The digital health space refers to the integration of technology and health care services to improve the overall quality of health care delivery. It encompasses a wide range of innovative and emerging technologies such as wearables, telehealth, artificial intelligence, mobile health, and electronic health records (EHRs). The digital health space offers numerous benefits such as improved patient outcomes, increased access to health care, reduced costs, and improved communication and collaboration between patients and health care providers. For example, patients can now monitor their vital signs such as blood pressure and glucose levels from home using wearable devices and share the data with their doctors in real-time. Telehealth technology allows patients to consult with their health care providers remotely without having to travel to the hospital, making health care more accessible, particularly in remote or rural areas. Artificial intelligence can be used to analyze vast amounts of patient data to identify patterns, predict outcomes, and provide personalized treatment recommendations. Overall, the digital health space is rapidly evolving, and the integration of technology in health

Sunday, June 22, 2014

Referral Network in the Digital Age, and the Affordable Care Act

How do you build your referral network ?

How can your practice stand out.  What is your HUMP DAY ?

Most of us when beginning a medical practice would contact established physicians, and meet them personally, handing out a curriculum vita and business cards, then sit, hope and wait for referrals.

Today young physicians immediately sign up for any health insurer or health plan to join  their network  of providers. They will accept plans that have good reputations and avoid the ones with less quality. Young providers may even seek out word of mouth from fellow practitioners to select those that pay promptly and fairly.

What Triggers Word of Mouth?


How important is this tested by time methodology for building a medical practice following? Your medical services are a  product, and can be marketed in many ways the same as merchandise. This of course is anathema to some professionals.  However given the current state of transition in the marketplace of health care, such as accountable care organizations, and the affordable care act it is still foolish to depend upon a laundry list of providers and their networks.

The Power of Word of Mouth


Word of mouth drives all sorts of products and ideas to catch on. It’s 10 times more effective than traditional advertising and shapes everything from the products people buy to the services they use. But why do people talk about some things rather than others?
Generating word of mouth or getting something to go viral sometimes seems like magic. Like catching lightning in a bottle. But it’s not. There’s a science behind it. Triggers are only one of the six key principles that drives all sorts of things to catch on. Understand that science, and you can make your own services and ideas more contagious.

Those who are new to a community will often ask social contacts, church members or get a referral from the local medical society. The truth is that most patients have no idea of who the preferred and/or best qualfied physicians are in the community.

The final decision may be the result of a combination of word of mouth, direct referral from a friend, accessibility and a prompt appointment. Demographics play a large role in obtaining health care. A geriatric medical clinic would use methods different from a pediatric clinic. Subspecialist practices can market to consumers directly, or if in a monitored network...social networking with referral sources directly may be more effective in building your network.

Generating Word of Mouth

The best thing about word of mouth is it is available to everyone. It doesn't require large amounts of capital, it just requires people to talk. The challenge is how to start people talking. It just requires people to start talking, and how to make your message(s) stand out from the noise.

Today, social networking includes social media using Facebook pages, Google + pages and Linkedin ( a network of professional colleagues), and their are medical interest groups to join that narrows your interest to your target population. There is a variety of lesser known social media platforms such as Digg, Pinterest, Delicious, or Newsana. A professional blog with RSS feeds and a subscription tab also can be a resource for your practice. Backlinks, which are links between different platforms also enhances your visibility. If you are using social media the understanding of hashtags and their use magnifies and focuses your audience.

There are a large number of tutorials and courses covering these subjects. Finding an expert in social media is not difficult.



What are the limitations of Social Media?

When asked, most will estimate that social media accounts for 50% (average) of chatter. However 50% is wrong ! The actual numbere is 7%. Research by the Keller Fay Group fins that only 7% of word of mouth occurs online. This figure may not represent certain demographics, such as an age group 11 to 30, where use of social media is greater than 7%. Now even that may be changing as older adults use social media much more in the past four years as social media platforms have expanded in quality and quantity. There is also significant churn ie, those entering and departing the social media niche.

