Thursday, April 27, 2017

PlushCare unveils 'first-ever' EMR for telehealth |

Telehealth is a relatively recent invader of HIT.  This app merges an electronic health record with telemedicine applications.

More and more providers are joining the telehealth space as it helps increase access to care services. Some believe virtual visits allow for more personal interactions between patients and providers.
Most physicians are currently spending too much time imputing data into EMRs. Studies have shown the amount of time they spend on EMR-related tasks is about the same amount they spend with their patients. This in turn affects not only the patient experience, but also physicians' satisfaction with their work. EMR use has also led to more physicians reporting burnout from too many administrative tasks. 
While EMR vendors continue to optimize their systems, it is particularly difficult to do so with ones that have been in the industry for years and have seen massive growth.
PlushCare currently operates in 16 states and plans on expanding their footprint, particularly in rural areas where being able to access care has been increasingly challenging as more hospitals in these areas continue to close. 
About PlushCare 

PlushCare is the direct-to-consumer, online urgent care company that allows patients to get diagnosed, treated and prescribed medication via desktop or mobile devices. PlushCare connects patients with world-class doctors from the top 50 medical institutions in the United States for the highest quality urgent care. The unique combination of top-notch physicians, affordable pricing, same-day appointments with the patient's choice of provider, and personalized care structure make PlushCare the best in class platform for telehealth. For more information on PlushCare, visit the websiteTwitter and Facebook and download the PlushCare mobile app for iOS and Android.
Lemur - the cloud-based and HIPAA compliant EMR platform - allows PlushCare doctors to diagnose, treat, prescribe and provide ongoing treatment throughout the course of a medical issue directly from the platform itself. Lemur requires the fewest clicks in the industry to complete tasks such as writing a note, sending a prescription (eRx), ordering labs with full price transparency and reviewing lab results. PlushCare has collaborated with Surescripts, Eligible, and Elsevier, among others, whose capabilities are integrated into Lemur, further simplifying physicians’ tasks and affording them more time to focus on the patient directly.

“PlushCare’s Lemur takes the capabilities of virtual health to the next level and makes it a common sense health care option for physicians and consumers alike,” said Katelyn Gleason, CEO and Co-Founder of Eligible. “In addition to an easy to use interface and practical functionality, integrations from Eligible for real time eligibility verification and seamless claim submissions make Lemur the gold standard EMR for healthcare.”There is no mention about whether this application is interoperable with the EHR in use by the practice.

PlushCare unveils 'first-ever' EMR for telehealth | Healthcare Dive

Tuesday, April 25, 2017

Prepare for the Digital Health Revolution

 Digital Health Care Revolution | 

The next wave of 'catalytic innovation' also known as 'disruptive innovation is upon us. This next wave will insert and add new capacity and functionality to the HIT domain,

The business of medicine is inefficient, expensive,
and ripe for disruption. Here are 21 companies that
are using technology to reinvent it—and to change
our lives in the process.

This status quo is ripe for disruption. And while true reform will require all the relevant parties—government, industry, and health care consumers themselves—to make major adjustments, an insurgent group of digital health companies is doing its best to drag American medicine into the 21st century kicking and screaming as well as  34 Leaders Who Are Changing Health Care

To offer a preview of what this tech-optimized future might look like, we identified 21 innovative companies in five categories—each of which is challenging the conventional approach to medicine.

