A blog covering the health/care ecosystem and people.

People enrolled in consumer-directed health plans (CDHPs) and high-deductible health plans (HDHPs) are more cost-conscious than those enrolled in more traditional plans, according to Findings from the 2012 EBRI/MGA Consumer Engagement in Health Care Survey from the Employee Benefit Research Institute (EBRI), published in December 2012. The logic behind CDHPs and HDHPs is that if health plan enrollees have more “skin in the game” — that is, personal financial exposure — they’ll behave more like health “consumers.” By 2012, 36% of employers with over 500 employees offered either HRA- or HSA-eligible plans. About 15% of working age adults are enrolled

Two surveys of American consumers point to their growing concern over (1) rising costs and (2) wanting control over their care. More than 1 in 3 U.S. adults put off health care due to costs in the past year, a Gallup poll found. As shown in the graph, this is the highest proportion of people forgoing care due to cost since Gallup began asking the question in 2012. This survey was conducted in November 2012. There are differences between people without insurance and those with commercial or public sector plans such as Medicare and Medicaid. Over one-half of uninsured people

Mobile technology will change the delivery of health care, according to 2 in 3 health IT execs polled in the 2nd Annual HIMSS Mobile Technology Survey, sponsored by Qualcomm Life. Only 2% of health IT management says mobile won’t impact the delivery of health care in the future. This week finds the mHealth Summit convening in Washington, DC, hosting some 3,000 interested stakeholders looking at the intersection of mobile devices and platforms and health and health care. The 2012 theme is Connecting the Mobile Health Ecosystem, and the exhibitor area of the Summit speaks to the broadening of that ecosystem, including

Health care professionals (HCPs) have adopted smartphones and tablets faster than the man-and-woman-on-the-street. As a result, mobile devices have become an all-important channel for communicating information to all clinicians: doctors, nurses and pharmacists. Today, medical practice is “done” via computers: the chart, from MedPage Today’s survey of physicians conducted in July 2012, shows that 100% of doctors get their learning via desktop and laptop computers (THINK: continuing medical education, for example). 88% of doctors go social online, including using point-of-care tools based on MedPage’s definition of “social interactions.” 9 in 10 doctors have increased the use of the internet in

The godfather of evidence-based medicine, Dr. David Sackett, said that the practice of evidence-based medicine integrates: Individual clinical expertise A patient’s values and expectations The best available external clinical evidence. If a physician’s got the first issue covered, and a patient is very engaged in their health in full collaboration with their physician, there’s still the third issue to deal with: the proliferation of medical information and keeping up with the literature. It’s impossible to be an expert, claimed two Welsh med school professors in the British Medical Journal in an honest appraisal of the “avalanche of information.” Today, med

There are many definitions of mobile health, and Elsevier is adding another to the list. The world’s largest medical publisher has taken its new clinical search tool, ClinicalKey, on the road. Coined the ClinicalKey Experience Tour, Elsevier is coming to a medical center near you to enable clinicians, medical librarians, and health care administrators to give ClinicalKey a spin in their hospital’s parking lot. The challenge: the amount of new medical information doubles every 5 years, while 4 in 5 physicians say they have less than five hours a month to keep up with this, according to a DoctorDirectory survey. At the same time, health care providers feel hard-pressed

4 in 5 health consumers expect doctors not only to treat them when they’re sick, but to keep them healthy. “In sickness and in health” now morphs over to the doctor-patient relationship, beyond the marriage vow. Better Health through Better Patient Communications, a survey from Varolii, finds that people are looking for health, beyond health care, from their physicians. Varolii is a customer interaction company that claims to have interacted with 1 in 3 Americans through some sort of company communication: they work with major Fortune 1000 companies, including banks, airlines, retail, and, yes, health care. They recently attracted  a

  Consumers’ online access to electronic health records is growing in and outside of the U.S. — particularly evident in the U.K., where the National Health Service (NHS) patients are being given online access to their health records held by primary care providers (GPs). This program is termed “Record Access” and could morph into the larger concept of personal health records which, today, aren’t prevalent in the U.K. A new report analyzes U.K. consumers’ perceptions about online health record access called, Personal Health Records: Putting Patients in Control? The report was published in the UK by 2020health.org with support from Microsoft. The report is written

