When the COVID-19 pandemic first began affecting the United States, the entire healthcare industry moved swiftly to leverage existing technology and practices to meet the intensive demands of the global health crisis. Amid this incredibly tumultuous year, however, the healthcare community has also been able to actively develop new solutions and approaches to address some of the biggest problems we face, both related to the pandemic and beyond.
We connected with some of the leading voices in health IT to find out what they considered to be the biggest innovations of the past year and how they expect the landscape will continue to evolve in 2021, from advances in patient experience to greater public health data connectivity and more widespread digitization.
We saw prolific adoption of artificial intelligence (AI) solutions throughout 2020, particularly in the wake of the COVID-19 pandemic. For example, provider organizations leveraged chatbots and other rudimentary virtual symptom screening tools to decrease infection spread and address patients’ care needs without placing even more burden on the workforce. As we continue living in a global health crisis, we will see more provider organizations leveling up AI-enabled capabilities to help manage patient volumes as they ebb and flow during COVID-19 surges. Specifically, we will see providers bringing mature, AI-driven diagnostic tools into the exam room to provide reliable “second opinions” on demand.
As providers work to address the pandemic, they will also adjust their practice of medicine to better meet the needs of their BIPOC patients. In 2020, COVID-19 and racial injustice has highlighted serious racial disparities and underscored how important it is for health leaders to improve diagnostic accuracy and outcomes for traditionally disadvantaged populations. In 2021, I predict we will see greater inclusion and representation of patients of color in our medical education curricula and resources, clinical trials, and pool of medical students and residents.
2020 will be remembered for many things but in terms of healthcare information technology (HIT), it was the year of telehealth. 2021 will be the year that patients, providers, and payers blow the doors off the idea that “virtual” equals “video doctor’s appointments.” Virtual HIT enabling doctors and nurses to do their rounds virtually from down the hospital hall or the other side of the world will grow in popularity. It’ll be the year that hospital bedside patient engagement technology demonstrates its tremendous value in enabling higher quality and satisfaction from a pandemic-safe distance. We’ll also begin to see an increase of terrific HIT solutions integrating with the data plumbing that is an EHR to finally give nurses new efficiency and satisfaction.
As we look forward to 2021, healthcare IT will see a continued focus on the COVID-19 pandemic response, including the highly anticipated roll out of a vaccine. Vaccine administration is a key component of an effective pandemic response plan at both a local and state level. Health information exchanges (HIEs) have the ability to ingest and leverage data, including demographic information, from individual access points of care across the health system and will play a critical role in matching the COVID-19 vaccine data to the correct patient. HIEs also have the potential to streamline the reporting of individual vaccination information to the state for analytics. Harnessing this technology to accurately track vaccine data in near real time will provide crucial insight around who has been immunized and who hasn’t; who has received which vaccine and any side effects in the event that multiple vaccines are available; the ability to target under serviced populations and support ongoing resource planning as we continue to navigate these unprecedented times.
My name is Heather Wood, and I am a CPXP (certified patient experience professional) and vice president of clinical innovation at eVideon. Over the last three plus decades I have worked in a variety of spaces within healthcare including public and community health where I got my start, as well as corporate wellness, hospital patient education, and healthcare technology. I have specifically worked in healthcare technology and patient experience for more than 20 years which has been a perfect fit blending my range of experience.
Patient engagement and improving the patient experience can mean many different things. What does it mean to you?
To me, because of my focus, it means using smart technology to provide personalized information along with very well-developed education, delivered to patients and their loved ones in order to improve their self-health efficacy, as well as their ability to have more meaningful discussions with their healthcare providers, and ultimately their ability to care for themselves as best as possible.
For the best possible outcomes, technology driven patient education and information should:
Be delivered to the device the patient feels most comfortable using
Share targeted information and education specific to the patient’s current stage of care, the information and education should include the ability to be repeated and shared. The information should be short, specific, digestible, and written at/about a 5th grade reading level and is available in the patients preferred language.
