Switzerland Telemedicine Market is Expected to Reach Over CHF 500 Million by 2022: Research Forecast
Telemedicine services will be more reliant on cloud-based compared to the web-based as the data or details of every patient is stored on the cloud while treatment. Artificial intelligence will be the future trend in the Tele-Medicine. There will also be more emphasis placed on the use of connected devices which can be continuously monitored at Tele-Medicine Center and required action can be taken. There is a scope that virtual hospitals might come into the picture which will be a central hub and where the patients could be treated via telemedicine.
Companies will enhance their services in order to compete in the market. Medgate will develop more follow-up services for stroke and epilepsy in coming years. Clinical robots are expected to be popular technology in the telemedicine market in future as they will help the specialists to visit their patients regardless of the location. Moreover, the specialists will be able to connect with the patient and X-ray or laboratory reports simultaneously. Personalized telemedicine applications can be made in future for both the patient and the doctor, which will be customized according to the requirements of the customers. Moreover, there will be better integration of EHR software
Radiology has been used effectively in the telemedicine market and fields such as dermatology, mental health and stroke care are also being used heavily. In future, other fields might explore telemedicine further such as psychiatry, neurology and others. Moreover, psychological ailments will become a big challenge for Swiss healthcare which will further increase the demand for tele-psychology.
Switzerland Telemedicine market is expected to register positive CAGR of around 12.4% during the period 2018-2022 in terms of revenue. Providing better data security and adopting different marketing techniques to creating awareness is expected to have positive impact on the overall telemedicine market.
eMEDICS.org, a YFORM Ltd company, is pleased to announce IT consultancy work with WHO, the World Health Organization. This is part of the Framework Convention on Tobacco Control (WHO FCTC). eMEDICS.org will be involved in a pilot project in seven countries to measure compliance with smoke-free legislation and bans on tobacco advertising, promotion and sponsorship (TAPS), using mobile technology. The use of conventional and crowd sourcing surveys will be deployed to conduct the surveys using a special Mobile App that has been developed for the project enabling offline capabilities. Building capacity of implementing agencies and training data collectors on data collection, data monitoring and preliminary analyses are the keys deliverables of that project.
The considerable hype around blockchain is starting to be tempered by enterprises earning practical experience and identifying worthwhile use cases for the technology.
Most of the buzz around blockchain in healthcare has focused on EHRs, interoperability and security, but a new potential for value-based care, precision medicine and a patient-driven healthcare system are emerging as more clear and present opportunities for the distributed digital ledger technology.
While we don’t expect the hope for data interoperability and security to fade away, hospital executives who want to stay abreast of what’s really happening with blockchain will also need to understand these new considerations.
Blockchain and the move to value-based care
A variety of possible use-cases for blockchain are coming into focus for healthcare, ranging from clinical to financial to administrative.
“Traditional healthcare fee-for-service payment systems are overly complex and expensive from an administrative perspective. On average, payment administration accounts for about 14 percent of healthcare spending. Blockchain applications can definitely reduce the waste,” said Corey Todaro, chief product officer at Hashed Health, which leads a consortium of healthcare companies focused on accelerating innovation using blockchain.
Beyond fee-for-service, blockchain as a technical architecture can enable value-based payments to take off and thrive, some experts said.
“Blockchain can enable a smart payment system to match the distributed care teams that will take responsibility for episode- and disease-centered payment models,” Todaro added.
Claims adjudication and billing management is ripe for a blockchain-based system that can provide realistic solutions for minimizing medical billing-related fraud; this is a highly relevant use-case given the amount of fraudulent activities around improper medical billing and reimbursements across the payer industry, said Tapan Mehta, market development executive in the healthcare practice at DMI, a mobile technology and services company.
“For example, in a situation where a health plan and patient are dealing with a contract, the blockchain could automatically verify and authorize information, as well as the contractual processes, eliminating the back-and-forth between multiple parties,” Mehta said. “This would increase transparency and efficiency, leading to lower administration costs, faster claims processing and less money lost.”
Precision medicine and a patient-driven healthcare system
Blockchain-based systems could help drive unprecedented collaboration between participants and researchers around innovation within medical research, particularly in the fields of precision or personalized medicine.
Maria Palombini, director of emerging communities and initiatives development at the IEEE Standards Association, said that blockchain can enable the patient-driven healthcare system.
“The lack of interoperability among data systems in a personal health network is a detriment on patient care,” she said. “Informed patients know that data is critical to enhancing their care and safety. This is beyond safety from data hacks, this is the ability for their healthcare providers to have access to information that will help them better treat the patient.”
There has been a trend in educating patients to manage their health to embrace wellness and prevention, and that may also include the data that is generated out of this practice, she added.
The best type of patient is an informed patient. If blockchain can deliver a patient-managed EHR system, the business of healthcare will be about delivering service and treatment to better health and not owning the patient’s health, Palombini said.
