How can technology be used to improve patient engagement?

Interest among the patients is actually rising in monitoring their own health through electronic health records. In addition to that, the fast-growing movement of mobile health applications, as well as the wearable health data trackers, are definitely influencing people to obtain their own health care records, as a result, the demand for patient engagement solutions are rapidly increasing. Patient engagement solutions enable patients handle their Healthcare information and enable better interaction of medical team to the patients.

It is important to offer the required tools to actually engage in the management of their personal health. Effective access to Healthcare providers and the personal Healthcare information enable patients in better self-care. Affordable Healthcare, grown patient outreach, reduced complications, reduced hospital readmission levels, fewer hospitalization periods, as well as a better quality of Healthcare are a some of the advantages includes in patient engagement. The process shares information and also interaction to assist the patient as well as enhance workflow efficiencies. In addition, it reduces administrative expenses. Patient engagement solutions improve patient and provider interaction and maintain both patient and the care team updated on the personal health data. Health care providers should enhance quality and the efficiency through some resources by using the solution. Patient engagement helps doctors to provide an even better diagnosis and much more coordinated care through tracking information for the patients’ health and even enables the sharing of a medical overview to care teams.

Many tools are around these days for helping the patient effectively self-manage as well as the provider in better track, train, act and also to communicate to patients. In fact, patients can make use of a number of mobile applications to keep track of their dietary, exercise as well as weight, all in order to make their health better. After the physicians get access to such data, they could give patients with more context or intervene through a number of measures which help progress the patient to improved health. While Healthcare experts are getting actionable information and offering comments about real-time information, the associated patient gets regular insights for their health, in such a way they may understand, allowing them for taking action. This helps them to remain motivated, that is crucial. As a result, the patient moves by simply caring to get connected and sharing to get constantly engaged, and gets engaged in the process in order to obtaining most effective health results.

The global market is dominated by the North America for the patient engagement solutions because of growing chronic diseases, regulatory mandates by the Affordable Care Act, growing demand for quality care, increasing health care expenses, as well as the increase in geriatric population within the region. It is expected that Asia will come up with high progressive rates withing the next 5 years in the global patient engagement solutions sector. India and China are expected to become fastest developing markets within the Asia Pacific region. The main factor for the market in the developing nations include more number of patients, growing awareness on the diseases, increasing Healthcare costs, enhancing Healthcare infrastructure, growth in Healthcare information technology use, along with increase of medical tourism in these regions.

Getting patients engaged with new technology and the tools helps communication and helps them in their ailments along with the treatment solutions. Quality enhancements to physician and patient interactions result in better-informed patients and make them more engaged in their own care. Patient engagement improves physician and patient relationships and produces greater health results. Providers and the mHealth application developers are often trying to find innovative methods to enhance the tools they choose for the patient engagement purposes. Many patients these days are quite interested in making use of tablets to communicate with their care providers.

Mobile Health applications are the future of patient engagement. As the use of mobile devices increasing along with the growth of mHealth applications growing in numbers, patient engagement platforms have grown to be more accessible. The use of mobile devices for engagement tools to enhance physician and patient relationships, information can easily be shared to the patients by their care providers. To improve physician and patient relationships along with the care, providers need to make a note of emerging engagement ways. That should aim to improve security and improve the overall quality of patient interactions by using the technology. It is necessary for the care providers to ensure security and adhere privacy regulations at the time of using the patient engagement tools along with technology to share medical information.

At Mindfire Solutions, we have been providing custom Healthcare software development services to our esteemed clients for more than 11 years now. Our Healthcare team can help you with development of custom EMR, HER, PMS and CPOE development to name a few, or we can customize your existing products as per requirements. Please feel free to write to us in case of any custom Healthcare needs and we will revert back in one business day. You can also avail our limited period Risk-Free Trial offer.

What will be the future of Physician-Owned Practices?