Health payers and plans are realigning their business operations to get closer to consumers. Anticipating the impact of the Affordable Care Act (ACA), coupled with the continuing trend toward consumer-driven health plans, Chilmark Research published the 2012 Benchmark Report: Payer Adoption of Emerging Consumer Tech in August 2012. John Moore, industry analyst and founder of Chilmark, and I had an email exchange to discuss the report. JSK: Why is this topic so timely now? JM: Payers have been trying for years to engage their members with less than stellar results. The advent of new consumer technologies such as social media, mobile,

Over one-half of office-based physicians in the U.S. had adopted an electronic health record (EHR) in 2011. Among theese adopters, 85% were satisfied: 38% “very,” and 47% “somewhat.” Those are pretty good reviews considering so many came to EHRs based on the government’s HITECH incentive and not motivated purely out of intrinsic personal passion to adopt digital medical records systems. This update comes from the July 2012 Data Brief from the National Center for Health Statistic, Physician Adoption of Electronic Health Records Systems: United States. 2011. The report details survey findings from 5,232 office-based physicians who completed the mailed questionnaire in

  On Tuesday, 9 July 2012, health industry stakeholders are convening in Philadelphia for the first CONVERGE conference, seeking to ignite conversation across siloed organizations to solve seemingly intractable problems in health care, together. Why “converge?” Because suppliers, providers, payers, health plans, and consumers have been fragmented for far too long based on arcane incentives that cause the U.S. health system to be stuck in a Rube Goldbergian knot of inefficiency, ineffectiveness and fragmentation of access….not to mention cost increases leading us to devote nearly one-fifth of national GDP on health care at a cost of nearly $3 trillion…and going up.

Half of patients globally expect that mobile health will improve health care. These health citizens expect that mobile health will help them manage their overall health, chronic conditions, how they manage their medications and measure and share their vital health information. Welcome to the new mobile health world, a picture captured in PwC’s report, Emerging mHealth: Paths for growth, published in June 2012 and written by the Economist Intelligence Unit. Patients’ views on mHealth are bullish, and while most doctors and payors share that vision, they also expect mHealth to come into focus more slowly, recognizing the institutional, cultural and

You can now carry a doctor with you in your pocket. Two top telehealth companies that support online physician-patient visits have gone mobile. This upgrade was announced this week at the 2012 American Telemedicine Association conference, being held in San Jose, CA. In enabling mobile physician visits, American Well and Consult A Doctor join Myca, which has offered mobile phone-based visits for clients for at least two years to employer clinic customers. In April 2010, my report, How Smartphones Are Changing Healthcare for Consumers and Providers, talked about Myca’s work with Qualcomm: the telecomms company armed traveling employees with mobile phones that could connect

The ability to get the data is the #1 obstacle that will slow the adoption of data analytics in health care, according to IBM’s report, The value of analytics in healthcare: from insights to outcomes. Healthcare “high performers,” as IBM calls them, use data analytics for guiding future strategy, product research and development, and sales and marketing functions. 90% of healthcare CIOs told IBM that developing “insight and intelligence” were key focuses of their organizations over the next 3 to 5 years. Underneath this macro objective are 3 business goals that data analytics addresses in healthcare: to improve clinical effectiveness

The record attendance at HIMSS12, in terms of both attendees (numbering some 38,000) and exhibitors, illustrated just how hot health information technology has become in the 20 years since I first began attending this meeting — when it was only a few thousand hospital computer geeks and materials managers picking up pocket protectors and calculators from vendors. At this year’s conference, the major concerns were when Stage 2 meaningful use details would be revealed. HIMSS communications leadership in the press room thought it would be Tuesday, then Wednesday. Finally, it was Thursday the 23rd of February when Farzad Mostashari, National Coordinator for Health IT at the Department

With $3.1 billion awarded to doctors who are buying and learning how to use electronic health records (EHRs), Secretary of Health and Human Services Kathleeen Sebelius told a Kansas City community college that 41,000 doctors and 2,000 hospitals were on the road to meaningfully using the technology — double the number of EHR users in 2 years. That’s how “stimulating” the ARRA HITECH stimulus funds have been — a glass half-full interpretation of the data. A survey of health providers conducted by the American Hospital Association learned that the proportion of EHR-using providers grew from 16% to 35% between 2009

