Week Four Discussion. SEE ATTACHMENT FOR INSTRUCTIONS

Week Four: Discussion – Innovate/Invest in a Digital Health Future

*** YOU MUST USE THE REFERENCES FROM THE READINGS ATTACHED AND THE WEBSITE LINKS WITHIN THE INSTRUCTIONS. YOU MAKE INCLUDE TWO OUTSIDE SOURCES. *** REFERENCES ARE LISTED BELOW AND WILL BE ATTACHED.

High Tech meets Human Health – Many venture capital and other tech investors say – move fast and break things. In contrast, healthcare culture says – first, do no harm.  It is up to you as a healthcare leader to find the balance. 

· Where would you invest and advocate for accelerated adoption? 

· Identify several promising practices and emerging trends in applying information technology in healthcare.

· Base your selections on the ideas shared in course readings, videos, and the 

www.healthtechdiscovey.com 

resources,

· Consider the following list and prioritize among these stakeholder/application/focus areas – (or select a priority project not on this list and justify it.) 

· Review and consider and reference the laws, regulations,s and policy sections on ONC’s website.

https://www.healthit.gov/topic/laws-regulation-and-policy

 

· Budget less for all or invest more in a few. 

Choose your top 3 priorities and rank all 12 on a list – 

1. Public health – Connecting healthcare delivery and public health information systems, including social determinants of health

2. Care teams – Voice-enabling systems for the front-line care team

3. Patients/Access/Marketing – Digital front door to enrich telehealth/patient engagement

4. R&D/Insights/Data Science and more – AI/Analytics for research and management and more – find more insights

5. Personalized health – including a focus on genomic systems

6. Finance – Upgraded financial management suite and advanced consulting engagement to support it

7. Operations – Supply Chain operational system

8. Surgeons – Surgical Suite robots

9. Radiology/Imaging – Diagnostic imaging upgrade

10. Risks/Threats – Cybersecurity upgrade

11. Infrastructure – Move to Cloud/networking infrastructure upgrade

12. C-suite – Tech strategy consulting firm fees for strategic planning

REFERENCES:

LAWS, REGULATIONS, AND POLICY

https://www.healthit.gov/topic/laws-regulation-and-policy

HEALTH TECH DISCOVERY

https://health-it-sim-lab.weebly.com/

WEEK FOUR POWERPOINT PRESENTATION (SEE ATTACHMENT)

HCA 626 – Healthcare Information Systems
Week Four – Lecture 1

Developer Notes: Continue button to continue to next slide. No left-hand menu, please. Menu drop down on top left corner with various topics and notes on top left corner with narration.
Vo: Welcome to the Week Four – Lecture 1 for HCA 626 – Healthcare Information Systems.
1

Chapter 12:
HIS and Digital Health

Developer Notes: Chapter 10 begins. Align text with VO. Add continue button to continue to next slide.
VO: Chapter 12 – HIS and Digital Health
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Approaches to Digital Health in HIS

Refers to using computers or machines to perform analyses in ways that mimic human intelligence.
AI technologies include subsets of natural language processing and machine learning

Developer Notes: Align text with VO. Add continue button to continue to next slide.
VO: Artificial Intelligence:
Refers to using computers or machines to perform analyses in ways that mimic human intelligence.
Often solving the next problem that hasn’t been solved
Controversy surrounds AI due to the potential danger. of it being used for harmful, powerful purposes that do not help patients.
AI technologies include subsets of natural language processing and machine learning.
3

Approaches to Digital Health in HIS

Machine Learning
Branch of AI that uses data analytics of data obtained through processes to automate models that improve as they are fueled with more data.
Deep Learning
A way that machine learning employs brain simulation, creating artificial neural networks that learn and become deeper with multiple layers by being fed with data and training algorithms.

Developer Notes: Add imagery and make more visual. Maybe a chart to show the differences between Machine learning and Deep learning. Align text with VO. Add continue button to continue to next slide.
VO: Machine Learning:
– Branch of AI that uses data analytics of data obtained through processes to automate models that improve as they are fueled with more data.
Deep Learning:
– A way that machine learning employs brain simulation, creating artificial neural networks that learn and become deeper with multiple layers by being fed with data and training algorithms.
4

Approaches to Digital Health in HIS

Predictive analytics:
Algorithms based on more and more data being fed through them, then pinpointing the type of analysis to provide actionable information so that performance and outcomes can be improved.
Blockchain: 
Middleware that is a distributed, immutable ledger for transactions and data, with applications anticipated in everything from supply chain to patient identity.