The Healthcare Landscape is in the process of undergoing a major change courtesy reforms which have either been brought in or are scheduled in the near future. These reforms are expected to pose huge challenges for providers as they grapple with ICD-10 coding standards, payment and reimbursement reforms, new healthcare models like Accountable Care Organizations etc. They are expected to also make huge investments in meaningfully adopting EHRs or face penalty. All this is taking a toll on the revenue stream. Physicians who are otherwise expected to focus on providing care to their patients in the best possible way are now required to devout a considerable amount of their valuable time in understanding the mandates and adapting to them. Does it mean the moving forward we are unlikely to come across independents physicians? Well, the Federal push to adopt Health IT has kind of compelled many physicians to join hospitals or similar such setups in order to ensure exemption from the additional burden to investing in IT and having to keep up the multitude of technological and regulatory requirements .

The financial and administrative strain on these private practices has resulted in physicians actively looking out for opportunities for affiliation. The move seems quite logical also; to let existing setups deal with all matters not directly related to patient care while the physicians can channelize your energies into it. As early as 2005, the percentage of physician–owned practices was at 66% but has reduced considerably to 33% by 2013. Also, the new physicians entering the industry do not seem too keen to own an independent practice; concerned mainly by the administrative hassles involved in holding one and the resultant squeeze in the profitability levels. For the hospitals also, acquiring Physicians goes a long way in ensuring an increase in the cash flow. At the end of the day hospitals are business entities which have to operate profitably to serve their patients better and also in a larger sense project the industry as lucrative to young people looking at taking up the medical profession. Since adoption of IT mandates has increased the financial pressure on the independent establishments, long term sustainability efforts seem to be channelized towards their affiliation to hospitals.

Inspite of all these developments, there are quite a number of physicians who still want to operate in an independent manner. To make it a reality they need to have an upgraded and integrated software revenue cycle management, practice management and electronic health records. This was revealed by a survey which was conducted amongst Practices which are Meaningful Stage 1 attested. This is where cloud based EHRs and RCMs have innovated and come up with solutions that meet all regulatory requirements. Cloud Based EMR requires a user to pay a subscription fees rather than purchase it. The fees generally need to be paid on a monthly basis. Users, i.e. physicians in this case, are not required to make any investment on associated hardware and software. It is reckoned as cloud because the storing of data is done across a network of data storage centers and not in any one particular location.

The major reasons for physicians to want to adopt this model, so as to enable them to have an independent existence, are:

• They do not have to bother about meeting the HIPPA regulation

• The onus to meet Meaningful Use also lies with Vendor

• The model offers exceptional flexibility for Physicians on the move

• There is High focus on data security and protection

• It is highly cost effective

There are also some drawbacks of using Cloud based EHRs. The major ones are:

• High dependence on vendors for data backups and security

• Setup likely to suffer if the vendor closes down

If a physician is looking at the possibility of entering into a long-term relationship with a vendor, then it would be cost effective to buy the software. However, in the given circumstances when a lot of consolidation is taking place in the EHR marketplace, licensing is a better option. Physicians looking for getting software developed can hire developers from healthcare software development companies in India who can help build clinical and EHR/EMR software projects within allocated budgets and time schedules.

We provide healthcare mobile app development services. To know more about the expertise of our healthcare software developers, please visit us at Mindfire Solutions.

How is mHealth metamorphosing Healthcare delivery?

Various researches have indicated the various benefits which implementation of mHealth is to bring forth in the healthcare industry. Although there is an inclination to quantify the benefits in monetary terms, the real focus should be on identifying the major changes in healthcare delivery which mHealth is going to bring about. The accuracy of monetary benefits is always going to be debatable but not the tangible benefits drawn from mHealth adoption. Of the many benefits predicted two areas which are going to see some real changes are remote patient monitoring and chronic disease management. In the event of the first, it will result in patients spending less time in hospitals and in outpatient visits. What has been really exciting is to have mHealth hardware getting directly linked to companion apps.

