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More Than Half of US Hospitals Plan Medical Device Integration Investments

Posted on August 14, 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.

When used right, EMRs can be very powerful. But I think most of us would agree that the endgame — the greatest level of benefit they can offer — will be when hospitals succeed at integrating EMRs with medical devices.  A new study from CapSite suggests that hospital CIOs agree completely with this analysis.

The CapSite study, which surveyed more than 300 hospital leaders, found that 54 percent of U.S. hospitals plan to purchase new medical device integration solutions over the next 24 months. When asked why, 40 percent of hospitals said “quality improvements” were the primary reason for their planned investment.

Now, integration is a fairly broad term. I doubt we’re looking at a 24-month horizon for some of the following:

  • In a May study by KLAS, more than half of 251 providers surveyed said that EMR connectivity will be a factor when they next invest in infusion pumps.  But at present vanishingly few hospitals are actually implementing new smart pumps with wireless EMR connectivity.
  • If you consider an iPad a “medical device,” it’s worth remembering that iPad-to-EMR integration is still dicey at best. Smartphones aren’t well integrated either, especially Android devices. And getting them in synch with EMRs is no trivial matter.
  •  At least one vendor — like the first of many — is offering a software solution which integrates data from wireless sensors on the patient’s body into a cloud-based, open-source EMR. This is a great idea, but still in its infancy.

All that being said, there’s definitely some integration which should take place more quickly. For example, integration of voice recognition technology with EMRs is moving at a fast clip. Doing this for dictation within an EMR is a no-brainer. The next level will to see how far speech and natural language understanding get in filling out more of the encounter data and (brace yourself) coding the visits for doctors.Though many of the more intriguing apps are still in their babyhood, it seems we’re on for seamlessly connected EMR-to-device experience in hospitals fairly soon.

Data Security in the Age of Self-logged Health

Posted on August 29, 2011 I Written By

Priya Ramachandran is a Maryland based freelance writer. In a former life, she wrote software code and managed Sarbanes Oxley related audits for IT departments. She now enjoys writing about healthcare, science and technology.

Over at EMR and EHR I have a post going about the self-logging trend, in which people log their medical and other observations on a regular basis. I’m fascinated by the trend, but as an IT person, I shudder at the data nightmares this movement will leash if it becomes widespread.

Quantified Self, a major web hub for self-trackers, has posts on monitoring devicest hat can measures the vitals of people up to 10 meters away, and microsensor embedded mindfulness pills that transmit data to your phone when ingested.

So if someone steals my smartphone, does it mean that not only can s/he spam-text all my friends, but s/he can access all my health logs and PHRs that only my HIPAA compliant provider’s office and EMR systems were supposed to get their hands on?

Indeed, a news story in Med City News says that physical theft, not hacking, is the major concern for mobile storage devices. It’s far easier to flick an iPhone lying on somebody’s desk than to devote the brain- or computing power needed to hack into an EHR system from a reputable vendor.

Med City News reports that during the period from 2009-2011, there were 116 cases of data breaches involving at least 500 patient records (breaches that exposed fewer than 500 records were not included). Physical loss of devices accounted for a whopping 60% of security breaches.

As the Med City News piece notes:

HIPPA violations aren’t happening in the cloud. Rather, they’re happening in the doctor’s office, hospital IT closets, cars, subways, and homes.

Think about how much more this problem can be compounded if health logging becomes practise du jour?

Bottomline: Self-tracking may yet revolutionize healthcare, but could we as individuals potentially jeopardize our own data security? Possibly. It might be a fad among tech geeks but it needs some thinking through from an EMR/EHR perspective.

Google Health Resets…errr…Put on Ice?

Posted on May 12, 2011 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 always insightful John Moore (so many great John’s in Healthcare IT), posted a great blog post back in September of 2010 about Google Health hitting the reset button. The post was interesting as it tried to show Google Health going in a new direction. The irony was that almost a year ago John had posted about Google Health’s irrelevancy in the PHR market.

Despite the up downs of Google Health, today John put Google Health in Stasis. He sights a great list of yellow and dark orange flags that are a bad sign for those who love Google Health. Here’s one section from his post:

Beginning in late March 2011, we started hearing the rumors of the impending demise of Google Health once again (is this becoming some sort of annual thing with Google Health?). We waited a few weeks to see if the rumors would die down, they did not. We put a call into Google Health to set up a briefing, get an update. Response back was slow (one yellow flag). When they did get back to us, they said it will be at least a couple of weeks (two yellow flags). Next, our Google contact told us by email that they were going to hand Chilmark’s inquiry off to Google’s PR department (screaming dark orange flag). And now today, we received an email from one of Google Health’s most visible spokespersons, Missy Krasner that she is leaving Google.

He then projected that we shouldn’t “expect anything new out of Google Health for at least the next 5 years.” That’s quite the projection. However, I’d take it one step further. I don’t expect to see anything really mainstream out of PHR software for another 5 years either.

I do think that PHR software is going to have a strong showing in chronic patients. I could also see an interesting niche in secondary caretaker healthcare management using a PHR (I’ve got an interesting announcement about baby boomer healthcare coming soon). I definitely want an online means for tracking my parents healthcare. Not to mention, then all of my brothers and sisters could participate as well. A few other niches are likely to be successful as well. Not to mention, other consumer PHR-like applications for healthcare that will become popular like the Nike+.