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

Thursday, July 31, 2014

Digital Health May No Longer be a Slow Sell

Though there have been notable exceptions, digital health has often proved a slow sell to the medical establishment. The failures of Google Health and HealthVault to gain traction, for example, underscore the challenges of breaking into the workflow of doctors.
Yet over the past month, three technology giants have, in the form of a series of launches, given an endorsement that digital health will be one of the next important technological trends. From Google has come an API infrastructure called Google Fit. From Samsung,  the data platform SAMI, and from Apple the developer tool HealtlhKit

Healthkit for Sporty Types











Hype or Hip ?


What’s changed to prompt these companies to jump into the digital health all at once? I would argue that the wearables revolution that is currently underway demonstrates that the technology industry has realized that consumers, not the medical establishment, will drive adoption — and that this is fast-tracking the pace of change.
That doesn’t demote the role of the health care establishment in the question of whether this trend proves lasting. Even purpose-build musculoskeletal registries have had difficulty winning the trust of physicians, and it remains to be seen whether the data collected by the current community of health apps and tracking devices is of sufficient quality to create individual-level, real-time health and wellness predictions. To determine this, large-scale validations of insights will be necessary.
It is becoming apparent to all in the industry that data is perhaps the most precious commodity available to digital health and wearable tech firms, and data becomes more valuable when it encompasses multiple perspectives on the same individual. With the explosion of the Internet of Things, users now record their daily activities in several ways, but often in separate locations. Until now there wasn’t any value in sharing these reams of data — not much could be done with them. But with an increased focus on analysis and the provision of insights, this is changing.
Concurrently, with bigger companies offering analytical tools and platforms, a “plumbing system” for the data is becoming a reality. This will provide more exposure to smaller, true data democracy driven startups that are attempting to create a culture of reciprocal data sharing necessary to increase the complexities of  analysis done on wearables data. Indeed, my prediction is that a large number of secondary analysis companies will emerge from the entry of the tech giants and add value to existing devices that have thus far demonstrated poor long-term engagement numbers.
Overall, the latest announcements give me hope that the emergence of wearable tech will become a positive influence on population health and solve some tough problems faced by the medical establishment. The entire world is being faced by a crisis of chronic, non-communicable diseases. Wearables provide one behaviorally-focused tool that may slow or reverse the disease trends and crack the code of wellness for a large segment of society.
Jesse Slade Shantz is an orthopedic surgeon who blogs at The Doctor Blog.

Tuesday, July 29, 2014

Digital Health Space Services



Our mission statement is written on the header of all our posts.

"DIGITAL HEALTH SPACE.......The distance between providers represents the space that Digital Health Space is attempting to close using virtual applications, websites, social media, email, web portals, custom developer open source and telehealth"

The list of available software offerings are not limited to electronic health records or specifically 'designed' for medical practice. Some are simple adaptations used in other industries or from consumer sources.


How beneficial would it be to be able to automatically reach out to a patient when they are overdue for a specific type of visit?  If you are planning to attest for MU2 you will need to report on having sent these types of reminders to a minimum of 10% of your patients (MU Measure-12).  Even if you don't plan to attest for MU2 this is still something that allows your practice to be more proactive in providing patient care.  Examples:
- Diabetic overdue for an A1C
- Child at X months of age overdue for X vaccine series, or Well-Child visit
- Female overdue for Well-Woman visit, Mammogram or re-PAP...

Software developer's Mission Statement
We are passionate about the idea of assisting healthcare organizations with patient outreach by automating communication that is necessary to create a more compliant, and ultimately healthier, patient population.
As reimbursement models continue to shift towards Accountable Care and outcomes-based medicine, there is a growing need for improved patient compliance.  We all see that reality.  The question is, how will your organization manage all of those details affordably?   There is an answer.
Today, patient engagement technology is being applied to all categories of patient communication. Whether the message is related to health maintenance, appointment, or collections Relatient allows the individual care provider to decide how, when, and at what interval those health reminders are delivered.
There are 3 types of patients:  the Compliant, the Distracted, and the Careless.  The Relatient team is focused on finding ways to move more patients into the Compliant category, and to benefit their lives while making the Provider more successful as well.
We care about you, your patients, and your staff.  Give us an opportunity to partner with you, and we will spend each day reaching for a better healthcare system, together.

Patient Engagement software providing these services and much more.  In fact, our software vendor often provides MORE functionality at a fraction of the price charged by other Patient Engagement vendors.  How do we do it?

