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Doctors, Not Patients, May Be Holding Back mHealth Adoption

Posted on June 24, 2015 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 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.

Clearly, mHealth technology has achieved impressive momentum among a certain breed of health-conscious, self-monitoring consumer. Still, aside from wearable health bands, few mHealth technologies or apps have achieved a critical level of adoption.

The reason for this, according to a new survey, may lie in doctors’ attitudes toward these tools. According to the study, by market research firm MedPanel, only 15% of physicians are suggesting wearables or health apps as approaches for growing healthier.

It’s not that the tools themselves aren’t useful. According to a separate study by Research Now summarized by HealthData Management, 86% of 500 medical professionals said mHealth apps gave them a better understanding of a patient’s medical condition, and 76% said that they felt that apps were helping patients manage chronic illnesses. Also, HDM reported that 46% believed that apps could make patient transitions from hospital to home care simpler.

While doctors could do more to promote the use of mHealth technology — and patients might benefit if they did — the onus is not completely on doctors. MedPanel president Jason LaBonte told HDM that vendors are positioning wearables and apps as “a fad” by seeing them as solely consumer-driven markets. (Not only does this turn doctors off, it also makes it less likely that consumers would think of asking their doctor about mHealth tool usage, I’d submit.)

But doctors aren’t just concerned about mHealth’s image. They also aren’t satisfied with current products, though that would change rapidly if there were a way to integrate mobile health data into EMR platforms directly. Sure, platforms like HealthKit exist, but it seems like doctors want something more immediate and simple.

Doctors also told MedPanel that mHealth devices need to be easier to use and generate data that has greater use in clinical practice.  Moreover, physicians wanted to see these products generate data that could help them meet practice manager and payer requirements, something that few if any of the current roster of mHealth tools can do (to my knowledge).

When it comes to physician awareness of specific products, only a few seem to have stood out from the crowd. MedPanel found that while 82% of doctors surveyed were aware of the Apple Watch, even more were familiar with Fitbit.

Meanwhile, the Microsoft Band scored highest of all wearables for satisfaction with ease of use and generating useful data. Given the fluid state of physicians’ loyalties in this area, Microsoft may not be able to maintain its lead, but it is interesting that it won out this time over usability champ Apple.

Rep. Tom Marino Introduces Bill to Limit EHR Lawsuits

Posted on November 1, 2011 I Written By

John Lynn is the Founder of the 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 and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Joseph Goedert from Health Data Management posted some really interesting news today about a new bill being introduced that would provide some legal protection to providers in case an EHR error occurs.

Here’s one excerpt from the article:

“The Safeguarding Access for Every Medicare Patient Act,” H.R. 3239, would limit electronic discovery in a legal action to information related to the EHR-related adverse event and information from the period in which the event occurred. This will limit attorneys from using EHRs to go on “fishing expeditions” and looking for other information, Marino says.

The legislation would set up a system for reporting potential errors when using EHRs without the threat of the information being used as an admission of guilt. It further would enable providers using EHRs to take remedial measures without that action being used to establish guilt, places time limits on the filing of lawsuits, and offers protection against libel and slander suits.

Of course, all sorts of legislation is proposed in Washington, but never actually passes. We’ll see how this one does. I have a feeling that most healthcare legislation is pretty toxic in Washington right now. I do love the idea of somehow preventing “fishing expeditions” as the article calls it or “ambulance chasers” if you will.

My biggest question with this bill is whether there has been similar regulations in other industries. If there hasn’t been similar legislation in other industries, then why should we have it in healthcare? Is there something unique in healthcare that we need to protect different than we do other industries? What are the safeguards that other industries use to avoid lots of lawsuits based on the use of software?

I can’t say I feel one way or another about this legislation right now. I’d just love to learn more about what the implications of the legislation would be. How could it be abused? What benefits could it provide? What issues could it shield that it shouldn’t? You know, all questions that should be asked of any legislation.

Any thoughts? I think one thing is certain, EHR lawsuits are just on the horizon. I bet we’ll have a whole industry of EHR expert witnesses created along the way.

Thanks to reader Jacki Channer for pointing out the news.

