Job #1 in data analytics for health care: get the data, and make sure you can trust it
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
Trust in doctors breeds trust in health IT – context-setting for patient engagement, HIMSS 2012
While the vast majority of people find value in electronic health records (EHRs) — both those whose doctors currently use them and those patients whose personal health information still resides in paper-based systems — most remain concerned about their patient rights, privacy and security of that data. Making IT Meaningful: How Consumers Value and Trust Health IT, a report based on a survey from the National Partnership for Women & Families (NPWF) published in February 2012, weaves the story of an American public, keen to have their PHI digitized, but deeply concerned about their rights to access and protect that
Connected Health: countries’ vary in their health IT connectedness, but US patients are ready, willing and welcoming EHRs
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
The state of health IT in America: thinking about the Bipartisan Policy Center report on health IT
There are few issue areas within the Beltway of Washington, DC, that have enjoyed more support across the political aisle than health care information technology. In 2004, George Bush asserted that every American would/should have an electronic medical record by 2014. Since then, Democrats and Republicans alike have supported the broad concept of wiring the U.S. health information infrastructure. With the injection of ARRA stimulus funds earmarked in the HITECH Act to promote health providers’ adoption of electronic health records, we’re now on the road to Americans getting access to their health information electronically. It won’t be all or even
Patients feel out of the Rx drug development process: why participatory health in pharma is important
“Value” in prescription drugs is first and foremost about outcomes, in the eyes of physicians and biopharma. For managed care, “value” is first about safety, then patient outcomes. However, although one-third of patients managing a chronic condition cannot define “value” in health care, 9 in 10 say that prescription drugs are “valuable” to their health and wellbeing. In fact, 80% say that the money they spend on prescription medications is “worth it.” Yet patients feel largely out of the prescription drug development process. These findings come from Quintiles research report, The 2011 New Health Report, subtitled: exploring perceptions of value and collaborative relationships among
The new health reform is online and mobile; talking at J. Boye 2011 in Philadelphia
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.
What health care IT holds for 2011: politics vs. market realities
The one issue in health politics that’s got bipartisan support is health care IT. While Republicans in the House may try to pick away parts of the Affordable Care Act, the HITECH Act — part of the 2009 stimulus package formally known as the American Recovery and Reinvestment Act — will stay intact, according to most industry analysts (including me). However, political agreement doesn’t equal market adoption. So forecasting what 2011 will mean for health information technology requires some deeper analysis of additional issues. For today’s Health Populi, take a look at my annual health IT forecast in California HealthCare Foundation‘s
People worry about access to their health data…and they should
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
Women win in health reform
Women, on average, have far more contact with the health care system over their lifetimes than men do. So kicks off an analysis of the Patient Protection and Affordable Care Act of 2010’s (PPACA) impact on women, published by The Commonwealth Fund. Realizing Health Reform’s Potential explains that PPACA should insure some 15 million women as well as give fiscal relief to those women who are under-insured or have pre-existing conditions. One of the key underlying factors which stacks the deck against women in health insurance coverage is the fact that insurance companies see young women a higher risk than
Open notes: opens conversations and builds trust between people and their doctors
People foresee that, in the future, the most trusted ‘channel’ for their engaging in their health will be…conversations with my doctor. This was found in the 2008 Edelman Health Engagement Barometer survey of health citizens polled in five countries — China, Germany, Russia, the United Kingdom and the United States. Those health citizens favoring the physician-conversation channel will welcome OpenNotes into their doctor-encounters behind the exam room door. The July 20, 2010, issue of the Annals of Internal Medicine talks about an initiative to, literally, open up doctors’ notes to their patients. As Dr.Tom DelBanco, et. al., attest in the article, “‘open notes’
Meaningful use: mandates, menus and morality
“We are only as good in treating patients as the information we have,” opined Dr. David Blumenthal, the national coordinator for health information technology in the Department of Health and Human Services, during yesterday’s launch of the new regulations on the meaningful use (MU) of health information technology. In the health care world, yesterday featured a star-studded line-up (live and via webcast) that ushered in the long-awaited meaningful use regulations that provide the roadmap for the adoption of electronic health records (EHRs) for providers, hospitals and doctors alike. Simultaneously, Dr. Blumenthal’s 4-page summary of the reg’s was featured in a tidy, useful article in the New
On the Tiger Team and the insecurity of health information
Millions of health records for patients in the U.S. have been breached or compromised in the first half of 2010. Here’s a list derived from an ongoing search via Google News Alerts I monitor using the keywords, “health information and breach:” FedEx lost seven CDs of personal health information (PHI) from the Lincoln Medical and Mental Health Center in Bronx, NY, enroute to Siemens Medical Solutions, in March. This information affected 130,495 patients. The FAA believes that PHI for over 3 million U.S. pilots may be at-risk of breaching, according to a report published in June by the US Transportation Department. The FAA’s
A Tale of Two HIMSS – the dynamic of urgency vs. pragmatism
It was the best of times, and the worst of times. Well, perhaps not the worst, but a time to pause and reflect on the power and the money. Thus I turn to a Tale of Two Cities. As I depart Chicago and the 47th annual conference of the Healthcare Information and Management Systems Society, I recall two different meeting-experiences: the convention floor, with its mood of upbeat urgency, brightly colored booths and activity; and the education sessions and hallway conversations that featured pragmatic, real-world challenges. ARRA, the American Recovery and Reinvestment Act of 2009, with its $19+
Google and Cleveland Clinic — a tidy project built for disruption, and a word on privacy
The Google–Cleveland Clinic health records venture has been announced. Cleveland Clinic is a leader among providers when it comes to health IT, so Google has chosen well. This is a small, quick pilot between two mega-brands in their respective spaces. Word is that the project will last only a couple of months. While Cleveland Clinic has electronic health records for over 100,000 patients, this project will have an N of 10,000. I will be exploring more about the project with Googlefolks at HIMSS next week. For now, I’m in research mode. I’ve already come across several useful posts
Health Populi’s Tea Leaves for 2008
I “leave” you for the year with some great, good, and less-than-sanguine expectations for health care in 2008. These are views filtered through my lens on the health care world: the new consumer, health information technology, globalization, politics, and health economics. Health politics shares the stage with Iraq. Health care is second only to Iraq as the issue that Americans most want the 2008 presidential candidates to talk about, according to the latest Kaiser Health Tracking Poll. Several candidates have responded to the public’s interest with significant health care reform proposals. But major health reform – such as universal access





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I'm grateful to be part of the Duke Corporate Education faculty, sharing perspectives on the future of health care with health and life science companies. Once again, I'll be brainstorming the future of health care with a cohort of executives working in a global pharmaceutical company.
Jane joined host Dr. Geeta "Dr. G" Nayyar and colleagues to brainstorm the value of vaccines for public and individual health in this challenging environment for health literacy, health politics, and health citizen grievance.