How electronically connnected and communicative are nations’ health information infrastructures? Accenture has answered that question in its report, Making the Case for Connected Health. Accenture built a “connected health maturity index,” analyzing a nation’s level of health information exchange among users along with their level of health IT adoption among specialists and primary care doctors. Adoption was defined across four HIT functions: administrative tools, electronic patient notes, electronic alerts/reminders, and computerized decision support systems. Health information exchange was defined across seven connectivity dimensions: electronic communications, e-notifications, e-referrals, e-access to clinical data about patients who see a different provider, e-prescribing, and

Doctors are using iPads in huge numbers for personal life project management. 80% of doctors are excited about using them in clinical practice. But when it comes to clinical applications, don’t confuse physicians’ desire for mobility with their current use of iPads in everyday practice. What’s surprising is the “why” behind that phenomenon. It’s not a lack of desire; to a large extent, it’s a hospital-based system that’s not listening to physician demand for seamless mobility that fits with real-life workflow. This was the light-bulb-over-the-head finding of Gregg Malkary of Spyglass Consulting. Gregg recently complete 100 in-depth interviews with switched-on doctors to

Transparency and authenticity, constant and clear communication, and a drive toward value underpin the future health system — for those health leaders who can commit to these pillars of transformational change. Leading Through Transformation: Top Healthcare CEOs’ Perspectives on the Future of Healthcare summarizes the interaction among 17 health execs who convened at the second CEO Forum held by Huron Healthcare Group. The report was released in January 2012. Health leaders concur that regardless of the politics of the Affordable Care Act and its prospects for whole or partial survival beyond November 2012, market pressures in the health sector are driving

At the ConvUrgent Care Symposium in Orlando, attendees from the worlds of clinics, ambulatory care, hospital beds, pharmacies, medical devices, life sciences, health information, health IT, health plans, academic medical centers and professional medical societies came together to share and learn about the morphing landscape of retail health. The topline message: primary care is everywhere, and based on the response to my keynote talk this morning, every stakeholder segment gets it. My mantra, courtesy of the U.S. Surgeon General Regina Benjamin: don’t look at health in isolation, that is, where the doctor and hospital are. Health happens wherever the person

To doctors working in eight countries around the globe, the biggest benefit of health IT is better access to quality data for clinical access, followed by reducing medical errors, improving coordination of care across care settings, and improving cross-organizational workflow. However, except for the issue of health IT’s potential to improve cross-organizational working processes, American doctors have lower expectations about these benefits than their peers who work in the 7 other nations polled in a global study from Accenture‘s Eight-Country Survey of Doctors Shows Agreement on Top Healthcare Information Technology Benefits, But a Generational Divide Exists. Accenture polled over 3,700 doctors working in

People enrolled in consumer-directed health plans (CDHPs) are more likely than enrollees in traditional health insurance products to be cost-conscious. In particular, CDHP members check prices before they receive health care services, ask for generic drugs versus branded Rx’s, talk to doctors about treatment options and their costs, and use online cost-tracking tools. Furthermore, CDHP members are also more likely to use wellness programs offered by their employers, and are offered “carrots” to participate in them in the forms of financial rewards and other incentives, as well as reduced health care insurance premiums. The 7th annual Employee Benefits Research Institute

There is broad consensus among doctors, patients and health administrators that the current U.S. health system is broken and unsustainable; preventive services is under-utilized and -valued, quality is highly variable from region to region and patient to patient, and costs continue to spiral upward without demonstrating value. While these 3 segments – physicians, people-patient-consumers, and hospital execs, agree on this topline assessment, what they see about the future of health delivery in America varies, according to a new survey from the new Optum Institute for Sustainable Health, Sustainable health communities: A manifesto for improvement. This is the kick-off of the Optum Institute, a member of the

More people with higher levels of concern about their health feel they are in good health, see their doctors regularly for check-ups, take prescription meds “exactly” as instructed, feel they eat right, and prefer lifestyle changes over using medicines. And 40% of these highly-health-concerned people have also used a health technology in the past year. At the other end of the spectrum are people with low levels of health concern: few see the doctor regularly for check-ups, less than one-half take their meds as prescribed by their doctors, only 31% feel they eat right, and only 36% feel they’re in

Doctors won’t be celebrating Independence Day on July 4th — at least when it comes to their professional practices. The days of the cottage industry physician are dwindling as more doctors are losing their independence, instead opting for employment. There are several reasons for physicians’ exodus from private practice: these include increasing administrative burdens, economies of scale for adopting information and communications technology, security in uncertain futures around reimbursement, and that all-important work-life balance. Accenture points out these trends in a summary report, Clinical Transformation: Dramatic Changes as Physician Employment Grows.  Accenture sees benefits accruing to health systems acquiring physician