Precision medicine in clinical trials presents another big opportunity for blockchain innovation, Mehta said.
“According to IgeaHub, it is estimated that about 40 percent of clinical trials go unreported,” he said. “In fact, a majority of pharmaceutical research related to clinical trials is completed in silos, thereby making collaboration across an organization’s internal team impossible. This creates crucial safety issues for patients and knowledge gaps for healthcare stakeholders and policymakers.”
The contribution of wearables
Wearables and internet of things devices can also be integrated into the health IT ecosystem via blockchain.
“Health wearables are currently hoarding critical information for clinical research, outcomes of treatments, and disease prevention and management,” Palombini said. “However, in its current state, the information often sits in a repository where raw data may be inaccessible and never has the ability to be shared for other uses.”
If validated, this health data could be secured, shared and verified on a blockchain and the function of the health wearable takes on a whole new role, with, for example, clinical trial patient recruitment, clinical research and treatment of disease.
Indeed, patient-mediated health data exchange holds a big opportunity for blockchain innovation in healthcare. Blockchain can empower patients and data owners to control access to their healthcare data by using the blockchain as a system of record for patient consent and health data transfer activity.
“Today, patients have little access to their health data and cannot easily share with researchers or providers,” said Shahram Ebadollahi, chief science officer at IBM Watson Health. “Giving patients the opportunity to share their data securely, for research purposes or across their healthcare providers, creates opportunities for major advancements in healthcare. Blockchain technology is designed to make this a reality.”
As more and more patients gain that kind of control over their own data it will flow more efficiently across the system to create something a lot closer to a longitudinal view than what exists now and that, in turn, can enable more accurate data, better access to new treatment options and ultimately improved outcomes, Ebadollahi said.
Yes, this is where electronic health records come back into the blockchain picture.
Blockchain and EHRs
One big question is how might blockchain affect the evolution of the electronic health record? Blockchain can enhance EHRs in many ways, presuming healthcare CIOs and other executives want to move in that direction.
“Blockchain will help connect electronic health records across providers, to enable the full view of a patient’s health data, if patients provide the consent to do so,” Ebadollahi said. “This would be through a patient-mediated health data exchange.”
Currently, EHRs focus on clinical data. The fastest growing type of information is exogenous data, from mobile devices and medical devices and including genomics, Ebadollahi added, and blockchain can help connect these disparate sources to the more traditional clinical data.
The electronic health record, in fact, is generated from many different sources – hospitals, doctors offices, labs and more – each acting as the owner of the data. The fragmented network tying things together can be viewed as more about maintaining the business of patient care.
“If we look at the truly disruptive and emerging trend in blockchain and healthcare, the EHR will be created, maintained and distributed by the patient,” said IEEE’s Palombini. “Therefore, no longer multiple health records owned and operated by Healthcare Inc. Instead, it will be one record with multiple compartments containing data that was extracted as a service by one of these entities and given back to the person to add to their health record.”
These entities will no longer own a patient’s health record; they will merely contribute to the data in it as a rendered service, she added. Blockchain could flip the ownership and maintenance of the EHR completely upside down. It could empower patients to choose with whom, how much, and when they want to share their information, and not be beholden to any health system, she said.
Dave Watson Chief Operating Officer of SSI Group said that EHRs and blockchain working together have a long way to go.
“First, EHR vendors have so many pressing enhancements to deliver, and second, without clear and compelling use-cases, why would EHR vendors move blockchain up in the development queue?” Watson pressed. “They may entertain some proofs of concept or simply make positioning statements so they don’t appear to not be on the bandwagon, but that’s not a viable deployment of the technology.”
Blockchain and security
Another area in healthcare where blockchain could have a profound impact, like with EHRs, is cybersecurity. Blockchain can fundamentally change the way healthcare CISOs and infosec teams think about securing data.
“Blockchain offers a new combat strategy because it is not simply a security system, it is a technology that compels every enterprise professional to rethink their business operations in a digital universe,” Palombini said. “Blockchain is not a patch. It’s a whole new approach to distributing, managing and verifying information in a tamper-proof, decentralized system.”
All transactions are time-stamped and replicated in every block visible to permissioned users but can never be altered, only appended. The decentralized nature of the blockchain provides the ability to distribute anonymized, encrypted data that can be verified by credentialed users.
“This can provide traceability for all health data access, with transparency to auditors,” said IBM’s Ebadollahi. “Blockchain can provide integrity of data by maintaining indelible hashes of the data, so that any alterations of the data are detected.”
The distributed digital ledger technology can also can maintain keys for access to data, adding another level of security by working in concert with other systems to produce immutable audit logs, thereby making illegitimate access more difficult, Hashed Health’s Todaro said.
The largest opportunity is rethinking the movement of data in the healthcare ecosystem. Todaro explained that blockchain enables the development of light-data transactional models in which partners can get expanded utility without having to do large-scale data transfers or availability, both of which are sources of cybersecurity risk.
