The healthcare IT industry enters 2018 with a lot of potential, along with the need to overcome structures that have historically stunted progress. What is on our health IT wish list? AirStrip is feeling optimistic about the industry’s direction in terms of broader collaboration for building up truly interoperable systems to improve patient care, and overall health system stability.
This past year, 2017, has been a challenging year for many industries, and healthcare is certainly no exception. Not only are there major challenges connected to an increasingly aging population and outdated healthcare infrastructure, but the industry is also adapting to the policies associated with a new presidential administration. While technology will continue to be a key part of the future of healthcare, one of the biggest changes will be a shift in mindset from mobile technology to mobile patients.
The number of quality initiatives is rapidly rising in the healthcare industry as stakeholders shift their focus toward the value of patient care. In addition, with the recent implementation of the Medicare Access and CHIP Reauthorization Act (MACRA), the rules surrounding healthcare reimbursement are being rewritten, incentivizing healthcare providers to prioritize the quality of patient visits over the quantity.
Historically, it has been difficult to achieve consensus on defining quality; therefore, it was not consistently measured. MACRA provides tools to assess quality of care, and lays the foundation for a future in which payers and providers must collaborate in new ways driven by patient data.
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.
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.
In healthcare, we talk a lot about how we can use data to improve patient care. We discuss the importance of interoperability, the need for more data to be available to physicians, and how data can help physicians spot an issue with a patient they otherwise may not have caught.
What we don’t often discuss is the degree to which care settings can impact the need to effectively capture and make sense of data.
In a variety of recent private and panel discussions with health and policy leaders, I’ve heard encouraging talk around interoperability through open and available application programming interfaces (APIs). Public comments by Health and Human Services Secretary Sylvia Mathews Burwell and Centers for Medicare and Medicaid Acting Administrator Andy Slavitt indicate there is sincere commitment to making this a reality.
While this momentum seems promising, when Meaningful Use Stage 3 is mentioned – particularly its requirements for making data available to patient facing applications – I see the potential for unintended and terrible consequences for clinician workflows.