However, mHealth is expected to grow more so as Smartphone-based rather than being delivered through bespoke devices. As far as chronic disease management is concerned, from addressing high healthcare costs, inequality of care and medicinal waste, mHealth can actually bring about some serious positive change in lifestyle. Plus, it allows patients in some capacity to manage their health independently. For a chronic disease like diabetes, triggered mainly by incorrect lifestyle, mHealth can prove a really meaningful contribution in managing it well. For e.g. patients can use the proven apps to adhere to treatment regimes. Physicians can use make use of Patient portals to communicate directly with patients and provide information on disease management. All these and many more channels can be used to get patients to manage their blood glucose levels and reduce instances of emergency room visits and readmissions. Studies done have also indicated that with the younger lot, who unfortunately suffer from the disease, there are apps specially designed which use pictures and text messages which engage them to improve their compliance to care process at home. Also, it helps to get responses to queries from physicians in quick time. The texting program has seems to be gaining in popularity with text reminders ensuring better adherence.

Overall, these are early stages for adoption of mHealth apps. Most of the ones available currently do not have a high degree of sophistication, and are underutilized. However, it is laying the foundation for the next level of innovation to follow where the apps developed will be more suited to the changing healthcare landscape. Since a lot of changes related to healthcare IT are scheduled in the next few years, with some mandated by the federal government, the mobiles apps in the future will have to take into account the regulatory compliances to pervade into the lives of all stakeholders in the industry. The mHealth market is entirely in sync with the smartphone application market. Hence, the adoption is sure to pick from developed countries before it moves to others. In absolute terms, mHealth will see a exponential adoption since the number of people using smartphones and tablets is expected to be in billions in the next 5 years. That is also the time when it is expected to have entered the commercialization phase. But between then and now some major changes will also have to be done. For instance the regulations will have to be modified and defined in clear terms and the solutions have to handle more complex situations. The changes currently taking place in the operational models in the industry will create a an environment conducive to mHealth adoption. One of the studies done to identify the trends which will shape the market for mHealth had the following points to share

• The main driver for the mHealth usage will be the penetration of Smartphones
• There will customized mHealth applications available for smartphones or tablets
• Most of the applications will be native
• There are likely to be niche stores for mHealth apps
• The commercialization phase will require better regulations to be in place
• The market will be driven by the buyers
• The traditional health distribution channels will start adopting mHealth apps
• Countries with high smartphone penetration and healthcare budgets will be the main benefactors
• The chronic diseases will draw special focus
• New business models will come into play

With the adoption rate for mHealth apps on the rise, healthcare software testing also starts assuming increasing importance. It becomes vital and hence imperative to use app testers to test the robustness and security of the apps before they are rolled out to the patients and users.

We provide Healthcare software development services. To know more about the expertise of our healthcare application developers, please visit Mindfire Solutions.

Major hurdles to Healthcare IT adoption

The Healthcare industry is currently undergoing a metamorphosis which is unprecedented. All the efforts being put in to digitize data is expected to bring in significant changes to the manner in which care is provided. Health Information Technology for Economic and Clinical Health Act was enacted under the American Recovery and Reinvestment Act of 2009, has pushed for the adoption of electronic health records. This has resulted in efforts directed towards innovation in this industry. The intent is to move towards using more evidence-based tools in helping physicians provide better services to their patients. All this is finally expected to result in a smarter healthcare model. However, the entire story looks pretty promising till the issues at hand are considered. The biggest hurdle at this moment, which has the capacity to undermine the entire initiative, is the pace at which the adoption is taking place. The changes in approach which need to be brought in require acceptance and widespread use to ensure that the real benefits are passed on to the patients. Unfortunately there is a lot of inertia amongst physicians against adoption of information technology in their operations. Government is doing its bit by trying to enforce them, through incentives first and planned penalty later, to accept the change. But the real benefits can only be derived if there is a change of heart in the present generation of physicians and the various tools made available at their disposal are used to their fullest extent. The medical schools are doing their bit in making it mandatory for the students to use software tools and devices as part of their curriculum. This will automatically make it possible for them to extend it to their practices because of the familiarity which would have developed. The problem here is that such a phenomena will have a lag time. To ensure that the current population is not denied the benefits or is not made to wait for decade, it is the unwilling bunch of experienced practicing physicians who have to change.