“One might argue that it may not be blockchain the technology that is oversold, but the amount of work to fix existing taxonomies, protocols and policies to fully maximize blockchain may be undersold.”
Maria Palombini, IEEE Standards Association
Hype outpacing reality?
In the end, one might wonder whether blockchain is all it’s cracked up to be. Evangelists sure make blockchain sound like a panacea for all of healthcare’s woes. But is it? Or is there more hype than promise?
Today, the challenge in truly driving innovation in the healthcare system is the inability to obtain and share clean patient health data while maintaining data privacy. The current crop of data management systems are not designed to evenly negotiate the ability to share data while retaining privacy, so the default has been to safe-harbor the data and let data-sharing fall to the wayside.
“The lack of data-sharing has become a true impediment to advancing innovation in drug development and healthcare,” Palombini said. “The true value healthcare providers offer is not the service or product but the data they provide. The data is the key to innovation in finding treatments, disease prevention and more.”
The very nature of blockchain – to distribute information with anonymity in an encrypted and tamper-proof environment – provides the platform to overcome this critical barrier of data-sharing and privacy, Palombini said.
As history has shown time and again, however, technology for technology’s sake cannot fix all problems.
“One might argue that it may not be blockchain the technology that is oversold, but the amount of work to fix existing taxonomies, protocols and policies to fully maximize blockchain may be undersold,” Palombini said.
“It’s important to remember we are just at the beginning of blockchain’s potential in health, so it will take some time before its benefits are fully realized.”
Shahram Ebadollahi, IBM Watson Health
An evolutionary journey
Palombini said that there are already more than 100 blockchains in existence across multiple vertical industry sectors.
“It’s important to remember we are just at the beginning of blockchain’s potential in health, so it will take some time before its benefits are fully realized,” IBM’s Ebadollahi said. “But it’s potential should not be underestimated.”
In the next five to 10 years, patient consent and data exchange backed by blockchain could fundamentally change the way healthcare services are provided by making patient longitudinal data readily available and opening the door to new treatments, new care delivery models and better coordination of care, IBM’s Ebadollahi explained. He pointed to blockchain underlying precision medicine and wellness programs outside the health systems as potentially having a large impact on outcomes.
And the matters of blockchain’s inherent limitations with respect to scalability, confidentiality and governance still need to be ironed out, SSI Group’s Watson said.
Working through those thorny issues will be an evolutionary journey for blockchain-based healthcare applications. Trust and governance are key as the interval between proof-of-concept production-quality technologies gets shorter. And building blockchain networks will require a lot of heavy lifting by software vendors and hospitals alike.
Making your home safe for a loved one with Alzheimer’s By Lydia Chan
When a loved one is diagnosed with Alzheimer’s disease, home safety takes on a whole new meaning. You may go for years satisfied that you’ve made your home environment safe by keeping sharp objects put away and cabinet doors closed.
Alzheimer’s changes the game radically: almost overnight you’re forced to see your home through very different eyes. Objects that may have occupied the same space for decades suddenly pose a lethal threat. It can be very easy to overlook something if you’re not very careful. For instance, if you’re not used to keeping your doors locked 24 hours a day, an Alzheimer’s patient can easily slip out and wander away.
Keeping a loved one with Alzheimer’s safe is a round-the-clock responsibility. It can be stressful and frustrating, forcing you to call on reserves of patience you didn’t know you had. You need to continually assess their capabilities and acuity, making any adaptations that a sudden change in their condition may require.
Keep a checklist
Making a checklist can help you maintain a safe environment. It should cover every room in your home, include instructions if there’s an emergency, and be revised or added to depending on your loved one’s situation. If you feel the need, request a home safety evaluation to make sure you’ve accounted for everything. Many healthcare professionals and social workers are fully qualified to help you with this important task.
Safe and secure
About 60 percent of the Alzheimer’s population wander off and get lost; one-third of those who aren’t found within 24 hours don’t survive. The first thing you should do is make certain that there are solid, reliable locks on all exterior doors and windows. If possible, put in an alarm system so you’re alerted the instant a window or door is unlocked. And conceal a house key somewhere in your yard in case you’re inadvertently locked out of the house.
Falls are another major safety concern if your loved one has Alzheimer’s. That makes your stairways very dangerous. Each should have a handrail running from the top all the way to the bottom step. Install safety strips on each stair to improve traction and help prevent slippage. If your family member needs help getting up and down stairs, make sure there’s a safety gate blocking the top and bottom (if your gates are worn or hand-me-downs, consider buying new ones).
Clear the clutter
Clutter is a big problem for people who suffer from dementia. Studies have shown that scattered objects only add to their confusion, and impair their ability to make sense of their surroundings. Clutter is a major cause of falls. An Alzheimer’s patient may have trouble navigating even familiar surroundings, so it’s important to keep everything picked up and off the floor. Avoid using extension cords if at all possible, and make sure that the grates on all floor vents are secure and even with the floor.
