such a device

Realistically, medical pros aren’t likely to make robust use of patient-generated data unless that data can be integrated into a patient’s chart quickly and efficiently. Some brave clinicians may actually attempt to skim and mentally integrate data from a health app or wearable, but few have the time, others doubt the data’s accuracy and yet another subgroup simply finds the process too awkward to endure.

The bottom line, ultimately, seems to be that patient-generated data won’t find much favor until hospitals and medical practices roll out technologies like Apple’s HealthKit, which pull the data directly into an EMR and present it in a clinician-friendly manner. And some medical pros won’t even be satisfied with a good presentation; they’ll only take the data seriously if it was served up by an FDA-approved device.

Still, I personally love the idea of participatory medicine, and am happy to learn that health trackers and apps might help us get closer to this approach. As I see it, there’s no downside to having the patient and the clinician understand each other better.

#HIMSS16: Some Questions I Plan To Ask

Posted on February 1, 2016 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.

As most readers know, health IT’s biggest annual event is just around the corner, and the interwebz are heating up with discussions about what #HIMSS16 will bring. The show, which will take place in Las Vegas from February 29 to March 4, offers a ludicrously rich opportunity to learn about new HIT developments — and to mingle with more than 40,000 of the industry’s best and brightest (You may want to check out the session Healthcare Scene is taking part in and the New Media Meetup).

While you can learn virtually anything healthcare IT related at HIMSS, it helps to have an idea of what you want to take away from the big event. In that spirit, I’d like to offer some questions that I plan to ask, as follows:

  • How do you plan to support the shift to value-based healthcare over the next 12 months? The move to value-based payment is inevitable now, be it via ACOs or Medicare incentive programs under the Medicare Access and CHIP Reauthorization Act. But succeeding with value-based payment is no easy task. And one of the biggest challenges is building a health IT infrastructure that supports data use to manage the cost of care. So how do health systems and practices plan to meet this technical challenge, and what vendor solutions are they considering? And how do key vendors — especially those providing widely-used EMRs — expect to help?
  • What factors are you considering when you upgrade your EMR? Signs increasingly suggest that this may be the year of the forklift upgrade for many hospitals and health systems. Those that have already invested in massiveware EMRs like Cerner and Epic may be set, but others are ripping out their existing systems (notably McKesson). While in previous years the obvious blue-chip choice was Epic, it seems that some health systems are going with other big-iron vendors based on factors like usability and lower long-term cost of ownership. So, given these trends, how are health systems’ HIT buying decisions shaping up this year, and why?
  • How much progress can we realistically expect to make with leveraging population health technology over the next 12 months? I’m sure that when I travel the exhibit hall at HIMSS16, vendor banners will be peppered with references to their population health tools. In the past, when I’ve asked concrete questions about how they could actually impact population health management, vendor reps got vague quickly. Health system leaders, for their part, generally admit that PHM is still more a goal than a concrete plan.  My question: Is there likely to be any measurable progress in leveraging population health tech this year? If so, what can be done, and how will it help?
  • How much impact will mobile health have on health organizations this year? Mobile health is at a fascinating moment in its evolution. Most health systems are experimenting with rolling out their own apps, and some are working to integrate those apps with their enterprise infrastructure. But to date, it seems that few (if any) mobile health efforts have made a real impact on key areas like management of chronic conditions, wellness promotion and clinical quality improvement. Will 2016 be the year mobile health begins to deliver large-scale, tangible health results? If so, what do vendors and health leaders see as the most promising mHealth models?

Of course, these questions reflect my interests and prejudices. What are some of the questions that you hope to answer when you go to Vegas?