By Robin Cavanagh, chief technology officer, GetWellNetwork.
Robin Cavanagh
We’ve come so far in the medical field, from a treatment perspective. Over the past twenty years, major breakthroughs have occurred in all aspects of the healthcare industry, from pharmaceuticals to minimally invasive surgery. Isn’t it time we saw that same type of revolution, when it comes to the patient journey?
The “Patient Room of the Future” sounds futuristic, but many of the technologies needed to create an innovative space for optimal healing already exists. To make this patient-centered environment a reality, hospitals must find new ways to seamlessly integrate technology, like cloud computing, machine learning, artificial intelligence and IoT – doing so will facilitate better patient engagement, improve communication, and offer patients more control over their surroundings.
The Medical University of South Carolina (MUSC) is one hospital that recently recognized the need to revolutionize their patients’ experience and decided to reimagine a futuristic environment, combining technology with human-centered design principles to give patients choice, control and comfort—key components in the healing process.
Based on MUSC’s experience, here are seven tips for success when it comes to other organizations looking to create the next iteration of the patient room:
Involve patients and families in most, if not all decisions.
Creating the best patient room requires a team of people working collaboratively and bringing different perspectives to the table. While it’s critical to include doctors and nurses on this team, it’s also important to engage patients and families and hear what they’re looking for firsthand. In creating MUSC’s new children’s hospital, the organization formed 26 teams made up of doctors, nurses and family members, and collectively these teams – not architects – designed the new patient rooms. Involving patients and families in this process was invaluable and brought up conversations that the hospital’s team wouldn’t have had otherwise.
Develop a set of guiding principles for what your vision is and then stick with them.
Before getting started, organizations should hone in on their vision for the project and think through how they are going to get there. It may take multiple visioning sessions to come to an agreement on these guiding principles, but it’s important to think deeply about what the ideal experience will look like and how each decision will tie back to the patient. Organizations also must consider which vendors will help them achieve their goals and objectives. When MUSC began the process, they discussed the need to partner with vendors that believed in the hospital’s vision and could help them seamlessly integrate technologies from various vendors to create an enhanced experience for their patients.
Establish strong, trusting relationships with your leadership team and your strategic partners.
Constant communication and transparency are keys to success when undertaking this type of project. The closer that strategic partners work with the leadership team, the more likely the partners will understand the leadership team’s vision and, therefore, more likely to align on recommendations. As part of the technology planning at MUSC, vendors constantly mapped out and presented different use cases to the leadership team, providing opportunities to confirm how the team envisioned the technology functioning or bring up other barriers that the vendors needed to consider.
Though vision is one of the most important of all five senses combined, most people don’t think about their eye health until something goes wrong. Each year, millions of people are diagnosed with vision problems and eye diseases that alter their way of life. The unfortunate part is that many of these complications can be prevented with the assistance of an optometrist. While seeing the eye doctor is the responsibility of each individual, eye centers can do more to spread the word to encourage patients to make appointments.
So, how do you get people interested in their eye health and visiting places like Sharper Vision Centers? Here are some digital marketing solutions that have proven effective:
Have a website
A company website serves as the “first impression” of the brand. Patients need to have a place they can visit to get to know more about who you are, what services you provide, and how said services benefit them. Your optometry website should provide a professional yet inviting presence that encourages visitors to schedule an appointment for an eye exam, surgery, or other treatment solution.
As technology has come a long way, simply having a web address with your company contact information on it isn’t quite enough to keep visitors engaged. Your website needs to be user-friendly, easy to navigate, provide detailed information on your practice and services provided, and also engaging. Adding resources like company blogs, explanation videos, or customer reviews can also help to build your authority and strengthen the trust between your practice and the community it services.
It’s perhaps the greatest gift a person can have, but we usually take it for granted until it’s gone. Without it, nothing else in life is quite the same. And once it’s gone, it can be very hard to get it back. And while patients play the ultimate role in safeguarding and directing their health, the truth is that no one can do it alone. No matter what your role in the healthcare industry may be, you are charged with a sacred obligation to treat your patients with respect, honor, and care.
No matter who our patients are — rich or poor, young or old, sick or well — they depend on healthcare experts to help them protect this most precious gift of health. They expect and assume that those whom they entrust with their lives and the lives of those they love will be respectful of that trust, will care for them and their dear ones ethically and honorably. But what does this mean for your clinical practice? What do healthcare ethics look like in the year 2020?
Honoring the Human in the Technological Age
Privacy is one of the most sacred rights and significant concerns in healthcare. However, there’s no escaping the fact that we live in the era of big data, and there’s also no escaping the fact that big data can be a tremendous asset in healthcare. Even if a patient is thousands of miles away from home and from their primary healthcare providers, electronic health data can facilitate the sharing of essential medical records, from scans to lab results, with just the click of a button.