Medication, alcohol and more
A person who’s cognitively impaired can confuse a dangerous substance for something that’s perfectly harmless. Alcohol and cleaning fluids should be securely locked away in a cabinet and all medication should be kept in a safe place. Your loved one’s prescriptions should be clearly marked. Request a child-proof top if necessary.
A tense situation
Alzheimer’s disease affects about 5.4 million Americans, about 5.2 million of which are 65 and older. It can be your grandparent, your cousin, your sibling or even your parent who faces the diagnosis. Eventually, those with Alzheimer’s require round-the-clock care, and for many families, that means taking the loved one into their own home. Following a home safety checklist can help you control what can be a tense and frustrating situation.
A visit to the hospital typically ends in a doctor prescribing a particular set of medications, the details of which are printed on a physical form and handed to the patient. The patient must then take the form and submit it to a pharmacist.
Looking to overturn this traditional model, South Korea has set out to start digitizing prescription forms and make them accessible via mobile devices.
The Korea Internet & Security Agency said Tuesday that it has signed a Memorandum of Understanding with Seoul National University Hospital and Samsung Medical Center to create and implement a new service that digitizes prescription forms.
Under the agreement, the two hospitals will deploy a new system that lets patients receive and access prescriptions via their mobile devices, offering them convenience and an organized digital database of their prescription records that can be used for future personalized medicine services, KISA said.
The system will be adopted by the two hospitals within the first half of 2018, according to the Seoul-based internet technology agency.
In addition, implementing mobile-based prescriptions will save 2 million pieces of paper per year and allow pharmacies to retain their prescription records in an organized way without physical hurdles, it added.
KISA did not state whether it would expand its prescription digitization project to additional hospitals.
“Global Non-Clinical Homecare Software Market Size, Status And Forecast 2022”
Homecare software is a specifically designed software to manage all the operations in the homecare industry. Individuals with some disability and elderly population, who are unable to manage their daily routine activities, are dependent upon homecare services provided by well-known homecare agencies.
The global nonclinical homecare software market is majorly driven by increasing prevalence of chronic diseases for instance, lung cancer, cardiovascular diseases, and others, increasing number of healthcare agencies procedures, and increasing demand for home healthcare.
Increasing geriatric population and healthcare expenditure have boosted market growth. Moreover, changing environmental condition and increasing per capita income have fuelled the growth of the market over the review period. However, high cost of the software, data security concerns, and limited availability of skilled professionals may slow the growth of the market.
Nonclinical healthcare software helps to manage the individuals with some disability and elderly population, who are unable to manage their daily routine activities The research report, titled “Global Non-Clinical Homecare Software Market Professional Survey Report 2017,” provides an assessment of this market based on its past as well as the current performance, highlighting each of the geographical segment. The key driving forces, restraining factors, limitations, prominent trends, opportunities, and future prospects of the worldwide market for Non-Clinical Homecare Software have also taken into consideration in this market study.
This report studies the global Non-Clinical Homecare Software market, analyzes and researches the Non-Clinical Homecare Software development status and forecast in United States, EU, Japan, China, India and Southeast Asia. This report focuses on the top players in global market, like
ComForCare Health Care Holdings (US), Agfa Healthcare (US), Mckesson Corporation (US), General Electric Company (UK), Siemens Healthcare (Germany), Allscripts (US), Cerner Corporation (US), Hearst Corporation (US).
Table of Content:-
Global Non-Clinical HC Software Market Size, Status and Forecast 2022
1 Industry Overview of Non-Clinical HC Software
1.1 Non-Clinical HC Software Market Overview
1.1.1 Non-Clinical HC Software Product Scope
1.1.2 Market Status and Outlook
1.2 Global Non-Clinical HC Software Market Size and Analysis by Regions
1.2.1 United States
1.2.6 Southeast Asia
1.3 Non-Clinical HC Software Market by Type
1.3.1 Agency System
1.3.2 Non-Clinical Health Management System
1.3.3 Telehealth System
1.4 Non-Clinical HC Software Market by End Users/Application
1.4.1 Private HC Agency
1.4.2 Rehabilitation Center/Therapy Center
1.4.3 Hospice Care
2 Global Non-Clinical HC Software Competition Analysis by Players
2.1 Non-Clinical HC Software Market Size (Value) by Players (2016 and 2017)
2.2 Competitive Status and Trend
2.2.1 Market Concentration Rate
2.2.2 Product/Service Differences
2.2.3 New Entrants
2.2.4 The Technology Trends in Future
3 Company (Top Players) Profiles
Research N Reports is a new age market research firm where we focus on providing information that can be effectively applied. Today being a consumer driven market, companies require information to deal with the complex and dynamic world of choices. Where relying on a sound board firm for your decisions becomes crucial. Research N Reports specializes in industry analysis, market forecasts and as a result getting quality reports covering all verticals, whether be it gaining perspective on current market conditions or being ahead in the cut throat United States and Global and Global competition. Since we excel at business research to help businesses grow, we also offer consulting as an extended arm to our services which only helps us gain more insight into current trends and problems. Consequently we keep evolving as an all-rounder provider of viable information under one roof.