Developer Notes: Add imagery and make more visual. Maybe a chart to show the differences between Predictive analytics and Blockchain. Align text with VO. Add continue button to continue to next slide.
VO:
Predictive analytics:
– Algorithms based on more and more data being fed through them, then pinpointing the type of analysis to provide actionable information so that performance and outcomes can be improved.
Blockchain:
– Middleware that is a distributed, immutable ledger for transactions and data, with applications anticipated in everything from supply chain to patient identity.
5

Digital Health: Connecting the Unconnected

Telemedicine is the remote delivery of clinical services using these types of technologies and the remote delivery of health-related information from one site to another via electronic communications.
Telehealth includes the exchange of valid clinical information in situations where geographic distance is a factor for the purposes of diagnosis, treatment, and prevention of disease and injuries, research and evaluation, and the continuing education of healthcare providers.

Developer Notes: Add imagery and make more visual. Maybe a chart to show the differences between Telemedicine and Telehealth. Align text with VO. Add continue button to continue to next slide.
VO:
Telemedicine is the remote delivery of clinical services using these types of technologies and the remote delivery of health-related information from one site to another via electronic communications.
Telehealth includes the exchange of valid clinical information in situations where geographic distance is a factor for the purposes of diagnosis, treatment, and prevention of disease and injuries, research and evaluation, and the continuing education of healthcare providers.
6

Step 1: Identifying a Need
Step 2: Forming the Team
Step 3: Defining Success
Step 4: Evaluating the Vendor
Step 5: Making the Case
Step 6: Contracting
Digital Health: Connecting the Unconnected

Phase I—
Pre-implementation Planning

*Click each photo to reveal activity

Developer Notes: Add imagery and make more visual. Make this a click to reveal activity with the 6 steps of Pre-implementation Planning. When the student clicks on each way the text and vo will play. Align text with VO. Add continue button to continue to next slide.
VO: Implementing telehealth and telemedicine:
Phase I—Pre-implementation Planning
Step 1: Identifying a Need
Step 2: Forming the Team
Step 3: Defining Success
Step 4: Evaluating the Vendor
Step 5: Making the Case
Step 6: Contracting

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Step 7: Designing the Workflow
Step 8: Preparing the Care Team
Step 9: Partnering with the Patient Step
Step 10: Implementing
Step 11: Evaluating Success
Step 12: Scaling
Digital Health: Connecting the Unconnected

Phase II—Implementation of Remote Patient Monitoring

Phase III—Post-implementation Support and Resources

*Click each photo to reveal activity

Developer Notes: Add imagery and make more visual. Make this a click to reveal activity with the 6 steps of Phase II—Implementation of Remote Patient Monitoring and Phase III—Post-implementation Support and Resources. When the student clicks on each way the text and vo will play. Align text with VO. Add continue button to continue to next slide.
VO: Implementing telehealth and telemedicine:
Phase II—Implementation of Remote Patient Monitoring
Step 7: Designing the Workflow
Step 8: Preparing the Care Team
Step 9: Partnering with the Patient Step
Step 10: Implementing
Step 11: Evaluating Success
Step 12: Scaling
Phase III—Post-implementation Support and Resources

8

Digital Health: Connecting the Unconnected
Telehealth: An Increasing Market
Reaching levels of massive growth, with a market for virtual health applications and activities expected to reach $3.5 billion by 2022 according to Verify Markets (Verify Markets, 2016).
Telehealth Initiatives
Clinician-patient consults over live video; and remote patient monitoring for heart disease, diabetes, or other common, chronic conditions that need to be tracked closely but that do not require the patient to be institutionalized.

Developer Notes: Align text with VO. Add continue button to continue to next slide.
VO:
Telehealth: An Increasing Market:
– Reaching levels of massive growth, with a market for virtual health applications and activities expected to reach $3.5 billion by 2022 according to Verify Markets (Verify Markets, 2016).
Telehealth Initiatives:
– Clinician-patient consults over live video; and remote patient monitoring for heart disease, diabetes, or other common, chronic conditions that need to be tracked closely but that do not require the patient to be institutionalized.
9

Human-Centered Design: User Interface and User Experience
Human-centered design: term to address methods for creating not computer interactions that would not only produce accurate, automated work but also create interactions between humans and computers that are useful and pleasant.

