By Ken Perez, vice president of healthcare policy, Omnicell
Ken Perez
While proper hand hygiene, personal protective equipment, social distancing, testing, and therapeutics are all valid and useful measures in the battle against SARS-CoV-2, the virus that causes COVID-19, a safe, effective vaccine is the only path to normal. It is the ultimate game-changer. As one reader recently wrote to The Buffalo News, “Without a COVID-19 vaccine, there is no Hollywood ending.”
It certainly won’t be easy. In general, over 90% of vaccine candidates fail, and vaccines usually take several years, not months, to develop. Despite 33 attempts at a vaccine for Severe Acute Respiratory Syndrome (SARS), which spread worldwide in a few months from China in 2002, no SARS vaccine exists today.
Similarly, for Middle East Respiratory Syndrome (MERS), which started in Jordan in April 2012 and spread to a total of 27 countries, all 13 vaccine candidates to date have failed.
As of this writing, the novel coronavirus has infected 5.6 million persons and caused some 350 thousand deaths across over 200 countries. It is highly transmissible—spread by even asymptomatic individuals—and it is “wily,” as it has mutated over a dozen times. In short, it constitutes an epochal challenge for all of humankind.
Nevertheless, there are reasons to be optimistic about the chances for successful development of a COVID-19 vaccine.
From robotic surgery to telehealth, digital advances are driving innovation in all areas of healthcare, a trend that can be expected to accelerate during and after this era of pandemic-caused isolation.
We see dramatic changes in these areas: (1) Sensors and wearables; (2) Virtual Reality and Augmented Reality; (3), 3D printing; (4) AI driving analytics, automation, and robotics and; (5) The rise of chatbot. In fact, we are already experiencing the impact of the coronavirus isolation in some areas, such as telehealth and 3D printing.
On the grand scale, robots have been proven to be more precise than surgeons and AI can diagnose cancers with a success rate of 99%. In 2020 cost pressures –compounded by the coronavirus initiative- and regulatory change will act as the major catalysts for digital health treatments, which have a crucial role to play in delivering effective, fast, and cost-efficient patient care.
For instance, the pandemic isolation combined with digital health advances are helping shift care to be based around people’s homes.
Local care is not just more convenient and less stressful for patients, it also makes financial sense, when you consider the average hospital stay in the US is upwards of $10,000, totaling over $1 trillion annually in hospital services, and that 60 percent of all bankruptcies in the US are related to medical expenses.
The transformation of traditional value systems in healthcare will continue to accelerate as patients increasingly become better-informed health “consumers”. Thanks to digital, the “value pool” is shifting in this industry, resulting in cost savings for patients thanks to better system efficiency. 2020 will also see the introduction of standalone 5G, which will enable the adoption of an almost limitless number of applications involving AI, big data and the IoT. Many healthcare-related high-bandwidth projects will be set free by 5G’s connectivity, bringing therapies from within hospitals into the field.
By Justin Fier, director of cyber intelligence and analytics, Darktrace
Justin Fier
As the healthcare sector struggles against the COVID-19 crisis, working tirelessly to protect staff and patients while struggling with worsening economic realities, cybercriminals around the world are seeing a golden opportunity to attack.
Overwhelming demand, exhausted staff, IT teams pulled in multiple directions, and a critical reliance on technology to treat patients mean that adversaries have never had more opportunity or incentive to attack healthcare organizations.
By locking healthcare providers out of critical systems at this critical time, attackers can force them to pay a ransom to recover access or face adding to the already grim death toll.
Recently, an advisory was jointly issued by CISA and the UK’s National Cyber Security Centre (NCSC). This joint alert stemmed from the increase in state-sponsored attacks against organizations connected to COVID-19 research and response. These include pharmaceutical companies, hospitals, government agencies, research institutes, and more.
By Florence Jean, group head of global health business line, Europ Assistance
Florence Jean
The Covid-19 Outbreak has completely upended our daily lives with social distancing measures and stay at home orders forcing most of the global population inside. One group who has been identified as being particularly at risk of infection throughout the crisis is the elderly.
Simultaneously because of the lock down procedures people are becoming more comfortable with using telemedicine solutions; during this outbreak period alone, we saw a 70% increase in the use of our phone and video-based teleconsultation services.
With at risk senior population required to stay inside, Telemedicine may prove to be the solution that can both keep our elderly population safe from this deadly virus and ensure they are still receiving the quality medical attention they need remotely.
With the world’s population growing older at historic levels, the “Silver Wave”, is upon us. This refers to the recent surge in the number of people over the age of 65, an age demographic which is anticipated to encompass more than 30 percent of the Europe’s population and 23 percent of the United States’ population by 2060.
This trend is also developing at concerning pace in Asia, where by 2030 it is expected that the region will house over 60 percent of the worldwide population of people age 65 and older. While this may not sound significant on it’s face, the economic implications alone raise several concerns, including a reduced labor force and strained healthcare systems.
From a senior care perspective, we are starting to see many senior living communities shift their focus towards putting technology first. In fact, the shift over the last three years is exponentially more than all the progress from the last ten years combined.
As we continue to see an increase in the implementation of technology, we’ll also see residents’ quality of life improve because we are enabling them to age in place longer and remain in their preferred care setting.
In actuality, technological advancements and innovation are more likely to come to the senior living industry over any other care setting. Since these types of facilities are largely privately funded, senior living facilities are more likely to adopt these new innovations over those organizations that are funded by the government.
Overall, technology is starting to be more widely implemented to improve senior care by managing resident data more efficiently, all with a primary focus of helping our seniors to maintain the independence, health, and general wellness.
We have officially entered into a New Normal and technology overall will continue to play a larger role within the senior living space. Mobile technology will be even more critical and engaging family in care through the use of family engagement solutions will become foundational.
