Health Technology, Digital Healthcare
Article | July 14, 2023
As the COVID-19 pandemic upended the healthcare system, hospitals and doctor’s offices doubled down on technology and implemented a host oftelemedicine services, from virtual visits to remote patient monitoring and customized treatment plans.
The results were unexpected. Not only did telemedicine help bridge the gap between physicians and patients during the health crisis, but arecent J.D. Power studyfound that telemedicine also delivered increased customer satisfaction, outpacing other healthcare services.
Patient-centered care played the largest role in this shift. Technologies that let staff reach patients anytime, anywhere enabled providers to shift their functional focus away from simply treating issues to building better relationships.
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Healthtech Security
Article | August 31, 2023
The fall is a time of renewals and choices. It is also a time of so called “open enrolment” for health plans. It is the one time of year we can study and learn about the options offered through employers or government sponsored plans. Individuals and small business owners alike are also are faced with a myriad of choices with confusing and often contradictory language promising lower premiums with higher out of pocket costs for covered services subject to deductibles. What does it even mean anymore when your monthly premiums exceed your pay check and you still have to pay for your colonoscopy or your insulin? Where is it all going?
Let’s imagine you twist your ankle playing basketball. You might go to an urgent care, receive an X-ray, probably be examined by a non-physician, and then referred to your primary care, who can’t see you for a few weeks but eventually sends you to an orthopaedic who takes another X-ray and treats your injury. Weeks have passed, multiple visits, time out of work, and co-pays, not to mention the out-of-pocket fees associated with imaging and perhaps a $100 ace bandage. What stops you from going straight to the ankle specialist in the first place? First, we have become conditioned to follow the directions dictated by the insurance companies, even when restrictions are not in place, patients have been convinced that stepping out of line will make all insurance promises null and void resulting in catastrophic bills and financial ruin. Second, the doctors and their office staffs have been conditioned to deny entry to any patient who does not have the proper referral, authorization, or identification. There are dire consequences for both if the insurance rules are not followed and fear keeps both sides aligned.
The past two decades have seen an explosion of healthcare costs. Health insurance has become the single biggest line item second only to payroll for most businesses. It is no coincidence that as the government increased its role as payor with state subsidies, the prices have gone up. Much like college tuitions, when loans are easy to obtain and guaranteed by federal support, there is little to deter those in charge from increasing the price. After all, everyone is doing it, it must be OK, and even if students end up in debt, it will be repaid because they have received the value of a great education. Right? But unlike higher education, healthcare is a necessity. We cannot avoid it, and there needs to be a reliable mechanism in place to guarantee access.
Ironically, as charges and prices have continued to escalate, payments to doctors have diminished. Why medicine is the only service industry where there is no transparency is truly astounding, especially since the there has been no increase in so called “reimbursements” for decades. As physicians, we have been complicit, being fully aware of the discrepancies between what is charged and what a patient’s insurance will pay. Even as patients began to have higher deductibles, and therefore higher out of pocket expenses, we continued to follow the rules, asking insurance permission to collect payment from the patient. It is not surprising that bad debt accounts for over 50% of most account receivables and why over 70% of doctors are now employed by hospital networks or private equity, who not only go after patients, but benefit from the repricing that occurs when insurers pay a negotiated amount as opposed to the charge. In other words, we pay more not just for less, but for nothing.
But what if we twisted our ankle and went directly to that specialist and paid out of pocket a transparent price? What would it take for that to happen? Not much, the cost of care is predictable, and because payments have always been decreasing, most physicians have learned to be economical. Plus, out of pocket costs are capped by federal law, so no patient is really responsible for catastrophic bills. Charges inflate to cover overhead, but if payments were guaranteed and immediate, then the cost of doing business goes down. Add technologies like telemedicine to a practice and you have increased patient access to a doctor without adding more personnel. Direct pay doctors are emerging all over the country and have consistently offered better access and more affordable care. The bar is also being set by independent surgery centers and imaging centers who offer better outcomes at lower costs. Perhaps motivated by prohibitive pricing, better options have emerged that have moved patients away from expensive operating rooms to safe, office-based procedures. Even cutting-edge cancer therapies can be delivered at home, preserving more of the healthcare dollar for medical care rather than the complex system built to manage it.
