{"id":3628,"date":"2012-02-27T15:43:24","date_gmt":"2012-02-27T20:43:24","guid":{"rendered":"http:\/\/www.hitconsultant.net\/?p=3628"},"modified":"2023-09-06T14:40:56","modified_gmt":"2023-09-06T18:40:56","slug":"himss-2012-in-retrospect-from-patient-engagement-to-big-data-viva-las-vegas-or-tumbling-dice","status":"publish","type":"post","link":"https:\/\/hitconsultant.net\/2012\/02\/27\/himss-2012-in-retrospect-from-patient-engagement-to-big-data-viva-las-vegas-or-tumbling-dice\/","title":{"rendered":"HIMSS 2012 in Retrospect \u2013 From Patient Engagement to Big Data. Viva Las Vegas or Tumbling Dice?"},"content":{"rendered":"

The following is a guest post from\u00a0Jane Sarasohn-Kahn’s Health Populi<\/a> blog reflecting her thoughts on last week’s HIMSS12:<\/p>\n

\"\"<\/p>\n

The record attendance at\u00a0HIMSS12<\/a>, in terms of both attendees (numbering some 38,000) and exhibitors, illustrated just how hot health information technology has become in the 20 years since I first began attending this meeting \u2014 when it was only a few thousand hospital computer geeks and materials managers picking up pocket protectors and calculators from\u00a0vendors.<\/p>\n

At this year\u2019s\u00a0conference, the major concerns were when Stage 2 meaningful use details would be revealed. HIMSS communications leadership in the press room thought it would be Tuesday,\u00a0then\u00a0Wednesday. Finally, it was\u00a0Thursday\u00a0the 23rd of February when\u00a0Farzad Mostashari,\u00a0National Coordinator for Health IT<\/a>\u00a0at the Department of Health and Human Services, said to a press conference of HIT reporters that the regs were, \u201cAt the Federal Register; they are having formatting issues\u2026.(the regs) are going to get promoted; I think people should just chill.\u201d<\/p>\n

Chill? The questions surrounding what would be included, downplayed, or enhanced for Stage 2 was a main topic of conversation all week at HIMSS. Of course, business was transacted without these details as the heavy lifting (or implementing, as it were) continues on adopting electronic health records and using them in ways that will ensure providers win their fair share of incentives flowing from the HITECH Act included in the stimulus bill (ARRA).<\/p>\n

EHRs alone won\u2019t bend the national health care cost curve or improve population health. To get to those grand goals will require connectivity and Big Data, and these were two major themes at HIMSS 2012. We used to talk about \u201cinteroperability\u201d in the David Brailer days of the Office of the National Coordinator. In 2012, it\u2019s about connectivity, based on the PR and market positioning of dozens of large HIT vendors who are trying to\u00a0walk the talk of openness and\u00a0iPod-like platforms for plugging\u00a0in heterogeneous applications.<\/p>\n

Connectivity then enables data bits and bytes to move through the health ecosystem, beyond a single institution through the cloud \u2014 and it was cloudy all over the HIMSS convention floor, both among large Big Iron vendors as well as the smaller up-starts who are providing some of the more novel and nimble applications that can help physician practices move from \u201chere\u201d to \u201cthere\u201d in getting to meaningful use and connectivity.<\/p>\n

Big Data and data analytics are also important news at HIMSS 2012 as we move from fee-for-services payment (outside of Kaiser, Group Health, Geisinger and VA) toward paying for performance, outcome and value. To do so requires real-time utilization management \u2014 the ability to identify\u00a0people before they get too far downstream as high-cost high-risk patients.<\/p>\n

But patient care isn\u2019t a one-way street: patient engagement can help get people more involved, responsible and active in their own care \u2014 and that\u2019s when outcomes improve and costs (year on year) fall in aggregate. In meaningful use Stage 1, patient engagement is prominently featured. Thus, patient portals were all over the HIMSS convention floor. They came in a broad range of look-and-feel, but most that I kicked tires on weren\u2019t as well designed as I would have liked. We are in the nascent era of patient portals, with miles to go to get to something remotely engaging. Only the most activated patients would cotton onto the portals I viewed. I respect the hard work that\u2019s gone into the dozen+ I dove into\u2026and offered constructive comments to every vendor with whom I met. I am no patient portal maven \u2014 after all, we\u2019re in the First Phase of such tools \u2014 but I\u2019ve been schooled at the foot of Edward Tufte, Juhan Sonin, Michael Graves, and Ikea ; )\u00a0 As Sonin told attendees of his talk on health IT and design, \u201csoftware is a visual medium.\u201d And so many portals\u2019 pages looked like literal photocopies of medical forms \u2014 without videos, engaging graphics, or gamification. Still, this phase of patient engagement is about availability and access to data \u2014 this is a journey, not a destination, I tell myself. But innovative design clearly is prescribed for the patient portal, v2. In the \u201cthat\u2019s what I\u2019m talking about\u201d vein, check out\u00a0Tonic Health<\/a>\u00a0for its fresh approach to patient-centered design and engagement.<\/p>\n

