telemedicine

Pushback to My WSJ Comments “Electronic Medical Records: A Huge, Expensive Burden…”

Pushback to My WSJ Comments “Electronic Medical Records: A Huge, Expensive Burden…”

In response to WSJ article citing EMR problems, last week I posted comments taking position that a full featured EMR system is a “powerful building block improving our healthcare system. The U.S. lags Australia, Netherlands, New Zealand, Norway and the U.K-all have EMR adoption rates above 90 percent… ”

As expected, I have received some pushback to my support for today’s EMR and the outlook/vision I see here. Check out the pushback comments and my reply at WSJ   http://tinyurl.com/ksnav8e.

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Comments on WSJ Post- “EMRs: A Huge, Expensive Burden”

Electronic Medical Records (EMRs) provide the foundation to improve healthcare quality and improve cost performance. And standardized EMRs open the door to telehealth and new analytics to improve clinical decision support systems and save lives. But the transition from paper records, as we learned in the e-commerce revolution, will take time and create disruption. I posted comments on a WSJ post to share my view on the benefits we can expect to see. WSJ post and my edited comments at http://tinyurl.com/ksnav8e

Copy of my complete comments as follows:

We need a standardized, full- featured EMR system- this is powerful building block to improve today’s healthcare system. The U.S. lags Australia, the Netherlands, New Zealand, Norway and the U.K., all of which have EMR adoption rates above 90 percent. No surprise these countries have healthcare systems that lead the U.S. based on all patient outcomes/cost performance metrics. Coupled with the ACA’s new core quality measure reporting (‘eCQM’s), we are taking the right steps. But EMR also enables predictive analytics which I see as the Holy Grail here. What lies ahead- new clinical decision support systems improving outcomes; new tools to minimize adverse drug events; improving patient selection for new drug trials; improving surgical outcomes examining chronic issues; and many more. The Social Progress Index report, created by Harvard Business School’s Professor Michael E. Porter’s team, ranked 132 countries using 50 indicators. In the Health and Wellness category the United States ranks poorly at 70th, behind Mali (69th), and Nepal (68th), but, small consolation, ahead of Kuwait (71st). Keep that in mind the next time you hear a pundit say “…our healthcare system works just fine and we don’t need to change it.” These studies are based on metrics/data analysis, not hype or talking points. There will be some disruption, but a standardized EMR system will benefit both the entire healthcare community and the public.

Paul B. Silverman

 

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Comments – NPR: Surprise Medical Bills: ER Is In Network, But Doctor Isn’t

Posted comments today on NPR story about ER billing problems using ER services in Texas. Ironic, as noted in my comments,  Texas is one of the states that has pushed back most strongly on ACA efforts to improve our healthcare system. So if you do have an emergency while traveling in Texas, on the way to the ER in the ambulance, I suggest make sure you check that you are covered for both hospital and doctor costs. Looks like “every doctor  for himself” there- what a way to run a healthcare system. We can fix this and I believe with modifications ACA is the vehicle to accomplish this objective.

You can read my comments and the NPR article at http://tinyurl.com/pfd5zwe

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Healthcare Monitoring – Fast Company Market Perspectives

Healthcare Monitoring – Fast Company -“Why We Don’t Talk About “Wearable Software”

Revolution is coming in the wearable healthcare monitoring arena as we move from devices to software/ ecosystems and new predictive analytics are fully embraced. Excellent Fast Company Labs article by Tina Amirtha summarizing directions. I see significant opportunity here not covered in the article  – why pharmas will play a key role, role of wearables in telemonitoring/Telehealth, tracking medication compliance,adverse drug reactions. And wearable healthcare monitoring coupled with analytics is spawning many exciting entrepreneurial ventures

Check out the Fast Company article at http://tinyurl.com/klzncnl. My comments shown are shortened due to space – here is a complete copy:

Tina- great article. As former CEO of a public predictive analytics company pleased to share comments. First, analytics is indeed the “Holy Grail” but my view is the real opportunity drivers here are not individuals but pharmas who have the incentive to establish and grow ongoing patient relationships. Healthcare monitoring/analytics is ideal strategy to help pharmas achieve this objective. Last time I looked the 3 to 4 major pharma chains represent about $200 billion or 75 percent of the market and about 24,000 locations- independent pharmas account for the rest of the locations and market. Secondly, health monitoring devices can make a substantive contribution to Telehealth/ telemedicine – I have done work in this area and telemonitoring proponents have not fully embraced these technologies- in my view and they are missing a real opportunity. We are seeing new entrepreneurial ventures addressing this market- my experience is creating sustainable business models addressing hardware, software, analytics dimensions is a real challenge for some of the reasons you noted.

Finally, in a late 2012 blog post “Buy Health Monitoring Devices Off The Clothing Rack      http://tinyurl.com/nhyp9uy 
I suggested we may be buying health care monitors in Lands End, and discussed how this will impact traditional retailer strategies. Sales staff questions may move from “What size and color jacket would you like to see?” to “Can I show you our blood pressure-only monitoring jacket or our top of the line full featured model tracking glucose, oxygenation and includes a USB port?”And what about health care coverage. Expect to see some interesting issues emerge here- are you buying a jacket or a medical device; where do you draw the line? Clothing may also be an external driver to grow this market

Bottom line here- the real opportunity, which translates into hard dollar cost savings and improved healthcare quality, is using wearables and the software ecosystem to track medication compliance, adverse drug reactions, drug efficacies, and similar data. My vision is coupling wearable healthcare monitors with predictive analytics will dramatically reshape today’s healthcare system- refocusing the emphasis of today ‘ s wearable discussion and educating industry players on the possibilities here are the challenges and next steps needed to make this happen

Paul B. Silverman

 

 

 

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Posted Comments on WSJ Article-“Can Data From Your Fitbit Transform Medicine?”

Posted comments on June 23rd WSJ Technology article addressing telemedicine – I follow this area and emphasized need to do more to develop telemedicine in the United States

We lag most developed countries in the telemedicine arena which reduces the quality of our healthcare system and increases costs

You can see the WSJ article and my comments at

http://online.wsj.com/articles/health-data-at-hand-with-trackers-1403561237?mod=djem10point

Here is a copy of comments I posted:

A winning formula- integrate telemedicine into patient’s EHRs. Mayo Clinic problems shows challenges. We are going in the wrong direction here. Three strategies to fully leverage telemedicine:1.Establish standards integrating remote monitoring devices with EHRs. The ACA ensures ‘meaningful use’ of EHRs. Well defined standards jumpstarts the remote health monitoring market moving from niche focus  2. Use analytics to emphasize benefits. Powerful analytics assess health issues and develop optimized treatment plans. For what is emerging, check out comments I posted on a healthsystemCIO.com site Posting HealthSystemsCIO.com. 3. Pro-actively address security concerns. “Tops down” national initiative emphasizing benefits- prenatal care, chronic conditions, improved outcomes particularly in rural areas with 25% of population but only 10% of physicians. Need to counter serious security concerns. e.g., April 26th guidelines from the Federation of State Medical Boards which can hamper growth.

Paul B. Silverman

 

 

 

 

 

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