Competition and choice inevitably drive prices, but in a monolithic system the price is not negotiated, but instead it is set by only a few, in this case the big insurers. Small businesses cannot compete when bigger companies come to town. Eventually, the local hardware store gives way to a national brand, and the consumer is left with fewer choices and eventually higher prices. Amazon disrupted this equation by creating a marketplace for individual buyers and sellers. The convenience of finding a trusted brand, no longer available locally, is irresistible and the reason why we became loyal consumers. Healthcare is no different. Trust exists implicitly between a physician and patient, because it is an authentic, empathetic, and logical relationship. Trust does not exist between a patient and their insurer, on the contrary it is an unsympathetic business relationship without transparency or consistency. Few doubt the insurance company’s top priority is the premium, not the patient. Creating a direct relationship between the doctor and patient is a common-sense approach that serves both stakeholders well, and requires merely a fair and affordable price. But do doctors have the capability or the will to do it and if so, can the rest of the system follow?
Never in the history of modern medicine have physicians been more dissatisfied. US healthcare used to lead the world in innovation and outcomes, now we struggle to break the top thirty. We may have the most brilliant doctors and scientists with access to the best resources, but the need to maximize profits while catering to special interests, be they commercial or political, has led us to favour certain therapies over others despite marginal proven benefits. Doctors have little autonomy and less authority; prescribed treatments are routinely denied by insurance companies without a second thought or appropriate peer review. In fact, insurers even renamed us “providers”, a term used to by Nazis when referring to Jewish doctors to devalue them professionally. Over 56% of physicians are burned out, nearly all report moral injury and as hospitals have systematically replaced doctors with non-physicians with limited training, we have watched the standard of care deteriorate. It is no wonder we have witnessed the single biggest loss in life expectancy since WWII. The prognosis is grim, but there are solutions.
We need to reinvent healthcare by removing the middleman. We don’t have to set the price, but we can make it transparent so patients can decide for themselves if it is worth the inconvenience, the delay, and the co-pay to use insurance or just pay directly. Health savings accounts are tax deferred and can cover an out-of-pocket maximum in just a couple of years. Paying for care means there are no surprise bills or out of network costs, because there are essentially no networks and therefore no need to follow restrictions. You’d be hard pressed to find a doctor or hospital unwilling to accept an immediate cash payment, especially when it costs nothing more than the service provided. There are no billing cycles, or claims to prepare, no up coding, or authorizations. Doctors free to care for patients, patients treated individually and not subject to protocols designed to maximize charges. There are literally thousands of direct pay primary care and specialists now available all over the country and they are building alliances with likeminded people providing imaging, ancillary services, surgery centers, and prescriptions all at fair market prices. More and more employers are moving toward medical cost sharing plans that not only lower the cost of care but the cost of administration. Even the biggest payor, namely the government, sees the benefit of price transparency and is piloting models of direct contracting.
We will always need coverage for those unexpected events, emergencies, or hospital-based services, but all the rest - doctor visits, screening tests, and outpatient procedures - are easily affordable. After all, do we use our car insurance to pay for an oil change? If we did, the cost would be prohibitive and few of us would drive. But health insurers have lost our trust, they no longer cover necessary services and no longer honour contracts with physicians or patients. It is time to offer another option and let the patients and doctors get back to the real business of medicine.
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Health Technology, Digital Healthcare
Article | August 16, 2023
Embracing the AI Revolution: Transforming Digital Healthcare Software through AI-Enhanced UX Testing
The wave of demographic change sweeping the United States presents an urgent call to action for healthcare providers. According to the US Census Bureau, adults over 65 will account for a quarter of the US population by 2060, signaling a drastic shift in healthcare delivery needs. More than half a million of this demographic will be centenarians, accentuating the need for digital experiences tailored to seniors' unique needs.
Despite the rapid advancement of digital health technologies, research indicates that many senior citizens struggle to adapt. A recent study reported that 40% of adults over 65 believe their telemedicine visit was inferior to traditional in-person care, with a meager 5% finding it superior. The promise of convenience delivered by digital health is often overshadowed by the frustration associated with technical difficulties. An astounding 75% of senior citizens admit they need assistance when using new electronic devices.