In the current healthcare model the focus is on quantity. Physicians, to run their setups profitably, have to see a large number of patients on a daily basis. They are also badgered by the continual interference of payers who want to call the shots on how patients should be treated. All this has rendered the model effective and unyielding from both the physician as well as the patient perspective. Accountable care Organization is one of the new models which is taking shape as a consequence of these developments. This ties the provider payment to the quality of care and reduction of care cost for an identified population. They are responsible to the patients as well as the payer for the appropriateness, quality and efficiency of care that they provide. They are driven by 3 primary objectives:

• Improved Care

• Improved Health

• Lower per-capita Cost

However, setting up an ACO involves a considerable amount of startup cost and large annual expenses for maintenance. This is where implementation of info systems can be of tremendous benefit – both in terms of reducing the cost as well as improving the quality of care. It is effective IT solutions which can ensure that the physicians receive the best possible information at the right time to enable them to achieve their goals. All this can be done ensuring confidentiality of patient information throughout the processes. But implementation of IT has also had its fair share of challenges which are not completely removed yet. For e.g. an ACO generally has a large number of Primary Care physicians under its wing. each of the setups generally have their home grown EMRs which generally are seen to lack all the functionalities needed to make them comply with Meaningful Use mandates . On handling this issue the next one to surface is generally that of lack of interoperability. As more and more physicians start joining the group ensuring both the above factors is a must. Another issue which came to the forefront was the differing speed of communication at healthcare setups which indirectly affected how fast physicians driven by need could communicate. Clinical software development teams can help you build clinical and EHR/EMR software projects within allocated budgets and time schedules.

We provide healthcare software development services and also have deep experience in healthcare application testing. If you would like to know more about our healthcare domain expertise, please visit us at Mindfire Solutions.

Measures to handle Health IT hazards

Implementation of the Medicare and Medicaid EHR incentive programs has led to widespread adoption of EHRs everywhere. The trigger to all this was with the Obama government encouraging the adoption of Health IT by passing the Recovery Act in 2009. In the year 2011, the Medicare and Medicaid EHR incentive programs made it possible for physicians, hospitals, and other eligible providers to draw incentives for adopting and meaningfully using certified electronic health records. Health IT, besides all the benefits that it is supposed to bring forth, also needs to ensure safety of patients. Understanding the relevance of this area, the federal government has established a communications infrastructure to capture data about IT-related patient safety events. This is expected to hugely benefit the providers since it will result in the right intervention to handle issues when they arise. Thus new systems, when they get implemented, should without fail take into account the safety of patients. Two things hold the key to achieve this; more engagement from the Patient’s end and provision for exchange of patient information among providers. Surveys conducted have indicated some common occurrences of problems which can broadly be categorized to fall under the following heads:

• Information that is very coarse : generic statements

• Information that’s too fine : being very specific reduces chances of considering alternatives

• Missing reality : only reports and numbers do not necessarily indicate the actual situation

• Multiplicity : results / analysis from various sources suggesting conflicting information

These are problems which physicians encounter when they deal with Information systems in real time. What needs to be done here is to have a provision for giving feedback to system developers on a regular basis to close the loopholes. Physicians need to be empowered to suggest improvements when they observe problems. Not providing feedback and being operationally efficient in following what the systems prompt can in the long run prove to be a big pitfall for the industry.

Health IT is expected to bring about tremendous benefits to patients care. However since it involves complex technologies, there are high chances of mistakes occurring in its roll out. Information errors comprise a major chunk of the potential hazards of Health IT. From data mismatches to interoperability failures between devices and systems to distractions caused by smartphones and devices, all these have the potential to undo or spoil a lot of the positives of health IT implementation. If we take the last point into account, the event does not seem to be as fatal as the effect it ends up having. In today’s world of BYOD culture, physicians carry their own smartphones and tablets to work. It is quite obvious to have a lot of apps available in these devices in addition to the ones which are required to work with. Since a lot of these apps have live updates etc. it is quite normal to get distracted by them if one were using the device during patient visits with the apps switched on. Apart from the fact that it may lead to mistakes and missing out on relevant information, focusing more on the device might lead to not noticing vital clues in patients affecting the quality of care. The medical schools are trying to address the matted by devising special courses to help the future physicians learn about ways to integrate technology into their workflow without getting distracted or affected in ways which might prove to be detrimental.

