Telehealth

A collection of 21  Posts

What does it take to get beyond hype in health IT and focus on valuable, actionable, practical, relevant content?

My friend John Lynn was kind enough to cover the new HealthIMPACT Conference that I’m chairing in Houston on April 3 in his recent piece entitled “Getting Beyond the Health IT Cheerleaders, BS, and Hype Machine“. While the article was great, Beth Friedman’s comment was priceless: What are the criteria to be considered part of the cheerleader squad? This PR agency wants to be sure we are providing valuable, actionable, [practical], relevant content….

We’re all familiar with the idea that medicine is, slowly but surely, going from a paper-native to a digital-native industry. Most of our processes and procedures were designed in an environment where information started on paper and then was either scanned as a PDF document or entered into a structured electronic record in some software. Our current processes assume that if our software systems ever failed, we have paper records and could continue standard medical care without the electronic versions for a period of time.

“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.

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.

It is general knowledge among seasoned EHR implementers that EHR technology is not the primary concern when promoting EHR adoption (while there are many areas of potential improvements, the tech is generally “good enough” in most cases). There are, however, many challenges surrounding the deployments EHRs and one of the biggest is that not enough training or pre work done to prepare staff and resources. A great way to ensure EHR success is by creating a “Culture of Adoption,” which is something I discussed at length with my friend John Lynn after he attended a recent “think tank” style event hosted at TEDMED by the Breakaway Group (a Xerox Company).

I had the privilege of working with Dr. Peter Levin as an outside technology strategy adviser while he was the Chief Technology Officer (CTO) of Veterans Affairs during the first Obama Administration. Peter’s a hard-charging, fast-moving, take-no-prisoners style senior technical executive; he was an entrepreneur, professor, and engineer long before he came into government so it was no surprise that he was able to accomplish a great deal during his tenure as the CTO of VA.

I first started using and mentoring developers on agile software development techniques like eXtreme Programming (XP) and Scrum over a decade ago. Often called “lightweight” methodologies, agile software development lifecycles have been generally misunderstood as lacking enough rigor and sophistication to be used in safety-critical systems. Many have erroneously assumed that Agile, Scrum, and related methodologies can’t really be implemented in risk-focused “important” industries like medical devices because they believe only classic waterfall will be accepted by the FDA.

Following HiMSS13 in New Orleans I sat down last month in a BlogTalkRadio broadcast with Dr. Pat Salber (@DocWeighsIn @HealthTechHatch), Gregg Masters (@2healthguru @ACOwatch) and John Lynn (@techguy) with a ‘debrief’ of our key HIMSS13 take-aways as well as our latest venture, Influential Networks. I covered the following topics in the podcast: The HIMSS 13 cheerleading and “echo chamber” Are we moving faster with MU than the industry can really accomodate?

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