These details are in much greater detail in a book by Jonah Turner, CONTAGIOUS, WHY THINGS CATCH ON




Monday, June 16, 2014

One in 10 U.S. Residents Affected by Large Health Data Breaches

One in 10 U.S. Residents Affected by Large Health Data Breaches

TOPIC ALERT:

More than 1,000 medical record breaches involving 500 or more people have been reported to HHS since federal reporting requirements took effect nearly five years ago, according to HHS,Modern Healthcare's "Vital Signs" reports (Conn, "Vital Signs,"Modern Healthcare, 6/13).
HHS has been tracking data breaches since September 2009, when the HIPAA breach notification rule went into effect. The agency reports health information breaches affecting more than 500 individuals on its "wall of shame" website (iHealthBeat, 4/1).
Since 2009, HHS has received:
  • 1,026 reports of breaches involving 500 or more individuals; and
  • More than 116,000 breach reports involving records of fewer than 500 individuals through March 1, 2013.
In total, large health data breaches reported by health care providers and their business associates have affected the medical records of about one in 10 U.S. residents, or 31.7 million people. 
Meanwhile, more than 32,600 HIPAA complaint cases have been investigated, with more than 22,500 of them closing with corrective action, according to HHS Office for Civil Rights spokesperson Rachel Seeger ("Vital Signs," Modern Healthcare, 6/13)

Privacy Penalties on the Rise

In related news, HHS Chief Regional Civil Rights Counsel Jerome Meites at an American Bar Association Conference last week said he expects penalties under HIPAA to increase drastically in the next year, The Hill reports.
Since June 2013, HHS has received more than $10 million for HIPAA violations, according toLaw360. However, Meites said, "I suspect that that number will be low compared [with] what's coming up" (Viebeck, The Hill, 6/13).
Many EMR and EHR services are cloud based, and dependent upon internet connectivity.  Despite HIPAA we can expect breaches from otherwise secure sites. It is important to notify patients when breaches occur.

Friday, June 13, 2014

Healtlh IT Tsunami

It is a bit overwhelming for physicians to maintain clinical competence, run a financially sound medical enterprise, solo or otherwise, and keep current on health information technology.

Physicians pride themselves on efficiency due to the current reimbursement method of volume based reimbursement. The government and some insurers are intent upon a value based system of reimbursement, however the mechanisms are still murky.  Staying current on health reform and health IT systems have become overwhelming, while most physicians would like to ignore the chaos focusing on patient matters the chaos and noise filter through daily activities.

Physicians are multi-taskers and there are some conventional non health related tools to help organize you days.

Our next series of articles will address solutions that may assist in organizing your projects and daily activities.

Some are content with reading blogs and social media and others are interested in the tools for social media.

This week’s focus is on productivity—a favorite topic of ours.

Here are some of the highlights:

What productivity tools do you use on a daily basis? - Part I

Here’s a list of some the apps mentioned during the chat (in no particular order):
My favorite is Laspass. This is a secure cloud based password manager. It can be accessed from any device on the internet.  Check it out.
GotoMeeting is disappointing since it will not work on Chrome, an operating system (browser) that many use due to it’s tight integration with all things Google, including Youtube, Drive, Gmail, and many others.  Chrome and chromebook as well as the new chromebox have become very popular. Chrome is now the most popular internet web browser.





Thursday, June 12, 2014

Glass To Get HIPAA Compliance, Surgery Ready!

If you are a practicing physician, it woul be hard to miss all the changes due to EHR adoption, and Health Information Exchanges.

The HIT space is also being invaded by other applications and consumer hardware/software platforms easily adapted to medical practice.  Some innovator surgeons and medical physicians also have taken available platforms and adapting them to patient care.  HIPAA has prepared the innovators for security and privacy of patient medical information.

Google has many apps that can be used in a medical environment.

Google glass has been used by  some surgeons to teach and/or get consultations in real time.

Google Glass has been of interest to the healthcare industry for a while, and while performing surgery with Glass is nothing new, complying with HIPAA standards while doing it is. Video streaming software company CrowdOptic has teamed up with University of California, San Francisco (UCSF) to produce streaming software that lets surgeons share their live recording with others off site. But now they are looking to include a feature to that software that allows for HIPAA compliance.

The video shown here illustrates several real-time uses for google glass.  These are actual real-time uses for google glass. The system offers an effective user friendly interface of both video and audio communication 



Just five or less  years ago this would have been science fiction, or featured as a futuristic view of medical care.  How quickly things advance.  By the time many of these advances become published or well known...another new wave of innovation occurs.

We’ve heard of the uses of Glass within the hospital before, and the team at Beth Israel is part of a specific pilot program that uses heavily modified Google Glass units to help with scenarios like this one. The Google Glass units that the hospital uses for this program are tweaked by a company called Wearable Intelligence, which removes the stock Google Glass software from devices and puts a reworked version of the Android OS on the units. The software is completely locked down so the only use applications for Glass here is for Hospital purposes only. This is just one of the many different instances where Google Glass is being used in the workplace, and is part of the Glass at Work program that Google is driving heavily forward.