Let's consider the patient portal app, a common touchpoint in the digital health journey. Despite its apparent simplicity, seniors find processes like logging in troublesome due to issues like forgotten passwords, technical bugs, or content readability. This scenario underlines the crucial need for comprehensive User Experience (UX) testing to eliminate these barriers and provide a seamless digital health experience.
The Complex Landscape of Healthcare UX Testing
The complexity of UX testing in healthcare has been exacerbated by the interplay of multiple modules, services, platforms, and vendors. Take Electronic Medical Record (EMR) systems, for instance, which undergo frequent updates, each one potentially impacting the system as a whole. Traditional manual testing methodologies are proving to be time-consuming and costly.
Though automation has revolutionized sectors from automotive to finance, the healthcare industry appears to be lagging. A study by the Health Information and Management Systems Society (HIMSS) reveals that a mere 15% of healthcare providers have adopted modern test automation platforms. Meanwhile, a significant 41% still rely on manual testing. As EMR systems grow increasingly complex and customized, this over-reliance on manual testing poses daunting challenges.
The gravity of this issue is amplified by a startling revelation from the HIMSS study - only 6% of healthcare executive leaders express confidence in their organizations' testing practices. In an increasingly digitized healthcare environment, such a low level of assurance raises substantial concerns about patient safety. Although 75% of the surveyed providers have invested in software testing to safeguard their bottom lines, nearly two-thirds confess feeling inadequately resourced in terms of time, money, and talent to meet future testing requirements. As the list of testing demands grows, QA teams are frequently stretched thin, leaving many potential user journey scenarios untested.
The Power of AI in UX Testing for Better Patient Outcomes
AI technologies hold the potential to revolutionize UX testing in healthcare.
The modern healthcare application is a labyrinth of potential user journeys - a typical mobile application model can yield over 9 billion separate scenarios. To effectively navigate this colossal testing landscape, test automation tools employing Machine Learning (ML) algorithms are critical.
By analyzing historical patterns, prioritized cases, and real-user insights, ML algorithms can auto-generate test cases and meticulously scrutinize each user interaction. This approach ensures an optimal digital experience and robust coverage of potential issues.
The HIMSS study also provides a glimmer of hope, revealing that nearly 80% of healthcare providers plan to adopt real-time testing analytics for quality assurance. AI's role becomes pivotal in augmenting the capacity of software testing teams in this scenario.
By leveraging historical patterns and prioritizing test cases, ML-powered testing tools can automate crucial tests across various platforms, devices, and operating systems. This symbiosis of human expertise and AI not only bolsters productivity but enables comprehensive testing coverage within tight time constraints.
The Future of Healthcare Software UX Testing
The path to perfecting a patient’s digital journey is fraught with challenges.
Healthcare organizations venturing into automated software testing or contemplating in-house tool replacement must stay abreast of evolving healthcare testing requirements. This understanding is key when evaluating automation vendors against the backdrop of regulatory standards. Opting for a technology-agnostic solution ensures extensive test coverage, boosts efficiency, and guarantees longevity as technologies advance. Introducing your software QA teams to user-friendly, low/no-code test automation tools can simplify the onboarding process and fosters better collaboration with Dev teams and business testers.
As we stand at the precipice of this transformative period in healthcare, it's clear that the AI revolution holds the key to unlocking the future of digital healthcare UX testing. By harnessing AI's potential, healthcare providers can ensure a user-friendly, seamless digital experience for the fastest-growing demographic, setting new industry standards in the process.
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Health Technology, Digital Healthcare
Article | August 16, 2023
Explore the evolution of healthcare by diving deep into these EHR trends, as they pave the way for the future of EHR. Embrace cutting-edge solutions to enhance patient care and optimize operations.