Big data can also make diagnosis much quicker and more accurate, and can give physicians instant access to the latest research to ensure that patients are receiving the best, most state-of-the-art, evidence-based therapies.
But how, in this age of big data and breathtakingly fast technological evolution do we ensure that respect for the human is not lost? How do we avoid reducing individual patients to a mere system of lab results and scans? How do we prevent losing the person in a sea of data sets? That will and must be one of the principal ethical considerations in 2020.
By Ken Perez, vice president of healthcare policy, Omnicell, Inc.
Ken Perez
“If you like your healthcareplan, you can keep it,” President Barack Obama famously said—many times—of his landmark Patient Protection and Affordable Care Act.
But the promise was impossible to keep.
In the fall of 2013, when cancellation letters—notices of cancelled plans—went out to approximately four million Americans, the public realized Obama’s assurances were wrong. As a result, PolitiFact named “If you like your healthcare plan, you can keep it” the “Lie of the Year” for 2013. Readers in a separate online poll overwhelmingly agreed with the choice.
The ambitious Medicare-for-All plan of Sen. Elizabeth Warren (D-MA), by explicitly abolishing private health insurance, obviously doesn’t promise that you’ll be able to keep your health plan, but many tenuous assumptions about it are being made, without much scrutiny. To be fair, some of these assumptions are of the wishful thinking variety, residing just in the minds of the public.
To date, the vast majority of the media coverage and, therefore, the public’s general understanding of the Warren plan have focused on its economics—the societal cost, i.e., what the nation as a whole will spend on healthcare over 10 years, from 2020 thru 2029, and the plan’s federal cost, i.e., the increase to the federal government’s spending over the same period of time and how that will be funded.
Warren promises that with her plan “Americans [will] have access to all of the coverage they need … including vision, dental, coverage for mental health and addiction services, physical therapy, and long-term care …”
But will they really have access? Canada, with a single-payer healthcare system, scored last of 11 high-income nations in terms of wait times for elective surgery and specialty consultations according to studies by the Commonwealth Fund. In Canada, according to Michael McKee—a Canadian surgeon who worked for more than 30 years under that country’s single-payer system—hospital resources, operating room time, implant budgets and other revenues are tightly and strictly rationed.
And what will happen to the quality of care when Americans manage to see a physician under Medicare-for-All? Based on a study of 67 countries published in the British Medical Journal in July 2017, the United States ranked second in average physician consultation time, at slightly above 21 minutes. Only in Sweden do physicians spend more time meeting with patients.
Rapidly advancing technology has made its presence felt in many branches of the healthcare sector, causing dramatic and drastic changes. Healthcare professionals today rely on technology in many different ways – from maintaining documents and keeping records to optimizing patient out-times and remote treatments. Not to mention the ability to provide more accurate diagnoses.
After years of effort to sort out PR, regulatory, and reimbursement challenges, telemedicine appears to be on the right track of becoming commonplace, ready to represent a sizable portion of care delivery. That near-term future has crafted a new term – virtual hospitals.
Catch the definition, if you can
Now, what does that term actually mean? We’re certainly talking about telemedicine, but that can mean a lot of different things to different people. Is it about iPad chats between doctors and rural patients, or about the implementation of IoT technology for AI-powered remote monitoring? The fact is that even professionals who’ve been involved with connected health technologies for over 20 years are not able to catch the definition by its tail.
The meaning behind “virtual hospital” usually varies by organization. In most cases, it stands for the group of intensive care physicians who are working in a call center environment. There’s a lot of screens and technology involved, but mostly to guide other users in remote places. Many smaller institutions, besides the fact that they’re difficult to reach, also don’t have full-time specialists. Doctors from virtual hospitals can prevent the waste of time by guiding the staff through medical procedures in an emergency or in critical cases.
Other organizations have embraced the concept of virtual hospitals as central freestanding facilities staffed with healthcare professionals. The best-known example of this concept is the St.Louis-based Mercy Virtual Care Center, opened in 2015 and labeled as the first virtual hospital. Their aim is to reduce the time it takes patients to meet their healthcare providers, but also to eliminate the need for very sick patients to come into hospitals frequently.
Efficient access across the globe
The term ?virtual? may not be the best pick since it sounds like it’s not real, while the provided care is very real. The point is that clinicians can be located anywhere across the globe. Although almost none of them dub themselves as a virtual hospital, around 65% of U.S. hospitals connect patients and practitioners remotely.
On the other hand, a recent survey carried out in Australia has shown that nearly 50% would never visit a virtual hospital. And this is not just because they have Medicare – it’s also about the lack of knowledge on the topic, resulting in the fear that they won’t get the same quality of care as an in-office visit.
To spread across the globe, it’s obvious that this puzzling term needs to be pinned down and explained. So, what does it all boil down to? Its core value is about two things — access and efficiency, and they need to work together.
