● Think Tank
personalized care. At the same time, intelligent systems will enable organizations to manage the care of populations of patients. T ese intelligent HIT systems will leverage rules engines, workfl ow
engines, predictive models, intelligent displays of data, algorithms that correct limitations in the data and advanced patient and provider decisions aids. HIT system emphasis will shift from supporting a transaction, e.g., enter an order of scheduling an appointment, to the intelligent support of transactions and decisions.
David Caldwell, Executive Vice President, D
Certify Data Systems T e fi rst signifi cant development I foresee is the ability to better track condition and disease progression with the widespread adoption of autonomous sensors throughout the healthcare setting and various points of
care, communicated through a wireless grid. Eventually, this “ad- vanced telemedicine” will also extend to home healthcare as well. By allowing patient data to be sent automatically rather than gathered by medical professionals, this technology will not only improve patient care, but improve effi ciency, leading to lower labor costs for providers. Another signifi cant development I foresee is full implementation of big data technologies to make sense of the increasing amount of information that will be gathered to make more informed decisions in the clinical setting. T ese technologies are critical to increasing our ability to transform healthcare data into meaningful, actionable insight.
Joe Petro, Senior Vice President,
Healthcare Research and Development, Nuance Communications
Mobile speech and Natural Language Processing are two signifi cant technology developments coming of age.
Brad Ryan, General Manager of Payer and Provider Solutions, IMS Health Overall, big data and analytics will play a more
prominent role as technology enablers by 2020. We have not been wanting for technologic innovation in healthcare,
but what’s been missing has been true incentives to drive technology adoption – and that’s where patient data and analytics come in to play. Mobile health – consisting of all activities outside the offi ce visit,
from telehealth to home healthcare to mobile health apps – is starting to take root as part of our healthcare fabric, and generating a lot of patient data along the way. But the real opportunity is to fi nd a way to measure the value of these activities and drive adoption – and we’ll be accomplishing this by 2020 through data collection and analysis. T e healthcare industry has always been structured around the visit. Now, there are increasing opportunities for physicians and patients to engage outside the offi ce, but the industry lacks a true incentive structure to drive their use. For example, if we can demonstrate how a mobile health app ties to outcomes or adoption, then we’ll be able to make advances in designing incentives to lead to further adoption. Providers are starting to use mobile apps to treat patients the same way they would use medication therapies. And just like with a prescribed drug, physicians will soon be able to use analytics to understand the app’s effi cacy – this will help us understand its real value and create the right incentives to generate adoption. Wearables are another innovation that is starting to take hold
now, but in the coming years, what will drive real adoption is the data they will generate and how providers make decisions because of it. Wearable technologies are completely changing not only how we measure data but also what we measure. T ey allow us the means to get more continuous data as well as new types of data that can impact clinical analysis and decisions. We can now track things we never even thought to track in the past, such as food intake, activity level throughout the day, sleep patterns and exposure to diff erent external
10 January 2014 h
risk factors. For example, instead of making decisions for diabetes management based solely on blood sugar levels, the data generated by wearables will help providers make care decisions based on what the patient is eating, their activity level and their metabolic rates. T e amount of health data being created today is staggering, and it will only grow in the coming years. T e key for the industry is to transform the way we use all this data and fi nd ways to better understand it to make it meaningful. Only then will we be able to understand the value of innovations like wearables and mobile health more fully and use that information to drive adoption – and ultimately, better care.
Chris Watson, Chief Marketing Offi cer, Brightree LLC
Interoperability solutions for exchanging patient infor- mation across care settings is one particular technological development that will shape the future of healthcare organizations. Value-based care and health information
exchanges are an increasingly important part of the overall healthcare landscape, and the ability for all providers – from general practitioners and specialists to post-acute care organizations, etc. – will only grow as a critical component of care delivery by 2020. T ese types of solutions have only started being developed in the past few years, and even then, providers have only seen such solutions link across a smaller number of disparate care settings. Including post-acute care providers in such interoperability workfl ows will be critical, as these providers are expected to be a big part of healthcare cost containment. By including post-acute care in interoperability strategies, healthcare organizations can ensure that critical patient information across all care settings will be connected, providing a more detailed patient picture for more specifi c treatment plans and improved patient care. Although it’s only a goal in today’s market environment to stan-
dardize technologies, in 2020 this type of interoperability across care settings will be the norm, opening the door to a new era of healthcare technology. Vendors will need to be prepared to connect disparate data and off er regulatory standards, while still innovating around how to best ensure secure communications between disparate systems to reduce duplicate data entry and manual processes, to ultimately minimize cost and improve patient outcomes. Another technological development that will shape the future of
healthcare in 2020 is the availability of innovative mobile technolo- gies that break down the barriers between patients and care provid- ers. Recent reports predict that there will be six times more users of application-enabled health tools by 2018, growing to 96 million users. With this in mind, it’s critical to consider how healthcare will address the expectation of mobile access to health information. In many other industries, consumers have easy access to personal data right in the palm of their hands. Take banking and fi nance, for example. With a simple click of a button, people can quickly deposit checks, transfer funds and get an up-to-the-minute picture of their fi nancial health. By 2020, the days of patients waiting for their doctors to call with urgent test results will be behind us. Patients, instead, will consider it a necessity to access critical care information from patient portals and mobile devices. Clinicians will benefi t as well from mobile technolo- gies by having instant access to patient data at the point of care, no matter what the care setting is. Post-acute care providers, in particular, can leverage mobile technologies to access evidence-based content at the patient bedside, enabling them to more accurately provide the right care at the right moment while also capturing new problems and modifying the care plan immediately.
J.P. Fingado, President & CEO, API Healthcare 1. Flexible workforce solutions for managing across
the entire continuum of care. With our care delivery model shifting from fee-for-service to pay-for-performance under the Aff ordable Care Act, the focus of health system executives
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