Experts in the industry are suggesting ways by which the concern of safety in Health IT can be addressed. One such recommendations is to device a framework which can be rolled out in three phases and get combined with EHR implementation and related Meaningful Use requirements. The important thing to keep in mind is to incorporate safety into training of Healthcare providers and also into certification of software products. The software developers involved in developing these complex systems also need to be involved and explained their need to share responsibility for the safety. Finally measures should be taken to ensure that physicians find it easy and convenient to share their feedback and concerns whenever they want to. Nothing can be more vital than their feedback. Healthcare software development teams can help you build clinical and EHR/EMR software projects within allocated budgets and time schedules.

We provide healthcare mobile app development services. To know more about the expertise of our Healthcare software developers, please visit Mindfire Solutions.

Top trends driving Healthcare IT in 2013

Going by what some of the stalwarts of the industry feel, healthcare like the education industry is more than a decade behind where it should be in terms of adoption of technology. To say that it has had a tremendous impact on the manner in which the industry goes about offering its services would be an understatement. There is huge amount of scope available for improvement in this field. However, the irony lies in the fact that for real development to actually start taking shape the current landscape needs to undergo a complete change. The Healthcare industry now has too many players, of smaller size, trying to grab a market which seems limited in terms of innovations. Hence the expectations from these players is to deliver high levels of services for less, which kind of in turn is bound to put a lot of financial burden on them . As these vendors keep jostling amongst themselves for a higher share of hospital market which is kind of limited, the later on the contrary want less number of vendors to deal with. This is simply because they want to be more efficient in their operations and not run into a state where the burden of handling multiple vendors takes a toll on their core job. Thus the industry as it grows, which it must, will see a lot of changes happening in the near future culminating in the presence of fewer and efficient vendors offering a better ROI than what they do now. A lot of mergers and acquisitions are not far away as we proceed into the future.

What Health IT systems do is that they equip doctors, hospitals, and other providers to provide better coordinated care. They also ensure reduction of errors and readmissions all of which result in costing more money and leaving patients less healthy .The year 2012 proved to be a windfall year for Healthcare IT with a record $1.2 billion pumped into the sector through venture funding. While the major chuck of the deals were in health information management, significant investments seem to have been made in companies which focused on consumers e.g. Mobile health, Telehealth, Personal Health etc.

The first quarter of 2013 has also seen record investment in this field. The trigger to all this was with the Obama government encouraging the adoption of Health IT by passing the Recovery Act in 2009. In the year 2011, the Medicare and Medicaid EHR incentive programs made it possible for Doctors, hospitals, and other eligible providers to incentives for adopting and meaningfully use certified electronic health records. This move, as part of the Recovery Act, kind of incentivized early adoption of EHRs which is critical for broader healthcare Quality and efficiency improvement. It results in better care coordination, reduction of duplicate tests and procedures and finally rewarding hospitals for keeping patients healthier. The results till date prove to be highly encouraging with more than half of eligible professionals and 80 percent of eligible hospitals having meaningfully adopted EHRs and received the incentive payout. This trend is expected to up and lead to complete adoption by 2015 post which the government has plans of penalizing the ones who fail to comply with the mandate.

There is however another concern which is quite grave that is showing along with the wider adoption of EHR and it involves protection of patient data contained in its electronic health record system. By rule, to become eligible for the incentive payout, only those EHRs which are certified need to be used meaningfully. But one also needs to take into account the fact that finally the usage of the system has a human element involved and that is where adequate training needs to be given to the staff as well as monitor their access. There have been a few instances were law suits have been filed by patients where their data has been found to be compromised. This becomes a matter of grave concern and requires all concerned stakeholders to take all the requisite steps to ensure that such discrepancies are removed completely. According to the U.S. Department of Health & Human Services, 40 percent of large data breaches have involved laptop or storage devices that have been lost or stolen.Healthcare software development teams can help you build clinical and EHR/EMR software projects within allocated budgets and time schedules.

We provide clinical software development services. To know more about the expertise of our healthcare software developers, please visit Mindfire Solutions.