­American Well
­Doctor On Demand,
Nomad Health
Braeburn PharmaceuticalsIntarcia Therapeutics, and Proteus Digital Health 

Digital Petri Dish

Sirion Biotech
Titan Pharmaceuticals


The CARIN alliance is a bipartisan, multi-sector collaborative working to advance consumer-directed exchange of health information. Convened by David Blumenthal, David Brailer, Aneesh Chopra, and Mike Leavitt in early 2016, its members include leading U.S. organizations in three categories:
  • Consumers – Consumer advocates, purchasers, and others.
  • HIPAA covered entities – Providers, plans and clearinghouses, and their business associates.
  • HIPAA non-covered entities – Consumer-facing digital health apps, devices and services, consumer platforms, researchers, and infrastructure firms including standards setting organizations, identity providers, certifiers, and data exchange networks.
CARIN’s vision is to rapidly advance the ability for consumers and their authorized caregivers to easily get, use, and share their digital health information when, where, and how they want to achieve their goals.
Guiding Principles
CARIN’s work is guided by the following guiding principles:
  • Collaboration – Empower consumers and providers to partner in health care decisions at every level, wherever the consumer seeks care.
  • Availability – Make consumer health information easy to get, use, and share by consumers and their care teams.
  • Usability – Make consumer health information digital, valuable, and intuitively understood by the end user.
  • Multi-platform – Use an ecosystem of innovative platforms while remaining platform agnostic.
  • Consensus best practices – Support industry best practices with implementing consumer-directed exchange.
Strategic Priorities
In 2017, CARIN is focused on overcoming barriers to consumer-directed exchange in four areas:
  1. Trust barriers. CARIN is developing a trust framework for consumer-directed exchange.
  2. Technical barriers. CARIN is developing ways to help providers and others share best practices on how they are implementing the FHIR-based APIs and using them to advance consumer-directed health information exchange.
  3. Adoption barriers. CARIN is developing ways to assist organizations who are implementing consumer-directed exchange with the goal of improving quality, outcomes, affordability, and patient satisfaction.
  4. Policy barriers. CARIN is developing policy recommendations to help inform HHS, ONC, OCR, FTC, and other regulators about ways to support the private sector in implementing the above strategies.
Work is done through workgroups organized to support progress in each area.
To learn more about CARIN, or explore opportunities to participate in our activities, please contact us.

Monday, April 24, 2017

Health Internet of Things . HIoT

More pain than gain,  according to expert Internet of Thingsologists.

This term is being applied to many already existing health information technology services.

The Internet of Things (IoT) is a system of interrelated computing devices, mechanical and digital machines, objects, animals or people that are provided with unique identifiers and the ability to transfer data over a network without requiring human-to-human or human-to-computer interaction. Central to this thesis is connectivity...via wired or wireless means.

Adapting and integrating these advances will bring new disruptive technology to all industries including health care.

There are two choices, sit idly by and continue using old methods to work in an increasingly hostile environment of government regulations, new forms of reimbursements (decreasing), and increasing patient volume, to mention a few.
thing, in the Internet of Things, can be a person with a heart monitor implant, a farm animal with a biochip transponder, an automobile that has built-in sensors to alert the driver when tire pressure is low -- or any other natural or man-made object that can be assigned an IP address and provided with the ability to transfer data over a network. 
IoT has evolved from the convergence of wireless technologies, micro-electromechanical systems (MEMS), microservices and the internet. The convergence has helped tear down the silo walls between operational technology (OT) and information technology (IT), allowing unstructured machine-generated data to be analyzed for insights that will drive improvements.
Taken together all of the functions become the IoT. It is a new language. In some ways it parallels the development of electronic health records, but much more pervasive. EHRs collect data and make it available from silos to other silos. They also provide data for analytics. With EHR the Health Information Exchange is attempting to tear down silos for EHR.  The results have been mediocre at best.  Although almost all states have health information exchanges, they participation rate is low.  Demonstration of ROI is still meager. IoT will undoubtedly follow a similar path.
Applications in the near future.
In Office Remote monitoring of ICU data in real time, ie, Temp, pO2, P, BP, EKG (alarm monitoring)
Real time reporting of insurance processing.
Currently in use:
Patient portal  for appointment scheduling, laboratory, messaging, billing information and demographics, as well as CCR.
One only has to sit down and think about the possibilities.
The pain will originate from change and cost. Resistance will occur from ROI and breaking old work flows.