1. Introduction
2. Significance of EHR Trends
3. Top 10 EHR Trends Shaping the Healthcare Industry
3.1 EHR Interoperability
3.2 Patient-reported Outcome
3.3 Patient Portals
3.4 Generative AI
3.5 Cloud-based EHR
3.6 Voice-enabled EHRs
3.7 Predictive Analytics
3.8 Robotic Process Automation
3.9 Telehealth-EHR Integration
3.10 Blockchain for EHR Data Integrity
4. Future Scope
1. Introduction
Electronic health records (EHRs) have transformed the medical industry by revolutionizing how medical information is recorded, accessed, and utilized. This article focuses on the EHR trends and innovations that have reshaped the healthcare field, paving the way for a more efficient and patient-centric future.From enhanced interoperability to cutting-edge technologies, professionals can unravel the key trends propelling future of EHR toward a new era of healthcare delivery.
2. Significance of EHR Trends
The importance of EHR software technology trends is highlighted by their transformative influence on the healthcare sector. This transformation was further expedited by the impact of the COVID-19 pandemic, which played a critical role in the increased adoption of telehealth services. As the pandemic necessitated alternatives to in-person visits, the demand for efficient and remote medical services surged, propelling telehealth to the forefront. Yet, looking beyond pandemic responses, the ongoing adoption of EHR trends in healthcare can significantly reshape how healthcare functions. Embracing these EHR trends enhances efficiency, facilitates personalized care, improves data exchange, drives data-driven insights, and empowers patient engagement. Irrespective of global events, it remains essential for healthcare facilities to stay abreast of these trends to remain adaptable and deliver optimized care, ultimately benefiting both providers and patients.
3. Top 10 EHR Trends Shaping the Healthcare Industry
Recognizing significant industry trends becomes crucial in a field that is constantly subject to technological advancement and global change. From adopting advanced technologies to prioritizing sustainability and customer-centric approaches, these EHR trends hold the power to bring about significant transformations across the healthcare sector.
3.1 EHR Interoperability
EMRs face a notable limitation in their ability to integrate with other systems, whereas EHRs offer robust interoperability, enabling seamless data exchange among healthcare facilities. As the demand for interoperability grows, the distinction between EMRs and EHRs becomes increasingly blurred, with vendors referring to products as EMRs that closely resemble what was initially known as EHRs. In response to this trend, developers and IT specialists continually update EHR systems to comply with interoperability policies, making EHRs more appealing for organizations seeking comprehensive and connected healthcare records.
3.2 Patient-reported Outcome
Patient-reported outcome or PRO EHR integration involves incorporating patient-reported outcome measures into electronic health record systems. PROs gather information directly from patient records about their health status, symptoms, and quality of life. These insights provide valuable subjective data for healthcare providers. For orthopedic patients at the clinic, completing surveys on their smartphones via a mobile link is easy. Clinicians can access patient responses during or after appointments to offer tailored care recommendations based on survey readings. Access to patient-reported outcome data empowers clinicians to deliver patient-centered care, fostering greater patient involvement in their treatment journey.
3.3 Patient Portals
Patient portals in EHRs are pivotal in modern healthcare practices as the industry embraces digital transformation. Patient portals within EHR systems are crucial to empowering individuals and facilitating communication between patients and healthcare professionals. These portals enable patients to access their personal health information securely. Patients can schedule appointments, ask questions, and even have virtual consultations, making healthcare more accessible and patient-centered. With improved communication and engagement, patient portals bridge the gap between individuals and healthcare professionals.
3.4 Generative AI
Integrating generative AI tools with Electronic Health Record systems holds immense promise for advancing healthcare industry. Generative AI can significantly enhance EHR software precision and overall technology, resulting in streamlined daily workflows and enabling healthcare providers to prioritize patient care. By utilizing patterns and structures from existing data to create new content resembling the training data, generative AI brings valuable improvements to EHR systems. These benefits include efficiently filling in missing data, enhancing clinical decision support, automating documentation and coding processes, and ensuring billing accuracy, thereby alleviating the burden on healthcare providers.
3.5 Cloud-based EHR
Cloud computing is gaining traction as medical organizations explore the benefits of outsourcing administrative and clinical services, including medical billing, reporting, lab integration, and more. With the increasing adoption of EHR systems, the advantages of easy access to patient data have become crucial. As the patient population continues to grow, the complexity of data rises, demanding solutions that ensure secure storage and accessibility. Embracing cloud-based infrastructure becomes imperative in this scenario, granting healthcare professionals the flexibility to access data using tablets or smartphones safely. This integration empowers clinicians to enhance their productivity in the clinical environment, laying the groundwork for long-term success by offering mobility solutions that cater to evolving healthcare demands.