CoreERP, eMEDICS.org’s software solution has been successfully adapted to the Swiss Home Care system.
For more than a year now, eMEDICS.org, specialist in mobile and web health applications, has provided added value software to its clients. By joining forces, our ambition is to provide quality products and meet Swiss health sector demands both in terms of business specifications and technological realization.
After receiving numerous recommendations from GE / VD physicians, as well as several Swiss organizations such as SwissAgisan and MyPrivateCare, we have incorporated several improvements to CoreERP, in order to offer a more complete and turnkey solution to all Swiss Home Care organizations.
Medical forms managed by these associations such as the patient records, medical RAI and household assessments, the exit form are already supported by CoreERP but we went further…
A) What’s new?
A.1. Diversified Cloud Solutions
We tested our CoreERP solution on several infrastructures including DigitalOcean, AWS, Azure, InfoManiak and Exoscale. Deployment remains generic and simple. We are currently discussing a possible offer of CoreERP with Swisscom, as part of their SaaS (Solution As A Service) portfolio. There are also several possible synergies between Evita, the SwissCom solution for medical organizations and CoreERP with the upcoming launch of a Health Care Network (data sharing between patients and doctors).
A.2. More advanced process automation
Business processes in the health field are complex. Automation is key for time saving and cost reduction. CoreERP offers a unique automated solution. Here are some of the improvements:
A.2.1. Implementation of a summary table
A summary table of patient records is now available for the web and mobile version. It does contain the most important fields such as vital parameters (weight, respiratory rate, body temperature, blood pressure, pulse rate, etc.), RAI alarms, performance scales, observations and / or tasks related to this patient. This table is very useful for health field workers who need quick access to important data.
A.2.2. Form Automation
◦ When a medical claim is completed, RAI and household assessments are now automatically generated. They’re no longer created manually
◦ For RAI evaluations, the active instance is synchronized automatically between the mobile app and the back-end. When the field worker completes the evaluation, CoreERP then generates the “action plan”, the RAI alarms and the performance scales (AVQ, IAVQ, CPS et DRS).
◦ The renewal of RAI assessments and the OPAS management are also automated.
◦ When the medical claim is created, the associated exit form is also created in order to handle end-to-end tracability.
◦ When the exit form is completed, all associated forms (medical claims, patient forms, evaluations…) are automatically archived. If a conflict occurs, CoreERP identifies the issues and raise corrective actions to the administrator. The DMST (canton de VD) is also generated automatically.
A.3. Automatic Document Generation and EDM (Electronic Document Management)
◦ Working documents can be generated automatically saving valuable time to administrators and avoiding data entry mistakes. For example, the DMST V2.1 (Medico-social transmission document) which is a standardized document used in the canton de VD when transferring a patient from one healthcare provider to another, contains useful information to ensure continuity in patient care. These include administrative information, a contact list (Caregivers, family and relatives), health checks and data transfer. The DMST was developed within the framework of the cantonal programs in order to improve patient quality follow-up among partners (eHealth). CoreERP generates this document and track its status for a better follow-up during the transfers.
◦ CoreERP has an incorporated EDM system that could easily integrate with existing systems such as SAP, Documentum and SharePoint (Office365).
A.4. Improved ergonomy and analysis tools
◦ The Offline solution has been improved. The field collaborator no longer needs to intervene for data synchronization between field workers and the admin center. Note that if the internet connection is available, the collaborator has the possibility to initiate a synchronization by hand, in order to refresh the data in real time. But this is an optional operation and is not mandatory.
◦ Color code: For RAI evaluation, for example, a color code has been added to identify the progress of each section. This is very useful if the evaluation is performed during multiple visits. By knowing the status of the section, productivity is greatly improved. The color codes are as follow:
▪ Red to indicate that the section was not started.
▪ Blue to indicate that the section has been started.
▪ Green to indicate that the section has been completed.
◦ Several KPIs (Key Performance Indicators) are now available in the turnkey solution such as patient evolution history, statistics related to the number of RAI assessments to be processed, the number of billing mandates to be processed, various indicators such as LAMAL / NON-LAMAL acts…
B. Additional functionalities will be available by Q2 2018:
◦ The multilingual module will be available in French, Italian, German and English.
B.2. Automated action plan
◦ Although there are no QSYS and InterRAI specifications regarding action plan automation, we should be able to push the automation to a higher level. Our algorithm will link generated RAI alarms to OPAS and RAI HC, ASSASD acts. An action plan will then be generated proposing recommended acts and frequencies. The staff will then evaluate the plan and make any correction to it. Based on staff’s changes, the algorithm will adapt and propose new action plan for similar patients. The machine will never replace human and medical expertise but our solution will help improve analysis and validate action plans faster.