What\u2019s promising on the patient engagement front are the many applications available to people at-home via remote monitoring and on-the-go via mobile applications. This year at HIMSS, the\u00a0Qualcomm Life<\/a>\u00a0and 2net hub included many patient-facing tools from HelloHealth, Asthmapolis, AirStrip, and iSonea, among 40 such offerings.\u00a0 This section of the conference was a nice bridge from the Consumer Electronics Show to the B2B meeting that is HIMSS. I was very happy to see it as health engagement is critical to optimal patient outcomes. With accountable care payment regimes, these tools will be useful complements to inpatient and ambulatory care \u2014 keeping patients healthy on-the-go, and safe and well at home to stem readmissions to hospital.<\/p>\n

Remote devices and patient engagement are addressed in Eric Topol\u2019s important book,\u00a0The Creative Destruction of Medicine<\/a>, which I read enroute to\/from Vegas. Every attendee at HIMSS should have been given a copy at check-in.<\/p>\n

\"\"<\/a>Health Populi\u2019s Hot Points:<\/em><\/strong>\u00a0 I find the lyrics from Elvis\u2019s iconic song,\u00a0Viva Las Vegas<\/a><\/em>, to reflect my post-HIMSS 2012 reflections:<\/p>\n

Demonstrating meaningful use to earn Stage 1\/2 incentives:<\/strong><\/em><\/p>\n

Bright light city gonna set my soul<\/strong><\/em>
\nGonna set my soul on fire<\/strong><\/em>
\nGot a whole lot of money that\u2019s ready to burn,<\/strong><\/em>
\nSo get those stakes up higher<\/strong><\/em><\/p>\n

The hard work ahead<\/strong><\/em><\/p>\n

How I wish that there were more<\/strong><\/em>
\nThan the twenty-four hours in the day<\/strong><\/em>
\n\u2018Cause even if there were forty more<\/strong><\/em>
\nI wouldn\u2019t sleep a minute away<\/strong><\/em><\/p>\n

The risk and opportunity cost<\/strong><\/em><\/p>\n

Oh, there\u2019s black jack and poker and the roulette wheel<\/strong><\/em>
\nA fortune won and lost on ev\u2019ry deal<\/strong><\/em>
\nAll you need\u2019s a strong heart and a nerve of steel<\/strong><\/em>
\nHow I wish that there were more<\/strong><\/em>
\nThan the twenty-four hours in the day<\/strong><\/em>
\n\u2018Cause even if there were forty more<\/strong><\/em>
\nI wouldn\u2019t sleep a minute away<\/strong><\/em>
\nOh, there\u2019s black jack and poker and the roulette wheel<\/strong><\/em>
\nA fortune won and lost on ev\u2019ry deal<\/strong><\/em>
\nAll you need\u2019s a strong heart and a nerve of steel<\/strong><\/em>
\nViva Las Vegas, Viva Las Vegas.<\/strong><\/em><\/p>\n

Health care in the U.S. is at a crossroads. HIMSS being sited in Vegas provided a sobering lens about where health IT in the US could go: if momentum drives adoption, meaningful use, and data analytics that can inform care decisions in real-time getting patients the right care at the right time, then we say,\u00a0in\u00a0Todd Park style<\/a>, \u201cViva health IT!\u201d<\/p>\n

If, on the other hand, the scenario turns out to be a growing chasm between the health care provider \u201chave\u2019s\u201d and \u201chave not\u2019s\u201d (especially community physicians), then the nation will have placed a bet, and lost. And that will not be so much about a few billion dollars; that will be the opportunity cost of moving America\u2019s public health outcomes into a leading place on\u00a0the league table of other OECD nations.<\/p>\n

Next year, HIMSS will be hosted in New Orleans \u2014 two years in a row in cities that tout good times, not so much\u00a0Healthy Cities milieus.\u00a0While no one likes to\u00a0laissez les bons temps roulez<\/em>more than me, I wonder if that\u2019s what we\u2019ll feel like doing reflecting over the 2012-13 year of HIT implementation. Here\u2019s hoping we\u2019ll toast to progress\u2026<\/p>\n

View Jane’s column titled, “From Volume to Value: Connectivity, Big Data and Sustainability Shape HIMSS12<\/strong>” at iHealthBeat that was published today here:http:\/\/www.ihealthbeat.org\/perspectives\/2012\/from-volume-to-value-connectivity-big-data-and-sustainability-shape-himss12.aspx<\/a><\/p>\n

About\u00a0Jane Sarasohn-Kahn:<\/strong><\/p>\n

\"\"<\/p>\n

Jane Sarasohn-Kahn is a health economist and management consultant that serves clients at the intersection of health and technology.<\/p>\n

Her clients include all stakeholders in health, including providers, payors and plans; companies in biopharma, medical devices, financial services, technology and consumer goods; non-profits and NGOs. Jane’s lens on health is best-defined by the World Health Organization: health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.<\/p>\n

Please visit her blog at:http:\/\/healthpopuli.com\/<\/a><\/p>\n

Twitter:http:\/\/twitter.com\/#!\/healthythinker<\/a><\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

The following is a guest post from\u00a0Jane Sarasohn-Kahn’s Health Populi blog reflecting her thoughts on last week’s HIMSS12: The record attendance at\u00a0HIMSS12, in terms of both attendees (numbering some 38,000) and exhibitors, illustrated just how hot health information technology has become in the 20 years since I first began attending this meeting \u2014 when it … Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":3629,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":""},"categories":[542,408,1986],"tags":[900,901,953,579,558,757,567,2403,2404,552,570,665,899,894],"yoast_head":"\nHIMSS 2012 in Retrospect \u2013 From Patient Engagement to Big Data. 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