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#HIMSS14 Highlights: Enthusiasm for Patient Engagement

Posted on March 7, 2014 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.

Patient engagement solutions abounded at HIMSS14, though their levels of sophistication varied. Like many other commentators, I felt this was a big jump in interest over last year. It will be interesting to see if this level sustains into 2015, and how the same products will mature come HIMSS15 in Chicago.

The theme of engagement was heard most loudly in several educational sessions I attended. I was happy to pre-register for an Orion Health / ePatient Dave event; and make time at the last minute to attend a live demo of the new Blue Button Connector, and a brief presentation by Regina Holliday, founder of the Walking Gallery.

I believe ePatient Dave (aka Dave deBronkart) has been at this awhile, but the Orion Health lunch and learn I attended was my first opportunity to hear him tell his story live. And what a compelling story it was! It certainly resonated with the audience of about 75, and I couldn’t help but wonder why he wasn’t up on stage in a “From the Top” session. The theme that ran throughout his presentation and audience questions was the need for online patient communities, and the subsequent need for providers to let their patients know about them. Websites like and were brought up as interesting resources.


I headed from there to the exhibit hall, where HIMSS had set up a very nice learning gallery, complete with comfy chairs, swivel desktops and a nice presentation area. Lygeia Ricciardi spent a good 20 minutes going through the new Blue Button Connector website, which you can find here: While not a true, live demo, she did offer several screenshots, and was very forthcoming about the ONC’s plans and goals for the site. Apparently they see it as almost a marketing tool, similar to the Energy Star label you see on just about every appliance these days. The Blue Button symbol will hopefully come to be recognized as an endorsement of easy access to patient data. She was frank in saying that it’s not a panacea, but will be a powerful tool in the hands of consumers, and developers who choose to take advantage of its open source code and bake it into their own apps.


It is literally a connector. The new website simply allows patients to connect to third parties that may house their medical records, such as payers, pharmacy, labs, physicians or hospitals, immunization registries and health information exchange portals. Knowing I already have a provider that participates in Blue Button via their athenahealth patient portal, I went through the “Physician or Hospital” steps to see how the Connector worked. I didn’t see my physician listed, so I’ll likely send an email to The Connector is in beta right now, and Riccardi mentioned they are very interested in gathering as much user feedback as possible during this process, so I encourage you to check it out and drop them a comment or two.

I was back at the Learning Gallery the next afternoon to hear Regina Holliday of the Walking Gallery speak, and she did not disappoint. Like a preacher that just can’t stay in the pulpit, Regina passionately talked about the power patients have when they come together and demand change. It was my first time hearing her speak live and I was not disappointed. It was a powerful sight to see close to 30 Walking Gallery members stand up at the end of her session and show their jackets. Why they were not on a larger stage in front of a capacity audience is beyond me.


That’s it for my notes from HIMSS. Next up on my conference dance card is the Healthcare IT Marketing and PR Conference, taking place April 7-8 in Las Vegas, and hosted by I hope to see you there!

FCC highlights ONC Office for Consumer e-Health plans for 2014

Posted on December 29, 2013 I Written By

Dr. West is an endocrinologist in private practice in Washington, DC. He completed fellowship training in Endocrinology and Metabolism at the Johns Hopkins University School of Medicine. Dr. West opened The Washington Endocrine Clinic, PLLC in 2009. He can be contacted at

One of the things I would like to get back in the habit of in the new year is to contribute more again to this blog, which I started in 2009 with help from John Lynn at  Part of the challenge of keeping an ongoing stream of thoughts here has been both my busy life as an active provider of subspecialty healthcare, the growth of my practice as a business, and most importantly the emergence of new ideas for consideration and writing.

Luckily, I have been able to find some novel sources recently, and so I am going to try to reach out to these resources more often to gain insight and ideas for new and interesting topics on which to blog.

One of these sources recently highlighted an interview with Lygeia Ricciardi, the ONC Director of Consumer eHealth.  The ONC is under the purview of the Department of Health and Human Services.  Ms. Ricciardi recently attended the FCC’s mHealth Innovation Expo in Washington, DC, on 12/6/13.  She highlighted work on policies for mobile health apps and cited a goal of helping to reach everyday people and empower them to improve their ability to participate in their own healthcare.

M-health apps are currently under voluntary control in whether or not their developers follow ONC guideines for design. Such apps may help patients, who are now often referred to as “consumers”, in such tasks as shopping for good-quality healthy food and reading nutrition labels.  In 2014, the ONC Office of Consumer e-Health plans to launch a website for helping patients find where to gain access to their own health data online.  Such information can include medication lists, laboratory reports, and other records.  Ms. Ricciardi likens this initiative to the “Blue Button” project that targets making medical data available to veterans at VA hospitals.

Access remains a key concern since once patient data is downloaded through a third-party app, such data will then by definition not be protected under HIPAA.  A third-party app developer will automatically gain access to this data during the process.

Ms. Ricciardi also cited possible other uses for mHealth apps, including helping people make participating in the healthcare both fun and interactive.  Examples were provided of apps that can help patients play games to compete against each other to see who can follow healthy habits better, e.g. who can exercise more, check blood pressure more, lose more weight, and check their blood sugars more often (for diabetic patients).  She further stated that consumers are being brought into the ONC process for m-health app policy development on a regular basis to ensure that there is some public guidance for what is and is not desired.  She cited the new paradigm, often quoted by now, that a cultural shift is changing towards more shared decision making in healthcare and giving more power to patients to participate actively in their healthcare rather than being passive bodies directed by healthcare professionals.

She encouraged individual patients/consumers to get more actively involved in their own healthcare.  According to Ms. Ricciardi, although the current medical environment is still mostly of two separate worlds, with little sharing of medical information between medical practitioners and patients, the coming world of m-health apps promises much potential for changing this.