B.3. OPAS approval process
◦ The OPAL follow-up and renewal process already exist. CoreERP goes further… The approval OPAS process will be fully automated by the use of workflows and electronic certified signatures of the attending physician, the insurance and the home care organization. That would simplify the OPAS traceability and improve productivity for all parties.
B.4. Implementation of automated activity reports and time sheets
◦ CoreERP now manages a manual activity report for employees. In the near future, CoreERP will be able to generate automated ones based on the action plan acts and next, the billing statements.
B.5. Software enhancements
◦ CoreERP is using the most advanced open source technologies such as NodeJS, Bootstrap, Angular2, IONIC1 and CouchDB. The ultra-fast Google V8 engine allows to decouple application requests and offline synchronization, thus eliminating any latency and improving the user experience. Field staff can focus on their business activities and not worry about the mobile interface. We plan migrate the CoreERP mobile application to IONIC2 in the coming months to further improve this user experience.
B.6. Automated planning
◦ With the advanced Geo-localization tools, we will be able to create visits and optimize field staff journeys (and thus reduce the cost and duration of field staff journeys).
B.7. eMEDICS.org Health Care Network (EHC Network)
◦ CoreERP is a platform that will be opened to all physicians, clinics, pharmacies, Home care organizations, hospitals, insurance companies (with the preservation of medical data of patients), and patients themselves, facilitating the exchange of medical information. A catalog of forms will be available to medical organizations, which will allow them to set better diagnosis and share data with the patients (patients could also provide health measurements over time).
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EHR optimization – Baystate Health takes aim at click fatigue with mobile-optimized workflow tool.
Like all healthcare CIOs, Joel Vengco, chief information officer at Springfield, Massachusetts-based Baystate Health, has no shortage of pressing projects competing for his attention for EHR optimization.
Whether it’s working to drive operational efficiencies across the $2.5 billion health system, improving the usability of an array of applications for clinical end users, spearheading community engagement and patient outreach for population health management or working on analytics and “knowledge management,” it all make for a busy workday.
That’s all in addition to the imperative of constant innovation: Beyond just being Baystate’s CIO, Vengco is the founder of TechSpring, an innovation center based at the health system where IT vendors are given secure access to real patient data to speed the development of new technologies.
“So there are lots of things to focus on as a CIO – notwithstanding all the security issues we’ve got to focus on too,” he said.
But even with so much going across Baystate – five hospitals, an academic medical center, 90 medical groups, a health plan with about 250,000 members, “a Next Gen ACO that we manage, and we’re getting into a Medicaid ACO” – Vengco has generally felt pretty on top of things.
Except, until recently, with one important initiative.
“The big project we’ve still yet to quite crack the nut on is: How do you optimize the EHR? How do you optimize the workflow for a clinician?” he said.
Work for providers, on a day-to-day basis, just gets more burdensome, said Vengco. “They’ve got to document, they’ve got to bill – and then they have to see the patient at some point. And then that 15-minute visit becomes a 20- or 30-minute visit because you’re doing all this other work.”
So Vengco posed a tall task to his IT team: Optimize the electronic health record and improve workflow for Baystate’s clinicians. But do it, crucially, in a way where the clinicians take to the new approach voluntarily, because it works better for them, rather than having to be told to do so.
“That was the challenge,” he said. “To leverage our current legacy EHR, Cerner, but then really enhance it without ripping and replacing it.”
For help, he turned to Palo Alto, California-based Praxify, whose recently unveiled MIRA app can augment existing EHRs, integrating with legacy systems to improve workflow.
Touted as being designed by and for physicians, the app offers capabilities such as “glanceable” interfaces that can surface key patient data for faster documentation and review, and dictation tools that enable voice-activated order entry.
The app gives clinicians the “data and the functionality they need within one or two touches or clicks,” said Vengco. “In our case, it’s more of a mobile design, using the heuristics of swiping and all the mobile capabilities you’re using in your day to day life.”
To Praxify, he also had some clear instructions: “We can’t spend two years doing this, we can’t spend millions of dollars putting you guys on top of Cerner. That doesn’t create value. What creates value is doing it in three to five months and actually getting adoption by the providers without me mandating use,” said Vengco.
“That challenge, happy to say, has been met,” he said.
Praxify connects with Cerner, using APIs, in just two or three months, he said. “Now we’re going full force with a production deployment to our health system. And some of the preliminary feedback is that providers, who are some of the hardest customers, are saying they definitely want to use this,” he said.
“We had a hospitalist, probably one of the most vocal critics of our EHR, initially said she wasn’t going to use Praxify,” said Vengco. “She said it was just another technology burden.”
Not long after trying it, she returned to the CIO with glowing reviews. “She said, ‘This is amazing. It’s incredible.'”
