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Fitbit Data in the EMR?

Posted on November 3, 2015 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.

People keep telling me they want their Fitbit and other personal device data in their doctors EMR. While it seems reasonable that your doctor would want as much data as possible available to them in the EMR, a whole wave of Fitbit data is unlikely to impact the care your doctor provides you. Your doctor doesn’t have enough time to look at your current chart. When is she going to have time to look through all your Fitbit data?

There likely are times when Fitbit and other health sensor data is going to impact the care you receive and the care provided by a doctor. However, I don’t believe your EHR vendor is going to provide those insights. At best your EHR would be a storage place for that data. I don’t see many EHR vendors doing the work required to turn that outside health sensor data into actionable insights.

Most doctors I know would be happy to have an external system inform them of insights related to your health sensor data. In fact, many would welcome it. David Chou recently blogged about the move to more personalized care and much of that is built on the back of this sensor data. He takes it even further including the system reminding you to order a low calorie diet when your GPS shows you visiting a fast food restaurant. Will EHR software do that? I don’t think so.

I guess you could summarize my view on health sensor data in that I’m bullish on the potential of what all this health sensor data can do for a person’s health, but I’m bearish on the EMR being the software that does it. The EMR might play a role in presenting the insights to the doctor, but that doesn’t require the EMR to have all the data. They just become a communication pathway. What do you think?

A Rub On Tatoo for Diabetics

Posted on January 27, 2015 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’ve been covering a lot of wearables and sensors over on Smart Phone Healthcare through the years. It’s been great to see the evolution and I still think we’re just at the very beginning of what is going to be possible with these health sensors. However, the leaks in the damn are starting to appear and soon we’ll have a tidal wave of amazing health data from these health sensors.

Don’t believe me? Check out this story on Gizmodo about a Rub On Tattoo that measures a person’s blood glucose levels. For those too busy to click over, here’s an excerpt:

Pricking your finger for a blood glucose test will never, ever be fun. Thankfully, scientists have been hard at work on a bloodless and needleless alternative: a rub-on temporary tattoo that, as weird as it sounds, gently sucks glucose through the surface of the skin.

The thin, flexible device created by nanoengineers at UCSD is based on the much bulkier GlucoWatch, a now-discontinued wristband that worked through the same glucose-sucking principal. But the electric current GlucoWatch used to attract glucose to the surface of the skin was too high, and wearers were not keen on the discomfort. This temporary tattoo gets around the problem by using a gentler but still effective current.

Unfortunately, we’re still a few years out from this becoming a market ready product, but it’s another illustration of the kind of research and ingenuity that’s being put into the health sensors marketplace. I’m personally concerned about my risk for diabetes, and so I’m extremely excited about new developments around diabetes. However, this is just one of many more developments that are going to change the world of healthcare as we know it.

What do you think of this new wave of sensors? How will the medical establishment integrate all this new data? What other changes are happening which we should keep an eye on? I don’t think most doctors, practices, hospitals, EMR companies, etc are ready for what’s happening.

Treating a Healthy Patient

Posted on November 21, 2014 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 first coined the concept of what I call treating a healthy patient back in 2011. I’ve always loved the concept of a doctor actually treating someone who thinks and feels completely healthy. The challenge is that this type of relationship is very different than what we have in our current health system today.

While our current model is very different, I’m hearing more and more things that get me back to healthcare treating an otherwise healthy patient. Although, someone recently pointed out to me that we’re not really treating a healthy patient, because we’re all sick. We just each have different degrees of sickness. It’s a fine point, but I still argue we’re “healthy” because we feel “healthy.”

This analysis points out one layer of change that I see happening in healthcare. This change is being able to detect and predict sickness. Yes, that still means a doctor is treating a sickness. However, I see a wave of new sensors, genetics, and other technology that’s going to absolutely change what we define as “sick.”

This is a massive change and one that I think is very good. I recently read an article by Joseph Kvedar which commented that we’re very likely to seek medical help when we break our arm, because the pain is a powerful motivating factor to get some help. Can this new wave of sensors and technology help us know the “pain” our bodies are suffering through and thus inspire us to seek medical attention? I think they will do just that.

The problem is that our current health system isn’t ready to receive a patient like this. Doctors are going to have to continue to evolve in what they consider a “disease” and the treatment they provide. Plus, we’ll likely have to include many other professionals in the treatment of patients. Do we really want our highly paid doctors training on exercise and nutrition when they’ve had almost no training in medical school on the subjects? Of course, not. We want the dietitian doing this. We’ll need to go towards a more team based approach to care.

I’ve regularly said, “Treating a healthy patient is more akin to social work than it is medicine.” Our health system is going to have to take this into consideration and change accordingly.

Treating a healthy patient won’t solve all our healthcare problems. In fact, I’ve wondered if in some ways treating a healthy patient isn’t just shifting the costs as opposed to lowering the costs. Regardless of the cost impact, this is where I see healthcare heading. Yes, we’ll still need many doctors to do important procedures. Just because you detect possible heart issues doesn’t mean that patient won’t eventually need a heart bypass surgery some day. In fact, a whole new set of medical procedures will likely be created that treat possible heart issues before they become straight up heart issues.

What other ways do you see the system moving towards or away from “treating healthy patients”?