The Future of Healthcare Innovation, Big Data, Security and Patient Engagement

HIMSS organizers, in preparation of its annual conference and trade show and as a way to rally attendees around several trending topics for the coming show, asked the healthcare community how it feels about several key issues. I’ve reached out to readers of this site so they can respond to what they see as the future of healthcare innovation, data security, patient engagement and big data.

Their responses follow.

Do you agree with the following thoughts? If not, why; what’s missing?

Innovation

Sean Benson
Sean Benson

Sean Benson, vice president of innovation, clinical solutions, Wolters Kluwer Health
Future innovations in health IT, big data in particular, will focus on the aggregation and transformation of patient data into actionable knowledge that can improve patient and financial outcomes. The ever-growing volume of patient data contained within disparate clinical systems continues to expand. This siloed data often forces physicians to act on fragmented and incomplete information, making it difficult to apply the latest evidence. Comprehensive solutions will normalize, codify and aggregate patient data in a cloud system and run it against clinical scenarios to create evidence-based advice that is then delivered directly to the point of care via a variety of mobile devices. This will empower physicians with patient-specific knowledge based on the latest medical evidence delivered to the point of care in a timely, appropriate manner, ultimately resulting in higher quality treatment and more complete care. 

Susan M. Reese MBA, RN, CPHIMS
Susan Reese

Susan Reese, MBA, RN, CPHIMS, chief nurse executive, Kronos Incorporated
Gamification — the trend of creating computer-based employee games and contests for the purpose of aligning employee productivity with the organization’s goals — is currently a popular topic with business leaders and IT. For proof, consider that Gartner recently projected that by 2015, 50 percent of all organizations will be using gamification of some kind, and that by 2016, businesses will spend a total of $2.6 billion on this technology.

With numbers like these, it is clear that that gaming is serious business and that it is here to stay. But at this point, you may be asking yourself, “Could gamification work in my healthcare environment? What potential benefits could it have?””

Today, many healthcare organizations are looking to the future and considering gamification as a way to increase employee engagement, collaboration, and productivity as well as to align their behavior with larger business goals – but they don’t know how to do it quite yet. Also, gamification can be a delicate decision, complete with advantages and risks. After all, employees’ day-to-day work responsibilities and careers are not games and can’t be trivialized. Healthcare organizations must be careful to avoid sending the wrong message to their workforce, or the whole program could backfire, or even lead to more negative consequences.

Mike Lanciloti
Mike Lanciloti

Mike Lanciloti, vice president of product management and marketing, Spectralink
In today’s digital age, healthcare IT needs to come a long way to get up to speed in innovation and connectivity. However, as we begin to see mobile play a larger role in the industry, healthcare is moving the needle on innovation as well.

The mobile revolution has picked up in healthcare for both health IT professionals and in patient care. Primary as healthcare providers find ways to utilize smartphones, mobile devices and Wi-Fi networks to improve the communication and efficiency of their workforce.

Through mobile devices, clinicians have the ability to access what they need, when they need it. Mobile devices ensure nurses and mobile staff are equipped with the right technology to promote timely, efficient and reliable communication. This not only allows healthcare professionals to perform their jobs more effectively but also helps deliver a higher quality of patient care.

The growing mobile trend does present several questions for the industry. Hospital managers are quickly learning that an influx of smartphones into the hospital setting can become a larger problem than anticipated. Not only do personal devices lack the security required for enterprise-owned devices, they pose other risks, calling into question issues surrounding encryption, authorized access and mobile security. Personal phones aren’t designed to be equipped with the same encryption capabilities as enterprise-owned mobile devices.

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The Future of the Connected Healthcare System

HIMSS organizers, in preparation of the annual conference and trade show, and as a way to rally attendees around several trending topics for the coming event, are once again asking the healthcare community how it feels about several key issues that are likely to resonate. As is often the case with this ongoing experiment, the folks in my position — those with a venue to voice their opinions who tell the rest of us what they think — pontificate on the potential impact of these trends.

Certainly, some of my fellow journalists are far better qualified than I to answer the questions posed by HIMSS with any level of authority. Therefore, I’ve given my small microphone to readers of this site so they can voice their opinions of the topics that conference goers are likely to hear about dozens of time while in Chicago.

This year HIMSS is asking what we feel will be the future of: the connected healthcare system, big data, security, innovation and patient engagement. Today, here, we focus on the future of the connected healthcare system, and what several insiders believe that future to be.

With that, enjoy and let me know if you agree with the following thoughts. If not, why; what’s missing?

