Posts Tagged ‘medical records’
“What the Hell is happening to health care?”
“And is it an Opportunity or a Threat?”
Insights by Wayne Caswell, Founder of Modern Health Talk.
An awful lot has changed in just the last few years and even more will change in the near future, with the aim of reducing (or at least containing) our health care costs. What’s behind these MiniTrends, and what is their implication for providers, payers and consumers? That’s the $1.5 trillion question. Here I talk about many, many MiniTrends–surely you can find 101 of them if you look! (I suggest attending MiniTrends 2014 (Sept. 26) to learn how to find even more.)
“It is not the strongest or the most intelligent who will survive but those who can best manage change.” – Charles Darwin
That quote is important, because 429 of the original Fortune 500 companies  are no longer in business today. That’s a scary thought for those sitting at the top of the healthcare mountain, because they know they must adapt to the megatrend of health reform and Obamacare (the Patient Protection and Affordable Care Act) or die. And they are looking down with fear at the hungry competitors who are already exploiting the many related minitrends, because for them these are times of great opportunity.
Until recently, very little was known about what it takes to live well into our 90s. That’s because there weren’t many people that old to study, and because records were sparse about their diet and lifestyle. But today men and women above the age of 90 have become the fastest-growing segment of the U.S. population, and there’s new research that helps explain why.
What can we do now to live long and healthy?
Most U.S. Doctors Believe Patients Should Update Electronic Health Record, but Not Have Full Access to It, According to Accenture Eight-Country Survey
March 4, 2013 – A new Accenture survey shows that most U.S. doctors surveyed (82%) want patients to actively participate in their own healthcare by updating their electronic health records. However, only a third of physicians (31%) believe a patient should have full access to his or her own record, 65% believe patients should have limited access and 4 percent say they should have no access (See Figure 1). These findings were consistent among 3,700 doctors surveyed by Accenture in eight countries: Australia, Canada, England, France, Germany, Singapore, Spain and the United States.
Patients Access to Records
While nearly half of U.S. doctors (47%) surveyed believe patients should not be able to update their lab test results, the vast majority believe patients should be able to update some or all of the standard information in their health records, including demographics (95%), family medical history (88%), medications (87%) and allergies (85%). And, the majority of doctors (81%) believe patients should even be able to add such clinical updates to their records as new symptoms or self-measured metrics, including blood pressure and glucose levels. Read the rest of this entry »
Electronic medical records (EMR) can be extremely useful tools to help improve patient care and reduce costs — if designed and used properly. But unfortunately, good design is hard to come by in this market. The lack of Health IT data standards, privacy laws, and impenetrable health systems complicate an already challenging design process and usually lead to lackluster products. So, the White House sponsored a contest to restyle the Blue Button, a medical record that was first implemented by Department of Veteran Affairs as a text-only record. Read the rest of this entry »
Opportunity is knocking for telehealth to become a common method of practicing medicine in the U.S.
One-on-one Web-based video chats and other electronic consultation between doctors and patients isn’t new — it’s been used throughout the U.S. in varying degrees for a few years now. But health-care reform, a ballooning and aging population and a shortage of available family physicians may be a perfect storm that could blow the doors open for telehealth to go mainstream.
As states’ health insurance exchanges — online marketplaces where citizens can compare and purchase insurance plans — begin to debut in advance of the 2014 deadline set forth by the Affordable Care Act (ACA), access to health-care providers should expand for many Americans. Obtaining insurance coverage soon may be easier, but the gap between the number of incoming patients and available primary care doctors is widening.
Craig Monsen and David Do are fourth-year medical students at Johns Hopkins School of Medicine students. According to this article, they recently created a smartphone compatible website that uses big data, analytics, and artificial intelligence to analyze your symptoms and help determine the cause.
Using Symcat (symptoms-based, computer-assisted triage), you enter various ailments (fever, rash, cough, swelling etc.) and receive a diagnosis, prioritizing potential causes by likelihood and color-coding them by urgency. As you’ll see in the video demo below, entering and refining the symptoms and medical history is an iterative process, and the results are quite impressive. At some point, if you decide to see a doctor, the system also recommends local practitioners based on their specific specialty and experience.
How can healthcare systems encourage patients to take greater ownership of their health so they live longer? That was the question posed to a Linkedin discussion group that generated some interesting responses. I initially weighed in with:
Public Health and Social Programs
We don’t often think of clean running water, indoor toilets, sanitation systems, and school vaccinations as having profound effects on the health of our citizens, but they have. So too would programs that address poverty, unemployment, and the widening income gap. That’s why next on my list is access to nutritious food, exercise opportunities, and full-time employment, which translates into access to health insurance.
Others said consumers would need support from various health care organizations and suggested several initiatives designed to move from medical response systems to health, wellness and prevention systems. Read the rest of this entry »