Across Baystate, “we’ve seen efficiencies of, on average, 40 percent if you compare it to the way the EHR was previously being used,” said Vengco. “They love the fact that they can get it on any mobile device. They love that, instead of taking five or seven or 10 clicks, it’s a swipe, or a touch. It’s efficient and fast. They love the design of it. They love that they can dictate.”
Because it connects directly to the EHR, there’s no concern about a loss of data. “And the design is intuitive enough that we don’t have to do five or seven hours of training – it’s a 20-minute discussion and they’re off and running,” he said.
The point, said Vengo, is that “I want them to adopt it themselves. If I give it to them and it goes viral, and they take to it, that means it’s intuitive, it’s optimized, and that makes me happy because the providers are happy.”
Global remote patient monitoring device market is expected to expand at a CAGR of 6.7% and is estimated to reach US$ 1,502.9 Mn by 2024, creating incremental opportunity of US$ 657.1 Mn between 2016 and 2024. Persistence Market Research analyzes the overall performance of the global remote patient monitoring device market and provides key insights on the factors and trends likely to influence the market during this eight-year period.
Rising prevalence of cardio vascular diseases, respiratory disorders, and diabetes in the general population are major factors driving the growth of the global remote patient monitoring device market. Increasing healthcare expenditure and increasing availability of effective treatment solutions for chronic diseases is also projected to boost revenue growth of the global remote patient monitoring device market. Other factors boosting market growth include an increasing awareness among people to self-monitor before disease advancement and government reimbursement issued on homecare settings facilities.
Lack of trained professionals to help with remote patient monitoring devices is expected to hinder market growth of the global remote patient monitoring device market. Insufficiency in maintaining the privacy and security of the stored data, lack of uniformity in device functionality, and lack of general awareness on patient monitoring devices are the key restraints challenging the market.
Global remote patient monitoring device market is segmented on the basis of Product Type (Cardiac Monitors, Respiratory Monitors, Hematological Monitors), Application (Cardiac Arrhythmia, Diabetes, Ischemic diseases, Hypertension, Sleep apnea, Chronic respiratory diseases, Hyperlipidemia), End User (Hospitals, Homecare Settings, Long-term Care Centers, Others), and Region (North America, Latin America, Europe, APEJ, and MEA).
By product type, the cardiac monitors segment is expected to remain the largest segment and is anticipated to reach US$ 765.4 Mn by the end of 2024, expanding at a CAGR of 6.9% over the forecast period. By the end of 2024, the respiratory monitors segment is projected to reach US$ 435.0 Mn, expanding at a CAGR of 6.5% over the forecast period. By application, the cardiac arrhythmia segment is estimated to reach US$ 307.7 Mn by 2024, expanding at a CAGR of 6.8% over the forecast period. The diabetes segment is projected to reach US$ 196.8 Mn by 2024, expanding at a CAGR of 5.6% over the forecast period. By end user, the hospitals segment is anticipated to reach US$ 690.1 Mn by 2024, expanding at a CAGR of 6.6% over the forecast period. The homecare settings segment is anticipated to reach US$ 347.3 Mn by 2024, expanding at a CAGR of 6.2% over the forecast period.
Among regions, North America is estimated to dominate the global remote patient monitoring device market with 31.4% revenue share of the overall market by the end of 2016. The Europe remote patient monitoring device market is anticipated to reach US$ 341.1 Mn by 2024. By 2024, North America and Europe markets are expected to account for over four-fifth share of the global remote patient monitoring device market revenue.
Some key companies covered in the report include Boston Scientific Corporation, Koninklijke Philips N.V., Abbott Laboratories, Nihon Kohden Corporation, F. Hoffmann-La Roche Ltd., LifeWatch AG, Medtronic, and St. Jude Medical. These companies are primarily focused on enhancing their product portfolio through research and development initiatives and through the introduction of innovative technologies in order to gain higher market share and to strengthen their respective positions in the global market.
Digital platforms – As Australia’s healthcare system creaks under the strain of ageing baby boomers and a looming chronic disease crisis, digital solutions like telehealth, big data and the internet of things (IoT) are joining to drive more effective and affordable care, while helping to identify solutions to problems that are yet to even arise.
Australia’s healthcare digital system faces some daunting challenges over the coming years and decades.
With an ageing population and rising incidences of chronic disease, current healthcare resources and funding models are already buckling under the strain, demanding that policy makers and health professionals develop new ways of thinking and problem-solving.
According to Philips Australia and New Zealand managing director, Kevin Barrow the immediate challenge facing healthcare systems is how to develop proactive, rather than reactive, approaches to patient care.
Typically, the older people get the greater the chances they will require hospitalization when they are ill. This is one of the biggest cost burdens on Australia’s healthcare system, while the rising incidences of chronic diseases like diabetes and heart disease across the board, put further pressure on the system.
