healthcare

Everyone wants to see more innovation in health care delivery.  Not to miss the remote healthcare visitation party -- a relatively recent employee benefit -- Verizon just announced its new Virtual Visits platform, expanding medical access for patients who may wait " an average of 27 days for to schedule an appointment." That’s a 2010 statistic, in case you were wondering. By 2013 the average wait time was more like 18 days. But perhaps the wait time is beside the point – what if you don’t live or happen to be near a doctor?  Would you use a remote visitation service? If you’re elderly, do you NEED a remote visitation service? Yes, perhaps. For some – it can enable access to a doctor’s advice without the hassle of traveling to the office. But does it matter if the oldest adults would not benefit - what if only 34% of those aged 75-79 and 20% of the 80+ seniors have access to broadband? No remote visitation for them.

How do elderly patients and their caregivers leave the hospital?  Apparently with reams of paper that include post-hospital care instructions and medication lists.  In addition, a patient receives detailed verbal instructions from a nurse, perhaps for wound care, plus reminders to follow up with the doctor.  Note the 'best practice' outlined by the Agency for Healthcare Research and Quality -- more paper. Yet in the age of smartphone adoption by boomers – more than half of Pew responders were in the 35-44 age range, 39% were 55-64 – something seems odd about this document-intensive process. Consider a scenario in which an elderly person is going home, driven by a family member, or perhaps they are going to a rehab facility/nursing home.  

Ice, snow and healthcare at your fingertips. The mHealth Summit was acquired by HIMSS in February 2012. The summit was billed at that time as "the largest gathering focused solely on the intersection of health and mobile information technology." This year, the glossy for the mHealth Summit event was subtitled "Healthcare at your Fingertips" – a play on the mobile health device innovation and investment hype.  During an icy and snowy few days, there was the usual gnashing of teeth about whether mobile healthcare delivery is a broadly adopted reality and will really be at your fingertips any time soon. The conference tackled some thorny global issues – obstetrics and women in developing countries, new ventures/investment and helping developers think about wireless innovation. Surprise -- the event had at least three scheduled sessions (Yayyy!!!) about older adults, aging in place, and the presence/absence of apps for seniors.

How did we get people to quit smoking? Do you remember the early days when 'Smoking is bad for your health' ads (based on published research) emerged? In the 1960s, 44% of adults smoked. I thought of the research-based ads this week when Pew Research released an enormous report (94 pages) called The Diagnosis Difference, funded by the California Healthcare Foundation. In its many pages, the report makes two key points: 1) People with chronic diseases are less likely to have Internet access than those without chronic diseases --72% versus 89%, thus described as the "17-point difference." 2) Those with chronic diseases who are online use the Internet to find information as well as other people who share their chronic disease(s).  And – one more thing – 43% of the 65+ surveyed had two or more chronic conditions. Now you know, but what should you do?

It’s a new era – patient engagement – but does that include seniors? According to a recent health journal article, welcome to the era of patient engagement. What’s that?  “Empowering patients to actively process information, decide how that information fits into their lives, and act on those decisions is a key driver to improving care and reducing costs.” Like many of the heavily-invested Health IT improvements over the years, patient engagement strategies offer the industry a feel-good approach to preaching to and reaching the converted – those tech-enabled individuals with a fetish for looking stuff up and tracking it (see Google Health). Ah, but those with the least access to technology may need the most engagement -- they're not likely to peer at their patient portals. At last Pew count only 13% of the 65+ even looked online for information as a diagnostic tool. And fewer than half of those followed up with a medical professional based on what they found.