  • FLAT RATE PRICING...instead of the old per-contact model.  The more you use it the better the results!
  • NO LONG-TERM CONTRACT...use it as long as you want and stop at any time with no penalty
  • NO DAILY REPORT BUILD & EXPORT...we will interface to your PM/EHR systems 
  • NO COSTLY SERVERS...we utilize Amazon Web Services to send everything via the Internet
  • Appointment Reminders via phone, text or email...UNLIMITED
  • Collections Reminders via phone, text or email...UNLIMITED
  • Health Maintenance Reminders via phone, text or email...UNLIMITED
  • Patient Surveys via email...UNLIMITED

This software provides the follow options:
  • Appointment Reminders via phone, text or email...UNLIMITED
  • Collections Reminders via phone, text or email...UNLIMITED
  • Health Maintenance Reminders via phone, text or email...UNLIMITED
  • Patient Surveys via email...UNLIMITED

Programs

With custom options to match your organization's unique needs - Relatient has the right combination of services to be your partner in automated reminders!

If you would like to hear more about how we can help enhance patient care while at the same time reduce your no-show rate AND reduce your AR, please contact me.  @glevin1 or leave a comment here.
email: digitalhealthspace@gmail.com

Saturday, July 26, 2014

When Analytics Fall Short



"The joys of unintended consequences never end. The Patient Protection and Affordable Care Act required hospitals to get paid based on how much they improved their patients' health rather than on how many tests and procedures were completed. The intent was to improve patient care.
But some data brokers saw dollar signs in those changes and have started mining patients' payment card data, public records and loyalty programs and using that to create risk profiles, which they are then selling to hospitals and insurance companies. For asthma, they look at pollen counts associated with the current residence as well as cigarette purchases, plus pharmacy records indicating whether prescriptions are being refilled regularly and on time, suggesting compliance, according to a Business Week report.
Data analytics is generally a wonderful thing, but I'm not seeing how this program could really deliver much of a benefit to anyone involved, other than the data brokers who sell it."
So says Evan Schuman

Follow him on Twitter @eschuman.
Although there are absolutely privacy issues raised, there are some initial limits. However, it's unclear how long those limits will remain in place. For example, the individual information is analyzed and massaged by the data broker, who turns it into a series of risk numbers, but the hospital isn't told the purchase/public record facts that went into those crunched numbers. In other words, the hospital won't be told that a gym membership lapsed or that 20 pizzas are being ordered a week, but will solely see that weight gain risk increased.
The biggest problem with such data collection is simply that the analysis could be highly inaccurate, mostly because a purchase made is not necessarily for the patient to personally use.
"It's important to remember that credit card and customer loyalty program data are not soundly indicative nor solely attributable to an individual's behavior. For one thing, individuals may be purchasing items for family members or even an elderly or disabled neighbor," said Pam Baker, a  business data analyst who has a new book out on the topic: Data Divination: Big Data Strategies.
Michael Dulin, chief clinical officer for analytics and outcomes research at Carolinas HealthCare, one of the health groups that is purchasing this kind of data, is quoted in the BusinessWeek piece, arguing that "information on consumer spending can provide a more complete picture than the glimpse doctors get during an office visit or through lab results." That's certainly true, but even if the data were accurate -- which is far from a given -- how much good is likely to come from it?

5 ways hospitals can use data analytics

George Zachariah, a consultant at Dynamics Research Corporation in Andover, Mass., explains the top five ways hospital systems can better use health analytics in order to get the most out of the information.


1. Use analytics to help cut down on administrative costs.
2. Use analytics for clinical decision support.
3. Cut down on fraud and abuse.
4. Use analytics for better care coordination.
5. Use analytics for improved patient wellness.





Thursday, July 24, 2014

Mobile Health Annual Update

It has been 16 months since I wrote here about the proliferation of mobile health applications.  More so than  desktop health IT, these developments place HIT in the hands of consumers and patients, allowing for instant gratfication for questions they may have in real time.


Mobile health IT falls into one of three categories,  information access, monitoring, and guidance.


It is an appropriate time to review my last post on mobile health.




During the past year several large internet presences, Google and Microsoft have taken an active interest, other than the Personal Health Record (PHR).  Market demand for PHR was sadly lacking, given that potential patients balked at entering their own health data. (much like providers). Time was a major deterrent  for data entry.  However the PHR  may be reincarnatedted as a subset or import from the  provider electronic record. (EHR)  In many ways this will improve accuracy, credibility and content.  Perhaps the  web portal may be a more eloquent means for editing and/or extracting personal health items from the professional EHR.

Google and developer Pathfinder have targetted the mobile health IT space.





 





 The Android Store


Microsoft store. a potential market place for Windows mobile has far fewer offerings. Sadly the Microsoft Store does not even have a category for Mobile Health Apps for the Windows Phone, or Surface Tablet (Microsoft's offering for tablet PCs) Again Open source is more attractive to developers.



Developer challenges with awards and stipends also are stimulating development by venture capitalists for the marketplace.




Android Developers
Surface and Windows Phone Developers


Late Breaking News:  Medicare and Telehealth