Most physicians have long enjoyed the benefits of Bring Your Own Device (BYOD) policies. As health systems focused on ensuring doctors had access to state-of-the-art health IT to monitor their patients when they couldn’t be at the bedside, the quality of tools and pace of adoption for nursing solutions did not keep up. In some situations, nurses received bulky phones that could only be used within the walls of the hospital, while physicians needed to download specific apps on their own devices to receive calls from the nurses’ devices. Technical difficulties were frequent. In other situations, health systems tried rolling out solutions to nurses that had been used successfully by physicians. Unfortunately, those solutions were not always conducive to nurses’ workflow.
As we celebrate National Health IT Week, it is incredible to realize how health technology tools are transforming every facet of patient care. From telehealth, to 3D printers to artificial intelligence, the explosion of personalized health devices redefines the dynamics of patient treatment and interactions.
However, we still fall short in comparison to other industries, particularly in terms of consistent patient information access, and the lack of incentive for industry collaboration to achieve smooth, interoperable data transfers. This week, we strike a balance between applauding our progress, yet refusing to rest on our laurels.
Software as a medical device (SaMD) is defined by the International Medical Device Regulators Forum as “software intended to be used for one or more medical purposes that perform these purposes without being part of a hardware medical device.” SaMD is developed at a much faster pace than traditional medical devices, and may require frequent updates, as opposed to hardware devices that typically are updated every few years. While SaMD and medical devices are clearly different and evolve at completely different paces, the same regulatory approval process currently applies to both types of technology. Using the same process for both is akin to forcing a square peg into a round hole – it is not going to work because one size does not fit all, especially in healthcare.
Over the past couple of years, there have been around 200 merger and acquisition (M&A) deals in the healthcare IT space, driven by high enterprise value and the sheer size of the industry. 49 deals came together in the first quarter of this year alone. These numbers make health IT the highest performing industry in terms of M&A activity in the consumer and retail space, and the second highest in the infrastructure/industrial space.
Between 2018 and 2019, we will see an insatiable need for increased health IT interoperability, with providers putting increased pressure on health IT vendors to deliver. This pressure – combined with the shift brought on by new regulations like MACRA around performance, measurement and outcomes – will drive one of the biggest M&A pushes we’ve seen in the health IT industry.
This is a watershed moment in healthcare. New technologies are constantly in development to help treat and prevent previously incurable conditions, and improve current processes. From leadless pacemakers to mobile applications that advance telehealth access, digital innovation is at an all-time high. The problem is that our current speed of regulatory approval for these innovations simply cannot keep up.
While many groundbreaking technologies are being created, their full promise is not being realized because they are not being approved quickly enough to be implemented and adopted by health systems. The FDA regulatory process has long been a matter of contention. However, now that the rate of innovation is increasing, things need to change accordingly. By working together to streamline this regulatory process, technology will arrive to the market faster and propel the healthcare industry forward.
As an anesthesiologist, my goal is to make the hospital a better, more efficient place to work so that I may provide the best possible care to my patients from the moment they come under my supervision. As part of this, improving a patient’s health record – and our access to it – by using effective mobile technology is an important step to providing holistic care. With nearly half of a physician’s day devoted to administrative tasks, it feels as though the time we clinicians can spend with our patients is getting slimmer and slimmer. Consequently, we want the precious time we have with our patients to be valuable and ensure them that their concerns are being heard and addressed in an efficient manner.
Over the last few years, the healthcare industry has undergone an incredible revolution. Mobility solutions deployed across the care continuum are providing higher quality patient care. The shift from fee-for-service to fee-for-value – no matter how the political environment affects the market – is prevailing. Beyond that, innovation and digital tools are supporting this shift. In the U.S. alone, there are more than 6,000 medical device companies. Around 80 percent of them have fewer than 50 employees. Creative solutions to longstanding problems abound.
The role of a nurse is a complex one. Not only is this individual responsible for the physical bedside care of multiple patients, but may also be called upon to offer emotional support for patients and their families. While this is an absolute honor and a privilege, it can also be emotionally draining and lead to burnout syndrome or compassion fatigue. In order to ensure that patients receive the highest quality care, we must make sure that nurses have support for their own emotional well-being.
As we head into HIMSS 2017, the movement toward precision medicine is at the top of the agenda. The idea of using data to customize care for patients is not new; however, with the passage of the 21st Century Cures Act late in 2016, what was once a far-off dream now seems closer to reality.
But are we really that close? Unfortunately, the answer is no, unless we address the key barriers to success: interoperability and cybersecurity.
In healthcare, we constantly seek new ways to deliver and improve care. Countless ideas have already been tried and tested, and people often think that coming up with the next great innovation requires thinking ‘outside of the box.’ This notion has been instilled in most of us from a young age, and those in all industries – not just healthcare – often strive to show their creativity through this approach. However, in my experience, thinking outside of the box doesn’t always lead to the best new ideas. Sometimes, we need to focus on thinking better inside the box.