Data from the US Department of Health and Human Services, and other sources, reveals that in developed countries, as little as three per cent of patients are deemed sufferers of chronic disease. Yet this group uses up to half the available healthcare resources.
This should come as a wake-up call for Australia’s healthcare industry, which has so far been slow to adapt, Barrow says. “Most of our healthcare digital systems haven’t changed in 100 years in terms of how healthcare is delivered.”
Many health facilities and organizations are still bogged down in proprietary legacy systems that can’t talk to each other.
For instance, there are several different imaging and health record systems in Australia, meaning that hospitals and clinicians waste time trying to access patients’ medical histories.
This helps to explain why the fax machine remains an essential – yet extremely wasteful – tool for hospitals and health professionals. Delegates to the recent Royal Australian College of General Practitioners (RACGP) eHealth Forum in Melbourne, were told that some 1 billion pieces of paper are generated by Australia’s healthcare system each year.
Barrow says that often when patients are admitted to hospital, or visit a doctor, the issue is something that could have been dealt with without a physical consultation, if the right systems were in place.
Strong telehealth – or digital telemedicine platforms – allow patients and doctors to interact and engage remotely. Combined with robust, secure digital systems supporting easy access and sharing of patients’ health records, a picture begins to emerge of a more efficient, cost-effective system able to support true continuity of care.
In mid-2016, Philips published the Future Health Index (FHI), a comparative international study analyzing the readiness of healthcare operators around the world to meet the challenges of the future. Some 200 healthcare professionals, and 2,000 patients were surveyed in Australia.
All respondents revealed a strong desire for systems supporting better interaction and data sharing between doctors and patients. However, the survey also showed there’s quite a long way to go.
Most notably, almost three-quarters (70 per cent) of patients said they were having to repeat information about their health each time they visited a different health professional. Other data revealed frustrations around accessing health records, both for patients themselves and people trying to provide homecare to sick relatives.
As one of the world’s leading providers of healthcare innovation, Philips has been involved in a number of important initiatives helping chronic disease sufferers better manage themselves.
Mid-2016, Philips published the results of a three-year ‘self-supported care’ program involving almost 2,000 patients in UK city Liverpool living with chronic, or long-term conditions (LTCs) including diabetes, heart failure and chronic obstructive pulmonary disease (COPD).
The trial sought to improve patient awareness and emotional well-being by combining innovative telemonitoring equipment with a ‘clinical hub’ and a program of case management, monitoring, education and coaching for patients with varying levels of long-term disease. The results included reductions in emergency admissions and secondary care costs ranging from 22 to 32 per cent.
In late 2014, Philips and US-provider Banner Health, commenced a six-month ‘at-home’ telehealth trial for patients with multiple chronic conditions, which saw a 45 per cent drop in hospitalizations, 32 per cent drop in acute and long-term care costs, and a 27 per cent reduction in the total cost of care.
“One of the key themes we see emerging in the sector is the needs of patients becoming increasingly linked with those of the clinician,” Barrow explains, adding that connected digital tools coupled with improved clinical capabilities are driving better collaboration and improved ways to manage health.
How big data will disrupt the future of digital healthcare
Healthcare is an extremely data-intensive industry, with no one expecting the deluge to abate anytime soon.
Added to the huge volumes of conventional patient information, such as x-rays, CT scans, pathology reports and the like, personal health records will increasingly contain genetic, proteomic, 3D and other complex data sets, in turn bringing the promise of personalized medicine closer to reality.
Massive shared, or ‘cloud’ computing grids are increasingly able to process and correlate these sorts of data sets with those charting family histories, as well as data on drug compounds, allowing clinicians to finely calibrate treatments in ways undreamt of five or 10 years ago.
As one of the leading innovators in the personalized health space, Philips is working with New York cancer specialists, WMC Health, to build a large-scale informatics platform designed to create individually-targeted oncology treatments based on each patients’ specific genome. The solution features Philips’ IntelliSpace Genomics Solution which will integrate large-scale genome analysis with large patient clinical data sets.
As big data technologies continue to improve, the possibilities for developing even deeper insights into the factors influencing human health and our environment appear vast.
For instance, healthcare organizations are now realizing the potential to correlate data on chronic or communicable disease with factors such as geography, climate and pollution, socio economic background, age, ethnicity and family history to develop more targeted, cost-effective and measurable healthcare solutions.
The huge amounts of data already being generated within digital healthcare are set to increase by orders of magnitude over the coming years as the expansion of the Internet of things (IoT) gathers pace, potentially linking billions and billions of electronic devices and sensors.
These digital devices and sensors will generate and share still more data, and with them will come more opportunities for discovery. New and emerging systems will add further impetus, morphing and adapting environments as they evolve.
As one of the world’s leading makers of high-end medical devices and solutions, Philips sees IoT as a critically important driver of healthcare innovation moving forward, with implications at the individual level as well as the macro level helping us develop a better understanding and better strategies to prepare for the healthcare challenges that lie ahead.