Deliver education and information in real-time to maintain consistency and minimize the nurse’s burden. In doing so, nurses will have more time to provide quality bedside care – which will result in greatly improved patient experiences and when possible, better health outcomes.
Offer easy access to relaxation and entertainment content in order to ease patient stress levels which allows for better rest and sleep, and overall facilitate a more positive experience.
Be interoperable. All shared information must be a consistent and accurate across all technologies and come from the source of truth.
Provide the ability for patients and loved ones to easily connect with technology so they can see and hear each other when they cannot be together. Given the pandemic, patient engagement should also prioritize patient interactions with their support systems. Video visits created just for healthcare are critical to care – especially for end-of-life and isolation.
The ability to use technology to provide real time service recovery and offering service requests that go directly to the service line being requested, without adding to the nurse’s steps.
As you see it, what are the gaps or missed opportunities in patient engagement?
Patient engagement technology has become a “have to have” instead of what used to be a nice to have. The most significant gap is not all healthcare organizations, across the continuum of care, have invested in a technology platform that offers their patients, loved ones and their staff easy access to consistent, efficient and effective education, information, communication and entertainment/relaxation. Starting small is completely okay, having a solid technology platform to build on, with a partner who is willing to create with the healthcare team, is critical to easing clinical burden, improving patient experience, and health outcomes. Using a patient experience platform also improves the confidence patients, and the community have in the healthcare organization by demonstrating that they are using the most innovative ways to care for their patients.
“Innovate or die” has taken on a whole new meaning in the last month thanks to COVID-19. From building ventilators with car parts to hospitals repurposing video conferencing apps for patient engagement, a pandemic changed the world and innovations changed the delivery of healthcare. In a post-pandemic world, failing to have a virtual engagement strategy isn’t just unwise, it’s potentially fatal; for patients, staff and a sustainable business model.
Necessity is the mother of invention, and while telehealth was “invented” a long time ago, it’s here now, and it’s here permanently out of necessity. There’s been much written about this recently, but we also have to acknowledge all the other ways healthcare will need to be ready for what’s next. Because one thing is for sure – healthcare will never be the same.
As of May 12, there are currently 1.4 million cases of COVID-19 in the US, and 82,799 deaths due to the virus. By the time I’m done writing this, those stats will be higher. By the time this article is published, those stats will be higher still.
While our minds immediately go to those in healthcare who are fighting COVID-19 on the front lines – the doctors, nurses, technicians, and countless support staff in hospitals and clinics – it’s important to remember that all of healthcare is suffering in some way. While half of healthcare is working long hours in dangerous conditions without proper PPE, the other half of healthcare is out of work.
There are few elective procedures right now, which displaces all the staff associated with those types of hospitalizations – surgeons, surgical nurses, etc. Healthcare as an industry is learning to cope out of necessity. But hopefully we’re also learning some valuable lessons about what’s possible for the future. And some of those lessons will set the new standards of care.
While it took years and massive federal investment for healthcare to adopt technologies like EHRs, in mere weeks we’ve seen an exponential increase in use of virtual/digital engagement tools.
Patients are embracing the convenience and safety of “distance medicine” enabled by these solutions. Whether patients were simply unaware of the option or maybe distrusted telehealth, their fears and hesitations about it are gone.
Response from Oliver Lignell, vice president, virtual health, AVIA
Providers have a new tool to help them combat COVID-19: digital. Health systems are proactively leveraging digital assets to help triage, navigate, and treat cases in ways that address concerns and also reduce the spread of the virus to other patients and providers.
Virtual assistants and chatbots can help consumers explore symptoms, accurately triage their needs, and navigate them to the appropriate site of care. These solutions can both reduce consumer worries and potentially inappropriate use of EDs and urgent care clinics.
Virtual visits are another critical digital tool because they allow patients to complete a visit from the safety and comfort of their home without exposing them to crowded and potentially infectious clinical locations and, just as importantly, reduces wait times and crowds at in-person care sites.