3.6 Voice-enabled EHRs
Integrating voice recognition technology with EHR systems is a significant advancement for clinicians. By allowing hands-free input of information and patient data, voice recognition technology reduces inaccuracies and speeds up information recording. Additionally, with the support of AI, EHRs equipped with voice recognition can assist doctors in recognizing historical patient trends and making accurate diagnoses. As companies strive to incorporate AI into EHRs through voice-enabled technology, physicians can effortlessly access patient data and inquire about specific health parameters, such as the last recorded iron levels from a blood test. This streamlined approach improves efficiency and enhances the overall healthcare experience and decision-making process.
3.7 Predictive Analytics
Predictive analytics applications have become a significant driving force within the healthcare industry, yielding profound impacts on diverse areas, including cancer treatments and emergency staffing optimization. As the field continues to evolve, the adoption of predictive analytics technology is expected to expand further. Specialized healthcare app development services utilize AI-powered analytic methods, such as statistics, data mining, and modeling, in conjunction with AI capabilities to offer clinical outcome predictions based on real-time device data and electronic health records. This integration aims to elevate the patient experience and improve care delivery, equipping healthcare professionals with valuable insights to make more informed and proactive care decisions.
3.8 Robotic Process Automation
Robotic Process Automation (RPA) is driving the expansion of the automated data capture market for electronic health records worldwide, owing to its ability to enhance workflows and ensure increased accuracy. By automating data capture through robot-based processes, RPA eliminates the need for manual data entry, leading to improved precision. In the healthcare industry, RPA serves as an effective technique to address EHR flaws without requiring a complete system redesign, permitting the utilization of digital labor to preserve efficient processes while resolving underlying issues. By employing system algorithms and programs, RPAs efficiently automate tasks typically carried out by human resources, accelerating the digitization of medical facilities and promptly addressing imperfections.
3.9 Telehealth-EHR Integration
Integrating EHR systems with telehealth platforms revolutionizes healthcare by facilitating remote care and streamlining clinical workflows. This alliance will enable medical organizations to deliver high-quality patient care from a distance while ensuring the swift and secure transfer of patient information between systems and interfaces. The combined power of telehealth and EMR systems enhances virtual care activities, automates data entries, and synchronizes insurance information in a single window, thus optimizing efficiency and productivity for healthcare providers and their staff. Moreover, this integration strengthens patient-physician engagement and fosters seamless collaboration among healthcare teams.
3.10 Blockchain for EHR Data Integrity
While blockchain technology gained prominence through its association with cryptocurrency, its application in healthcare is steadily gaining momentum. By utilizing cryptography, blockchain ensures the utmost security and integrity of EHR data, limiting access to authorized individuals only. In healthcare, blockchain brings value, from validating clinical trials and verifying claim results to monitoring medicine distribution, authenticating prescriptions, and combating insurance fraud. Additionally, smart contracts leverage blockchain to automate actions based on predetermined outcomes, reducing the need for extensive human involvement. Although the adoption of blockchain in healthcare technology is still in its early stages, several EHR systems have already incorporated it to enhance security, scalability, and confidentiality measures.
4. Future Scope
The convergence of IoT devices and big data technology is set to revolutionize the healthcare experience, offering unprecedented digitization and patient engagement. The disruptions brought on by the COVID-19 pandemic have underscored the need for healthcare institutions to adapt and embrace technological advancements. Careful selection of the right EHR system is crucial for healthcare organizations, and a structured approach that involves key stakeholders, requirements definition, vendor evaluation, and implementation planning is essential for successful EHR implementations. The ultimate goal remains to enhance patient care, streamline workflows, and achieve operational efficiencies. While EHRs have already made significant strides in the industry, the future of electronic health records holds even more excellent benefits and technological impact, with healthcare mobile app developers playing a vital role in the value-based healthcare model and preparing for EHR optimization.
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