The U.S. Department of Health and Human Services (HHS) released the draft 2020-2025 Federal Health IT Strategic Plan for public comment. The draft plan outlines federal health information technology (health IT) goals and objectives to ensure that individuals have access to their electronic health information to help enable them to manage their health and shop for care. The strategic plan was developed by the HHS Office for the National Coordinator for Health Information Technology (ONC) in collaboration with more than 25 federal organizations.
“The draft federal strategic plan supports the provisions in the 21st Century Cures Act that will help to bring electronic health information into the hands of patients through smartphone applications,” said Don Rucker, M.D. “We look forward to public comment to help guide the federal government’s strategy to have a more connected health system that better serves patients.”
The federal agencies that helped to create the draft strategic plan regulate, purchase, develop, and use health IT to help deliver care and improve patient health. Through these efforts, stakeholders such as providers, payers, and researchers are increasingly using health IT tools and systems that can provide individual patients access to their health information, provide for tracking and managing of their health care treatments, and allow for interactions with their healthcare providers. These can include the use of:
Electronic health records and patient portals through programs like Medicare and Medicaid at CMS, and health service programs at the Indian Health Service, Veterans Administration, and the Department of Defense,
Data systems to help monitor and pay for health care services, and
Health IT systems used for public health surveillance and research.
“The Federal Health IT Strategic Plan represents the work being done, collectively and individually, to help ensure that patients and their providers can electronically access the health information they need to help them manage their care,” said Lauren Thompson, interoperability director for the Federal Electronic Health Record Modernization Program Office. “We are looking for public comment about ways to expand the use of health IT to help improve the quality of care for people, so that those currently serving in or retired from the armed forces can benefit from a great care delivery experience, along with all other Americans.”
The final 2020-2025 strategic plan will serve as a roadmap for federal agencies and drive private sector alignment. Agency officials will use it to prioritize resources, align and coordinate efforts across agencies, signal priorities to the private sector, and benchmark and assess change over time.
Grand Rounds announces the launch of Premium Navigation, Grand Rounds’ population health solution that simplifies the healthcare experience by providing one place to go for all healthcare needs—clinical and beyond. In addition to comprehensive care management, Premium Navigation can replace traditional health insurance member services to give users a single entry point to access all employer-sponsored benefits.
Premium Navigation helps employers improve health outcomes and reduce costs by guiding employees to high-quality, personalized care throughout their entire healthcare journey. This encompasses everything from connecting members with a multidisciplinary clinical care team for acute case management, to guidance around clinically appropriate benefits and claims advocacy support.
Within Premium Navigation, members also have access to Grand Rounds’ Connected Care Program (CCP), a physician-led, comprehensive care management program that integrates traditional care and case management for those with complex health needs who face an array of health challenges. Grand Rounds’ PhD level team of data scientists continuously work alongside the clinical team to build CCP’s predictive models, which identify the members who need help.
“We know that a member’s non-clinical needs—financial, administrative, etc.—often dictate how they will address their clinical need, if they engage at all,” said Dr. Ami Parekh, chief medical officer at Grand Rounds. “That’s why our model is built on the idea that we have to meet the member where they are and help with their main concern which, at times, may be managing the financial or administrative burdens of the healthcare system. By first earning their trust, we can help members manage their ongoing medical needs. This comprehensive care approach allows us to deliver more personalized and impactful care that will lower unnecessary emergency department visits and inpatient hospitalizations and raise the standard of care for an entire population.”
For the fourth consecutive year, ChristianaCare has earned the “Most Wired” designation from the College of Healthcare Information Management Executives (CHIME), which recognizes health care organizations that demonstrate the best practices through their adoption, implementation and use of information technology.
ChristianaCare earned the award in Most Wired’s new ambulatory category – which recognizes outpatient practices that demonstrate excellence in health care IT – as well as its hospital category, for both Christiana Hospital and Wilmington Hospital.
“We are leaning confidently and deliberately into a future where all care will be digital – except that which cannot be – and all care will be home-based – except that which cannot be,” said Randall Gaboriault, MS, chief digital and information officer at ChristianaCare. “That digital imperative is our organizational imperative, and it reinforces why we are relentlessly focused on leveraging technologies to forge deep connections with our neighbors to help them achieve their personal health goals.”
ChristianaCare’s place on the forefront of IT trends is the product of both a long-term investment in culture and a reimagining of IT processes, creating an environment in which good ideas can rapidly progress from concept to impact.
ChristianaCare’s use of transformational technologies to improve patient care includes:
Video monitoring to help protect hospital patients from falls.
Telemedicine advancements, including video visits with clinicians.
Direct access by patients to the physician notes in their electronic health record, and the ability to contribute to their record through an online patient portal.
Online express check-in at ChristianaCare’s five urgent care centers.