Asynchronous virtual visits (store and forward, text/chat) can also be an important (and low-cost) solution. Consumers can initiate a low acuity visit on-demand, when convenient, ensuring their concerns are addressed when desired – with the added benefit of decreasing wait times, creating a more efficient patient flow, and freeing up provider capacity. Such solutions further reduce the pressure on health systems while improving the responsiveness to patients.
Response from Andrea Tait, vice president of Client Value, Orion Health
Digital tools can play a key role as healthcare providers across the globe struggle to maintain the health of their workforce and the capacity of their organizations. Pandemic response is best supported through triaging, testing and treating the affected. Tools like public-facing screeners, pandemic information sites and chatbots can help evaluate millions of people with little to no clinician support.
By triaging individuals, tools like remote patient monitoring and telehealth can be used to monitor patients from their homes and assure others that sheltering in place is sufficient. Remote monitoring tools allow clinicians to monitor more patients and make decisions about who may require testing. Designated testing sites minimize the need for direct interaction between healthcare providers and patients, preserving both the health and capacity of health service providers.
Integrated care pathways and telehealth tools can help clinicians treat more patients at home and discharge those in hospitals who may be safer receiving treatment for other conditions remotely, all while minimizing their own risk. Home and community delivered care is an increasingly essential component of healthcare system sustainability. Now, more than ever, these tools and strategies are fundamental to the future of the healthcare system.
Digital solutions can be employed in seemingly non-traditional ways to both prepare and respond to the impact of the coronavirus. For healthcare organizations, traditional pre-access telephone dialing metrics can be modified. Hospital registration staff, in addition to financial guidance and scheduling, can screen patients for COVID-19 and obtain additional clinical information in advance of arrival.
By identifying potentially infected patients, even before they enter the hospital, hospitals and clinics are able to communicate effectively within the facility and plan for appropriate patient care, monitor and manage potential for healthcare personnel COVID-19 exposure, and inhibit the spread of the disease both within the facility and community.
Equally important and sometimes forgotten, back-end services provided by both hospital staff and revenue cycle vendors yields the same patient communication opportunities. Discharged patient follow up and screening post-discharge keeps the patients connected and engaged with the hospital as well as preserves an open communication line between the hospital and discharged patient.
Response from Matthew A. Michela, president and CEO, Life Image
The coronavirus has manifested the importance of digital solutions and interoperability in a heightened way. The lack of digital connections to community referral sites will impact the safety of patients and healthcare staff. It is imperative during this public health crisis that attending healthcare workers have as much relevant clinical data in advance as possible through digital connections.
Unfortunately, many healthcare organizations are still deploying outdated technology, such as imaging CDs, and the last thing a provider or hospital should want is a patient who is symptomatic or potentially a carrier of a virus to show up with a CD in hand. This presents a problem on multiple levels, from the lack of care coordination to the risk of disease spread.
The technology is available and many large health systems are set up to support digital exchange, so they need to mandate protocols to exchange information in this manner. In the same way that the public is asked to wash their hands and frontline workers are urged to wear masks, healthcare professionals should insist that medical data is received digitally for fast, efficient care.
As we face the COVID-19 pandemic, it is important for hospital organizations to ensure information is delivered in real time, accurately, and highly customized to the intended audience (patients, visitors, clinicians, etc.). It can be beneficial for hospitals to automatically deliver COVID-19 patient education videos tailored for each patient’s demographics, language, and clinical circumstances.
This also includes educational content and notifications (visitor restrictions, live updates, social distancing practices, etc.) on digital signage locations in public areas throughout hospitals. That content can be delivered in notifications or in response to Real-Time Location System (RTLS) triggers (for example, if a clinician enters the room, the patient’s TV will display hand washing reminders).
RTLS integration can also track and report staff entries into patient rooms so hospital leaders have real-time data about potential exposures, isolation violations, or interactions with non-approved staff. Interactive surveys with branch logic can help guide patients to provide vital feedback and report any hand hygiene breaches. Digital meal ordering, service requests, and virtual visits decrease human-to-human contact while helping patients get the food, care, services, and items they need. Live streaming (either soothing content like an aquarium or information sources) can also provide distraction therapy and education for patients in isolation.