Guest Article: Digital health doesn’t stop with Meaningful Use, claims and payment technologies still matter

“Digital Health” is often centered on EHRs and Meaningful Use to the detriment of many other technologies that can help improve patient satisfaction. To help make sure that we don’t forget how useful modern technologies are to actually getting paid for medical services, I invited Jay Fulkerson, president and CEO of Health Payment Systems (HPS), to take us through the most important issues surrounding claims and payment tech. Prior to his role at HPS, Fulkerson served as chief executive officer of Touchpoint Health Plan (which was acquired by United Healthcare) so he knows the payment space pretty well.

As I travel and speak with physician practices and hospital execs about health IT, I often hear questions about how practices can become paperless as they transition from manual to electronic processes. For those of you that have installed EHRs, you know that going digital does not mean that you’ll be paperless and you’ve probably had to buy more scanners and printers than you originally planned. For those of you that haven’t installed your EHR you’re probably puzzled so let me take a moment to explain why you shouldn’t believe vendors that tell you that you can be completely document-free or paperless in your environment.

Earlier this week I spoke at Atlanta Healthcare IT Leadership Summit on Accountable Care Organizations (ACOs) and what I call “accountable tech“. I was pleasantly surprised to learn most of the audience agreed that ACOs can’t succeed without the right technology but am continuously disappointed as to how little we as an industry are doing about it. Accountable tech is health IT that truly enables the slow but emerging move from fee for service (FFS) based payments to value-driven and outcomes based payments.

Carl Bergman, a seasoned systems analyst and project manager, is Managing Partner of EHRSelector.com and has been sharing a number of ideas for improving EHR usability with me via email. Since I loved his enthusiasm and agreed with his ideas, I invited Carl to share with us some more detail around how to improve the EHR user experience. Here’s what Carl had to say: Earlier this year, we went to an outdoor wedding.

Now that Meaningful Use and ICD-10 are starting generate useful clinical data, it’s clear that electronic structured data in health and medicine is here to stay. One of the major missing pieces of the EHRs puzzle is direct integration of sensor-driven medical device data that can be used for both retrospective and prospective analysis. Many people believe that medical device data, like lab data, should be directly integrated into modern electronic health record solutions but that’s not happening as fast as many of us would like.

Last week I spoke at O’Reilly’s StrataRx Conference in Boston and like all O’Reilly events is was full of great content, terrific networking opportunities, and run with precision. My friend and O’Reilly editor Andy Oram wrote a great blog post summarizing the event and it’s worth reading: “Ticking all the boxes for a health care upgrade at Strata Rx – What is needed for successful reform of the health care system?

A few days ago Harvard Business Review’s Blog Network published “You Can Win Without Differentiation” and it reminded me of the many lectures I’ve given over the past few years on why the health IT industry tolerates hundreds of EHR and EMR companies that don’t really differ much from each other. A key point made in the article was: The trick is that when there is uncertainty about the quality of a product or service, firms do not have to rely on differentiation in order to obtain a competitive advantage.

The nice folks at Iron Mountain, a publicly traded storage and information management services company, reached out to me during the summer and asked what I think the challenges are around healthcare data management. They recorded my answers in a series of interviews published as part of National Health IT Week (Sep 16th-20th). Here’s the first of the series: Many of you probably already know Iron Mountain as a records management, data backup and recovery, document management, and secure shredding company because they’ve been doing that kind of work for years across many different industries.

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