The past year has seen a huge jump in the number of hours that physicians spend online; at the margin, the increase is due to physicians’ use of online via mobile platforms. Meredith Abreu-Ressi, President of Manhattan Research, shared her insights into the firm’s study, Taking the Pulse (v. 11), with me today. The top-line finding of the annual survey is that health professionals have quickly adopted mobile platforms in health — with special attention paid to Apple products, the iPhone and the iPad. Manhattan Research has tracked physicians’ use of online health resources for over a decade. They’ve found

Apple has supplanted Google as the world’s #1 most valuable brand, worth more brand-wise than Microsoft and Coca-Cola combined (#5 and #6). the other most valuable global brands are IBM, McDonalds, AT&T, Marlboro, China Mobile, and GE. Technology brands have significantly grown in value with consumers allocating more personal disposable income to products like tablet computers and smartphones, even in the face of recessionary economics the world over. Technology companies are now 1/3 of the top 100 brands. Millward Brown, the brand consultancy that is part of WPP, the global communications firm, has conducted the BrandZ top 100 most valuable

With non-communicable diseases (NCDs) killing two-third’s of the Earth’s residents — not malaria, HIV or other infectious diseases — the World Health Organization calls lifestyle-borne chronic conditions a “slow-motion catastrophe.” The solution for addressing this global challenge isn’t just about deploying more doctors and medical technology in hospitals and bricks-and-mortar institutions. The real health reform is about infrastructure-independent care and feeding that bolsters peoples’ health where they live, work, play and pray, as characterized by the U.S. Surgeon General Dr. Regina Benjamin in the Los Angeles Times on March 13, 2011. Today I’ll be participating on the eHealth track at the J.

Representatives from eight U.S. Federal government agencies, including the FDA and Veterans Administration, among others; health financiers (VCs, angels); health tech start-ups; providers, life science companies, and analysts, attended the Health Care Innovation Day DC sponsored by West Wireless Health Institute on April 28, 2011. The meeting had the tagline, A Discussion with the FDA, setting the stage for a day-long consideration of the role of regulation vis-a-vis health innovation. The $2.5+ trillion question (annual spending on health care in the U.S.) is: can innovation drive making health care “cheaper?” This was the underlying theme of the panel on which I sat

Nearly 1 in two mobile phone platforms in hospitals had a BlackBerry brand in the fourth quarter of 2010. However, within 2 years, more mobile phones will be labeled iPhone or Android, eroding the Blackberry share of the market as health workers abandon their cell phones for smartphones and switch away from their BlackBerry devices. Still, 1 in 3 hospital workers will be using a BlackBerry in 2013, as the chart illustrates. Amcom Software conducted a survey of 300 hospitals and health systems in October 2010 to assess their views on smartphones and the emergence of tablets in hospital settings. While paging (job-related alerts)

About one-half of physician practices used an electronic health record (EHR) as of late 2010, with 36% of groups still storing health records in paper charts. While 1 in 2 physician groups in the U.S. have implemented electronic health records, they confess that they haven’t yet optimized their use. Only 16% of medical groups have implemented EHRs and believe their practices have optimized their EHRs. But optimization has its rewards: over 1 in 3 groups that have had sufficient time to fully implement their EHRs report decreased practice operating costs. Furthermore, 41% of these fully-operational EHR environments have seen physician productivity increase. With the subtitle, “snapshot of

As we are in the midst of the Hype Cycle for mHealth, the answer to the question, Health – is there really an app for that? has a loaded answer. This will be evident during the panel on which I’m participating on Sunday 3/13/11, the first full day of health hosted as part of the legendary South by Southwest conference. I am absolutely gob-smacked thrilled to be sharing the stage with John DeSouza, President and CEO of MedHelp; BJ Fogg of the Stanford Persuasive Technology Lab; and, Margie Morris, clinical psychologist and senior researcher at Intel Labs. We’ll be shepherded by Gigi Peterkin of Edelman, who