Developer Notes: Align text with VO. Add continue button to continue to next slide.
VO: The problem with UI/UX today:
Foundational EHR systems and the workflows they have hard-wired into existence are burdening the physicians and other clinicians who must use them with too much typing and other clerical work.
Human-centered design: term to address methods for creating not computer interactions that would not only produce accurate, automated work but also create interactions between humans and computers that are useful and pleasant.
10

New Technologies & the Hype Cycle
The Gartner Group

“Hype Cycle”

Developer Notes: Align text with VO. Add continue button to continue to next slide.
VO:
The Gartner Group created a hype cycle figure for 2018 that shows the continuum of adoption and innovation of new technologies (Figure 12.4).
“Hype Cycle” refers to a visual representation of the life cycle stages a technology goes through from conception to maturity and widespread adoption.
For health care, there are almost-universal phases of evolution of new technology (Figure 12.5).
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The Importance of Informatics in Adopting HIS & New Technologies
Stanford EHR Report: How Physicians Spend Time per Patient
The role of HIS and new technology in clinical innovation
Leaders in the field

Developer Notes: Align text with VO. Add continue button to continue to next slide.
VO: Stanford EHR Report: How Physicians Spend Time per Patient:
Informatics show that the correct solution is not to throw more technology at the problem.
The true solution is to work together within the organization to redesign and streamline workflows, processes, apply the organization’s influence with vendors to rethink the end-user interface with EHR system implementations to support the new, more efficient, and hopefully, more pleasing workflows.
The role of HIS and new technology in clinical innovation:
If a new technology is very early in the hype cycle, chances are smaller than it can be applied for productive use across an organization, and it needs the additional work of testing and trying before betting on application with real patient.
Leaders in the field:
All the top innovations are tech-enabled and involve integration with existing HIS, such as the EHR system and adoption of new technology in various forms.
Progress is a journey, and digital health innovators will lead the way too many exciting and game-changing capabilities.
12

Using New Technologies to Engage Patients
Patient communication preferences
Care management
Digital health & the social determinants of health

Developer Notes: Align text with VO. Add continue button to continue to next slide.
VO:
Patient communication preferences:
– Seventy-nine percent of Americans with chronic health conditions say it’s important for their healthcare provider to give individualized recommendations.
Care management:
– Connects patients with providers in ways that personalize the interaction based on the preferences and conditions and/or diagnoses of the patient.
Digital health and the social determinants of health:
– Recognizing that health and value-based care require digital connectivity between patients, providers must be a priority for health systems and payers.
13

Ubiquitous Infrastructure: The Power of Texting & Smart Phones
In health care, it makes sense to use smart phones to interact with the multiplicity of end-users, in particular, providers, other clinicians, patients, and their families or caregivers.

Developer Notes: Align text with VO. Add continue button to continue to next slide.
VO:
The relationship between provider and patient is based on interaction and communication.
In health care, it makes sense to use smart phones to interact with the multiplicity of end-users, in particular, providers, other clinicians, patients, and their families or caregivers.
Just because a smart phone is used for a new capability doesn’t ensure success for a given idea or process.
14

The Big Tech Companies from Other Industries in Health Care

New, industry-agnostic players such as Google, Amazon, Microsoft, IBM, Oracle, and Salesforce are becoming players in health care.

Developer Notes: Align text with VO. Add continue button to continue to next slide.
VO:
New, industry-agnostic players such as Google, Amazon, Microsoft, IBM, Oracle, and Salesforce are becoming players in health care.
Six of the world’s largest technology giants have issued a joint statement vowing to remove the barriers to interoperability by promoting the “frictionless exchange of healthcare data” through open standards and active engagement with the healthcare industry.
15

Issues of Change & the Need for Governance
Regulations such as HIPAA, HITECH, HITRUST, MACRA, MIPS, and QPP have heavily influenced the development and direction of HIS over the years.

Developer Notes: Align text with VO. Add continue button to continue to next slide.
VO:
Regulations such as HIPAA, HITECH, HITRUST, MACRA, MIPS, and QPP have heavily influenced the development and direction of HIS over the years.
In addition to HIS strategic planning, HIS governance and decision making must be taken very seriously and properly managed.
Tough decisions must be made, and priorities set throughout the implementation of the countless changes that an HIS strategic and technology plan suggests and implementations require.
16

Summary

Developer Notes: You have concluded with the Week Four Interactive Presentation. Please proceed back to Week Four in Blackboard to continue the curriculum for Week Four.
VO: You have concluded with the Week Four Interactive Presentation. Please proceed back to Week Four in Blackboard to continue the curriculum for Week Four.
17

AI, machine learning, telemedicine, telehealth, predictive analytics, mobile devices, sensors, blockchain are capable of many things.

Barriers to adoption include complexities of healthcare processes, costliness of new technologies, legal issues, technical issues, and readiness.

Human-centered design, creating great UI/UX for patients, providers, and consumer base system design with the user in mind are important.

It is critical to have proper governance of design, decisions, and application priorities for new technologies.