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Ronald Razmi, CEO, Acupera


Left unchecked, unmanaged chronic health con- ditions could have a signifi cant negative impact on the economy and the healthcare industry. A majority of healthcare spending – 75 percent – currently goes toward treating patients with chronic conditions, accord-


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ing to the Milken Institute. However, the Milken Institute’s analysis indicates that modest reductions in avoidable factors – unhealthy behavior, environmental risks and the failure to make modest gains in early detection and treatment – could result in 40 million fewer cases of illnesses. Solutions like population health management and remote monitoring tools will enhance medical care by allowing a shift from a reactive model of care to a proactive model. Rather than waiting for patients to visit their physician or a local emergency room, medical centers will start using technologies that identify their highest risk patients, organizing teams around them, monitoring them outside of medical centers and intervening when new developments occur. Healthcare providers will eventually be enabled to remind patients of upcoming preventive or scheduled tests, ensuring that most prob- lems are identifi ed early and properly managed before they become too costly or negatively impact a patient’s quality of life. As healthcare providers embrace the emerging and evolving power


of hardware and software, they will begin to shift to a new model of care that improves the overall health of various populations while reducing costs.


John Glaser, Ph.D., CEO, Health Services, Siemens Healthcare


Advances that generate improved efficiency in


healthcare will benefi t everyone, not only by keeping costs down but also by better connecting physicians to patients so they can deliver better care. Connecting patients and the providers who care for them via mobile solutions, including those connecting geographically dispersed providers and those that connect patients from their homes, means more accurate care and faster intervention when required. Intelligent systems will allow organizations to tailor care for the individual, manage a population of patients and better predict and plan to improve outcomes. Given the rise of chronic disease – almost half of all Americans live with at least one chronic condition, and 45 percent of adults over 65 have two or more – managing these popula- tions for the best outcomes will be a major driver in controlling the costs of healthcare. For those living with chronic diseases, 23 percent are treated by at least four physicians, and the average physician can interact with 229 physicians in 117 diff erent practices. Technology that connects providers to each other and to the most current infor- mation about a patient will generate effi ciencies and better outcomes.


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David Caldwell, Executive Vice President, Certify Data Systems


Telemedicine and the use of “big data” analytics in healthcare will ultimately support more effi cient, in-


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formed decision-making for healthcare providers and better care for patients. T is doesn’t just mean better episodic care; it can also help prevent a patient from needing in-patient care through predictive analytics, care plans, patient outreach and other existing programs, which are made more eff ective through these new insights.


Joe Petro, Senior Vice President, Healthcare Research and Development, Nuance Communications


Today, mobile speech is an enhancement experience and seen as a novelty. Physicians love tablets, but they primarily use


ce www.healthmgttech.com


these as viewers with EMRs, clicking and viewing basic information. Pad technology has advanced and is going to become widespread because the devices are about the right size, the screen resolution has improved and the EHRs have committed to them, making them easy to use through mobile speech. Nuance speech technology is embedded on every mobile EHR shipped by Cerner and Epic, and this experience will evolve. T ings will get serious, and physicians will start using mobile devices for CPOE and really useful interactions to save them time and better care for patients. In the near future, doctors will walk in with a tablet and look at you while talking to a mobile device. T ey will have access to your problems and test results, and they will be able to communicate their recommendations instantly using speech and a tool that fi ts in their pocket – a tool that is as important to their personal lives as it is to their profession. I believe the smoke will clear with Natural Language Processing


(what we call Natural Language Understanding). People will know it’s there, but it will become a core technology that helps physicians do what they want to do while working quietly in the background. NLU will allow physicians to interact in a natural way in a digital healthcare environment while technology pieces together important information to help them solve problems. A lot has been done to avoid vague unstructured text in records by forcing physicians to use checkboxes and pull-down menus to get facts and structured data. NLU can help with that today by taking unstructured text (such as dictated patient charts) and distilling it into structured data for meaningful-use and ICD-10 compliance. As NLU technology matures, use cases will explode and NLU will swing back and allow physicians to do much more, keeping their at- tention on the patient while capturing the structured data they need to support the organization. T is is a novel experience not replacing anything that exists. For example, a physician can order labs or create a patient note and NLU will immediately digitize it, run that data through a knowledge base and feed queries back to the physician for real-time decision support. T is is much more than just alerting them to an allergy in the record. NLU is the backbone behind real-time computer-aided physician documentation and quality analytics, as well as cool things like virtual assistants in healthcare that engage people through live dialogue and an advanced understanding of context. In the future, these could provide CPOE and could advance to telemedicine and patient uses to help patients self-monitor and manage care from home.


Chris Watson, Chief Marketing Offi cer, Brightree LLC


Interoperability solutions and mobile technologies will be a critical component to healthcare organizations


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and patients in the future, opening the door for new opportunities to enhance the patient outcomes and boost fi nancial performance. Interoperability solutions, for example, will give providers real-time access to a more longitudinal patient record, enabling providers to collaborate on interdisciplinary treatments, engage in more accurate conversations and exchange detailed health information that is critical to patient care health information exchanges and more. Interoperability solutions also address the need for providers to


view both clinical and fi nancial data to assess the health of an orga- nization. Providers can use clinical information to analyze trends in diseases and provide faster treatments to better manage a population’s health. From a fi nancial standpoint, healthcare organizations can use key performance indicators and business insights to understand staffi ng, training and technology needs. Mobile solutions will also benefi t healthcare from both the patient


and provider perspective. Patients will consider it a necessity to access critical care information from patient portals and mobile devices. Providers will benefi t from mobile technologies by having easy access to critical patient information at the point of care. Mobile technolo- gies can reduce the risk of errors in data input and automate manual


HEALTH MANAGEMENT TECHNOLOGY February 2014 23


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