“If nothing else, the health reform bill has signaled the beginning of the end of the health plan as we know and love it,” David Brailer, once health IT czar under President GW Bush and now venture capitalist, is quoted in Reuters on Hot Healthcare Investing Trends for 2011. One health plan Brailer called out that could be relevant in the post-reform, post-recessionary US health world is Humana. I had the opportunity to spend time with Paul Kusserow, Chief Strategy Officer for Humana, during the HIMSS11 meeting. Our conversation began with me asking why the chief strategist for Humana would

In October 2012, Stage 2 of the HITECH Act’s meaningful use begins. That means that providers, both hospitals and physicians, who adopt electronic medical records systems and are looking to receive a financial incentive from the ARRA stimulus funds, must meet criteria defined as “meaningful use” (MU). Stage 2 will feature standards for providers to communicate health information to patients, based on the draft set of criteria issued by the U.S. Department of Health and Human Services. Will providers be ready to put patients in the center of the EMR? PricewaterhouseCoopers assesses the complex answer to this question in their report,

Remote health monitoring, which enables people to track health and daily living metrics when they are in one place and communicate those measures to another node via some communications platform, is not a new concept. Telehealth, telemedicine, consumer-facing health electronics like USB-ported blood pressure monitors, and some mobile apps can all fall under the broad umbrella of remote health monitoring. There are strong market forces converging to enable health citizens to connect to their providers, institutions, payors, health coaches, caregivers, and each other. Still, a balanced look under the remote health monitoring hood reminds us that old saw taught to me by colleagues

What doctors are most likely to use patients’ personal electronic health records? Fewer than 1 in 2 are willing to. Those who most likely would include Hispanic physicians, doctors who practice in rural areas, those employed in hospitals, and surgeons. As part of the HITECH Act included in the American Recovery and Reinvestment Act (ARRA) 0f 2009, U.S. physicians have the opportunity to receive a portion of the $20.8 billion carved out as incentive payments to those who adopt and “meaningfully use” electronic health records (EHRs). Many EHRs include portals which allow patients to access a slice of their personal health information.

The majority of both doctors and people in the U.S. support sharing information to improve health care in the U.S. by reducing medical errors, cutting avoidable costs, better coordinating patient care, measuring progress on improving quality and safety, and improving public health priorities such as heart disease and obesity. What’s also clear is that both the public isn’t very familiar with the details of the HITECH Act which provides incentives for their doctors to adopt electronic health records. While 64% of doctors are familiar with the incentive program, only 14% of the public is. The Markle Foundation conducted parallel surveys to measure the public’s and doctors’ views

If you don’t speak French and/or have aging eyesight, you might not understand the label on the medicine in the photo. When someone doesn’t understand the label placed on their prescription drug, they’re in a compromising position: this lowers health literacy and potentially endangers peoples’ health. As I monitor the tweets from today’s meeting of the Business Development Institute’s (BDI) Mobile Healthcare Communications conference, covering statistics and case studies about who’s using smartphones for accessing health information and how pharmaceutical companies can bolster adherence by developing mobile health apps, I’m struck by an important story in the health news that won’t get much coverage because it’s not about

1 in 2 people who use the internet to seek health information do so to self-diagnose; this is highest in China, US, UK, Russia, and Australia. Furthermore, health citizens in emerging economies including India, Russia, China, Brazil, and Mexico, may rely more on online health searches than people in developed countries. In these regions, health seekers face high costs of face-to-face visits with medical professionals. These global findings come out of the report, Online Health: Untangling the Web, from Bupa. Bupa is a health company based in the UK that serves 10 million members in 190 countries, and another 20 million

It’s year-end, so the forecasts abound whether we’re talking about trends in technologies, products and services. Gartner says cloud and mobile computing are hot, but managing customer expectations will require heavy lifting  On the food front, Epicurious predicts that food halls will be all the rage (think Harrods in London or Takashimaya in Tokyo), Korean cuisine in demand, and sweet potatoes crowned the vegetable of 2011. For colors, Pantone is Queen and they see that honeysuckle (a salmon-pink) is the new black. In health technology, there’s no better list to read than CSC’s The Future of Healthcare: It’s Health, Then Care, which offers up top 10 technologies

1 in 2 office-based physicians in the U.S. use any sort of electronic medical record (EMR) or electronic health record (EHR). However, only 10% of doctors have a fully functional EMR or EHR system. This means that the great majority of doctors currently using electronic records are not yet meeting meaningful use criteria as defined by the U.S. Department of Health and Human Services (DHHS). Physicians reported the computerized functions of their electronic records systems as part of the annual Centers for Disease Control‘s (CDC) National Ambulatory Medical Care Survey (NAMCS). The chart illustrates the good news: that every year since 2003, U.S. physicians are