Exemplifying ChristianaCare’s effective use of technology to serve its neighbors is the organization’s electronic health record system, which enables providers to have access to all of a patient’s medical information, regardless of whether they show up at one of ChristianaCare’s primary care or specialty practices, hospitals, labs or emergency departments. It’s a concept that ChristianaCare’s IT team refers to as “one patient, one chart, one experience.”
As you get older, it is normal to have more health concerns. Our bodies deteriorate over time and some diseases can become more common. The risk of injuries are greater, as well. Simply put, as people get older, they need to be more careful. Not only can these injuries and health concerns be painful, annoying and debilitating, but they can also be expensive.
Healthcare costs can rise up into the thousands of dollars for more, for a variety of different issues. As a result, while having good health insurance is always important, this is especially true for individuals as they get older. However, what sorts of health insurance options are available to you?
While there are several potential options, one that you should consider is a Medicare Advantage Plan. Unsure of what a Medicare Advantage plan is? If so, you’ve come to the right place. This guide is going to not only introduce you to a Medicare Advantage plan, but will also show you all of the benefits so you can make an informed decision when it comes to your health insurance.
What is a Medicare Advantage Plan?
In the US, Medicare is a national health insurance program of the US. it first came into existence back in 1966 and currently, tens of millions of Americans utilize it to get their health insurance. While some younger people with disabilities or other life circumstances can use it, Medicare is largely for those over 65 years old.
Medicare is made up of several different parts which include Part A, Part B, Part C and Part D. Part C of Medicare, which is also known as Medicare Advantage Plan, is essentially an “all-in-one” plan when compared to original Medicare. Original Medicare is made up of Parts A and B, which are hospital and medical insurance, respectively.
Original Medicare is offered by the government, but a Medicare Advantage plan is offered by private companies. They essentially work with Medicare to provide you with all of the benefits of Medicare Parts A and B, as well as the potential for some extras.
Joining a Medicare Advantage plan is simple as long as you are qualified to do so. You must join them during an open enrollment period, which can differ depending on where you live in the country. Joining is as easy as using the plan finder, joining online, filing a paper enrollment form or even potentially calling in.
Most Medicare Advantage plans fall into one of two categories or types, HMO or PPO. An HMO (Health Maintenance Organization) is a plan where you must generally get your healthcare from providers within a certain network. A PPO (Preferred Provider Organization) will allow you to work with any doctor or provider, but still, working with someone in-network will be cheaper.
However, there are other types of plans available, these two are just the most popular and common. So what are the benefits of going with a Medicare Advantage Plan over a traditional original Medicare plan? Well, there are a couple of them.
Have you reached the pinnacle of your career as a plastic surgeon? Are there no other professional goals left for you to achieve? If so, you might want to consider starting your very own practice. Taking the plunge and becoming a fully-fledged business owner is the next logical step for you to take in your career — you just have to be brave enough to take it!
Should you decide to take this leap of faith and take your career in this particular direction, be sure to heed the advice laid out below. Here’s what you need to do to start a plastic surgery practice from scratch:
Organize your credentials
You aren’t going to be able to start your own plastic surgery practice without first organizing your credentials. Update your CV, gather your tax information and pay stubs, and unearth your surgeon licenses and certificates. With all of this information at hand, you will find it much easier to prove to the banks, your accountant, and insurance companies that your business venture is one that is worth backing.
By Robin Cavanagh, chief technology officer, GetWellNetwork. We’ve come so far in the medical field, from a treatment perspective. Over the past twenty years, major breakthroughs have occurred in all aspects of the healthcare industry, […]
Though vision is one of the most important of all five senses combined, most people don’t think about their eye health until something goes wrong. Each year, millions of people are diagnosed with vision problems […]
By Adrian Johansen, freelance writer; @AdrianJohanse18. It’s perhaps the greatest gift a person can have, but we usually take it for granted until it’s gone. Without it, nothing else in life is quite the same. And once […]
By Ken Perez, vice president of healthcare policy, Omnicell, Inc. “If you like your healthcare plan, you can keep it,” President Barack Obama famously said—many times—of his landmark Patient Protection and Affordable Care Act. But the […]
Rapidly advancing technology has made its presence felt in many branches of the healthcare sector, causing dramatic and drastic changes. Healthcare professionals today rely on technology in many different ways – from maintaining documents and […]
The U.S. Department of Health and Human Services (HHS) released the draft 2020-2025 Federal Health IT Strategic Plan for public comment. The draft plan outlines federal health information technology (health IT) goals and objectives to […]
Rapidly advancing technology has made its presence felt in many branches of the healthcare sector, causing dramatic and drastic changes. Healthcare professionals today rely on technology in many different ways – from maintaining documents and keeping records to optimizing patient out-times and remote treatments. Not to mention the ability to provide more accurate diagnoses.
