Because IT said so: the lack of user-centered design in Healthcare Care Coordination

Because IT said so: the lack of user-centered design in Healthcare

When technical people 100 miles away from patient care attempt to make clinical decisions, healthcare fails.

EMRs Fail at Doctor and Patient Engagement Transitions of Care

EMRs Fail at Doctor and Patient Engagement

As taxpayers, we have subsidized the purchase of electronic medical records systems to the tune of $30 billion, creating the new EMR billionaire club, but has this investment paid off?  There is no evidence thus far that the quality of care has improved due to these investments.

Delegated Care and The 21 Hour Work Day For Primary Care Providers Transitions of Care

Delegated Care and The 21 Hour Work Day For Primary Care Providers

No wonder we are facing a looming shortage of primary care physicians, the ones we do have don't have time to sleep.  According to the Physicians Foundation, in 2014 81% of physicians say they are overextended or at full capacity and 44% plan to reduce patient access to their services.  There are not enough hours in a day for providers to do their job so they are cutting back on patients seen, retiring, working part-time and even closing their practices to new patients. 

The Smartphone enters its age of Ubiquity Hospital and Healthcare Marketing

The Smartphone enters its age of Ubiquity

How many times a day do you look at your smartphone?  15? 20? Think about all the things you’ve come to use on your phone for besides phone calls and how it’s quickly become a tool greater than any of us could have imagined.  Smart phones have become an integral part of our lives since the first iPhone and Android came out in 2007 and 2008 respectively.  In fact, once smartphones hit the market they had the fastest adoption rate in tech history.  Faster than the television, the cellphone and even the internet.  In 2015, nearly two thirds of Americans are smartphone owners and for many, these devices are the key entry point to the online world.

2015 HIMSS Mobile Survey Highlights Provider Goals and Challenges around Mobile Hospital Mobile Apps

2015 HIMSS Mobile Survey Highlights Provider Goals and Challenges around Mobile

2015 HIMSS is in full swing and to kick things off the nonprofit released their 2015 HIMSSS Mobile Technology Study. We looked at how the survey reflects challenges around our mobile product and others.  

With New Chronic Care CPT Code 99490 is CMS Getting Serious About Chronic Care? Care Coordination

With New Chronic Care CPT Code 99490 is CMS Getting Serious About Chronic Care?

I was recently trying to explain the term “null set” to my middle-schooler for her math class.  I suggested to her that could be illustrated as the (lack of) intersection between things she wanted to do on a school night and things she was allowed to do on a school night.  Unfortunately, the same null set could describe the lack of intersection between “What Clinicians Can Bill For” and “Things That Help Manage Chronic Disease.”  

Playing Whack-A-Mole With Costs -CMS and Joint Commission Weigh In on Care Transition Care Coordination

Playing Whack-A-Mole With Costs -CMS and Joint Commission Weigh In on Care Transition

With the rising cost of post-acute care now approaching the cost of in-patient care, it’s no surprise that the world’s largest health insurer, the U.S. Government, has some thoughts on the subject, and those thoughts are being translated into new Joint Commission Quality Metrics.

Help! I’ve Fallen And I Can’t Get Up! Managing a Patient’s Total Cost of Care Care Coordination

Help! I’ve Fallen And I Can’t Get Up! Managing a Patient’s Total Cost of Care

Stephen Brill’s new book and follow-up to his much-quoted Time magazine article, America's Bitter Pill: Money, Politics, Back-Room Deals, and the Fight to Fix Our Broken Healthcare System  repeatedly makes the point that Obamacare doesn’t address costs or quality.  And it doesn’t.  For industry people, we know that’s not the job of the government, nor do we want it to be. 

If You Knew You Could Reduce Readmissions by 32% via Telehealth, Would You Do It? Care Coordination

If You Knew You Could Reduce Readmissions by 32% via Telehealth, Would You Do It?

Of course you would.  These strong results are courtesy of the Veterans Administration, who, via their extensive telehealth program, reduced readmissions for in-home telehealth participants by 32% and reduced the number of bed days for telehealth participants by 42% in FY 2014, according to an iHealth.org report.

Delaware Patient Engagement Rankings

Top health systems:

provide patients with information and tools that support self care,
enable patients to have rich online interactions with the health system both through patient portals and through social media,
have low 30-day readmissions,
and have high patient satisfaction (HCAHPS) scores.

Nebraska Patient Engagement Rankings

Top health systems:

provide patients with information and tools that support self care,
enable patients to have rich online interactions with the health system both through patient portals and through social media,
have low 30-day readmissions,
and have high patient satisfaction (HCAHPS) scores.

Kansas Patient Engagement Rankings

Top health systems:

provide patients with information and tools that support self care,
enable patients to have rich online interactions with the health system both through patient portals and through social media,
have low 30-day readmissions,
and have high patient satisfaction (HCAHPS) scores.

Arkansas Patient Engagement Rankings

Top health systems:

provide patients with information and tools that support self care,
enable patients to have rich online interactions with the health system both through patient portals and through social media,
have low 30-day readmissions,
and have high patient satisfaction (HCAHPS) scores.

Oklahoma Patient Engagement Rankings

Top health systems:

provide patients with information and tools that support self care,
enable patients to have rich online interactions with the health system both through patient portals and through social media,
have low 30-day readmissions,
and have high patient satisfaction (HCAHPS) scores.

Missouri Patient Engagement Rankings

Top health systems:

provide patients with information and tools that support self care,
enable patients to have rich online interactions with the health system both through patient portals and through social media,
have low 30-day readmissions,
and have high patient satisfaction (HCAHPS) scores.

Texas Patient Engagement Rankings

Top health systems:

provide patients with information and tools that support self care,
enable patients to have rich online interactions with the health system both through patient portals and through social media,
have low 30-day readmissions,
and have high patient satisfaction (HCAHPS) scores.

Florida Patient Engagement Rankings

Top health systems:

provide patients with information and tools that support self care,
enable patients to have rich online interactions with the health system both through patient portals and through social media,
have low 30-day readmissions,
and have high patient satisfaction (HCAHPS) scores.

California Patient Engagement Rankings

Top health systems:

provide patients with information and tools that support self care,
enable patients to have rich online interactions with the health system both through patient portals and through social media,
have low 30-day readmissions,
and have high patient satisfaction (HCAHPS) scores.

Michigan Patient Engagement Rankings

Top health systems:

provide patients with information and tools that support self care,
enable patients to have rich online interactions with the health system both through patient portals and through social media,
have low 30-day readmissions,
and have high patient satisfaction (HCAHPS) scores.

Ohio Patient Engagement Rankings

Top health systems:

provide patients with information and tools that support self care,
enable patients to have rich online interactions with the health system both through patient portals and through social media,
have low 30-day readmissions,
and have high patient satisfaction (HCAHPS) scores.