Tom Bizzaro, vice president of health policy, First Databank

Tom Bizzaro

We’re hoping that the electronic health records (EHR) interoperability movement follows a trajectory similar to that of e-prescribing. To start, as an industry, we have to universally acknowledge the value of interoperability within healthcare IT systems. Indeed, sharing data across systems can help to improve care quality and efficiency in the country’s health system and lead to success of value-based reimbursement models. However, all players – providers, payers, patients and vendors alike – need to truly embrace the value EHR interoperability, putting it above any proprietary concerns.

Then, we need to get to work. We must continue to develop and implement a wide range of standards and vocabularies. Through these, we will ensure that our data is in synch and that systems will always be speaking the same language. Perhaps most important, we need a National Patient Identifier, which will make it possible to match information to specific patients as they traverse the health system. And, while it might seem like doing all this work will take a long time, if we roll up our sleeves and do what’s required, the EHR interoperability story will be on its way to its own happy ending soon enough.

Jonathan Isaacs, executive vice president and general manager, surgery solutions, SourceMedical

Jonathan Isaacs
Jonathan Issacs

It’s 3:00 a.m. and you wake up with an acute pain in your side that won’t go away — you head to the ER. The CT scan shows nothing — you head to the GI specialist. The doctor says to get an endoscopy — you head to the ASC. The endoscopy says you have a chronic condition that will need to be managed by you, your PCP, and even more specialists. Where does all that data live? Everywhere!

It’s a changing world out there. From cancer centers to freestanding Emergency Departments, healthcare organizations must deliver quality care at lower prices. But information collected at different points can fall through the cracks, putting the patient at risk. That’s why data interoperability is a critical issue.

The solution is not to put every entity in the healthcare value chain on the same closed, monolithic EHR that tries to do everything.  We have seen time and again what happens when innovation is stifled and vendors become “too big to fail.” But by embracing connectivity standards, providers and patients alike can leverage best-in-class tools purposely built for specific treatments and outcomes. The easier it is, the higher the likelihood of success. And isn’t that the whole point?

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Interoperability: A HIMSS Story

HIMSS interoperability storyHIMSS is one of the most exciting events on the health IT calendar. An annual parade of the pomp and circumstance, the mighty and the meek; the somewhat great equalizer for everyone in attendance (perhaps not measured by booth size but by mere participation).

HIMSS is the place to be seen as it holds a certain stature, like being invited to the hottest party in town or attending an industry’s red-carpet event. As such, there’s a level of elitism for those that make the journey as all that enter the grounds can claim that they’ve reached a certain stature in their careers.

There are the parties and toasts, educational and informational, evangelists and doomsdayers walking the same halls, shaking the same hands, seeking the same solutions and securing similar aspirations. As if a city of its own, HIMSS thrives upon its own economies and its communities, its own crooks and its own saints; it is the world in which we live, and great things tend to happen here, despite the few inevitable hiccups that happen along the way.

From the sessions to the show floor, the whole thing is a carnival. Like in the real world, everyone in attendance has their tribe and the land in which they’ve staked is the land in which they occupy.

I’ve done my time in the booth; standing at the edges of the territorial carpet, scanning the horizon, taking in the tourists and judging the competition for their various faults — from the poorly dressed sales folks to the vendors vying for supremacy from the land of the largest booth.

Sometimes, we cross the isle, make nice and say hello to a neighboring tribe. Others times we invade, stealing chachkis, and water and the occasional free massage.

We smile and make nice, and for a minute we’re friends, but then we remember that we come from the other side of the isle so we slither back to our tents and to our carnival barker duties. After all, it’s the show they love — the folks walking by – who window shop their way through the maze of capitalists.

We’re their entertainment, in our pressed shirts, standing in our corner smiling. We make passersby pass the time between sessions, but we understand our role. Even though we’re there to show some product and educate some minds, it’s a time for us all to come together and to celebrate the best that is healthcare, its technology and all its related parts.

For a few short days, we’re united and (somewhat) sincere with each other. Like a high school graduation party where everyone can come together even after years of disagreement or opposing views and think grand things about the future even though we know the roads we’ll travel will take us down very different paths.

And when it’s all over and life settles down, after the tent cities are razed and we’re back in our offices, we’ll remember the time we had where we came together and we’ll long for those time once again.

“There’s always next year,” some of us will say to ourselves, but we know it will never last forever.

Despite the good times we had round the hotel bar, in the ballroom or conference center board room, we realize that even the best of times must end and, ultimately, we pretend to know “it” (read: interoperability) could never work in the “real” world so we settle for and embrace the short-term relationships we’ve made knowing “we’re just not right for each other.”

Truth is, in the end, when the show is over, we’ll simply return to our silos and shut the door. Lights out, and once again we’ll be alone.