Leveraging an EHR as an underlying platform to improve overall care quality allows care providers to truly see resident needs and find creative ways to address them.
By taking a comprehensive approach to an EHR, providers in the senior living space can gain insight into the community’s key operating metrics, then adapt and adjust accordingly by regularly tracking clinical outcomes, staffing, and quality indicators.
From a data perspective, more and more senior living communities are recognizing the importance of interoperability. Data being collected shouldn’t just tell us where we are at, it should tell us where we are going by helping us predict potential issues before they happen.
The coronavirus (COVID-19) pandemic has exposed the fragility of traditional telephony infrastructure. Government and healthcare organizations utilizing limited PSTN-based fax numbers and legacy systems simply cannot handle the increased number of documents being transmitted each day. Busy signals, failed transmissions, and unsecure networks are delaying workflows and preventing critical documents including medical records, test results, and unemployment benefits from being processed fast and effectively.
Recently, a state unemployment department’s online system was overwhelmed when more than 72,000 people applied for unemployment insurance in one week. The department’s fax lines were constantly busy, making it difficult for thousands of people to submit unemployment claims.
To streamline workflows and eliminate busy signals, the department transitioned its outdated fax systems to a hybrid-cloud fax network with built-in redundancy. As a result, the department was able to keep pace with the high volume of faxes, eliminate busy signals and ensure the flow of business-critical correspondence.
Given the myriad of cases and tests related to the coronavirus, hospitals were also overloaded with the high-volume of protected health information (PHI) being transmitted. Moreover, hackers exploited weaknesses in medical devices, creating more chaos to an already frenetic situation.
According to Forescout, 53% of common medical devices still operate on traditional, legacy platforms, leaving hospitals wide open to cyberattacks due to insufficient access controls.
By Anne Dabrow Woods, DNP, RN, CRNP, ANP-BC, AGACNP-BC, FAAN, chief nurse, Wolters Kluwer, Health Learning, Research and Practice.
Anne Dabrow Woods
These are the days we never thought we’d see – unimagined times, pushing our nurses and healthcare workers to the brink with the demands of COVID-19. They’ve stepped up with unbelievable courage and resiliency. They’ve done so without many of the resources they’ve traditionally had, such as personal protective equipment (PPE) and medical equipment. But one thing that’s undoubtedly made a difference is technology.
Patients have been able to interact with their primary care provider and nurses via telehealth ensuring that patients are able to continue with the medications and treatment plans for chronic conditions and new issues.
In the acute care space, it has enabled patients to visit with their family through digital technology, and providers and nurses have been able to update the families on patients’ progress.
After patients are discharged with COVID-19, the patient is in daily contact with a nurse to make sure their condition isn’t worsening, and they understand how to care for themselves. This works to ensure patients have follow-up care and the family is supported. And those are just a few ways.
While the survey was taken prior to the pandemic, the results give insight into the role of technology as it applies to both next-generation nurses (those with less than 10 years of practice) and more experienced ones. The survey conducted by Wolters Kluwer aimed to explore the mindset of today’s nurses and healthcare workers, so hospitals can respond accordingly.
Digital natives versus techno-phobes
When looking at next-generation nurses, we should keep in mind that many of them grew up in a time with widespread use of the internet, social media, and mobile communication. Many nurses with longer tenure began their careers when the internet was in its infancy and computers weren’t an integral part of a hospital’s operations.
Next-generation nurses are, for the most part, digital natives. That comfort level does tend to influence their opinions: when care is better, next-generation nurses think it’s because of technology. 84% believe clinical-decision support systems at the point of care are making it easier to make the most informed, evidenced-based care decisions.
In addition, 84% feel specialized systems that provide treatment recommendations and integrate with electronic health records (EHRs) have a positive impact on how care is delivered.
Their understanding of technology may be a factor in them spending less time in EHRs than their more seasoned counterparts; 69% report spending too much time in EHRs, compared to 81% of more experienced nurses.
Next-generation nurses are fans of artificial intelligence (AI). 63% say they are optimistic that the use of AI will help providers get the information they need to make better care decisions.
Experienced nurses weren’t as convinced, with only half agreeing that AI will help in making better care decisions. (This insight should alert hospital leaders of the need to educate staff on how AI can improve clinical decision making so that implementation of AI will be viewed as a positive and not as a negative.)
The Coronavirus Aid, Relief, and Economic Security (CARES) Act, signed into law in March, has provided a lifeline for many businesses — including healthcare organizations. Amid the grim reality of medical equipment shortages and limited hospital beds, the CARES Act provides the healthcare industry much-needed relief.
Considering a significant number of practices are struggling to keep their doors open, and hospitals have experienced significant revenue loss from elective procedures being cancelled or postponed, the act has been pivotal in providing critical aid.
However, at over 800 pages, understanding the full impact of the act can be challenging. Below, I’m sharing how the CARES Act can benefit healthcare providers, as well as additional steps medical practices can take today to ensure the financial security of their organizations.
What You Need to Know About the PPP
By now, the Paycheck Protection Program (PPP) has been in place for a few weeks, and many healthcare practices with fewer than 500 employees have likely already submitted their applications. Whether you’ve already applied for the PPP or are weighing your options, here is some need-to-know information to consider.
At its core, the PPP gives businesses an incentive to keep their staff employed. Funds dispersed from this program can be used to cover up to eight weeks of payroll costs and other eligible expenses, such as rent, utilities and mortgage interest. This loan can provide practices with the necessary funds they need to keep their staff employed and continue serving their communities.
While the initial funding for the PPP from the CARES Act quickly ran out, another law passed in April 2020 provided another welcome injection of funding in the program.