The majority of Americans generally like the idea of remote home monitoring for health. 3 in 5 adults (62%) across all age groups say communication with doctors via home monitoring devices would improve their health. However, only 35% of people age 65 and over are interested in home health monitoring. Interest in remote home health monitoring decreases with age. The disconnect is that 90% of Americans age 65 and older have at least one chronic health condition, according to the Centers for Disease Control. Practice Fusion commissioned a survey from GfK Roper in November 2010 through the GfK Omnibus survey among 1,008 adults

6 in 10 U.S. households connected to the Internet via broadband in 2009, rising from 9% in 2001. In the U.S., the gap in the adoption of broadband between lower-income households and higher-income people is 33% — 61% of people with $25,000 to $50,000 household income connect to the Internet at home via broadband; that proportion is 94% for households with over $100,000 a year. Adoption gaps in broadband persist in the U.S. based on income, urban/rural location, race, education, and level of disability. Differences in socio-economic and geographic characteristics explain much of the broadband adoption gap associated with disability

Improving patient care, reducing practice costs, growing revenues and attracting new patients are top-of-mind for a majority of doctors in the U.S. What about electronic medical records (EMRs)? Not so high on physicians’ priority lists, according to the second annual health IT survey conducted in July 2010 by CompTIA. When it comes to spending on health information technology, group practices told CompTIA they plan to spend more in 2011, whereas solo practices will keep IT spending flat. Among doctors who have already implemented EMRs, they’re looking for faster systems that are easier to use, cost less, and have greater interoperability. While cloud computing

With peoples’ adoption of mobile phones, broadband, and apps for which they pay out-of-pocket, the new person-centered medical home is…the home. Policy wonks can wax lyrically and econometrically spin models about how to bend the health cost curve. But patients are the most under-utilized resource in the U.S. health system, as Dr. Charles Safran testified to Congress in 2004. In 2010, patients are getting more engaged as they DIY more at-home: photograph development, travel planning, stock trades, and home improvement. So health care comes home. A column written by Dr. Steven Landers of the Cleveland Clinic, featured in the October 20th 2010 issue of

Sex, drugs, rock and roll, Victoria’s secret bras manufactured with formaldehyde, motivating kids to move about more, and texting potential sex partners your latest STD test results: the 2010 Health 2.0 Conference in San Francisco was more about real, whole health and the person-patient than about cool new tech. Furthermore, the Health 2.0 Conference turned a lot of preconceptions on their head on October 7 and 8, 2010, in a standing-room–only ballroom at the Hilton Union Square. Who could have predicted that government employees would light the room up with high energy and innovative thinking more than a panel of illustrious

Most patients and doctors alike are currently using some type of online tool in the “understanding, management, and guidance” of health care, according to a survey from IMI Healthcare – Voice of the Market. Virtually all physicians, and 73% of patients, are using some kind of online health tool. Based on the IMI Healthcare survey methodology, these tools include health content sites, used by 57% of patients and 77% of doctors  (e.g., WebMD, mayoclinic.com); general search sites (e.g., Wikipedia), used by 48% of patients and 68% of doctors; health association sites (e.g., American Heart Association), used by 19% of patients and

The American Recovery and Reinvestment Act (ARRA, aka ‘stimulus funds’) is investing $100 billion worth of U.S. taxpayer dollars in projects meant to transform the American economy. $20-some billion of these funds are being earmarked for health information technology, which the White House sees as part of a “platform for private sector innovation” in a report published August 24 2010, The Recovery Act: Transforming the American Economy Through Innovation. Health IT (HIT) is bucketed with broadband and smart grid technology as planks in this economic-transformational platform. Among these three pillars, compare the $20 billion going to health IT with the $6.9 billion being

When it comes to their paper medical records, people are most concerned about their ability to access them when they need them. 28% of Americans are more concerned about access than inaccuracies, fraudulent use of the record, loss, or portability to a new doctor. Practice Fusion commissioned this survey of American adults and how they feel about various aspects of paper-based medical records. Overall, 1 in 5 people worry about inaccuracies or outdated information in their records; 1 in 6 are concerned that records will be stolen or used fraudulently, and 1 in 10 fret that records will be lost, won’t be