Will Carts Delay Adoption of Hospital Mobile Devices? Could Be…

Posted on June 24, 2011 I Written By

Katherine Rourke is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

I just caught an interesting piece in on the use of plain old, unsexy carts in hospitals — one whose conclusions which may surprise you a bit.  The piece argues that since hospitals are comfortable using carts to haul around full-sized equipment, they may be slower than expected to adopt hot portable devices in care delivery.

The article notes that while mobile devices remain on hospital IT execs’ radar, carts laden with standard technologies like barcode scanners and laptops continue to be popular.

IT administrators interviewed by Health Data Management magazine said that hauling IT equipment with carts may be a better option than mobile deployment.  And research suggests that they’re not alone. According to a HIMSS study quoted in the article, carts are being used by 45 percent of hospitals in 2011, up from 26 percent in a related 2008 study. That’s a pretty dramatic leap.

It certainly makes sense. The fact is, carts make it possible to haul around a full-size keyboard (along with barcode scanners and medication), which allows nurses to work comfortably with EMRs at the bedside.

On the other hand, the small screens and awkward typing mechanisms used by mobile gear can actually slow down the care process.  Not only that, the small text used by mobile devices can be hard for an aging nursing workforce to read, according to Joan Harvey, RN, clinical nurse specialist at Ocean Medical Center, who was interviewed by HDM.

That being said, hospital IT leaders aren’t ignoring the mobile device explosion. At least one hospital interviewed by the reporter, Good Samaritan of Vincennes, Ind., is testing mobile devices for future use. But execs there are frustrated by problems with compatibility between the different operating systems used by the devices, and differences between devices using the same operating environment. When you consider how much easier it may be to just have nurses drag along a standard PC and keyboard, why would they consider buying an Android tablet or iPhone?

Unless this author’s got his facts completely wrong, he’s made a really important point — that mobile device makers had better get their act together if they want to really step into the healthcare market. No matter how fascinating their potential use cases may be, the reality is that mobile vendors won’t make major headway in hospitals unless they get smart about barriers like the ones mention here.  The cool factor just won’t cut it.

As Luck (and Timely EMR Planning) Would Have It

Posted on June 16, 2011 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.

Editor’s Note: The following article is written by a new blogger in the EMR and EHR family: Jennifer Dennard. A big welcome to Jennifer and we’ll have to have her do an intro post in the future so everyone can learn about the great work Jennifer is doing in the healthcare IT world.

The day the tornado struck in Joplin, Missouri, “luck” wasn’t a word that made it to very many people’s lips. Nearly a month has passed, however, giving the town time to reflect on just how “lucky” its citizens have been, particularly with regard to the quick thinking and incredible dedication of the staff at its area hospital, St. John’s Regional Medical Center, part of the Sisters of Mercy Health System.

Numerous reports have detailed the efforts of the hospital’s medical teams to move patients and staff to safety during and after the storm, as well as to establish the mobile version of the hospital after the original structure was hit. Stories are now coming to light of the well-timed – some would even say “lucky” – opening of a brand-new data center some 250 miles from Joplin and the corresponding implementation of an EPIC electronic medical records (EMR) system at the hospital close to a month before the storm hit. The Joplin facility was the last of the 28 acute-care hospitals in the Mercy system to go live on an EMR.

Tales have been told of X-ray images being found as far as 70 miles away from the hospital, but the EMR and off-site data center made flying files a moot point, as recounted in a recent article:

“”We’ve got the connectivity, so for us it doesn’t really matter where it’s at physically,” says Mike McCreary, chief of services for Mercy Technology Services, a unit of the health system.

“Joplin resident Paul Johnson, 78, was hospitalized with pneumonia at St. John’s when the tornado struck. Guided safely by his family from the facility to a triage center, Johnson was then taken to another Mercy hospital in Springfield, Mo., where all of his electronic records were available.

“”I knew that they would want to know my medications, dosages and what tests had been done, and I knew that I couldn’t remember all of it,” Johnson said, according to a press release from Mercy. “The doctors in Springfield were able to pull up my records and ask me questions. It worked out beautifully.”

Some would even say he was lucky.